Morphology of Sinus of Valsalva after aortic valve sparing root replacement using Valsalva graft
Publication date: Available online 12 September 2019Source: The Annals of Thoracic SurgeryAuthor(s): Naoki Tadokoro, Yosuke Inoue, Kenji Minatoya, Hitoshi MatsudaAbstractUtilization of Gelweave Valsalva graft (Terumo Vascutek) for David type valve sparing aortic root replacement was still controversial because this prosthesis didn’t completely reproduce the native sinus of Valsalva. We focused on the morphology of pseudo-Valsalva sinus after the re-implantation procedure and evaluated our novel crimp plication stich from the viewpoint of morphology of Valsalva sinus at mid-term follow up periods.
ConclusionsToday, BAV repair leads to excellent stability if an anatomy-oriented concept is used. Further improvements of cinical results and reproducibility can be anticipated.
ConclusionsThis independent, multicenter, retrospective study indicates that Mosaic porcine bioprosthesis for MVR provides satisfactory results in terms of early outcomes and long term outcomes up to 14 years from its implant.
Publication date: Available online 10 October 2019Source: The Annals of Thoracic SurgeryAuthor(s): Pouya Youssefi, Carlotta Brega, Nathanael Shraer, Pavel Zacek, Mathieu Debauchez, Emmanuel Lansac
Publication date: Available online 9 October 2019Source: The Annals of Thoracic SurgeryAuthor(s): Jing Zhang, Wenrui Ma, Ye KongAbstractIdiopathic rupture of aortic valve commissure is an extremely rare cause of acute aortic regurgitation. Here, we reported one case of commissural rupture in the presence of a giant root aneurysm and a history of chronic aortic regurgitation, which emphasized the diagnostic value of high-quality 3-dimensional reconstructions of multimodality imaging in assessing the cause of abruptly deteriorating valve regurgitation.
Publication date: October 2019Source: Canadian Journal of Cardiology, Volume 35, Issue 10, SupplementAuthor(s): H. Stubeda, H. Aliter, R. Gainer, G. Hirsch
Publication date: October 2019Source: Canadian Journal of Cardiology, Volume 35, Issue 10, SupplementAuthor(s): N. Adreak, D. Peng, Y. Zhao, A. Cheung
In this study, the hemodynamics of the right ventricle (RV) after (i) clover edge-to-edge tricuspid repair and (ii) double orifice tricuspid repair was evaluated in three right heart models using an ex vivo pulsatile platform emulating severe FTR with the aid of stereoscopic particle image velocimetry. Although all repairs substantially reduced tricuspid regurgitant area, they resulted in more than 50% reduction in diastolic tricuspid valve (TV) opening area. Splitting the TV orifice into multiple smaller orifices by both repairs eliminated the ring-shaped vortical structure inside the RV observed in FTR cases. Post-repair...
The impact of diabetes mellitus (DM) on clinical outcomes after transcatheter aortic valve replacement (TAVR) remains unclear. The aim of this study was to investigate the impact of DM on short-term clinical outcomes after TAVR in a large randomized trial population.
Trans-catheter aortic valve implantation (TAVI) is currently becoming an alternative to surgical valve replacement for patients at low risk, a population that is likely to experience an increase in the radiation-induced cancer risk following TAVI. We aimed to evaluate the overall exposure to ionizing radiation in patients undergoing trans-femoral TAVI, including the procedure itself as well as the procedures performed in the pre-intervention work-up and the post-TAVI interventions. All patients who underwent trans-femoral TAVI for symptomatic aortic stenosis in our centre over a 26 months period were included.
Cardiac rehabilitation (CR), or “cardiac rehab,” is a multifaceted, medically supervised program proven to improve heart health and outcomes in people with certain types of cardiovascular disease. CR revolves around three major components: an individualized exercise and training program, education on topics related to heart health, and stress reduction. CR is currently recommended for the following diagnoses: angina (chest pain); heart attack with or without angioplasty or bypass surgery; heart failure with reduced ejection fraction (HFrEF); and heart surgery including heart valve procedures or heart or heart/l...