Initial Experience and Early Results of Mitral Valve Repair with Cardiocel Pericardial Patch.
CONCLUSIONS: Initial results of the CardioCel patch in mitral valve repair surgery are satisfactory. The resistance to infection and late degeneration will need to be assessed in the future. PMID: 29885979 [PubMed - as supplied by publisher]
ConclusionsInitial results with the CardioCel patch in mitral valve repair operations were satisfactory. The resistance to infection and late degeneration will need to be assessed in the future.
Publication date: September 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 3Author(s): Bobby Yanagawa, Malak Elbatarny, Subodh Verma, Samantha Hill, Amine Mazine, John D. Puskas, Jan O. FriedrichBackgroundThis meta-analysis compares the early and late outcomes of valve repair versus replacement, the primary surgical strategies for tricuspid valve infective endocarditis (IE).MethodsWe searched MEDLINE and EMBASE databases until 2016 for studies comparing tricuspid valve repair and replacement.ResultsThe main outcomes were mortality, recurrent IE, and need for reoperation. There were 12 unmatched retrospective...
ConclusionsTricuspid valve endocarditis patients who undergo tricuspid valve excision, repair, and replacement have similar 30-day operative mortality, as defined by The Society of Thoracic Surgeons. Excision patients have significantly lower unplanned readmission rates at 1 year. Tricuspid valvectomy is an acceptable initial treatment in this high-risk group as part of a surgical strategy to identify patients who are candidates for eventual valve replacement. Further study of long-term outcomes and survival is warranted.
CONCLUSIONS: Glutaraldehyde was safely used in a surgical intervention for AAIE in the mitral position with acceptable early and mid-term results. PMID: 30068854 [PubMed - as supplied by publisher]
The objective of this study is to systematically review the rate of morbidity and mortality associated with mitral valve repair or replacement in infective endocarditis.
Conclusions Initial results of the CardioCel patch in mitral valve repair surgery are satisfactory. The resistance to infection and late degeneration will need to be assessed in the future.
Rheumatic heart disease (RHD) is an important cause of heart disease globally. Its management can encompass medical and procedural (catheter and surgical) interventions. Literature pertaining to the medical management of RHD from PubMed 1990–2016 and via selected article reference lists was reviewed. Areas included symptom management, left ventricular dysfunction, rate control in mitral stenosis, atrial fibrillation, anticoagulation, infective endocarditis prophylaxis, and management in pregnancy. Diuretics, angiotensin blockade and beta-blockers for left ventricular dysfunction, and beta-blockers and If inhibitors f...
Authors: Namkoong M, Hong SB, Kim HW, Jo KH, Kim JY Abstract Superior mesenteric artery (SMA) aneurysms are rare and often fatal. A 72-year-old man had previously been admitted to the emergency room with epigastric pain and heart murmur. The echocardiographic diagnosis was vegetation on the aortic and mitral valves, with moderate regurgitation from both valves due to infective endocarditis. No aneurysm was detected on abdominal computed tomography, and emergency double-valve replacement was performed. On postoperative day 25, the patient experienced abrupt abdominal pain, and computed tomography revealed a mycotic ...
The indications for surgery in native valve endocarditis are now well defined by the guidelines developed by the main societies of cardiology and cardiac surgery from both sides of the Atlantic.1,2 However, the choice of surgical procedure is less well defined, especially with regard to repair versus replacement. The principal concern is the effect of active infection on the feasibility and durability of repair, and this applies to all valves, especially the aortic and the mitral. But recurrence of infection is very common after implantation of a prosthesis, whether mechanical or biological, apparently with no difference between the two.