background: the evaluation of prosthetic valves is very difficult with two-dimensional transthoracic echocardiography alone. doppler and color flow imaging as well as transesophageal echocardiography are more reliable to detect prosthetic valve dysfunction. however, doppler study sometimes tends to be misleading due to the load-depending characteristics of peak and mean pressure gradients. the ...

Although classic and standard procedure for patients with ascending Aorta aneurysm with Sever aortic Regurgitation is Bentall surgery but in some selected cases this complex surgery was not performed with different reason like advanced age and coexisting comorbidity involving renal and hepatic and lung Function. In our cases 75 years old man with chronic renal failure ( Cr= 3.2 ) who was known ...

conclusions moderate ppm has no negative effect on echocardiographic trans-aortic pressure gradients or the patients’ nyha functional status after avr with a carbomedics prosthesis in the mid-term follow up. results of the 66 studied patients, 39 were male and 27 were female. the mean age of the patients was 43 ± 17 with a range of 6 - 76 years. implanted sizes of the carbomedics av prosthesis ...

transcatheter aortic valve implantation (tavi) is a new therapeutic option for patients with severe aortic stenosis with unacceptable surgical risk for conventional aortic valve surgery. a bicuspid aortic valve (bav) is the most common congenital cardiac disorder (1% of the population) and currently is considered exclusion criteria for tavi, because it predicts an increased risk of adverse aort...

A mitral prosthesis, when implanted, can distort the aortic annulus, forcing to downsize the aortic prosthesis. Changing the sequence of tying the sutures (the aortic prosthesis first, then the mitral prosthesis) allows to insert an aortic true-sized prosthesis. In case of associated tricuspid valve surgery, the aortic prosthesis protrudes over the anteroseptal commissure area. The sutures on t...

case presentation a 43-year-old man was referred to our institution for a severe aortic regurgitation and an ascending aorta enlargement associated with a relapsing sub-aortic membrane, which had been treated in his childhood. he underwent a redo ascending aorta replacement and an aortic valve replacement (mechanical prosthesis) along with a resection of the relapsing sub-valvular membrane. som...

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...

a 45- year old man with a history of aortic valve replacement presented with acute chest pain which was diagnosed to be anterior wall myocardial infarction. he received thrombolytic therapy with streptokinase. echocardiography and fluoroscopy showed normally functioning ball and cage aortic prosthesis. coronary arteriography showed globular filling defect in midportion of left anterior descendi...

in recent socio-economic state it is not possible to have different sets of prosthetic cardiac valves available in the operating room before open-heart surgery for valvular replacement. in this study the diameter of the aortic valve ring measured in 2-d echocardiography was compared with the size of the aortic prosthetic valves implanted for the patients with aortic valvular disease. the purpos...