Aortic regurgitation management: a systematic review of clinical practice guidelines and recommendations - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/35026012/
Guidelines for the diagnosis and management of aortic regurgitation (AR) contain recommendations which do not always match. We systematically reviewed clinical practice guidelines and summarised similarities and differences in the...
Conclusion/Relevance: There are no specific AR cut-offs for high-risk surgery and the role of percutaneous intervention is yet undefined. Recommendations on the treatment of mixed valvular disease are sparse and lack robust prospective data.
The effect of the learning curve on paravalvular aortic regurgitation and mid-term mortality in transfemoral transcatheter aortic valve implantation - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/35026044/
In a group of patients with severe aortic stenosis who underwent transfemoral TAVI in the first 3 years since the establishment of the program, paravalvular aortic regurgitation ≥grade II was...
Conclusion: In a group of patients with severe aortic stenosis who underwent transfemoral TAVI in the first 3 years since the establishment of the program, paravalvular aortic regurgitation ≥grade II was associated with mid-term mortality, both declining after the first 60 cases.
Aortic valve repair for the treatment of rheumatic aortic valve disease: a systematic review and meta-analysis - Scientific Reports
Source : https://www.nature.com/articles/s41598-021-04040-x
Valvuloplasty for rheumatic aortic valve disease remains controversial. We conducted this study to explore whether aortic valvuloplasty is appropriate for the rheumatic population. A comprehensive search was conducted, and 7...
Conclusion: Valvuloplasty is safe and effective to treat rheumatic aortic insufficiency and stenosis, and the duration of maintenance required to improve stenosis was longer than that of insufficiency.
Impact of Pulmonary Hypertension on Outcomes in Patients With Mitral Annular Calcium and Associated Mitral Valve Dysfunction - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/34991846/
The prevalence of mitral annular calcium (MAC) is increasing in our aging population. However, data regarding prognostication in MAC-related mitral valve (MV) disease remain limited. This retrospective observational study aims...
Conclusion/Relevance: These findings suggest an incremental role for SPAP in the risk stratification and prognostication in this increasingly prevalent condition with expanding the scope of possible interventions.
Commentary: Bespoke Ross procedure: Best fit for patients with aortic regurgitation?
Source : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8691216/
Aortic valve replacement (AVR) is an effective procedure, but both mechanical and biological valves have their own risks. AVR with biological valves in nonelderly patients often necessitates reoperation, and mechanical...
Conclusion/Relevance: After 5 decades of technical refinement and improved postoperative management, the Ross procedure has become an excellent surgical option for younger patients with aortic regurgitation.