International Perfusion Association

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IPA

Category: Valve

Mini AVR GPT

New Approach for Combined Aortic Valve and Coronary Procedures Through the Left Anterior Minithoracotomy

A novel technique for aortic valve replacement and coronary artery bypass grafting through left anterior minithoracotomy has been successfully used in six patients, demonstrating technical feasibility and effectiveness without major complications. This approach, which allows simultaneous valve and multivessel coronary procedures, requires further study in a larger patient population to understand its potential limitations fully.

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January 5, 2024
Robot Mitral Valve

Outcomes of Barlow Mitral Valve Repaired by Robot-Assisted Keyhole Surgery

This study analyzed the outcomes of robot-assisted keyhole surgery for Barlow mitral valve repair in 124 patients, highlighting the use of the loop technique for neochordae implantation and minimal resections. The results demonstrated a high success rate with low complication and reoperation rates, suggesting that this robotic technique is effective and safe for treating Barlow mitral valve.

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January 4, 2024
AlphaVac Art

Percutaneous Debulking of Tricuspid Valve Infective Endocarditis Vegetations Using a Large Bore Manual Aspiration Device – AlphaVac

While most infectious endocarditis cases are managed medically, non-responsive patients or those with complications like septic emboli may need mechanical interventions such as AngioVac, which has limitations like the need for a perfusionist and large-bore accesses. The AlphaVac system, omitting the motor element, offers a simpler alternative for manual percutaneous aspiration of tricuspid valve vegetations, as demonstrated in two reported cases.

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December 31, 2023
Cardiac Surgery New Year

The Society of Thoracic Surgeons Adult Cardiac Surgery Database: 2023 Update on Procedure Data and Research

The Society of Thoracic Surgeons Adult Cardiac Surgery Database, which includes data from over nine million procedures, underpins multiple risk models and has been pivotal in shaping health policy and cardiac surgery practices. This annual report updates on the database’s status, introduces new risk models, details current surgical trends, and outlines research and future directions for this extensive clinical resource.

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December 30, 2023
Valve Surgery

Fifth-Time Redo Mitral Valve Replacement via Right Thoracotomy Under Systemic Hyperkalemia Cardiopulmonary Bypass Without Aortic Cross-Clamp

The surgical management of prosthetic valvular endocarditis in a 46-year-old female with a history of multiple cardiac surgeries was addressed using a mitral valve replacement through right thoracotomy. This complex operation utilized systemic hyperkalemia for cardiac arrest during cardiopulmonary bypass, leading to successful patient recovery without aortic cross-clamping.

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December 21, 2023
Surgeons Operating

Minithoracotomy vs Conventional Sternotomy for Mitral Valve Repair: A Randomized Clinical Trial

In a randomized trial comparing thoracoscopically-guided minithoracotomy with median sternotomy for mitral valve repair in patients with degenerative mitral regurgitation, minithoracotomy was not found to be superior to sternotomy in terms of recovery of physical function at 12 weeks. Both techniques showed similar high rates of valve repair quality and safety outcomes at 1 year, providing evidence to inform treatment guidelines and shared decision-making.

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October 31, 2023
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