OBJECTIVE Fifteen collaborating centers in eight countries present their pooled experience with the new Bicarbon bileaflet valve. METHODS Between 4/90 and 4/96, 1351 patients, 806 males and 545 females, aged 10 to 83, mean 58.4 +/- 12.4, underwent valve implantation. OPERATIONS aortic valve replacement (AVR), 726; mitral valve replacement (MVR), 475; double valve replacement (DVR), 150. Add...

Herein, we report the case of a 77-year-old man who presented with congestive heart failure. Echocardiography and cardiac catheterization revealed severe aortic stenosis with severe mitral regurgitation and a left ventricular ejection fraction of 0.20. Because of comorbidities, the patient was considered to be at high risk for double-valve surgery. In order to reduce the operative risk, a minim...

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...

We aimed to evaluate whether blood conservation strategies including intraoperative autologous donation (IAD) could reduce perioperative blood transfusion for patients undergoing cardiac valve replacement including mitral valve replacement, aortic valve replacement (AVR), and double valve replacement (DVR).A total of 726 patients were studied over a 3-year period (2011-2013) after the implement...

Clinically significant mitral regurgitation is often found in conjunction with severe aortic valve stenosis. Adding mitral valve surgery to an aortic valve replacement (AVR) increases the operative risk. However, this increased operative risk may be reduced if, during AVR, a standard double-valve surgery is avoided and AVR isperformed instead with a transaortic edge-to-edge repair of the mitral...

introduction fungal prosthetic valve endocarditis (pve) is rare but serious complication of valve replacement surgery. candida species, particularly candida albicans is the most common isolated pathogen in fungal pve (1–6%of cases). case presentation we describe a 35-year-old woman who underwent mechanical mitral valve replacement about 3 years ago. she was admitted with neurological symptoms a...

proper education and notification of patients undergoing heart valve replacement is of paramount importance. the past decade has witnessed a growing interest in the use of modern, advanced technologies in medicine and patient education. this study aimed to introduce an education-notification application for patients undergoing heart valve replacement. research was carried out in two phases of s...