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  • Open Access

    ARTICLE

    Long‐term outcomes up to 25 years following balloon pulmonary valvuloplasty: A multicenter study

    Rachel L. Hansen1,2, Iman Naimi3, Hongyue Wang1, Nader Atallah3,4, Frank Smith3,4, Craig Byrum3,4, Daniel Kveselis3,4, Glenn Leonard1,5, Rajiv Devanagondi1, Matthew Egan3,4

    Congenital Heart Disease, Vol.14, No.6, pp. 1037-1045, 2019, DOI:10.1111/chd.12788

    Abstract Objective: Evaluate long‐term outcomes following balloon pulmonary valvuloplasty (BPV) for pulmonary stenosis (PS).
    Background: Long‐term data following BPV is limited to small, single center studies.
    Methods: BPV from April 12, 1985 to January 7, 2015 from three centers were included. Outcomes studied were ≥ moderate PI by echocardiogram and residual PS ≥ 40 mm Hg. Risk factors for ≥ moderate PI, residual PS, and repeat intervention were assessed by univariate and multivariate analysis.
    Results: Among 254 patients, mean age at BPV was 3.8 years (range 1 day‐67 years), initial PS catheter gradient was 56 mm Hg (IQR 40‐70), 19%… More >

  • Open Access

    ARTICLE

    Long‐term cardiovascular outcome of Williams syndrome

    Seul Gi Cha1, Mi Kyung Song1, Sang Yun Lee1, Gi Beom Kim1, Jae Gun Kwak2, Woong Han Kim2, Eun Jung Bae1

    Congenital Heart Disease, Vol.14, No.5, pp. 684-690, 2019, DOI:10.1111/chd.12810

    Abstract Objective: Cardiovascular lesions are the leading cause of morbidity and mortality in patients with Williams syndrome. Recent studies have rebutted conventional reports about the natural course of cardiovascular anomalies in Williams syndrome.
    Design: Retrospective study.
    Setting: Single tertiary center.
    Patients: Eighty patients with Williams syndrome followed up for more than 5 years.
    Interventions: Not applicable.
    Outcome Measures: Long‐term outcome of cardiovascular lesions, peak velocity change in obstructive cardiovascular lesions over time, post‐interventional courses of disease‐specific intervention, and intervention‐free survival of obstructive cardio‐ vascular lesions.
    Results: The median follow‐up duration was 11.0 (5.1‐28.3) years. Among 80 pa‐ tients, supravalvular aortic stenosis (87.5%) was… More >

  • Open Access

    ARTICLE

    Prevalence of Noonan spectrum disorders in a pediatric population with valvar pulmonary stenosis

    Kailyn Anderson1, James Cnota2,3, Jeanne James4,5, Erin M. Miller2,3, Ashley Parrott3, Valentina Pilipenko1,2, Kathryn Nicole Weaver1,2, Amy Shikany3

    Congenital Heart Disease, Vol.14, No.2, pp. 264-273, 2019, DOI:10.1111/chd.12721

    Abstract Objective: To evaluate the prevalence of Noonan spectrum disorders (NSD) in a pediatric population with valvar pulmonary stenosis (vPS) and identify the clinical characteristics that differentiate those with NSD from those without NSD.
    Design: A retrospective chart review of 204 patients diagnosed with vPS between 9/1/2012 and 12/1/2016 at a pediatric medical center was performed. The quantitative features of vPS, genetic diagnosis information, and phenotypic characteristics of Noonan syndrome were collected. Chi‐square test, Fisher’s exact test, t test, Wilcoxon rank‐sum test, and ANOVA were used for comparisons among the groups. Logistic regression was used to test for… More >

  • Open Access

    ARTICLE

    Effect of the Wall Thickness of the Vessel on FFRCT of Carotid Artery Stenosis

    Long Yu1, Kesong Xu1, Jun Wan2, Haiyan Lu3,*, Shengzhang Wang1,*

    CMES-Computer Modeling in Engineering & Sciences, Vol.121, No.3, pp. 835-844, 2019, DOI:10.32604/cmes.2019.07428

    Abstract Fractional flow reserve (FFR) computed from computed tomography angiography (CTA), i.e., FFRCT has been used in the clinic as a noninvasive parameter for functional assessment of coronary artery stenosis. It has also been suggested to be used in the assessment of carotid artery stenosis. The wall thickness of the vessel is an important parameter when establishing a fluid-structure coupling model of carotid stenosis. This work studies the effect of the vessel wall thickness on hemodynamic parameters such as FFRCT in carotid stenosis. Models of carotid stenosis are established based on CTA image data using computer-aided design… More >

  • Open Access

    ABSTRACT

    Patient-Specific Computational Approach for Trans Catheter Aortic Valve Replacement (TAVR): Pre-Procedural Planning for Enhancing Performance and Clinical Outcomes

    Ram P. Ghosh1, Matteo Bianchi1, Gil Marom2, Oren M. Rotman1, Brandon Kovarovic1, Danny Bluestein1,*

    Molecular & Cellular Biomechanics, Vol.16, Suppl.2, pp. 12-14, 2019, DOI:10.32604/mcb.2019.07379

    Abstract This article has no abstract. More >

  • Open Access

    ABSTRACT

    Biomechanical Implications of Bicuspid Pulmonary Valve Dynamic Deformation in Patients with Repaired Tetralogy of Fallot

    Caili Li1, Jing Yao2, Chun Yang3, Di Xu2, Liang Wang4, Dalin Tang4,5,*

    Molecular & Cellular Biomechanics, Vol.16, Suppl.1, pp. 77-78, 2019, DOI:10.32604/mcb.2019.05745

    Abstract Pulmonary valve stenosis (PVS) is one common post-operative problem in patients with tetralogy of Fallot (TOF) after repair. Congenital bicuspid pulmonary valve (BPV) is a condition of valvular stenosis, and the occurrence of congenital BPV is often associated with TOF. Compared with the biomechanical simulation model of the bicuspid aortic valve, the BPV is often neglected. In this study, we developed a dynamic biomechanical model of a simulated normal pulmonary root (PR) with tri-leaflet and a model of simulated PR with BPV in patients with repaired TOF in order to describe the effect of geometric… More >

  • Open Access

    ABSTRACT

    Numerical Investigation of the Hemodynamic Environment Change in Patient-Specific Intracranial Aneurysm with Progressive Stenosis in Unilateral Internal Carotid Artery

    Guangyu Zhu1, Yuan Wei1, Qi Yuan1,*, Ge Yan2, Jian Yang2

    Molecular & Cellular Biomechanics, Vol.16, Suppl.1, pp. 55-56, 2019, DOI:10.32604/mcb.2019.05730

    Abstract This article has no abstract. More >

  • Open Access

    ABSTRACT

    Influence of Competitive Flow Caused by Different Stenosis on Coronary Artery Bypass Hemodynamics and PIV Study

    Chunbo Jin1, Youjun Liu1,*

    Molecular & Cellular Biomechanics, Vol.16, Suppl.1, pp. 51-52, 2019, DOI:10.32604/mcb.2019.05728

    Abstract Coronary heart disease (CHD) is one of the most common forms of heart disease, which means that coronary stenosis can cause insufficient blood supply to the heart and lead to coronary heart disease. Coronary artery bypass grafting (coronary bypass) is often used in the treatment of patients with coronary heart disease. After surgery, because the stenosis of the coronary artery is not completely occluded, the blood flow through it will compete with the blood flow of the graft, making it possible to transplant blood vessels. The blood flow is affected, reducing long-term permeability. When the… More >

  • Open Access

    ARTICLE

    DSA-Based Quantitative Assessment of Cerebral Hypoperfusion in Patients with Asymmetric Carotid Stenosis

    Xu Zhang1,‡, Jie Gao2,‡, Xinke Yao1, Zhengze Dai3,4, Gelin Xu2,*, Yan Cai1,*, Zhiyong Li1,5,*

    Molecular & Cellular Biomechanics, Vol.16, No.1, pp. 27-39, 2019, DOI:10.32604/mcb.2019.06140

    Abstract Digital subtraction angiography (DSA) is often used to evaluate the morphological and pathological changes of cerebral arteries in clinical practice. This study aims to explore the possibility of assessing cerebral hypoperfusion with DSA in patients with carotid stenosis. Thirty patients with a mild to severe stenosis on one side, and a mild stenosis on the other side of the carotid artery were recruited. Frontal, parietal, temporal and occipital lobes were chosen as regions of interest for measuring the quantitative perfusion parameters from their time-density curves (TDCs) of DSA images. The perfusion parameters were compared between… More >

  • Open Access

    ARTICLE

    Interventions in children with renovascular hypertension: A 27-year retrospective single-center experience

    Hitesh Agrawal1,2, Douglas Moodie1, Athar M. Qureshi1,2, Alisa A. Acosta3, Jose A. Hernandez4, Michael C. Braun3, Henri Justino1,2

    Congenital Heart Disease, Vol.13, No.3, pp. 349-356, 2018, DOI:10.1111/chd.12608

    Abstract Background: Renovascular hypertension (RVH) can be caused by renal artery stenosis (RAS) and/ or middle aortic syndrome (MAS).
    Methods: Patients who received surgical or transcatheter treatment for RVH between 1/1991 and 11/2017 were retrospectively reviewed using age = adjusted blood pressure ratio (BPR).
    Results: Fifty-three patients diagnosed with RVH at a median age of 4.5 (0–18) years were included. Vascular involvement ranged from MAS with RAS (20), RAS only (32), and MAS only (1). The first intervention was transcatheter in 47 patients (transcatheter group: angioplasty = 41, stenting = 5, and thrombectomy = 1), and surgical in 6… More >

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