Implantation of a Single Chamber Pacemaker in Patients with Triple Mechanical Valve Prosthesis: Utilization of Coronary Sinus Distal Branches to Stimulate the Left Ventricle

2002 ◽  
Vol 25 (2) ◽  
pp. 239-240 ◽  
Author(s):  
ANTONIO CURNIS ◽  
GIOSUE MASCIOLI ◽  
FEDERICO BIANCHETTI ◽  
LUCA BONTEMPI ◽  
RENATO MARCONI ◽  
...  
Keyword(s):  
Left Ventricle ◽  
Coronary Sinus ◽  
Mechanical Valve ◽  
Valve Prosthesis ◽  
Single Chamber

scholarly journals Congenital fistula between left ventricle and coronary sinus.

Heart ◽  
1981 ◽  
Vol 45 (1) ◽  
pp. 101-104 ◽  
Author(s):  
K M McGarry ◽  
J Stark ◽  
F J Macartney
Keyword(s):  
Left Ventricle ◽  
Coronary Sinus ◽  
Congenital Fistula

Passing a Mechanical Aortic Valve With a Short Tip Dilator to Facilitate Aortic Arch Endovascular Branched Repair

2021 ◽  
pp. 152660282110025
Author(s):  
Nikolaos Konstantinou ◽  
Sven Peterss ◽  
Jan Stana ◽  
Barbara Rantner ◽  
Ramin Banafsche ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Arch ◽  
Stent Graft ◽  
Mechanical Valve ◽  
Valve Prosthesis ◽  
Proper Position ◽  
Mechanical Aortic Valve ◽  
Aortic Replacement ◽  
Custom Made ◽  
Aortic Valve Prosthesis

Purpose To present a novel technique to successfully cross a mechanical aortic valve prosthesis. Technique A 55-year-old female patient with genetically verified Marfan syndrome presented with a 5-cm anastomotic aneurysm of the proximal aortic arch after previous ascending aortic replacement due to a type A aortic dissection in 2007. The patient also underwent mechanical aortic valve replacement in 1991. A 3-stage hybrid repair was planned. The first 2 steps included debranching of the supra-aortic vessels. In the third procedure, a custom-made double branched endovascular stent-graft with a short 35-mm introducer tip was implanted. The mechanical valve was passed with the tip of the dilator on the lateral site of the leaflet, without destructing the valve and with only mild symptoms of aortic insufficiency, as one leaflet continued to work. This allowed the implantation of the stent-graft directly distally of the coronary arteries. Postoperative computed tomography angiography showed no endoleaks and patent coronary and supra-aortic vessels. Conclusion Passing a mechanical aortic valve prosthesis at the proper position is feasible and allows adequate endovascular treatment in complex arch anatomy. However, caution should be taken during positioning of the endovascular graft as the tip may potentially damage the valve prosthesis.

scholarly journals Post hoc patient satisfaction with the choice of valve prosthesis for aortic valve replacement: results of a single-centre survey

2021 ◽  
Author(s):  
Laure Bryssinck ◽  
Siel De Vlieger ◽  
Katrien François ◽  
Thierry Bové
Keyword(s):  
Patient Satisfaction ◽  
Aortic Valve ◽  
Confidence Interval ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Odds Ratio ◽  
Mechanical Valve ◽  
Decisional Conflict ◽  
Valve Prosthesis ◽  
Post Hoc

Abstract OBJECTIVES Our goal was to examine post hoc patient satisfaction and the decision-making process of choosing a prosthesis for aortic valve replacement (AVR). METHODS We surveyed 113 patients who were operated on for AVR at 60–70 years of age, including 74 patients with a mechanical valve (MECH) and 39 with a bioprosthesis (BIO). The study focused on quality of life and the decision pathway in relation to prosthesis choice and valve-related complications. Decisional conflict was defined as the post hoc uncertainty perceived by patients regarding their choice of prosthesis. RESULTS The survey was performed at a median of 5.2 (3.2–8.1) years after the AVR. Patients with a biological valve were older (BIO: 68.4 years [66.2–69.4] vs MECH: 63.9 [61.9–66.7]; P < 0.001). Global post hoc satisfaction with prosthesis choice was high in both groups (MECH: 95.9%; BIO: 100%), and 85.1% (MECH) and 92.3% (BIO) of them would repeat their choice. Conflict about their decision was equal (MECH: 30.3%; BIO: 32.6%) for different reasons: MECH patients experienced more anticoagulation-related inconvenience (25.9% vs 0%), fear of bleeding (31.1% vs 0%) and prosthesis noise (26.2% vs 0%), whereas more BIO patients feared prosthesis failure (39.7% vs 17.4%) or reoperation (43.5% vs 18.1%). Active involvement in the decision (odds ratio 0.37, 95% confidence interval 0.16–0.85; P = 0.029) and adequate information about the prosthesis (odds ratio 0.34, 95% confidence interval 0.14–0.86; P = 0.020) decreased the risk of conflict about the decision. CONCLUSIONS Although 30% of the responders showed a decisional conflict related to prosthesis-specific interferences, global patient satisfaction with the prosthesis choice for AVR is excellent. Increasing the patient’s involvement in the prosthesis choice through shared accountability and improved information is recommended to decrease the choice-related uncertainty.

Twenty-Five Year Experience With the St. Jude Medical Mechanical Valve Prosthesis

2010 ◽  
Vol 89 (5) ◽  
pp. 1402-1409 ◽  
Author(s):  
J. Matthew Toole ◽  
Martha R. Stroud ◽  
John M. Kratz ◽  
Arthur J. Crumbley ◽  
Scott M. Bradley ◽  
...  
Keyword(s):  
Mechanical Valve ◽  
Valve Prosthesis ◽  
Jude Medical

Percutaneous closure of an Iatrogenic fistula from the left ventricle to the coronary sinus

2014 ◽  
Vol 86 (2) ◽  
pp. E99-E102
Author(s):  
Zachary M. Gertz ◽  
Jose-Luis E. Velazquez-Cecena ◽  
John. V. Ian Nixon
Keyword(s):  
Left Ventricle ◽  
Coronary Sinus ◽  
Percutaneous Closure

scholarly journals P1002Puncture of occluded coronary sinus ostium for left ventricle lead implant Troubleshooting for a difficult case - CASE REPORT

EP Europace ◽  
2017 ◽  
Vol 19 (suppl_3) ◽  
pp. iii211-iii212
Author(s):  
B. Papelbaum ◽  
SS. Galvao Filho ◽  
JT. Medeiros De Vasconcelos ◽  
C. Eduardo Duarte ◽  
R. Castro Galvao ◽  
...  
Keyword(s):  
Case Report ◽  
Left Ventricle ◽  
Coronary Sinus ◽  
Difficult Case ◽  
Coronary Sinus Ostium ◽  
Sinus Ostium

A Case of Dual Coronary Sinus Fistulas Originating From Right Coronary Artery and Left Ventricle

2012 ◽  
Vol 28 (5) ◽  
pp. 612.e9-612.e10
Author(s):  
Kiyotaka Watanabe ◽  
Kozo Hoshino ◽  
Kaoru Dohi ◽  
Naritatsu Saito ◽  
Takafumi Hashimoto ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Left Ventricle ◽  
Right Coronary Artery ◽  
Coronary Sinus

scholarly journals Use of mitral homograft to support a mechanical valve prosthesis: A feasible solution for recurrent mitral valve dysfunction

2009 ◽  
Vol 137 (3) ◽  
pp. 762-763 ◽  
Author(s):  
José M. Bernal ◽  
Francisco Gutiérrez ◽  
M. Carmen Fariñas ◽  
Elena Arnaiz ◽  
Carmen Diago ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Feasible Solution ◽  
Mechanical Valve ◽  
Valve Prosthesis ◽  
Valve Dysfunction

Early effects of right ventricular pacing on the left ventricle in single-chamber and dual-chamber pacemakers

2016 ◽  
Vol 29 (1) ◽  
pp. 52
Author(s):  
AlaaS Algazzar ◽  
MohamedA Moharram ◽  
AzzaA Katta ◽  
GhadaM Soltan ◽  
WalaaF Abd Elaziz
Keyword(s):  
Left Ventricle ◽  
Right Ventricular ◽  
Ventricular Pacing ◽  
Dual Chamber ◽  
Right Ventricular Pacing ◽  
Single Chamber ◽  
Early Effects ◽  
Dual Chamber Pacemakers

The Influence of Mitral Valve Prosthesis Selection on the Blood Flow in the Left Ventricle

2020 ◽  
Vol 4 (sup1) ◽  
pp. 68-70
Author(s):  
Ulrich Steinseifer ◽  
Christoph Schmitz ◽  
Matthias Menne
Keyword(s):  
Blood Flow ◽  
Mitral Valve ◽  
Left Ventricle ◽  
Valve Prosthesis ◽  
Mitral Valve Prosthesis
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