Vergnat and colleagues retrospectively evaluated long-term outcomes for neonates who underwent either balloon valvotomy or open valvoplasty between 1989 and 2015 (51 and 52 patients, respectively). Although both methods offer good survival benefits, open valvoplasty was associated with a higher freedom from operation during the follow-up period.
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Aortic valve disease
January 18, 2019
David and colleagues prospectively examined long-term results of the Ross procedure, following a cohort of 212 patients over a median 18.0 years (interquartile range, 14.6-21.2). They report 10.8% cumulative mortality and 16.8% cumulative probability of Ross-related reoperations at 20 years.
January 15, 2019
The authors demonstrate how to use one homograft root in reoperative infected aortic root/hemiarch reconstruction with the use of a handmade bovine pericardial aortic tube to replace the ascending aorta and unite the divided homograft.
January 4, 2019
Edwards Lifesciences announced that the SAPIEN 3 Ultra system has received US Food and Drug Administration approval for transcatheter aortic valve replacement in severe, symptomatic aortic stenosis patients who are determined to be at intermediate or greater risk of open-heart surgery.
December 18, 2018
The authors, using the STS/ACC TVT Registry, analyzed the the occurrence of patient-prosthesis mismatch (PPM) in 62,215 patients enrolled between 2014 and 2017. They found that severe and moderate PPM occurred in 12% and 25% of patients, respectively.
December 18, 2018
This study analyzed the cost-effectiveness of TAVR versus SAVR in 3110 intermediate-risk aortic stenosis patients from the PARTNER-2 trial. Using a Markov model, the authors found that TAVR is economically dominant from the perspective of lifetime cost-effectiveness in the US healthcare system.
December 14, 2018
Patient Care and General Interest
Truly remote percutaneous coronary intervention was performed in five human patients at Apex Heart Institute in Ahmedabad, India.
December 10, 2018
Basra and colleagues report that among patients with bioprosthetic aortic valves who had clinical or echocardiographic indications suggestive of leaflet thrombosis, one-third of patients had this diagnosis confirmed by four-dimensional computed tomography (4DCT).
December 5, 2018
Coyan and colleagues report outcomes following double valve surgery in a cohort of patients who underwent operation between 2011 and 2017.
December 5, 2018
Using remodeling aortic and mitral annuloplasty rings, a double valve repair was accomplished in a young patient with Marfan syndrome.