Database : MEDLINE
Search on : Pulmonary and Subvalvular and Stenosis [Words]
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[PMID]: 29269676
[Au] Autor:Higuchi R; Tobaru T; Saji M; Mahara K; Takamisawa I; Shimizu J; Takanashi S; Takayama M
[Ad] Address:Department of Cardiology, Sakakibara Heart Institute, Japan.
[Ti] Title:Pulmonary Hemorrhaging Caused by Acute Severe Mitral Regurgitation during Transcatheter Aortic Valve Implantation.
[So] Source:Intern Med;, 2017 Dec 21.
[Is] ISSN:1349-7235
[Cp] Country of publication:Japan
[La] Language:eng
[Ab] Abstract:Transcatheter aortic valve implantation (TAVI) has been validated as a reliable therapy for aortic stenosis (AS), similar to surgical aortic valve replacement. Due to the methodological differences between the two therapeutic options, each has unique complications. We experienced a hitherto unreported complication of TAVI. An 81-year-old man underwent TAVI for severe AS. Acute mitral regurgitation (MR) occurred during valve deployment. Interference of the guidewire with the mitral subvalvular structure caused transient severe MR, leading to the development of pulmonary hemorrhaging. During TAVI, careful attention should be paid to the position of the guidewire, changes in hemodynamics and degree of MR.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1712
[Cu] Class update date: 171222
[Lr] Last revision date:171222
[St] Status:Publisher
[do] DOI:10.2169/internalmedicine.9712-17

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[PMID]: 28358604
[Au] Autor:Zoller G; Guzman DS; Summa N; Keller KA; Silverman SJ; Stern JA
[Ti] Title:Infundibular Pulmonic Stenosis in a Moluccan Cockatoo (Cacatua moluccensis).
[So] Source:J Avian Med Surg;31(1):53-61, 2017 Mar.
[Is] ISSN:1082-6742
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:A 31-year-old female Moluccan cockatoo (Cacatua moluccensis) was examined for intermittent foot clenching of 4 months' duration. Physical examination revealed feather-destructive behavior and clinical findings compatible with hypovitaminosis A. Neurologic examination was unremarkable. Results of radiographs, hematologic testing, plasma biochemical analyses, and measurement of lead and trace element blood concentrations were unremarkable, except for degenerative joint disease of several thoracic intervertebral joints and a low blood copper concentration. Increased dietary copper was recommended. After a 6-month period without clinical signs, the bird presented again for episodes of foot weakness. Radiographic review was suggestive of mild pulmonary trunk enlargement. Echocardiography revealed mild mitral and aortic regurgitation, dilation of the ascending aorta, and a dilated right ventricle with turbulent right ventricular outflow. An electrocardiogram revealed a sinus rhythm and normal-appearing complexes. Nonselective fluoroscopic angiography was performed 3 weeks later because of persistent episodes of foot clenching and weakness. Infundibular pulmonic stenosis, poststenotic dilation of the pulmonic trunk, and proximal main pulmonary arteries were identified, as well as a mild narrowing of the descending aorta compatible with aortic stenosis. The bird was discharged without medication but with dietary recommendations and experienced 2 clenching episodes in the days after the last visit. No recurrence of clinical signs has been reported over the 18-month follow-up period. To our knowledge, this is the first report of infundibular pulmonic stenosis in a bird. This case illustrates the application of basic and advanced diagnostic imaging modalities in evaluating cardiac disease in birds.
[Mh] MeSH terms primary: Bird Diseases/congenital
Cockatoos
Pulmonary Valve Stenosis/veterinary
[Mh] MeSH terms secundary: Animals
Bird Diseases/diagnosis
Bird Diseases/pathology
Female
Pulmonary Valve Stenosis/congenital
Pulmonary Valve Stenosis/diagnosis
Pulmonary Valve Stenosis/pathology
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1706
[Cu] Class update date: 170622
[Lr] Last revision date:170622
[Js] Journal subset:IM
[Da] Date of entry for processing:170331
[St] Status:MEDLINE
[do] DOI:10.1647/2015-126

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[PMID]: 28290006
[Au] Autor:Voilliot D; Lancellotti P
[Ad] Address:Service de Cardiologie, Institut Lorrain du CÅ“ur et des Vaisseaux, Centre Hospitalier Universitaire de Nancy, VandÅ“uvre-lès-Nancy, France.
[Ti] Title:Exercise Testing and Stress Imaging in Mitral Valve Disease.
[So] Source:Curr Treat Options Cardiovasc Med;19(3):17, 2017 Mar.
[Is] ISSN:1092-8464
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:OPINION STATEMENT: Mitral valve disease represented by mitral stenosis and mitral regurgitation is the second most frequent valvulopathy. Mitral stenosis leads to an increased left atrial pressure whereas mitral regurgitation leads to an increased left atrial pressure associated with a volume overload. Secondary to an upstream transmission of this overpressure, both mitral stenosis and regurgitation lead to pulmonary hypertension and right heart failure. In addition, mitral regurgitation also leads to left ventricular dilatation and dysfunction with left heart failure. Depending on the anatomy of the valvular and subvalvular apparatus, valve repair (percutaneous mitral commissurotomy for mitral stenosis and valvuloplasty for mitral regurgitation) might be possible. If the anatomy is not favorable, valve replacement by mechanical or biological prosthesis is indicated. Most of the intervention indications are based on clinical symptoms and resting transthoracic echocardiography. Outcomes of patients operated based upon resting echo abnormalities might however not be optimal. Therefore early intervention might be beneficial based upon abnormal exercise testing, which has been demonstrated to more sensitive to identify high-risk patients. In this last decade, especially exercise echocardiography has been found to be a crucial tool in the management of patients with mitral valve disease.
[Pt] Publication type:JOURNAL ARTICLE; REVIEW
[Em] Entry month:1703
[Cu] Class update date: 171107
[Lr] Last revision date:171107
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.1007/s11936-017-0516-8

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[PMID]: 28194811
[Au] Autor:Hashimoto M; Koshima R; Doi H; Mitsube K
[Ad] Address:Department of Cardiovascular Surgery, Sapporo Cardiovascular Clinic, Hokkaido, Japan.
[Ti] Title:Infundibular pulmonary stenosis after radiotherapy for breast cancer.
[So] Source:J Card Surg;32(3):196-198, 2017 Mar.
[Is] ISSN:1540-8191
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Postoperative radiotherapy for breast cancer may be associated with cardiotoxicity. We present a case of acquired infundibular pulmonary stenosis that developed 43 years after radiotherapy for left breast cancer, which necessitated a right ventricular outflow tract myectomy.
[Mh] MeSH terms primary: Breast Neoplasms/radiotherapy
Pulmonary Subvalvular Stenosis/etiology
Pulmonary Subvalvular Stenosis/surgery
Radiotherapy, Adjuvant/adverse effects
Ventricular Outflow Obstruction/etiology
Ventricular Outflow Obstruction/surgery
Ventricular Septum/surgery
[Mh] MeSH terms secundary: Aged
Breast Neoplasms/surgery
Female
Humans
Postoperative Period
Time Factors
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1709
[Cu] Class update date: 170919
[Lr] Last revision date:170919
[Js] Journal subset:IM
[Da] Date of entry for processing:170215
[St] Status:MEDLINE
[do] DOI:10.1111/jocs.13111

  5 / 454 MEDLINE  
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[PMID]: 28106684
[Au] Autor:Jedidi M; Chkirbene Y; Abdessayed N; Masmoudi T; Mahjoub M; Mlayeh S; Dhiab MB; Souguir MK; Yacoubi MT
[Ad] Address:From the Departments of *Legal Medicine, †Pathology, and ‡Hospital Hygiene, Farhat Hached University Hospital, Sousse, Tunisia; and §Department of Legal Medicine, Ibn El jazzar University Hospital, Kairouan, Tunisia.
[Ti] Title:Sudden Death Due to Unusual Complication of Takayasu Arteritis: An Autopsy Case.
[So] Source:Am J Forensic Med Pathol;38(2):91-93, 2017 Jun.
[Is] ISSN:1533-404X
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Takayasu arteritis is an uncommon inflammatory disease with usually a good prognosis. However, sometimes, the evolution can be fatal essentially by a coronary arteries involvement. We present a case of a 19-year-old woman who died suddenly from cardiogenic shock complicating an unknown Takayasu arteritis.At the autopsy, the aorta showed a significant thickening of the wall. The coronary arteries were slightly thickened and did not show any occlusion. Microscopic examination of the aorta showed an abundant granulomatous and a lymphoplasmacytic infiltrate. Microscopic sections of other internal organs showed signs of cardiac hypertrophy and an extensive edema of the lung. Death was attributed to acute heart failure complicating a supravalvular aortic stenosis secondary to unknown Takayasu arteritis.Takayasu arteritis can be life-threatening by an occlusion of the ascending aorta and its major branches, without any coronary arteries involvement.
[Mh] MeSH terms primary: Aortic Stenosis, Subvalvular/pathology
Death, Sudden/etiology
Takayasu Arteritis/complications
[Mh] MeSH terms secundary: Aortic Stenosis, Subvalvular/complications
Cardiomegaly/pathology
Coronary Vessels/pathology
Female
Humans
Pulmonary Edema/pathology
Shock, Cardiogenic/etiology
Takayasu Arteritis/diagnosis
Young Adult
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1710
[Cu] Class update date: 171011
[Lr] Last revision date:171011
[Js] Journal subset:IM
[Da] Date of entry for processing:170121
[St] Status:MEDLINE
[do] DOI:10.1097/PAF.0000000000000293

  6 / 454 MEDLINE  
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[PMID]: 27866077
[Au] Autor:Spadotto V; Frescura C; Ho SY; Thiene G
[Ad] Address:Department of Cardiac, Thoracic and Vascular Sciences, University of Padua, Via Giustiniani 2, 35128, Padova, Italy.
[Ti] Title:The concept of double inlet-double outlet right ventricle: a distinct congenital heart disease.
[So] Source:Cardiovasc Pathol;26:39-44, 2017 Jan - Feb.
[Is] ISSN:1879-1336
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:The aim of this study was to estimate the incidence and to analyze the anatomy of double inlet-double outlet right ventricle complex and its associated cardiac anomalies in our autopsy series. Among the 1640 hearts with congenital heart disease of our Anatomical Collection, we reviewed the specimens with double inlet-double outlet right ventricle, according to the sequential-segmental analysis, identifying associated cardiac anomalies and examining lung histology to assess the presence of pulmonary vascular disease. We identified 14 hearts with double inlet-double outlet right ventricle (0.85%). Right atrial isomerism was observed in 10 hearts, situs solitus in 3 and left atrial isomerism in one. Regarding the mode of atrioventricular connection, all hearts but one had a common atrioventricular valve. Systemic or pulmonary venous abnormalities were noted in all patients with atrial isomerism. In nine patients a valvular or subvalvular pulmonary stenosis was present. Among the functionally "univentricular hearts", double inlet- double outlet right ventricle represents a peculiar entity, mostly in association with right atrial isomerism. Multiple cardiac anomalies are associated and may complicate surgical repair.
[Mh] MeSH terms primary: Double Outlet Right Ventricle/pathology
Heart Ventricles/abnormalities
[Mh] MeSH terms secundary: Adolescent
Adult
Child
Child, Preschool
Double Outlet Right Ventricle/epidemiology
Female
Humans
Infant
Infant, Newborn
Male
Young Adult
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1701
[Cu] Class update date: 170124
[Lr] Last revision date:170124
[Js] Journal subset:IM
[Da] Date of entry for processing:161121
[St] Status:MEDLINE

  7 / 454 MEDLINE  
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[PMID]: 27097025
[Au] Autor:Silaschi M; Barr J; Chaubey S; Nicou N; Srirajaskanthan R; Byrne J; Ramage J; MacCarthy P; Wendler O
[Ad] Address:Department of Cardiothoracic Surgery, King's College Hospital, London, UK.
[Ti] Title:Optimized Outcomes Using a Standardized Approach for the Treatment of Patients with Carcinoid Heart Disease.
[So] Source:Neuroendocrinology;104(3):257-263, 2017.
[Is] ISSN:1423-0194
[Cp] Country of publication:Switzerland
[La] Language:eng
[Ab] Abstract:BACKGROUND: Carcinoid heart disease (CHD) is common in patients with carcinoid syndrome (CS). Surgical treatment improves the poor prognosis of CHD, although the reported peri-operative mortality is high (∼17%). We attempted to improve outcomes by implementation of a protocol for the management of patients with CHD at a UK Neuroendocrine Centre of Excellence and report our experience. METHODS: All patients treated for CHD between 2008 and 2015 were included. Peri-operative treatment included surgical features such as invasive pulmonary valve (PV) inspection and preservation of the tricuspid subvalvular apparatus. RESULTS: A total of 11 patients were treated; the median age was 63 years (IQR: 56-70). Ten patients underwent both pulmonary valve replacement (PVR) and tricuspid valve replacement (TVR); 1 patient underwent isolated TVR. One patient had additional aortic valve replacement (AVR), another one coronary artery bypass grafting. Bioprostheses (BP) were used in all patients, stented for TVR and AVR, stentless for PVR. Invasive PV inspection caused unplanned PVR in 3 cases (27.3%). All patients were discharged home. One patient (9.1%), who had had previous TVR by another surgeon, had right heart failure (RHF) during follow-up. One death occurred due to progression of CS (day 346). The carcinoids' primary was resected in 5 patients (45.5%) 10 months (4.5-19.5) after cardiac surgery. CONCLUSION: Excellent results were achieved in patients with CHD. PV stenosis can be underestimated by echocardiography; therefore, intraoperative inspection is recommended. Right ventricular geometry should be respected to prevent RHF. BP should be used, as these patients are likely to undergo future non-cardiac surgeries.
[Mh] MeSH terms primary: Carcinoid Heart Disease/surgery
Heart Valve Prosthesis Implantation/standards
Heart Valve Prosthesis
Outcome Assessment (Health Care)/standards
Treatment Outcome
[Mh] MeSH terms secundary: Aged
Cohort Studies
Echocardiography
Female
Humans
Male
Middle Aged
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1705
[Cu] Class update date: 170508
[Lr] Last revision date:170508
[Js] Journal subset:IM
[Da] Date of entry for processing:160421
[St] Status:MEDLINE
[do] DOI:10.1159/000446213

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[PMID]: 27322861
[Au] Autor:Güvenç O; Saygi M; Sengül FS; Ayyildiz P; Güzeltas A
[Ad] Address:Department of Pediatric Cardiology, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center, Istanbul, Turkey.
[Ti] Title:Double inlet left ventricle-ventriculoarterial discordance without surgical treatment.
[So] Source:Pediatr Int;58(6):509-511, 2016 Jun.
[Is] ISSN:1442-200X
[Cp] Country of publication:Australia
[La] Language:eng
[Ab] Abstract:Univentricular heart is a rare congenital defect that consists, in nearly 80% of cases, of double inlet left ventricle, to which both atrioventricular valves connect. A 31-year-old male patient was diagnosed with single ventricle at the age of 9. He had not received any surgical intervention and was not on any medication. Functional capacity was assessed as New York Heart Association class III. Both atrioventricular valves were found to open into the morphological left ventricle, which was located on the right; the hypoplasic right ventricle was on the left side of the left ventricle, the posteriorly located aorta emerged from the right ventricle, and the anteriorly located pulmonary artery emerged from the left ventricle. There was significant subvalvular and valvular stenosis in the pulmonary valve site. The disease is complex and it is very rare that untreated patients reach adulthood.
[Pt] Publication type:CASE REPORTS
[Em] Entry month:1606
[Cu] Class update date: 160620
[Lr] Last revision date:160620
[St] Status:Publisher
[do] DOI:10.1111/ped.12897

  9 / 454 MEDLINE  
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[PMID]: 27000031
[Au] Autor:Jankauskiene A; Koczkowska M; Bjerre A; Bernaciak J; Schaefer F; Lipska-Zietkiewicz BS
[Ad] Address:Vilnius University, Children hospital affiliate of Vilnius university hospital "Santariskiu klinikos", Santariskiu 4, LT-08406, Vilnius, Lithuania. augustinajankauskiene@yahoo.com.
[Ti] Title:Glomerulopathy in patients with distal duplication of chromosome 6p.
[So] Source:BMC Nephrol;17:32, 2016 Mar 21.
[Is] ISSN:1471-2369
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:BACKGROUND: Duplication of the distal part of chromosome 6p is a rare genetic syndrome. Renal involvement has been reported in the majority of patients, including a wide range of congenital abnormalities of kidney and urinary tract and, occasionally, a proteinuric glomerulopathy. CASE PRESENTATION: Here, we report a 13-year-old girl with 6p25.3p22.1 duplication who presented with proteinuria in infancy, was later diagnosed as focal segmental glomerulosclerosis, progressed to end-stage renal disease and was successfully transplanted. CONCLUSION: A systematic literature review suggests that 15-20 % of individuals with distal 6p duplication develop progressive proteinuric glomerulopathy. Monitoring of kidney function should be recommended in all cases.
[Mh] MeSH terms primary: Abnormalities, Multiple/genetics
Glomerulosclerosis, Focal Segmental/genetics
Kidney Failure, Chronic/genetics
Trisomy/genetics
[Mh] MeSH terms secundary: Adolescent
Agenesis of Corpus Callosum/genetics
Chromosomes, Human, Pair 6/genetics
Craniosynostoses/genetics
Female
Hearing Loss, Bilateral/genetics
Humans
Hydrocephalus/genetics
Kidney Failure, Chronic/surgery
Kidney Transplantation
Microphthalmos/genetics
Microstomia/genetics
Muscle Hypotonia/genetics
Pulmonary Subvalvular Stenosis/genetics
Ribs
Synostosis/genetics
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Entry month:1610
[Cu] Class update date: 170923
[Lr] Last revision date:170923
[Js] Journal subset:IM
[Da] Date of entry for processing:160323
[St] Status:MEDLINE
[do] DOI:10.1186/s12882-016-0246-2

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[PMID]: 26896320
[Au] Autor:Tudorache I; Horke A; Cebotari S; Sarikouch S; Boethig D; Breymann T; Beerbaum P; Bertram H; Westhoff-Bleck M; Theodoridis K; Bobylev D; Cheptanaru E; Ciubotaru A; Haverich A
[Ad] Address:Department of Cardiac-, Thoracic-, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany tudorache.igor@mh-hannover.de.
[Ti] Title:Decellularized aortic homografts for aortic valve and aorta ascendens replacement.
[So] Source:Eur J Cardiothorac Surg;50(1):89-97, 2016 Jul.
[Is] ISSN:1873-734X
[Cp] Country of publication:Germany
[La] Language:eng
[Ab] Abstract:OBJECTIVES: The choice of valve prosthesis for aortic valve replacement (AVR) in young patients is challenging. Decellularized pulmonary homografts (DPHs) have shown excellent results in pulmonary position. Here, we report our early clinical results using decellularized aortic valve homografts (DAHs) for AVR in children and mainly young adults. METHODS: This prospective observational study included all 69 patients (44 males) operated from February 2008 to September 2015, with a mean age of 19.7 ± 14.6 years (range 0.2-65.3 years). In 18 patients, a long DAH was used for simultaneous replacement of a dilated ascending aorta as an extended aortic root replacement (EARR). Four patients received simultaneous pulmonary valve replacement with DPH. RESULTS: Thirty-nine patients (57%) had a total of 62 previous operations. The mean aortic cross-clamp time in isolated cases was 129 ± 41 min. There was 1 conduit-unrelated death. The mean DAH diameter was 22.4 ± 3.7 mm (range, 10-29 mm), the average peak gradient was 14 ± 15 mmHg and the mean aortic regurgitation grade (0.5 = trace, 1 = mild) was 0.6 ± 0.5. The mean effective orifice area (EOA) of 25 mm diameter DAH was 3.07 ± 0.7 cm(2). DAH annulus z-values were 1.1 ± 1.1 at implantation and 0.7 ± 1.3 at the last follow-up. The last mean left ventricle ejection fraction and left ventricle end diastolic volume index was 63 ± 7% and 78 ± 16 ml/m(2) body surface area, respectively. To date, no dilatation has been observed at any level of the graft during follow-up; however, the observational time is short (140.4 years in total, mean 2.0 ± 1.8 years, maximum 7.6 years). One small DAH (10 mm at implantation) had to be explanted due to subvalvular stenosis and developing regurgitation after 4.5 years and was replaced with a 17 mm DAH without complication. No calcification of the explanted graft was noticed intraoperatively and after histological analysis, which revealed extensive recellularization without inflammation. CONCLUSIONS: DAHs withstand systemic circulation, provide outstanding EOA and appear as an alternative to conventional grafts for AVR in young patients. EARR using DAH is a further option in aortic valve disease associated with aorta ascendens dilatation as it avoids the use of any prosthetic material.
[Mh] MeSH terms primary: Aortic Valve Insufficiency/surgery
Aortic Valve Stenosis/surgery
Aortic Valve/transplantation
Heart Valve Prosthesis Implantation/methods
Heart Valve Prosthesis
[Mh] MeSH terms secundary: Adolescent
Adult
Aged
Allografts/physiology
Aortic Valve/physiology
Aortic Valve Insufficiency/physiopathology
Aortic Valve Stenosis/physiopathology
Bioprosthesis
Child
Child, Preschool
Female
Humans
Infant
Male
Middle Aged
Prospective Studies
Transplantation, Homologous/methods
Young Adult
[Pt] Publication type:JOURNAL ARTICLE; MULTICENTER STUDY; OBSERVATIONAL STUDY
[Em] Entry month:1703
[Cu] Class update date: 170817
[Lr] Last revision date:170817
[Js] Journal subset:IM
[Da] Date of entry for processing:160221
[St] Status:MEDLINE
[do] DOI:10.1093/ejcts/ezw013


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