Acute Valvular Heart Disease

Maheshwari, Varun; Barr, Brian; Srivastava, Mukta

doi:10.1016/j.ccl.2017.08.006

Cited by 14 publications

(46 citation statements)

References 56 publications

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“…Traditional management involves medical stabilization and surgical intervention, with a timing strictly related to the specific etiology of valve dysfunction [6] . MitraClip device has emerged as a new therapeutic alternative which is promising and potentially life-saving.…”

Section: Discussionmentioning

confidence: 99%

“…CI: cardiac index; CO: cardiac output; ECMO: extracorporeal membrane oxygenation; HF: heart failure; IABP: intraortic balloon pump; LAP: left atrial pressure; LV: left ventricular; LVEDD: left ventricular end-diastolic diameter; LVEF: left ventricular ejection fraction; LVESD: left ventricular end-systolic diameter; MG: mean gradient; MOF: multiorgan failure; MR: mitral regurgitation; MV: mitral valve; N: number; NYHA: New York Heart Association; NSTEMI: non-ST-elevation myocardial infarction; PAP: pulmonary artery pressure; PCI: percutaneous coronary intervention; postop: post-operatory; sPAP: systolic pulmonary artery pressure; STEMI: ST-elevation myocardial infarction; STS: Society of Thoracic Surgery; TAPSE: tricuspid annular plane systolic excursion in cases of cardiogenic shock, intravenous diuretic therapy and non-invasive/invasive ventilation for massive pulmonary edema with acute respiratory distress. Hypertensive or normotensive patients benefit from afterload reduction with intravenous vasodilator therapy, which reduces MR, diminishing pulmonary congestion and increases forward cardiac output[6] …”

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confidence: 99%

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Percutaneous mitral valve repair in acute mitral regurgitation: case report and review of the literature

Cannata¹,

Sanz‐Sánchez²,

Chiarito³

et al. 2020

Mini-invasive Surg

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Acute mitral regurgitation is a heterogeneous and life-threatening pathology, with severe hemodynamic consequences and extremely adverse outcomes. Traditionally, the definitive treatment is prompt surgical intervention after hemodynamic stabilization. Nowadays, however, percutaneous repair of mitral valve with MitraClip device has emerged as a safe and effective therapeutic option. Evidences in this field are still scarce. Hereby, we report the case of an 82-year-old woman with lateral ST-elevation myocardial infarction determining severe acute mitral regurgitation (MR) with an asymmetric leaflet tethering mechanism. Due to prohibitive operative risk and unstable hemodynamic status, the patient underwent a successful urgent MitraClip procedure with optimal reduction of MR and immediate hemodynamic improvement. Moreover, we provide a review of the available literature regarding the echocardiographic assessment of acute MR, results of published cases and possible management of this complex pathology.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Percutaneous mitral valve repair in acute mitral regurgitation: case report and review of the literature

Cannata¹,

Sanz‐Sánchez²,

Chiarito³

et al. 2020

Mini-invasive Surg

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“…Characteristic hemodynamic findings of severe chronic AR include a wide pulse pressure with a low aortic diastolic pressure . When severe chronic AR is well‐tolerated, the heart rate is normal and LVEDP is normal .…”

Section: Discussionmentioning

confidence: 99%

“…Characteristic hemodynamic findings of severe chronic AR include a wide pulse pressure with a low aortic diastolic pressure. [1][2][3][4] When severe chronic AR is well-tolerated, the heart rate is normal and LVEDP is normal. 5,6 In contrast, hemodynamic findings of acute AR include an elevated heart rate, narrow pulse pressure, elevated LVEDP and equalization of LVEDP and aortic diastolic pressure.…”

Section: Discussionmentioning

confidence: 99%

Mixed aortic valve disease treated with transcatheter aortic valve replacement in a high risk patient presenting with acute decompensated heart failure

Raj

Mehra

Shavelle

2019

Cathet Cardio Intervent

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Mixed aortic valve disease refers to the combination of aortic regurgitation (AR) and aortic stenosis (AS). Commonly etiologies include a bicuspid aortic valve, rheumatic heart disease, and endocarditis superimposed upon a stenotic aortic valve. Treatment depends upon the severity of disease, the presence of symptoms and the size and function of the left ventricle. We present a case of a young patient that presented with new onset acute decompensated heart failure with mixed aortic valve disease that was successful treated with transcatheter aortic valve replacement (TAVR). Invasive hemodynamics at baseline and following TAVR provide an insight into the characteristic features of mixed aortic valve disease. TAVR represents a new treatment option for critically ill patients deemed high risk or nonoperable for surgical aortic valve replacement.

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“…[3][4][5][6] Patients presenting with acute mitral regurgitation will often be in cardiogenic shock. 7 The initial management should include stabilization of the hemodynamics to optimize end organ perfusion and appropriate intervention to correct the mitral regurgitation. 7 In the setting of a previous mechanical valve implant, prosthetic valve thrombosis has often represented a common etiology of this condition.…”

mentioning

confidence: 99%