BackgroundThe influence of preoperative clinical, hemodynamic, and surgical procedures on long-term prognosis after combined aortic and mitral valve surgery is not well studied. Methods and ResultsOne hundred seventy patients who underwent surgery for chronic combined aortic and mitral valvular disease between 2004 and 2014 were followed up for an average of 5.3 years. The perioperative mortali...

BACKGROUND Planned reductions in reimbursement for all forms of vascular surgery dictate a need for the development of more cost efficient, yet quality oriented, treatment programs. We are faced with an increasingly older patient population with multiple comorbidities. In this environment it will become extremely difficult to accomplish aortic surgery in a way which will be profitable for our h...

INTRODUCTION The most common method used for myocardial protection is administering cardioplegic solution in the coronary circulation. Nevertheless, protection may be achieved by intermittent perfusion of the coronary system with patient's own blood. The intermittent perfusion may be performed by multiple sequences of clamping and opening of the aortic clamp or due single clamping and accessory...

BACKGROUND Many older patients with severe aortic stenosis do not have valve replacement surgery. OBJECTIVE To determine the proportion of older people with symptomatic aortic stenosis referred for specialist assessment and the reasons for non-referral. METHODS Retrospective study of all patients over 75 attending the geriatric department of an English teaching hospital. Confirmation was by...

OBJECTIVES This study aimed to investigate whether the entry site of acute type B aortic dissection affects late outcomes. METHODS Inpatient and outpatient records were retrospectively reviewed. RESULTS We identified 224 cases of acute type B aortic dissection between 1998 and 2013. Of these 224 patients, 168 were men and the age was 64.2 ± 12.6 (range 23-94) years, from which 130 presented...

Twenty-four patients with aortic valve disease were studied before and 19+/-12 months following valve replacement with a well functioning prosthesis. Biplane left ventricular angiography and pressures were utilized to determine end-diastolic volume/m2 (EDV), end-systolic volume/m2 (ESV), ejection fraction (EF), left ventricular mass/m2 (LVM) and stroke work (SW). There were nine patients with a...

The day after you have performed a successful surgery for acute type A aortic dissection, your treatment strategy will never be questioned either by colleagues, the patient’s family or—most important—the patient himself, but it will be questioned if your patient does not survive. This fact shall always form the basis when we are discussing extension of the classical surgical strategy in acute t...

acute dissection or the ascending aorta requires immediate surgical intervention. without surgical treatment ii:i,) of the patients will die every hour. in this study we report the result ofoperations on patients with stanford type a aortic dissection. from 1997 to 2003. 26 patients (16 males, 10 females) aged 30 to 71 years (mean age 4~.9 :i: 2.3 years) underwent surgical treatment. in all of ...

Abdominal aortic aneurysms represent a common pathologic condition, with an increasing incidence in the last decades. Unfortunately, the mortality rate in ruptured abdominal aortic aneurysms has also increased. The aim of this retrospective study was to determine the risk factors that could interfere with the surgical outcome of these patients, especially with the perioperative morbidity and mo...

Abstract Infective endocarditis is a relatively rare disease with an estimated mean incidence of 3.6–7.0 cases per 100,000 subject–years. Aortic bicuspid disease, the most frequent congenital anomaly, one main risk factors. Heart failure, uncontrolled infection (fistulas, abscesses, persistently positive blood cultures) and systemic embolization are among feared complications endocarditis: thes...