Three-Dimensional Evaluation of Aortic Valve Annular Shape in Children With Bicuspid Aortic Valves and/or Aortic Coarctation Compared With Controls

Chamberland, Christen R.; Sugeng, Lissa; Abraham, Sharon; Li, Fangyong; Weismann, Constance G.

doi:10.1016/j.amjcard.2015.07.063

Cited by 7 publications

(3 citation statements)

References 26 publications

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“…Measurements of different annular sizes in parasternal long axis and short axis views of 2D echo images could provide the sizes of the aortic valve annuli to help choose the appropriate size balloon catheter. It is suggested that aortic balloon valvuloplasty might help in achieving therapeutic effects when taking the different annular size into account [37]. In our experience, cardiac MRI gives an accurate way to quantify aortic regurgitation, LV volumes and function.…”

Section: Managementmentioning

confidence: 99%

Congenital Aortic Valve Stenosis

Singh

2019

Children

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Aortic valve stenosis in children is a congenital heart defect that causes fixed form of hemodynamically significant left ventricular outflow tract obstruction with progressive course. Neonates and young infants who have aortic valve stenosis, usually develop congestive heart failure. Children and adolescents who have aortic valve stenosis, are mostly asymptomatic, although they may carry a small but significant risk of sudden death. Transcatheter or surgical intervention is indicated for symptomatic patients or those with moderate to severe left ventricular outflow tract obstruction. Many may need reintervention.

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Section: Managementmentioning

confidence: 99%

Congenital Aortic Valve Stenosis

Singh

2019

Children

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“…The incidence of aortic insufficiency is increasing, as well as residual stenosis, when the size of eccentric annulus is inaccuracy. We suggest that aortic ballon valvuloplasty might help with therapeutic effects when taking the different annular size into account (Chamberland et al, 2015).…”

Section: Morphology: Different Classification Endow Different Effectsmentioning

confidence: 99%

“…For the patient with isolated, normal functioning BAV, echocardiography could be used to monitor development of BAV associated complications (Merkx et al, 2017). Due to the inaccuracy in measurement of aortic valve annular eccentricity through 2D echocardiography, therefore, 3D echocardiography could be a better choice to evaluate the AV annulus which has the shape of ellipse and keeps the same in all patients (Chamberland et al, 2015). On the contrary to adult patients, WSS seems to be not related to ascending aortic dilation in pediatric BAV patients after the valvular disease being controlled.…”

Section: Pediatric Bav: Cannot Apply Adult Knowledgementioning

confidence: 99%

Bicuspid Aortic Valve: An Update in Morphology, Genetics, Biomarker, Complications, Imaging Diagnosis and Treatment

Liu

Xie

et al. 2019

Front. Physiol.

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The bicuspid aortic valve, a kind of heart disease that comes from parents, has been paid attention around the world. Although most bicuspid aortic valve (BAV) patients will suffer from some complications including aortic stenosis, aortic regurgitation, endocarditis, and heart dysfunction in the late stage of the disease, there is none symptom in the childhood, which restrains us to diagnose and treatment in the onset phase of BAV. Hemodynamic abnormalities induced by the malformations of the valves in BAV patients for a long time will cause BAV-associated aortopathy: including progress aortic dilation, aneurysm, dissection and rupture, cardiac cyst and even sudden death. At present, preventive surgical intervention is the only effective method used in this situation and the diameter of the aorta is the primary reference criterion for surgery. And the treatment effects are always not satisfactory for patients and clinicians. Therefore, we need more methods to evaluate the progression of BAV and the surgery value and the appropriate intervention time by combining basic research with clinical treatment. In this review, advances in morphology, genetic, biomarkers, diagnosis and treatments are summarized, which expects to provide an update about BAV. It is our supreme expectations to provide some evidences for BAV early screening and diagnosis, and in our opinion, personalized surgical strategy is the trend of future BAV treatment.

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