Late aortic dissection can occur after aortic valve replacement surgery, but rarely in the first postoperative month. Coronary artery dissection is rare and usually occurs after coronary angiography. We report a rare case of coronary artery dissection followed by myocardial infarction in the immediate postoperative period of a successful aortic valve replacement with a good postoperative evolut...

Progressive narrowing of the aortic valve orifice eventually leads to limitations in cardiac output and myocardial blood flow, particularly during exercise or other physiological stress. The pressure gradient across the stenotic aortic valve is a useful and reproducible measure of the severity of the stenosis in most patients. The mainstay of therapy for aortic stenosis is relief of the fixed o...

s of the studies obtained were screened for those that examined outcomes following aortic valve replacement. References in these reports were cross checked for other relevant studies. This resulted in 76 published reports for mechanical valves and 68 for bioprostheses. The following criteria for each valve type were then stipulated in order to obtain homogeneous groups of studies: N Valves 19–3...

Between June 1969 and August I970, 8o patients, aged 22 to 63 years, had lone aortic valve replacement with frame-mounted autologous fascia lata. The operative mortality was 3.8 per cent. Seventy-seven survivors have been followed for 3 to 4 years and 50 have had postoperative investigation. There have been 8 subsequent deaths, 3 from infective endocarditis, 4 from aortic regurgitation, and one...

Percutaneous valve therapy developed initially with aortic valve replacement, described by Andersen et al3 in 1992 in a swine model. These investigators fabricated a stent-mounted bioprosthetic valve and demonstrated that percutaneous implantation is feasible. Bonhoeffer et al4 reported the use of a stent-mounted bioprosthesis for pulmonic valve replacement in 2000. This achievement clearly mar...

A 74-year-old man at moderate risk for surgical aortic valve replacement underwent transcatheter aortic valve replacement (TAVR) with an Edwards S3 valve (Edwards Lifesciences, Irvine, California) via the transfemoral route. Past medical history was significant for coronary artery bypass graft surgery. Left ventricular ejection function was normal, and he was in sinus rhythm. A 26-mm valve was ...

BACKGROUND Aortic valve disease is associated with eccentric or concentric left ventricular (LV) hypertrophy and changes in the LV mass. The relationship between LV mass and function and the effect of LV remodeling after aortic valve replacement (AVR), in patients with aortic valve disease needs evaluation, that is largely unknown in our population. The aim of this study was to evaluate the eff...

Cardiovascular involvement in cases of Behcet's disease is a rare but life-threatening condition, and prosthetic valve detachment is a frequent and serious complication attributable to Behcet's disease following the surgical repair of aortic regurgitation. We report the case of a patient with Behcet's disease presenting with contained aortic rupture around the aortic root. The patient had previ...

Aortic stenosis is 1 of the most common heart valve diseases among adults. When symptoms develop, prognosis is poor, and current guidelines recommend prompt aortic valve replacement. Depending of the severity of the aortic stenosis and the presence of concomitant heart disease and medical comorbidities, stress testing represents a reasonable strategy to help better risk stratify asymptomatic pa...

Malfunction of a prosthetic aortic valve is associated with a spectrum of potentially life threatening complications. In addition, the risk of aortic dissection increases following aortic valve replacement, which relates principally to aortic root pathology rather than prosthetic type or its functional status (Circulation 100 (1999) II-287). We report a case in which a high velocity turbulent j...