BACKGROUND Surgical treatment of infective endocarditis (IE) remains a challenge, especially in cases of multiple valve surgery. We evaluated the clinical outcomes of native valve IE and compared the outcomes of single valve surgery with those of multiple valve surgery. MATERIALS AND METHODS From 1997 to 2011, 90 patients underwent surgery for native valve IE; 67 patients with single valve su...

Many exciting events have occurred in the last 40 years in the field of valvular heart disease . Valve surgery continues to remain the dominant therapeutic modality in the management of patients with severe symptomatic valve lesions ; a valve replacement . previous perspective in 1 83 was mainly devoted to that topic (1) . In the last 7 years, new developments (for example, catheter balloon val...

We attempted to investigate cardioprotection of electroacupuncture (EA) for enhanced recovery after surgery on patients undergoing heart valve replacement with cardiopulmonary bypass. Forty-four patients with acquired heart valve replacement were randomly allocated to the EA group or the control group. Patients in the EA group received EA stimulus at bilateral Neiguan (PC6), Ximen (PC4), Shenti...

OBJECTIVE As the use of minimally invasive surgery in cardiothoracic surgery increases, so does the need for simulation and training. We developed a heart model for simulation and training of minimally invasive cardiac surgery, particularly minimally invasive mitral valve repair using our new three-dimensional printing system. METHODS Digital imaging and communication in medicine data from pa...

BACKGROUND Aortic stenosis is of concern in the elderly. Although aortic valve replacement provides good long-term survival with functional improvement, many elderly patients are still not referred for surgery because of their age. Percutaneous aortic valve implantation offers an alternative to open-heart surgery. Concerns about the management of aortic valve stenosis in the elderly will be rev...

Aortic stenosis is the most common native valve disease, affecting up to 5% of the elderly population. Surgical aortic valve replacement reduces symptoms and improves survival, and is the definitive therapy in patients with symptomatic severe aortic stenosis. However, despite the good results of classic surgery, risk is markedly increased in elderly patients with co-morbidities. Transcatheter a...

Objective Reoperative mitral valve surgery is increasingly required and can be associated with significant morbidity and mortality. The beating heart minimally invasive mitral valve surgery has a proposed benefit in avoiding the risks of repeat sternotomy, with reducing the need for adhesiolysis and cardioplegia reperfusion injury. We describe our experience with such a technique in patients wi...

conclusions high risk patients needing avr are optimal candidates for transcatheter aortic valve implantation. tavi is a valuable solution for high risk patients needing avr. obtained results are comparable to results in transthoracic avr in standard candidates for aortic valve implantation. background transcatheter aortic valve implantation (tavi) has emerged as an alternative treatment to cla...

Heart valve replacement is fast becoming a routine surgery worldwide and heart valve prostheses are today considered among the most widely used cardiovascular devices. Mechanical and bioprostheses have been the traditional choices to the replacement surgeries. However, such valves continue to exposed patients to risks, including thrombosis, infection and limited valve durability. In recent year...