The authors analyzed long-term recurrent aortic regurgitation (AR) in 249 patients with aortic insufficiency and reimplantation procedure. Of the cusp repair techniques evaluated in the analysis, only free margin reinforcement and patch repair influenced valve durability, the former positively and the latter negatively.
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Valve Disease
June 20, 2017
David and colleagues investigate tricuspid regurgitation (TR) before and after mitral valve (MV) repair in a retrospective analysis of over 1000 patients. TR was present prior to surgery in 11.8% of cases and new postoperative TR was not common. The authors suggest that their findings support repairing the MV before TR develops.
June 19, 2017
Gaudino and colleagues report a retrospective analysis of short-term outcomes following aortic valve-sparing operations (VSO) with and without reconstruction of the sinuses of Valsalva (SV). Despite the importance of the SV for aortic valve function, data evaluating SV reconstruction with VSO are limited.
June 12, 2017
Ejiofor, et al. present a retrospective analysis of the mid- and long-term outcomes following isolated tricuspid valve (TV) surgery in 57 adult patients, with overall operative mortality of 8.6% and similar mid-term outcomes for TV repair versus replacement.
June 5, 2017
In this video, the authors demonstrate the feasibility of performing a complex aortic valve repair for aortic valve endocarditis via an upper partial sternotomy.
June 1, 2017
Niv Ad of West Virginia University Heart and Vascular Institute, Morgantown, West Virginia, discusses the benefits of using a fibrillating-heart technique in minimally invasive mitral surgery.
May 31, 2017
Song Wan of the Chinese University of Hong Kong and Rüdiger Lange of the German Heart Center share their opinions on current and future trends in mitral valve repair. Tom Nguyen of the University of Texas Health Science Center moderates this discussion, which focuses on the evolution of patient profiles and surgical techniques.
May 27, 2017
A statewide quality initiative database that included over 11,500 pts undergoing surgical AVR (SAVR) who were assessed for outcomes based on pre-TAVR and post-TAVR time periods (divided into early TAVR and commercial TAVR). SAVR rates increased with each time period, wheres predicted mortality rates decreased, observed mortality was lowest during th
May 27, 2017
Data from the Centers for Medicare and Medicaid Services related to patients aged 65 and older who underwent TAVR during a 2 year period were evaluated, stratified into older (age 90 or greater; 19.3%) and younger cohorts. Nonagenarians had fewer comorbidities. Mortality was higher in nonagenarians (8.4% vs 5.9%) as was morbidity (25.4% vs 21.5%).
May 25, 2017
This video shows the treatment of a 5-year-old patient with a rapidly enlarging aneurysm and left ventricular outflow tract to pulmonary artery shunt.