Pulmonary autograft replacement of the aortic valve, the “Ross procedure,” involves transplantation of the native pulmonary valve into the aortic position and reconstruction of the right ventricular outflow tract with a cryopreserved pulmonary or aortic homograft. In any surgeon’s hands this operation is technically challenging and successful performance of the Ross procedure requires strategie...

MitraClip® therapy is a percutaneous edge-to-edge plication of the mitral leaflets, mimicking the Alfieri surgical technique. MitraClip® implantation is a safe procedure, and survival outcomes in high-surgical-risk patients are superior to historical controls. Despite these results, questions remain concerning long-term efficacy and durability. The MitraClip® device has been studied in a safety...

purpose: to determine the indications for and surgical techniques of corneal transplantation at labbafinejad medical center (lmc) from 2004 to 2007. methods: in this descriptive study, records of 756 patients who had undergone corneal transplantation from october 2004 to october 2007 were reviewed. results: overall, 504 male (64.9%) and 272 female (35.1%) subjects with mean age of 41.29±21.25 (...

OBJECTIVES The efficacy of left atrial appendage (LAA) occlusion using the Transcatheter Patch (TP) (Custom Medical Devices, Athens, Greece) in conjunction with surgical adhesives was assessed. BACKGROUND The TP is a bioabsorbable device that can be adjusted for the shape and size of the LAA without the risk of perforation. It is attached by a surgical adhesive and is released in 45 min. ME...

INTRODUCTION The fast development of transcatheter aortic valve replacement (TAVR) would not have possible without the invaluable collaboration of multimodal cardiac imaging, particularly transesophageal echocardiography (TEE) and computerized axial tomography (CT scan). Given the elevated morbimortality associated with severe aortic stenosis (AS) presenting high surgical risk, an adequate sele...

right ventricular failure due to right coronary artery disease, right ventricular hypertrophy, stunning, abnormal septal motion, myocardial infarction, or non-homogeneous distribution of cardioplegia is an uncommon but serious complication of open heart surgery. we report a patient with severe right ventricular hypertrophy secondary to severe mitral valve stenosis and another patient with detac...

Transcatheter aortic valve replacement is increasingly performed as a minimally invasive treatment option for aortic valve disease. The typical anesthetic management for this procedure was traditionally similar to surgical aortic valve replacement and involved general anesthesia and transesophageal echocardiography. In this review, we discuss the technological advances in transcatheter valve sy...

Transesophageal echocardiography (TEE) is an integral component of modern-day cardiac surgical conduct.[1] While TEE probe insertion a relatively simple procedure usually successful in the first attempt, it not sans risks particularly when difficulties are encountered while performing same. The American Society Echocardiography and Cardiovascular Anesthesiologists outlines complication rate 0.0...

Infective endocarditis has a high mortality rate despite appropriate medical therapy. In patients who are not surgical candidates, source control can be achieved with less invasive intervention. This case report describes 47-year-old male complex history presented in septic shock recurrent bacteremia. Transesophageal echocardiogram showed the right atrial septal vegetation, but multiple comorbi...