introduction: despite advances in cardiac surgery, many patients might still encounter some post-surgical complications and difficulties. to overcome such difficulties, they should receive the required education. in view of the fact that determining the educational needs is the first step in educational planning, the present study aims to determine the educational needs of patients undergoing h...

blunt injury to the chest can affect any one or all components of the chest wall and thoracic cavity. the clinical presentation of patients with blunt chest trauma varies widely and ranges from minor reports of pain to florid shock. traumatic tricuspid valve regurgitation is a rare cardiovascular complication of blunt chest trauma. tricuspid valve regurgitation is usually begotten by disorders ...

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...

Eight patients with complex rheumatic heart disease underwent the MAZE procedure combined with mitral valve replacement. Some of the patients also required aortic valve surgery or tricuspid repair. There was one early death related to a stroke. The remaining patients have been followed from 3 to 19 mo. Atrial fibrillation was ablated in all patients. Six patients are in sinus rhythm and one pat...

This patient had primary Hypereosinophilic endomyocarditis “Loffler’s Endomyocarditis” complicated by intraventricular thrombosis, mitral and tricuspid valve regurgitation, and associated with heparin induced thrombocytopenia syndrome. He underwent valve surgery twice for recurrence of Left ventricular thrombosis and valve dysfunction. This rare disease is characterized by peripheral hypereosin...

It is important to diagnose and treat diseases of the aortic valve. Untreated aortic valve disease can eventually result in heart failure, severe infection, and even sudden death. Some patients present with severe symptoms, whereas others have few, if any symptoms. The diagnosis may be made on a routine physical examination. Regular medical follow-up, treatment to prevent infection of the valve...

OBJECTIVES The aim of this paper is to describe the feasibility of a novel transcatheter approach for mitral valve replacement using only venous access. BACKGROUND Failure of mitral valve prostheses necessitating reoperation can represent a high-risk clinical scenario. Although repeat cardiac surgery remains the standard of care for most failed mitral valve operations, nascent transcatheter o...

OBJECTIVE To determine the pattern of anticoagulation control for post heart-valve surgery for patients on follow up at Kenyatta National Hospital (KNH). DESIGN A combined prospective and restrospective hospital-based study. Retrospective period from January 1991 to 31st August 1997, while the prospective period was from 1st September 1997 to 31st November 1999. SETTING Cardiothoracic surge...

A 13-year-old boy with atrial septal defect and tricuspid valve abnormality was reported. He had crepitan ralles and signs of heart failure. He was treated with digital, diuretic and antimicrobial therapies. After clinical improvement he underwent surgery. The atrial septal defect was closed, and ringplasty was applied to the tricuspid valve. After the operation, he could not be extubated becau...

A 59-year-old male was referred for surgery resulting from a paravalvular leak at the mitral position. The patient underwent his first mitral valve replacement with a Bjork-Shiley valve 33 years before this situation arose. He underwent his second mitral valve replacement with a St. Jude Medical mechanical prosthesis for valve thrombosis 10 years later. Serial echocardiography had always shown ...