Publications of Pierre-Julien BRUYERE
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See detailTotal absence of the pericardium associated with hypogammaglobulinemia and bronchiectasis in a girl
KINUANI MULASI, Rachel ULiege; BRUYERE, Pierre-Julien ULiege; Schoysman, Laurent et al

in Paediatric Reports (2019), 11(8250),

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See detailComplication rare du syndrome coronarien aigu Survenue d'un pseudo-anevrysme ventriculaire gauche.
BENOIT, Arnaud ULiege; DAVIN, Laurent ULiege; BRUYERE, Pierre-Julien ULiege et al

in Revue medicale de Liege (2019), 74(7-8), 375-376

We report a case of left ventricular pseudo-aneurysm and we take the opportunity to briefly review the literature concerning etiologies, diagnosis and management of this pathology, emphasizing some ... [more ▼]

We report a case of left ventricular pseudo-aneurysm and we take the opportunity to briefly review the literature concerning etiologies, diagnosis and management of this pathology, emphasizing some differences with the true aneurysm. [less ▲]

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See detailL'image du mois: Anévrysme de l'apex du ventricule gauche chez un patient avec cardiomyopathie hypertrophique apicale
Weerts, Victor ULiege; BRUYERE, Pierre-Julien ULiege; Acasandrei, C. et al

in Revue Médicale de Liège (2018), 73(4), 165-166

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See detailLate gadolinium enhancement CMR in primary mitral regurgitation.
Van De Heyning, Caroline M.; Magne, Julien ULiege; Pierard, Luc ULiege et al

in European Journal of Clinical Investigation (2014), 44(9), 840-7

AIMS: The appropriate timing for surgery in severe asymptomatic primary mitral regurgitation (MR) remains controversial. It has been shown that late gadolinium enhancement on cardiovascular magnetic ... [more ▼]

AIMS: The appropriate timing for surgery in severe asymptomatic primary mitral regurgitation (MR) remains controversial. It has been shown that late gadolinium enhancement on cardiovascular magnetic resonance (LGE CMR), which may identify myocardial fibrosis, is associated with a worse outcome in various cardiomyopathies. We sought to investigate the prevalence and significance of delayed enhancement in primary MR. METHODS: We prospectively included 41 patients with at least moderate primary MR and without overt signs of left ventricular (LV) dysfunction. Patients with evidence of coronary artery disease, arrhythmias or significant concomitant valvular disease were excluded. All patients were scheduled for transthoracic echocardiography and LGE CMR. RESULTS: A total of 39 patients had interpretable LGE CMR images. Among them, 12 (31%) had late contrast uptake of the LV wall. LGE CMR showed an infarct pattern in three patients, a pattern of mid-wall fibrosis in seven patients and two patients had a combined pattern. Patients with delayed enhancement on CMR had significant higher LV diameters (LV end-systolic diameter 39 +/- 4 vs. 34 +/- 5 mm, P = 0.002; LV end-diastolic diameter 57 +/- 5 vs. 50 +/- 5 mm, P = 0.001). There was a trend towards a higher indexed left atrial volume (55 +/- 21 vs. 44 +/- 13 mL/m(2), P = 0.06). By contrast, there was no significant association between myocardial contrast uptake and age, LV ejection fraction and MR severity. CONCLUSION: Left ventricular remodelling seems to be associated with the presence of delayed enhancement on CMR in primary MR. Further data are needed to determine whether LGE CMR can predict a less favourable outcome or could improve risk stratification in asymptomatic primary MR. [less ▲]

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See detailL'imagerie cardiovasculaire multimodalites avant l'implantation d'une prothese valvulaire aortique par voie percutanee.
DAVIN, Laurent ULiege; BRUYERE, Pierre-Julien ULiege; LANCELLOTTI, Patrizio ULiege et al

in Revue Médicale de Liège (2013), 68(2), 86-93

Calcified aortic valve stenosis is the most frequent valvular heart disease in developed countries with a very poor outcome when symptoms develop. However, several of these patients are denied for surgery ... [more ▼]

Calcified aortic valve stenosis is the most frequent valvular heart disease in developed countries with a very poor outcome when symptoms develop. However, several of these patients are denied for surgery. The main reasons are their advanced age (elderly patient), co-morbidities, technical limitations and a very high surgical risk. It is currently possible to propose a Transcatheter Aortic Valve Implantation (TAVI). After selection of candidates, the feasibility of the intervention is analysed. The size of the aortic bioprosthesis must be selected according to the cardiac anatomy. Several cardiac imaging modalities (echocardiography, computed tomography and cardiac MRI) can be used to identify unsuitable situations. Heavy calcifications or tortuosity can thwart the retrograde approach use. The sub-clavian arteries (for the CoreValve) and trans-apical approach (for the Edwards-Sapien) constitute alternatives ways. [less ▲]

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See detailLe cas clinique du mois. Amyloidose cardiaque, a propos d'un cas atypique.
FALQUE, Bertrand ULiege; DAVIN, Laurent ULiege; MELON, Pierre ULiege et al

in Revue Médicale de Liège (2013), 68(10), 497-503

A 64 year old patient with heart failure due to primary cardiac amyloidosis is described. This case offers the opportunity to review the literature dealing with the cardiac involvement associated with ... [more ▼]

A 64 year old patient with heart failure due to primary cardiac amyloidosis is described. This case offers the opportunity to review the literature dealing with the cardiac involvement associated with this disorder and the differential diagnosis of restrictive heart disease. [less ▲]

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See detailAssessment of left ventricular volumes and primary mitral regurgitation severity by 2D echocardiography and cardiovascular magnetic resonance.
Van De Heyning, Caroline M.; Magne, Julien ULiege; Pierard, Luc ULiege et al

in Cardiovascular Ultrasound (2013), 11

BACKGROUND: Two-dimensional transthoracic echocardiography (2DTTE) remains the first-line diagnostic imaging tool to assess primary mitral regurgitation although cardiovascular magnetic resonance (CMR ... [more ▼]

BACKGROUND: Two-dimensional transthoracic echocardiography (2DTTE) remains the first-line diagnostic imaging tool to assess primary mitral regurgitation although cardiovascular magnetic resonance (CMR) has proven to establish left ventricular function more accurately and might evaluate mitral regurgitation severity more reliably. We sought to compare routine evaluation of left ventricular function and mitral regurgitation severity by 2DTTE with assessment by CMR in moderate to severe primary mitral regurgitation without overt left ventricular dysfunction. METHODS: We prospectively included 38 patients (79% of male, age 57 +/- 14 years) with at least moderate primary mitral regurgitation, a left ventricular ejection fraction >/=60% and a left ventricular end-systolic diameter </=45 mm. Patients with evidence of coronary artery disease, arrhythmias or significant concomitant valvular disease were excluded. All patients were scheduled for 2DTTE and CMR. RESULTS: Left ventricular end-diastolic and end-systolic volumes were significantly underestimated by 2DTTE in comparison with CMR, although there was a strong correlation (Pearson r = 0.81, p < 0.00001 and r = 0.7, p < 0.00001, respectively). Measurement of the regurgitant orifice was similar between 2DTTE PISA method and planimetry by CMR (47 +/- 24 vs. 42 +/- 16 mm2, p = 0.12) with a strong correlation between both imaging techniques (Pearson r = 0.76, p < 0.0001). By contrast, assessment of the regurgitant volume by 2DTTE and by phase contrast velocity mapping by CMR showed poor agreement. CONCLUSIONS: In moderate to severe primary mitral regurgitation without overt left ventricular dysfunction, 2DTTE significantly underestimates left ventricular remodelling in comparison to CMR. Measurement of the regurgitant orifice with planimetry by CMR shows good agreement with the PISA method by 2DTTE and thus may be a valuable alternative to assess mitral regurgitation severity. [less ▲]

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See detailMetastase unique cervicale d'un cancer du sein
Courtois, Anne-Catherine ULiege; COLLIGNON, Joëlle ULiege; BRUYERE, Pierre-Julien ULiege et al

in Revue Médicale de Liège (2011), 66(5-6), 285-287

We report a rare case of single cervical metas- tasis of breast cancer. Bone metastases are the most frequent in breast cancer. early diagnosis combined with the new the- rapeutic advances have ... [more ▼]

We report a rare case of single cervical metas- tasis of breast cancer. Bone metastases are the most frequent in breast cancer. early diagnosis combined with the new the- rapeutic advances have considerably improved the quality of life and increased the survival. imaging plays a great role in the diagnosis, particularly scintigraphy and radiography, but sometimes also ct and Mri. the treatment is currently not standardized and it combines hormone therapy, chemotherapy, radiotherapy, and / or surgery. [less ▲]

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See detailPseudoanevrisme de l'artere gastrique gauche.
Honore, Charles ULiege; Bruyere, Pierre-Julien ULiege; Maweja, Sylvie ULiege et al

in Journal de Chirurgie (2009), 146(4), 413-5

We report the case of a 65-year-old man admitted for an upper-GI hemorrhage. A CT scan performed with vascular reconstructions demonstrated a pseudoaneurysm of the left gastric artery. Proximal vascular ... [more ▼]

We report the case of a 65-year-old man admitted for an upper-GI hemorrhage. A CT scan performed with vascular reconstructions demonstrated a pseudoaneurysm of the left gastric artery. Proximal vascular control of the celiac axis was obtained by balloon occlusion with a Fogarty balloon inserted retrograde via the femoral artery: the pseudoaneurysm was then successfully controlled with direct suture. [less ▲]

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See detailLa tomodensitométrie cardiaque dans la mise au point préopératoire d’une anomalie congénitale d’une artère coronaire
Davin, Laurent ULiege; Gach, Olivier ULiege; Martinez, Christophe ULiege et al

in Annales de Cardiologie et d'Angeiologie (2009), 58(2), 122-4

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See detailEmphysematous cystitis.
Leclercq, Philippe ULiege; Hanssen, Michel ULiege; Borgoens, Philippe ULiege et al

in Canadian Medical Association Journal (2008), 178(7),

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See detailVentricular aneurysm versus pseudoaneurysm: role of multi-imaging modality.
DAVIN, Laurent ULiege; BRUYERE, Pierre-Julien ULiege; LANCELLOTTI, Patrizio ULiege

in Archives of Cardiovascular Diseases (2008), 101(2), 135

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See detailL'image du mois. Les valvules cardiaques en tomodensitometrie multidetecteur et echo 3D.
Davin, Laurent ULiege; Bruyere, Pierre-Julien ULiege; Gach, Olivier ULiege et al

in Revue Médicale de Liège (2008), 63(10), 577-8

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See detailDiagnostic accuracy of computed tomography coronary angiography in routine practice
Davin, Laurent ULiege; LANCELLOTTI, Patrizio ULiege; BRUYERE, Pierre-Julien ULiege et al

in Acta Cardiologica (2007), 62(4), 339-344

Objectives - The recent newer advances in computed tomography have dramatically changed our approach to imaging cardiac disease. This study sought to compare the diagnostic value of 16-multi-detector ... [more ▼]

Objectives - The recent newer advances in computed tomography have dramatically changed our approach to imaging cardiac disease. This study sought to compare the diagnostic value of 16-multi-detector spiral computed tomography (MSCT) for detecting coronary artery stenosis. Methods - A total of 88 consecutive patients (52 men, mean age 68 +/- 8 years) with atypical chest pain, stable angina or suspicion of ischaemia at stress test were studied by MSCT and invasive coronary angiography (ICA). The MSCT images and multiplanar reconstructions were analysed regarding the presence of >= 50% coronary artery lesion. Results - All 88 scans obtained at a mean heart rate of 68 8 beats/min were interpretable. Sixteen coronary segments were evaluated in each patient. Of the 1320 segments examined, 148 (11 %) showed poor image quality. A total of 150 significant lesions were detected using ICA, and 80 of 150 (53%) were detected by MSCT Sensitivity, specificity, positive and negative predictive values were as follows: 53%, 97%, 68%, and 94%. Fifty-four patients had >= 50% coronary stenosis. The diagnosis was confirmed by MSCT in 42 patients and correctly ruled out in 30. By patient-based analysis, positive and negative predictive values were 91 % and 71 %. Conclusion - Although its specificity is high, the sensitivity of 16-slice MSCT for detecting 2: 50% coronary stenosis in non-selected patients submitted to ICA is rather low suggesting that for daily practice the diagnostic value of this technique should be improved. [less ▲]

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See detailComment j'explore...Les arteres coronaires en 2007: apports de la tomodensitometrie
Davin, Laurent ULiege; BRUYERE, Pierre-Julien ULiege; Lewin, Michel ULiege et al

in Revue Médicale de Liège (2007), 62(4), 222-9

Cardiac imaging has always been a challenge because of the continuous movement of the heart. Cardiac computed tomography (CT) has undergone an accelerated progression over the past decade, due to the ... [more ▼]

Cardiac imaging has always been a challenge because of the continuous movement of the heart. Cardiac computed tomography (CT) has undergone an accelerated progression over the past decade, due to the combination of the high-speed rotation of the X-ray tube, the ECG-gating technique and the infra-millimeter spatial resolution. Multidetector CT allows visualisation of the coronary artery lumen and the detection of coronary stenosis after intravenous injection of contrast medium. Studies have demonstrated a high negative predictive value of CT coronary angiography (CTCA). CTCA may be reasonably used for the assessment of symptomatic patients, especially in the setting of equivocal treadmill or functional testing. Also, CTCA allows assessment of coronary bypass graft patency and recognition of aberrant coronary arteries. Limitations in the use of this technique exist: atrial fibrillation and other cardiac arrhythmias remain a contraindication; severe calcifications are the most frequent reason for impaired assessment of coronary arteries. High radiation doses prohibit the use of this test as a screening tool for asymptomatic patients. [less ▲]

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See detailL'image du mois. Fistule coronaire en imagerie non invasive par CT scanner coronaire
Davin, Laurent ULiege; Lewin, Michel ULiege; BRUYERE, Pierre-Julien ULiege et al

in Revue Médicale de Liège (2007), 62(7-8, Jul-Aug), 477-8

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See detailCan CT pulmonary angiography allow assessment of severity and prognosis in patients presenting with pulmonary embolism? What the radiologist needs to know
Ghaye, Benoît ULiege; Ghuysen, Alexandre ULiege; BRUYERE, Pierre-Julien ULiege et al

in Radiographics: A Review Publication of the Radiological Society of North America, Inc (2006), 26(1, Jan-Feb), 23-3939-40

Computed tomographic (CT) pulmonary angiography has been established as a first-line diagnostic technique in patients suspected of having pulmonary embolism. Risk stratification is important in patients ... [more ▼]

Computed tomographic (CT) pulmonary angiography has been established as a first-line diagnostic technique in patients suspected of having pulmonary embolism. Risk stratification is important in patients with pulmonary embolism because optimal management, monitoring, and therapeutic strategies depend on the prognosis. Acute right-sided heart failure is known to be responsible for circulatory collapse and death in patients with severe pulmonary embolism. Acute right-sided heart failure can be assessed at CT pulmonary angiography by measuring the dimensions of right-sided heart cavities or upstream venous structures, such as the superior vena cava or azygos vein. The magnitude of pulmonary embolism can be calculated at CT pulmonary angiography by applying angiographic scores adapted for CT (Miller and Walsh scores) or dedicated CT scores (Qanadli and Mastora scores). The advent of CT pulmonary angiography performed with electrocardiographic gating permits new advances in assessment of acute right-sided heart failure, such as measurement of the ventricular ejection fraction. Although such findings may be useful for assessment of treatment effectiveness, their effect on prognosis in patients with severe pulmonary embolism is debated in the literature. (C) RSNA, 2006. [less ▲]

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