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Valve Disease

January 8, 2018
Rahmanian and colleagues retrospectively compared surgical outcomes and hemodynamics between rapid deployment aortic valve replacement (RDAVR) and standard AVR. The authors conclude that RDAVR required shorter aortic cross-clamp times and allowed for larger prostheses, achieving better hemodynamics than standard AVR.
January 5, 2018
A large cadaveric study of the scalloping of normal mitral valve leaflets. As the accompanying editorial points out, it would be useful to correlate the cadaveric observations to imaging and surgical anatomy.
January 2, 2018
The authors compared mechanically expanded TAVR to self-expanding TAVR in a randomized non-inferiority trial.  Major adverse events occurred in 20% and 17% of patients, respectively (safety measure).  The one-year rates of mortality, stroke, or paravalvular leak for the valves were 15.4% and 25.5%, respectively (effectiveness measure).  Mechanically
December 31, 2017
The Nationwide Inpatient Sample was evaluated to assess tricupsid valve surgery. Isolated and concurrent tricuspid surgery outcomes are analyzed.  The authors conclude that "surgical treatment of TR remains underused and is associated with high operative morbidity and mortality, prolonged hospitalizations, and considerable cost."
December 26, 2017
The Task Force for the Management of Valvular Heart Disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS) copublished the 2017 guidelines for the management of valvular disease in the European Heart Journal and in the European Journal of Cardio-Thoracic Surgery.
December 19, 2017
This technical video illustrates the minimally invasive approach to valve-sparing aortic root replacement.
December 12, 2017
This video demonstrates a sutureless aortic valve replacement via a right anterior thoracotomy on minicardiopulmonary bypass.
November 19, 2017
The authors review their first 1000 robotically assisted mitral valve surgery, demonstrating excellent repair rates and low operative mortality and morbidity.  
November 19, 2017
Del Nido cardioplegia has been used in congenital heart surgery but the data for adult cardiac surgery has been lacking.  This randomized trial compares del Nido to whole blood cardioplegia for patients undergoing either a CABG, valve, or CABG/valve.  The results suggest that the use of del Nido is safe and may streamline the workflow.

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