Circ Cardiovasc Interv 2021 Apr 20;14(4):e010719. Epub 2021 Apr 20.
Penn State University College of Medicine, Milton S. Hershey Medical Center, Heart and Vascular Institute, PA (G.V.N.).
Semin Thorac Cardiovasc Surg 2021 May 7. Epub 2021 May 7.
Departments of Cardiothoracic Surgery, Stanford University School of Medicine; Pediatrics, Stanford University School of Medicine. Electronic address:
There is limited information about durability of large diameter porcine bioprostheses implanted for pulmonary valve replacement (PVR). We studied patients who underwent surgical PVR from 2002-2019 with a stented porcine bioprosthetic valve (BPV) with a labeled size ≥27 mm. The primary outcome was freedom from reintervention. Read More
Ann Thorac Surg 2021 May 7. Epub 2021 May 7.
Department of Cardiothoracic Surgery, Division of Cardiac Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, U.S.A; University of Pittsburgh Medical Center Heart & Vascular Institute, Pittsburgh, Pennsylvania, U.S.A.. Electronic address:
Available aortic prosthesis replacement options are challenged to achieve low perioperative morbidity, low pressure gradients, and prolonged durability. Trileaflet aortic valve reconstruction using autologous pericardium offers an alternative treatment option with excellent postoperative gradients, large effective orifice areas, and the avoidance of long-term anticoagulation. The modified Bentall procedure with either tissue xenograft valved conduit or mechanical valved conduit is considered the gold standard for patients with aortic root pathology requiring surgical replacement. Read More
Eur J Pediatr 2021 May 10. Epub 2021 May 10.
Department of Paediatric Cardiac Surgery, Alder Hey Children's Hospital, Liverpool, UK.
Congenital anomalies of the aortic valve frequently necessitate intervention in childhood. The most common aortic valve pathologies present in childhood are aortic stenosis and insufficiency. Presentation of aortic valve disease depends on severity and presence of concomitant syndromes and valvular disorders. Read More
Eur J Cardiothorac Surg 2021 May 10. Epub 2021 May 10.
Department of Cardiac Surgery, Vita-Salute San Raffaele University, IRCCS San Raffaele Hospital, Milan, Italy.
Objectives: The goal of this study was to assess the applicability of a novel classification of patients with tricuspid regurgitation based on 5 stages and to evaluate outcomes following isolated surgical treatment.Methods: All patients treated with isolated tricuspid valve repair or tricuspid valve replacement (TVR) from March 1997 to January 2020 at a single institution were retrospectively reviewed. Patients were divided according to a novel clinical-functional classification, based on the degree of regurgitation together with symptoms, right ventricular size and function and medical therapy. Read More
J Am Heart Assoc 2021 May 8:e019731. Epub 2021 May 8.
Division of Cardiology Department of Medicine Creighton University Omaha NE.
Background Renin-angiotensin system blockers (RASBs) have well-validated benefit in patients with hypertension, coronary artery disease, and left ventricular systolic dysfunction. Their use in the perioperative period, however, has been controversial, including in patients undergoing cardiac surgery, who often have a strong indication for their use. In the current study, we explore the impact of RASB use with 30-day and 1-year mortality after cardiac surgery. Read More