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Annales de cardiologie et d'angeiologie最新文献

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Le gradient reste élevé après mon TAVI, que faire? [如何应对 TAVR 术后梯度升高？］
IF 0.3
Annales de cardiologie et d'angeiologie Pub Date : 2024-08-09 DOI: 10.1016/j.ancard.2024.101789
Emmanuel Gall , Hakim Benamer , Dominique Fourchy , Mauro Romano , Philippe Garot , Mariama Akodad
{"title":"Le gradient reste élevé après mon TAVI, que faire?","authors":"Emmanuel Gall ,&nbsp;Hakim Benamer ,&nbsp;Dominique Fourchy ,&nbsp;Mauro Romano ,&nbsp;Philippe Garot ,&nbsp;Mariama Akodad","doi":"10.1016/j.ancard.2024.101789","DOIUrl":"10.1016/j.ancard.2024.101789","url":null,"abstract":"<div><p>Over the past two decades, transcatheter aortic valve implantation (TAVI) has become a safe and effective therapeutic option for symptomatic and severe aortic stenosis, regardless of the surgical risk spectrum. With the expansion of TAVI indications to low-risk and younger patients, it is crucial to ensure satisfactory and durable hemodynamic outcomes to guarantee transcatheter heart valve (THV) longevity. However, secondary THV dysfunction may occur, often manifested by an increased transvalvular gradient. According to VARC-3 criteria, these dysfunctions can be attributed to four main mechanisms: 1) structural valve deterioration; 2) non-structural valve dysfunction; 3) thrombosis; 4) and endocarditis. Each mechanism leads to specific abnormalities, requiring a systematic diagnostic approach and appropriate treatment. This article illustrates, through two clinical cases, the diagnosis and management of secondary transvalvular gradient elevation after TAVI.</p></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"73 4","pages":"Article 101789"},"PeriodicalIF":0.3,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141911382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anesthésie locale comparée à l'anesthésie locorégionale dans les procédures TAVI par voie transfémorale [经股动脉 TAVI 手术中的局部麻醉与局部区域麻醉]。
IF 0.3
Annales de cardiologie et d'angeiologie Pub Date : 2024-08-09 DOI: 10.1016/j.ancard.2024.101786
Clément Jehl , Stéphane Sanchez , Laurent Chapoutot , Sophie Tassan Mangina , Virginie Heroguelle , Aurelien Villecourt , Damien Metz , Laurent Faroux
{"title":"Anesthésie locale comparée à l'anesthésie locorégionale dans les procédures TAVI par voie transfémorale","authors":"Clément Jehl ,&nbsp;Stéphane Sanchez ,&nbsp;Laurent Chapoutot ,&nbsp;Sophie Tassan Mangina ,&nbsp;Virginie Heroguelle ,&nbsp;Aurelien Villecourt ,&nbsp;Damien Metz ,&nbsp;Laurent Faroux","doi":"10.1016/j.ancard.2024.101786","DOIUrl":"10.1016/j.ancard.2024.101786","url":null,"abstract":"<div><h3>Introduction</h3><p>Transcatheter aortic valve implantation (TAVI) has become the treatment of choice for the most fragile patients with severe aortic stenosis. The transfemoral route is preferred as the simplest and safest. The aim of our study was to compare the efficacy, tolerance and safety of local vs. locoregional anesthesia in trans-femoral TAVI procedures.</p></div><div><h3>Material and method</h3><p>This was a single-center retrospective study. Patients treated with femoral TAVI between February 25 and November 15, 2022 at the University Hospital of Reims were included, and two groups (local and locoregional anesthesia) were compared.</p></div><div><h3>Results</h3><p>TAVI success rate (92.9%), death rate (3.0%) and procedure duration (90.5 ± 13.5 minutes) did not differ between groups (<em>p</em> = 0.18, 0.15 and 0.55 respectively). For intra- and post-procedural treatments, the use of sedation, analgesics and benzodiazepines did not differ between groups. The cumulative dose of Remifentanil used per-procedure was lower in the local anesthesia group than in the locoregional anesthesia group (148.6 ± 71.9 mcg vs. 208.9 ± 110.0 mcg; <em>p</em> = 0.025).</p></div><div><h3>Conclusions</h3><p>In this non-randomized retrospective study, local and locoregional anesthesia had comparable safety and efficacy in transfemoral TAVI procedures. In a constrained context and with a view to simplification, these results encourage transfemoral TAVIs to be performed under local anaesthesia, and to consider a “PCI-like” approach, without the presence of an anaesthetist, for selected patients without respiratory, musculoskeletal or agitation disorders, or vascular approach difficulties.</p></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"73 5","pages":"Article 101786"},"PeriodicalIF":0.3,"publicationDate":"2024-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141911384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Apport de l'imagerie endocoronaire dans la prise en charge d'une dissection iatrogène [冠状动脉内成像在先天性夹层管理中的贡献]。
IF 0.3
Annales de cardiologie et d'angeiologie Pub Date : 2024-08-08 DOI: 10.1016/j.ancard.2024.101794
Pascal Motreff , Nicolas Combaret , Thomas Mouyen , Géraud Souteyrand
{"title":"Apport de l'imagerie endocoronaire dans la prise en charge d'une dissection iatrogène","authors":"Pascal Motreff ,&nbsp;Nicolas Combaret ,&nbsp;Thomas Mouyen ,&nbsp;Géraud Souteyrand","doi":"10.1016/j.ancard.2024.101794","DOIUrl":"10.1016/j.ancard.2024.101794","url":null,"abstract":"<div><p>Iatrogenic coronary dissections are rare but potentially serious. Their management is complex, particularly if the dissection occurs without an angioplasty guide in the arterial lumen. In this context, angiography alone is insufficient, and endocoronary imaging is essential (using optical coherence or IVUS) to guide angioplasty when necessary (guide in the true lumen, coverage of the tear). We report here the case of an iatrogenic dissection of the right coronary artery treated with OFDI guiding.</p></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"73 4","pages":"Article 101794"},"PeriodicalIF":0.3,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141911380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comment je gère cette fuite paravalvulaire inhabituelle [我是如何处理这种不寻常的瓣膜旁渗漏的】。］
IF 0.3
Annales de cardiologie et d'angeiologie Pub Date : 2024-08-08 DOI: 10.1016/j.ancard.2024.101790
B. Gérardin, S. Hascoët, JN. Andarelli, C. Batteux, G. Albenque, M. Kloeckner, D. Blanchard, P. Brenot
{"title":"Comment je gère cette fuite paravalvulaire inhabituelle","authors":"B. Gérardin,&nbsp;S. Hascoët,&nbsp;JN. Andarelli,&nbsp;C. Batteux,&nbsp;G. Albenque,&nbsp;M. Kloeckner,&nbsp;D. Blanchard,&nbsp;P. Brenot","doi":"10.1016/j.ancard.2024.101790","DOIUrl":"10.1016/j.ancard.2024.101790","url":null,"abstract":"<div><p>Percutaneous treatment of para-prosthetic valve leaks (PVL) is an alternative to redo surgery. Based on the clinical case of an unusual aortic para-prosthetic leak closure (PVLc), are presented successively the diagnostic difficulties of PVL, the modalities of therapeutic choice, the main technical steps of PVLc followed by a review of results and complications.</p></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"73 4","pages":"Article 101790"},"PeriodicalIF":0.3,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141911381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Évolution fatale d'une résection complète d'un sarcome cardiaque pléomorphe indifférencié : à propos d'un cas [完全切除未分化多形性心脏肉瘤的致命结果：关于一个病例]。
IF 0.3
Annales de cardiologie et d'angeiologie Pub Date : 2024-08-08 DOI: 10.1016/j.ancard.2024.101769
Yassin El Mourabit , Youssef Saadouni , Mohammed Tribak , Rhissassi Mohamed Jaafar , Rochdi Sayah , Mohamed Laaroussi
{"title":"Évolution fatale d'une résection complète d'un sarcome cardiaque pléomorphe indifférencié : à propos d'un cas","authors":"Yassin El Mourabit ,&nbsp;Youssef Saadouni ,&nbsp;Mohammed Tribak ,&nbsp;Rhissassi Mohamed Jaafar ,&nbsp;Rochdi Sayah ,&nbsp;Mohamed Laaroussi","doi":"10.1016/j.ancard.2024.101769","DOIUrl":"10.1016/j.ancard.2024.101769","url":null,"abstract":"<div><h3>Introduction</h3><p>Undifferentiated pleomorphic sarcoma (UPS) is a very rare malignant primary cardiac tumor with a poor prognosis.</p></div><div><h3>Observation</h3><p>A 34-year-old woman complained of dyspnea evolving in a febrile context with altered general condition: Transthoracic echocardiography (TTE) revealed a left intra-atrial mass measuring 51/26 mm in diameter. A thoracic computed tomography (CT) revealed a mass occupying the left atrium measuring 42/28/34 mm, associated with two pulmonary metastases. The cardiac mass was resected and the postoperative suites were fatal. Histological diagnosis was UPS.</p></div><div><h3>Conclusion</h3><p>We present an atypical case of invasive UPS, which was surgically resected and scheduled for radio-chemotherapy with a fatal outcome.</p></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"73 6","pages":"Article 101769"},"PeriodicalIF":0.3,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141911386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Je n'arrive pas à passer mon guide dans la branche fille ; cas clinique et revue de la littérature [如何解决侧枝入路困难：病例报告和文献综述]。
IF 0.3
Annales de cardiologie et d'angeiologie Pub Date : 2024-08-08 DOI: 10.1016/j.ancard.2024.101792
Sara Jourani, Matthieu Perier, Hakim Benamer
{"title":"Je n'arrive pas à passer mon guide dans la branche fille ; cas clinique et revue de la littérature","authors":"Sara Jourani,&nbsp;Matthieu Perier,&nbsp;Hakim Benamer","doi":"10.1016/j.ancard.2024.101792","DOIUrl":"10.1016/j.ancard.2024.101792","url":null,"abstract":"<div><p>We present the case of a 53-year-old patient with history of hypertension and dyslipidemia, admitted for effort-induced angina. Coronary angiography revealed two-vessel disease with severe stenosis of the LAD- Diagonal bifurcation (MEDINA 1-1-1). This lesion was considered complex regarding the severe stenosis of the bifurcation core, the angulation &lt;45°, and the severity and length of the diagonal lesion. The procedure was planned according to a TAP technique. The flow in the diagonal was however lost after stenting the main vessel causing an ST elevation with chest pain. It was subsequently recovered using the rescue jailed balloon technique before re-crossing the stent struts of the LAD using a Gaia First® (Asahi) guidewire. The aim of this case report is to illustrate some pitfalls that can be encountered in bifurcation percutaneous interventions and to present technical solutions to solve difficult side branch access issues through a literature review.</p></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"73 4","pages":"Article 101792"},"PeriodicalIF":0.3,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141905673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Facteurs d'altération du strain global longitudinal ventriculaire gauche dans l'insuffisance cardiaque à fraction d'éjection ventriculaire gauche préservée [射血分数保留型心力衰竭的总体纵向应变损伤因素]。
IF 0.3
Annales de cardiologie et d'angeiologie Pub Date : 2024-08-06 DOI: 10.1016/j.ancard.2024.101778
Valinjaka Rakotonirinarisoa, Pierre Bolarin Lawani, Bodo Anna Mefiarisoa Rakotonirina, Hajalalaina Rabarisoa, Herve Randriamiarana, Jean Louis Roynard
{"title":"Facteurs d'altération du strain global longitudinal ventriculaire gauche dans l'insuffisance cardiaque à fraction d'éjection ventriculaire gauche préservée","authors":"Valinjaka Rakotonirinarisoa,&nbsp;Pierre Bolarin Lawani,&nbsp;Bodo Anna Mefiarisoa Rakotonirina,&nbsp;Hajalalaina Rabarisoa,&nbsp;Herve Randriamiarana,&nbsp;Jean Louis Roynard","doi":"10.1016/j.ancard.2024.101778","DOIUrl":"10.1016/j.ancard.2024.101778","url":null,"abstract":"<div><h3>Introduction</h3><p>In heart failure with preserved left ventricular ejection fraction (LVEF), global longitudinal strain (GLS) has a diagnostic and prognostic value. This study aimed to identify the factors associated with the alteration of strain in heart failure with preserved left ventricular ejection fraction.</p></div><div><h3>Methods</h3><p>This study was carried out in patients with heart failure and preserved LVEF seen in the echocardiography laboratory of the DAX hospital center from 1<sup>st</sup> January to 31<sup>st</sup> October 2022. Patients with altered GLS &lt; −16% (cases) were compared to controls (GLS ≥ −16 %) matched by age group and sex.</p></div><div><h3>Result</h3><p>During this period, 31 cases and 31 controls were recruited. The average age of the cases was 81.3 ± 11.8 years with a female predominance (51.6%). Alteration of left ventricular GLS was associated with history of coronary artery disease (OR 5.93, CI 95% [1.16–30.25], <em>p</em> = 0.04), very high cardiovascular risk (OR 19.6, CI 95% [1.90–201.63], <em>p</em> = 0,03), an interventricular septum thickness greater than 12 mm (OR 7, CI 95% [1.59–30.80], <em>p</em> = 0,00) and the presence of hypertrophic cardiomyopathy (<em>p</em> = 0.00).</p></div><div><h3>Conclusion</h3><p>GLS alteration was associated with history of coronary artery disease, very high cardiovascular risk, an interventricular septum thickness greater than 12 mm and hypertrophic cardiomyopathy. The knowledge of these factors could be interesting to improve the risk stratification and the management of heart failure with preserved LVEF.</p></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"73 5","pages":"Article 101778"},"PeriodicalIF":0.3,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141900773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quand les hématies souffrent en post TAVI [TAVR术后血细胞受损]。
IF 0.3
Annales de cardiologie et d'angeiologie Pub Date : 2024-08-06 DOI: 10.1016/j.ancard.2024.101793
Jeremy Boyer , Thomas Cuisset , Pierre Deharo
{"title":"Quand les hématies souffrent en post TAVI","authors":"Jeremy Boyer ,&nbsp;Thomas Cuisset ,&nbsp;Pierre Deharo","doi":"10.1016/j.ancard.2024.101793","DOIUrl":"10.1016/j.ancard.2024.101793","url":null,"abstract":"<div><p>We present here a case of documented paraprosthetic valvular leak following TAVI treated medically initially. This led to a poorly tolerated hemolytic anemia. We were able to correct this paraprosthetic valvular leak by a postdilation of the TAVI valve with a good result and uncomplicated follow-up.</p></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"73 4","pages":"Article 101793"},"PeriodicalIF":0.3,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141900772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ma fermeture d'auricule s'est compliquée : traitement percutané d'une rupture d'auricule gauche [复杂的左心房阑尾闭合术：经皮处理 LAA 破裂]。
IF 0.3
Annales de cardiologie et d'angeiologie Pub Date : 2024-07-27 DOI: 10.1016/j.ancard.2024.101782
Nicolas Amabile , Konstantinos Zannis , Ayoub Belfekih
{"title":"Ma fermeture d'auricule s'est compliquée : traitement percutané d'une rupture d'auricule gauche","authors":"Nicolas Amabile ,&nbsp;Konstantinos Zannis ,&nbsp;Ayoub Belfekih","doi":"10.1016/j.ancard.2024.101782","DOIUrl":"10.1016/j.ancard.2024.101782","url":null,"abstract":"<div><p>An 81-year-old patient was referred for left atrial appendage closure. Anatomical LAA analysis by CT scan showed an inverted chicken wing morphology. The procedure was performed through i an infero-anterior transseptal puncture and led to “sandwich” closure strategy using an AMPLATZER AMULET 25 mm device. Despite successful deployment of the occluder, a hemopericardium soon developed related to an iatrogenic LAA perforation/partial rupture and leading to major hemodynamic instability. After pericardocentesis, it was decided to inject activated thrombin into the pericardial sac to achieve in situ hemostasis. This strategy enabled coagulation of the hemopericardium and cessation of active bleeding, without recourse to surgical treatment.</p></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"73 4","pages":"Article 101782"},"PeriodicalIF":0.3,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141787088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comment éviter et gérer une complication vasculaire pendant la procédure de TAVI [如何避免和处理 TAVI 手术中的血管并发症]。
IF 0.3
Annales de cardiologie et d'angeiologie Pub Date : 2024-07-26 DOI: 10.1016/j.ancard.2024.101780
Mohammed Nejjari, Arthur Darmon, Franck Digne
{"title":"Comment éviter et gérer une complication vasculaire pendant la procédure de TAVI","authors":"Mohammed Nejjari,&nbsp;Arthur Darmon,&nbsp;Franck Digne","doi":"10.1016/j.ancard.2024.101780","DOIUrl":"10.1016/j.ancard.2024.101780","url":null,"abstract":"<div><p>Transcatheter aortic valve implantation (TAVI) has established as a gold standard in the treatment of elderly patients with severe aortic stenosis. Vascular access marks the first step in a TAVI procedure where the transfemoral access is preferred. Therefore, vascular complications are one of the main concerns of operators. With the increasing number of TAVIs performed, the focus is on the prevention and management of vascular complications. Illustrated by a clinical case, this article attempts to review the main vascular complications, their management and how to prevent them.</p></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"73 4","pages":"Article 101780"},"PeriodicalIF":0.3,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141764899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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