FETAL CARDIAC INTERVENTION IN AORTIC STENOSIS AND AORTIC ATRESIA WITH SEVERE MITRAL REGURGITATION: A REPORT OF THE INTERNATIONAL FETAL CARDIAC INTERVENTION REGISTRY (IFCIR)

2019 ◽  
Vol 73 (9) ◽  
pp. 586
Author(s):  
Marco Rodriguez ◽  
Betul Yilmaz ◽  
Anita Moon-Grady ◽  
Aimee Armstrong ◽  
Michele Frommelt ◽  
...  
2020 ◽  
Vol 75 (11) ◽  
pp. 2941
Author(s):  
Adithya Thomas Mathews ◽  
Hamza Lodhi ◽  
Priya Bansal ◽  
Haider Al Taii ◽  
Akshay Mathews ◽  
...  

2012 ◽  
Vol 3 (2) ◽  
pp. 264-266 ◽  
Author(s):  
Michael L. Ciccolo ◽  
Abraham Rothman ◽  
Alvaro Galindo ◽  
Ruben J. Acherman ◽  
William N. Evans

Perinatal management of severe mitral regurgitation (MR) and aortic stenosis (AS) is difficult; mortality is high, and there are few reports of successful postnatal biventricular repairs. We report a patient with severe MR and AS, diagnosed prenatally, that underwent a fetal aortic valvuloplasty and a successful modified Ross-Konno procedure with concomitant mitral valve repair shortly after birth.


2011 ◽  
Vol 57 (3) ◽  
pp. 348-355 ◽  
Author(s):  
Melanie Vogel ◽  
Doff B. McElhinney ◽  
Louise E. Wilkins-Haug ◽  
Audrey C. Marshall ◽  
Carol B. Benson ◽  
...  

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
D Sorysz ◽  
A Krawczyk-Ozog ◽  
T Tokarek ◽  
B Zawislak ◽  
M Stapor ◽  
...  

Abstract Introduction Mitral regurgitation is often found in conjunction with aortic stenosis and the prevalence of both valvular lesions increases with age. Purpose The aim of this study was to evaluate mitral regurgitation, left ventricle and left atrium in patients with severe aortic stenosis undergoing transcatheter aortic valve implantation (TAVI). Methods A total of 31 patients (29% males) with severe aortic stenosis and moderate or severe mitral regurgitation, who underwent TAVI were included in this study. Clinical and echocardiographic characteristics were performed at baseline and in 6, 12 months observation. Results After TAVI, decrease of vena contracta width of mitral regurgitation (p = 0.00002, p = 0.00004), aorto-mural mitral annulus diameter (p = 0.00008, p = 0.02), increase mitral annular plane systolic excursion (p = 0.0004, p = 0.0003), left ventricular stroke volume (p = 0.0003, p = 0.0004), ejection fraction (p = 0.0004, p = 0.01) and decrease major dimension of left ventricle in three chamber view (p = 0.05, p = 0.002) was observed in patient in both time points, respectively. Additionally, we observed decrease of distance between head of papillary muscles (p = 0.003) at 6 months and decrease of left atrium indexed volume (p = 0.01) and grade of tricuspid regurgitation (p = 0.03) at 12 months follow up. Conclusions Patients with moderate or severe mitral regurgitation after TAVI procedure achieved significant reductions of mitral regurgitation and improvement of some parameters assessing mitral annulus, left ventricle and left atrium geometry.


2012 ◽  
Vol 69 (8) ◽  
pp. 714-716 ◽  
Author(s):  
Dragan Mijuskovic ◽  
Dusica Stamenkovic ◽  
Sasa Borovic ◽  
Menelaos Karanikolas

Introduction. The incidence of sudden cardiac death in patients with severe symptomatic aortic stenosis is up to 34% and resuscitation is described as highly unsuccessful. Case report. A 72-year-old female patient with severe aortic stenosis combined with severe mitral regurgitation and three-vessel coronary artery disease was successfully resuscitated following two in-hospital cardiac arrests. The first cardiac arrest occurred immediately after intraarterial injection of low osmolar iodinated agent during coronary angiography. Angiography revealed 90% occlusion of the proximal left main coronary artery and circumflex branch. The second arrest followed induction of anesthesia. Following successful open-chest resuscitation, aortic valve replacement, mitral valvuloplasty and three-vessel aortocoronary bypass were performed. Postoperative pericardial tamponade required surgical revision. The patient recovered completely. Conclusion. Decision to start resuscitation may be justified in selected patients with critical aortic stenosis, even though cardiopulmonary resuscitation in such cases is generally considered futile.


2011 ◽  
Vol 6 (1) ◽  
pp. 62
Author(s):  
Raquel del Valle-Fernández ◽  
Carlos E Ruiz ◽  
◽  

Percutaneous treatment of severe mitral regurgitation is a very interesting therapeutic option for those patients considered not to be suitable candidates for surgery. Different technologies have already demonstrated proof-of-concept, and one of these devices (the Mitraclip device) has already obtained the Conformité Europeéne mark. However, demonstrating safety and efficacy for most of these technologies is being harder than anticipated. Recently, research and development has become more compromised due to the financial crisis. This paper reviews the venues that are currently under evaluation.


2020 ◽  
Vol 04 (05) ◽  
Author(s):  
Laura Piggott ◽  
Ashling Ní Chinnéide ◽  
Laura Worthington ◽  
Paul Shiels

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