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Journal articles on the topic 'Aortic isthmus stenosis'

Author: Grafiati

Published: 3 June 2025

Last updated: 31 July 2025

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1

Kopp, Reinhard, Eckart Kreuzer, Martin Oberhoffer, Karin Anna Herrmann, Karl-Walter Jauch, and Bruno Reichart. "Endovascular Treatment of a Symptomatic Suture Aneurysm Caused by an Aortic Isthmus Restenosis." Vascular 14, no. 3 (2006): 161–64. http://dx.doi.org/10.2310/6670.2006.00026.

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After operative treatment of aortic isthmus stenoses, late complications, such as aneurysm formation or aortic restenosis, might occur, with relevant morbidity and mortality rates during open surgical reintervention. We report on the endovascular repair of a symptomatic suture aneurysm caused by an aortic isthmus restenosis by thoracic aortic stent graft implantation and additional intraoperative balloon dilatation. Based on our experience, endovascular repair of thoracic aortic aneuryms caused by native aortic isthmus stenosis or postcoarctation restenosis is a valuable treatment option, espe

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Saad, Mohammed, Abdelrahman Elhakim, Rene Rusch, et al. "Trans-Brachial TAVI in a Patient with Aortic Isthmus Stenosis: A Case Report." Journal of Clinical Medicine 13, no. 2 (2024): 308. http://dx.doi.org/10.3390/jcm13020308.

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Background: TAVI indications expand not only to low-risk patients but also to patients with a more complex anatomy and comorbidities. Transfemoral retrograde access is recognized as the first preferred approach according to the current guidelines. However, this approach is not suitable in up to 10–15% of patients, for whom an alternative non-femoral access route is required. Case Presentation: An 83-year-old male patient with known aortic isthmus stenosis presented with severe symptomatic aortic stenosis. Computed tomography revealed a subtotal isthmus stenosis, directly after left subclavian

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Vaz, André, Ludmila M. Young, Renata Muller Couto, Kevin R. M. de Paula, and Eduardo K. U. N. Fonseca. "CT angiography versus clinical, echocardiographic, and invasive gradients in coarctation and recoarctation of the aorta." Annals of Pediatric Cardiology 18, no. 1 (2025): 19–25. https://doi.org/10.4103/apc.apc_221_24.

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Background: Aortic coarctation is a congenital heart disease characterized by narrowing of the distal aortic arch or isthmus. Its management relies on arterial hypertension, stenosis severity, and peak-to-peak gradients. Despite various assessment methods, there is limited discussion on measuring stenosis using computed tomography (CT) angiography and its correlation with clinical, echocardiographic, and invasive gradients, as well as surgical or endovascular indications. Materials and Methods: This retrospective study included 129 patients with aortic coarctation or recoarctation who underwen

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Tarasov, R. S., A. Yu Kolesnikov, and I. E. Vereshchagin. "Aortic stenting for aortic isthmus stenosis caused by the patent ductus arteriosus occluder: a case report." Patologiya krovoobrashcheniya i kardiokhirurgiya 26, no. 4 (2022): 60–66. http://dx.doi.org/10.21688/1681-3472-2022-4-60-66.

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We present a case report of stenting the aortic isthmus to manage a rare complication – stenosis caused by the patent ductus arteriosus occlude previously implanted to a child at the age of 7 months. After 7 years the patient was re-admitted to the cardiology hospital with the signs and symptoms of the aortic coarctation. The echocardiography revealed a peak pressure gradient of 40 mm Hg in the area of the aortic isthmus. The pressure gradient between the upper and lower extremities was 25-30 mm Hg. At the age of 8 the compromised blood flow in the aorta was completely resolved by stenting the

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O, Bakzaza, El aquaoui M, and Nador K. "Post-traumatic False Aneurysm of the Aortic Isthmus Revealed by Ortner's Syndrome." Saudi Journal of Medicine 7, no. 5 (2022): 313–15. http://dx.doi.org/10.36348/sjm.2022.v07i05.012.

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Introduction: Left vocal cord palsy by Compression of the left recurrent nerve by the left atrium in tight mitral stenosis defines Ortner's cardio-vocal syndrome. The vascular etiology of compression thoracic aortic aneurysm is well described in the literature. Left vocal cord palsy by Compression of the left recurrent nerve by the left atrium in tight mitral stenosis defines Ortner's cardio-vocal syndrome. The vascular etiology of compression thoracic aortic aneurysm is well described in the literature. Case Record: We present the case of an 80-year-old man with a history of thoracic trauma a

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Porjé, I. G. "Contribution to the diagnosis of stenosis of the aortic isthmus." Acta Medica Scandinavica 130, S206 (2009): 145. http://dx.doi.org/10.1111/j.0954-6820.1948.tb12031.x.

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Dzsinich, Csaba, Miklós Vaszily, Gábor Vallus, et al. "Late complications and treatment options of aortic coarctation operated in childhood." Orvosi Hetilap 155, no. 30 (2014): 1189–95. http://dx.doi.org/10.1556/oh.2014.29915.

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Introduction: The prevalence of congenital aortic coarctation is 4 in 10 000 live birth. Aortic coarctation is typically located in the aortic isthmus, but it may occur at atypical sites. Treatment options include both surgical and endovascular interventions. In patients undergoing surgical or endovascular intervention late complications such as recoarctation or aortic aneurysm may develop. Aim: The aim of the authors was to analyse their own experience in late complication and treatment options of aortic coarctation operated in childhood. Method: Retrospective analysis of data of 32 patients

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Di Tommaso, Luigi, Vito A. Mannacio, Ettorino Di Tommaso, Giovanni B. Pinna, Immacolata Fontana, and Gabriele Iannelli. "Endovascular Treatment of Distal Aortic Arch Aneurysm Associated with Coarctation of Aorta in a Jehovah's Witness." Texas Heart Institute Journal 44, no. 6 (2017): 399–401. http://dx.doi.org/10.14503/thij-16-6093.

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Late aneurysm formation in the proximal aorta or distal aortic arch is a recognized sequela of untreated stenosis of the aortic isthmus and is associated with substantial risk of aortic rupture. We describe the case of a 44-year-old man with untreated coarctation of the aorta who presented with a prestenotic dissecting thoracic aortic aneurysm. He declined surgery because he was a Jehovah's Witness. Instead, we performed emergency endovascular aortic repair in which 2 stent-grafts were placed in the descending aorta. Our experience suggests that this procedure is a useful and safe alternative

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9

Liebrich, Markus, Marco Schweder, Joerg Seeburger, and Vladimir Voth. "Triple-Arterial Cannulation Approach for Whole-Body Perfusion in Infant Hypoplastic Aortic Arch and Coarctation Repair." Thoracic and Cardiovascular Surgeon Reports 11, no. 01 (2022): e47-e49. http://dx.doi.org/10.1055/s-0042-1750428.

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AbstractOrgan and end-organ protection in aortic arch surgery represents a substantial challenge, especially in infants. Selective antegrade cerebral perfusion has been reported to improve organ function during this procedure. Visceral perfusion can be optimized by cannulation of the descending aorta during infant aortic arch surgery, leading to a decrease in end organ damage. However, it is associated with extensive surgical manipulation and subsequent risk of major vessel and potential organ damage. In this report, we describe a technique for distal body perfusion in an infant with hypoplast

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ZAKIROVA, ELVIRA B., SERGEY V. KUROCHKIN, ZULFIYA F. KIM, et al. "A CLINICAL CASE OF DETECTING AORTIC COARCTATION IN THE ELDERLY." Bulletin of Contemporary Clinical Medicine 16, suppl.1 (2023): 34–41. http://dx.doi.org/10.20969/vskm.2023.16(suppl.1).34-41.

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Abstract. Introduction. Aortic coarctation is a congenital narrowing or complete rupture of aorta in the region of its arch, isthmus, lower thoracic part, or abdominal region. Predominantly (in over 90% of cases), the coarctation occurs in a “typical” place, i.e., around the aortic isthmus. This defect is often combined with other defects, such as bicuspid aortic valve, aortic stenosis, patent ductus arteriosus, and ventricular septal defect. Aim: To actualize knowledge about aortic coarctation and its potential clinical manifestations. Materials and Methods. Female patient N., 65 years old, w

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Yurpolskaya, L. A., M. A. Shlyappo, V. N. Makarenko, et al. "4D FLOW Magnetic Resonance Imaging in the Study of Blood Flow in Patients With Aortic Coarctation in the Long-Term After Surgery." Kardiologiia 60, no. 8 (2020): 54–64. http://dx.doi.org/10.18087/cardio.2020.8.n1094.

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Aim Comprehensive evaluation of blood flow in the thoracic aorta using a software for 4D processing of magnetic resonance (MR) images of the heart and blood vessels (4D Flow) in patients with aortic coarctation in the late postoperative period.Materials and methods The MR study of the heart was performed for 10 patients (7 boys and 3 girls) aged 8 to 13 years (median, 9.5 [8.3; 10.8] years) who underwent resection with end-to-end anastomosis for aortic coarctation at age of 2 weeks to 10 months. MR tomography was performed on a 1.5 T MR scanner using a multichannel surface coil for scanning, e

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Trivedi, Kalyani R., Jorge L. Pinzon, Brian W. McCrindle, Patricia E. Burrows, Robert M. Freedom, and Lee N. Benson. "Cineangiographic aortic dimensions in normal children." Cardiology in the Young 12, no. 4 (2002): 339–44. http://dx.doi.org/10.1017/s1047951100012932.

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AbstractKnowledge of normal aortic dimensions is important in the management of children with aortic disease. So as to define such dimensions, we undertook a retrospective review of clinical data and aortic cineangiograms from 167 subjects without aortic disease having a mean age of 3.67 years, with a range from 0.01 to 14.95 years. Amongst the patients, 56 were without detectable cardiac lesions, 66 patients had mild pulmonary stenosis, 30 were seen with Kawasaki disease, and 15 with small interatrial defects within the oval fossa. Aorto-grams were available in all. No patient had any hemodyn

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Żybowska, Monika, Anna Rzewuska, Wiktoria Sielwanowska, Bartłomiej Syzdoł, and Magdalena Woźniak. "Critical coarctation of the aorta in newborn - A case presentation." Journal of Education, Health and Sport 12, no. 7 (2022): 11–15. http://dx.doi.org/10.12775/jehs.2022.12.07.001.

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Background: Heart defects are the most popular congenital disease noticed among infants. Aortic Coarctation (CoA) forms 5 - 10 % of congenital heart diseases. The heart defect consist on aortic coarctation between inlet of the left subclavian artery and origin of the arterial ligament. In the during neonatal and early infantile period, in case of delayed diagnosis, it may lead to acute heart failure and the death of the child.  Case report: A female infant born at 37 weeks of gestation, by caesarean section, in good condition, was admitted to the Neonatal Department. There was a suspicio

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Tokmakova, K. A., D. N. Shilkin, D. Sh Samuilova, I. B. Zhemarina, and A. A. Kupryashov. "The infiuence of hydrodynamic factors on the balance of the von Willebrand factor — ADAMTS13 system in patients with congenital heart diseases." Russian journal of hematology and transfusiology 69, no. 3 (2024): 356–66. http://dx.doi.org/10.35754/0234-5730-2024-69-3-356-366.

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Introduction. Surgical treatment of congenital heart defects in children is associated with a high incidence of early thrombotic complications. Violation of the ratio of von Willebrand factor (vWF) and ADAMTS13 metalloproteinase activity is one of the components of changes in the hemostasis system.Aim: to study changes in the vWF-ADAMTS13 system in patients with obstructive congenital heart defects.Materials and methods. The prospective observational cohort study included 18 newborns with isolated obstructive CHD (congenital valvular aortic stenosis, isolated coarctation of the aorta). The act

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15

Gyöngyösi, Mariann, Noemi Pavo, Dominika Lukovic, et al. "Porcine model of progressive cardiac hypertrophy and fibrosis with secondary postcapillary pulmonary hypertension." Journal of Translational Medicine 15, no. 1 (2017): 202. https://doi.org/10.1186/s12967-017-1299-0.

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<strong>Background: </strong>Meaningful translational large animal models for cardiac diseases are indispensable for studying disease mechanisms, development of novel therapeutic strategies, and evaluation of potential drugs.<strong>Methods: </strong>For induction of heart failure, cardiac hypertrophy and fibrosis, a bare metal stent was implanted in the descending aorta of growing pigs (n = 7), inducing pressure stress on the left ventricle (group HYPI). The constant stent size in growing pigs resulted in antegrade partial obstruction of the aortic flow with a gradual increase in afterload. F

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Eichhorn, Joachim G., Sebastian Ley, Florian Kropp, et al. "Aortic Coarctation a Systemic Vessel Disease—Insights from Magnetic Resonance Imaging." Thoracic and Cardiovascular Surgeon 67, S 04 (2019): e1-e10. http://dx.doi.org/10.1055/s-0039-1697915.

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Abstract Background Even after successful aortic coarctation (CoA) repair, hypertension causes premature morbidity and mortality. The mechanisms are not clear. The aim was to evaluate elastic wall properties and aortic morphology and to correlate these results with severity of restenosis, hypertension, aortic arch geometry, noninvasive pressure gradients, and time and kind of surgical procedure. Methods Eighty-nine patients (17 ± 6.3 years) and 20 controls (18 ± 4.9 years) were examined using magnetic resonance imaging (MRI). In addition to contrast-enhanced MR angiography and flow measurement

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Loffreno, A., C. De Carlini, C. Bersano, et al. "A (NOT SO) RARE CASE OF ACS IN A YOUNG WOMAN." European Heart Journal Supplements 26, Supplement_2 (2024): ii201. http://dx.doi.org/10.1093/eurheartjsupp/suae036.480.

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Abstract A 39 yo Caucasian woman, former smoker, with a previous history of gestational hypertension requiring therapy for several months, presented to the ED with persistent oppressive chest pain. No prior ischemic, constitutional or inflammatory symptoms emerged. Physical examination revealed a left carotid bruit and a continuous murmur at the base, Killip I. The ECG showed negative T waves in the inferior leads, the echo “point of care” normal systolic function, akinesia of the inferior wall, moderate aortic insufficiency, normal dimensions of the ascending aorta. HS T troponin rose to 188

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Martin, Klaus, Susanne Schmitz, Nikolaus Rank, Ulrich Jänicke, Eckart Kreuzer, and Bernhard Zwissler. "Hemodynamic monitoring during left atriofemoral bypass for resection of a postductal aortic isthmus stenosis: Current role of intraoperative transesophageal echocardiography." Journal of Cardiothoracic and Vascular Anesthesia 13, no. 2 (1999): 207–9. http://dx.doi.org/10.1016/s1053-0770(99)90090-3.

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19

Todorov, S. S. "Cellular/intercellular interrelations in various parts of aorta after reconstructive treatment of aortic stenosis in infants." Patologiya krovoobrashcheniya i kardiokhirurgiya 21, no. 2 (2017): 52. http://dx.doi.org/10.21688/1681-3472-2017-2-52-59.

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<p><strong>Aim.</strong> The article focuses on the evaluation of cellular/intercellular relationships in various parts of the aorta after reconstructive treatment of aortic stenosis in infants.<br /><strong>Methods.</strong> Medical histories and protocols of autopsies of three newborns were studied after surgical treatment of aortic coarctation. The operations were performed in children at 8th, 10th and 15th day after birth. In two cases, resection of the aortic lumen narrowing, botulinum duct ligation and formation of a direct aortic anastomosis were perf

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Ho, Siew Yen, Leon M. Gerlis, Christine Anderson, William A. Devine, and Audrey Smith. "The morphology of aortopulmonary windows with regard to their classification and morphogenesis." Cardiology in the Young 4, no. 2 (1994): 146–55. http://dx.doi.org/10.1017/s1047951100002092.

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AbstractWe examined 25 heart specimens with aortopulmonary windows in order to review the variety of the lesion and its associated malformations. Unlike common arterial trunk, the aortopulmonary window involves a deficiency of the wall of the ascending aorta and that of the pulmonary trunk. The window was in proximal position in three specimens, intermediate position in three specimens, distal position in 16 specimens and was confluent in three specimens. The size of the window varied from 27 to 100% of the total length of the pulmonary trunk but size did not bear any apparent relationship to

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Salih, Mohamed Salih, Nadezhda Dzhelepova, Rana ElNoury, and Yahia ElTayeb. "An Intriguing Case of a Twisted and Tilted Heart." SVOA Paediatrics 4, no. 3 (2025): 61–69. https://doi.org/10.58624/svoapd.2025.04.010.

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Background: Diagnosing congenital cardiac malpositions can be complex, especially when multiple anomalies coexist. We report an unusual case of supero-inferior (upstairs-downstairs) ventricular arrangement with a criss-cross inlet, in a neonate with D-looped transposition of the great arteries (D-TGA), double outlet right ventricle (DORV), and hypoplastic aortic arch with coarctation of the isthmus. Case Presentation: The patient, diagnosed antenatally with DORV, D-TGA, and hypoplastic arch, was born in stable condition and started on prostaglandin E1 infusion. Postnatal echocardiography and C

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Żybowska, Monika, Anna Rzewuska, Wiktroria Sielwanowska, Bartłomiej Syzdoł, and Magdalena Woźniak. "Critical coarctation of the aorta in newborn - A case presentation." Journal of Education, Health and Sport 12, no. 7 (2022): 11–15. https://doi.org/10.12775/JEHS.2022.12.07.001.

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<strong>Żybowska</strong> <strong>Monika, Rzewuska Anna, Sielwanowska Wiktroria, Syzdoł Bartłomiej, Woźniak Magdalena</strong><strong>. </strong><strong>Critical coarctation of the aorta in newborn - </strong><strong>A case presentation</strong><strong>.</strong> <strong>Journal of Education, Health and Sport. 2022;12(</strong><strong>7</strong><strong>):</strong><strong>11-15</strong><strong>. eISSN 2391-8306. DOI </strong><strong>http://dx.doi.org/10.12775/JEHS.2022.12.0</strong><strong>7</strong><strong>.0</strong><strong>01</strong> <strong>https://apcz.umk.pl/JEHS/article/view/J

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Nie, C. J. Van. "A Stenosis of the Isthmus Aortae Concurrent with Multiple Defects in a Calfheart An Attempt at an Embryological and Phylogenetical Explanation." Anatomia, Histologia, Embryologia: Journal of Veterinary Medicine Series C 22, no. 4 (1993): 289–95. http://dx.doi.org/10.1111/j.1439-0264.1993.tb00221.x.

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Testa, S., M. Ricci, G. Sabina, G. Renda, and F. Ricci. "A VERY COMPLEX CASE OF DORV TYPE FALLOT: A CASE REPORT." European Heart Journal Supplements 26, Supplement_2 (2024): ii146—ii147. http://dx.doi.org/10.1093/eurheartjsupp/suae036.367.

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Abstract Double outlet right ventricle (DORV) is a rare CHD characterized by ventriculoarterial connection in which both great arteries arise entirely or predominantly from the right ventricle. Its prevalence is 0.9% of all CHDs. Several chromosomal abnormalities have been associated with DORV, including trisomy 13, trisomy 18, and chromosome 22q11 deletion. Hearts with DORV are an extremely heterogeneous group showing various morphological features, connections, and relationships at each level of the cardiac segments and intersegmental junctions. As a consequence, the clinical manifestations

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"Double intrathoracic arterial cannulation plus peripheral cannulation for whole-body perfusion in an infant." Multimedia Manual of Cardio-Thoracic Surgery, September 12, 2022. http://dx.doi.org/10.1510/mmcts.2022.032.

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We report a technique for distal body perfusion in an infant with hypoplastic aortic arch and isthmus stenosis by ultrasound- guided cannulation of the femoral artery using an intra-arterial vascular sheath establishing whole-body perfusion by triple cannulation.

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Huber, Michael, Matthias Wolf, and Harald Dormann. "Late complication after surgical treatment of aortic isthmus stenosis." Deutsches Aerzteblatt Online, February 1, 2019. http://dx.doi.org/10.3238/arztebl.2019.0062.

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Dorweiler, B., T. Andrási, E. Weigang, and CF Vahl. "Usefulness of ascending to upper abdominal aortic bypass in the managenement of complex recurrent aortic isthmus stenosis." Thoracic and Cardiovascular Surgeon 59, S 01 (2011). http://dx.doi.org/10.1055/s-0030-1269324.

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Kong, Xiang, Peng Ruan, Jiquan Yu, et al. "Single-center experience with a unibody single-branched stent graft for zone 2 thoracic endovascular aortic repair." Frontiers in Cardiovascular Medicine 9 (September 9, 2022). http://dx.doi.org/10.3389/fcvm.2022.995173.

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To provide an adequate proximal landing zone, left subclavian artery (LSA) reconstruction has become an important part of thoracic endovascular aortic repair (TEVAR). This study evaluates the short and medium term efficacy of a novel unibody single-branched stent graft for zone 2 TEVAR. Fifty-two patients (mean age, 56 ± 10.9 years; 42 men) with distal aortic arch lesions requiring LSA reconstruction received unibody single-branched stents from September 2019 to March 2021. Computed tomography angiography was performed 6, 12, and 24 months after surgery to observe stent morphology, branch pate

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Plummer, Sarah T., Christoph P. Hornik, Hamilton Baker, et al. "Abstract 18067: Maladaptive Aortic Properties after the Norwood Procedure: an Angiographic Analysis of the Pediatric Heart Network Single Ventricle Reconstruction Trial." Circulation 130, suppl_2 (2014). http://dx.doi.org/10.1161/circ.130.suppl_2.18067.

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Objectives: Aortic arch reconstruction in patients with single ventricle lesions may predispose to circulatory inefficiency and maladaptive physiology leading to increased myocardial workload. We sought to describe potentially maladaptive aortic anatomy and physiology, risk factors, and impact on right ventricle (RV) function in patients with single RV lesions after Norwood. Methods: Pre-stage II angiograms for subjects from the Single Ventricle Reconstruction (SVR) Trial were compared to 50 single left ventricle controls with no prior arch reconstruction. Arch geometry was defined as normal,

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Acatrinei, Camélia, Caroline Martin-Bonnet, Gilles Rioufol, and Francis Bessière. "Collaborative work in a complex case of Fontan for treating intra-atrial reentrant tachycardia and severe aortic stenosis: a case report." European Heart Journal - Case Reports, January 31, 2023. http://dx.doi.org/10.1093/ehjcr/ytad053.

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Abstract Background Intra atrial reentrant tachycardia (IART) is a frequent arrhythmia in patients with Fontan circulation. Although its supraventricular origin, such arrhythmia can be poorly tolerated as it leads to hemodynamic impairment. Concomitant assessment of pressure/volume overload of cardiac chambers due to valvular disease or residual shunts is necessary. Case summary We report the case of a 33-year-old male with Fontan extracardiac conduit, suffering from IART with initial poor hemodynamic tolerance. He had a medical history of pulmonary atresia with intact ventricular septum and t

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Gundelwein, L., A. Szengel, H. Ramm, L. Goubergrits, M. Kelm, and H. Lamecker. "P2430Aortic shape synthesiser - understanding anatomical variations of the thoracic aorta." European Heart Journal 40, Supplement_1 (2019). http://dx.doi.org/10.1093/eurheartj/ehz748.0763.

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Abstract Introduction Population-based models of morphological variability are useful for automating medical image processing tasks, diagnosis, device and tool design, education and training as well as exploratory hypothesis formation in clinical research. We present a method to (a) generate such a model of the thoracic aorta, (b) explore the morphological characteristics of the underlying population in an intuitive visual and quantitative manner, and (c) correlate clinical parameters with morphological descriptors. With our approach one can synthesise new anatomically plausible aorta shapes,

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Graff, Kirsten K., Shahryar M. Chowdhury, Nicholas Aizcorbe, Scott M. Bradley, and Anthony Hlavacek. "Abstract 16377: Cardiovascular Computed Tomography Can Predict Branch Pulmonary Artery Stenosis in Neonates With Ductal Dependent Pulmonary Blood Flow." Circulation 142, Suppl_3 (2020). http://dx.doi.org/10.1161/circ.142.suppl_3.16377.

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Background: A subpopulation of neonates with ductal dependent pulmonary blood flow (PBF) are at risk for branch pulmonary artery (PA) stenosis in the PA that receives the patent ductus arteriosus (PDA). Identification of this population is important in planning initial and future interventions. The objective of this study was to identify novel cardiovascular computed tomography (CCT) measures in the preoperative period that are associated with the need for future branch PA surgical or catheter-based intervention. Methods: In this single center retrospective study, we identified neonates (<

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Mądry, Wojciech, Maciej A. Karolczak, and Krzysztof Grabowski. "Supravalvar mitral ring with a parachute mitral valve and subcoarctation of the aorta in a child with hemodynamically significant VSD. A study of the morphology, echocardiographic diagnostics and surgical therapy." Journal of Ultrasonography 17, no. 70 (2017). https://doi.org/10.15557/JoU.2017.0030.

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The authors present a case of echocardiographic diagnosis of supravalvar mitral ring (a fibromembranous structure that arose from the atrial surface of the mitral leaflets) in a child with a parachute mitral valve, a ventricular septal defect, and mild narrowing of the aortic isthmus. The supravalvar mitral stenosis is a typical but very infrequently detected element of the complex of anatomical abnormalities located within the left heart and the proximal aorta, called the Shone's complex (syndrome). Diagnosing an additional, hemodynamically significant anatomic defect during echocardiography

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Sturzu, A., A. M. Balahura, S. Dumitrascu, et al. "P888 How many diagnoses can one heart gather?" European Heart Journal - Cardiovascular Imaging 21, Supplement_1 (2020). http://dx.doi.org/10.1093/ehjci/jez319.528.

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Abstract Background Apical hyperthrophic cardiomyopathy (AHCM) is an uncommon form of hyperthrophic cardiomyopathy (HCM) with less prevalent detection of gene mutations and sudden cardiac death compared with other types of HCM. Purpose We present the case of a 76 years old patient with multiple cardiovascular risk factors (hypertension, dyslipidemia, obesity, former smoker) with history of unprovoked pulmonary embolism - PE (2018), without evidence of deep venous thrombosis, in treatment with rivaroxaban, who presented with worsening severe dyspnea at effort and peripheral edemas, symptoms sta

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Qin, Jinjie, Da Ouyang, Taocui Yan, et al. "Using computed tomography angiography and computational fluid dynamics to study aortic coarctation in different arch morphologies." Frontiers in Pediatrics 11 (June 27, 2023). http://dx.doi.org/10.3389/fped.2023.1131025.

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ObjectiveTo study the differences in computed tomography angiography (CTA) imaging of gothic arches, crenel arches, and romanesque arches in children with Aortic Coarctation (CoA), and to apply computational fluid dynamics (CFD) to study hemodynamic changes in CoA children with gothic arch aorta.MethodsThe case data and CTA data of children diagnosed with CoA (95 cases) in our hospital were retrospectively collected, and the morphology of the aortic arch in the children was defined as gothic arch (n = 27), crenel arch (n = 25) and romanesque arch (n = 43). The three groups were compared with D

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Bhat, Musaddiq Rafiq, Imran Nazir Salroo, and Reyaz Ahmad Mir. "Hemodynamic evaluation of coarctation of aorta using phase." International journal of health sciences, May 29, 2022. http://dx.doi.org/10.53730/ijhs.v6ns1.8083.

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Background: Coarctation of aorta (CoA) occurs when a small section of the aorta narrows in the luminal. CoA is one of the most popular congenital CL (cardiac lesions), and it is responsible for five to ten percent of all instances of congenital HD (heart disease). CoA can result in a variety of complications. Aims & Objectives: This research was undertaken to determine the occurrence of related CL and valvular disorders in patients with CoA. Materials and Methods: This research was carried out in the Department of Radiodiagnosis and Imaging (DORAI), Sher-i-Kashmir Institute of Medical Scie

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Mihailovič, Peter Marko, David Žižek, Luka Vitez, Primoz Holc, Tomislav Klokočovnik, and Matjaž Bunc. "Case report: A complex case of valve-in-valve TAVI and left bundle branch pacing for severe aortic regurgitation with partially corrected type A aortic dissection and low ejection fraction." Frontiers in Cardiovascular Medicine 10 (August 10, 2023). http://dx.doi.org/10.3389/fcvm.2023.1206811.

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BackgroundAortic regurgitation is a major concern following transcatheter aortic valve implantation (TAVI), as even low-grade regurgitation is associated with increased mortality. This is of particular concern to patients with pre-existing aortic disease who are at increased risk of TAVI valve slippage. Furthermore, conduction system disturbances after TAVI, namely left bundle branch block (LBBB), may have an additional detrimental effect on cardiac function.Case presentationThis report documents a successful treatment strategy in a frail patient with a bicuspid aortic valve and aortic disease

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Gendera, Katarzyna, James R. Bentham, Stanimir Georgiev, et al. "OPTILOW: A Low‐Profile Approach for Implanting Optimus‐L Stents in Infants and Children." Journal of the American Heart Association, February 26, 2025. https://doi.org/10.1161/jaha.124.038301.

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Background Stent implantation poses challenges in small children due to their limited vessel size and rapid growth. This multicenter study evaluates in vivo efficacy of implanting Optimus‐L stents in small patients using a low‐profile approach. Methods We retrospectively reviewed data from children weighing ≤20 kg with congenital heart stenotic lesions who received Optimus‐L stents manually mounted on small‐sized balloon catheters (diameter ≤12 mm) using a hand‐actuated compression tool and implanted through small‐sized sheaths (≤8 Fr) at our institutions between May 2022 and January 2024. Ste

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Yang, Lei, Shuang Zheng, Fei Xiao, et al. "Double‐orifice mitral valve associated with mild mitral stenosis and coarctation of the aortic isthmus: A rare case of incomplete form of Shone's syndrome." Echocardiography 41, no. 9 (2024). http://dx.doi.org/10.1111/echo.15916.

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AbstractShone's syndrome (SS) is a rare congenital cardiac anomaly characterized by a spectrum of developmental abnormalities. It predominantly presents as consisting of a variety of left ventricular inflow and outflow tract lesions, with inflow tract lesions typically including parachute mitral valve and supravalvular mitral ring. However, reports of SS involving double‐orifice mitral valve are scarce.

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YILDIRIM, Funda, Dilşad AMANVERMEZ ŞENARSLAN, and Ömer TETİK. "Komplike Anatomili Erişkin İstmik Aort Koarktasyonu için Endovasküler Tedavi." Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, April 28, 2022. http://dx.doi.org/10.34087/cbusbed.1087379.

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The intraluminal stent-graft placement is preferred for alleviation of symptoms as well as prolonging life span of adult aortic coarctation. We presented here the interventional treatment option of a 44 years old aortic coarctation patient with complex isthmic anatomy: long segment stenosis beginning before the left subclavian artery ostia, proximal left subclavian artery aneurysm, multilobulated aneurysm of descending aort, poststenotic dilatation and collateral formation. The patient was treated with endovascular stent-graft implantation successfully.  The endovascular interventi

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Fricke, Katrin, Daniel Ryd, Constance G. Weismann, Katarina Hanséus, Erik Hedström, and Petru Liuba. "Fetal cardiac magnetic resonance imaging of the descending aorta in suspected left-sided cardiac obstructions." Frontiers in Cardiovascular Medicine 10 (December 1, 2023). http://dx.doi.org/10.3389/fcvm.2023.1285391.

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BackgroundSevere left-sided cardiac obstructions are associated with high morbidity and mortality if not detected in time. The correct prenatal diagnosis of coarctation of the aorta (CoA) is difficult. Fetal cardiac magnetic resonance imaging (CMR) may improve the prenatal diagnosis of complex congenital heart defects. Flow measurements in the ascending aorta could aid in predicting postnatal CoA, but its accurate visualization is challenging.ObjectivesTo compare the flow in the descending aorta (DAo) and umbilical vein (UV) in fetuses with suspected left-sided cardiac obstructions with and wi

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