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Correlation of Aortic Valve Calcification Volume Using Cardiac-Gated Contrast-Enhanced CT with Aortic Stenosis Severity Using Echocardiographic Indices

Ngam PI, Ong CC, Wui Tay EL, Fatt Hon JK, Liang C, San Teo LL

Objective: The aim of the study is to assess feasibility of using aortic valve calcification volume (AVCV) as a surrogate marker for aortic stenosis (AS) by studying the correlation between...
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Unicommisural Unicuspid Aortic Valve with Very Severe Aortic Stenosis in a 17-Year-Old Female

Murti Velamakanni S, Khadkikar G, Patel A, Patel T

Unicuspid aortic valve is a rare congenital anomaly associated with early onset of severe aortic stenosis, incompetence, or both. It is frequently misdiagnosed as a bicuspid aortic valve. Here, we present...
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Clinical Outcomes of Transcatheter Aortic Valve Implantation for Native Aortic Valves in Patients with Low Coronary Heights

Kim H, Lee SJ, Hong SJ, Shim CY, Ahn CM, Kim JS, Kim BK, Hong GR, Ko YG, Choi D, Jang Y, Hong MK

Purpose: Acute coronary occlusion is a rare but fatal complication that may occur during trans-catheter aortic valve implantation (TAVI) and appears more frequently in patients with low coronary heights. We...
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Comparison of Transcatheter Aortic Valve Replacement between SelfExpanding versus Balloon-Expandable Valves in Patients with Small Aortic Annulus

Lee YJ, Lee SJ, Hong SJ, Shim CY, Ahn CM, Kim JS, Kim BK, Hong GR, Ko YG, Choi D, Jang Y, Hong MK

Background and Objectives: Transcatheter aortic valve replacement (TAVR) has been reported as a good alternative for surgical aortic valve replacement in patients with small aortic annulus. Head-to-head comparisons of different...
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Progression of ascending aortopathy may not occur after transcatheter aortic valve replacement in severe bicuspid aortic stenosis

Jung JH, Kim HK, Park JB, Lee SP, Koo BK, Kim YJ, Kim HS, Sohn DW

Background/Aims: We evaluated changes in the ascending aorta dimension post-transcatheter aortic valve replacement (TAVR) in bicuspid aortic valve (BiAV) and tricuspid aortic valve (TAV) patients. Methods: Patients with severe aortic stenosis...
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Computed tomography and magnetic resonance imaging assessment of aortic valve stenosis: an update

Choe YH, Kim SM, Park SJ

Computed tomography (CT) and magnetic resonance imaging (MRI) are being increasingly utilized for the evaluation of cardiac valves. Although echocardiography is the first-line imaging modality in the evaluation of aortic...
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Comparing the Procedural and Clinical Outcomes of Sapien XT and Sapien 3 Valves in Transcatheter Aortic Valve Replacement in Korean Patients

Kook H, Jang DH, Yang KS, Joo HJ, Park JH, Hong SJ, Lim DS, Choi SH, Choi YJ, Chang K, Yu CW

Background and Objectives: The Sapien 3 (S3) valve has not been compared to the Sapien XT (SXT) valve in Korea. We compared procedural and clinical outcomes between the 2 devices. Methods:...
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Extent of Subprosthetic Pannus after Aortic Valve Replacement: Changes Over Time and Relationship with Echocardiographic Findings

Park MY, Koo HJ, Ha H, Kang JW, Yang DH

Purpose: This study aimed to evaluate changes of subprosthetic pannus on cardiac CT and determine its relationship to echocardiographic findings in patients with mechanical aortic valve replacement (AVR). Materials and Methods:...
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Sinus of Valsalva Thrombosis Detected on Computed Tomography after Transcatheter Aortic Valve Replacement

Lim SJ, Koo HJ, Jung SC, Kang DY, Ahn JM, Park DW, Park SJ, Yang DH, Kang JW

Background and Objectives: Leaflet thrombosis after transcatheter aortic valve replacement (TAVR) has been reported recently, whereas thrombus formation in sinus of Valsalva has yet to be fully evaluated. This study...
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Does a Gradient-Adjusted Cardiac Power Index Improve Prediction of Post-Transcatheter Aortic Valve Replacement Survival Over Cardiac Power Index?

Agasthi P, Pujari SH, Mookadam F, Tseng A, Venepally NR, Wang P, Allam M, Sweeney J, Eleid M, Fortuin FD, Holmes Jr DR, Beohar N, Arsanjani R

Purpose: Cardiac power (CP) index is a product of mean arterial pressure (MAP) and cardiac output (CO). In aortic stenosis, however, MAP is not reflective of true left ventricular (LV)...
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Immediate and Evolutionary Recovery of Left Ventricular Diastolic Function after Transcatheter Aortic Valve Replacement: Comparison with Surgery

Ha SJ, Yoo SY, Hong MK, Hong GR

PURPOSE: We aimed to compare the effect of transcatheter aortic valve replacement (TAVR) and surgical aortic valve replacement (sAVR) on recovery of left ventricular (LV) diastolic function and afterload through...
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Bentall Operation in a Patient with a Unicommissural Unicuspid Aortic Valve

Park SJ, Lee JH, Chung ES

A unicuspid aortic valve is a rare congenital malformation that frequently presents with valvular dysfunction and dilatation or aortic aneurysm, requiring combined aortic valve surgery and aortic repair. Some patients...
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Aortic Stenosis and Transcatheter Aortic Valve Implantation: Current Status and Future Directions in Korea

Kim C, Hong MK

Transcatheter aortic valve implantation (TAVI) has been accepted as one of primary options for treatment of symptomatic severe aortic stenosis. Although TAVI has been predominantly used for patients at high...
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Long-term Survival in Korean Elderly Patients with Symptomatic Severe Aortic Stenosis Who Refused Aortic Valve Replacement

Oh JK, Park JH, Hwang JK, Lee CH, Park JS, Park JI, Park HK, Cho JS, Seo BS, Seong SW, Sun BJ, Lee JH, Seong IW

BACKGROUND AND OBJECTIVES: Aortic valve replacement (AVR) is the treatment of choice in severe symptomatic aortic stenosis (AS) patients. However, a substantial number of elderly patients refuse AVR and treated...
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Early Surgery in Valvular Heart Disease

Kim DH, Kang DH

The burden of valvular heart disease (VHD) is increasing with age, and the elderly patients with moderate or severe VHD are notably common. When to operate in asymptomatic patients with...
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Aortic Valve Replacement for Aortic Stenosis in Elderly Patients (75 Years or Older)

Sohn B, Choi JW, Hwang HY, Kim KH, Kim KB

BACKGROUND: This study evaluated the early and long-term outcomes of surgical aortic valve replacement (AVR) in elderly patients in the era of transcatheter aortic valve implantation. METHODS: Between 2001 and 2018,...
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Guidelines for Transcatheter Aortic Valve Replacement in Korea: Past Obstacles and Future Perspectives

Choo SJ, Shinn SH, Kim KH, Kim WS, Oh SS, Lee S

BACKGROUND: Analyses of the efficacy and safety of transcatheter aortic valve replacement (TAVR) in most countries have been based on outcomes obtained in accordance with national practice guidelines and monitoring...
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Updates on Transcatheter Aortic Valve Replacement and the Role of Multi-Detector Computed Tomography: What a Radiologist Should Know

Mo YH, Kuo YS, Wang YC, Wu MT

The indications of the transcatheter aortic valve replacement (TAVR) procedure have been widely expanded and the number of cases has significantly increased in the past 15 years due to continued...
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Recent updates in transcatheter aortic valve implantation

Cho J, Kim U

Transcatheter aortic valve implantation (TAVI) has evolved from a challenging intervention to a standardized, simple, and streamlined procedure with over 350,000 procedures performed in over 70 countries. It is now...
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Antihypertensive Treatment in Severe Aortic Stenosis

Kang TS, Park S

Previously, antihypertensive treatment in severe aortic stenosis was considered a relative contraindication. However, recent studies have shown that antihypertensive treatment may be safe and even beneficial in terms of reducing...
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