Management of Aorto-Right Ventricular Fistulas After TAVR.

This clinical case series reviews the diagnosis and management of aorto-right ventricular fistulas post-transcatheter aortic valve replacement, highlighting 3 cases. We emphasize early detection, individualized treatment strategies, and the role of multidisciplinary heart teams in achieving favorable outcomes. Comprehensive imaging and procedural planning are crucial for successful intervention and management of this rare complication.

Inbreeding avoidance and cost in a small, isolated trout population.

The persistence of small populations is influenced by the degree and cost of inbreeding, with the degree of inbreeding depending on whether close-kin mating is passively or actively avoided. Few studies have simultaneously studied these factors. We examined inbreeding in a small, isolated population of westslope cutthroat trout using extensive genetic and demographic data.

Vertebrobasilar insufficiency after subclavian flap aortoplasty for aortic coarctation.

The mainstay of treatment of pediatric aortic coarctation is open surgery. One option for repair includes subclavian flap aortoplasty, first described by Waldhausen and Nahrwold in 1966. Within this technique, several modifications have been made over the years as long-term follow-up data became available.

Aerosol characterization and peculiarities of source apportionment in Moscow, the largest and northernmost European megacity.

High population and a wide range of activities in a megacity lead to large-scale ecological consequences which require the assessment with respect to distinct characteristics of climate, location, fuel consumption, and emission sources. In-depth study of aerosol characteristics was carried out in Moscow, the largest megacity in Europe, during the cold period (autumn and winter) and in spring. PM chemical speciation based on carbonaceous matter, water-soluble ions, and elements was carried out to reconstruct the PM mass and evaluate the primary and secondary aerosol contribution.

High dispersal rates in hybrids drive expansion of maladaptive hybridization.

Hybridization between native and invasive species, a major cause of biodiversity loss, can spread rapidly even when hybrids have reduced fitness. This paradox suggests that hybrids have greater dispersal rates than non-hybridized individuals, yet this mechanism has not been empirically tested in animal populations. Here, we test if non-native genetic introgression increases reproductive dispersal using a human-mediated hybrid zone between native cutthroat trout (<i>Oncorhynchus clarkii</i>) and invasive rainbow trout (<i>Oncorhynchus mykiss</i>) in a large and connected river system.