Outcomes of surgical AVR were summarized from the STS Cardiac Surgery Database 2002-2010 to establish contemporary data for different surgical risk groups (low <4% risk, intermediate 4%-8% risk, high >8% risk). 80% were low risk, 6% were high risk. Hospital mortality was lower than predicted by STS PROM for all groups (low: 1.4$ vs 1.7%; inte
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Aortic valve disease
January 10, 2015
January 10, 2015
This study randomized 100 patients with AS to full sternotomy AVR with a conventional prothesis or hemisternotomy with a rapid deployment prosthesis. CPB times were similar, but Ao crossclamp times were 24% shorter in the rapid deployment group. Acute outcomes were similar. The rapid deployment group had a lower transvalvular gradient and a lower
December 30, 2014
This is a retrospective review of 260 patients undergoing TAVI, looking at the relationship between aortic valve calcium score and post procedural paravalvular leakage. The results suggest that the amount of calcification significantly impacts the occurrence, the degree and localization of paravalvular leakage after TAVI.
December 17, 2014
This experimental video shows a total reconstruction of the aortic valve with autologous pericardium using the author’s method of patch tailoring.
December 11, 2014
In this manuscript, the authors report on a retrospective study looking at the progression of aortic stenosis (AS) in 1558 patients with mild, moderate and severe AS and preserved left ventricular function. They conclude that the progression of severity depends significantly on the severity of the AS at baseline.
December 10, 2014
Andrew Goodwin of James Cook University Hospital, Middlesbrough, United Kingdom, discusses the MAVRIC trial, which is focused on the minimally-invasive manubrium-limited AVR procedure.
December 8, 2014
This video illustrates bicuspid annular stabilization during repair using a geometric annuloplasty ring that is currently under investigation in Europe (NCT02071849).
December 7, 2014
This manuscript reports on the findings of a meta-analysis of retrospective observational studies comparing clinical outcomes at 1-year in patients treated by either transfemoral (TF) or transapical (TA) transcatheter aortic valve implantation for sever aortic stenosis.
December 7, 2014
In this retrospective, multicentre study, the authors evaluate clinical outcomes in 139 patients with bicuspid aortic valves undergoing transcatheter aortic valve implantation (TAVI) with either a self or a balloon-expandable prosthesis.
December 3, 2014
In this video, the authors present their technique for aortic root replacement using a freestyle aortic root prosthesis and a Dacron graft, thus achieving a "Biological Bentall."