Abstract：
:Aortic valve reimplantation has been shown to be a safe procedure. However, evidences of durability in bicuspid aortic valves (BAVs) are limited in the literature. Between 2002 and 2011, 132 patients (mean age 61 ± 12 years) underwent aortic valve reimplantation. In 24 patients (18%), aortic valve was bicuspid. Mean follow-up was 50 ± 26 months (range 1-102 months) and was 99% complete. In-hospital mortality was 0.8% (1 patient). Survival at 1 and 5 years was 99 and 94%, respectively. Overall freedom from aortic valve reoperation at 1 and 5 years was 96 and 90%, respectively, without significant difference between patients with bicuspid and tricuspid aortic valve. Freedom from aortic valve regurgitation >2+/4+, excluding patients reoperated, was at 1 and 5 years of 100 and 99%, respectively. Patients with valve cusp repair showed a higher rate of aortic valve reoperation; however, only postoperative aortic regurgitation >2+/4+ was significant risk factor for redo procedure at multivariate analysis. Aortic valve reimplantation in BAV without cusp repair provides excellent mid-term results. Further observations and longer follow-up are necessary to determine if BAV sparing, even in the presence of cusps alterations, could allow satisfying durability.
journal_name
Interact Cardiovasc Thorac Surgjournal_title
Interactive cardiovascular and thoracic surgeryauthors
Malvindi PG,Raffa GM,Basciu A,Citterio E,Cappai A,Ornaghi D,Tarelli G,Settepani Fdoi
10.1093/icvts/ivs059subject
Has Abstractpub_date
2012-06-01 00:00:00pages
717-20issue
6eissn
1569-9293issn
1569-9285pii
ivs059journal_volume
14pub_type
杂志文章abstract：:Treatment of breast cancer involves surgery, then perhaps radiation, hormonal or chemotherapy. Radiation-induced arterial injury is a well-known entity that represents a rare cause of arterial occlusion. We present the case of a 76-year old woman who complained of a severe intermittent claudication of the right upper ...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1093/icvts/ivr147
更新日期：2012-07-01 00:00:00
abstract：:Penetrating cardiac injury is rare and frequently not survivable. Significant haemorrhage resulting in cardiac tamponade commonly ensues. Such cardiac tamponade is a clear clinical, radiological and sonographic indicator of significant underlying injury. In the absence of cardiac tamponade, diagnosis can be more chall...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1093/icvts/ivw342
更新日期：2017-02-01 00:00:00
abstract：:This is a case of type 1 congenital pulmonary airway malformation in the left lower lobe of a 26-year-old male. At the age of 1 year, he developed a pulmonary cystic lesion, which was considered to be bronchopulmonary sequestration. He grew up healthy and showed no impairment during exercise; however, giant bullous le...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1093/icvts/ivz032
更新日期：2019-07-01 00:00:00
abstract：:Prompt controlled reperfusion of a pulmonary allograft in a sequential double lung transplant may correct cellular ischemia prior to exposure to full hydrostatic pressures and minimize organ dysfunction. We reviewed the process of a sequential double lung transplant and describe the technique of controlled antegrade g...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1510/icvts.2009.211730
更新日期：2009-12-01 00:00:00
abstract：:The objective of this study was to compare the results of elective composite (C) vs. David (D) operations in patients requiring additional aortic arch surgery using hypothermic circulatory arrest (HCA) and selective antegrade cerebral perfusion (SACP), with the focus on postoperative neurological outcome and quality o...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1510/icvts.2008.194811
更新日期：2009-08-01 00:00:00
abstract：:A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether methylene blue (MB) is of benefit in treating adult patients who develop catecholamine-resistant vasoplegic syndrome (VPS) during cardiac surgery. Altogether 47 papers were found in Medline and 1...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1510/icvts.2006.134726
更新日期：2006-12-01 00:00:00
abstract：:We report a case of successful treatment of a mycotic aneurysm of the thoracic aorta. A 65-year-old man with a dissecting aneurysm presented with urinary tract infection. He had a history of severe liver cirrhosis. Two weeks after admission, he had a high-grade fever and enhanced computed tomography (CT) demonstrated ...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1510/icvts.2010.249102
更新日期：2011-01-01 00:00:00
abstract：:A 6-year-old boy with pulmonary regurgitation after complete repair of congenital heart disease underwent an alternative surgical repair for pulmonary valve replacement. Trileaflet pulmonary valve reconstruction using expanded polytetrafluoroethylene membrane is a clinically feasible technique for pulmonary regurgitat...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1093/icvts/ivy196
更新日期：2018-12-01 00:00:00
abstract：:Infective endocarditis (IE) and surgical procedures related to cardiac surgery are accompanied by inflammatory responses that may alter production of oxidants by phagocytes. This study evaluates luminol enhanced whole blood chemiluminescence (LBCL) as a measure of oxidative production by circulating phagocytes in 26 I...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1510/icvts.2008.183285
更新日期：2009-01-01 00:00:00
abstract：:The management of the left subclavian artery (LSA) revascularization during aortic arch surgery is controversial and often challenging, especially during an emergency life-saving procedure. We report on a case of a 64-year old man, admitted to our institution with a Type A acute aortic dissection who underwent a froze...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1093/icvts/ivw098
更新日期：2016-07-01 00:00:00
abstract：:Infection as a complication of long-term left ventricular assist device (LVAD) support leads to significant morbidity and mortality. Obesity, a possible risk factor for other postoperative cardiovascular surgical site infections, is an increasingly prevalent condition among recipients of LVAD devices. We retrospective...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1510/icvts.2009.227801
更新日期：2010-07-01 00:00:00
abstract：:A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was 'In patients undergoing video-assisted thoracoscopic surgery (VATS) excision, what is the best way to locate a subcentimetre solitary pulmonary nodule (PN) in order to achieve successful excision?' Altog...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章,评审
doi：10.1093/icvts/ivs068
更新日期：2012-08-01 00:00:00
abstract：:Extracorporeal membrane oxygenation has been recently indicated as an ex utero intrapartum treatment procedure for placental support in patients with a large thoracic mass. In our case, a foetus with truncus arteriosus communis and hydrops with ventricular failure due to severe truncal valve stenosis was delivered und...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1093/icvts/ivx303
更新日期：2018-02-01 00:00:00
abstract：:Patients requiring redo cardiac surgery for diseased heart valves other than mitral valves may show increased pressure gradients and reduced valve areas of previously placed mechanical mitral valves due to subvalvular pannus formation. We treated four women who had mechanical mitral valves inserted greater than or equ...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1093/icvts/ivw276
更新日期：2017-01-01 00:00:00
abstract：:A best evidence topic in cardiothoracic surgery was written according to a structured protocol. The question addressed was: is it safe to stop anticoagulants after successful surgery for atrial fibrillation? Altogether, 177 papers were found using the reported search, of which 14 were selected that represented the bes...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章,评审
doi：10.1510/icvts.2011.282319
更新日期：2011-12-01 00:00:00
abstract：OBJECTIVES:The differences in clinical features, surgical outcome and long-term prognosis between men and women who undergo surgery for Type A aortic dissection are not well known. METHODS:From January 2004 to December 2016, 303 patients, consisting of 147 women and 156 men, underwent surgery for acute Type A aortic d...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1093/icvts/ivy005
更新日期：2018-06-01 00:00:00
abstract：OBJECTIVES:The aim of this study is to compare thoracoscopic mobilization of the oesophagus in the lateral decubitus position and the semiprone position and to identify potential differences between the two techniques. METHODS:A retrospective review of a prospectively maintained oesophagectomy database identified 150 ...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1093/icvts/ivt306
更新日期：2013-11-01 00:00:00
abstract：:Anatomical variations of one or both thymic upper poles located behind the left innominate vein (LIV) are found in some patients; however, minimally invasive dissection of ectopic thymic tissues behind the LIV is technically complex. We describe a case of a dumbbell-shaped thymoma behind the LIV. The patient was succe...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1093/icvts/ivz165
更新日期：2019-11-01 00:00:00
abstract：:Pericardial tamponade is a life-threatening emergency. Chyle is a rare cause of pericardial effusion and can lead to cardiac tamponade. This case illustrates the presentation, work-up and operative video of a patient in pericardial tamponade secondary to chylopericardium. ...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1510/icvts.2005.120899
更新日期：2006-06-01 00:00:00
abstract：:Pectus excavatum is one of the most common congenital deformities of the chest wall. The aim of the study was to analyse 621 artefacts (reliefs, sculptures, paintings) from Ancient Egypt in terms of anatomical defects of the chest. The team which analysed artefacts consisted of historians of medicine and thoracic surg...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 历史文章,杂志文章
doi：10.1093/icvts/ivu440
更新日期：2015-04-01 00:00:00
abstract：OBJECTIVES:The standard of care regarding endoscopic vein harvesting (EVH) is still inhomogeneous across Europe. The current study aimed at elucidating patient-related factors favouring its application and procedure-related outcome in a tertiary care centre. METHODS:All patients who underwent coronary artery bypass gr...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1093/icvts/ivt224
更新日期：2013-10-01 00:00:00
abstract：:A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether valve replacement was associated with higher morbidity and mortality rates than valve repair in patients with native active valve endocarditis. Altogether 662 papers were found using the reported...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章,评审
doi：10.1093/icvts/ivu296
更新日期：2014-12-01 00:00:00
abstract：:A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether clopidogrel rather than aspirin plus a proton-pump inhibitor reduce the frequency of gastrointestinal complications after cardiac surgery. Altogether 40 publications were identified using the bel...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章,meta分析
doi：10.1510/icvts.2007.157941
更新日期：2007-08-01 00:00:00
abstract：:We report clinical outcomes following transcatheter aortic valve implantation (TAVI), using the CoreValve revalving system (18 Fr transfemoral or subclavian) or the Edwards Sapien valve (22 Fr transfemoral or 24 Fr transapical) as part of a Belgian prospective non-randomized multicentre registry. All 15 Belgian centre...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章,多中心研究
doi：10.1510/icvts.2010.253773
更新日期：2011-05-01 00:00:00
abstract：OBJECTIVES:If mitral valve repair is not feasible, mitral valve replacement remains the only option. Based on our overall experience with the On-X mitral valve, the aim of this study was to investigate early and late outcomes after mitral valve replacement using this latest generation prosthesis. METHODS:From 1998 to ...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1093/icvts/ivy184
更新日期：2018-12-01 00:00:00
abstract：OBJECTIVES:A sternal-sparing approach for bilateral lung transplantation was recently applied to reoperative lung transplant cases and is compared with the traditional clamshell approach. METHODS:A retrospective analysis of 15 consecutive reoperative bilateral lung transplants performed from January 2008 to April 2011...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1093/icvts/ivt305
更新日期：2013-11-01 00:00:00
abstract：OBJECTIVES:Preoperative atrial fibrillation (PAF) has been associated with poorer early and mid-term outcomes after isolated valvular or coronary artery bypass graft surgery. Few studies, however, have evaluated the impact of PAF on early and mid-term outcomes after concomitant aortic valve replacement and coronary aor...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章,多中心研究
doi：10.1093/icvts/ivs538
更新日期：2013-04-01 00:00:00
abstract：:We report on a patient with Marfan syndrome who presented a Stanford type B dissection of the descending thoracic aorta in late pregnancy. After a cesarean section, the patient presented a severe obstruction of the mesenteric superior artery. An endovascular fenestration was performed (balloon and guidewire based fene...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1510/icvts.2009.232124
更新日期：2010-09-01 00:00:00
abstract：:We describe the case history of a 43-year-old male with type 1 Brugada syndrome. He was fitted with an implantable cardioverter defibrillator (ICD) for primary prevention nine years ago. After admission for inappropriate shocks, an abnormal position of the lead was discovered. Further investigations (chest X-ray and t...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1510/icvts.2010.250209
更新日期：2011-03-01 00:00:00
abstract：:We report two cases of venous cannulation after a total cavopulmonary connection (TCPC) with extracardiac conduit. Venous cannulation was performed via side graft sutured to the extracardiac conduit in an end-to-side fashion. The first case was a 3-year-old girl, who suffered from an atypical inferior vena cava obstru...
journal_title：Interactive cardiovascular and thoracic surgery
pub_type： 杂志文章
doi：10.1510/icvts.2005.116855
更新日期：2006-02-01 00:00:00
