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Valvular heart diseases (VHD) remain one of the leading causes of heart failure and a decrease in life expectancy. Timely diagnosis and management are of utmost importance for this subgroup of patients. Recent advances in cardiac imaging and transcatheter therapeutic approaches have led to the development of the term “Heart Team” and the new sub-specialty of “interventional Echocardiographer”. Through the routine use of advanced echocardiography (strain and 3D imaging) and all other modalities, such as CT and CMR, we have better recognized the mechanisms of valvular abnormalities and we have provided the option to expand the transcatheter therapies. With this Research Topic, we seek to provide an overview of the latest advances in imaging techniques on Valvular Diseases, such as advanced Echocardiographic tools, Cardiac CT and MR, and PET/CT-PET/MR imaging. We also seek to emphasize how these new techniques can support diagnosis and help treat difficult cases that go beyond our routine and cover the up-to-date imaging approach of the “Heart Team”.
This book describes the different aspects of aortic valve and root diseases including comprehensive discussion of the state-of-the-art diagnostic imaging options, disease risk stratification, selection of candidates for valve repair or percutaneous intervention, and most recent therapeutic options. The growing prevalence of valvular heart disease represents a major challenge in terms of short- and long-term management and surveillance. Aortic valve diseases, including aortic stenosis and regurgitation, are among the most frequent of these, while the number of cases of aortic root disease is also on the rise. Aortic valve disease treatment options include valve surgery, valve repair, minimally invasive valve surgery, and percutaneous approaches and all are covered in this volume. Advances in Treatments for Aortic Valve and Root Diseases is a highly illustrated, case oriented reference aimed at cardiology fellows in training, while also helpful to surgeons, cardiologists, imagers, interventionalists, as well as other clinicians and students involved in the diagnosis and treatment of aortic valve and root diseases.
Over the last three decades, major advances in the management of diseases of the valves have been seen. While cardiac catheterization was in the 1970s, the only means for con?rming the diagnosis, Doppler echocardiography has become the corner stone for accurate assessment of valve disease, even in fetuses. Now not only the disease can be identi?ed but also the rate of disease progression (e. g. lea?et calci?cation and stiffness) can be accurately measured and quanti?ed by echocardiography and multislice/electron beam CT imaging. Surgical treatment of valve disease has also w- nessed great advances, having moved from traditional valve replacement to sophisticated repair procedures and the use of extracorporeal pump support in some patients. Robotic valve surgery has also proved a great success, in well selected cases, and is expected to have a fruitful future. Furthermore, in special circumstances, conventional surgical valve excision has now been replaced by percutaneous catheter-based valve replacement for aortic and pulmonary disease. This approach reduces the risk from the surgery itself, avoids general ana- thesia and many potential post-operative complications. This book discusses the practicalities of the diagnosis and treatment of the various aspects of common heart valve d- eases, covering most clinical and surgical issues. It is designed to assist clinicians in the management of patients with valve disease and provide them with answers to many of the clinical questions that arise.
Since the publication of the second edition of this volume, 3D echocardiography has penetrated the clinical arena and become an indispensable tool for patient care. The previous edition, which was highly commended at the British Medical Book Awards, has been updated with recent publications and improved images. This third edition has added important new topics such as 3D Printing, Surgical and Transcatheter Management, Artificial Valves, and Infective Endocarditis. The book begins by describing the principles of 3D echocardiography, then proceeds to discuss its application to the imaging of • Left and Right Ventricle, Stress Echocardiography • Left Atrium, Hypertrophic Cardiomyopathy • Mitral Regurgitation with Surgical and Nonsurgical Procedures • Mitral Stenosis and Percutaneous Mitral Valvuloplasty • Aortic Stenosis with TAVI / TAVR • Aortic and Tricuspid Regurgitation • Adult Congenital Heart Disease, Aorta • Speckle Tracking, Cardiac Masses, Atrial Fibrillation KEY FEATURES In-depth clinical experiences of the use of 3D/2D echo by world experts Latest findings to demonstrate clinical values of 3D over 2D echo One-click view of 263 innovative videos and 352 high-resolution 3D/2D color images in a supplemental eBook.
As the diagnostic and therapeutic tools for the management of complex cardiac valve disease continue to evolve, the options for patients who previously had few choices continue to expand. Such advances have resulted in a renaissance in how Heart Teams approach problems and have been able to engage patients in shared decision-making conversations towards a common goal. While opportunities exist in the management of physiologically challenging congenital heart disease, the vast explosion of research and development in the area of aortic valve disease has offered new hope to patients for improving their quality and quantity of life. The goal of this text is to hopefully serve as a foundation for those who want to explore such topics in greater detail.
Challenges for the treatment of valvular heart disease include the growing need for effective yet less invasive interventions and therapies to treat these progressive conditions. With the development of potential new treatments, it is crucial for cardiac physicians to be well informed on the pathophysiology, assessment, treatment options and their outcomes of valvular diseases. Written by a highly experienced and internationally recognized group of cardiologists, cardiac surgeons, and researchers, Valvular Heart Disease offers insights into the widely varying hemodynamic effects and clinical course of heart valve conditions, as well as the contemporary management of these conditions. Offering a broad perspective on these diseases, Valvular Heart Disease expands on the recent guidelines developed by the major heart societies in the United State and Europe.
Covering the full range of diagnosis and treatment for valvular heart disease, this award-winning reference provides the information you need for safe and effective practice. Part of the Brauwald’s family of heart disease references, Valvular Heart Disease, 5th Edition, brings you fully up to date with the latest procedures, imaging modalities, basic science, diagnostic criteria, and treatment guidelines in this fast-changing area. Internationally renowned authors Dr. Catherine M. Otto and Dr. Robert O. Bonow help you apply today's best, evidence-based medical and surgical approaches in your daily practice. Covers current topics such as transcatheter aortic valve replacement (TAVR), timing of intervention for mitral regurgitation, imaging guidance of transcatheter valve procedures, management of prosthetic valve, advanced imaging of the aortic and mitral valves, management of valve disease in pregnant women, and advances in diagnosis and treatment of endocarditis. Contains new chapters on the imaging approach before TAVR, transcatheter valve-in-valve implantation for prosthetic valve stenosis, and management of pulmonic valve disease. Provides summaries of ACC, AHA, and ESC guidelines for guidance on best practices. Includes all the latest imaging modalities for a full understanding of tools needed for the most accurate physiologic understanding and accurate diagnoses. Offers access to 80 videos that help you visualize heart valve anatomy and dysfunction, as well as important techniques and procedures. Features an extensive number of new and updated illustrations of anatomy and physiology, methodology, flow charts, and clinical examples—750 high-quality images in all. Reorganizes chapters to closely link imaging and interventional approaches for aortic and mitral valve disease. Emphasizes evidence-based approaches with outcome data and relevant references. 2014 BMA Medical Book Awards 1st Prize Award Winner in Cardiology category.
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