The authors performed a subgroup analysis of the Papillary Muscle Approximation (PMA) trial, a randomized trial that, while showing superiority of PMA + restrictive annuloplasty (RA) over RA alone in terms of LV remodeling and MR recurrence, failed to show a survival advantage and was plagued by a relatively high incidence of reoperation.
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Valve Disease
September 27, 2016
September 23, 2016
The Johns Hopkins group reviewed their experience with mediastinal exploration for bleeding after cardiac surgery during the period from 2011 through June 2014, and retrospectively reviewed the outcomes of two categories of patients: (1) Planned Reexploration, defined as patients left open at the initial operation with a plan for a second-look proc
September 21, 2016
This clinical case describes a double valve surgery in a 58-year-old female patient with Scheie's syndrome, and considers treatment options for symptoms of this rare condition.
September 15, 2016
Balloon aortic valve dilatation has been assumed by some to provide the same outcomes as surgical aortic valvuloplasty. However, the development of precise modern surgical valvuloplasty techniques may result in better
September 7, 2016
This clinical case describes the minimally invasive resection of a papillary fibroelastoma in a 56-year-old male patient.
September 6, 2016
This video describes the technique of right ventricular papillary muscle approximation to the septum (RV-PMA) as an adjunct to cone reconstruction of Ebstein’s anomaly, and reviews some of the authors’ initial results.
August 29, 2016
This video depicts a minimally invasive aortic valve replacement via a right anterolateral mini-thoracotomy, using the Edwards Intuity rapid deployment aortic valve system, in a 75-year-old male patient with severe aortic stenosis.
August 27, 2016
The authors evaluated the accuracy of a semi-automated method of developing 3D images of mitral valve disease, generated from 3D echocardiograms, in clinical decision making. Resulting images were very similar to images created through laborious analysis by hand of echo results, and were dissimilar to images of normal mitral valves. The clinical ut
August 25, 2016
Vinnie Bapat of Guy’s and St. Thomas’ NHS Foundation Trust, London, UK, discusses the development of a minimally invasive aortic valve replacement program at his institution.
August 24, 2016
This single-center retrospective study evaluated outcomes of ESRD patients undergoing valve surgery based on whether they received either a mechanical or tissue valve. The study spanned the years 2002-2014, and included 64 mechanical and 151 tissue valve replacements.