BACKGROUND The interest in beating heart surgery is growing since better results can be obtained with this procedure compared to conventional myocardial protection techniques using cardioplegic solutions. This led us to consider mitral valve replacement with beating heart. OBJECTIVES This study aimed to determine the safety and efficacy of beating heart mitral valve replacement without cross ...

The genetic mucopolysaccharidosis syndromes (MPS) are autosomal recessive inborn errors of metabolism. Heart valve involvement in MPS is not uncommon but only a few case reports of successful cardiac surgery are available. In particular, reports of combined aortic and mitral stenosis associated with MPS type I-S are very rare. Both type I and type VI MPS are associated with significant left sid...

Transcatheter aortic valve implantation (TAVI) has shown favorable outcomes in patients with severe symptomatic aortic valve stenosis who are at high surgical risk or are unsuitable candidates for open heart surgery. However, concerns exist over treating patients who have previously undergone mitral valve surgery due to the potential interference between the mitral prosthetic valve or ring and ...

Congenital heart valve cyst is a rare and asymptomatic condition mostly seen in the mitral and tricuspid valves (1). In some cases, surgery is required as these cysts may cause obstruction, valve dysfunction, and sometimes embolism (2, 3). We think that if a heart valve cyst is asymptomatic and does not alter valve function, periodic evaluation with echocardiography is a feasible option. Here w...

the patient was a 19 year-old woman with the diagnosis of resistant hypertension, although she was under treatment of three classes of anti-hypertensive drugs (beta blocker, angiotensin receptor blocker, diuretic) for more than one year. in physical examination there was only a significant difference between the systolic blood pressure of upper and lower extremities (200 vs. 120 mmhg), without ...

OBJECTIVE To validate the 2000 Bernstein Parsonnet (2000BP) and additive EuroSCORE (ES) to predict mortality in patients who underwent coronary bypass surgery and/or heart valve surgery at the Heart Institute, University of São Paulo (InCor/HC-FMUSP). METHODS A prospective observational design. We analyzed 3000 consecutive patients who underwent coronary bypass surgery and/or heart valve surg...

Objective: This study was conducted to outline the clinical profile and outcomes of infective endocarditic (IE). It provides a contemporary picture of the presentation, etiology and outcomes of IE. Methods: A total of 97 consecutive cases of definitive IE who met the modified Duke’s definitive criteria were included in the study. We analysed their clinic-epidemiologic features and outcomes. Res...

INTRODUCTION Data on clinical characteristics and outcomes of infective endocarditis (IE) in the Pacific are scarce. METHODS Retrospective hospital-based study in New Caledonia, a high-income country, on patients aged over 18 years with definite IE according to the modified Duke criteria (2005-2010). RESULTS 51 patients were included: 31 (60.8%) men; median age of 52.4 years (IQR 33.0-70.0)...

New onset atrial fibrillation (AF) is the commonest complication after cardiac surgery affecting around 30% of coronary artery bypass graft (CABG) patients, up to 50% of valve surgery patients and as many as 60% of those undergoing combined valve and CABG operations. After cardiac transplantation where the native pulmonary veins are electrically separated from the donor heart atria the incidenc...

A clinical case of successful surgical treatment in a patient with severe New York Heart Association (NYHA) functional class IIIIV heart failure, critical aortic stenosis, and extremely low left ventricular (LV) ejection fraction (EF) (16%) is presented. Aortic valve leaflet replacement was performed according to the Ozaki technique. The postoperative course uneventful discharged from hospital ...