Using University of Michigan Health and Retirement Study data, the authors evaluated marital status at the time of cardiac surgery and subsequent survival or deterioration in the ability to perform activities of daily living (ADLs) independently. At follow-up, those who were married had a 19.4% incidence of death or new disability, which was simila
ALERT!
This site is not optimized for Internet Explorer 8 (or older).
Please upgrade to a newer version of Internet Explorer or use an alternate browser such as Chrome or Firefox.
Valve Disease
October 20, 2015
This video presents a repair of a mitral valve in a 73-year-old man with history of PND and one episode of pulmonary edema. The patient suffered from severe eccentric mitral regurgitation due to ruptured chordae and a thickened enlarged P2 segment.
Initial Surgical versus Conservative Strategies in Patients with Asymptomatic Severe Aortic Stenosis
October 19, 2015
The investigators in this registry study enrolled 3815 patients with asymptomatic aortic stenosis. Patients underwent either surgical aortic valve replacement (AVR) or conservative therapy. In order to increase comparability, they used propensity score matching to create two more similar groups.
October 18, 2015
In this manuscript the authors report on the results of a retrospective propensity score analysis in 102 matched pairs of patients, considered to be in a “grey zone” of surgical risk for either TAVI (Edwards Sapiens, Medtronic CoreValve or Symetis Acurate TA prosthesis) or aortic valve replacement (AVR) with a sutureless prosthesis (Sorin Perceal).
October 15, 2015
This video demonstrates the superior transeptal approach to the left atrium in a patient requiring mitral and tricuspid valve repairs.
October 14, 2015
The authors retrospectively reviewed the postoperative TEEs on patients undergoing DCCV within 30 days after cardiac surgery that included LAA closure (n=93 patients). The presence of a residual communication between the LAA and the left atrium was 37% overall.
October 13, 2015
In this case report, a patient with aortic stenosis underwent aortic valve replacement. During the procedure, dark pigmentation of the interior aspect of the aorta and sternal joints was discovered, suggesting a rare disorder.
October 8, 2015
The authors evaluated ventricular function after AR or MR in young patients with regurgitation and preoperative signs of ventricular dysfunction. Results at 18 mos were compared to a normal population. Persistent LV dysfunction was present in 85% after AR+MR and was more common than after either operation alone. Preoperative end-systolic volume pr
October 8, 2015
The authors sought to risk stratify pts with secondary TR and then analyze outcomes of different treatment options for TR in conjunction with repair of left-sided valve disease. Low risk patients did well without TR intervention, intermediate risk patients did well with De Vega annuloplasty, and high risk patients fitted with an undersized annulopla
October 8, 2015
The effects of renal failure on outcomes of AVR were examined using CMS data. TAVR pts on dialysis, TAVR pts not on dialysis, and surgical AVR pts on dialysis were compared after propensity score matching. In TAVR patients, dialysis was associated with increased 30 day mortality and survival, and was an independent predictor of worse survival. TAV