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Aortic Valve Plasty for Coexistence of Discrete Subvalvular Aortic Stenosis and Quadricuspid Aortic Valve: A Case Report.
Cureus
December 2024
Cardiovascular Surgery, Ayase Heart Hospital, Tokyo, JPN.
Subvalvular aortic stenosis typically manifests at a young age and rarely presents in adulthood. It may cause left ventricular outflow tract stenosis, which requires surgical treatment in severe cases. The coexistence of discrete subvalvular aortic stenosis and quadricuspid aortic valve is a highly unusual finding.
View Article and Find Full Text PDFAre current follow-up intervals justified in patients with non-emergent aortic surgeries?
Interdiscip Cardiovasc Thorac Surg
December 2024
Department of Cardiovascular Surgery, University Hospital Freiburg Heart Centre, Freiburg, Germany.
Objectives: Evidence for different surveillance protocols following aortic treatment is still lacking. The aim of this study was to analyse the clinical relevance of a first follow-up visit after 6 months.
Methods: Between January 2018 and December 2019, 464 patients treated for non-emergent aortic pathologies were retrospectively analysed.
Contemporary Clinical Characteristics, Imaging, Management, and Surgical and Nonsurgical Outcomes of Adult Patients With Subaortic Stenosis.
J Am Heart Assoc
November 2024
Department of Cardiovascular Medicine Heart, Vascular and Thoracic Institute, Cleveland Clinic Cleveland OH USA.
Article Synopsis
- Subaortic stenosis (SAS) is a condition in adults where a fibromuscular membrane obstructs blood flow below the aortic valve, potentially leading to serious heart complications.
- A study of 484 patients between 2011 and 2022 showed that over a median follow-up of 5.5 years, 11.5% died, and 6.8% were hospitalized for heart failure, with notable recurrence of SAS in 8.0% of cases.
- Key factors impacting mortality and disease recurrence included older age and baseline heart function, highlighting the need for more research to improve treatment strategies.
Compact Arterial Monitoring Device Use in Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA): A Simple Validation Study in Swine.
Cureus
October 2024
Department of Anesthesiology, Uniformed Services University of the Health Sciences, Bethesda, USA.
Article Synopsis
- - Hemorrhage is the main cause of preventable death in trauma situations, leading to military and civilian advancements in medical practices, particularly through the use of tourniquets to manage extremity bleeding and save lives.
- - While tourniquets have significantly decreased deaths from bleeding in military settings, noncompressible hemorrhage still poses a major risk, especially before patients receive definitive medical care.
- - The study explores using a small, disposable pressure monitor during resuscitative endovascular balloon occlusion of the aorta (REBOA) to enhance blood pressure monitoring, facilitate better resuscitation practices, and reduce the need for blood products in extreme environments.
Storytelling of Hypertrophic Cardiomyopathy Discovery.
J Cardiovasc Dev Dis
September 2024
Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua Medical School, 35121 Padova, Italy.
Article Synopsis
- The discovery of hypertrophic cardiomyopathy (HCM) began in 1958 when Donald Teare noted cases of asymmetric ventricular septum hypertrophy during autopsies, linking sudden deaths to this condition.
- The term "idiopathic hypertrophic subaortic stenosis" emerged in the late 1950s and highlighted the confusion between HCM and valve-related issues, as seen in cases managed by Eugene Braunwald and Andrew Glenn Morrow.
- Over the decades, HCM has been classified and better understood, evolving from early notions of "functional subaortic stenosis" to a formal classification of cardiomyopathies established by John F. Goodwin and refined by the WHO, recognizing familial links and new types
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