Publications by authors named "S W Zarich"
Background: The co-existence of severe aortic stenosis (AS) and hypertrophic cardiomyopathy (HCM) is not uncommon. Surgical intervention is the gold standard management. Patients with high surgical risk might undergo transcatheter aortic valve replacement (TAVR).
View Article and Find Full Text PDFIn-Hospital Outcomes and 30-Day Readmission Rate After Transcatheter and Surgical Aortic Valve Replacement in Liver Cirrhosis: A Contemporary Propensity-Matched Analysis.
Struct Heart
November 2024
Background: Liver cirrhosis is not included in surgical risk prediction models despite being a significant risk factor associated with high periprocedural morbidity and mortality in patients undergoing cardiac surgery. Limited contemporary data exists assessing the outcomes of transcatheter aortic valve replacement (TAVR) and surgical aortic valve replacement (SAVR) in patients with cirrhosis.
Methods: Patients with cirrhosis who underwent TAVR or SAVR were identified from the Nationwide Readmissions Database.
This report presents a rare case of acute bacterial native valve endocarditis caused by in a 57-year-old male with a history of intravenous drug use. The patient presented with chest pain, productive cough, and diarrhea, with clinical evaluation revealing atrial flutter, pulmonary embolism, and a large tricuspid valve vegetation. Blood cultures confirmed , an organism rarely implicated in human infections.
View Article and Find Full Text PDFArticle Synopsis
- - The text discusses a rare and dangerous condition called impending paradoxical embolism (IPDE), exemplified by a case involving a 51-year-old man with sleep apnea who had deep vein thrombosis and pulmonary embolism.
- - The patient was found to have a saddle pulmonary embolus affecting the right atrium and a patent foramen ovale (PFO), leading to complex surgical interventions including thrombectomy and PFO closure.
- - The case highlights the challenges in diagnosing and treating thromboembolism-in-transit, noting the lack of consensus on treatment methods, while calling for more research to develop standardized management protocols.
Background: The role of acute mechanical circulatory support (aMCS) in patients with stress-induced cardiomyopathy (SIC) complicated by cardiogenic shock (CS) is not well studied. Here, we describe the incidence and outcomes of aMCS use in SIC-CS using a large national database.
Methods: Using the Nationwide Readmissions Database from January 2016 to November 2019, we identified patients hospitalized with SIC who received isolated intra-aortic balloon pump (IABP), microaxial flow pump (Impella, Abiomed), or extracorporeal membrane oxygenation (ECMO) during the index hospitalization.