TAVR for patients with multivalvular disease

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Improvement of mitral regurgitation

Aortic Valvopathy – Aortic Stenosis Classification Part I

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Classification - Part I

TAVR in large annulus

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Technical challenge

Functional Mitral Regurgitation

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Perspectives beyond Mitraclip

Natural History of the Disease – Aortic Stenosis

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Natural History of the Disease - Aortic Stenosis

Electrocardiogram and TAVR

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Any insight for mortality?

Anatomy and function of the tricuspid

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How to assess the anatomy?

Aortic Valvopathy – Aortic Stenosis

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Clinical Manifestation and Physical Exam

TAVR and atrial fibrillation

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How to manage?

Details of self-expanding prostheses

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Acurate Neo vs. Evolut PRO

Valve Basics Aortic Stenosis – Etiology and Pathophysiology

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Aortic Stenosis - Etiology and Pathophysiology

TAVR and cognition

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Is there improvement?

Measurement of the tricuspid annulus

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Parameter for repair

Anatomy

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Anatomy

Strain in moderate aortic stenosis

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Better stratification…

TAVR durability

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Technical aspects of the lab…

Aortic Valvopathy

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Aortic valve disease

TAVR for Aortic Regurgitation

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Alternative approach

Peripheral accesses for TAVR

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Femoral vs. non-femoral

Intervention indication – Part III

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Intervention indication - Part III

Chronic Kidney Disease and Aortic Stenosis

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Direct correlation

Conduction disorders in the TAVR

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How to manage?

Intervention indication – Part II

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Intervention indication - Part II

Low flow aortic stenosis

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New tools for sorting

Mitral Annular Calcification

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Diagnostic and therapeutic challenges!

Intervention indication – Part I

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Intervention indication - Part I

Quality of life in TAVR

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PARTNER 3 insights

New Risk Factors for Aortic Stenosis

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Genetic Horizons

Clinical Treatment

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Clinical Treatment

Leaflet enlargement

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Adaptation in functional MR

Strain in Aortic Stenosis

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Myocardial deformation!

Surgical Risk Scores

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Surgical Risk Scores

TAVR in small annulus

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A Challenge too

Myocardium in Aortic Stenosis

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Understanding the interstice…

Etiologies of valve diseases – Part V

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Etiologies of valve diseases - Part V

TAVR Frailty Indices

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Prognosis?

Racial difference in Aortic Stenosis

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Demographic analysis…

Etiologies of valve diseases – part IV

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Etiologies of valve diseases - part IV

Mitral regurgitation in flail

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Hard to measure…

The aortic valve área

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Echocardiographic insights…

Etiologies of valve diseases – Part III

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Etiologies of valve diseases - Part III

Tricuspid Approach

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A new tool?

Transcatheter intervention in pulmonary valve

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Congenital approach…

Etiologies of valve diseases – Part II

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Etiologies of valve diseases - Part II

Aortic Stenosis

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State of the art!

Mortality Aortic Regurgitation

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Do you know the predictors?

Etiologies of valve diseases

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Etiologies of valve diseases

Aortic Stenosis and Obesity

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Is there a correlation?

Pacemaker in Cardiac Surgery

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Valvopathies lead!

Atrial fibrillation in valvopathy

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Can you define valvular AF expression?

Do you know Vectorcardiogram?

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It can help you with aortic stenosis

Degeneration of biological prosthesis

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When can we define this diagnosis?

Degeneration of bioprostheses – Part II

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How to diagnose early?

The prosthesis has degenerated and the patient is high risk

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Do you know valve-in-valve?

Myocardial fibrosis in aortic stenosis

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Do you know how to assess?

Carpentier Classification of MR

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Does it have any advantage in handling the case?

Mitral valve repair for secondary mitral regurgitation

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Is there room yet for repair in these patients?

Traumatic heart valve disease

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A forgotten cause of valve disease

Thoracic pain in aortic stenosis

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Is it possible with normal coronaries?

MRI in Aortic Regurgitation

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When is it benefitial?

Strain in Aortic Regurgitation

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A new tool for indication

Increased left atrium in MR

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Does it have a prognostic impact?

Measurement of Pulmonary Hypertension

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Is echo enough?

Coronary heart disease and aortic stenosis

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How to manage in the times of TAVR?

Measurement of the aortic valve area by CT scan

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Is it the same as the echocardiogram?

Low gradient aortic stenosis

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Increasingly studied

Sinus rhythm improves MR in paroxysmal AFib

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Cardioversion is beneficial

Use of DOAC’s after TAVR

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Is there a benefit?

Asymptomatic aortic stenosis

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When should we treat?

Reverse remodeling after TAVR

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Does RAAS blockade help?

Aortic stenosis and MAC

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The same pathophysiological basis

Percutaneous treatment of the mitral valve

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Replacement or repair? For whom?

MVP and the practice of sports

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Is there a contraindication?

DOAC’s in mechanical prostheses

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Is there a chance yet?

Cardiac rehabilitation in valve disease

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Is there evidence of benefit?

Cardiac amyloidosis and aortic stenosis

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Coexisting diseases in the elderly?

Heart Team 2.0

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A reaffirmation

Moderate aortic regurgitation

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Who will fo worse?

Concomitant mitral stenosis with aortic stenosis

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Understanding more about correlation

Sarcopenia in patients with aortic stenosis

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Worsening of prognosis

Moderate aortic stenosis

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Worse prognosis for survival?

Valvular Heart Diseases

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What is it?

The spread of TAVR

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Learning curve...

COAPT trial

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Echocardiographic teachings ...

Types of valve injury and pathophysiology

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Types of valve injury and pathophysiology

Valve-in-Valve Mismatch

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Think of the ALLEGRA prosthesis

Coronary sinus thrombosis

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A new complication of TAVR

Symptoms of Valvulopathies

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Symptoms of Valvulopathies

Transcatheter Mitral Replacement

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Current challenges...

SVD in last generation TAVR

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Are devices improving?

Physical examination of valvular heart disease

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Physical examination of valvular heart disease

Right ventricle on TAVR

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Prognostic factor

Myocardial Fibrosis in Aortic Stenosis

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Negative outcome

Graduation of valvular heart disease

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Graduation of valvular heart disease

Paradigms of valve disease

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Where do the guidelines guide us?

Low-Gradient TAVR

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Hemodynamic aspects

Valve Disease

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Contemporary Approach

Cost-effectiveness TAVR vs SAVR

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Is TAVR more expensive?

Acurate Neo

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A new alternative to TAVR

TAVR and angioplasty

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When to do?

Sudden Correction of Volume Overload

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Does it bring harm?

MitraClip in Tricuspid Regurgitation

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New approach

Leak Closure

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Adapted devices...

Pacemaker on TAVR

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Counterpoint...

TAVR vs Low-risk surgery

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Case Closed?

Aortic annulus enlargement

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Challenges facing surgeons

Transcatheter correction of Mitral Regurgitation

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Is there a difference between the techniques?

Thrombosis vs. Bleeding in TAVR

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A delicate balance

Transcaval access TAVR

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Do you know this access route?

Cardiac damage in aortic stenosis

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Do you know the classification?

LV systolic dysfunction in MS

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Did MS not spare LV?

RV performance post PBMV

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Immediate improvement!

Survival loss after aortic valve replacement

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Is it possible to avoid?

Low gradient Mitral stenosis

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Another look at MS

Systolic Anterior Motion of the Mitral Valve

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Do you know SAM?

Surgical treatment of MAC

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Does calcium in the mitral annulus interfere?

Does TAVR improve coronary perfusion in AS?

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We will reopen a recent topic

Mitral Valve Prolapse

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Who has never heard of it?

Isolated tricuspid regurgitation

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Does surgery increase survival?

Tricuspid regurgitation due to atrial fibrillation

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Cause is annulus dilatation

Bicuspid aortic valve

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Most frequent congenital valve disease

Systolic dysfunction in aortic regurgitation

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Is intervention still worth it?

Aortic regurgitation in aortic dissection

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A diastolic murmur can change the diagnosis

Unified Classification of Mitral Regurgitation

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A re-reading of functional MR

Functional mitral regurgitation due to AF

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Another variety of functional MR

Disproportionate mitral regurgitation

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A new concept that can change the classification

Mitral Regurgitation in Europe

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Rise a functional MR

Primary and secondary mitral regurgitation

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Is there a grade difference?

Mitral annulus disjunction

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Have you heard of this pathology?

Endocarditis in TAVR

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Does TAVR yield more Endocarditis than surgery?

Cardiac Resynchronization and Mitral Regurgitation

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Does MR get better after CRT?

My aortic valve is “blocked”

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Do I need to go through surgery?

Warfarin for heart valve disease

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Is there room yet?

Prosthesis with high gradient

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What could be happening?

Radiotherapy and heart valve disease

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Do you know this relation?

Bacterial endocarditis

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A problem that can start with the mouth

Mitral Annular Calcification

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Have you ever heard about MAC?

Tricuspid valve repair

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Operating MR, but the patient has TR. What should you do?

Physical activity for patients with valvopathy

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Can I do physical activity?

Aortic calcium score

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When should I “measure calcium”?

Chemotherapy and Valvopathy

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Is there a relation between them?

Depression and valvular heart disease

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Does it have an impact on long-term survival?

Paravalvular Leak

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When and How to intervene?

Oral Treatment for Infective Endocarditis

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Do I need to be hospitalized?

MitraClip for functional mitral regurgitation

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Are you going to deploy a MitraClip?

Think of mitral stenosis!

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Think of mitral stenosis

Heparin Bridge

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A patient using warfarin due to valve AF will undergo elective surgery.

Prosthesis Thrombosis

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A patient with prosthetic valve thrombosis arrives for you. How shall we proceed?

Dobutamine for Aortic Stenosis

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No longer useful?

TAVR in low risk

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Do I need to calculate the surgical risk?

Welcome

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Hello, everyone and welcome to thevalvelclub.