BACKGROUND Percutaneous aortic valve replacement represents an endovascular alternative to conventional open heart surgery without the need for sternotomy, aortotomy, or cardiopulmonary bypass. METHODS AND RESULTS Transcatheter implantation of a balloon-expandable stent valve using a femoral arterial approach was attempted in 50 symptomatic patients with severe aortic stenosis in whom there w...

BACKGROUND Heart valve surgery outcomes are unknown in middle-income countries and thus cannot be used in health system decision making processes. This study estimated in-hospital mortality and medium and long-term survival. METHODS This was a retrospective study of 78,806 patients who underwent heart valve surgery between 2001 and 2007 in Brazil. Two national databases were used, the Hospita...

BACKGROUND Few studies have reported population-based outcomes for aortic valve replacement patients. METHODS Patients with severe aortic valve stenosis who underwent aortic valve replacement with or without concomitant coronary artery bypass graft surgery from January 1, 2003, to December 31, 2005, were included in the study. Statistical models were developed to identify significant risk fac...

Modern imaging techniques including various echocardiographic technologies have become firmly established in the practice of cardiac surgery. The method intraoperative transesophageal echocardiography (TEE) is particular significance for ensuring safety patients during open heart This necessary performing reconstructive interventions on valve apparatus with initial myocardial dysfunction to ass...

OBJECTIVES The present study evaluates the long-term course of aortic valve disease and the need for aortic valve surgery in patients with rheumatic mitral valve disease who underwent mitral valve surgery. BACKGROUND Little is known about the natural history of aortic valve disease in patients undergoing mitral valve surgery for rheumatic mitral valve disease. In addition there is no firm pol...

introduction: rheumatic heart disease still remains one of the leading causes of congestive heart failure and death owing to valvular pathologies, in developing countries. valve replacement still remains the treatment of choice in such patients.the aim of this study wasto analyze the postoperative outcome of  double valve replacement (mitral and aortic ) in patients of rheumatic heart disease. ...

BACKGROUND The prevalence of coronary artery disease (CAD) in valvular patients is similar to that of the general population, with the usual association with traditional risk factors. Nevertheless, the search for obstructive CAD is more aggressive in the preoperative period of patients with valvular heart disease, resulting in the indication of invasive coronary angiography (ICA) to almost all ...

concomitant coronary artery bypass surgery (cabg) in patients undergoing mitral valve replacement (mvr) has been shown to be an important risk factor for hospital mortality. we evaluated preoperative characteristics, postoperative complications, in-hospital mortality rate, and length of stay in hospital for patients undergoing concurrent cabg with mvr. preoperative and postoperative clinical da...

A 45-year-old female Jehovah’s Witness patient was diagnosed with Lutembacher syndrome, New York Heart Association (NYHA) class IV congestive heart failure (CHF), and severe malnutrition. An echocardiogram showed a 38 mm diameter ostium secundum atrial septal defect with a mitral valve area of 0.5 cm2 and a Wilkins score of 10. The patient had severe pulmonary hypertension at an estimated syst...

The rate of redo surgeries are increasing on account of previously performed coronary artery bypass graft surgeries, aortic/ mitral valve replacement surgeries due to valve stenosis/ regurgitation, mitral valve repair for ischemic mitral regurgitation, the aging in the population, mechanical valve thrombosis and wearing out of the mechanical valves.Resternotomy, anterolateral right thoracotomy ...