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Valve Disease

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.
November 16, 2017
This brief article compares costs and morbidities for TAVR and SAVR in the current era.  TAVR costs are higher than for SAVR and have increased despite no apparent change in comorbidity index.  In contrast, SAVR costs remained stable during the same period.
November 15, 2017
With the impressive average of 150 mitral repairs annually for the last 16 years (possibly a world record, even more impressive given the population of Portugal), the Coimbra team led by Antunes reflects on six cases of circumflex artery injury, mostly in non-right dominant anatomy as expected.
November 9, 2017
Using a data set from 682 US hospitals during a 10-year period, the relationship of hospital procedure volume for AVR and MVR to adjusted mortality rate was evaluated.  Using terciles of volume to classify hospitals according to quality resulted in misclassification of 305 hospitals.  Hospital volume has only a modest association with quality as judg
November 8, 2017
Trends in the use of bioprosthetic versus mechanical valves for AVR and MVR were assessed using a California-based surgical population from 1996-2013.  During this period the use of bioprosthetic devices increased from 12% to 52% for AVR and from 17% to 54% for MVR.  Bioprostheses were associated with substantially increased 15-year mortality in youn
November 1, 2017
Mohamad Bashir moderates a discussion on the use of sutureless aortic valves in patients with bicuspid aortic valves, which was filmed at the 2017 STS Annual Meeting in Houston, Texas.
October 31, 2017
This article describes a single-stage surgical repair of pectus excavatum combined with mitral valve repair and David procedure in a patient with Marfan syndrome.
October 26, 2017
The Swiss Society of Cardiology and the Swiss Society of Cardiac Surgery officially endorse the European guidelines on the modern heart team and intend to ensure that all cardiac institutions are informed about the application of the heart team approach to daily clinical practice.

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