A medium-size RCT comparing full sternotomy to limited sternotomy for conventional aortic valve replacement, presented at the SCTS Annual Meeting in Glasgow. The 7-10% one year attrition rate seems quite disappointing, and will most probably be discussed. We will await the full paper to see what was the learning curve for the innovative approach.
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MiniStern Trial: A Randomised Trial Comparing Ministernotomy to Full Median Sternotomy for Aortic Valve Replacement
March 19, 2018
Anatomical and Clinical Predictors of Valve Dysfunction and Aortic Dilation in Bicuspid Aortic Valve Disease
March 18, 2018
The authors studied 852 adults with bicuspid aortic valves. The prevelance of three morphotypes was tallied. Relative fusion rates were: RL 72.9%, RN 24.1% and LN 3%. Additionally, 18.3% had no raphe. Aortic regurgitation was unrelated to morphotype. Aortic stenosis was more common in the RN fusion group and in the presence of a raphe. Seventy-
March 15, 2018
This video illustrates a comprehensive approach to leaflet reconstruction in patients with grade 3 or 4 aortic insufficiency.
The Association of Tricuspid Regurgitation With Transcatheter Aortic Valve Replacement Outcomes: A Report From The Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy Registry
March 3, 2018
The STS/ACC TAVR Registry was analyzed to determine the effect of tricuspid regurgitation (TR) on outcomes after transcatheter aortic valve replacement (TAVR). The authors found that TR, of any severity, is quite common in TAVR patients (80%). The breakup of TR severity was as follows:
February 26, 2018
A succinct, readable, and well-referenced editorial on extending criteria for surgery on bicuspid aortopathy below the threshold of 4.5 cm diameter. It is even more interesting in the era of increasing industry pressure for transcatheter aortic valve replacement.
February 20, 2018
This video demonstrates the excision and debridement of a calcified aortic valve during an open aortic valve replacement.
February 18, 2018
An interesting article describing the interface between medical 3D printing and art. It briefly outlines current and future applications, and it also describes constraints to the use of this technology.
January 25, 2018
Schneider and colleagues have narrated a video demonstrating their technique for valve-sparing root replacement in a patient with Marfan syndrome. In the accompanying article, the authors report the outcomes of 61 patients with Marfan syndrome who underwent either aortic valve reimplantation or root remodeling at their institution.
January 22, 2018
This video demonstrates the technique for performing aortic operations through a ministernotomy.