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Aortic valve repair in the paediatric population: insights from a 38-year single-centre experience CONGENITAL
CONCLUSIONS In our experience, AV repair in the paediatric population provides excellent results in terms of both overall survival and valve-related reoperation. It obviates the need for chronic anticoagulation and in most cases delays the time at which more complex surgery such as the Ross procedure should be undertaken.
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Poncelet, A. J., El Khoury, G., De Kerchove, L., Sluysmans, T., Moniotte, S., Momeni, M., Detaille, T., Rubay, J. E. Tags: Basic research vascular CONGENITAL Source Type: research

Long-term follow-up after aortic root replacement with the Shelhigh(R) biological valved conduit: a word of caution! ADULT CARDIAC
CONCLUSIONS The first long-term follow-up after aortic root replacement with the Shelhigh® BioConduit revealed a relatively high rate of death and very high rate of reoperations due to endocarditis, aorto-ventricular disconnection and structural valve failure. This may be potentially connected to the nature of the implanted valved conduit.
Source: European Journal of Cardio-Thoracic Surgery - December 19, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Sahin, A., Müggler, O., Sromicki, J., Caliskan, E., Reser, D., Emmert, M. Y., Alkadhi, H., Maisano, F., Falk, V., Holubec, T. Tags: Pericardium, Basic research vascular ADULT CARDIAC Source Type: research

Early valve repair or replacement is not generally contraindicated in patients with infective endocarditis and stroke with or without intracranial haemorrhage ADULT CARDIAC
Source: European Journal of Cardio-Thoracic Surgery - July 19, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Carrel, T. Tags: Electrophysiology - arrhythmias, Basic research vascular ADULT CARDIAC Source Type: research

Can radiological characteristics of preoperative cerebral lesions predict postoperative intracranial haemorrhage in endocarditis patients? ADULT CARDIAC
CONCLUSIONS The results suggest that the incidence of postoperative ICH in IE patients was slightly higher in the presence of preoperative cerebral infarcts. In addition, preoperative cerebral ischaemic infarcts complicated with HT tended to have a higher incidence of postoperative ICH than those not complicated with HT. However, the difference was not statistically significant. Multiple preoperative cerebral infarcts were not associated with higher incidence of postoperative ICH compared with single cerebral infarcts.
Source: European Journal of Cardio-Thoracic Surgery - April 28, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Diab, M., Guenther, A., Scheffel, P., Sponholz, C., Lehmann, T., Hedderich, J., Faerber, G., Brunkhorst, F., Pletz, M. W., Doenst, T. Tags: History, Basic research vascular ADULT CARDIAC Source Type: research

Clinical and haemodynamic outcomes in 658 patients receiving the Perceval sutureless aortic valve: early results from a prospective European multicentre study (the Cavalier Trial) ADULT CARDIAC
CONCLUSIONS The current 30-day results show that the Perceval valve is safe (favourable haemodynamic effect and low complication rate), and can be implanted with a fast and reproducible technique after a short learning period. Short cross-clamp and CPB times were achieved in both isolated and combined procedures. The Perceval valve represents a promising alternative to biological AVR, especially with a less invasive approach and in older patients.
Source: European Journal of Cardio-Thoracic Surgery - February 6, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Laborde, F., Fischlein, T., Hakim-Meibodi, K., Misfeld, M., Carrel, T., Zembala, M., Madonna, F., Meuris, B., Haverich, A., Shrestha, M., on behalf of the Cavalier Trial Investigators, on behalf of the Cavalier Trial Investigators, Folliguet, Zannis, Pfei Tags: Basic research vascular ADULT CARDIAC Source Type: research

Early and late outcomes of complex aortic root surgery in patients with aortic root abscesses ADULT CARDIAC
CONCLUSIONS The surgical treatment of aortic root abscess is a challenging operation and is associated with a high early morbidity and mortality. However, the long-term survival and freedom from reoperation is satisfactory.
Source: European Journal of Cardio-Thoracic Surgery - January 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Leontyev, S., Davierwala, P. M., Krogh, G., Feder, S., Oberbach, A., Bakhtiary, F., Misfeld, M., Borger, M. A., Mohr, F. W. Tags: Basic research vascular ADULT CARDIAC Source Type: research

Surgical management of infective endocarditis: an analysis of early and late outcomes ADULT CARDIAC
CONCLUSIONS Surgical management of endocarditis continues to be challenging and is associated with significant morbidity and mortality. This report of 191 patients who underwent valve surgery for IE shows that in-hospital mortality is influenced by preoperative renal function and stroke at the time of presentation. The optimal timing for surgery in patients with stroke remains controversial. Long-term survival was negatively influenced by increasing age, moderate to severely impaired LVEF, prosthetic valve IE and S. aureus infection.
Source: European Journal of Cardio-Thoracic Surgery - April 9, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Pang, P. Y. K., Sin, Y. K., Lim, C. H., Tan, T. E., Lim, S. L., Chao, V. T. T., Chua, Y. L. Tags: Cardiac - other, Valve disease ADULT CARDIAC Source Type: research

Mid-term results of aortic valve surgery in redo scenarios in the current practice: results from the multicentre European RECORD (REdo Cardiac Operation Research Database) initiative ADULT CARDIAC
CONCLUSIONS RAVR achieves overall satisfactory results. Baseline risk factors and perioperative complications strongly affect outcomes and mandate improvements in perioperative management. New emerging strategies might be considered in selected high-risk cases.
Source: European Journal of Cardio-Thoracic Surgery - January 7, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Onorati, F., Biancari, F., De Feo, M., Mariscalco, G., Messina, A., Santarpino, G., Santini, F., Beghi, C., Nappi, G., Troise, G., Fischlein, T., Passerone, G., Heikkinen, J., Faggian, G. Tags: Basic research vascular ADULT CARDIAC Source Type: research

Transapical aortic valve implantation: mid-term outcome from the SOURCE registry ADULT CARDIAC
CONCLUSIONS These results demonstrate that in elderly patients with severe co-morbidities, TA aortic valve implantation results in excellent mid-term results. Causes of death during the mid-term follow-up are mainly non-cardiac and related to co-morbidities.
Source: European Journal of Cardio-Thoracic Surgery - February 8, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Wendler, O., Walther, T., Schroefel, H., Lange, R., Treede, H., Fusari, M., Rubino, P., Thomas, M., on behalf of the SOURCE investigators Tags: ADULT CARDIAC Source Type: research