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Condition: Atrial Fibrillation
Procedure: Heart Valve Surgery

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Total 444 results found since Jan 2013.

Mechanical heart valve prosthesis and warfarin – Treatment quality and prognosis
Conclusion: Patients with a lower warfarin treatment quality measured by TTR have a higher risk of complications such as severe bleeding or death. A TTR of 83% or higher at the individual level should be obtained for best outcome.
Source: Thrombosis Research - March 18, 2014 Category: Hematology Authors: Bartosz Grzymala-Lubanski, Ashkan Labaf, Erling Englund, Peter J. Svensson, Anders Själander Tags: Clinical Studies Source Type: research

Early prosthetic valve degeneration with Mitroflow aortic valves: determination of incidence and risk factors
CONCLUSIONS There is an unexplained incidence (3.6%) of EVD resulting in explantation in some patients at 2 years after surgery. Mitroflow valves may not be suited to a younger age population.
Source: Interactive CardioVascular and Thoracic Surgery - June 18, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Joshi, V., Prosser, K., Richens, D. Tags: Adult Cardiac Source Type: research

Preoperative atrial fibrillation predicts mortality and morbidity after aortic valve replacement
CONCLUSIONS AF was associated with several cardiovascular and cardiac surgery risk factors, but remained independently associated with short- and long-term mortality. AF should be incorporated into cardiac surgery risk models and surgical AF ablation may be considered with AVR.
Source: Interactive CardioVascular and Thoracic Surgery - July 17, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Wang, T. K. M., Ramanathan, T., Choi, D. H.-M., Gamble, G., Ruygrok, P. Tags: Adult Cardiac Source Type: research

Latest Advances in Transseptal Structural Heart Interventions.
Abstract Recent advances in structural heart intervention have produced increasing demand for transseptal access, which was first introduced as a diagnostic tool to directly measure left atrial pressure. Transseptal access allows safe and adequate approach to the left atrium and surrounding structures. Percutaneous transcatheter mitral valve repair using the MitraClip device is a safe and less invasive treatment for selected patients with significant mitral regurgitation, who are at high risk for surgery. This is an echocardiographic- and fluoroscopic-guided procedure requiring accurate transseptal access of the l...
Source: Circulation Journal - July 14, 2014 Category: Cardiology Authors: Matsumoto T, Kar S Tags: Circ J Source Type: research

Preoperative Tissue Doppler Imaging-Derived Atrial Conduction Time Can Predict Postoperative Atrial Fibrillation in Patients Undergoing Aortic Valve Replacement for Aortic Valve Stenosis.
Conclusions:The PA-TDI duration was an independent predictor of POAF after AVR for AS. Patients with PA-TDI duration >147 ms should be considered high risk and treated appropriately to improve outcomes. PMID: 25030299 [PubMed - as supplied by publisher]
Source: Circulation Journal - July 15, 2014 Category: Cardiology Authors: Takahashi S, Fujiwara M, Watadani K, Taguchi T, Katayama K, Takasaki T, Kurosaki T, Imai K, Sueda T Tags: Circ J Source Type: research

Perioperative risk of major non-cardiac surgery in patients with severe aortic stenosis: a reappraisal in contemporary practice
Conclusion Severe aortic stenosis is associated with increased risk of MACE. In contemporary practice, perioperative mortality of patients with SAS is lower than previously reported and the difference from controls did not reach statistical significance. Emergency surgery is the strongest predictor of post-operative death. These results have implications for perioperative risk assessment and management strategies in patients with SAS.
Source: European Heart Journal - September 14, 2014 Category: Cardiology Authors: Tashiro, T., Pislaru, S. V., Blustin, J. M., Nkomo, V. T., Abel, M. D., Scott, C. G., Pellikka, P. A. Tags: Valvular heart disease Source Type: research

092 * early and long-term outcomes of minimally invasive mitral valve surgery through right mini-thoracotomy: a ten-year experience in 1604 patients
Conclusion: Minimally invasive mitral valve surgery is a safe and reproducible approach associated with low mortality and morbidity, high rate of mitral valve repair and excellent late results.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Glauber, M., Miceli, A., Canarutto, D., Ferrarini, M., Farneti, P. A., Murzi, M., Cerillo, A. G., Solinas, M. Tags: Minimally invasive mitral valve surgery Source Type: research

232-i * endoaortic balloon clamping and transthoracic aortic clamping are both safe and effective in minimally invasive mitral valve surgery
Conclusion: Despite recent concerns arising about EAC, this large multicentre study shows equivalence in term of safety and effectiveness of this technique compared with TTC. Reduction in postoperative bleeding was observed in the EAC group despite the higher rate of complex redo cases.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Rinaldi, M., Krakor, R., Bentala, M., Casselman, F., Candolfi, P., Barbero, C., Goldstein, J. Tags: Adult cardiac rapid response 2 Source Type: research

256 * mitral valve repair has better long-term outcomes compared with mitral valve replacement in elderly patients with mitral regurgitation
Conclusion: MVP is a safe option and improves long-term survival and freedom from MACE, even in the elderly with mitral regurgitation.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Okamura, H., Yamaguchi, A., Kimura, N., Itoh, S., Yuri, K., Matsumoto, H., Adachi, H. Tags: Long-term results of mitral valve surgery Source Type: research

Approach to the new oral anticoagulants in family practice: Part 2: addressing frequently asked questions.
CONCLUSION: Management of "what if" scenarios for patients taking NOACs have been proposed, but additional study is needed to address these issues, especially periprocedural management and bleeding. PMID: 25392439 [PubMed - as supplied by publisher]
Source: Canadian Family Physician Medecin de Famille Canadien - November 1, 2014 Category: Primary Care Authors: Douketis J, Bell AD, Eikelboom J, Liew A Tags: Can Fam Physician Source Type: research

Early in-vivo hemodynamic comparison of supra-annular aortic bioprostheses: Trifecta versus Perimount Magna Ease.
CONCLUSION: Early postoperative gradients were significantly lower in patients receiving Trifecta valves, although the long-term clinical outcome and durability of the valve will require further evaluation. PMID: 25296457 [PubMed - indexed for MEDLINE]
Source: Journal of Heart Valve Disease - December 1, 2014 Category: Cardiology Tags: J Heart Valve Dis Source Type: research

Does concomitant tricuspid annuloplasty increase perioperative mortality and morbidity when correcting left-sided valve disease?
In conclusion, there is good evidence to support that tricuspid annuloplasty is a low-risk procedure and concomitant TV repair does not significantly increase the perioperative mortality and morbidity when correcting left-sided valve disease.
Source: Interactive CardioVascular and Thoracic Surgery - December 18, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Zhu, T.-Y., Wang, J.-G., Meng, X. Tags: Basic research vascular Adult Cardiac Source Type: research

Conventional Versus Minimally Invasive Aortic Valve Replacement: Pooled Analysis of Propensity‐Matched Data
ConclusionMinimally invasive aortic valve replacement can be performed safely despite the longer ischemic time. While minimally invasive surgery does demonstrate some advantages in postoperative recovery, we failed to find any other substantial improvement in outcome over conventional aortic valve replacement.
Source: Journal of Cardiac Surgery - December 22, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Ju Y. Lim, Salil V. Deo, Salah E. Altarabsheh, Sung H. Jung, Patricia J. Erwin, Alan H. Markowitz, Soon J. Park Tags: Original Article Source Type: research

Postoperative Atrial Fibrillation After Thoracic Aortic Surgery
Conclusions Several risk factors contribute to the incidence of POAF after thoracic aortic surgery. We found that POAF significantly increased 30-day operative mortality (p < 0.0001). Our findings can be used to develop a risk stratification system for the prediction of POAF.
Source: The Annals of Thoracic Surgery - December 30, 2014 Category: Cardiovascular & Thoracic Surgery Source Type: research

Peri- and postinterventional antithrombotic therapy in TAVI. Do we need antiplatelet therapy?
Abstract Interventional treatment of aortic valve stenosis by transcatheter aortic valve replacement (TAVR) has become routine practice in elderly and high risk patients in recent years. Similar to other vascular interventional or surgical procedures TAVR carries thrombotic risks such as stroke, myocardial infarction or systemic embolism as well as peri-procedural bleeding risks. These risks comprise the access site, the type of prosthesis, and the individual risk profile of the patient. Not only during the peri-procedural period but also during longterm follow-up the current target population for TAVR procedures ...
Source: Hamostaseologie - January 7, 2015 Category: Hematology Authors: Moser M Tags: Hamostaseologie Source Type: research