Hongbo Zhang, Jie Tian, Chen Zhang, Haoru Wang, Keyao Hui, Tongming Wang, Senchun Chai, Paul Schoenhagen, Lei Zhao, Xiaohai Ma
{"title":"Discrimination models with radiomics features derived from cardiovascular magnetic resonance images for distinguishing hypertensive heart disease from hypertrophic cardiomyopathy","authors":"Hongbo Zhang, Jie Tian, Chen Zhang, Haoru Wang, Keyao Hui, Tongming Wang, Senchun Chai, Paul Schoenhagen, Lei Zhao, Xiaohai Ma","doi":"10.21037/cdt-23-350","DOIUrl":"https://doi.org/10.21037/cdt-23-350","url":null,"abstract":"","PeriodicalId":9592,"journal":{"name":"Cardiovascular diagnosis and therapy","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139822766","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}
A. Helal, Mohamed H. Mashali, A. Elmahrouk, Mohammed O. Galal, A. Jamjoom, Amjad A. Kouatli
{"title":"Right ventricle to pulmonary artery conduit: a comparison of long-term graft-related events between bovine jugular vein conduit, aortic homograft, and porcine-valved conduits","authors":"A. Helal, Mohamed H. Mashali, A. Elmahrouk, Mohammed O. Galal, A. Jamjoom, Amjad A. Kouatli","doi":"10.21037/cdt-23-364","DOIUrl":"https://doi.org/10.21037/cdt-23-364","url":null,"abstract":"","PeriodicalId":9592,"journal":{"name":"Cardiovascular diagnosis and therapy","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139881119","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}
Kang An, Fengwen Zhang, Wenbin Ouyang, Xiangbin Pan
{"title":"Transcatheter aortic valve replacement in patients with preoperative ascending aortic diameter ≥45 mm.","authors":"Kang An, Fengwen Zhang, Wenbin Ouyang, Xiangbin Pan","doi":"10.21037/cdt-23-324","DOIUrl":"10.21037/cdt-23-324","url":null,"abstract":"<p><strong>Background: </strong>Current indication for concomitant replacement of ascending aorta (AA) in patients undergoing surgical aortic valve replacement is that AA diameter exceeds 45 mm. However, the impact of AA dilation (≥45 mm) in patients undergoing transcatheter aortic valve replacement (TAVR) remains unclear.</p><p><strong>Methods: </strong>We retrospectively evaluated 467 consecutive patients who underwent transfemoral TAVR from January 2016 to April 2021. Cox proportional hazards regression was performed to identify risk factors for all-cause mortality. The primary endpoint was the all-cause mortality, and the secondary endpoints were the occurrence of the aortic dissection and/or rupture.</p><p><strong>Results: </strong>One hundred patients (21.4%) presented preoperative AA ≥45 mm. The median age was 73 years for patients with AA ≥45 mm and 75 years for patients with AA <45 mm (P=0.021). The in-hospital mortality rate was 1.1%. There was no iatrogenic injury to the AA. Only one patient (0.2%) in AA <45 mm group experienced retrograde type B aortic dissection in the descending aorta. The median follow-up was 19 [16-34] months in patients with AA ≥45 mm and 27 [15-37] months in patients with AA <45 mm (P=0.152). No statistical difference was found between the two groups regarding the overall survival (92.5%±3.5% <i>vs.</i> 78.3%±6.8%, P=0.198). Only one patient in AA <45 mm group experienced type A aortic dissection 10 months after the procedure. In both univariable and multivariable analysis, AA ≥45 mm was not an independent predictor for all-cause mortality.</p><p><strong>Conclusions: </strong>Transfemoral TAVR can be performed safely in patients with preoperative AA ≥45 mm with a low intraprocedural risk. The mid-term survival appears not to be affected by the presence of AA ≥45 mm, and adverse aortic events are rare.</p>","PeriodicalId":9592,"journal":{"name":"Cardiovascular diagnosis and therapy","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10753242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139073435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dan Liu, Ting Wu, Yu Wang, Ke Dian, Hanmin Liu, Xiaolan He, Jiao Chen
{"title":"Persistent right venous valve as a cause of fetal and neonatal pathology from prenatal to postnatal periods: a case report and review.","authors":"Dan Liu, Ting Wu, Yu Wang, Ke Dian, Hanmin Liu, Xiaolan He, Jiao Chen","doi":"10.21037/cdt-23-288","DOIUrl":"10.21037/cdt-23-288","url":null,"abstract":"<p><strong>Background: </strong>Neonatal cyanosis is a clinical manifestation of hypoxemia and is usually pathological. Persistent right venous valve (PRVV) is a rare cause of cyanosis in newborns and can cause prenatal abnormalities, the clinical significance of which varies depending on the severity of the abnormality. There have been few reports on the intrauterine detection of these abnormalities and their follow-up during infancy. Here, we report a case of PRVV causing supravalvular tricuspid valve (TV) obstruction and secondary right ventricle (RV) hypoplasia. This case is unique in terms of its early prenatal detection, distinct cardiac anomalies, and successful surgery that reversed the symptoms, and the findings offer insights into the diagnosis and management of such rare cardiac conditions.</p><p><strong>Case description: </strong>We report a case of a newborn diagnosed with PRVV at 31 weeks of gestation at our center. There was no underlying family history of congenital heart disease. Prenatal sonography identified an echogenic membrane in the right atrium, suggesting TV obstruction and subsequent RV hypoplasia. After birth, the neonate suffered hypoxia with decreased arterial oxygen saturation (SaO<sub>2</sub>). Minimally invasive surgery successfully corrected the membrane. Postoperative SaO<sub>2</sub> improved immediately. Three months later, follow-up echocardiography revealed normalized TV and RV dimensions. The patient demonstrated steady progress without any complications. We also reviewed previous cases of PRVV before and after birth and summarized the sonographic and clinically relevant features.</p><p><strong>Conclusions: </strong>Although PRVV is typically considered as a benign structure, it may lead to significant clinical complications, particularly in fetuses and neonates. The precise identification of its variant forms and related flow patterns is crucial to inform decisions regarding patient management.</p>","PeriodicalId":9592,"journal":{"name":"Cardiovascular diagnosis and therapy","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10753248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139073434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Moleboheng Mokotjo, A. Woodiwiss, S. Mogaladi, J. Hasenkam, Ruchika Meel
{"title":"Evaluation of aortic wall strength in human immunodeficiency virus associated thoracic ascending aortic aneurysm: a pilot study","authors":"Moleboheng Mokotjo, A. Woodiwiss, S. Mogaladi, J. Hasenkam, Ruchika Meel","doi":"10.21037/cdt-23-188","DOIUrl":"https://doi.org/10.21037/cdt-23-188","url":null,"abstract":"","PeriodicalId":9592,"journal":{"name":"Cardiovascular diagnosis and therapy","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138991519","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}
Sachini Ranasinghe, B. Tjoe, C. Shufelt, Janet Wei, Marie Lauzon, Judy Luu, A. Asif, Jannet Lewis, Carl J. Pepine, Leslee J. Shaw, E. Handberg, C. Merz
{"title":"Association of abnormal electrocardiography response on dobutamine stress echocardiogram with longer-term major adverse cardiovascular events in women with symptoms of ischemic heart disease","authors":"Sachini Ranasinghe, B. Tjoe, C. Shufelt, Janet Wei, Marie Lauzon, Judy Luu, A. Asif, Jannet Lewis, Carl J. Pepine, Leslee J. Shaw, E. Handberg, C. Merz","doi":"10.21037/cdt-23-296","DOIUrl":"https://doi.org/10.21037/cdt-23-296","url":null,"abstract":"","PeriodicalId":9592,"journal":{"name":"Cardiovascular diagnosis and therapy","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139017600","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}
Michał Chyrchel, S. Bartuś, Marcin Piechocki, Kinga Glądys, R. Januszek, Andrzej Surdacki, Ł. Rzeszutko
{"title":"Is single-catheter technique for coronary angiography an optimal tool for beginners in interventional cardiology?—randomized controlled study TRACT 2: Transradial Coronary Angiography Trial 2","authors":"Michał Chyrchel, S. Bartuś, Marcin Piechocki, Kinga Glądys, R. Januszek, Andrzej Surdacki, Ł. Rzeszutko","doi":"10.21037/cdt-23-212","DOIUrl":"https://doi.org/10.21037/cdt-23-212","url":null,"abstract":"","PeriodicalId":9592,"journal":{"name":"Cardiovascular diagnosis and therapy","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139022965","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}