A 73-year-old female patient was admitted to our hospital with tricuspid valve (TV) regurgitation grade IV. Past medical history revealed previous mechanical mitral valve replacement and implantation of a pacemaker. Clinically she had typical signs of chronic congestive right heart failure. Massive edema of the lower legs were detected during clinical examination. Preoperative echo confirmed se...

BACKGROUND Long-term outcome of patients treated with a St. Jude prosthetic heart valve was reported by investigators in Lausanne, Switzerland. This article quantifies the mortality and morbidity implications of single or multiple heart valve replacement. RESULTS After hospital discharge, mortality ratios were highest for duration 5-10 years, roughly comparable in patients who received a sing...

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...

Degenerative aortic valve stenosis (AS) is the most common valvular heart disease. About two-thirds of all valve operations are for aortic valve replacement (AVR). After onset of symptoms (angina, syncope or heart failure) severe aortic stenosis has a poor prognosis with an average survival of two or three years and a high risk of sudden death. According to the ACC/AHA and the European Society ...

Moderate aortic valve stenosis is a common condition in patients with coronary heart disease (Gullinov and Garsia, 2005). Recent studies have shown that progression of aortic valve stenosis depends on the degree of valvular leaflets calcification; that aortic valve replacement does not increase mortality after coronary artery bypass grafting (CABG); moreover,valve replacement performed after CA...

Aortic stenosis (AS) is the most common valvular heart disorder in older adults. Patients with severe AS are generally treated nonsurgically if asymptomatic and referred to aortic valve replacement when symptoms develop. However, patients with severe asymptomatic AS with left ventricular dysfunction may benefit from early aortic valve replacement. Although operative mortality in patients with s...

The results of surgical and non-surgical treatment of active infective endocarditis in 182 patients over a 10-year period were analyzed. Heart failure, annular and myocardial abscesses, heart block, and coronary embolism, seen most frequently with staphylococcal and fungal endocarditis, were the primary causes of death in both native valve endocarditis (NVE) and prosthetic valve endocarditis (P...

A 71-year-old male patient underwent orthotopic heart transplantation in 1995. Due to left heart catheterization 15 years later, biopsy from the left ventricular apex was performed for rejection screening. Two days later, echocardiography revealed severe mitral valve regurgitation requiring mitral valve replacement. This is a very rare case showing that left heart biopsy may lead to severe hemo...

hemolytic anemia is exceedingly rare and an underestimated complication after aortic valve replacement (avr).the mechanism responsible for hemolysis most commonly involves a regurgitated flow or jet that related to paravalvar leak or turbulence of subvalvar stenosis. it appears to be independent of its severity as assessed by echocardiography. we present a case of a 24-year-old man with a histo...

Repair of mitral valve (MV) leaflet prolapse using chordal replacement is an established procedure in open heart surgery for the treatment of mitral regurgitation (MR). The technique has proven high reproducibility and excellent longterm outcomes for posterior leaflet prolaspe, with freedom from valve-related reoperation of 95%.1,2 Striving toward a lessinvasive treatment for structural heart d...