Valvular heart disease is the most important cardiac manifestation of systemic lupus erythematosus (SLE). However, severe mitral valve regurgitation necessitating valvular surgery due to SLE is rare. We report a 22-year-old male patient presenting with symptoms of congestive heart failure initially in whom lupus and severe mitral valve regurgitation were diagnosed. In our patient, four of the A...

Radiation to the mediastinum is a key component of treatment with curative intent for a range of cancers including Hodgkin's lymphoma and breast cancer. Exposure to radiation is associated with a risk of radiation-induced heart valve damage characterised by valve fibrosis and calcification. There is a latent interval of 10-20 years between radiation exposure and development of clinically signif...

This study aimed to investigate the incidence, predictors, and clinical outcomes of cardiac tamponade after heart valve surgery. A total of 556 patients who underwent heart valve surgery in a single tertiary center between January 2010 and March 2012 were studied. All patients underwent transthoracic echocardiography (TTE) about 5 days after surgery and TTE was repeated regularly. Patients with...

Transcatheter aortic valve implantation is an alternative to open heart surgery in high risk patients with severe aortic stenosis. High mortality and complications related to cardiopulmonary bypass for conventional open heart surgery can be avoided with this new less invasive technique. In case of concomitant severe arterial disease, the transapical approach is recommended rather than transfemo...

Takayasu arteritis is a chronic inflammatory disease of unknown etiology primarily affecting the aorta and its major branches and usually occurring in the second or third decade of life. Here, we report a case of Takayasu arteritis in a 10-month-old patient. The infant presented with signs of congestive heart failure and severe aortic regurgitation. Echocardiography and computed tomography angi...

Emergent cardiac surgery during transcatheter aortic valve implantation (TAVI): a weighted meta-analysis of 9,251 patients from 46 studies. EuroIntervention 2013;8:1072–80. [4] Vahanian A, Alfieri O, Andreotti F, Antunes MJ, Baron-Esquivias G, Baumgartner H et al. Guidelines on the management of valvular heart disease (version 2012): The Joint Task Force on the Management of Valvular Heart Dise...

conclusions moderate ppm has no negative effect on echocardiographic trans-aortic pressure gradients or the patients’ nyha functional status after avr with a carbomedics prosthesis in the mid-term follow up. results of the 66 studied patients, 39 were male and 27 were female. the mean age of the patients was 43 ± 17 with a range of 6 - 76 years. implanted sizes of the carbomedics av prosthesis ...

background : prosthetic valve endocarditis (pve) is an important cause of morbidity and mortality associated with heart valve replacement surgery. the aim of the present study was to describe the early outcome of treatment in patients with pve in a single center. methods : the data of all the episodes of pve registered at our institution between 2002 and 2007 were collected and analyzed retrosp...

background: this study was undertaken to compare the outcome in patients with moderate to severe ischemic mitral regurgitation (imr) undergoing coronary artery bypass grafting (cabg) with either mitral valve repair or mitral valve replacement. methods: between march 2002 and february 2005, 49 consecutive patients (mean age: 62.84±8.42 years; mean euroscore: 10.03±3.12) with coronary artery dise...

background: pregnant patients with mechanical heart valves require anticoagulation. the risk of bleeding and embryopathy associated with oral anticoagulants must be weighed against the risk of valve thrombosis. methods: in this prospective study, undertaken between 1999 and 2009, 53 pregnancies (47 women with mechanical mitral valves; 29.8 ± 4.8 years old) were studied. patients were divided in...