In a 2-year period, 75 Hancock porcine xenograft valves were inserted in 66 patients, 33 male and 33 female. Their average age was 55 years (range 14 to 69 years). The indication for operation was rheumatic heart disease (30 patients), prosthetic valve dysfunction (8 patients), papillary muscle dysfunction (8 patients), degenerative valve disease (13 patients), subacute bacterial endocarditis (...

Introduction Transcatheter valve-in-valve replacement is an attractive alternative to redo open-heart surgery for failing bioprosthetic valves and is increasingly being performed in patients with high surgical risk. Unlike the robust data on aortic valve-in-valve replacement, limited experience with tricuspid valve-in-valve replacement has been reported. Moreover, the feasibility and safety of ...

Biologic valve re-replacement was examined in a series of 1343 patients who underwent aortic valve replacement at The Prince Charles Hospital, Brisbane, with a cryopreserved or 4 degrees C stored allograft valve or a xenograft valve. A parametric model approach was used to simultaneously model the competing risks of death without re-replacement and re-replacement before death. One hundred eleve...

We describe a new technique of aortic valve replacement (AVR) in patients with porcelain aorta. Three patients (mean age 75 years) were treated. The cardiopulmonary bypass (CPB) was established after side-graft right axillary artery and direct femoral artery cannulation. Venous drainage was obtained by atrio-caval cannulation. The procedures were performed in mild hypothermia (30 degrees C). Ce...

Mailing Address: Paulo Manuel Pêgo Fernandes • Av. Dr. Enéas de Carvalho Aguiar, 44 Bl. 2, 2 andar, sala 9, Cerqueira César, Postal Code 05403-000, São Paulo, SP – Brazil E-mail: [email protected] Manuscript received May 14, 2012; revised manuscript October 17, 2012; accepted October 19, 2012.

BACKGROUND Intermittent stuck valve after mechanical valve replacement surgery is a very rare and severe complication. CASE SUMMARY We present 1 case of a 53-year-old woman after aortic valve replacement for severe aortic valve stenosis combined with hypertrophy septum. She was diagnosed with intermittent stuck valve only 1 day after surgery by clinical symptoms, intraoperative transoesophage...

OBJECTIVE Heart valve abnormalities are commonly found in patients with antiphospholipid syndrome but experience with valve replacement in such patients is limited. We analyzed the results of valve replacement in patients with this condition at our institution. METHODS Between 1989 and 2002, 10 patients with antiphospholipid syndrome (8 women, 2 men; aged 38-73 years, mean 49 years) with seve...

We present a 62-year-old man with mitral regurgitation whose posterior annulus had severe calcification. Mitral valve replacement was performed by anchoring the cuff on a double-plicated posterior leaflet, and reinforcing with an equine pericardium. The patient is doing well 13 years after surgery with echocardiography showing no problems.

A 47-year old man presented with a large chest swelling 10 months following aortic and mitral valve replacement. Computed tomography revealed a huge ascending aortic pseudoaneurysm (Fig. 1A and B). After establishing hypothermic circulatory arrest through an axillary-femoral bypass, a median sternotomy was performed. The defects were directly closed using two interrupted, pledgeted 4-0 Prolene ...

Case report A 52-year-old man was referred for treatment of recurrent sustained monomorphic VT with variable cycle lengths (CLs) of 360 to 480 ms (125–166 bpm) causing recurrent implantable cardioverter-defibrillator (ICD) shocks despite increasing doses of amiodarone. He had rheumatic heart disease and had undergone mitral and aortic valve replacements with mechanical St. Jude prostheses as we...