INTRODUCTION The aim of the study was to analyse the risk factors of early and late mortality in patients undergoing the first reoperation for prosthetic valve dysfunction. MATERIAL AND METHODS A retrospective observational study was performed in 194 consecutive patients (M = 75, F = 119; mean age 53.2 ±11 years) with a mechanical prosthetic valve (n = 103 cases; 53%) or bioprosthesis (91; 47...

The rate of redo surgeries are increasing on account of previously performed coronary artery bypass graft surgeries, aortic/ mitral valve replacement surgeries due to valve stenosis/ regurgitation, mitral valve repair for ischemic mitral regurgitation, the aging in the population, mechanical valve thrombosis and wearing out of the mechanical valves.Resternotomy, anterolateral right thoracotomy ...

OBJECTIVE To evaluate the results of minimally invasive transapical aortic valve implantation (TA-AVI) in patients requiring redo surgery. METHODS Twenty-five high risk patients with symptomatic aortic valve stenosis and previous cardiac surgical interventions received TA-AVI using a pericardial xenograft fixed within a stainless steel, balloon-expandable stent (Edwards SAPIEN) since February...

There are certain situations in redo cardiac surgery in adults where it may not be possible to use alternate arterial cannulation sites like the common femoral artery and axillary artery. We report a case where we established safe cardiopulmonary bypass with common carotid artery cannulation in an adult patient. The patient underwent aortic valve replacement for severe aortic regurgitation 8 mo...

BACKGROUND The elderly undergo cardiac surgery more and more frequently, often present multiple comorbidities, assume chronic therapies, and present a unique physiology. Aim of our study was to analyze the experience of a referral cardiac surgery center with all types of cardiac surgery interventions performed in patients ≥80 years old over a six years' period. METHODS A retrospective observa...

Left ventricular assist devices (LVADs) improve quality of life and reduce mortality of patients with heart failure.1 Although LVAD outcomes improve, unavoidable consequences of implantation remain. Given the likeliness of prior cardiac surgery, LVAD candidates for a “bridge to transplant” raise concerns regarding the number of redo sternotomies. Each sternotomy places patients at greater risk ...

Together with improving long-term survival after cardiac surgical interventions, the number of redo cardiac surgical procedures has increased. These procedures are of greater technical complexity, and there is heightened concern of injury of cardiac structures and previously placed bypass grafts. The mortality rate of redo CABG is generally higher than that of primary CABG, especially in emerge...

the prospect of surgery can be frightening and more extensive surgery is included more anxious . knowledge of how to surgery reduces anxiety. hence,our goals are as follows :   what conditions can cause heart surgery? the majority of adults who should be considered for cardiac surgery , suffer from the disease of the heart valves or coronary artery disease or both.also, a few of them have conge...