Transthoracic echocardiographyTranscatheter aortic valve implantationIntra-aortCoronaryAmerican Society of EchocSevereBicuspid aortSAVRUnderwentIntracardiacMitralHemodynamicIntraoperativeTAVIPulmonarySurgicalEchocardiogramSymptomaticTricuspid valveTAVRPulmonicValvesValve areaEndocarditisEchocardiographicChestModalitiesUltrasoundBluntClinicalDiagnosticSeverityProgressionMortalityLeftDecadesHeartAlternative
Transthoracic echocardiography10
- transesophageal echocardiography has greater sensitivity and specificity than transthoracic echocardiography. (wikipedia.org)
- Until recently, conventional transesophageal echocardiography and transthoracic echocardiography were the tools available for hemodynamic assessment of patients on this form of mechanical circulatory support. (hindawi.com)
- Although no current guidelines are available for an optimal monitoring device for patients under extracorporeal membrane oxygenation (ECMO) support, conventional transesophageal echocardiography (TEE) or transthoracic echocardiography (TTE) is commonly used for this purpose [ 3 ]. (hindawi.com)
- This case presents the incidental finding of a quadricuspid aortic valve on intraoperative transesophageal echocardiography after going undetected on transthoracic echocardiography multiple times, suggesting that transesophageal echocardiography may be a superior imaging modality for the identification of this defect. (msu.edu)
- Transthoracic echocardiography (TTE) showed severe aortic regurgitation classified as type II (cusp prolapse) according to the functional classification developed by El Khoury et al. (biomedcentral.com)
- The patients underwent lung echography and transthoracic echocardiography, with a linear 5 to 10 MHz and with a 1.5 to 3.6 MHz wide-angle phased-array transducer, respectively. (biomedcentral.com)
- It is usually calculated by transthoracic echocardiography (TTE), however, accurate and reproducible determination may be challenging. (biomedcentral.com)
- It provides numerous types of echocardiographic information, including two-dimensional or three-dimensional images, M-mode, color flow imaging, Doppler studies, and related calculations, such as transthoracic echocardiography (TTE). (ceemjournal.org)
- Advanced ultrasound techniques such as the transthoracic echocardiography, have often been used to compensate for the insufficiency of standard imaging modalities. (biomedcentral.com)
- Mild myocardial hypertrophy with inferior wall hypokinesia but normal left ventricular (LV) ejection fraction (EF) were seen on transthoracic echocardiography (TTE) 1.5 years before along with left atrial (LA) dilatation and moderate mitral and aortic sclerosis with trivial regurgitation without stenosis and normal right-sided cavities. (journalmc.org)
Transcatheter aortic valve implantation4
- Over the past two decades, transcatheter aortic valve implantation (TAVI) has been established as a viable alternative treatment to deal with severe aortic stenosis in patients at risk of open-heart surgery. (frontiersin.org)
- Transcatheter aortic valve implantation (TAVI) is an alternative treatment for severe aortic valve stenosis (AS) in patients with prohibitive risk for surgical aortic valve replacement (SAVR). (opencardiovascularmedicinejournal.com)
- One of the most important new treatment options is the percutaneous treatment for aortic valve stenosis (transcatheter aortic valve implantation), since aortic valve disease is a rather common problem in elderly patients, with many of them at high risk for surgery. (bmj.com)
- Foremost in the development of percutaneous treatment options for aortic valve stenosis, transcatheter aortic valve implantation (TAVI) has improved the treatment options for elderly patients with aortic valve stenosis. (bmj.com)
Intra-aort2
- Once the cardiac rhythm was controlled, he underwent an intra-aortic balloon pump insertion and was transferred to our institution for possible ECMO support. (hindawi.com)
- Materials and methods: A-66-year old man underwent pericardiectomy.Postoperative he endured TC and progressed exacerbation of hemodynamic instability.finally, he had to be supported by intra-aortic balloon pump（IABP),extracorporeal membrane oxygenation（ECMO). (authorea.com)
Coronary8
- A 72-year-old man (patient B) with coronary artery disease and chronic renal insufficiency underwent coronary artery bypass grafting and aortic grafting for abdominal aortic aneurysm in December 1999. (cdc.gov)
- This patient with a history of coronary artery disease presented with sudden onset moderate to severe aortic insufficiency and required subsequent aortic valve replacement (AVR). (msu.edu)
- Cardiac procedures consisted of off-pump coronary artery bypass grafting (n = 4), aortic valve replacement (n = 3), mitral valve plasty (n = 2), total arch replacement (n = 1), and descending aorta replacement (n = 1). (go.jp)
- To find a definitive solution for the patient's presenting problem, he underwent Off-Pump Coronary Artery Bypass (OPCAB) and, subsequently, Transapical Transcatheter Aortic Valve Replacement (TATAVR). (fortuneonline.org)
- We believe that, in selected patients presenting with aortic stenosis and coronary artery disease, for whom the risk for either percutaneous intervention or surgical aortic valve replacement are deemed too high, a hybrid approach with OPCAB and TA-TAVR is a very effective solution in tackling such a critical clinical scenario. (fortuneonline.org)
- In light of the clinical status and ultrasound evidence, the patient was enlisted for aortic valve replacement after routine coronary angiography, which revealed severe stenosis of the proximal left main coronary artery (Figure 1, red arrow). (fortuneonline.org)
- To tackle the two procedures required, the case was discussed among staff cardiac surgeons and a hybrid approach was devised: beating-heart Off-Pump Coronary Artery Bypass (OPCAB) and subsequent Transcatheter Aortic Valve Replacement via a Trans-Apical Access (TA-TAVR). (fortuneonline.org)
- Despite these initial positive results, the European Coronary Surgery Study conducted in the 1970s indicated that the significant improvement in 5-year survival rates with CABG was not apparent in the subsequent 5 years. (medscape.com)
American Society of Echoc2
- Owing to the increasing use of TEE during resuscitation (intra-arrest TEE), the American College of Emergency Physicians and the American Society of Echocardiography have jointly published guidelines for point-of-care applications in CA resuscitation [ 3 ]. (ceemjournal.org)
- Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography. (ufl.edu)
Severe2
- Methods and Results--Between August 2007 and April 2012, 489 consecutive patients with severe aortic stenosis were included into the Bern-TAVI-Registry. (123dok.net)
- We aim to recruit 75 VCI patients, 60 HFpEF patients, 60 patients with severe aortic stenosis (AS) undergoing surgical aortic valve replacement as a pressure overload HFpEF model, and 200 elderly participants with mixed comorbidities to serve as controls. (unav.edu)
Bicuspid aort7
- Background: Bicuspid aortic valve is the most common congenital heart defect and predisposes patients to developing aortic stenosis more frequently and at a younger age than the general population. (authorea.com)
- However, the influence of bicuspid aortic valve on the rate of progression of aortic stenosis remains unclear. (authorea.com)
- Methods: In 236 patients (177 tricuspid aortic valve, 59 bicuspid aortic valve) matched by initial severity of mild or moderate aortic stenosis, we retrospectively analyzed baseline echocardiogram at diagnosis with latest available follow-up echocardiogram. (authorea.com)
- Median annualized progression rate of mean gradient was 2.3 (IQR 0.6-5.0) mmHg/year vs. 1.5 (IQR 0.5-4.1) mmHg/year (p=0.5), and that of peak velocity was 0.14 (IQR 0-0.31) m/s/year vs. 0.10 (IQR 0.04-0.26) m/s/year (p=0.7) for tricuspid vs. bicuspid aortic valve, respectively. (authorea.com)
- On multivariate analyses, bicuspid aortic valve was not significantly associated with more rapid progression of aortic stenosis. (authorea.com)
- In a stepwise Cox proportional hazards model adjusted for baseline mean gradient, bicuspid aortic valve was associated with increased hazard of aortic valve replacement (HR: 1.7, 95% CI [1.0, 3.0], p=0.049). (authorea.com)
- Conclusion: Bicuspid aortic valve may not significantly predispose patients to more rapid progression of mild or moderate aortic stenosis. (authorea.com)
SAVR2
- say stroke or death after transcatheter aortic valve replacement (TAVR) or surgical AVR (SAVR). (medscape.com)
- There are few reports on the postoperative left ventricular mass (LVM), aortic valve area (AVA), and pressure gradient (PG) after surgical aortic valve replacement (SAVR) and transcatheter aortic valve replacement (TAVR) in Japan. (qxmd.com)
Underwent2
- Three patients underwent a subsequent lobectomy through lateral thoracotomy. (go.jp)
- Screening the database of all patients who underwent echocardiography at our hospital between 2007 and 2009, we identified 138 patients who had undergone mitral valve replacement. (biomedcentral.com)
Intracardiac3
- An intracardiac artifact was documented in 17 out of 205 patients (8.29%) by echocardiography. (biomedcentral.com)
- These advantages over two-dimensional (2D) transesophageal echocardiography (TEE), intracardiac echocardiography and fluoroscopy may enhance decision-making, reduce fluoroscopy time and increase procedural safety and efficacy in short and long-term follow-up. (jak-signaling.com)
- The common causes of CA diagnosed using intra-arrest TEE include cardiac tamponade, aortic dissection, pulmonary embolism, and intracardiac thrombus, which can be observed on a few simple image planes at the mid-esophageal and upper esophageal positions. (ceemjournal.org)
Mitral7
- Though the left-sided heart valves (mitral and aortic) are most commonly affected, any heart valve as well as adjoining structures may become involved. (wikipedia.org)
- The basal and middle portions of the mitral and aortic valves are most commonly involved. (wikipedia.org)
- During left ventricular systole, the mitral leaflets do not close normally, and blood is ejected into the left atrium as well as through the aortic valve. (health.am)
- Mitral regurgitation leads to left atrial enlargement and may cause subsequent atrial fibrillation. (health.am)
- The mitral valve is almost always affected in clinically manifested patients, followed by the aortic and tricuspid valves. (intechopen.com)
- Atrioventricular groove hematomas during mitral valve surgery range from simple hematomas to complex atrioventricular disruptions that cause frank rupture with massive bleeding and subsequent mortality. (biomedcentral.com)
- The assessment of mitral bioprostheses using CMR is feasible even in those with arrhythmias, providing orifice areas with close agreement to echocardiography and low observer dependency. (biomedcentral.com)
Hemodynamic3
- We present a case of a 54-year-old man diagnosed with GCM requiring VA-ECMO support that was monitored under a novel miniaturized transesophageal echocardiography (hTEE) probe recently approved for 72 hours of continuous hemodynamic monitoring. (hindawi.com)
- We present a case of fulminant GCM under VA-ECMO support monitored with a novel, miniaturized, flexible, and disposable hemodynamic transesophageal echocardiography (hTEE) probe that allows for 72 hours of continuous hemodynamic monitoring. (hindawi.com)
- Baseline comorbidities, annualized progression rate of hemodynamic parameters, and hazard of aortic valve replacement were compared between valve phenotypes. (authorea.com)
Intraoperative1
- After reflecting on our case, we developed a check sheet, including the anesthesiologist's transesophageal echocardiography findings, for reasonable intraoperative decision-making regarding conservative management vs. additional surgical repair. (biomedcentral.com)
TAVI1
- The Valve Academic Research Consortium (VARC) has proposed a standardized definition of bleeding in patients undergoing transcatheter aortic valve interventions (TAVI). (123dok.net)
Pulmonary1
- A large study called the Second Natural History Study of Congenital Heart Defects analyzed the treatment, quality of life, echocardiography findings, complications, exercise responses, and predisposition to endocarditis with regards to cardiac valvular disease, and pulmonary stenosis was found to be the most benign valvular lesion. (medscape.com)
Surgical2
- This latest finding posed a true surgical challenge, in a patient with indication for aortic valve replacement and myocardial revascularization. (fortuneonline.org)
- This review summarises the current development and clinical applications of RT-3D TEE for the guidance of percutaneous cardiac interventions, as well as surgical planning and subsequent follow-up of valvular repair and replacement. (jak-signaling.com)
Echocardiogram1
- Additionally, clinical presentation may be atypical or subtle and transesophageal echocardiogram (TEE) may not be conclusive, which delays diagnosis and treatment worsening the prognosis. (opencardiovascularmedicinejournal.com)
Symptomatic2
- A subsequent informal survey of our colleagues revealed that many anesthesia providers are unaware of the origins and incidence of this anatomical variant, and do not routinely assess patients for a symptomatic or clinically silent finding. (asahq.org)
- Echocardiography is the primary modality for initial evaluation of symptomatic patients. (sts.org)
Tricuspid valve1
- Transesophageal echocardiography showed vegetation on the tricuspid valve. (cdc.gov)
TAVR1
- The Left Ventricular (LV) apex was identified under Trans-Esophageal Echocardiography (TEE) via the "finger test", two orthogonal 2-0 polypropylene U-shaped purse-string sutures reinforced by Teflon felts were placed and the TAVR introducer sheath was positioned. (fortuneonline.org)
Pulmonic1
- The aortic and pulmonic valves develop from the outflow tract of the endocardial cushion, also believed to have neural crest cell migration from the brachial crest during development. (medscape.com)
Valves2
- It is thought to occur in the context of a hypercoagulable state which leads to endothelial injury and subsequent deposition of thrombi and inflammatory molecules in affected valves. (wikipedia.org)
- Quadricuspid aortic valves (QAVs) are a rare congenital anomaly associated with increased risk of aortic insufficiency. (msu.edu)
Valve area1
- His latest cardiac Ultrasound (US) showed a mean gradient of 48mmHg and an aortic valve area (AVA) of 0,9cm2. (fortuneonline.org)
Endocarditis2
- Libman-Sacks endocarditis is diagnosed with echocardiography. (wikipedia.org)
- In case of a negative TTE in the presence of clinical signs of Libman-Sacks endocarditis, transesophageal echocardiography may be attempted to confirm the presence of the condition. (wikipedia.org)
Echocardiographic1
- Guidelines for echocardiographic surveillance of aortic stenosis need not be influenced by valve phenotype. (authorea.com)
Chest1
- During normal embryonic development, the dorsal aortic root descends into the chest during the eighth week of fetal life, which lengthens and straightens the course of the carotid artery. (asahq.org)
Modalities1
- The article strongly suggests not using transesophageal echo (TEE) if other modalities such as CT can be used, and to look for alternatives for exercise stress. (itnonline.com)
Ultrasound2
- Intra-arrest transesophageal echocardiography can be used as a point-of-care ultrasound method to diagnose the cause of cardiac arrest, determine the presence of cardiac contractions, evaluate the quality of CPR, assist with catheter insertion, and explore the mechanism of blood flow during CPR. (ceemjournal.org)
- TEE in the ED has been used in urgent situations such as cardiac arrest (CA). Recent cardiopulmonary resuscitation (CPR) guidelines recommend or suggest the use of point-of-care ultrasound as a method to determine the reversible cause of CA during CPR, thus encouraging the use of echocardiography during the performance of advanced life support [ 1 , 2 ]. (ceemjournal.org)
Blunt2
- An estimated 1.5% to 2% of all patients sustaining blunt thoracic trauma have a blunt aortic injury (BAI). (your-doctor.net)
- The main risk factor for this type of injury is a mechanism that involves a rapid deceleration event, with the most common cause being involvement in a motor vehicle collision (Answer A). The majority of blunt thoracic aortic injuries occur at the aortic isthmus, or just distal to the left subclavian. (your-doctor.net)
Clinical2
- Clinical outcomes were based on echocardiography results. (frontiersin.org)
- Subsequent modifications have been made, with the most recent guidelines, when used in the appropriate clinical context, serving to reduce the need for unnecessary imaging studies. (your-doctor.net)
Diagnostic2
- The latter was named the 'cardiac-lung mass' artifact to underline the important diagnostic role of both echocardiography and lung echography in these patients. (biomedcentral.com)
- Transesophageal echocardiography (TEE) is a diagnostic tool that can obtain images of the heart from its nearest location. (ceemjournal.org)
Severity1
- INTRODUCTION: Echocardiography is essential for diagnosing and assessing the severity of perioperative structural and functional heart disease. (bvsalud.org)
Progression1
- 13 Socioeconomic factors have been associated with poorer outcomes and higher disease activity, 14 although it remains unclear whether it plays a role in disease susceptibility or subsequent progression. (lww.com)
Mortality1
- Chronic Limb-Threatening Ischemia Is Associated With Higher Mortality and Limb Revascularization After Transcatheter Aortic Valve Replacement. (ufl.edu)
Left1
- Here we report the case of a 77-year-old man who presented to our department with a history of aortic stenosis and newly discovered left main disease. (fortuneonline.org)
Decades1
- Indeed, some countries have reported persistently high or even increasing incidence of RF and subsequent RHD during the recent decades [ 2 ]. (intechopen.com)
Heart2
- Patients with tricuspid aortic stenosis were significantly older with more frequent comorbid hypertension and congestive heart failure. (authorea.com)
- Transesophageal echocardiography (TEE) is an imaging method that facilitates close observation of the heart without interfering with cardiopulmonary resuscitation (CPR). (ceemjournal.org)
Alternative1
- Cardiovascular magnetic resonance (CMR) has been proven as an accurate alternative for assessing aortic bioprostheses. (biomedcentral.com)