TAVI in Complex Dual-Level Obstruction: A Case of Severe Aortic Stenosis and Subaortic Membrane [0.03%]
复杂双水平狭窄的经导管主动脉瓣植入术(TAVI)一例严重主动脉瓣狭窄合并膜部下隔膜病例报告
Salem Assiri,Mohammed S Alshammakh,Sultan M Alzahrani et al.
Salem Assiri et al.
This case addresses the challenges of treating patients with both severe aortic stenosis and subaortic stenosis. In this combined condition, transcatheter aortic valve implantation (TAVI) remains an off-label application, particularly in th...
Farhan Ishaq,Ashrith Guha
Farhan Ishaq
Heart transplantation is a marvel of modern medicine for patients with end-stage heart failure. Decades of research and surgical innovation have overcome challenges in immunology, organ preservation, and patient care. From the earliest hear...
Marlena Habal
Marlena Habal
While advances in immunosuppression management have led to excellent 1-year survival after heart transplantation, long-term outcomes remain suboptimal. Contemporary therapies are associated with adverse sequalae, dominated by chronic kidney...
Michelle M Kittleson
Michelle M Kittleson
The evaluation for heart transplantation is a comprehensive endeavor requiring multidisciplinary collaboration. The goal of a heart transplant evaluation is to determine if (1) the patient's cardiac status is limited enough, despite optimal...
Cindy M Martin
Cindy M Martin
The field of heart transplantation has experienced remarkable progress over the past decades, transforming from an experimental procedure into a life-saving intervention with continually improving outcomes. As Houston Methodist Hospital cel...
Amit Alam,Shelley Hall
Amit Alam
The first heart transplantation in the United States was performed in 1968. The first national heart allocation system was developed two decades later in 1988 as a two-tiered system. Our current heart allocation system, adopted in 2018 as a...
Birds in Flight [0.03%]
凌空展翅鸟类美
Philip Alexander
Philip Alexander
Philip Alexander, MD, is a native Texan, retired physician, and accomplished musician and artist. After 41 years as an internal medicine physician, Dr. Phil retired from his practice in College Station in 2016. A lifelong musician and forme...
Multi-Organ Transplantation in Adult Congenital Heart Disease: Navigating the Unique Challenges of a Distinct Patient Population [0.03%]
成人先天性心脏病多器官移植:应对独特患者群体的挑战
Valeria E Duarte,Marcus A Urey,Eric D Adler et al.
Valeria E Duarte et al.
The prevalence of adult congenital heart disease (ACHD) is increasing, with heart failure being the leading cause of death. For many ACHD patients, heart transplantation is the only treatment option for advanced heart failure, though signif...
Expanding the Donor Pool [0.03%]
扩大供者池子
Saleem Toro,Kelly H Schlendorf
Saleem Toro
Given the aging population and despite advances in heart failure therapies, the number of patients with advanced heart failure in need of heart transplantation continues to increase, and the longstanding mismatch between organ demand and or...
Rejection Surveillance: Integrating Cell-Free DNA and Gene Expression Panels to Decrease Invasiveness in Routine Monitoring of Heart Transplant Recipients [0.03%]
基于细胞游离DNA和基因表达谱整合的器官移植术后排斥反应监测方法及其应用
Hatem Alansari,Janardhana R Gorthi
Hatem Alansari
Post-transplant rejection surveillance remains a cornerstone of heart transplant care. Although endomyocardial biopsy has long been the gold standard for monitoring rejection, its invasiveness and limitations have driven innovations in noni...