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de Agustin JA, Pozo Osinalde E, Olmos C, Mahia Casado P, Marcos-Alberca P, Luaces M, Gomez de Diego JJ, Nombela-Franco L, Jimenez-Quevedo P, Tirado-Conte G, Collado Yurrita L, Fernandez-Ortiz A, Perez-Villacastin J. Current Usefulness of Transesophageal Echocardiography in Patients Undergoing Transcatheter Aortic Valve Replacement. J Clin Med 2023; 12:7748. [PMID: 38137816 PMCID: PMC10743683 DOI: 10.3390/jcm12247748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2023] [Revised: 12/07/2023] [Accepted: 12/11/2023] [Indexed: 12/24/2023] Open
Abstract
This review article describes in depth the current usefulness of transesophageal echocardiography in patients who undergo transcatheter aortic valve replacement. Pre-intervention, 3D-transesophageal echocardiography allows us to accurately evaluate the aortic valve morphology and to measure the valve annulus, helping us to choose the appropriate size of the prosthesis, especially useful in cases where the computed tomography is not of adequate quality. Although it is not currently used routinely during the intervention, it remains essential in those cases of greater complexity, such as for patients with greater calcification and bicuspid valve, mechanical mitral prosthesis, and "valve in valve" procedures. Three-dimensional transesophageal echocardiography is the best technique to detect and quantify paravalvular regurgitation, a fundamental aspect to decide whether immediate valve postdilation is needed. It also allows to detect early any immediate complications such as cardiac tamponade, aortic hematoma or dissection, migration of the prosthesis, malfunction of the prosthetic leaflets, or the appearance of segmental contractility disorders due to compromise of the coronary arteries ostium. Transesophageal echocardiography is also very useful in follow-up, to check the proper functioning of the prosthesis and to rule out complications such as thrombosis of the leaflets, endocarditis, or prosthetic degeneration.
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Affiliation(s)
- Jose Alberto de Agustin
- Unidad de Imagen Cardiaca, Hospital Clínico San Carlos, 28040 Madrid, Spain; (E.P.O.); (P.M.C.); (P.M.-A.); (M.L.); (J.J.G.d.D.)
| | - Eduardo Pozo Osinalde
- Unidad de Imagen Cardiaca, Hospital Clínico San Carlos, 28040 Madrid, Spain; (E.P.O.); (P.M.C.); (P.M.-A.); (M.L.); (J.J.G.d.D.)
| | - Carmen Olmos
- Unidad de Imagen Cardiaca, Hospital Clínico San Carlos, 28040 Madrid, Spain; (E.P.O.); (P.M.C.); (P.M.-A.); (M.L.); (J.J.G.d.D.)
| | - Patricia Mahia Casado
- Unidad de Imagen Cardiaca, Hospital Clínico San Carlos, 28040 Madrid, Spain; (E.P.O.); (P.M.C.); (P.M.-A.); (M.L.); (J.J.G.d.D.)
| | - Pedro Marcos-Alberca
- Unidad de Imagen Cardiaca, Hospital Clínico San Carlos, 28040 Madrid, Spain; (E.P.O.); (P.M.C.); (P.M.-A.); (M.L.); (J.J.G.d.D.)
| | - María Luaces
- Unidad de Imagen Cardiaca, Hospital Clínico San Carlos, 28040 Madrid, Spain; (E.P.O.); (P.M.C.); (P.M.-A.); (M.L.); (J.J.G.d.D.)
| | - Jose Juan Gomez de Diego
- Unidad de Imagen Cardiaca, Hospital Clínico San Carlos, 28040 Madrid, Spain; (E.P.O.); (P.M.C.); (P.M.-A.); (M.L.); (J.J.G.d.D.)
| | - Luis Nombela-Franco
- Cardiovascular Institute, Hospital Clínico San Carlos, 28040 Madrid, Spain; (L.N.-F.); (P.J.-Q.); (G.T.-C.); (A.F.-O.); (J.P.-V.)
| | - Pilar Jimenez-Quevedo
- Cardiovascular Institute, Hospital Clínico San Carlos, 28040 Madrid, Spain; (L.N.-F.); (P.J.-Q.); (G.T.-C.); (A.F.-O.); (J.P.-V.)
| | - Gabriela Tirado-Conte
- Cardiovascular Institute, Hospital Clínico San Carlos, 28040 Madrid, Spain; (L.N.-F.); (P.J.-Q.); (G.T.-C.); (A.F.-O.); (J.P.-V.)
| | | | - Antonio Fernandez-Ortiz
- Cardiovascular Institute, Hospital Clínico San Carlos, 28040 Madrid, Spain; (L.N.-F.); (P.J.-Q.); (G.T.-C.); (A.F.-O.); (J.P.-V.)
| | - Julian Perez-Villacastin
- Cardiovascular Institute, Hospital Clínico San Carlos, 28040 Madrid, Spain; (L.N.-F.); (P.J.-Q.); (G.T.-C.); (A.F.-O.); (J.P.-V.)
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Martinez-Gomez E, McInerney A, Tirado-Conte G, de Agustin JA, Jimenez-Quevedo P, Escudero A, Pozo Osinalde E, Viana-Tejedor A, Goirigolzarri J, Marroquin L, Vivas D, Ferrera C, Noriega F, Restrepo-Cordoba MA, Gonzalo N, Escaned J, Fernández-Ortiz A, Amat-Santos I, Estevez-Loureiro R, Macaya C, Nombela-Franco L. Percutaneous mitral valve repair with MitraClip device in hemodynamically unstable patients: A systematic review. Catheter Cardiovasc Interv 2021; 98:E617-E625. [PMID: 33856097 DOI: 10.1002/ccd.29703] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2020] [Revised: 02/27/2021] [Accepted: 03/14/2021] [Indexed: 12/29/2022]
Abstract
BACKGROUND Very few data exist on percutaneous mitral valve repair (PMVr) in unstable patients with concomitant moderate-severe mitral regurgitation (MR). The purpose of this systematic review was to evaluate baseline characteristics, management and clinical outcomes of critically ill patients undergoing PMVr with MitraClip. METHODS We conducted a systematic review of the published data on MitraClip from its first use in 2003 to December 2020. Studies referring to critically ill patients in cardiogenic shock or acute refractory pulmonary edema were included. A total of 40 publications including 254 patients with significant MR (Grade 4 in 91%) were included. RESULTS Mean age was 70 ± 12 years with mean Euroscore II and STS of 21 ± 13 and 20.5 ± 16, respectively. Clinical presentation was with cardiogenic shock and acute myocardial infarction in 72.8 and 60.0% of patients, respectively. Device success was achieved in 238 (93.7%) patients with a significant reduction in MR (Grade ≤ 2 in 91.8%, p < .001). The median weaning time from the procedure, to discontinuation of mechanical circulatory or respiratory support, was 2 days (IQR 1-4), with an in-hospital mortality and non-fatal complication rate of 12.6 and 9.1%, respectively. Kaplan-Meier curves estimated an overall mortality rate of 39.1% at 12-month follow-up, with persistent reduction in MR severity for survivors (Grade ≤ 2 in 81.3%) and one case of mitral valve reintervention. CONCLUSIONS Percutaneous mitral valve repair with MitraClip device is a technically feasible and potentially viable management option in high-risk patients with cardiogenic shock or refractory pulmonary edema and concomitant moderate-severe MR. Prospective trials are required to confirm these findings, and definitively determine the value of MitraClip in hemodynamically unstable patients.
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Affiliation(s)
- Eduardo Martinez-Gomez
- Cardiology Department, Cardiovascular Institute, Hospital Clínico San Carlos, IdISSC, Madrid, Spain
| | - Angela McInerney
- Cardiology Department, Cardiovascular Institute, Hospital Clínico San Carlos, IdISSC, Madrid, Spain
| | - Gabriela Tirado-Conte
- Cardiology Department, Cardiovascular Institute, Hospital Clínico San Carlos, IdISSC, Madrid, Spain
| | - Jose Alberto de Agustin
- Cardiology Department, Cardiovascular Institute, Hospital Clínico San Carlos, IdISSC, Madrid, Spain
| | - Pilar Jimenez-Quevedo
- Cardiology Department, Cardiovascular Institute, Hospital Clínico San Carlos, IdISSC, Madrid, Spain
| | - Andrés Escudero
- Cardiology Department, Cardiovascular Institute, Hospital Clínico San Carlos, IdISSC, Madrid, Spain
| | - Eduardo Pozo Osinalde
- Cardiology Department, Cardiovascular Institute, Hospital Clínico San Carlos, IdISSC, Madrid, Spain
| | - Ana Viana-Tejedor
- Cardiology Department, Cardiovascular Institute, Hospital Clínico San Carlos, IdISSC, Madrid, Spain
| | - Josebe Goirigolzarri
- Cardiology Department, Cardiovascular Institute, Hospital Clínico San Carlos, IdISSC, Madrid, Spain
| | - Luis Marroquin
- Cardiology Department, Cardiovascular Institute, Hospital Clínico San Carlos, IdISSC, Madrid, Spain
| | - David Vivas
- Cardiology Department, Cardiovascular Institute, Hospital Clínico San Carlos, IdISSC, Madrid, Spain
| | - Carlos Ferrera
- Cardiology Department, Cardiovascular Institute, Hospital Clínico San Carlos, IdISSC, Madrid, Spain
| | - Francisco Noriega
- Cardiology Department, Cardiovascular Institute, Hospital Clínico San Carlos, IdISSC, Madrid, Spain
| | | | - Nieves Gonzalo
- Cardiology Department, Cardiovascular Institute, Hospital Clínico San Carlos, IdISSC, Madrid, Spain
| | - Javier Escaned
- Cardiology Department, Cardiovascular Institute, Hospital Clínico San Carlos, IdISSC, Madrid, Spain
| | - Antonio Fernández-Ortiz
- Cardiology Department, Cardiovascular Institute, Hospital Clínico San Carlos, IdISSC, Madrid, Spain
| | - Ignacio Amat-Santos
- Cardiology Department, CIBERCV, Hospital Clínico Universitario, Valladolid, Spain
| | | | - Carlos Macaya
- Cardiology Department, Cardiovascular Institute, Hospital Clínico San Carlos, IdISSC, Madrid, Spain
| | - Luis Nombela-Franco
- Cardiology Department, Cardiovascular Institute, Hospital Clínico San Carlos, IdISSC, Madrid, Spain
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de Agustin JA, Islas F, Jimenez-Quevedo P, Nombela-Franco L, Rueda Liñares A, Mahia P, Marcos-Alberca P, Pozo E, Gomez de Diego JJ, Luaces M, Nuñez-Gil IJ, Garcia-Fernandez MÁ, Fernandez-Ortiz A, Macaya C, Perez de Isla L. Discongruence Index - Simple Indicator to Predict Prosthesis-Patient Mismatch After Transcatheter Aortic Valve Replacement. Circ J 2018; 82:2880-2886. [PMID: 30135324 DOI: 10.1253/circj.cj-18-0298] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
BACKGROUND Prosthesis-patient mismatch (PPM) after transcatheter aortic valve replacement (TAVR) remains an important issue. The aim of this study was to assess the value of a new discongruence index, to predict PPM after TAVR.Methods and Results: A total of 185 patients with severe aortic stenosis who underwent TAVR with the Edwards Sapien prosthesis or CoreValve Revalving system were included (Edwards valve, n=119; Core Valve Revalving system, n=66). Discongruence index was calculated pre-procedurally as the ratio of selected transcatheter valve size (mm) to body surface area (cm2). PPM was defined as effective orifice area (EOA) ≤0.85 cm2/m2 on transthoracic echocardiography before hospital discharge. Mean age was 82±5 years and 72 patients (38.9%) were men. The overall incidence of post-TAVR PPM was 35.1% (n=65). Discongruence index correlated with post-TAVR indexed EOA (y=0.18+0.057x; P<0.001). On multivariate logistic regression analysis, discongruence index was the only independent predictor of post-TAVR PPM (OR, 0.15; 95% CI: 0.03-0.66; P=0.012), and the area under the receiver operating characteristic curve was 0.62 (95% CI: 0.54-0.70, P=0.003), with an optimal cut-off point of 15.02 (sensitivity, 86.2%; specificity, 72.5%; positive predictive value, 74.3%; negative predictive value, 83.4%). CONCLUSIONS The new discongruence index may be useful tool to predict PPM after TAVR.
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Affiliation(s)
| | - Fabian Islas
- Cardiovascular Institute, San Carlos University Clinical Hospital
| | | | | | | | - Patricia Mahia
- Cardiovascular Institute, San Carlos University Clinical Hospital
| | | | - Eduardo Pozo
- Cardiovascular Institute, San Carlos University Clinical Hospital
| | | | - Maria Luaces
- Cardiovascular Institute, San Carlos University Clinical Hospital
| | | | | | | | - Carlos Macaya
- Cardiovascular Institute, San Carlos University Clinical Hospital
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de Agustin JA, Jimenez-Quevedo P, Nombela-Franco L, Gomez de Diego JJ, Pérez de Isla L. Paravalvular mitral leak closure under Eco-X-ray fusion guidance. Eur Heart J Cardiovasc Imaging 2018; 19:586. [DOI: 10.1093/ehjci/jey005] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Jose Alberto de Agustin
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain
| | - Pilar Jimenez-Quevedo
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain
| | - Luis Nombela-Franco
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain
| | - Jose Juan Gomez de Diego
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain
| | - Leopoldo Pérez de Isla
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain
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Rueda Liñares A, de Agustin JA, Gomez de Diego JJ, Mahía P, Marcos-Alberca P, Macaya C, Pérez de Isla L. Platypnea-orthodeoxia syndrome: additive value of three-dimensional echocardiography. J Echocardiogr 2017; 16:49-51. [PMID: 28831685 DOI: 10.1007/s12574-017-0350-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2017] [Revised: 07/31/2017] [Accepted: 08/15/2017] [Indexed: 10/19/2022]
Affiliation(s)
- Andrea Rueda Liñares
- Cardiovascular Department, Hospital Universitario Gómez Ulla, Glorieta del Ejército s/n, 28047, Madrid, Spain
| | - Jose Alberto de Agustin
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040, Madrid, Spain.
| | - Jose Juan Gomez de Diego
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040, Madrid, Spain
| | - Patricia Mahía
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040, Madrid, Spain
| | - Pedro Marcos-Alberca
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040, Madrid, Spain
| | - Carlos Macaya
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040, Madrid, Spain
| | - Leopoldo Pérez de Isla
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040, Madrid, Spain
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de Agustin JA, Gomez de Diego JJ, Olivares Morello DC, Perez de Isla L. Young Woman With Paraplegia Following a Motor Vehicle Crash. Ann Emerg Med 2016; 68:e91-e92. [DOI: 10.1016/j.annemergmed.2016.06.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2016] [Indexed: 10/20/2022]
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Ferrera C, Nombela-Franco L, Garcia E, Jimenez-Quevedo P, Biagioni C, Gonzalo N, Nuñez-Gil I, Viana-Tejedor A, Salinas P, Alberto de Agustin J, Almeria C, Islas F, Perez de Isla L, Fernandez-Perez C, Escaned J, Fernández-Ortiz A, Macaya C. Clinical and hemodynamic results after direct transcatheter aortic valve replacement versus pre-implantation balloon aortic valvuloplasty: A case-matched analysis. Catheter Cardiovasc Interv 2016; 90:809-816. [DOI: 10.1002/ccd.26671] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/12/2016] [Accepted: 07/03/2016] [Indexed: 01/26/2023]
Affiliation(s)
- Carlos Ferrera
- Cardiovascular Institute; Hospital Universitario Clínico San Carlos; Madrid Spain
| | - Luis Nombela-Franco
- Cardiovascular Institute; Hospital Universitario Clínico San Carlos; Madrid Spain
| | - Eulogio Garcia
- Interventional Cardiology Department; Hospital Universitario Montepríncipe; Madrid Spain
| | | | - Corina Biagioni
- Cardiovascular Institute; Hospital Universitario Clínico San Carlos; Madrid Spain
| | - Nieves Gonzalo
- Cardiovascular Institute; Hospital Universitario Clínico San Carlos; Madrid Spain
| | - Ivan Nuñez-Gil
- Cardiovascular Institute; Hospital Universitario Clínico San Carlos; Madrid Spain
| | - Ana Viana-Tejedor
- Cardiovascular Institute; Hospital Universitario Clínico San Carlos; Madrid Spain
| | - Pablo Salinas
- Cardiovascular Institute; Hospital Universitario Clínico San Carlos; Madrid Spain
| | | | - Carlos Almeria
- Cardiovascular Institute; Hospital Universitario Clínico San Carlos; Madrid Spain
| | - Fabian Islas
- Cardiovascular Institute; Hospital Universitario Clínico San Carlos; Madrid Spain
| | | | - Cristina Fernandez-Perez
- Epidemiology and Statistical Department, Instituto de investigación Sanitaria; Hospital Universitario Clínico San Carlos, Universidad Complutense de Madrid; Madrid Spain
| | - Javier Escaned
- Cardiovascular Institute; Hospital Universitario Clínico San Carlos; Madrid Spain
| | | | - Carlos Macaya
- Cardiovascular Institute; Hospital Universitario Clínico San Carlos; Madrid Spain
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de Agustin JA, Rodrigo JL, Marcos-Alberca P, Almeria C, Nuñez-Gil IJ, Mahia P, Luaces M, Garcia-Fernandez MA, Macaya C, de Isla LP. Corrigendum to “Subaortic membrane coexisting with systolic anterior motion of the mitral valve” [Int J Cardiol 185 (2015) 157–158]. Int J Cardiol 2016. [DOI: 10.1016/j.ijcard.2015.04.202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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de Agustin JA, Gomez de Diego JJ, Sanchez-Enrique C, Vilacosta I, Perez de Isla L, Macaya C. Pacemaker lead endocarditis assessed by a multimodality imaging approach. Eur Heart J 2015; 36:2541. [PMID: 26033979 DOI: 10.1093/eurheartj/ehv198] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Jose Alberto de Agustin
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, Madrid 28040, Spain
| | - Jose Juan Gomez de Diego
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, Madrid 28040, Spain
| | - Cristina Sanchez-Enrique
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, Madrid 28040, Spain
| | - Isidre Vilacosta
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, Madrid 28040, Spain
| | - Leopoldo Perez de Isla
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, Madrid 28040, Spain
| | - Carlos Macaya
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, Madrid 28040, Spain
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de Agustin JA, de Diego JJG, Marcos-Alberca P, Rodrigo JL, Almeria C, Mahia P, Luaces M, Garcia-Fernandez MA, Macaya C, de Isla LP. Giant and thrombosed left ventricular aneurysm. World J Cardiol 2015; 7:431-433. [PMID: 26225205 PMCID: PMC4513496 DOI: 10.4330/wjc.v7.i7.431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/07/2015] [Revised: 04/07/2015] [Accepted: 04/30/2015] [Indexed: 02/06/2023] Open
Abstract
Left ventricular aneurysms are a frequent complication of acute extensive myocardial infarction and are most commonly located at the ventricular apex. A timely diagnosis is vital due to the serious complications that can occur, including heart failure, thromboembolism, or tachyarrhythmias. We report the case of a 78-year-old male with history of previous anterior myocardial infarction and currently under evaluation by chronic heart failure. Transthoracic echocardiogram revealed a huge thrombosed and calcified anteroapical left ventricular aneurysm. Coronary angiography demonstrated that the left anterior descending artery was chronically occluded, and revealed a big and spherical mass with calcified borders in the left hemithorax. Left ventriculogram confirmed that this spherical mass was a giant calcified left ventricular aneurysm, causing very severe left ventricular systolic dysfunction. The patient underwent cardioverter-defibrillator implantation for primary prevention.
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de Agustin JA, Rodrigo JL, Marcos-Alberca P, Almeria C, Nuñez-Gil IJ, Mahia P, Luaces M, Garcia-Fernandez MA, Macaya C, Perez de Isla L. Corrigendum to “Figure-of-eight artifact after successful percutaneous closure of left atrial appendage” [Int J Cardiol. (185) (2015) 101–102]. Int J Cardiol 2015. [DOI: 10.1016/j.ijcard.2015.04.201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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de Agustin JA, Rodrigo JL, Marcos-Alberca P, Almeria C, Nuñez-Gil IJ, Mahia P, Luaces M, Garcia-Fernandez MA, Macaya C, Perez de Isla L. Figure-of-eight artifact after successful percutaneous closure of left atrial appendage. Int J Cardiol 2015; 185:101-2. [PMID: 25791101 DOI: 10.1016/j.ijcard.2015.03.100] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/27/2015] [Accepted: 03/07/2015] [Indexed: 11/19/2022]
Affiliation(s)
- Jose Alberto de Agustin
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain.
| | - Jose Luis Rodrigo
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain
| | - Pedro Marcos-Alberca
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain
| | - Carlos Almeria
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain
| | - Ivan Javier Nuñez-Gil
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain
| | - Patricia Mahia
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain
| | - María Luaces
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain
| | | | - Carlos Macaya
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain
| | - Leopoldo Perez de Isla
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain
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de Agustin JA, Gomez de Diego JJ, Garcia-Fernandez MA, Rodrigo JL, Marcos-Alberca P, Almeria C, Nuñez-Gil IJ, Luaces M, Mahia P, Macaya C, Perez de Isla L. Severe hypoplasia of the posterior mitral leaflet: a rare cause of congenital mitral regurgitation assessed by three-dimensional transesophageal echocardiography. Int J Cardiol 2014; 177:e131-2. [PMID: 25282674 DOI: 10.1016/j.ijcard.2014.09.075] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/01/2014] [Accepted: 09/20/2014] [Indexed: 11/30/2022]
Affiliation(s)
- Jose Alberto de Agustin
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain.
| | - Jose Juan Gomez de Diego
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain
| | | | - Jose Luis Rodrigo
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain
| | - Pedro Marcos-Alberca
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain
| | - Carlos Almeria
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain
| | - Ivan Javier Nuñez-Gil
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain
| | - Maria Luaces
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain
| | - Patricia Mahia
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain
| | - Carlos Macaya
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain
| | - Leopoldo Perez de Isla
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, 28040 Madrid, Spain
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14
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de Agustin JA, Mejia H, Viliani D, Marcos-Alberca P, Gomez de Diego JJ, Nuñez-Gil IJ, Almeria C, Rodrigo JL, Luaces M, Garcia-Fernandez MA, Macaya C, Perez de Isla L. Proximal Flow Convergence Method by Three-Dimensional Color Doppler Echocardiography for Mitral Valve Area Assessment in Rheumatic Mitral Stenosis. J Am Soc Echocardiogr 2014; 27:838-45. [DOI: 10.1016/j.echo.2014.04.023] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/14/2014] [Indexed: 10/25/2022]
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de Agustin JA, Gomez de Diego JJ, Marcos-Alberca P, Rodrigo JL, Almeria C, Nuñez-Gil IJ, Luaces M, Garcia-Fernandez MA, Macaya C, Perez de Isla L. Single left coronary artery with the right coronary artery arising as a continuation from the distal circumflex coronary artery assessed by multislice computed tomography. Int J Cardiol 2014; 174:814-5. [DOI: 10.1016/j.ijcard.2014.04.145] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/09/2014] [Revised: 04/10/2014] [Accepted: 04/12/2014] [Indexed: 10/25/2022]
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de Agustin JA, Gomez de Diego JJ, Rodrigo JL, Macaya C, Perez de Isla L. Mycotic pseudoaneurysm of the ascending aorta. Eur Heart J Cardiovasc Imaging 2014; 15:715. [DOI: 10.1093/ehjci/jet288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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de Agustin JA, Gomez de Diego JJ, Rodrigo JL, Marcos-Alberca P, Almeria C, Nuñez-Gil IJ, Luaces M, Garcia-Fernandez MA, Macaya C, Perez de Isla L. Right coronary artery aneurysm due to Kawasaki disease: A comprehensive assessment by multislice computed tomography. Int J Cardiol 2014; 173:e12-3. [DOI: 10.1016/j.ijcard.2014.03.049] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/05/2014] [Accepted: 03/09/2014] [Indexed: 11/26/2022]
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Affiliation(s)
- Jose Alberto de Agustin
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, Madrid 28040, Spain
| | - Jose Juan Gomez de Diego
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, Madrid 28040, Spain
| | - Ivan Javier Nuñez-Gil
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, Madrid 28040, Spain
| | - Carlos Macaya
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, Madrid 28040, Spain
| | - Leopoldo Perez de Isla
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos s/n, Madrid 28040, Spain
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de Agustin JA, Gomez de Diego JJ, Marcos-Alberca P, Macaya C, Perez de Isla L. Combined subaortic membrane and aortic valve stenosis: additive value of three-dimensional echocardiography. ACTA ACUST UNITED AC 2013; 15:388. [DOI: 10.1093/ehjci/jet193] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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de Agustin JA, Viliani D, Vieira C, Islas F, Marcos-Alberca P, Gomez de Diego JJ, Nuñez-Gil IJ, Almeria C, Rodrigo JL, Luaces M, Garcia-Fernandez MA, Macaya C, Perez de Isla L. Proximal isovelocity surface area by single-beat three-dimensional color Doppler echocardiography applied for tricuspid regurgitation quantification. J Am Soc Echocardiogr 2013; 26:1063-72. [PMID: 23860094 DOI: 10.1016/j.echo.2013.06.006] [Citation(s) in RCA: 64] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2013] [Indexed: 11/25/2022]
Abstract
BACKGROUND The two-dimensional (2D) proximal isovelocity surface area (PISA) method has known technical limitations, mainly the geometric assumptions of PISA shape required to calculate effective regurgitant orifice area (EROA). Recently developed single-beat real-time three-dimensional (3D) color Doppler imaging allows the direct measurement of PISA without geometric assumptions and has already been validated for mitral regurgitation assessment. The aim of this study was to apply this novel method in patients with chronic tricuspid regurgitation (TR). METHODS Ninety patients with chronic TR were enrolled. EROA and regurgitant volume (Rvol) were assessed using transthoracic 2D and 3D PISA methods. Quantitative Doppler and 3D transthoracic planimetry of EROA were used as reference methods. RESULTS Both EROA and Rvol assessed using the 3D PISA method had better correlations with the reference methods than using conventional 2D PISA, particularly in the assessment of eccentric jets. On the basis of 3D planimetry-derived EROA, 35 patients had severe TR (EROA ≥ 0.4 cm(2)). Among these 35 patients, 25.7% (n = 9) were underestimated as having nonsevere TR (EROA ≤ 0.4 cm(2)) using the 2D PISA method. In contrast, the 3D PISA method had 94.3% agreement (33 of 35) with 3D planimetry in classifying severe TR. Good intraobserver and interobserver agreement for 3D PISA measurements was observed, with intraclass correlation coefficients of 0.92 and 0.88 respectively. CONCLUSIONS TR quantification using PISA by single-beat real-time 3D color Doppler echocardiography is feasible in the clinical setting and more accurate than the conventional 2D PISA method.
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Affiliation(s)
- Jose Alberto de Agustin
- Instituto Cardiovascular, Unidad de Imagen Cardiaca, Hospital Universitario San Carlos, Madrid, Spain.
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Islas F, de Agustin JA, Gomez de Diego JJ, Olmos C, Ferrera C, Luaces M, Cabeza B, Macaya C, Pérez de Isla L. Giant pericardial cyst compressing the heart. J Am Coll Cardiol 2013; 62:e19. [PMID: 23850918 DOI: 10.1016/j.jacc.2013.02.102] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/27/2013] [Accepted: 02/19/2013] [Indexed: 11/25/2022]
Affiliation(s)
- Fabian Islas
- Cardiovascular Institute, Hospital Universitario San Carlos, Madrid, Spain
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de Agustin JA, Marcos-Alberca P, Zamorano J, Macaya C, Perez de Isla L. Aortic pseudoaneurysm with fistulization to the left ventricle. Eur Heart J Cardiovasc Imaging 2012; 14:295. [PMID: 22997200 DOI: 10.1093/ehjci/jes197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Jose Alberto de Agustin
- Cardiovascular Institute, San Carlos University Hospital, Profesor Martin Lagos s/n, Madrid, Spain.
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Fortuny E, de Agustin JA, Capel FF, Macaya C, Zamorano J. Giant pericardial thrombus and cardiac tamponade. Eur Heart J Cardiovasc Imaging 2011; 12:952. [PMID: 21965151 DOI: 10.1093/ejechocard/jer185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Elena Fortuny
- Cardiovascular Institute, Hospital Universitario San Carlos, Profesor Martin Lagos, 28040, Madrid, Spain.
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Zamorano J, Alberto de Agustin J. Utility of 3-D echo in clinical practice. Indian Heart J 2011; 63:122-126. [PMID: 22734360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023] Open
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de Agustin JA, Nunez-Gil IJ, del Carmen Manzano M, Vivas D, Mateos BR, Carda R, Vilacosta I, Zamorano JL, Macaya C. Occlusion of the left main coronary artery and collateral circulation via the conus branch. J Cardiovasc Med (Hagerstown) 2009; 10:431-432. [PMID: 19449472 DOI: 10.2459/jcm.0b013e3283249931] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
We report the case of a 71-year-old-man, a smoker, admitted for unstable angina. Subsequent investigation revealed complete proximal occlusion of the left main coronary with an unusual collateral circulation. The left coronary artery was filled by a large conus branch originating from the right sinus of Valsalva. This case shows the importance of looking for atypical collateral circulation in patients with chronic occlusion of the left main coronary artery and normal left ventricular function.
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