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Valve Disease

November 17, 2014
This video illustrates the technique used to repair an aortic dissection with a tear involving the aortic root contiguous with the right coronary artery (RCA). In addition to the dissection repair, an aortic root replacement and a jump graft to the RCA are performed.
November 11, 2014
This video illustrates a technique for glutaraldehyde-fixed autologous leaflet replacement for aortic valve reconstruction, including bicuspid and tri-leaflet valve reconstruction methods.
November 7, 2014
The Cardiothoracic Surgical Trials Network recently reported that a third of patients after mitral valve repair for ischemic MR developed at least moderate recurrent MR at 1 year following surgery.  This begs the question as to which patients with ischemic MR would benefit from repair vs. replacement.
November 5, 2014
This video presents the options available when a patient has greater-than-mild aortic insufficiency at the time of LVAD placement, and demonstrates the performance of a Parks’ stitch.
November 5, 2014
The authors explored the impact of wait time for AVR in patients with severe symptomatic aortic stenosis using a single institution database.  For patients who were recommended to undergo AVR, wait time mortality at 3 weeks was 1.2% for those scheduled for AVR and 6.9% for those who declined AVR.  Wait time mortality for pts undergoing AVR was 3.7% a
November 5, 2014
The authors explored readmission rates for heart failure after MV repair/replacement in the US Medicare population as a means for assessing quality.  The preop heart failure rate in this population was 61%.  Readmission rates were 25% at 30 days and 78% at 5 years; they were substantially higher for those with preop heart failure and were higher for
October 28, 2014
Retrospective study on 102 consecutive asymptomatic or mildly symptomatic patients with no left ventricular dysfunction and with degenerative mitral regurgitation (MR) who underwent mitral valve surgery in three centers.
October 27, 2014
Aortic valve repair has encouraging mid- and long-term results in selected patients. This video describes the tailored cusp extension valvuloplasty surgical technique.
October 23, 2014
Hugo Vanermen of the University of Leuven, Belgium, discusses an operative video demonstrating a minimally invasive mitral valve repair of a bi-leaflet prolapse.
October 22, 2014
In this study the authors evaluate the prevalence of significant aortic stenosis (diagnosed with echocardiography and computed tomography) in the elderly, in a cohort representative of the general population of Iceland.

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