Publications by authors named "Floriane Zeyons"
Article Synopsis
- Surgical aortic valve replacement (SAVR) is recommended for low-risk patients, while the Heart Team should decide between transcatheter aortic valve implantation (TAVI) and surgery for others, with a preference for TAVI in older patients.
- A multicenter study surveyed 1,049 patients aged 75 and older to understand the role of age and surgical risk in treatment decisions for severe aortic stenosis, finding that TAVI was preferred in 71% of cases.
- The study revealed that as age increases, particularly after 80, the influence of surgical risk scores on treatment decisions decreases significantly, leading most patients to be referred for TAVI even if they have low surgical risk; however, 10%
Here, we present the case of an 81-year-old male patient, who was hospitalized for a severe form of COVID-19. Transthoracic echocardiogram (TTE) performed 1 month after symptom onset was normal. Respiratory evolution was favourable, and the patient was discharged at Day 78.
View Article and Find Full Text PDFBackground and purpose-current guidelines recommend the use of transesophageal echocardiography (TEE) in relation to cardio-embolic sources of stroke. Methods-by using an hospital-based cohort, we retrospectively analyzed consecutive patients with acute ischemic stroke (AIS), acute hemorrhagic stroke (AHS) and transient ischemic attack (TIA) who were admitted in Strasbourg Stroke Center, France between November 2017 to December 2018. TEE reports were screened for detection of potential cardiac sources of embolism and the subsequent change in medical management.
View Article and Find Full Text PDFBackground Electrocardiographic strain pattern (ESP) has recently been associated with increased adverse outcome in aortic stenosis and after surgical aortic valve replacement. Our study sought to determine the impact and incremental value of ESP pattern in predicting adverse outcome after transcatheter aortic valve replacement. Methods and Results A total of 585 patients with severe aortic stenosis (mean age, 83±7 years; men, 39.
View Article and Find Full Text PDFArticle Synopsis
- The study examines the effective orifice area (EOA) and mean transvalvular aortic gradient (MG) of three types of transcatheter heart valves (Sapien 3, CoreValve, and Evolut R) in patients with severe aortic stenosis undergoing TAVI.
- Using Doppler echocardiography, measurements were taken at multiple time points (discharge, 1 month, 6 months, and 1 year) for 260 patients.
- Results indicated that larger prostheses had higher EOAs and lower MGs, with the CoreValve and Evolut R performing better in smaller aortic annulus cases, while there were no significant differences in all-cause mortality between the valve types
Article Synopsis
- - A 71-year-old woman with a mild case of SARS-CoV-2 had acute myopericarditis diagnosed through various medical tests.
- - This case emphasizes that cardiac issues can occur even without severe COVID-19 symptoms.
- - The exact causes of heart injury from SARS-CoV-2 are unclear and more research is needed to understand if it’s due to direct viral damage or other systemic factors.
Very few cases of lung transplant patients affected by coronavirus disease 2019 (COVID-19) have been reported to date. A 31-year-old patient who underwent bilateral lung transplantation for cystic fibrosis in 2012 was admitted for severe acute lower limb pain. He had a confirmed exposure to COVID-19 and a 3-week history of upper respiratory tract infection.
View Article and Find Full Text PDFReactive oxygen species (ROS) are central bioenergetic markers linked to aortic stenosis (AS) development and severity. We sought to evaluate the time course and impact of ROS assessed by plasmatic superoxide anion (SA) among patients undergoing transcatheter aortic valve replacement (TAVR). Among 106 patients, SA significantly decreased after TAVR.
View Article and Find Full Text PDFBackground: Periprocedural and late (>30 days) bleedings represent major complications after transcatheter aortic valve replacement and have been identified as potential areas for improved patient care.
Objectives: The authors sought to evaluate the impact of ongoing primary hemostasis disorders on late major/life-threatening bleeding complications (MLBCs).
Methods: Bleedings were assessed according to the VARC-2 (Valve Academic Research Consortium-2) criteria.
Background: Out-of-hospital cardiac arrest (OHCA) remains a major public health issue. Emergency coronary angiography and percutaneous coronary intervention might improve survival, especially when cardiac arrest is caused by acute myocardial infarction (AMI). However, identifying patients with AMI after OHCA remains challenging.
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