Reintervention of a mitral degenerated bioprosthesis has high surgical risk, especially in elderly patients with multiple comorbidities. We report 74 years old female two previous cardiac procedures and new structural deterioration severe regurgitation. Considering her high-surgical fully percutaneous treatment was performed balloon-expandable aortic valve position (valve-in-valve) through tran...

introduction patients with palliated congenital heart disease may present later in life for major, non-cardiac surgical procedures. although alternative surgical techniques are now available for the treatment of the transposition of the great arteries (tga), an atrial level baffle (mustard or senning procedure) was previously performed. long-term adverse effects of the atrial level switch inclu...

T he National Service Framework (NSF) for coronary heart disease (CHD) states that: " By international standards, the UK has high rates of CHD but low rates of coronary artery revascularisation. This does not appear to be because most other countries are over-using revascularisation but rather there has been under-provision of revascularisation in the UK. Another major difference between the UK...

Surgical procedures are inevitably associated with bleeding. The amount of blood loss may vary widely between different surgical procedures and depends on surgical as well as non-surgical factors. Whereas adequate surgical haemostasis may suffice in most patients, pro-haemostatic pharmacological agents may be of additional benefit in patients with (diffuse) surgical bleeding or in patients with...

The term "elderly" in the cardiac surgical experience refers to patients chronologically aged 2:70 years. Chronologic age is less important than physiologic age; in the physiologically aged patient, techniques used in most surgical procedures are likely to be attended by a markedly increased risk of morbidity and mortality (I). There are four aspects involved in a decision to perform a cardiac ...

results utilizing autologous stem cell populations to treat craniofacial defects is a promising field of ongoing investigations. studies show that cartilage stem/progenitor cells (cspcs) are highly chondrogenic and can produce elastic reconstructive material with long-term tissue restoration. conclusions auricular reconstruction surgery is a challenging plastic procedure that requires great exp...

An understanding of the determinants of cardiac output is essential to both medical specialists in their dealing with heart disease and hypertension, and to surgical specialists who deal with shock states and the maintenance of adequate circulation during surgical procedures. In this program, I'll introduce you to some fundamental yet often misunderstood concepts about the determinants of cardi...

BACKGROUND Studies on stroke risk following cardiac procedures addressed only perioperative and long-term risk following limited higher-risk procedures, were poorly generalizable, and often failed to stratify by stroke type. We calculated stroke risk in the intermediate risk period following cardiac procedures compared with common noncardiac surgeries and medical admissions. METHODS AND RESUL...