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]
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Ann Thorac Surg Source Type: research

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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.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
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...
Source: Cardiology in Review - Category: Cardiology Tags: Review Articles Source Type: research
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 ...
Source: Korean Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Tags: Korean J Thorac Cardiovasc Surg Source Type: research
Source: The Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Source Type: research
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.
Source: The Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Editorial commentary Source Type: research
Locations of vegetations in endocarditis depends on direction of the blood flow jet which causes jet lesions at the site which it impinges, causing damage to the endothelium. It is at this region that small thrombi can form and become a nidus for vegetations. In ventricular septal defect (VSD), there is a left to right jet from the left ventricle to right ventricle. The smaller the size of the VSD, higher the pressure gradient between the two ventricles and greater the velocity of the jet and chance for jet lesion. For the same reason, endocarditis is more common in small VSD and rare in large VSD. When there is a jet, th...
Source: Cardiophile MD - Category: Cardiology Authors: Tags: General Cardiology Source Type: blogs
Conclusions Tricuspid valve excision, repair, and replacement have similar 30-day operative mortality, as defined by the STS, in TV endocarditis patients and significantly lower unplanned readmission rates at one year in the excision patients. 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.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
CONCLUSIONS: Tricuspid valve excision, repair, and replacement have similar 30-day operative mortality, as defined by the STS, in TV endocarditis patients and significantly lower unplanned readmission rates at one year in the excision patients. 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. PMID: 29777672 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Ann Thorac Surg Source Type: research
Catheterization and Cardiovascular Interventions, EarlyView.
Source: Catheterization and Cardiovascular Interventions - Category: Cardiovascular & Thoracic Surgery Authors: Source Type: research
Conclusions Tricuspid valve repair and replacement offer similar long term survival. Valve repair may offer greater freedom from recurrent IE and reoperation as well as need for pacemaker and should be the preferred approach for patients with tricuspid valve IE.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
More News: Cardiology | Cardiovascular & Thoracic Surgery | Endocarditis | Gastroschisis Repair | Heart | Infective Endocarditis