Sutureless aortic valve and pacemaker rate: from surgical tricks to clinical outcomes (Commentary)

Publication date: Available online 25 January 2019Source: The Annals of Thoracic SurgeryAuthor(s): David A. D'Alessandro, Arminder Singh Jassar
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research

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This study sought to investigate what could be learned from how these men have fared. The men were born in 1925-1928 and similar health-related data from questionnaires, physical examination, and blood samples are available for all surveys. Survival curves over various variable strata were applied to evaluate the impact of individual risk factors and combinations of risk factors on all-cause deaths. At the end of 2018, 118 (16.0%) of the men had reached 90 years of age. Smoking in 1974 was the strongest single risk factor associated with survival, with observed percentages of men reaching 90 years being 26.3, 25.7, ...
Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
Publication date: July 2019Source: Revista Española de Cardiología (English Edition), Volume 72, Issue 7Author(s): Mariana Castro, João Abecasis, Tiago Nolasco
Source: Revista Espanola de Cardiologia - Category: Cardiology Source Type: research
We present a case of surgical treatment of TAVR-PVE in a 75-years-old patient. The success of the treatment is based on the reduction of the operative trauma and length of the procedure with the use of minimally invasive right-sided thoracotomy and Perceval® sutureless aortic valve prosthesis (LivaNova, London, UK).
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
Publication date: Available online 21 June 2019Source: The Annals of Thoracic SurgeryAuthor(s): Hiroyuki Tsukui, Shizuko Iwasa, Kenji YamazakiAbstractProsthetic valve removal for reoperative valve replacement is time consuming and has a risk of damage to the heart because of severe adhesions. We have developed a quick, easy and safe technique to remove prosthetic valves using an ultrasonic scalpel (Harmonic Scalpel; Ethicon Endo-Surgery, Inc., Cincinnati, OH, USA).The space between the prosthesis and the native annulus was carefully dissected using HARMONIC SYNERGY® Blades connected to an Ethicon Gen11 Generator at ene...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
Publication date: Available online 21 June 2019Source: The Annals of Thoracic SurgeryAuthor(s): Vinay Badhwar, Takashi Murashita, Lawrence M. Wei, J. Scott RankinAbstractA 51-year-old male with congestive heart failure, Sievers Type 1 BAV, and severe aortic insufficiency had an upper mini-sternotomy. The annulus sized to 27 mm, and the non-fused cusp to a 21-mm bicuspid ring. Using the geometric annuloplasty ring, two 180° subcommissural ring posts, 3 non-fused looping annular sutures, and 4 fused annular sutures were placed. Plication sutures raised non-coronary leaflet to a reference effective height of 10 mm, and fu...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
ConclusionsThe change of slope was dependent on surgical procedures. In functional mitral regurgitation, the slope may be a more sensitive parameter in reflecting the left ventricular contractile function than the left ventricular ejection fraction.
Source: General Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
In this study we sought to evaluate long-term outcomes of SVAS repair.MethodsA total of 87 patients underwent surgical repair of congenital SVAS at our institution between 1997 and 2017. Forty one patients had Williams syndrome and 46 patients were non-Williams syndrome of which 23 sporadic SVAS and 13 familial elastin arteriopathy. Demographic data and outcomes were reviewed and analyzed from medical records.ResultsThe median age at operation was 2.9 years. Mean z-score of sinotubular junction was -3.29 ± 1.42 and aortic root was -0.09 ± 1.19. Twenty six percent (n=22) patients had coronary ostium stenosis a...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
We present a 27-year-old rheumatic patient with mechanical valves in the aortic and mitral positions and a left main coronary artery drug-eluting stent for left main compression who underwent a 4th time redo modified Bentall procedure with a homemade mechanical composite graft for the contained rupture of an LVOT pseudoaneurysm.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
This study aimed to evaluate changes in volume, risk profile, and outcomes among elderly individuals undergoing isolated aortic valve replacement (AVR) after TAVR approval in the United States. Retrospective cohort study of patients ≥65 years old with at least one procedural code for isolated SAVR or TAVR among the Medicare beneficiaries between January 1, 2009 and December 31, 2014. A total of 137,563 hospitalizations for isolated AVR between 2009 and 2014 were included (SAVR: 102,968 [74.9%]; TAVR: 34,595 [25.1%]).
Source: International Journal of Cardiology - Category: Cardiology Authors: Source Type: research
Despite advancements in the safety of transcatheter aortic valve replacement (TAVR) resulting in progressively wider indications, adverse periprocedural outcomes still raise concern. Real-world outcome data are thus of primary importance to evaluate the procedural risk-benefit trade-off in the continuously changing populations undergoing TAVR.
Source: International Journal of Cardiology - Category: Cardiology Authors: Tags: Short communication Source Type: research
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