Highlights The article describes the first conducted pseudorandomized comparative study of mitral valve replacement using either traditional or “valve-in-valve” techniques. Abstract Aim. To compare short-term (perioperative) and medium-term (6 months) outcomes surgical treatment bioprosthetic dysfunction methods. Methods. included 18 patients undergoing (open replacement) chosen according to fo...

helpful? Benefits, costs and how to learn. Eur Heart J 2014;35:69–76. 34. Bartel T, Müller S. Device closure of interatrial communications: peri-interventional echocardiographic assessment. Eur Heart J Cardiovasc Imaging 2013;14:618–24. 35. Melby SP, Moon MR, Lindman BR, Bailey MS, Hill LL, Damiano RJ. Impact of pulmonary hypertension on outcomes after aortic valve replacement for aortic valve ...

Aorto-pulmonary artery fistula is a rare and lethal occurrence after thoracic surgery and aortic aneurysms. Here we present a rare occurrence of acute aorto-pulmonary artery fistula in outpatient department in a follow up patient of aortic valve replacement and discuss challenges faced in diagnosis, etiopathogenesis and management.

We describe a case of acute unilateral left pulmonary edema occuring in an old man one year after mitral valve replacement. Transesophageal echocardiography identified a paravalvular leakage with severe mitral regurgitant jet directed to both left pulmonary veins. A prompt surgical closure of the leakage by pericardial patch was decided with rapid clinical and radiological improvement.

We describe the case of a 54-year-old female with severe aortic stenosis and a background of severe comorbidities including prior radiotherapy for Hodgkin’s lymphoma, splenectomy, severe chronic obstructive pulmonary disease, scleroderma with laryngeal and esophageal involvement, and systemic and pulmonary hypertension. The patient underwent totally video-guided aortic valve replacement through...