The Unrelenting Search for Bioprosthetic Aortic Valve Durability.
Published in JACC. Cardiovascular imaging
Immediate and long-term need for permanent cardiac pacing following aortic valve replacement.
Published in Scandinavian cardiovascular journal : SCJ
Introduction: Atrioventricular (AV) node conduction disturbances are common following surgical aortic valve replacement (SAVR), and in some cases the patient needs a permanent pacemaker (PPM) implantation before discharge from hospital. Little is known about the long-term need for PPM and the PPM dependency of these individuals. We determined the i...
Aortic valve replacement with pulmonary hypertension: Meta-analysis of 70 676 patients.
Published in Journal of cardiac surgery
We compared early and late outcomes of surgical aortic valve replacement (SAVR) in patients with aortic stenosis (AS) and pulmonary hypertension (PHT). We searched MEDLINE and EMBASE databases until July 2018 for studies comparing patients with AS and none, mild-moderate, or severe PHT undergoing SAVR. Random-effects meta-analysis was performed. Th...
Differences in Inpatient Outcomes After Surgical Aortic Valve Replacement at Transcatheter Aortic Valve Replacement (TAV...
Published in Journal of the American Heart Association
Background Transcatheter aortic valve replacement (TAVR) has solidified the importance of a heart team and revolutionized patient selection for surgical aortic valve replacement (SAVR). It is unknown if hospital ability to offer TAVR impacts SAVR outcomes. We investigated outcomes after SAVR between TAVR and non-TAVR centers. Methods and Results Ho...
Management of aortic valve replacement according to the Gradient across symptomatic aortic valve stenosis and its progno...
...
Background - Treatment strategy for low-gradient (LG) aortic stenosis (AS) remains an unresolved issue. The presence of a low aortic gradient and preserved left ventricular ejection fraction (LVEF) might lead toward the underestimation of aortic stenosis severity and a more conservative management. We sought (a) to describe the nature and timing of...
Minimally Invasive Sutureless Aortic Valve Replacement is Associated With Improved Outcomes in Patients With Left Ventri...
Published in Innovations (Philadelphia, Pa.)
Patients with severe aortic stenosis and reduced left ventricular ejection fraction (LVEF) have a poor prognosis compared with patients with preserved LVEF. To evaluate the impact of sutureless Perceval (LivaNova, Italy) aortic bioprosthesis on LVEF and clinical outcomes in patients with baseline left ventricular (LV) dysfunction who underwent isol...
Characteristics of surgical prosthetic heart valves and problems around labeling: A document from the European Associati...
...Published in The Journal of thoracic and cardiovascular surgery
Intraoperative surgical prosthetic heart valve (SHV) choice is a key determinant of successful surgery and positive postoperative outcomes. Currently, many controversies exist around the sizing and labeling of SHVs rendering the comparison of different valves difficult. To explore solutions, an expert Valve Labelling Task Force was jointly initiate...
Long-term outcomes of mechanical versus biological aortic valve prosthesis: Systematic review and meta-analysis.
Published in The Journal of thoracic and cardiovascular surgery
In recent years, the use of surgically implanted biological aortic valves has been favored over mechanical prosthesis in patients between 50 and 70 years of age. However, outcomes on long-term survival are contradictory. The objective of this study was to determine if patients with mechanical valves have worse long-term survival than patients with ...
Incidence of Permanent Pacemaker Implantation after Cardiac Surgery: A Single Centre Experience
Published in Proceedings of the Latvian Academy of Sciences. Section B. Natural, Exact, and Applied Sciences.
Permanent pacemaker implantation (PPI) after open heart surgery is required in 0.4–8.5% of patients. The aim of our study was to determine the incidence of PPI after cardiac surgery at Pauls Stradiņš Clinical University Hospital and to assess its influence on intrahospital outcomes. This was a single-centre retrospective study. We reviewed all pati...
Delirium Incidence and Functional Outcomes After Transcatheter and Surgical Aortic Valve Replacement.
...Published in Journal of the American Geriatrics Society
Transcatheter aortic valve replacement (TAVR) may be associated with less delirium and allow faster recovery than surgical aortic valve replacement (SAVR). To examine the association of delirium and its severity with clinical and functional outcomes after SAVR and TAVR. Prospective cohort study. An academic medical center. A total of 187 patients, ...
