This is a very provocative British study that examined whether a more liberal (Hgb < 9 g/dL) versus a more restrictive (Hgb < 7.5 g/dL) transfusion threshold after cardiac surgery is associated with higher morbidity and costs.
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Valve Disease
March 10, 2015
Filmed at the 2015 STS Annual Meeting in San Diego, California, this roundtable discussion focuses on improving hemodynamics with a next generation aortic pericardial valve.
March 10, 2015
This article describes the technique of composite graft replacement and emphasizes some technical details for the left-handed surgeon.
March 6, 2015
This video demonstrates a transaortic approach for TAVR, through the second intercostal space. Illustrations, photos, 3D CAT scan images, and rotating fluoroscopic images are used to demonstrate this approach.
March 5, 2015
This propensity matched single institution study compared conventional aortic valve replacement via a full sternotomy (CAVR) to minimal access aortic valve replacement (MAAVR) via an upper hemisternotomy. Over the eleven year study period a total of 2103 patients underwent isolated aortic valve replacement.
March 2, 2015
This retrospective review of outcomes after reconstruction of the intervalvular fibrous trigone combined with aortic and mitral valve replacement tracked patients who were operated upon for either severe endocarditis (n=26) or severe calcification (n=14) involving the trigone.
February 11, 2015
The authors analyzed all patients greater than age 18 in the National Inpatient Sample from 1998-2011 to evaluate trends and outcomes of tissue vs. mechanical aortic valve replacements. Implantation of tissue valves increased overall from 38% to 64% when comparing the earlier era to the later one.
February 10, 2015
This video demonstrates various tips and techniques for facilitating the successful performance of a left-handed approach to mitral valve repair for degenerative mitral valve insufficiency.
February 2, 2015
This manuscript describes the findings of a retrospective analysis of 874 consecutive high risk or inoperable patients undergoing TAVR in three different centres, evaluating outcomes after up to three years of follow up. In-hospital mortality was 5%. Early mortality was strongly associated with the occurrence of procedural complications.
January 18, 2015
This a retrospective study of 175 patients who had survived more than 12 months following TAVI and for whom there were clinical and echocardiographic follow up data. Outcomes were compared between patients with significant (grade II or more) aortic regurgitation (AR) and those without significant aortic regurgitation (less than grade II).