Valve repair in children and young adults is an attractive alternative to replacement or Ross procedure. In the past, the various valvuloplasty techniques have addressed isolated valve pathology. Recently, however, a holistic approach involving repair of all aortic root structures has evolved and promised to be an excellent alternative to valve replacement. It provides good long-term results and avoids all the drawback of prosthetic valve insertion in this age group. Development of ideal patch material needed for valve repair and better understanding of the anatomy and function of the aortic root may further improve the short- and long-term outcomes of aortic valvuloplasty.
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http://dx.doi.org/10.1177/2150135113504598 | DOI Listing |
J Tehran Heart Cent
January 2024
Interventional Cardiology Unit, Cardiology Division, Joan XXIII University Hospital, Pere Virgili Health Research Institute (IISPV), Tarragona, Spain.
Balloon aortic valvuloplasty (BAV) is a therapeutic option as palliative or bridging therapy in severe aortic stenosis, even though it is a risky procedure, especially in patients with concomitant left ventricular dysfunction. The use of percutaneous ventricular assist devices, such as the Impella CP, in this scenario provides optimal circulatory support and considerably reduces the risk of the procedure. Two patients with severe aortic stenosis and left ventricular dysfunction underwent BAV with the support of the Impella-CP.
View Article and Find Full Text PDFAnn Pediatr Cardiol
November 2024
Department of Cardiology, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia.
A unicuspid aortic valve (UAV) in adults is a very rare form of aortic valve (AV) malformation. UAV has two distinct subtypes, acommissural UAV and unicommissural, and can be differentiated by anatomical features, imaging modalities, and clinical presentation. With the development of significant AV lesion (s), surgical or transcatheter intervention will be required.
View Article and Find Full Text PDFMultimed Man Cardiothorac Surg
December 2024
Department of Cardiothoracic Surgery, Royal Children's Hospital, Melbourne, Victoria, Australia.
An adolescent with bicuspid aortic valve presented with severe aortic stenosis and underwent a balloon valvuloplasty, that resulted in severe acute aortic insufficiency. Herein we demonstrate an aortic valve repair using an autologous aortic wall patch and aortic root stabilisation.
View Article and Find Full Text PDFEur Heart J Case Rep
December 2024
Department of Cardiology, Gifu Heart Center, 4-14-4 Yabuta-minami, Gifu-city, Gifu 500-8384, Japan.
Background: Computed tomography (CT) assessment is the standard for predicting coronary obstruction (CO) caused by sinus sequestration (SS) during transcatheter aortic valve (TAV) implantation in degenerated TAV (TAV-in-TAV) procedure, but it may not always be accurate. This report describes a prediction method for CO by using balloon aortic valvuloplasty (BAV) during TAV-in-TAV.
Case Summary: An 87-year-old woman with a history of balloon-expandable transcatheter heart valve (BE-THV) implantation 7 years prior was admitted with worsening dyspnoea.
J Vet Cardiol
November 2024
Laboratory of Veterinary Internal Medicine, Department of Veterinary Clinical Sciences, Graduate School of Veterinary Medicine, Hokkaido University, N18 W9, Sapporo, Hokkaido 060-0818, Japan.
Objectives: The objective of this study was to determine alterations in left atrial size, function, and determinants of left atrial reverse remodelling (LARR) after mitral valvuloplasty (MVP) in dogs with myxomatous mitral valve disease.
Animals: Thirty-seven dogs undergoing MVP were included in this study.
Materials And Methods: Echocardiographic parameters, including left atrial (LA) strain, were evaluated at baseline, during the early postoperative period (within two weeks), and at one and three months postoperatively.
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