The authors perform a meta-analysis of the limited studies available on the utility of tricuspid valve surgery in patients with significant TR at the time of LVAD implantation. No RCTs are available on this issue; however, six observational studies were analyzed by the group.
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Valve Disease
January 17, 2015
January 15, 2015
Dr. Asai and colleagues from Japan report on their midterm results using the "butterfly" technique of leaflet resection for posterior leaflet prolapse. In this procedure, the shape of the resected specimen of prolapsed leaflet resembles the shape of a butterfly as opposed to the conventional quadrangular shape.
January 12, 2015
Results from the European REdo Cardiac Operation Research Database (RECORD) indicate that outcome of redo aortic valve replacement is influenced by baseline risk factors and perioperative complications. Hospital mortality was seen in 5.1% of 711 evaluated cases.
January 10, 2015
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
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
January 7, 2015
This video shows the case of a young male who presented with a large obstructing ambiguous right ventricular mass that involved the tricuspid valve and the right atrium.The surgery consisted of an extirpation of this mass and replacement of the tricuspid valve.
January 6, 2015
Neil Moat of the Royal Brompton Hospital, London, United Kingdom, discusses the respect philosophy in mitral valve surgery.
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 28, 2014
This is a retrospective study comparing outcomes in 25 octogenarian patients undergoing percutaneous mitral valve intervention with the Mitraclip device and 35 octogenarian patients undergoing surgical mitral valve repair or replacement for isolated mitral regurgitation.
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.