• 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)
  • 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)
  • Impact of Complications During Transfemoral Transcatheter Aortic Valve Replacement: How Can They Be Avoided and Managed? (ahajournals.org)
  • Transcatheter aortic valve replacement (TAVR) has revolutionized the treatment of aortic stenosis and is the treatment of choice for patients at prohibitive and high surgical risk. (ahajournals.org)
  • In the cardiac catheterization laboratory , we provide anesthesia for cardiac ablations and laser lead extractions, as well as MitraClip ®, Watchman® and transcatheter aortic valve replacement (TAVR) procedures. (wisc.edu)
  • Background: Studies have suggested the diagnostic yield of echocardiography to be lower in prosthetic valve endocarditis (PVE) after transcatheter aortic valve replacement (TAVR) than reported in surgically-implanted valves but data are limited. (elsevierpure.com)
  • Singapore, 27th Oct 2023, King NewsWire - Acute aortic syndrome is a collection of life-threatening aortic conditions that demand immediate medical attention, encompassing aortic dissection, aortic intramural hematoma, leaking aortic aneurysms, and penetrating atherosclerotic ulcers. (realinvestplan.com)
  • Acute aortic syndrome is an umbrella term for several aortic diseases, including aortic dissection, aortic intramural hematoma, leaking aortic aneurysms, and penetrating atherosclerotic ulcers. (realinvestplan.com)
  • As a tertiary heart failure surgery center, our patients undergo a variety of complex cardiac interventions including coronary artery bypass grafting, heart valve repair and replacement, trans-catheter aortic valve replacement (TAVR), pulmonary thrombo-endarterectomy, septal myectomy, and left ventricular assist device (LVAD) implantation. (utah.edu)
  • Methods: We reviewed transthoracic (TTE) and transesophageal (TEE) echo-Doppler findings in 17 patients with PVE (13 definite and 4 possible cases according to modified Duke criteria) after TAVR at Mayo Clinic, Rochester, MN between 2007 and 2016. (elsevierpure.com)
  • Conclusion: Standard echocardiography techniques had limited diagnostic performance in patients with TAVR-related PVE. (elsevierpure.com)
  • Aneurysm of the aortic sinus, also known as the sinus of Valsalva, is a rare abnormality of the aorta, the largest artery in the body. (wikipedia.org)
  • The aorta normally has three small pouches that sit directly above the aortic valve (the sinuses of Valsalva), and an aneurysm of one of these sinuses is a thin-walled swelling. (wikipedia.org)
  • An aneurysm of the aortic sinus may rupture due to infective endocarditis involving the aortic wall and tertiary-stage syphilis. (wikipedia.org)
  • Medical therapy of aneurysm of the aortic sinus includes blood pressure control through the use of drugs, such as beta blockers. (wikipedia.org)
  • Her medical history included hypertension, and she had a significant family history as her brother suffered a ruptured aortic aneurysm. (biomedcentral.com)
  • Abdominal aortic aneurysm (AAA) is an asymptomatic condition characterized by progressive dilatation of the aorta. (biomedcentral.com)
  • The current U.S. Preventive Services Task Force (USPSTF) recommendation statement on screening for abdominal aortic aneurysm, recommends 1-time screening for AAA with ultrasonography in men aged 65 to 75 years who have ever smoked (B recommendation) [ 6 ]. (biomedcentral.com)
  • Since abdominal aortic dilatation is usually asymptomatic, and screening programs are not widely implemented, aneurysm of the aorta is usually discovered incidentally or upon rupture. (biomedcentral.com)
  • Aneurysm of the abdominal aorta was defined as an abdominal aorta diameter of ≥3 cm or an aortic diameter 1.5 times larger than the adjacent segment based on current guidelines [ 11 ]. (biomedcentral.com)
  • Aortic sinus aneurysms may occur in isolation, or may be seen in association with other diseases of the aorta including Marfan syndrome, Loeys-Dietz syndrome, and bicuspid aortic valve. (wikipedia.org)
  • For cases of acute aortic syndrome involving the ascending aorta, emergency high-risk open surgery is the preferred treatment. (realinvestplan.com)
  • For acute aortic syndrome that spares the ascending aorta, patients may be treated with medical therapy. (realinvestplan.com)
  • At the union of the ascending aorta with the aortic arch, the caliber of the vessel is increased. (medscape.com)
  • The descending thoracic aorta is contained in the posterior mediastinum. (medscape.com)
  • The abdominal aorta begins at the aortic hiatus of the diaphragm, in front of the lower border of the body of the last thoracic vertebra. (medscape.com)
  • The celiac trunk is a short thick trunk that arises from the front of the aorta, just below the aortic hiatus of the diaphragm. (medscape.com)
  • We studied the tubular ascending aorta of 170 patients by 2-dimensional transthoracic echocardiography (2D-TTE). (biomedcentral.com)
  • After ECC institution, a minimally-invasive clamp (Cygnet ® Flexible Clamps, Vitalitec, USA) was applied across the distal ascending aorta, and warm blood cardioplegia was given through the aortic root A "hockey-stick" aortotomy crossing the sinotubular junction was performed and the aortic valve exposed. (annalscts.com)
  • Transesophageal Echocardiography for Minimally Invasive. (taylorfrancis.com)
  • Despite minimally-invasive aortic valve replacement (MI-AVR) having gained interest within the cardiac surgeons' community, patient requests for interventions associated with minimized trauma and faster recovery often remains unfulfilled ( 1 ). (annalscts.com)
  • At the Lancisi Cardiovascular Center, we currently use three surgical minimally-invasive approaches to expose and replace the aortic valve: the ministernotomy, the anterior right minithoracotomy, and the trans-axillary approach. (annalscts.com)
  • The mitral valve is almost always affected in clinically manifested patients, followed by the aortic and tricuspid valves. (intechopen.com)
  • It is sometimes associated with Marfan syndrome or Loeys-Dietz syndrome, but may also result from Ehlers-Danlos syndrome, bicuspid aortic valve, atherosclerosis, hypoplastic left heart syndrome, syphilis, cystic medial necrosis, chest injury, or infective endocarditis. (wikipedia.org)
  • In patients with a bicuspid aortic valve (BAV), these degenerative changes occur at an earlier age as a consequence of the abnormal hemodynamics across the valve leaflets. (medscape.com)
  • Rare cases involve individuals with connective tissue disorders, bicuspid aortic valves, or annuloaortic ectasia. (realinvestplan.com)
  • The patient had a past history of coronary heart disease and aortic regurgitation and type 2 diabetes. (scirp.org)
  • 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)
  • Contrast-enhanced computed tomography (CT) revealed no pulmonary disease but showed a deformity of the right atrium (RA) and narrowing of the tricuspid valve tract compressed by ascending aortic dilation (50 mm in diameter) (Fig. 1 a, b), ascending aortic elongation (Fig. 1 a), and pectus excavatum (Fig. 1 b). (biomedcentral.com)
  • Aortic dissection (see the image below) is defined as separation of the layers within the aortic wall. (medscape.com)
  • Aortic dissection can be rapidly fatal, with many patients dying before presentation to the emergency department (ED) or before diagnosis is made in the ED. (medscape.com)
  • No one sign or symptom can positively identify acute aortic dissection. (medscape.com)
  • This second edition of the Transesophageal Echocardiography Multimedia Manual is a comprehensive resource and essential guide to the rapidly expanding field of perioperative transesophageal echocardiography (TEE), encompassing newer cardiac surgery techniques, more diverse surgical procedures, and use in the intensive care unit. (taylorfrancis.com)
  • In older patients, surgical intervention is an important treatment option for POS caused by cardiac and aortic comorbidities. (biomedcentral.com)
  • Surgical treatment was planned for the PFO and ascending aortic dilation and elongation, but her pectus excavatum was mild, with no indication for thoracoplasty. (biomedcentral.com)
  • One hundred-fifty surgical patients were enrolled: 65 undergoing mitral valve repair, 10 undergoing mitral valve and tricuspid valve repair, four with congenital heart disease, two undergoing Jarvik implantation, 13 undergoing aortic valve surgical replacement, and 56 undergoing transcatheter aortic valve implantation. (thoracickey.com)
  • it then descends within the thorax on the left side of the vertebral column, passes into the abdominal cavity through the aortic hiatus in the diaphragm, and ends opposite the lower border of the fourth lumbar vertebra by dividing into the right and left common iliac arteries. (medscape.com)
  • Clinical outcomes were based on echocardiography results. (frontiersin.org)
  • In conclusion, acute aortic syndrome comprises a range of life-threatening aortic conditions, each with distinct clinical presentations, diagnostic methods, and treatment options. (realinvestplan.com)
  • Our fellows experience wide-ranging, in-depth clinical experience in cardiac, thoracic, vascular and thoracic anesthesia in addition to rotations in echocardiography, critical care, pediatric congenital anesthesia and interventional cardiology procedures. (wisc.edu)
  • 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)
  • A transesophageal echocardiography (TEE) probe was placed and a thorough echocardiographic evaluation was performed. (annalscts.com)
  • The aim of this study was to test the feasibility of the assessment of right ventricular (RV) volumes and function using real-time three-dimensional (3D) transesophageal echocardiographic (TEE) imaging in patients undergoing cardiac surgery. (thoracickey.com)
  • In a subgroup of 81 patients, 3D transthoracic echocardiographic imaging was also performed. (thoracickey.com)
  • Intraoperative 3D TEE assessment of RV volumes and function is feasible in patients with normal and dilated right ventricles, with good correlation between 3D transthoracic echocardiographic and TEE RV parameters. (thoracickey.com)
  • Recently, a new RV three-dimensional (3D) echocardiographic analysis has been proposed and validated in normal and pathologic subjects using dedicated software applied to 3D transthoracic echocardiographic (TTE) acquisitions. (thoracickey.com)
  • Moreover, a new generation of transesophageal echocardiographic (TEE) probes with a novel matrix-array technique has been introduced, allowing 3D TEE representation of the cardiac structures in real time. (thoracickey.com)
  • Mortality is high in acute aortic syndrome (AAS), which therefore requires early treatment. (revespcardiol.org)
  • One of the hallmark symptoms of acute aortic syndrome is an acute tearing chest pain, which may radiate to the back. (realinvestplan.com)
  • However, modern medicine has introduced an alternative approach known as thoracic endovascular aortic repair (TEVAR) for a select group of patients. (realinvestplan.com)
  • The determination to perform surgery is usually based upon the diameter of the aortic root (with 5 centimeters being a rule of thumb - a normal size is 2-3 centimeters) and the rate of increase in its size (as determined through repeated echocardiography). (wikipedia.org)
  • The Cardiovascular ICU cares for cardiac, thoracic, and vascular surgery patients, as well as thoracic transplant surgery patients and patients receiving care with mechanical circulatory support systems (MCS) including a high volume of extracorporeal membrane oxygenation (ECMO) therapy. (utah.edu)
  • Echocardiography During Cardiac Surgery. (taylorfrancis.com)
  • Perioperative Evaluation of Aortic Valve Surgery. (taylorfrancis.com)
  • TEE in Lung Transplantation and Thoracic Surgery. (taylorfrancis.com)
  • Cardiac procedures include coronary artery bypass surgery, valve surgery, heart transplants, ventricular assist devices and ascending aortic aneurysms/dissections. (wisc.edu)
  • We are a major center for complex aortic surgery. (wisc.edu)
  • Our experience with the MI trans-axillary direct approach in mitral valve surgery (MVS) ( 4 ) led us to consider that the aortic valve could be nicely exposed from the same approach. (annalscts.com)
  • At its origin, it presents (opposite the segments of the aortic valve) 3 small dilatations called the aortic sinuses. (medscape.com)
  • The Valve Academic Research Consortium (VARC) has proposed a standardized definition of bleeding in patients undergoing transcatheter aortic valve interventions (TAVI). (123dok.net)
  • The Society of Thoracic Surgeons Predicted Risk of Mortality scores were higher in the TAMVI group (median: 9.52) than in the SRMVR group (median: 5.59) ( p -value = 0.02). (frontiersin.org)
  • Over time, inflammation, atherosclerosis and calcification thicken the aortic valve leaflets and restrict mobility. (medscape.com)
  • The identification of patients with altered aortic indices that can raise the suspicion of AAA during routine 2D-TTE could prompt immediate AAA evaluation. (biomedcentral.com)
  • All faculty in our division are fellowship-trained in cardiovascular and thoracic anesthesia and provide anesthesia for scheduled and emergency cardiac, thoracic and vascular surgeries, and interventional cardiology procedures. (wisc.edu)
  • Our division also provides state-of-the-art anesthesia with intensive monitoring including transesophageal and transthoracic echocardiography. (wisc.edu)
  • An estimated 1.5% to 2% of all patients sustaining blunt thoracic trauma have a blunt aortic injury (BAI). (your-doctor.net)
  • As a result, we recently initiated the use of trans-axillary incisions for MI-AVR in selected patients. (annalscts.com)
  • 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)
  • The aortotomy was closed and before releasing the aortic clamp, two pacing wire electrodes were applied to the right ventricle. (annalscts.com)
  • The left ventricle was de-aired and the aortic clamp released. (annalscts.com)
  • Cardiac auscultation revealed diastolic murmur in the aortic area and systolic murmur in the left sternal border and apex. (scirp.org)
  • They were experts with international reputations in echocardiography and environmental or cardiovascular epidemiology. (cdc.gov)
  • The aortic arch forms 2 curvatures, one with its convexity upward and the other with its convexity forward and to the left. (medscape.com)
  • Aortic sinus aneurysms can burst or rupture into adjacent cardiac chambers, which can lead to heart failure if untreated. (wikipedia.org)
  • For instance, anterior chest pain or pain in the neck and jaw typically indicates ascending aortic involvement, while pain in the back and abdomen suggests descending aortic pathology. (realinvestplan.com)
  • Because of its extensive experience, the echocardiography "core" laboratory at Mayo Clinic, directed by Dr. Jae K. Oh, was selected to review the echocardiograms. (cdc.gov)
  • Indications and Training Guidelines for Perioperative Transesophageal. (taylorfrancis.com)
  • 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)
  • 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)
  • The choice of treatment is determined by the specific aortic pathology. (realinvestplan.com)
  • UW Health has gained notoriety for its expertise in treating thoracic aortic aneurysms and is also recognized for its high-volume heart and lung transplant programs. (wisc.edu)
  • 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)
  • The purpose of this study is to identify important 2D-TTE aortic indices associated with AAA as predictive tools for undiagnosed AAA. (biomedcentral.com)