Transcatheter Aortic Valve Implantation to Treat Degenerated Aortic, Mitral and Tricuspid Bioprosthesis

January 31, 2024 No Comments

Transcatheter aortic valve implantation (TAVI) is now a widely accepted treatment for a broad range of patients with aortic valve stenosis, including those at low surgical risk and with previously contraindicated conditions like bicuspid valves. It has also evolved to treat degenerated bioprosthetic valves in the aortic, mitral, and tricuspid positions, offering an alternative to redo surgery.

Clinical Outcomes Following Transcatheter Mitral Valve-in-Valve Replacement Using a Meril Myval Transcatheter Heart Valve

January 28, 2024 No Comments

This study reports on the outcomes of twenty patients who underwent transcatheter mitral valve-in-valve (TMViV) replacement using the Meril Myval transcatheter valve at a tertiary care centre in India, focusing on in-hospital, 30-day, and 1-year results. The findings show a 100% technical success rate, no significant leaks or obstructions, a 10% all-cause mortality at 1 year, and improved NYHA class in survivors, indicating that the procedure is safe and effective with low short-term and medium-term mortality.

Relationship Between Difference of Preoperative and Cardiopulmonary Bypass Mean Arterial Pressure, and Acute Kidney Injury in Cardiac Surgical Patients Undergoing Valve Surgery

January 8, 2024 No Comments

In a study of 112 high-risk cardiac surgery patients, it was found that the difference in pre-operative and on-bypass mean arterial pressure (MAP) and cardiopulmonary bypass (CPB) flows did not significantly predict early post-surgical acute kidney injury (CSA-AKI). However, baseline serum levels of Neutrophil gelatinase-associated lipocalin (NGAL) and its early post-surgical percent change were strong independent predictors of CSA-AKI development, suggesting its potential as a useful biomarker in identifying patients at risk.

Myocardial Protection with Phosphocreatine in High-Risk Cardiac Surgery Patients: A Randomized Trial

January 5, 2024 No Comments

This study tested if phosphocreatine (PCr) reduces troponin I levels in cardiac surgery patients with prolonged aortic clamping and cardiopulmonary bypass. Although PCr was safely administered, it did not lead to a decrease in troponin I concentration or improve other clinical outcomes after surgery.

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

January 5, 2024 No Comments

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.

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

January 4, 2024 No Comments

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.

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

December 31, 2023 No Comments

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.

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

December 30, 2023 No Comments

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.

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

December 21, 2023 No Comments

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.

Platelet Reduction after Aortic Bioprosthesis Implantation: Results from the PORTRAIT Study

December 20, 2023 No Comments

Platelet count reduction (PR) is a common but unclear phenomenon that occurs after aortic bioprosthesis valve implantation (bio-AVR). This study aimed to investigate the occurrence and clinical impact of PR in patients receiving stented, rapid deployment (RDV), or stentless bioprostheses.

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Transcatheter Aortic Valve Implantation to Treat Degenerated Aortic, Mitral and Tricuspid Bioprosthesis

Clinical Outcomes Following Transcatheter Mitral Valve-in-Valve Replacement Using a Meril Myval Transcatheter Heart Valve

Relationship Between Difference of Preoperative and Cardiopulmonary Bypass Mean Arterial Pressure, and Acute Kidney Injury in Cardiac Surgical Patients Undergoing Valve Surgery

Myocardial Protection with Phosphocreatine in High-Risk Cardiac Surgery Patients: A Randomized Trial

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

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

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

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

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

Platelet Reduction after Aortic Bioprosthesis Implantation: Results from the PORTRAIT Study

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