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Leadless Pacemaker Implantation in Challenging Scenarios: A Case Report Series of Patients with Mechanical Tricuspid Valves.
Indian Pacing Electrophysiol J
December 2024
Intermountain Heart Institute - Utah Valley Hospital, Salt Lake City, Utah, USA.
Introduction: The advancement of medical technology has introduced leadless pacemakers (LPMs) as a significant innovation in cardiac pacing, offering potential advantages over traditional ventricular transvenous pacemakers. This report explores the application of LPMs in two patients with complex valvular histories, particularly those with mechanical tricuspid valves.
Case Reports: The first case involves a 60-year-old male with a history of rheumatic heart disease and triple valve replacement who developed a high-grade AV block.
The Cost of Waiting for a Transcatheter Aortic Valve Replacement in Medicare Beneficiaries With Severe Aortic Stenosis.
Struct Heart
November 2024
Division of Cardiac Surgery, Rutgers-Robert Wood Johnson Medical School, New Brunswick, New Jersey.
Background: Aortic stenosis (AS) is a prevalent valvular disorder necessitating timely intervention, particularly when symptomatic. Aortic valve replacement (AVR) is the recommended treatment, but delays in access to AVR are common and linked to adverse outcomes and increased health care costs. This study aims to assess the health care cost burden associated with delaying transcatheter AVR (TAVR) in Medicare Advantage beneficiaries with clinically significant AS.
View Article and Find Full Text PDFComplete heart block and subsequent sudden cardiac death following transcatheter tricuspid valve replacement in a heart transplant patient: a case report.
Eur Heart J Case Rep
December 2024
Department of Medicine, Western University, London, ON N6A 5W9, Canada.
Article Synopsis
- Tricuspid regurgitation (TR) is a common issue after heart transplantation, and a new treatment called transcatheter tricuspid valve replacement (TTVR) has emerged, although it comes with risks.
- A 46-year-old woman who underwent a heart transplant developed severe TR, had a TTVR procedure, but later suffered from cardiogenic shock and sudden cardiac death, linked to complications in the area of her heart's electrical conduction system.
- This case highlights the dangers of TTVR in heart transplant patients, emphasizing the need for close monitoring due to the potential for serious heart rhythm issues like complete heart block.
SUCCESSFUL EMERGENCY ARTERIAL EMBOLIZATION FOR MASSIVE GASTRODUODENAL BLEEDING IN HIGH-RISK PATIENT. CASE REPORT.
Georgian Med News
September 2024
2A. Tsereteli State University, Faculty of Medicine, Kutaisi, Georgia.
Massive upper gastrointestinal bleeding still remains a challenge, which can cause serious clinical problems especially in high-risk patients. We present a rare case of patient with complex pathology successfully managed by endovascular treatment. A 78-year-old man with a medical history of chronic bronchitis, several minor strokes, type II diabetes, a 30-year history of smoking, and a family history of cardiovascular disease, presented with severe pain on the left side of his chest radiating to his left arm.
View Article and Find Full Text PDFCalcific Aortic Stenosis: A Review.
JAMA
December 2024
Department of Cardiology, Royal Perth Hospital and Medical School, University of Western Australia, Perth.
Importance: Calcific aortic stenosis (AS) restricts the aortic valve opening during systole due to calcification and fibrosis of either a congenital bicuspid or a normal trileaflet aortic valve. In the US, AS affects 1% to 2% of adults older than 65 years and approximately 12% of adults older than 75 years. Worldwide, AS leads to more than 100 000 deaths annually.
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