STRUCTURAL VALVE DETERIORATION AS AN UNEXPECTED COMPLICATION FOLLOWING CHEMO-RADIATION THERAPY

Severe Valvular Regurgitation: An Unexpected Complication During Transapical Aortic Valve Implantation Treated Successfully with the "Valve-in-Valve" Procedure.

Severe symptomatic aortic stenosis (AS) in a multimorbid 77 year old female was treated with transapical aortic valve implantation with a 23 mm Edwards Sapien valve. Severe valvular regurgitation following implantation, probably due to structural valve failure, was treated successfully with a second valve-in-valve implantation. During a follow-up time of 2,5 years no further problems occurred.

Clinicopathological examination of ESD as salvage therapy for esophageal cancer after definitive chemo-radiation therapy

Background and study aims  Salvage therapy for esophageal cancer following chemo-radiation therapy (CRT) has not been established. We aimed to evaluate endoscopic submucosal dissection (ESD) as a salvage therapy based on histopathological features of lesions. Patients and methods  We compared 10 lesions in eight patients with local residual, recurrent, or metachronous esophageal squamous cell...

Triple valve endocarditis as an unusual complication of bacterial meningitis.

We report a case of Staphylococcus aureus endocarditis with late onset in a 39-year-old male drug abuser, who presented with bacterial meningitis. Despite resolution of the meningitis as the result of appropriate antimicrobial chemotherapy he developed triple valve endocarditis. Some striking features of this case and a comparison with other reported cases of this uncommon presentation of infec...

An Unexpected Cause Of Acute Coronary Syndrome: Iatrogenic Right Coronary Dissection as a Delayed Complication After Valve Replacement Surgery

Coronary artery dissection is a quite unusual but eventually lifethreatening complication, and most cases occur as an immediate adverse event after cardiac catheterization [1, 2]. Mostly, it affects the right coronary artery, due to its anatomical disposition [3]. Rarely it can affect the LMCA (1% of all procedures), as happened in the case reported, and it can have fatal consequences if the ad...

Early Structural Valve Deterioration of Mitroflow Aortic Bioprosthesis