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What is the best approach in a patient with a failed aortic bioprosthetic valve: transcatheter aortic valve replacement or redo aortic valve replacement?
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether transcatheter aortic valve-in-valve replacement (viv-TAVR) or redo aortic valve replacement (rAVR) is the best strategy in a patient with a degenerative bioprosthetic aortic valve. Altogether, 162 papers were found using the reported search, of which 12 represented the best evidence to answer the question. The authors, journal, date, country of publication, patient group, study type, outcomes and results of papers are tabulated. The results of the studies provided interesting results. All the studies ...
Source: Interactive CardioVascular and Thoracic Surgery - May 28, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Tourmousoglou, C., Rao, V., Lalos, S., Dougenis, D. Tags: Lung - cancer, Trachea and bronchi, Congestive Heart Failure, Transplantation - heart, Valve disease, Vascular malformations Adult Cardiac Source Type: research

Clinical Presentation of Native Mitral Valve Infective Endocarditis Determines Long‐Term Outcome after Surgery
ConclusionsLong‐term survival after surgery for native mitral valve IE was independently influenced by the presence of preoperative embolic stroke, congestive heart failure or uncontrolled bacteremia alone, or in combination.
Source: Journal of Cardiac Surgery - June 1, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Sigurdur Ragnarsson, Johan Sjögren, Martin Stagmo, Per Wierup, Shahab Nozohoor Tags: Original Article Source Type: research

Outcome of left ventricular surgical remodelling after the STICH trial ADULT CARDIAC
CONCLUSIONS Our findings show that patients, who are candidates for LVSR, have mostly akinetic areas and CIMR requiring surgical correction and are severely symptomatic. Severe LVDD is common and, along with emergency status, is the most important risk factor for early and late outcome.
Source: European Journal of Cardio-Thoracic Surgery - October 4, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Calafiore, A. M., Iaco, A. L., Kheirallah, H., Sheikh, A. A., Al Sayed, H., El Rasheed, M., Allam, A., Awadi, M. O., Alfonso, J. J., Osman, A. A., Di Mauro, M. Tags: Electrophysiology - arrhythmias, Minimally invasive surgery ADULT CARDIAC Source Type: research

Restrictive Mitral Valve Annuloplasty: Prognostic Implications of Left Ventricular Forward Flow
Conclusions In patients with severe secondary MR treated with surgical repair, LV forward flow was independently associated with better survival and lower risk of the combined endpoint.
Source: The Annals of Thoracic Surgery - October 18, 2017 Category: Cardiovascular & Thoracic Surgery Source Type: research

Restrictive Mitral Valve Annuloplasty: Prognostic Implications of Left Ventricular Forward Flow.
CONCLUSIONS: In patients with severe secondary MR treated with surgical repair, LV forward flow was independently associated with better survival and lower risk of the combined endpoint. PMID: 28964411 [PubMed - indexed for MEDLINE]
Source: The Annals of Thoracic Surgery - November 1, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Kamperidis V, van Wijngaarden SE, van Rosendael PJ, Kong WK, Leung M, Sianos G, Ajmone Marsan N, Delgado V, Bax JJ Tags: Ann Thorac Surg Source Type: research

Use of the ClearSight ® System for Continuous Noninvasive Hemodynamic Monitoring during Heart Valve Interventions: Review of the Literature and Single-Site Experience.
Use of the ClearSight® System for Continuous Noninvasive Hemodynamic Monitoring during Heart Valve Interventions: Review of the Literature and Single-Site Experience. Heart Surg Forum. 2018 Nov 14;21(6):E476-E483 Authors: Gellert G, Bramlage P Abstract During interventional and structural cardiology procedures, such as mitral valve (MitraClip, BMV), aortic valve (TAVR, BAV), tricuspid valve (MitraClip), left atrial appendage (Watchman, Lariat), atrial septum (ASD/PFO closure), and coronary artery intervention (high-risk PCI), among others, patients are at a high risk of hemodynamic instability and re...
Source: The Heart Surgery Forum - November 14, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Gellert G, Bramlage P Tags: Heart Surg Forum Source Type: research

Early Hemodynamic Changes and Long-Term Outcome Of Patients With Severe Low Gradient Aortic Stenosis After Transcatheter Aortic Valve Replacement.
CONCLUSIONS: NFLG-AS was the most prevalent form of LG severe AS and was associated with adequate left ventricular compensation and good prognosis. On the other hand, CLFLG-AS represents the heart-failure with reduced ejection fraction (HFrEF) form of AS and was associated with the worst prognosis, whereas PLFLG-AS represents the heart-failure with preserved ejection fraction (HFpEF) form of AS with intermediary prognosis. Both groups showed early hemodynamic reverse response after TAVR. PMID: 31566569 [PubMed - as supplied by publisher]
Source: EuroIntervention - October 1, 2019 Category: Cardiovascular & Thoracic Surgery Tags: EuroIntervention Source Type: research

Minimally Invasive versus Full Sternotomy for Isolated Aortic Valve Replacement in Low-risk Patients
CONCLUSIONS: For patients at low risk for isolated surgery, MI and FS approaches were associated with similar in-hospital and 1-year outcomes.PMID:34958771 | DOI:10.1016/j.athoracsur.2021.11.048
Source: The Annals of Thoracic Surgery - December 27, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Mark J Russo Vinod H Thourani David J Cohen S Chris Malaisrie Wilson Y Szeto Isaac George Susheel K Kodali Raj Makkar Michael Lu Mathew Williams Tom Nguyen Gabriel Aldea Philippe Genereux H Kenith Fang Maria C Alu Erin Rogers Alexis Okoh Howard C Herrmann Source Type: research

Minimally Invasive Mitral Valve Surgery in the Elderly
Conclusion miMVS results in satisfactory early postoperative outcomes in elderly patients. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: The Thoracic and Cardiovascular Surgeon - March 1, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Franz, Maximilian De Manna, Nunzio Davide Schulz, Saskia Ius, Fabio Haverich, Axel Cebotari, Serghei Tudorache, Igor Salman, Jawad Tags: Original Cardiovascular Source Type: research

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