Sutureless prosthesis for failed small Mitroflow valves: the Perceval-after-Mitroflow procedure.

Abstract:

:Because of its favourable haemodynamic characteristics and easy implantability, Mitroflow aortic valve bioprosthesis has been the valve of choice for many surgeons in patients with small aortic annulus. Disappointingly, early structural valve deterioration and high transvalvular gradients have been reported mostly in older patients with small prostheses. Reimplanting a new stented prosthesis sutured in a narrow and damaged annulus is technically challenging and demanding mainly in high-risk patients. Valve-in-valve transcatheter aortic valve implantation has been proposed as a viable option; however, it presents significant limitations because of residual high transprosthetic pressure gradients and risk of coronary occlusion. We report a series of 8 patients, with medium-term follow-up, who underwent successful Perceval-S surgical sutureless aortic implant after the removal of a degenerated small Mitroflow valve. No early mortality occurred, but 1 patient died 4 months postoperatively due to gastrointestinal disease. No major complications occurred. Early and mid-term postoperative pressure gradients were low (mean gradients 13.1 ± 3.3 mmHg and 10.2 ± 3.8 mmHg, respectively). In operable patients with a degenerated Mitroflow valve, these favourable clinical and haemodynamic results suggest that the sutureless solution is a simple, valid and safer alternative to conventional redo valve replacement or to valve-in-valve transcatheter aortic valve implantation.

authors

Chiariello GA,Villa E,Messina A,Dalla Tomba M,Cirillo M,Brunelli F,Mhagna Z,Troise G

doi

10.1093/icvts/ivx434

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

865-868

issue

5

eissn

1569-9293

issn

1569-9285

pii

4799048

journal_volume

26

pub_type

杂志文章
  • A 0.6-protamine/heparin ratio in cardiac surgery is associated with decreased transfusion of blood products.

    abstract:OBJECTIVES:In cardiac surgery, adequate heparinization is necessary to prevent thrombus formation in the cardiopulmonary bypass (CPB). To counteract the heparin effect after weaning from CPB, protamine is administered. The optimal protamine/heparin ratio is still unknown. METHODS:In this before-after study, we evaluat...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivaa109

    authors: Goedhart ALM,Gerritse BM,Rettig TCD,van Geldorp MWA,Bramer S,van der Meer NJM,Boonman-de Winter LJ,Scohy TV

    更新日期:2020-09-01 00:00:00

  • The clinical significance of subcarinal lymph node dissection in the radical resection of oesophageal cancer.

    abstract:OBJECTIVES:To explore the rule of subcarinal lymph node metastasis in thoracic oesophageal cancer and its clinical significance in the radical resection of oesophageal cancer. METHODS:We retrospectively analysed 2223 patients with oesophageal cancer who were admitted to Henan Cancer Hospital during 2004-2011 and under...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivt070

    authors: Ma H,Li Y,Ding Z,Liu X,Xu J,Qin J

    更新日期:2013-06-01 00:00:00

  • Cardiac myxoma mimicking extension of renal cell carcinoma.

    abstract::Cardiac myxomas are the commonest benign tumour of the heart. We are describing a rare presentation of a myxoma in a patient with renal cell carcinoma (RCC). Since there was no single reported case of myxoma with RCC, a presumptive diagnosis of RCC with right atrial extension of tumour thrombus was made. Both the tumo...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.227504

    authors: Gopalakrishnan M,Benjamin M,Kamath M,Thekkepurackal R

    更新日期:2010-05-01 00:00:00

  • Safety and efficacy of transvenous lead extraction of very old leads.

    abstract:OBJECTIVES:Transvenous lead extraction using mechanical rotational- or laser sheaths is an established procedure. Lead dwell time has been recognized as a risk factor for extraction failure and procedure-related complications. We therefore investigated the safety and efficacy of transvenous extraction of leads with an ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivaa278

    authors: Pecha S,Ziegelhoeffer T,Yildirim Y,Choi YH,Willems S,Reichenspurner H,Burger H,Hakmi S

    更新日期:2020-11-30 00:00:00

  • Arm temperature distribution in thermographic pictures after radial artery harvesting for coronary bypass operation.

    abstract::The radial artery (RA) beside the left internal mammary artery and veins is often used for coronary artery bypass grafting. The aim of this study was to assess arm temperature changes after removal of the radial artery and determine whether there is an effect on hand function. Between April and December 2005, fifty pa...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 临床试验,杂志文章

    doi:10.1510/icvts.2007.151795

    authors: Jaworski Ł,Siondalski P,Jarmoszewicz K,Rogowski J

    更新日期:2007-10-01 00:00:00

  • Late inflow or outflow obstruction requiring surgical intervention after HeartMate 3 left ventricular assist device insertion.

    abstract::Inflow or outflow obstruction is a rare, but critical complication after HeartMate 3 left ventricular assist device implantation. We retrospectively reviewed 166 patients who underwent primary HeartMate 3 implantation at our centre between November 2014 and July 2019. Three cases of inflow obstruction and 3 cases of o...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivaa158

    authors: Kaku Y,Naka Y,Witer L,Topkara V,Colombo P,Sayer G,Uriel N,Takeda K

    更新日期:2020-11-01 00:00:00

  • Abdominal aortic aneurysm surgery with mechanical support using the Impella microaxial blood pump.

    abstract::A 50-year-old man with an end-stage cardiac failure was referred to our institution for pre-transplantation assessment. An infrarenal aortic aneurysm (diameter 45 mm) was discovered and progressed (up to 59 mm) over a two-month period. Decision to perform aneurysmectomy with the support of an Impella Recover LP50 micr...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2007.173146

    authors: Farhat F,Sassard T,Attof Y,Jegaden O

    更新日期:2008-05-01 00:00:00

  • An infected pseudoaneurysm following a modified Blalock-Taussig shunt.

    abstract::A two-month-old male infant with tetralogy of Fallot underwent a right-sided modified Blalock-Taussig shunt using a 4 mm expanded polytetrafluoroethylene graft through a right thoracotomy. Five months later, the patient developed otitis media, followed by repeated relapses of pneumonia and fever of unknown origin. Mul...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2008.184333

    authors: Matsuhisa H,Yoshimura N,Kitahara J,Otaka S,Ichida F,Funada H,Misaki T

    更新日期:2009-01-01 00:00:00

  • Optimal myocardial protection strategy for coronary artery bypass grafting without cardioplegia: prospective randomised trial.

    abstract::Although hypothermia and ischaemic preconditioning (IP) are independently recognised mechanisms of cardioprotection, interactions between myocardial temperature and preconditioning have not been investigated. Therefore, this study explored the possibility of inducing IP during hypothermia and quantifying its effects a...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2005.116863

    authors: Codispoti M,Sundaramoorthi T,Saad RA,Reid A,Sinclair C,Mankad P

    更新日期:2006-06-01 00:00:00

  • Is cerebrospinal fluid drainage of benefit to neuroprotection in patients undergoing surgery on the descending thoracic aorta or thoracoabdominal aorta?

    abstract::A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was 'Is cerebrospinal fluid (CSF) drainage of benefit in patients undergoing surgery on the descending thoracic aorta or thoracoabdominal aorta?' Altogether 1177 papers were found using the reported search, ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivs284

    authors: Bilal H,O'Neill B,Mahmood S,Waterworth P

    更新日期:2012-10-01 00:00:00

  • Congenital atresia of the left main coronary artery: management of a 5-year-old child in extremis.

    abstract::Atresia of the left main coronary artery is a rare coronary anomaly. We describe the case of a 5-year-old child presenting in emergency in extremis. Clinical findings of haemodynamic collapse, malignant ventricular tachyarrhythmias and severe mitral regurgitation were indicative of a possible ischaemic aetiology. Surg...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivaa268

    authors: Schmiady M,Kretschmar O,Prêtre R,Dave H

    更新日期:2020-11-22 00:00:00

  • Emergency endovascular graft repair of computed tomography-detected disruption of bilateral aorto-bi-iliac graft legs.

    abstract::We report a case of endovascular repair of disruption of an aorto-bi-iliac graft detected by 4D computed tomography. An 83-year old man with previous aorto-bi-iliac graft replacement was admitted to our institution with severe epigastric pain. A 4D computed tomography detected disruption within the fabric of both graf...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivv152

    authors: Kitahara H,Yoshitake A,Hachiya T,Shimizu H

    更新日期:2015-09-01 00:00:00

  • When operable patients become inoperable: conversion of a surgical aortic valve replacement into transcatheter aortic valve implantation.

    abstract::Transcatheter aortic valve implantation (TAVI) is a relatively new treatment option for inoperable patients with severe aortic stenosis (AS). This case describes how a planned conventional surgical aortic valve replacement (AVR) on a 73-year-old woman was successfully converted to a TAVI procedure. On extracorporal ci...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.211144

    authors: Olsen LK,Arendrup H,Engstrøm T,Søndergaard L

    更新日期:2009-11-01 00:00:00

  • Intent-to-cure surgery for small-cell lung cancer in the era of contemporary screening and staging methods.

    abstract:OBJECTIVES:Our goal was to report on the contemporaneous single-centre experience of patients with small-cell lung cancer (SCLC) who had lung resection with curative intent. METHODS:Between 2005 and 2018, 31 patients were operated on for SCLC with curative intent. There were 11 women and 20 men whose ages averaged 63 ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivz299

    authors: Chenesseau J,Bourlard D,Cluzel A,Trousse D,D'Journo XB,Thomas PA

    更新日期:2020-04-01 00:00:00

  • A new method of grafting the circumflex through lateral MIDCAB with the use of the radial loop technique.

    abstract::We report a technique that allows total arterial revascularization of the circumflex territory without cardiopulmonary bypass through limited thoracotomy with the radial as a composite graft. The technique includes anastomosis of the distal end of the radial artery to its more proximal part after the division of the c...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1016/S1569-9293(02)00113-5

    authors: Athanasiou T,Casula R,Glenville B,Stanbridge RD

    更新日期:2003-03-01 00:00:00

  • Plasma brain natriuretic peptide as a biomarker for haemodynamic outcome and mortality following pulmonary endarterectomy for chronic thromboembolic pulmonary hypertension.

    abstract:OBJECTIVES:In chronic thromboembolic pulmonary hypertension (CTEPH), right ventricular (RV) dysfunction is associated with increased morbidity and mortality following pulmonary endarterectomy. Plasma brain natriuretic peptide (BNP) levels were previously shown to correlate with RV (dys)function. We hypothesized that BN...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivs415

    authors: Surie S,Reesink HJ,van der Plas MN,Hardziyenka M,Kloek JJ,Zwinderman AH,Bresser P

    更新日期:2012-12-01 00:00:00

  • Congenital absence of anterior papillary muscle of the tricuspid valve and surgical repair with artificial chordae.

    abstract::We report the case of a 26-year old woman who underwent successful tricuspid valve repair for the absence of the anterior papillary of the tricuspid valve. Preoperative echocardiography revealed grade IV tricuspid valve regurgitation, caused by congenital absence of the anterior papillary muscle and prolapse of the an...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw327

    authors: Tian C,Pan S

    更新日期:2017-02-01 00:00:00

  • Age- and gender-specific values of estimated glomerular filtration rate among 6232 patients undergoing cardiac surgery.

    abstract::Impaired preoperative renal function as estimated by glomerular filtration rate (GFR) is an independent risk factor for mortality after cardiac surgery. Little is known about the actual prevalence of renal dysfunction among patients undergoing cardiac surgery in Germany. We performed a retrospective analysis of 6232 p...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1510/icvts.2009.208033

    authors: Diez C,Mohr P,Koch D,Silber RE,Schmid C,Hofmann HS

    更新日期:2009-10-01 00:00:00

  • Acute onset of paraplegia after repair of abdominal aortic aneurysm in a patient with acute type B aortic dissection.

    abstract::We report a rare complication of acute onset paraplegia after repair of an abdominal aortic aneurysm in a patient with acute type B aortic dissection. A 53-year-old man, suffering from abdominal aortic aneurysm (AAA), was admitted to our hospital with type IIIB acute aortic dissection. Ten days after admission, emerge...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2008.191023

    authors: Takahashi Y,Tsutsumi Y,Monta O,Kohshi K,Sakamoto T,Ohashi H

    更新日期:2009-02-01 00:00:00

  • Bicuspidy does not affect reoperation risk following aortic valve reimplantation.

    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 f...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivs059

    authors: Malvindi PG,Raffa GM,Basciu A,Citterio E,Cappai A,Ornaghi D,Tarelli G,Settepani F

    更新日期:2012-06-01 00:00:00

  • Systemic levels of endothelin correlate with systemic inflammation and not with myocardial injury or left ventricular ejection fraction in patients undergoing percutaneous coronary intervention and on-pump coronary artery bypass grafting.

    abstract::Endothelin (ET-1) is a potent vasoconstrictor. We compared patterns of ET-1 in percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and correlated it with markers of inflammation. Patients with multivessel disease were enrolled in a prospective randomized study of PCI vs. on-pump CABG. Pr...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1510/icvts.2011.278192

    authors: Cuculi F,Lim CC,van Gaal W,Testa L,Westaby S,Arnold JR,Neubauer S,Banning AP

    更新日期:2011-12-01 00:00:00

  • Temporary left ventricular assist and levosimendan for coronary artery spasm.

    abstract::Coronary vasospasm is a life threatening complication in the early postoperative period after coronary artery bypass grafting. We report a 45-year-old patient with normal preoperative ventricular function who could not be stabilized using established treatments such as: systemic application of glyceryl trinitrate, dil...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2004.103788

    authors: Döpfmer UR,Braun JP,Grosse J,Konertz W

    更新日期:2005-08-01 00:00:00

  • Does the surgeon's experience have an impact on outcome after total arterial revascularization with composite T-grafts? A risk factor analysis.

    abstract:OBJECTIVES:When composite T-grafting is performed, total arterial revascularization (TAR) can be accomplished with only two grafts. There is the belief that composite grafting poses a risk of graft failure due to its single inflow via the left internal thoracic artery (LITA). High surgical quality is essential for left...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw207

    authors: Umminger J,Reitz M,Rojas SV,Stiefel P,Shrestha M,Haverich A,Ismail I,Martens A

    更新日期:2016-11-01 00:00:00

  • Early and late results of combined carotid endarterectomy and coronary artery bypass versus isolated coronary artery bypass.

    abstract:OBJECTIVE:Optimal management of patients with combined coronary and carotid artery disease remains controversial. This study analyzed the outcomes between simultaneous carotid endarterectomy (CEA) and coronary artery bypass grafting (CABG) vs. isolated CABG. METHODS:We reviewed the early and late follow-up data of 412...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2005.114678

    authors: Nwakanma L,Poonyagariyagorn HK,Bello R,Khoynezhad A,Smego D,Plestis KA

    更新日期:2006-04-01 00:00:00

  • Wall stress correlates with intimal entry tear localization in Type A aortic dissection.

    abstract:OBJECTIVES:The risk of aortic dissection should be assessed based not only on the aortic diameter, but also on other biomechanical parameters that have an impact on the stress in the aortic wall. This study evaluates very rare clinical scenarios of patients with both pre- and post-dissection computed tomography (CT) im...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1093/icvts/ivy158

    authors: Plonek T,Zak M,Rylski B,Berezowski M,Czerny M,Beyersdorf F,Jasinski M,Filipiak J

    更新日期:2018-12-01 00:00:00

  • Balancing the benefits and risks of blood transfusions in patients undergoing cardiac surgery: a propensity-matched analysis.

    abstract:OBJECTIVES:Prior studies have found that cardiac surgery patients receiving blood transfusions are at risk for increased mortality and morbidity following surgery. It is not clear whether this increased risk occurs across all haematocrit (HCT) levels. The goal of this study was to compare operative mortality in propens...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivt124

    authors: Shaw RE,Johnson CK,Ferrari G,Zapolanski A,Brizzio M,Rioux N,Edara S,Sperling J,Grau JB

    更新日期:2013-07-01 00:00:00

  • Static sac size with a type II endoleak post-endovascular abdominal aortic aneurysm repair: surveillance or embolization?

    abstract::A best evidence topic was written according to a structured protocol. The question addressed was whether embolization is superior to surveillance for a type II endoleak associated with a static sac size post-endovascular abdominal aortic aneurysm repair (EVAR). Four hundred and sixty-one papers were identified, of whi...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivs201

    authors: Patatas K,Ling L,Dunning J,Shrivastava V

    更新日期:2012-09-01 00:00:00

  • Does the use of thiopental provide added cerebral protection during deep hypothermic circulatory arrest?

    abstract::A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was: Does the use of thiopental provide added cerebral protection during deep hypothermic circulatory arrest (DHCA)? Altogether, more than 62 papers were found using the reported search, of which 7 represent...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,评审

    doi:10.1093/icvts/ivt184

    authors: Al-Hashimi S,Zaman M,Waterworth P,Bilal H

    更新日期:2013-08-01 00:00:00

  • Chest wall reconstruction with MatrixRib system: avoiding pitfalls.

    abstract::Reconstructions of the chest wall using commercially available artificial metallic rib systems are gaining in popularity. The MatrixRib system involves use of plates and screws to bridge any defect and provide support for the chest wall following resection. So far, there has been no publication focusing on describing ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivt515

    authors: Ng CS,Ho AM,Lau RW,Wong RH

    更新日期:2014-03-01 00:00:00

  • Survival and freedom from aortic valve-related reoperation after valve-sparing aortic root replacement in 1015 patients.

    abstract:OBJECTIVES:The aim of this study was to characterize mortality and aortic valve replacement after valve-sparing aortic root replacement (V-SARR) in a multicentre cohort. METHODS:Between 1994 and 2014, 1015 patients had V-SARR with (n = 288, 28%) or without cusp/commissure repair (n = 727, 72%) at the centres of Lübeck...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1093/icvts/ivv354

    authors: Kari FA,Doll KN,Hemmer W,Liebrich M,Sievers HH,Richardt D,Reichenspurner H,Detter C,Siepe M,Czerny M,Beyersdorf F

    更新日期:2016-04-01 00:00:00