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Outcomes of aortic valve-sparing root replacement with cusp repair in connective tissue disease
CONCLUSION: Remodelling and aortic valve repair showed excellent durability at 5 years, even in connective tissue disorders.PMID:37640626 | DOI:10.1016/j.acvd.2023.07.005
Source: Archives of Cardiovascular Diseases - August 28, 2023 Category: Cardiology Authors: Pichoy Danial Pierre Demondion Mathieu Debauchez Pascal Leprince Emmanuel Lansac Source Type: research

Outcomes of Concomitant Coronary Artery Bypass Grafting in Patients With Infective Endocarditis: A Systematic Review and Meta-Analysis
It is current practice to perform concomitant coronary artery bypass grafting (CABG) in patients with infective endocarditis who have relevant coronary artery disease. However, CABG may add complexity to the operation. We performed a systematic review and a meta-analysis of studies that presented outcomes from patients who underwent valve surgery because of infective endocarditis with or without concomitant CABG. Three databases were assessed. Perioperative mortality was the primary outcome. Long-term mortality and postoperative stroke were the secondary outcomes.
Source: The American Journal of Cardiology - August 26, 2023 Category: Cardiology Authors: Tulio Caldonazo, Hristo Kirov, Torsten Doenst, Panagiotis Tasoudis, Alexandros Moschovas, Gloria Faerber, Ricardo E. Treml, Michel Pompeu S á, Murat Mukharyamov, Mahmoud Diab Source Type: research

Positive Microbiology of Embolectomy Tissue Leading to Diagnosis of Infective Endocarditis
Infective endocarditis is an uncommon but not rare differential for stroke. This case highlights the importance of microbiological analysis of retrieved embolectomy tissue in the diagnosis of infective endocarditis.
Source: Heart, Lung and Circulation - July 1, 2023 Category: Cardiology Authors: A. Dind, D. Vickers, G. Mathur Source Type: research

Transcatheter Aortic Valve Replacement for Aortic Valve Infective Endocarditis: A Systematic Review and Call for Action
AbstractWe aimed to systematically analyze the literature on the use of transcatheter aortic valve replacement (TAVR) to treat active aortic valve infective endocarditis (AV-IE). Surgery is declined in one-third of patients with IE who meet indications because of prohibitive surgical risk. TAVR might be an alternative for selected patients with AV-IE as a bridge-to-surgery or stand-alone therapy. PubMed/MEDLINE, Embase, and Cochrane databases were searched (2002 –2022) for studies on TAVR use in active AV-IE. Of 450 identified reports, six met inclusion criteria (all men, mean age 71 ± 12 years, median Society of T...
Source: Cardiology and Therapy - April 20, 2023 Category: Cardiology Source Type: research

Adding Fuel to the Fire: Infective Endocarditis and the Challenge of Cerebrovascular Complications
AbstractPurpose of ReviewInfective endocarditis is a deadly disease and made more deadly by neurologic complications. We review the cerebrovascular complications of infective endocarditis and focus our discussion on medical and surgical management.Recent FindingsWhile management of stroke in the setting of infective endocarditis differs from standard stroke treatment, mechanical thrombectomy has proven safe and successful. Optimal timing of cardiac surgery in the setting of stroke remains an area of debate, but additional observational studies continue to add more detail to the discussion.SummaryCerebrovascular complicatio...
Source: Current Cardiology Reports - March 27, 2023 Category: Cardiology Source Type: research

Contemporary demographics, diagnostics and outcomes in non-bacterial thrombotic endocarditis
Conclusions NBTE was more prevalent in females and embolic complications were the most frequent clinical finding. Overall, patients with NBTE had a poor prognosis, particularly in those with lung cancer or metastatic tumours. Further studies in patients with NBTE are needed given its morbidity and mortality.
Source: Heart - September 26, 2022 Category: Cardiology Authors: Quintero-Martinez, J. A., Hindy, J.-R., El Zein, S., Michelena, H. I., Nkomo, V. T., DeSimone, D. C., Baddour, L. M. Tags: Valvular heart disease, Editor's choice Source Type: research

Temporal trends in incidence, patient characteristics, microbiology and in-hospital mortality in patients with infective endocarditis: a contemporary analysis of 86,469 cases between 2007 and 2019
ConclusionsIn this contemporary cohort, incidence of IE increased over time and in-hospital mortality remained high (~  15%). Whilestaphylococcus andstreptococcus were the predominant microorganisms, bacteremia withstaphylococcus and Gram-negative pathogens were associated with higher likelihood of in-hospital mortality. Our results highlight the need for new preventive strategies and interventions in patients with IE.Graphical abstractInfective endocarditis in Germany.BCNIE blood culture-negative infective endocarditis,IE infective endocarditis
Source: Clinical Research in Cardiology - September 12, 2022 Category: Cardiology Source Type: research

Long-term outcomes of mechanical versus biological valve prosthesis in native mitral valve infective endocarditis
Conclusion. The use of mechanical mitral valve prosthesis is associated with lower long-term mortality compared to the biological prosthesis in non-elder native mitral valve infective endocarditis patients. The routine choice of biological mitral valve prostheses for this patient group is not supported by the results.PMID:35652503 | DOI:10.1080/14017431.2022.2079712
Source: Scandinavian Cardiovascular Journal - June 2, 2022 Category: Cardiology Authors: Markus Malmberg Vesa Anttila P äivi Rautava Jarmo Gunn Ville Kyt ö Source Type: research

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