Current Evidence, Emerging Evidence, and Decision-Making: An Algorithm for Leaflet Modification Procedures.

Leaflet modification is a necessary element in the armamentarium of the structural interventionalist and will remain an area of active investment in the future. Although leaflet splitting is proven, t...

Aortic root abscess in a high-risk case requiring modified hemi-UFO procedure with custom-made pericardial conduit - a case report.

BACKGROUND: The UFO procedure is an established surgical technique to treat extensive endocarditis of the aortic or mitral valve with involvement of the intervalvular fibrous body (IVFB). This techniq...

Seven-year experience (2018-2025) of a hospital-based cardiovascular tissue bank in Israel: operational insights and clinical impact.

Cryopreserved human heart valves and cardiovascular tissues (homografts) are essential for the surgical treatment of congenital and acquired valvular diseases, particularly in pediatric patients, wher...

Guidelines for the Intraprocedural Imaging for Mitral Valve Transcatheter Edge-to-Edge Repair (M-TEER): Recommendations from the American Society of Echocardiography.

As the number of mitral valve transcatheter edge-to-edge repair procedures increases, there are catheter operators and interventional echocardiography operators performing these procedures with variab...

Leaflets Morphology Optimization of Valved Pulmonary Arterial Conduit Based on Experimental Design.

This study investigated the influence of leaflet geometry on the hemodynamic performance of pulmonary valved conduits and optimized leaflet trimming parameters using a design of experiments (DOE) appr...

Deep Sedation With a Natural Airway is a Viable Alternative to General Anesthesia With Endotracheal Tube for Isolated Transcatheter Pulmonary Valve Implantation.

There is growing interest in utilizing deep sedation with a natural airway rather than general endotracheal anesthesia (GETA) for cardiac catheterization procedures due to the presumed hemodynamic ben...

Clinical Utility and Limitations of TAPSE in Pediatric Echocardiography: A Narrative Review.

BACKGROUND: Tricuspid annular plane systolic excursion (TAPSE) is widely used to assess right ventricular (RV) longitudinal systolic function in pediatric echocardiography; however, its reliability is...

Dual valve Achromobacter endocarditis in a long-term acute care unit: a case report and review of the literature.

BACKGROUND: Achromobacter xylosoxidans is an opportunistic, gram-negative organism that primarily affects immunocompromised individuals or those with indwelling medical devices. Although generally con...

Diagnostic evaluation of myocardial infarction with non-obstructive coronary arteries in a young patient: suspected coronary embolism from a calcified bicuspid aortic valve.

Coronary artery embolism is a relatively infrequent cause of myocardial infarction (MI). This case report presents a case of acute ST-segment elevation MI in the anterolateral wall consistent with sus...

Impact of Coronary Artery Disease and Revascularization on Outcomes After Transcatheter Tricuspid Edge-to-Edge Repair.

BACKGROUND: Coronary artery disease (CAD) is common in patients treated for structural heart disease, but its prevalence, prognostic impact, and optimal management in patients undergoing tricuspid tra...

Predictors of Procedural and Clinical Outcomes Following Transcatheter Tricuspid Edge-to-Edge Repair: An Expert Overview.

Tricuspid transcatheter edge-to-edge repair alleviates symptoms, but survival benefit remains inconsistent. The authors conducted a Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2...

Prognostic Impact of Baseline Albumin-Bilirubin Score on Mortality After Transcatheter Edge-to-Edge Mitral Repair.

Background and Objectives: Transcatheter edge-to-edge repair (TEER) has emerged as an effective treatment option for patients with severe mitral regurgitation who are at high surgical risk. However, c...

Incidence, Clinical Characteristics and Outcomes of Severe Prosthesis-Patient Mismatch in Patients Undergoing TAVI with Large Aortic Annuli.

Background and Objectives: Recent studies have focused on evaluating the hemodynamic results in patients undergoing transcatheter aortic valve implantation (TAVI) with small aortic annuli. There is li...

Impact of concomitant left-sided valve disease on outcomes following tricuspid valve transcatheter edge-to-edge repair: insights from EuroTR.

INTRODUCTION: The impact of coexisting left-sided valvular heart disease (VHD) on clinical outcomes following tricuspid valve edge-to-edge repair (T-TEER) for tricuspid regurgitation (TR) remains uncl...

Discordant ANCA Positivity in Immune Complex Glomerulonephritis Secondary to Bartonella henselae Prosthetic Valve Endocarditis.

Bartonella henselae is an intracellular bacterium which classically causes cat scratch disease as well as culture-negative endocarditis. We report a man in his 60s, with a mechanical aortic valve repl...

Predictors of Left Ventricular Fibrosis in Mitral Annular Disjunction: Cardiac Magnetic Resonance Imaging Study.

BACKGROUND: Mitral annular disjunction (MAD) is an anatomical anomaly increasingly recognized for its association with myocardial fibrosis and malignant arrhythmias. Identifying predictors of this fib...

Right Anterior Thoracotomy Versus Partial Sternotomy for Isolated Aortic Valve Replacement: A Propensity Analysis of Clinical Outcomes and Hospital Costs.

Background and Objectives: Previous comparisons between right anterior mini-thoracotomy (RAT) and partial upper sternotomy (PS) for aortic valve replacement (AVR) have shown similar clinical outcomes....

Valve-in-Valve TAVR in Surgical Stentless Aortic Bioprostheses, a Challenging Scenario.

Background and objectives: Valve-in-valve transcatheter aortic valve replacement (ViV TAVR) has become an established treatment for failed surgical bioprostheses in patients at high surgical risk. How...

[Prosthetic repair of the ascending aorta and aortic arch from the left-sided thoracotomy in a female patient after pulmonectomy (clinical case report)].

Described herein is a clinical case of successful prosthetic repair of the aortic valve, ascending aorta and aortic arch according to the hemiarch technique from the left-sided thoracotomy. A 69-year-...

重度二叶主动脉瓣狭窄的经导管主动脉瓣置换术

外科主动脉瓣置换术一直是有症状重度退行性主动脉瓣狭窄患者的标准治疗方案。近年来，经导管主动脉瓣置换术在特定患者群体中已成为成熟的替代治疗方案，在三叶瓣狭窄方面有强有力的循证支持。然而，经导管主动脉瓣置换术在二叶主动脉瓣狭窄中的评估仍有限。最近，多项观察性研究证实了经导管主动脉瓣置换术在二叶主动脉瓣狭窄中的可行性和安全性，新一代器械的使用显示出令人鼓舞的结果。然而，与三叶瓣狭窄相比，二叶主动脉瓣狭窄...