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by Mario Gössl, Garvan C. Kane, William Mauermann, and David R. Holmes

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1 Pulmonary Hypertension in Patients Undergoing Transcatheter Aortic Valve Replacement
by Mario Gössl, Garvan C. Kane, William Mauermann, and David R. Holmes Circ Cardiovasc Interv Volume 8(6):e002253 June 2, 2015 Copyright © American Heart Association, Inc. All rights reserved.

2 Right heart hemodynamics.
Right heart hemodynamics. A, Right artrial waveforms. B, Right ventricular waveforms. C, Pulmonary artery waveform. D, pulmonary artery wedge pressure waveforms. Mario Gössl et al. Circ Cardiovasc Interv. 2015;8:e002253 Copyright © American Heart Association, Inc. All rights reserved.

3 OBSERVANT risk scoring system for the prediction of 30-day mortality (left) and bedside chart for estimation of 30-day mortality (right). OBSERVANT risk scoring system for the prediction of 30-day mortality (left) and bedside chart for estimation of 30-day mortality (right). BAV indicates balloon aortic valvuloplasty; CI, confidence interval; GFR, glomerular filtration rate; LVEF, left ventricular ejection fraction; and OBSERVANT, Observational Study of Appropriateness, Efficacy and Effectiveness of AVR-TAVR Procedures for the Treatment of Severe Symptomatic Aortic Stenosis. Reprinted from Capodanno et al12 with permission of the publisher. Copyright ©2014, Elsevier Inc. Mario Gössl et al. Circ Cardiovasc Interv. 2015;8:e002253 Copyright © American Heart Association, Inc. All rights reserved.

4 French Aortic National CoreValve and Edwards (FRANCE) 2 risk score.
French Aortic National CoreValve and Edwards (FRANCE) 2 risk score. Left, Predictive factors and respective point score. Right, Relationship between the score value and predicted early mortality after transcatheter aortic valve implantation. BMI indicates body mass index; and CI, confidence interval. Reprinted from Iung et al13 with permission of the publisher. Copyright ©2014, BMJ Publishing Group Ltd and the British Cardiovascular Society. Mario Gössl et al. Circ Cardiovasc Interv. 2015;8:e002253 Copyright © American Heart Association, Inc. All rights reserved.

5 Complexity of hemodynamics in pulmonary hypertension (PH)
Complexity of hemodynamics in pulmonary hypertension (PH).20 The anesthestic management of PH requires maintenance of right ventriclular (RV) contractility, avoidance of hypotension and hypervolemia, and elevations of pulmonary artery pressure (PAP). Complexity of hemodynamics in pulmonary hypertension (PH).20 The anesthestic management of PH requires maintenance of right ventriclular (RV) contractility, avoidance of hypotension and hypervolemia, and elevations of pulmonary artery pressure (PAP). CPP indicates coronary perfusion pressure; FRC, functional residual capacity; LV, left ventricle; PA, pulmonary artery; and RR, respiratory rate. Reprinted from Hosseinian et al20 with permission of the publisher. Copyright ©2014, Elsevier Inc. Mario Gössl et al. Circ Cardiovasc Interv. 2015;8:e002253 Copyright © American Heart Association, Inc. All rights reserved.


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