Objective: To study the anatomic-clinical profile of aortic bicuspidy and outcome surgery. Patients Methods: During an 18-year period, 448 patients had valve replacement. Of these, 24 (5.3%) (AB). The diagnosis AB was made by echocardiography or during All underwent surgery under extracorporeal circulation. Results: mean age 45.2 ± 11.8 years, 14 (58.3%) stenosis 10 cases (41.7%) insufficiency,...

Background Recently, personalized external aortic root support (PEARS) has been proposed as an alternative prophylactic surgery to prevent dilatation of the aortic root and dissection in Marfan syndrome patients. Briefly, a model of each patient’s aortic root and ascending aorta is created based on cardiac magnetic resonance (CMR) images. The model is then used to produce a bespoke external aor...

The timing of prophylactic ascending aortic aneurysm surgery in the setting of bicuspid aortic valve disease is complex, with multiple factors influencing the decision. The 2014 ACC/AHA Valve guidelines recommend prophylactic replacement of the aortic root and/or ascending aorta once the aortic diameter exceeds 5.5 cm. This aortic size threshold for surgery is at a larger diameter than had been...

BACKGROUND Significant mitral regurgitation in patients undergoing transcatheter aortic valve replacement (TAVR) is associated with increased mortality. The aim of this study is to determine if surgical correction of both aortic and mitral valves in high risk patients with concomitant valvular disease would offer patients better outcomes than TAVR alone. METHODS A retrospective analysis of 43...

OBJECTIVES To present named surgeon mortality for isolated first time coronary artery surgery and aortic valve surgery. DESIGN Retrospective analysis of prospectively collected data. SETTING All NHS hospitals undertaking adult cardiac surgery in north west England. PARTICIPANTS 25 consultant surgeons carrying out coronary artery surgery and aortic valve replacement between April 2001 and ...

In the surgery of aortic valve replacement is always attempted, as much as possible, to implant the larger prosthesis with the mains goals to enhance the potential benefits, to minimise transvalvular gradient, decrease left ventricular size and avoid the phenomenon of patient-prosthesis mismatch. Implantation of an ideal prosthesis often it is not possible, due to a small aortic annulus. A vari...

1 Department of Interventional Cardiology and Endovascular Therapy, Cardiovascular Imaging and Surgery, Instituto Cardiovascular de Buenos Aires. Buenos Aires, Argentina 2 Cardiac Catheterization Laboratory, Department of Angiography and Interventional Cardiology, Sanatorio Allende. Córdoba, Argentina 3 Cardiac Catheterization Laboratory, Sanatorio Güemes. Buenos Aires, Argentina 4 Cardiac Cath...

Aortic injuries are devastating complications after spinal surgery. We here would like to share our experience with a successful endovascular treatment of an iatrogenic thoracic aortic injury caused by misplaced pedicle screw after spinal surgery. A patient underwent posterior spinal surgery for L1 burst fracture was transferred to our department for instrumentation removal. An iatrogenic thora...

We report the case of a patient with mitral regurgitation complicated by type B dissection and Marfan syndrome (MFS) who was managed successfully with minimally invasive mitral valve repair. Without type A aortic dissection or aortic root dilation, MFS patients may develop mitral valve regurgitation, as in this case, and need valve surgery to improve their symptoms and long-term survival. Howev...