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structural valve deterioration

Andrea L Axtell, David C Chang, Serguei Melnitchouk, Arminder S Jassar, George Tolis, Mauricio A Villavicencio, Thoralf M Sundt, David A D'Alessandro
BACKGROUND: Structural valve deterioration (SVD) is a known limitation of bioprosthetic valves. Recent reports have suggested a concerning rate of early SVD in patients receiving a Mitroflow aortic bioprosthesis. We therefore compared the incidence of SVD and SVD requiring reoperation among patients receiving a Mitroflow versus a common contemporary bioprosthesis. METHODS: A retrospective cohort analysis was performed on 592 patients receiving a Mitroflow aortic bioprosthesis at our institution between 2010 and 2014...
December 7, 2018: Journal of Cardiac Surgery
Benish Fatima, Divyanshu Mohananey, Fazal W Khan, Yash Jobanputra, Ramyashree Tummala, Kinjal Banerjee, Amar Krishnaswamy, Stephanie Mick, E Murat Tuzcu, Eugene Blackstone, Lars Svensson, Samir Kapadia
Importance: Although several studies have reported data on surgical aortic valve durability, variability in study methodologies and definitions as well as inadequate follow-up make the interpretation of data from these studies difficult to interpret. Objective: To review available data on structural valve deterioration (SVD) of surgical bioprosthetic aortic valves by examining the published literature as well as data reported to the US Food and Drug Administration (FDA)...
December 5, 2018: JAMA Cardiology
Arman Kilic, Ibrahim Sultan, Forozan Navid, Edgar Aranda-Michel, Danny Chu, Floyd Thoma, Thomas G Gleason
BACKGROUND: The St. Jude Medical Trifecta bioprosthesis is a bovine pericardial valve mounted on a titanium stent. The objective of this study was to report a single center experience with the Trifecta aortic valve. METHODS: Patients undergoing aortic valve replacement (AVR) with the Trifecta valve between 2011-2017 at a single center were included. The primary outcome was overall survival. Secondary outcomes included operative mortality and morbidity, aortic valve reoperations, and reoperation for structural valve deterioration...
December 1, 2018: Annals of Thoracic Surgery
Akash Kataruka, Catherine M Otto
Transcatheter aortic valve implantation (TAVI) is a minimally invasive procedure to treat severe symptomatic aortic stenosis. While the TAVI procedure can be performed safely and provide excellent 5-year results, little is known about long-term durability. TAVI valves are composed of bioprosthetic leaflets are prone to deterioration, which are categorized as structural valve deterioration (SVD) and non-SVD. SVD refers to an intrinsic pathology of the leaflets or stent structure with mechanisms that include leaflet calcification, leaflet tear, stent fracture, or stent creep...
November 2018: Journal of Thoracic Disease
Simone A Huygens, Jonathan R G Etnel, Milad Hanif, Jos A Bekkers, Ad J J C Bogers, Maureen P M H Rutten-van Mölken, Johanna J M Takkenberg
OBJECTIVE: To support decision-making in aortic valve replacement (AVR) in elderly patients, we provide a comprehensive overview of outcome after AVR with bioprostheses. METHODS: A systematic review was conducted of studies reporting clinical outcome after AVR with bioprostheses in elderly patients (mean age ≥70 years; minimum age ≥65 years) published between January 1, 2000, to January 9, 2016. Reported event rates and time-to-event data were pooled and entered into a microsimulation model to calculate life expectancy and lifetime event risks...
October 22, 2018: Journal of Thoracic and Cardiovascular Surgery
Naoto Fukunaga, Tadaaki Koyama
PURPOSE: Isolated tricuspid valve surgery (TVS) following valvular surgery has been still challenging. We reviewed our experience to determine early and late outcomes. METHODS: We retrospectively analyzed 14 patients (mean age, 57.0 ± 17.8 years old) who underwent isolated TVS after valvular surgery between January 1990 and December 2010. The causes of isolated TVS were structural valve deterioration (SVD) (n = 5) and symptomatic severe tricuspid regurgitation (n = 9)...
November 28, 2018: Annals of Thoracic and Cardiovascular Surgery
Timothy A Joseph, Mackram F Eleid, Allison K Cabalka, Joseph F Maalouf, Charanjit S Rihal
OBJECTIVES: This study reports long-term outcomes percutaneous Melody valve (Medtronic, Minneapolis, Minnesota) valve-in-valve therapy in patients with prosthetic valve dysfunction. BACKGROUND: Repeat valve surgery is associated with high morbidity and mortality. Transcatheter mitral valve-in-valve is a promising alternative in patients at high-risk for cardiac surgery. METHODS: We conducted a retrospective cohort analysis of 13 patients who underwent Melody valve-in-valve for bioprosthetic dysfunction from July 2011 to October 2013...
November 20, 2018: Catheterization and Cardiovascular Interventions
Deepak L Bhatt, Charles D Resor, Ron Blankstein
No abstract text is available yet for this article.
November 8, 2018: JACC. Cardiovascular Imaging
Thomas Sénage, Florence Gillaizeau, Thierry Le Tourneau, Basile Marie, Jean-Christian Roussel, Yohann Foucher
OBJECTIVES: Structural valve deterioration (SVD) remains a major bioprosthesis-related complication, as recently described for the Mitroflow valve (models LX and 12A) (LivaNova, London, United Kingdom). The real incidence of the SVD risk remains unclear, often due to methodologic pitfalls by systematically using the Kaplan-Meier estimator and/or the Cox model. In this report, we propose for the first time a precise statistical modeling of this issue. METHODS: Five hundred sixty-one patients who underwent aortic valve replacement with the aortic Mitroflow valve between 2002 and 2007 were included...
September 26, 2018: Journal of Thoracic and Cardiovascular Surgery
Taro Nakazato, Hiroki Hata, Koichi Toda, Shigeru Miyagawa, Yasushi Yoshikawa, Syunsuke Saito, Keitaro Domae, Takayoshi Ueno, Toru Kuratani, Yoshiki Sawa
BACKGROUND: The aim of this single-center study was to report the midterm clinical outcomes and hemodynamic performance of the St Jude Medical Epic porcine bioprosthesis, a tricomposite glutaraldehyde-preserved porcine bioprosthesis, in mitral position. Methods and Results: Between January 2011 and March 2017, 117 patients (62 men, 55 women; mean age, 66.7±12.8 years) who underwent mitral valve replacement (MVR) with the Epic valve were retrospectively analyzed for early and mid-term morbidity and mortality...
October 25, 2018: Circulation Journal: Official Journal of the Japanese Circulation Society
Erwan Salaun, Haïfa Mahjoub, Nicolas Girerd, François Dagenais, Pierre Voisine, Siamak Mohammadi, Bobby Yanagawa, Dimitri Kalavrouziotis, Peter Juni, Subodh Verma, Rishi Puri, Nancy Coté, Josep Rodés-Cabau, Patrick Mathieu, Marie-Annick Clavel, Philippe Pibarot
BACKGROUND: The incidence of structural valve deterioration after bioprosthesis (BP) aortic valve replacement (AVR) established on the basis of reoperation may substantially underestimate the true incidence. The objective is to determine the rate, timing, correlates, and association between hemodynamic valve deterioration (HVD) and outcomes assessed by Doppler echocardiography after surgical BP AVR. METHODS: A total of 1387 patients (62.2% male, 70.5±7.8 years of age) who underwent BP AVR were included in this retrospective study...
September 4, 2018: Circulation
Dreyer Bester, Lezelle Botes, Johannes Jacobus van den Heever, Harry Kotze, Pascal Dohmen, Jose Luis Pomar, Francis Edwin Smit
Cryopreserved pulmonary homograft (CPH) implantation remains the gold standard for reconstruction of the right ventricular outflow tract (RVOT). Harvesting homografts < 24-h post mortem is the international norm, thereby largely excluding cadaveric donors. This study examines the structural integrity and stability of ovine pulmonary homografts harvested after a 48-h post mortem period, cryopreserved and then implanted for up to 180 days. Fifteen ovine pulmonary homografts were harvested 48-h post mortem and cryopreserved...
October 11, 2018: Cell and Tissue Banking
Réda Belhaj Soulami, Amedeo Anselmi, Jacques Tomasi, Jean-Philippe Verhoye
Structural valve deterioration is a well-studied phenomenon in bioprosthetic heart valves. Conversely, structural valve deterioration after transcatheter aortic valve implantation is not as well-elucidated. Therefore, late surgical explantation after transcatheter aortic valve implantation is an infrequent procedure, and thus, surgical findings and management of such cases remain unclear, particularly in patients previously labelled as 'inoperable' or at 'high risk'. Herein, we report the case of a late surgical explantation of a transcatheter heart valve (THV) 7 years after its implantation in a patient with a porcelain aorta and periprosthetic regurgitation...
October 4, 2018: European Journal of Cardio-thoracic Surgery
Younes Moutakiallah, Mahdi Aithoussa, Noureddine Atmani, Aniss Seghrouchni, Azeddine Moujahid, Abdedaïm Hatim, Iliyasse Asfalou, Zouhair Lakhal, Abdelatif Boulahya
BACKGROUND: The reoperation for isolated tricuspid regurgitation in rheumatic population is rare and still unclear and controversial because of the rarity of publications. The aim of this study was to analyze short and long-term results and outcome of tricuspid valve surgery after left-sided valve surgery in rheumatic patients. METHODS: Twenty six consecutive rheumatic patients who underwent isolated tricuspid valve surgery after left-sided valve surgery between January 2000 and January2017 were retrospectively registered in the study...
October 4, 2018: Journal of Cardiothoracic Surgery
Marta Andrade, Francisca Saraiva, Mário J Amorim, Benjamim Marinho, Rui J Cerqueira, André P Lourenço, Paulo Pinho, Jorge Almeida, Adelino F Leite-Moreira
OBJECTIVE: To report the hemodynamic profile and short- and medium-term outcomes of Freedom Solo and Solo Smart stentless aortic valves implanted at our center. METHODS: Between 2009 and 2015, all patients undergoing aortic valve replacement using Solo stentless valves at our center were enrolled. Clinical and echocardiographic follow-up was carried out six months postoperatively. Survival and major events, including structural valve deterioration and non-structural valve dysfunction, endocarditis, reoperation and stroke, were assessed through medical records or telephone interview with the referring cardiologist up to November 2015 (mean and maximum follow-up 39±22 and 78 months, respectively)...
October 2018: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
M M Kreusser, S T Pleger, H Abu Sharar, N A Geis, R Bekeredjian, H A Katus, P W Raake
BACKGROUND: The Cardioband system enables percutaneous surgical-like direct mitral valve annuloplasty and, thereby, repair of severe functional mitral valve regurgitation (MR) in patients with advanced systolic heart failure (HF) and dilation of the left ventricular (LV) annulus. Since the device is anchored by screws in the LV annulus, limited myocardial injury is likely to occur. METHODS AND RESULTS: Five patients (Society of Thoracic Surgeons score: 2.7 ± 0...
September 25, 2018: Herz
Thomas G Gleason, Michael J Reardon, Jeffrey J Popma, G Michael Deeb, Steven J Yakubov, Joon S Lee, Neal S Kleiman, Stan Chetcuti, James B Hermiller, John Heiser, William Merhi, George L Zorn, Peter Tadros, Newell Robinson, George Petrossian, G Chad Hughes, J Kevin Harrison, John V Conte, Mubashir Mumtaz, Jae K Oh, Jian Huang, David H Adams
BACKGROUND: The CoreValve U.S. Pivotal High Risk Trial was the first randomized trial to show superior 1-year mortality of transcatheter aortic valve replacement (TAVR) compared with surgical aortic valve replacement (SAVR) among high operative mortality-risk patients. OBJECTIVES: The authors sought to compare TAVR to SAVR for mid-term 5-year outcomes of safety, performance, and durability. METHODS: Surgical high-risk patients were randomized (1:1) to TAVR with the self-expanding bioprosthesis or SAVR...
December 4, 2018: Journal of the American College of Cardiology
Sara Calandrini, Eugenio Aulisa
Venous valves are bicuspidal valves that ensure that blood in veins only flows back to the heart. To prevent retrograde blood flow, the two intraluminal leaflets meet in the center of the vein and occlude the vessel. In fluid-structure interaction (FSI) simulations of venous valves, the large structural displacements may lead to mesh deteriorations and entanglements, causing instabilities of the solver and, consequently, the numerical solution to diverge. In this paper, we propose an arbitrary Lagrangian-Eulerian (ALE) scheme for FSI simulations designed to solve these instabilities...
September 18, 2018: International Journal for Numerical Methods in Biomedical Engineering
Giuliano Costa, Corrado Tamburino, Marco Barbanti
With the expanding indication of transcatheter aortic valve implantation (TAVI) to younger, lower risk population, transcatheter aortic valve (TAV) long-term durability is becoming an emerging issue to face with. Recently, the standardization of structural valve deterioration (SVD) definition by a join committee of the European Association of Percutaneous Cardiovascular Interventions (EAPCI), the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS) has permitted to evaluate for the first time the rates of TAV durability with comparable endpoint...
September 13, 2018: Minerva Cardioangiologica
Andreas Martens, Erik Beckmann, Tim Kaufeld, Felix Fleissner, Julia Neuser, Wilhelm Korte, Constanze Merz, Heike Krueger, Axel Haverich, Malakh Shrestha
OBJECTIVES: Valve-sparing aortic root replacement (VSARR) is recommended for patients with aortic root dilatation and preserved aortic valve cusp morphology. The durability of VSARR in Marfan patients has been questioned. The aim of our study was to establish the long-term outcomes of VSARR in Marfan patients. METHODS: Between 1993 and 2015, 582 patients underwent VSARR (David I reimplantation) at our institution. Of these patients, 104 had Marfan disease. Thirteen surgeons performed the procedures in this group...
August 30, 2018: European Journal of Cardio-thoracic Surgery
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