Midterm outcome of aortic valve neocuspidization for aortic valve stenosis with small annulus
ConclusionsThe midterm outcome of AVNeo for AS with a small annulus was excellent. The long-term outcome and reliability of this procedure must be fully clarified.
Authors: Conen A, Stortecky S, Moreillon P, Hannan MM, Franzeck FC, Jeger R, Widmer AF Abstract Infective endocarditis (IE) after transcatheter aortic valve implantation (TAVI) is a new disease entity. The rate of IE after TAVI is like that after surgical aortic valve replacement, but mortality and prevalence of Enterococcus spp. as causing pathogens are significantly higher. Guidelines on infection prevention measures before TAVI procedures are currently lacking. We performed a structured review of the available data to provide interim recommendations based on guidelines to prevent infections issued by the World H...
Publication date: Available online 19 March 2020Source: The Annals of Thoracic SurgeryAuthor(s): Rajdeep Bilkhu, Marjan Jahangiri
AbstractThe optimal timing of cardiac surgery in infective endocarditis (IE) remains debated: Early surgery decreases the risk of embolism, and heart failure, but is associated with an increased rate of positive valve culture. To determine the determinants, and the consequences, of positive valve culture when cardiac surgery is performed during the acute phase of IE, we performed a retrospective study of adult patients who underwent cardiac surgery for definite left-sided IE (Duke Criteria), in two referral centres. During the study period (2002 –2016), 148 patients fulfilled inclusion criteria. Median age was 65 yea...
PMID: 32199824 [PubMed - as supplied by publisher]
ConclusionsFollowing heart valve surgery, the risk of recurrent IE was significantly higher than the risk of first-time IE.Graphic abstract
Journal of Cardiac Surgery, EarlyView.
AbstractHerein, we describe a rare case ofCorynebacterium jeikeium endocarditis that silently progressed in a 65-year-old man undergoing hemodialysis. Because routine monthly blood examination revealed high C-reactive protein levels, blood cultures were collected, although he had no symptom and was afebrile. After 2 days, a Gram-positive rod was detected in one set of the blood culture. Furthermore, transthoracic echocardiography revealed new aortic regurgitation (AR) and vegetations, and, therefore, infective endocarditis was suspected. Transesophageal echocardiography showed vegetations with a maximum diame ter of ...
Conclusions. In this cohort, streptococci were the most common causative microorganism. Approximately, one-third of the patients had prosthetic valves. Mortality remains high, underscoring the need for continuous medical awareness. A high number of streptococcus infections in this cohort suggest dental origin. PMID: 32157906 [PubMed - as supplied by publisher]
GERBODE DEFECT, a communication from the left ventricle (LV) to right atrium (RA), can be congenital or acquired.1,2 The congenital form involves the membranous portion of the interventricular septum extending to the atrial aspect. A defect communicating from the LV to the RA above the septal leaflet of the tricuspid valve is characteristic of the acquired form.3 Previous heart valve surgery, infective endocarditis, and myocardial infarct have been reported to be potential causes of the acquired form.
Conclusion: The findings show that the positive improvement in HRQoL from exercise-based cardiac rehabilitation cannot simply be explained by an improvement in physical performance.