Archives of Cardiovascular Diseases最新文献

{"title":"New classification of aortic coarctation based on 181 surgical specimens","authors":"P.-E. Seguela ,&nbsp;C. Guidon ,&nbsp;X. Iriart ,&nbsp;Z. Jalal ,&nbsp;J.B. Thambo ,&nbsp;F. Roubertie","doi":"10.1016/j.acvd.2024.07.038","DOIUrl":"10.1016/j.acvd.2024.07.038","url":null,"abstract":"<div><h3>Introduction</h3><p>The term coarctation of the aorta (CoA) stands for a narrowing of the thoracic aorta with heterogeneous morphologic phenotypes resulting in different treatment strategies. Its origin remains controversial (hemodynamical versus ductal tissue theory), some types being detected prenatally, while others are diagnosed later in life.</p></div><div><h3>Objective</h3><p>We attempted to establish a classification system based on a 10-year data collection of surgical specimens.</p></div><div><h3>Methods</h3><p>It was a monocentric retrospective study: using precise descriptions of aortic morphology obtained from operative reports (2010–2020) of 181 patients with CoA, we analyzed different characteristics to generate a classification system.</p></div><div><h3>Results</h3><p>Four types of isthmic CoA were depicted: narrowing (1) associated with aortic hypoplasia (33%), (2) due to a posterior shelf (64%), (3) due to intraluminal membrane (1%) and (4) aortic kinking (2%). Age at surgery ranged from 7 days to 51 years. Prenatal diagnosis rate and associated cardiac anomalies were more frequent in type 1. Distinction of localized (types 2, 3 and 4) and diffuse narrowing (type 1) revealed a significant difference for age at surgery, prenatal diagnosis, and associated anomaly. The presence of a bicuspid aortic valve (48.6%) did not differ according to the types. A left superior vena cava (7.7%) was equally encountered in all the subtypes (<span><span>Fig. 1</span></span>).</p></div><div><h3>Conclusion</h3><p>A new classification system for CoA is presented. According to our data, all the types could be prenatally diagnosed. This classification might be advantageous to better understand pathophysiology of CoA and facilitate scientific communication.</p></div>","PeriodicalId":55472,"journal":{"name":"Archives of Cardiovascular Diseases","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142271251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of aortic parameters by 4d flow MRI in patients with Marfan syndrome and related syndromes","authors":"P. Vignaud-Marighetto,&nbsp;A. Guitarte,&nbsp;F. Bajanca,&nbsp;P. Acar,&nbsp;R. Moreno,&nbsp;H. Rousseau,&nbsp;Y. Dulac,&nbsp;C. Karsenty","doi":"10.1016/j.acvd.2024.07.036","DOIUrl":"10.1016/j.acvd.2024.07.036","url":null,"abstract":"<div><h3>Introduction</h3><p>Predicting aortic root dilation and the risk of aortic dissection in Marfan syndrome remains challenging. Established predictive factors primarily include aortic diameter and younger age. However, a more comprehensive understanding of aortic hemodynamic alterations in this population is warranted. 4D magnetic resonance imaging (MRI) offers a non-irradiating approach for assessing hemodynamic parameters.</p></div><div><h3>Objective</h3><p>This study aimed to assess aortic parameters using 4D flow MRI in young patients diagnosed with Marfan syndrome.</p></div><div><h3>Methods</h3><p>We prospectively included patients over 12<!--> <!-->years old from the “CHU de Toulouse Centre de Référence Marfan” cohort. They underwent MRI with 4D flow sequences and an aortic angiography sequence without contrast agent administration. Pulse wave velocity (PWV) and wall shear stress (WSS) were quantified using Circle CVI software.</p></div><div><h3>Results</h3><p>Since February 2023, we included 13 patients without history of aortic events, all treated with beta-blockers, with a median age of 18<!--> <!-->years old (range: 15 to 39). MRI imaging was successfully conducted in all cases. The addition of 4D flow acquisitions extended the examination time by 15 to 25<!--> <!-->min and the post-processing time by 5 to 10<!--> <!-->min. The median aortic diameter was 35<!--> <!-->mm (range: 32 to 48) and Z-score ranged from +1.2 to +6.1. Both PWV and WSS were quantifiable across all cases: the median PWV measured 5.5<!--> <!-->m/s (range: 2.2 to 13.5), while the median WSS was 0.104<!--> <!-->Pa (range: 0.074 to 1.590). No correlations were observed between age, body surface area, or aortic diameter with either PWV or WSS (<span><span>Fig. 1</span></span>).</p></div><div><h3>Conclusion</h3><p>A non-invasive, non-irradiating, free-breathing assessment of aortic hemodynamics using 4D flow MRI sequences is feasible in both adolescent and adult patients with Marfan syndrome, albeit with some challenges. However, further studies with larger patient cohorts, comparison with control groups, and long-term follow-up are necessary to determine if this method could serve as a prognostic marker.</p></div>","PeriodicalId":55472,"journal":{"name":"Archives of Cardiovascular Diseases","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142271311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exercise stress echocardiography in coarctation of the aorta","authors":"R. Ly ,&nbsp;S. Hascoet ,&nbsp;N. Combes ,&nbsp;P. Di Marco ,&nbsp;C. Karsenty ,&nbsp;I. Van Aershot ,&nbsp;L. Guirgis ,&nbsp;M. Ratsimandresy ,&nbsp;J. Radojevic","doi":"10.1016/j.acvd.2024.07.007","DOIUrl":"10.1016/j.acvd.2024.07.007","url":null,"abstract":"<div><h3>Introduction</h3><p>Aortic coarctation (COA) is frequent congenital heart disease. It can be difficult to assess the indication for intervention or re-intervention in some cases.</p><p>Exercise stress echocardiography (ESE) can be helpful for hemodynamic evaluation in patients with COA or reCOA.</p></div><div><h3>Objective</h3><p>We aimed to determine ESE parameters predictive of intervention (angioplasty or surgery).</p></div><div><h3>Methods</h3><p>We retrospectively reviewed 94 ESE performed in children (<em>n</em> <!-->=<!--> <!-->14) and adults with native or repaired CoA and unclear indication for intervention in three centers in France.</p><p>Exercise test was performed concomitantly to echocardiography on the e-bike in semi-lying position. The protocol was adapted according to the age and the physical condition. Echocardiography protocol included left ventricular adaptation (LVA) to effort and peak systolic gradient (PSG) at isthmus and appearance of diastolic tail during effort.</p><p>We investigated risk marker associated with subsequent indication for intervention.</p></div><div><h3>Results</h3><p>Median age (min–max) was 26<!--> <!-->years (10–72). Intervention was subsequently performed in thirteen patients (14.7%).</p><p>Fifty-six patients (60.2%) had simple COA and 37 (39.8%) had complex anatomy, 24 (25%) had hypertension. Poor LVA was present in 13 (14%). Diastolic tail during effort appeared in 65 cases. The mean pic isthmus gradient 50<!--> <!-->±<!--> <!-->21<!--> <!-->mmHg (min: 15; max: 124).</p><p>Poor LVA was associated with more interventions (log-rank, <em>P</em> <!-->=<!--> <!-->0.004) (<span><span>Fig. 1</span></span>).</p><p>On univariate analysis presence of antihypertensive drugs (HR: 4.13, 95% CI [1.35–12.65]; <em>P</em> <!-->=<!--> <!-->0.013), systolic blood pressure at rest (HR: 1.04, 95% CI [1.011–1.072]; <em>P</em> <!-->=<!--> <!-->0.007); the lower exercise power (Watts) (HR: 0.98; 95% CI [0.96–0.99]; <em>P</em> <!-->=<!--> <!-->0.001); poor LVA (HR: 5.95, 95% CI [1.56–22.65]; <em>P</em> <!-->=<!--> <!-->0.009); peak systolic gradient at rest and on effort at isthmus (HR: 1.06, 95% CI [1.03–1.10] and HR: 1.04, 95% CI [1.02–1.06]) were significantly predictive of interventions (<span><span>Table 1</span></span>).</p></div><div><h3>Conclusion</h3><p>ESE is a useful tool for hemodynamic evaluation of COA. More severe forms that needed intervention showed less well adaption of the LV to effort and increase in the cardiac output and afterload.</p></div>","PeriodicalId":55472,"journal":{"name":"Archives of Cardiovascular Diseases","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142271090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The place of error in the teaching field of heart surgery","authors":"C. Pavy ,&nbsp;M. Titos","doi":"10.1016/j.acvd.2024.07.053","DOIUrl":"10.1016/j.acvd.2024.07.053","url":null,"abstract":"<div><h3>Introduction</h3><p>Surgical error is a difficult subject to address in our current society that wants to leave no place for it. However, our human condition makes it impossible to disappear.</p></div><div><h3>Objective</h3><p>This study mainly focuses on the management of a serious adverse event happening in the operating room to dwindle collateral damage, particularly in the field of teaching.</p></div><div><h3>Methods</h3><p>The questionnaire was developed in a constructive manner. Face-to-face interviews with voluntary and informed practitioners from different institutions and position were conducted. These interviews were all transcribed and analyzed as part of a heuristic approach. Based on the recent literature, the iterative deductive-inductive text analysis was respected. The verbatim thematic grid has evolved according to the progress of the text study.</p></div><div><h3>Results</h3><p>Nine interviews were carried out (7/9 face-to-face, 2/9 via digital interaction), transcribed and analyzed. The practitioners median age is 54 years old. Six out of nine expressed a serious adverse event leading to death and all expressed its unexpected nature. The reported facts included a distance of time (5/9), and/or person (2/9). The most expressed personal impact apart from an unpleasant experience feeling, is the more or less important, facts rumination (7/9) to analyze and at the same time hoping to undo what has been done. All expressed a desire to verbalize explanation of the facts motivated by the distinction between guilt and responsibility. Everyone appreciated the questionnaire approach (<span><span>Table 1</span></span>).</p></div><div><h3>Conclusion</h3><p>The abilities to manage a serious adverse event in the operating room are very internalized and essentially mobilized to avoid it. The use of these capacities for educational purposes to manage fear and the encystment of these unpleasant experiences does not yet seem successful. This approach would also allow us to remain vigilant regarding the construction of different sophisms.</p></div>","PeriodicalId":55472,"journal":{"name":"Archives of Cardiovascular Diseases","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142271152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of an autonomous paramedical training group to manage newborns and children with congenital heart disease in an intensive care unit permits to develop self-confidence and felt quality of care","authors":"A. Auriol,&nbsp;P. Bourgeois,&nbsp;L. Berthomieu,&nbsp;S. Breinig","doi":"10.1016/j.acvd.2024.07.019","DOIUrl":"10.1016/j.acvd.2024.07.019","url":null,"abstract":"<div><h3>Introduction</h3><p>Pre- and postoperative management of children with heart disease in a multidisciplinary neonatal and paediatric intensive care unit offers the advantage of a global vision of the child but requires the development of specific skills and reflexes for the paramedical caregivers.</p></div><div><h3>Objective</h3><p>Our aim is to show that setting up an autonomous training group in congenital cardiology, managed by and for paramedical services, is feasible and improves self-confidence and the quality of care experienced.</p></div><div><h3>Methods</h3><p>We are pediatric nurses who have, 12 years ago, set up an independent paramedical working group under the supervision of the medical team in a paediatric intensive care unit with 22 beds and 1000 admissions a year (250 related to congenital heart disease).</p><p>We have developed and distributed 4 in-service training courses for all staff (70 nurses, 22 child care assistant) covering pathophysiology, specific techniques, practical organisation, and early rehabilitation (interactive courses adapted to seniority).</p><p>This theoretical input is complemented by on-the-job training with gradual progression until the agent is fully autonomous.</p><p>We used questionnaires to assess trainees’ feelings before and after training.</p></div><div><h3>Results</h3><p>Over the past 12 years, 75% of the paramedical team has received this training. All those trained feel that it has improved their care and self-confidence.</p><p>Hundred percent of professionals consider the working group to be necessary. It helps to increase professionals’ sense of self-efficacy in terms of their skills, so that they can act appropriately in the field.</p></div><div><h3>Conclusion</h3><p>Setting up an independent paramedic training group for the intensive care of newborn babies and children with congenital heart disease helps to develop self-confidence and the quality of care they receive.</p></div>","PeriodicalId":55472,"journal":{"name":"Archives of Cardiovascular Diseases","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142271155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pulmonary atresia with “intact ventricular septum” associated with a ventricular septal defect: An apparent paradox?","authors":"J. Karila-Cohen,&nbsp;C. Huet,&nbsp;S. Bernheim,&nbsp;D. Bonnet,&nbsp;L. Houyel","doi":"10.1016/j.acvd.2024.07.048","DOIUrl":"10.1016/j.acvd.2024.07.048","url":null,"abstract":"<div><h3>Introduction</h3><p>Pulmonary atresia with intact ventricular septum (PA-IVS) means pulmonary valvar atresia without a ventricular septal defect (VSD). In PA-IVS, the right ventricle (RV) appears externally normal in size but the internal cavity is hypoplastic with major wall hypertrophy. Histology reveals myocardial disarray and endocardial fibroelastosis. The leaflets of the pulmonary valve are present but fused indicating an acquired lesion during fetal life.</p></div><div><h3>Methods</h3><p>The files of all children with PA-IVS in our institution between 1981 and 2023 were reviewed, using a data warehouse to look for associated VSD. Patients with Ebstein anomaly and pulmonary atresia were excluded. When available, echocardiographic examinations were reviewed. One patient had severe coronary arterial anomaly leading to death and autopsy.</p></div><div><h3>Results</h3><p>The total cohort included 300 consecutive patients. Among those, we found 8 children with an associated VSD (2.6% of the cohort). According to the IPCCC-ICD11 nomenclature, the VSD was central perimembranous in 3, muscular in 4, outlet in 1. In this last patient, autopsy revealed a hypoplastic but not malaligned outlet septum, without aortic overriding, which discarded the diagnosis of tetralogy of Fallot (<span><span>Fig. 1</span></span>).</p></div><div><h3>Conclusion</h3><p>Paradoxically, the presence of a VSD is compatible with diagnosis of PA-IVS. This rare association cannot be classified as “PA-VSD”: this last term should be reserved to extreme forms of tetralogy of Fallot, associating outlet VSD, anteriorly malaligned outlet septum, overriding aorta and PA. Conversely, PA-IVS may be due to a RV myocardial disease, leading to a diminutive RV cavity, tricuspid valve hypoplasia and progressive fusion of the pulmonary leaflets leading to atresia. The anatomic type of VSD, muscular and perimembranous, and their rarity, are in favor of an incidental association. The imprecise term “PA-IVS” does not reflect the defect's anatomy and pathogenesis. It should then be modified, as it is crucial to use an accurate terminology to better describe congenital heart defects.</p></div>","PeriodicalId":55472,"journal":{"name":"Archives of Cardiovascular Diseases","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142271174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pulmonary hypertension (PH) in the first twelve-months of live: Long-term outcome in relation to diagnosis and invasive hemodynamic","authors":"A. Callegari,&nbsp;J. Grynblat,&nbsp;M. Meot,&nbsp;I. Szezepanski,&nbsp;S. Malekzadeh-Milani,&nbsp;D. Bonnet","doi":"10.1016/j.acvd.2024.07.002","DOIUrl":"10.1016/j.acvd.2024.07.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Some patients develop pulmonary hypertension (PH) in the first months of life.</p></div><div><h3>Objective</h3><p>Knowledge gaps remain on their characteristics and long-term outcome.</p></div><div><h3>Methods</h3><p>In total, 563 consecutive patients (mean follow-up 4-years) with mPAP<!--> <!-->&gt;<!--> <!-->20<!--> <!-->mmHg between 1–12<!--> <!-->months of life were included and their history examined.</p></div><div><h3>Results</h3><p>Age was mean (SD) 154 (95) days, mPAP 40 (14) mmHg, transpulmonary gradient 31 (14) mmHg, pulmonary vascular resistance index (PVRi) 4.4 (3.9) WU.m². Genetic disease was found in 122 (19%).</p><p>Most frequent indications for cath were PH on TTE (220, 39%), shunt calculation/closure (256, 45%), or suspected pulmonary veins anomaly (51, 9%).</p><p>Majority of patients (404, 72%) had an open shunt, 37 (6%) repaired CHD, 57 (10%) postcapillary PH and 66 (12%) normal cardiac anatomy but lung development disease (36/66), severe systemic disease (9/66), drug induced (16/66), or heritable (4/66) PH.</p><p>In open shunt patients PVRi was<!--> <!-->&lt;<!--> <!-->3<!--> <!-->WU.m² in 99 (41%), 3–6 in 89 (37%),<!--> <!-->&gt;<!--> <!-->6 in 52 (22%). Thirteen (3%) patients were considered not operable due to high PVRi (3/13), combined lung diseases (5/13), and/or severe chromosomal abnormalities (6/13). PH related to open shunt was protective for persistent PH at follow-up (<em>P</em> <!-->&lt;<!--> <!-->0.001) and survival (<em>P</em> <!-->&lt;<!--> <!-->0.001, <span><span>Fig. 1</span></span>).</p><p>Overall PH at follow-up was found in 84 (15%) and independent risk factors for persistence of PH were lung disease (<em>P</em> <!-->&lt;<!--> <!-->0.001), arterial switch for TGA (<em>P</em> <!-->&lt;<!--> <!-->0.008), PVRi<!--> <!-->&gt;<!--> <!-->6<!--> <!-->WU.m² (<em>P</em> <!-->&lt;<!--> <!-->0.001), idiopathic PH (<em>P</em> <!-->=<!--> <!-->0.009), and low pulmonary vein saturation (<em>P</em> <!-->=<!--> <!-->0.05).</p><p>Mortality was 10% and survival was significantly reduced in patients with concomitant lung disease (<em>P</em> <!-->=<!--> <!-->0.001, <span><span>Fig. 2</span></span>), normal cardiac anatomy (<em>P</em> <!-->=<!--> <!-->0.001), and cath for suspected PH at TTE (<em>P</em> <!-->=<!--> <!-->0.014).</p></div><div><h3>Conclusion</h3><p>Open shunt normally causes PH in early life, but hardly impacts operability and isolated open shunt rarely results in PH or reduced survival at follow-up. Patients with normal cardiac anatomy and lung disease have higher PH-related mortality and prevalence of PH at follow-up.</p></div>","PeriodicalId":55472,"journal":{"name":"Archives of Cardiovascular Diseases","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142271231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility and accuracy of virtual reality for surgical and interventional planning for sinus venosus atrial septal defect repair","authors":"P. Pyra,&nbsp;K. Hadeed,&nbsp;D. Calvaruso,&nbsp;Y. Dulac,&nbsp;C. Karsenty,&nbsp;P. Acar","doi":"10.1016/j.acvd.2024.07.043","DOIUrl":"10.1016/j.acvd.2024.07.043","url":null,"abstract":"<div><h3>Introduction</h3><p>Surgical correction is the standard of care for sinus venosus atrial septal defects (SVASD). Transcatheter closure has been recently achieved through placement of a coated stent in the SVC in selected patients with favorable anatomy. However, patient's selection stays challenging.</p></div><div><h3>Objective</h3><p>We aimed to assess the utility of the virtual reality (VR) in patient selection for surgical or transcatheter closure.</p></div><div><h3>Methods</h3><p>Seven patients were included with a median age of 50 years (5 adults et 2 infants). Patient-specific cardiac scanner data were obtained to create accurate 3D models of the heart using DICOM to PRINT software (v1.0.3.3038, 3D Systems Inc, USA). Cardiac models were then imported into a VR environment (HTC Vive Pro 2 and SteamVR 2.2.3), allowing exploration of the anatomy in immersive details.</p></div><div><h3>Results</h3><p>In all patients, VR provided a comprehensive understanding of SVASD anatomy, including its relationship with adjacent structures.</p><p>In 3 of 5 adult cases, VR allowed for confirmation of the possibility of percutaneous correction without pulmonary vein obstruction by placing the OPTIMUS XXL® stent in the SVC. For the last 2 adults, VR confirmed that the intra cardiac anatomy was unfavorable for the percutaneous treatment with a risk of pulmonary vein obstruction. These findings were consistent with the multidisciplinary reports for all five patients, which was not known before the simulation.</p><p>In the two pediatric cases, it facilitated the choice of surgical technic (tunnelization patch or Warden procedure). Surgeons and cardiologists reported enhanced spatial awareness and improved insight into potential surgical approaches (<span><span>Fig. 1</span></span>).</p></div><div><h3>Conclusion</h3><p>VR facilitated interdisciplinary collaboration and seems to be a valuable tool for interventional and surgical planning in SVASD repair due to its ability to provide immersive, patient-specific visualization. Further research is warranted to validate its efficacy in larger cohorts and assess its impact on surgical and interventional outcomes.</p></div>","PeriodicalId":55472,"journal":{"name":"Archives of Cardiovascular Diseases","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142271256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is coronary artery disease screening by imaging in patients with chronic kidney disease necessary?","authors":"Benoit Caullery ,&nbsp;Gilles Barone-Rochette","doi":"10.1016/j.acvd.2024.08.001","DOIUrl":"10.1016/j.acvd.2024.08.001","url":null,"abstract":"","PeriodicalId":55472,"journal":{"name":"Archives of Cardiovascular Diseases","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142115168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between illicit drug use and coronary angiographic findings in patients with acute coronary syndrome.","authors":"Antoine Léquipar, Manveer Singh, Nathan El Bèze, Alexandre Lafont, Emmanuel Gall, Paul Guiraud-Chaumeil, Fabien Picard, Charly Alizadeh, Patrick Henry, Jean-Guillaume Dillinger","doi":"10.1016/j.acvd.2024.07.057","DOIUrl":"https://doi.org/10.1016/j.acvd.2024.07.057","url":null,"abstract":"","PeriodicalId":55472,"journal":{"name":"Archives of Cardiovascular Diseases","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}