Computed tomographyTranscatheter aortic valveRegurgitationBicuspidDissectionInsufficiencyAneurysmQuadricuspid aortic valveTAVIAortaTransoesophageal echocardiographyHemodynamicCalcificationNative aortic valveTAVRDiagnosis of aorticDilationIntra-aortPresence of aorticDopplerAnnulusEchocardiogramMitral StenosisSeverity of aorticEvaluationArchCardiologyAbdominal AorticCalcificationsValvularClinicalUnderwentAcute aortic sLeafletsDiseaseDiagnosticChest1999
Computed tomography8
- Computed tomography scan, showing normal mediastinum with no evidence of aortic filling defects or pseudoaneurysm. (cmaj.ca)
- Although arch aortography remains the "gold standard," contrast-enhanced computed tomography and transesophageal echocardiography are acceptable methods to exclude aortic injuries. (cmaj.ca)
- Repeat transoesophageal echocardiography and computed tomography have demonstrated marked reduction in thrombi size with no further embolic event. (edu.au)
- If not contraindicated and appropriate, consider further imaging if suspicion exists for acute aortic syndrome or pulmonary embolism with computed tomography (CT) scanning or transesophageal echocardiography (TEE). (medscape.com)
- Various non-invasive diagnostic tools(transthoracic and transesophageal echocardiography, conventional and spiral computed tomography and magnetic resonance imaging) and invasive angiography are available for the evaluation of the extent of dissection, site of intimal tear and side branch involvement. (e-emj.org)
- We performed preoperative transesophageal echocardiography in addition to computed tomography in 3 cases of acute type A aortic dissection and report these cases with the review of articles. (e-emj.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)
- a and b Preoperative contrast-enhanced computed tomography shows deformity of the right atrium and narrowing of the tricuspid valve tract compressed by ascending aortic dilation and elongation and pectus excavatum (green arrowhead). (biomedcentral.com)
Transcatheter aortic valve15
- Transesophageal two dimensional echo for assessing the aortic annulus diameter before transcatheter aortic valve implantation. (escardio.org)
- The 1-year follow-up analysis of the doubly randomized SOLVE-TAVI trial uncovered no reason, necessarily, to prefer either of two recent-generation valve prostheses for transcatheter aortic-valve replacement (TAVR or TAVI) over the other in patients at high to intermediate surgical risk. (medscape.com)
- We provide support in the cardiac catheterization suite for percutaneous closures of atrial and ventricular septal defects, transcatheter aortic valve replacements, stenting or aortic coarctations and management of mitral regurgitation with the mitral clip device. (massgeneral.org)
- 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)
- Dr. Talreja was a member of the team that was the first in the region to perform transcatheter aortic valve replacement and helped develop the structural heart program at Sentara Heart Hospital. (sentara.com)
- 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)
- Early Outcome in Patients Requiring Conversion to General Anesthesia During Transfemoral Transcatheter Aortic Valve Implantation. (stanford.edu)
- Transfemoral Transcatheter Aortic Valve Implantation (tf-TAVI) has become an established therapy-option for patients with symptomatic severe aortic stenosis. (stanford.edu)
- All patients undergoing transfemoral transcatheter aortic valve implantation in CS between 2014 and 2019 were included. (stanford.edu)
- In conclusion, the conversion rate to general anesthesia was low in a large cohort of unselected transcatheter aortic valve implantation patients. (stanford.edu)
- Periprocedural transfusion in patients undergoing transfemoral transcatheter aortic valve implantation. (stanford.edu)
- The aim of this investigation was to identify patient's characteristics and periprocedural variables related to periprocedural transfusion in transfemoral Transcatheter Aortic Valve Implantation (tf-TAVI).Transfusion of allogenic red-blood cells (RBC) in tf-TAVI and the number of transfused units has been linked to an increased 30-day mortality. (stanford.edu)
- Transcatheter Aortic Valve Implantation. (taylorfrancis.com)
- Objectives This study of 3-dimensional (3D) transesophageal echocardiography (TEE) aimed to demonstrate features associated with transvalvular aortic regurgitation (AR) after transcatheter aortic valve replacement (TAVR) and to confirm the fact that a gap between the native aortic annulus and prosthesis is associated with paravalvular AR. (elsevierpure.com)
Regurgitation8
- A transthoracic echocardiogram (TTE) indicates if there is an aortic regurgitation, but a 3-D transesophageal echocardiogram can give a better view of the aortic valve. (wikipedia.org)
- Congenital quadricuspid aortic valve associated with aortic insufficiency and mitral regurgitation. (wikipedia.org)
- Quadricuspid aortic valve: a rare etiology of aortic regurgitation. (wikipedia.org)
- The patient had a past history of coronary heart disease and aortic regurgitation and type 2 diabetes. (scirp.org)
- We mostly have been using it in patients with severe valvular heart disease, like severe aortic insufficiency or primary severe mitral regurgitation," he added. (tctmd.com)
- Valve disease was common: aortic, mitral, and tricuspid regurgitation were seen in 32%, 28%, and 24% of patients. (tctmd.com)
- Aortic valve evaluation (Figure 3): aortic regurgitation and aortic stenosis assessment (1). (escardio.org)
- Elevated temperature .C, difficulty swallowing, regurgitation, and transesophageal echocardiography has excellent penetration into the bronchi. (elastizell.com)
Bicuspid5
- The etiology of aortic stenosis (bicuspid, rheumatic, or degenerative calcific) may be assessed from the 2D echocardiographic, parasternal, short-axis view. (medscape.com)
- Color Doppler valve analysis during transesophageal echocardiography (TEE) can be used to accurately diagnose bicuspid aortic valve in patients with severe symptomatic aortic stenosis, according to a prospective study of 51 patients. (medscape.com)
- The bicuspid native aortic valve was resected the same day, and several bacterial patches were observed. (cdc.gov)
- 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)
- Intima-media thickness of the descending aorta in patients with bicuspid aortic valve. (cdc.gov)
Dissection12
- 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)
- Aortic Dissection is a cleavage of the aortic media layer created by a dissecting column of blood. (emdocs.net)
- Can a negative D-dimer result rule out acute aortic dissection? (emdocs.net)
- Evaluation of D-dimer in the diagnosis of suspected aortic dissection. (emdocs.net)
- Later in the patient's hospital course, repeated chest CT scans demonstrated findings concerning for a possible type A aortic dissection. (consultant360.com)
- The patient underwent urgent transesophageal echocardiography, which revealed a type A ascending and descending aortic dissection ( Figure 4 ). (consultant360.com)
- These findings are suggestive of a type A aortic dissection. (consultant360.com)
- Especially, MRI has been accepted as a gold standard for the diagnosis of aortic dissection, but it is immobile and sometimes it cannot give us the information about the small intimal tear site. (e-emj.org)
- Because of these advantages, it has been widely utilized for the evaluation of patients with aortic dissection. (e-emj.org)
- Aortic Dissection STANFORD and DE BAKEY" by iem-student.org is licensed under CC BY-NC-SA 2.0. (epomedicine.com)
Insufficiency2
- Quadricuspid aortic valves (QAVs) are a rare congenital anomaly associated with increased risk of aortic insufficiency. (msu.edu)
- 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)
Aneurysm14
- An aortic aneurysm is a bulge in the wall of the aorta. (epnet.com)
- An aortic aneurysm is caused by weakness in the walls of the aorta. (epnet.com)
- The goal of treatment is to repair the aortic aneurysm. (epnet.com)
- Available at: https://www.dynamed.com/condition/abdominal-aortic-aneurysm-aaa. (epnet.com)
- Available at: https://www.cdc.gov/heartdisease/aortic_aneurysm.htm. (epnet.com)
- Screening for abdominal aortic aneurysm: recommendation statement. (epnet.com)
- Available at: https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/abdominal-aortic-aneurysm-screening. (epnet.com)
- Available at: https://www.dynamed.com/condition/thoracic-aortic-aneurysm. (epnet.com)
- ACR Appropriateness Criteria for pulsatile abdominal mass, suspected abdominal aortic aneurysm. (epnet.com)
- Anxiety Disorders: Aortic Aneurysm in the Differential? (psychiatrictimes.com)
- 1 A literature search of several databases (PsycINFO, PubMed, Medline, Biomedical Reference Collection, and Psychology & Behavioral Science Collection) revealed only 1 report of panic attack symptoms possibly related to an enlarging thoracic aortic aneurysm (TAA). (psychiatrictimes.com)
- In an attempt to further expound on this minimally researched topic, we present 2 cases in which anxiety symptoms may be associated with an aortic aneurysm. (psychiatrictimes.com)
- Her medical history included hypertension, and she had a significant family history as her brother suffered a ruptured aortic aneurysm. (biomedcentral.com)
- A second case of a patient with right-sided valve endocarditis associated with a central catheter was complicated by an abdominal aortic mycotic aneurysm. (medscape.com)
Quadricuspid aortic valve9
- A quadricuspid aortic valve (QAV) is a rare congenital heart defect characterized by the presence of four cusps, instead of the usual three found normally in the aortic valve. (wikipedia.org)
- If an "X" shape is seen, then the patient can be diagnosed with having a quadricuspid aortic valve. (wikipedia.org)
- There have been seven described variations of the quadricuspid aortic valve. (wikipedia.org)
- The quadricuspid aortic valve: a comprehensive review. (wikipedia.org)
- Quadricuspid aortic valve: a report of 12 cases and a review of the literature. (wikipedia.org)
- Comprehensive assessment of a quadricuspid aortic valve and coronary arteries by multidetector cardiac CT. (wikipedia.org)
- Quadricuspid Aortic Valve Revealed by Real-Time, 3-Dimensional Transesophageal Echocardiography. (wikipedia.org)
- Mid-term results in patients having tricuspidization of the quadricuspid aortic valve. (wikipedia.org)
- 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)
TAVI2
- He is a key member of the specialist valve team at the Leeds General Infirmary providing advanced imaging for patients with heart valve disease and novel heart valve procedures such as trans-catheter aortic valve implantation (TAVI). (nuffieldhealth.com)
- Furthermore, the center enjoys the globally recognized leading position for the application of catheter-assisted aortic valve implantation (TAVI) via the inguinal vein. (myacare.com)
Aorta6
- However, TEE does not allow full visualization of the upper part of the ascending aorta and proximal aortic arch. (ima.org.il)
- Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an emergency procedure for temporary intra-aortic balloon occlusion being increasingly reported and published since its inauguration by Hughes ( 1 ). (frontiersin.org)
- A linear structure is visualized extending from the aortic root into the aortic arch and descending aorta. (consultant360.com)
- At the union of the ascending aorta with the aortic arch, the caliber of the vessel is increased. (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)
Transoesophageal echocardiography2
- Comparison of transthoracic and transoesophageal echocardiography for detection of abnormalities of prosthetic and bioprosthetic valves in the mitral and aortic positions. (meduniver.com)
- Cardiac imaging with focus on echocardiography and transoesophageal echocardiography and cardiac CT. (nuffieldhealth.com)
Hemodynamic4
- 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)
- 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)
- Intraoperative real time three-dimensional transesophageal echocardiographic measurement of hemodynamic, anatomic and functional changes after aortic valve replacement . (escardio.org)
Calcification8
- Influence of aortic valvular calcification on left ventricular mass, diastolic and longitudinal functions in aortic stenosis with preserved ejection fraction. (escardio.org)
- The 432 patients (371 men and 61 women aged 40-89 years) underwent chest CT and were evaluated for CC and aortic calcification. (ima.org.il)
- CC was documented in 90% of the patients (n=392) and aortic calcification in 70% (n=303). (ima.org.il)
- 0.05) was found between severity of CC and severity of aortic calcification (as measured by area, volume and slices of calcification). (ima.org.il)
- Age also had an effect: 87% of patients ≥ 65 years (n=219) were positive for both coronary and aortic calcification ( P = 0.005) while only 57% ≤ 65 (n=209) were positive for both ( P = 0.081). (ima.org.il)
- Echocardiography of porcine aortic prosthesis with flail leaflets due to degeneration and calcification. (meduniver.com)
- Over time, inflammation, atherosclerosis and calcification thicken the aortic valve leaflets and restrict mobility. (medscape.com)
- Regardless of the etiology, calcification of the aortic valve leads to stenosis, inevitably resulting in a fixed obstruction to LV emptying. (medscape.com)
Native aortic valve3
- Detection of thrombus on the native aortic valve on transesophageal echocardiography led to alteration of surgical approach in a case with Double outlet right ventricle: 1. (mendeley.com)
- Incidental native aortic valve thrombus on the non-coronary cusp 3. (mendeley.com)
- Native Aortic Valve. (taylorfrancis.com)
TAVR1
- Methods All patients with severe aortic stenosis who underwent TAVR with the Sapien device (Edwards Lifesciences, Irvine, California) had 3D TEE of the pre-procedural native aortic annulus and the post-procedural prosthetic valve. (elsevierpure.com)
Diagnosis of aortic1
- Two-dimensional transthoracic echocardiography can confirm the clinical diagnosis of aortic stenosis and provide specific data on LV function. (medscape.com)
Dilation2
- Top right: A 4.0 × 4.1-cm dilation of the aortic root, and calcifications. (consultant360.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)
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)
- Typically, impaired LV unloading in the context of VA ECMO is addressed by adding an intra-aortic balloon pump (IABP) or Impella (Abiomed). (tctmd.com)
Presence of aortic1
- Although the presence of aortic stenosis is readily diagnosed with 2D echocardiography, the severity of aortic stenosis cannot be judged based on the 2D echocardiographic images alone. (medscape.com)
Doppler15
- Transesophageal color flow Doppler and echocardiogra-phic features of normal and regurgitant St. Jude medical prostheses in the mitral valve position. (meduniver.com)
- Detection of thrombotic obstruction of a Bjork-Shiley prosthesis by Doppler echocardiography. (meduniver.com)
- 12. Baumgartner H. Khan S, DeRobertis M, Czer L, Maurer G. Discrepancies between Doppler and catheter gradients in aortic posthetic valves in vitro: A manifestation of localized gradients and pressure recovery. (meduniver.com)
- 14. Baumgartner H, Schima H, Kuhn P. Effect of prosthetic valve malfunction on the Doppler-catheter gradient relation for bileaflet aortic valve prostheses. (meduniver.com)
- 15. Baumgartner H, Schirnta H, Kuhn P. Discrepancies between Doppler and Catheter Gradients across Bileaflet aortic valve prostheses. (meduniver.com)
- Doppler echocardiographic assessment of the St. Jude medical prosthetic valve in the aortic position using the continuity equation. (meduniver.com)
- Evaluation of normal prosthetic valve function by Doppler echocardiography. (meduniver.com)
- [ 20 ] Two-dimensional and Doppler echocardiography is the imaging modality of choice to diagnose and determine the severity of aortic stenosis. (medscape.com)
- Doppler echocardiography is an excellent tool for assessing the severity of aortic stenosis. (medscape.com)
- Using the modified Bernoulli equation, a maximum instantaneous and mean aortic valve gradient can be derived from the continuous-wave Doppler velocity across the aortic valve. (medscape.com)
- In a laboratory with experienced personnel, Doppler-derived aortic valve gradients are accurate and reproducible and correlate well with those obtained during cardiac catheterization. (medscape.com)
- To overcome this problem, 2D Doppler echocardiography can also provide a reliable estimation of aortic valve area (AVA). (medscape.com)
- The major limitation of Doppler echocardiography in assessing the severity of aortic stenosis is underestimation of the gradient if the sound beam is not parallel to the aortic stenosis velocity jet. (medscape.com)
- Thus, in a patient with clinical features of severe aortic stenosis but echo/Doppler findings of mild to moderate aortic stenosis, further evaluation with repeat Doppler or cardiac catheterization may be required. (medscape.com)
- This probe uses more than 2.500 piezoelectric that allow it to work in two different but complementary ways: 1) as a standard transesophageal transducer, able to obtain 2D, M-mode, Doppler… as when obtaining them with a normal 2D probe (Figure 1). (escardio.org)
Annulus1
- The fourth dysplastic cusp is incapable of fully closing the aortic annulus, which causes a backflow of blood through the aortic valve. (wikipedia.org)
Echocardiogram1
- A transesophageal echocardiogram was performed, showing an interatrial tipo ostium ostium secundum atrial septal defect and severe pulmonary arterial hypertension with a right-left shunt. (bvsalud.org)
Mitral Stenosis2
- Schlosshan D, Aggarwal G, Mathur G, Allan R, Cranney G. Real-Time 3D Transesophageal Echocardiography for the Evaluation of Rheumatic Mitral Stenosis. (nuffieldhealth.com)
- One-quarter had severe aortic stenosis, and 4% had severe mitral stenosis. (tctmd.com)
Severity of aortic1
- [ 5 ] In general, cardiac catheterization is not necessary to determine the severity of aortic stenosis. (medscape.com)
Evaluation3
- 3D transesophageal echocardiography (3D-TEE) has rapidly become the gold standard in the evaluation of every patient with a valve disease. (escardio.org)
- Mitral valve prolapse evaluation is one of the most common indications for transesophageal 3D echocardiography. (escardio.org)
- Perioperative Evaluation of Aortic Valve Surgery. (taylorfrancis.com)
Arch5
- When undertaking diagnostic and treatment procedures for stroke patients, it is essential to evaluate vascular lesions at the extracranial and intracranial cerebral arteries and aortic arch and to look for underlying heart diseases. (go.jp)
- Transesophageal echocardiography has been widely used for exploring embolic sources in the heart and aortic arch in young and cryptic stroke patients. (go.jp)
- It frequently demonstrates complicated atherosclerotic lesions in the aortic arch and right-to-left shunts in the heart or lung, such as patent foramen ovale, pulmonary arteriovenous fistula with concomitant pulmonary embolism and deep vein thrombosis shown by venous ultrasonography. (go.jp)
- In conclusion, we recommend all stroke neurologists (strokologists) to become familiar with neurosonology for exploring the heart, aortic arch, extracranial and intracranial arteries and peripheral leg veins. (go.jp)
- The aortic arch forms 2 curvatures, one with its convexity upward and the other with its convexity forward and to the left. (medscape.com)
Cardiology1
- Very active in cardiac catheterization, echocardiography, coronary care unit and clinical cardiology). (intechopen.com)
Abdominal Aortic1
- Abdominal aortic aneurysms. (epnet.com)
Calcifications1
- A possible explanation for this finding might be more severe aortic root calcifications in the group receiving the balloon-expanded valve," he said. (medscape.com)
Valvular2
- Quadricuspid aortic valves are very rare cardiac valvular anomalies with a prevalence of 0.013% to 0.043% of cardiac cases and a prevalence of 1 in 6000 patients that undertake aortic valve surgery. (wikipedia.org)
- 8 g/dL), a small aortic root, or sequential stenoses in parallel (coexistent LV outflow tract [LVOT] and valvular obstruction). (medscape.com)
Clinical3
- He is clinical lead for one of the largest echocardiography departments and valve clinics in the UK. (nuffieldhealth.com)
- Clinical outcomes were based on echocardiography results. (frontiersin.org)
- We analyzed clinical, transthoracic and transesophageal echocardiography (TEE) data in 23 patients presenting with 24 obstructed prosthetic valves and compared the findings to pathology at surgery. (nih.gov)
Underwent1
- 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)
Acute aortic s1
- Mortality is high in acute aortic syndrome (AAS), which therefore requires early treatment. (revespcardiol.org)
Leaflets1
- The three aortic leaflets can be seen during systole in this image. (escardio.org)
Disease2
- Endograft Placement in Aortic Disease. (taylorfrancis.com)
- Clinicians should not screen asymptomatic, low-risk adults for cardiac disease using resting or stress electrocardiography, stress echocardiography, or stress myocardial perfusion imaging. (medscape.com)
Diagnostic1
- 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)
Chest3
- Chest radiograph (anteroposterior) taken several hours following the trauma, showing an apparent widened mediastinum with loss of the aortic knob contour (arrows). (cmaj.ca)
- A chest radiograph taken with the patient in a supine position showed a widened mediastinum with loss of the aortic knob contour ( Figure 1 ). (cmaj.ca)
- 1 The signs of aortic injury on a chest radiograph include mediastinal widening, loss of the aortic knob contour, depression of the left main bronchus, deviation of the trachea or esophagus, left pleural cap, hemothorax and fracture of the first or second rib. (cmaj.ca)
19991
- Gurjaipal S. Kang, M.D. Page 2 1999: National Board of Echocardiography. (intechopen.com)