Dr T. Sloane Guy discusses the motivation behind CTSNet's first Guest Editor Series topic and describes the important cardiac surgery techniques that it covers.
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Aortic valve disease
January 16, 2018
In this study with 663 TAVI patients, the authors investigated the predictors for next day discharge (NDD). After excluding cases that did not have a minimalist transfemoral approach, 150 patients had NDD and 210 patients had non-NDD.
January 16, 2018
This video demonstrates a stage I elephant trunk procedure and aortic valve repair via partial sternotomy, for a woman who presented with aortic valve insufficiency and an aortic aneurysm extending from the ascending to descending thoracic aorta.
January 10, 2018
Folliguet and colleagues report on 145 patients from three French centers who underwent transcarotid aortic valve implantation. The procedures were successful in all. Eight patients suffered a stroke, and one patient had a localized carotid dissection.
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 8, 2018
A very brief editorial on frailty as a risk factor. In the time of weighing transcatheter interventions versus variable access surgical options, quantifying this physiological concept is of major importance for the cardiac teams and, importantly, the autonomy of the patient.
January 5, 2018
A handy free, short, good quality video on an open valve-in valve procedure.
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 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.