mitral valve replacement (mvr) is usually performed in two methods of running and interrupted suturing. in running method, the suturing of the valve is usually with some traction on the annulus and also there is a risk of aortic valve injury. this study was conducted to evaluate a new technique for suturing to avoid these complications and decrease the time of cardiac arrest. one hundred and se...

In the mitral valve, regional variations in structure and material properties combine to affect the biomechanics of the entire valve. From previous studies, we know that the mitral valve leaflet tissue is highly extensible. A two-dimensional model of the mitral valve was generated using an Arbitrary Lagrangian-Eulerian (ALE) mesh. A simple approximation of the heart geometry was used and the va...

OBJECTIVES This study sought to evaluate the feasibility of minimally invasive transapical repeat valve-in-a-valve (VinV) implantation. BACKGROUND Reoperative heart valve replacement for degenerated xenografts is associated with an increased surgical risk. METHODS Conventional Carpentier Edwards porcine aortic (n = 5) and mitral (n = 2) valve prostheses were implanted in 7 pigs. Transapical...

The classic case of aortic stenosis is a healthy middle-aged patient with/without symptoms, but in practical life, patients with severe calcific aortic valve come with several and severe comorbidities such as advanced age, coronary artery disease, atherosclerotic aorta, significant left ventricular dysfunction. Aortic valve replacement (AVR) is the only options in these patients, and it require...

BACKGROUND AND AIM OF THE STUDY The performance and longevity of bioprosthetic heart valves are limited by tissue calcification and degeneration after implantation. Experimental valve replacement in large animal models forms an important component of the preclinical evaluation of these bioprosthetic heart valves. The study aim was to assess the feasibility of a mitral model for stentless valves...

Conventional replacement therapies for heart valve disease are associated with significant drawbacks. The field of tissue engineering has emerged as an exciting alternative in the search for improved heart valve replacement structures. One of the principles behind this concept is the transplantation of living elements, embedded in a suitable scaffold material, to the diseased site where the str...

We report the successful management of a patient who suffered embolisation of a Bjork-Shiley mitral prosthetic valve disc after fracture of the minor strut. Emergency surgical treatment was responsible for her survival. The disc was recovered through the abdominal aorta at a subsequent operation, performed once the condition of the patient had stabilised. This experience confirms previous repor...

A 44-year–old woman underwent mitral valve and tricuspid valve (TV) replacement 6 years earlier using an ATS bileaflet tilting disc prostheses (ATS Medical Inc., Minneapolis, MN) for combined valvular stenosis and regurgitation because of rheumatic heart disease. On a routine clinic visit, the patient reported progressive fatigue and pedal edema over the previous few weeks. On physical examinat...

PURPOSE Only mechanical and biological heart valve prostheses are currently commercially available. The former show longer durability but require anticoagulant therapy; the latter display better fluid dynamic behavior but do not have adequate durability. New Polymeric Heart Valves (PHVs) could potentially combine the hemodynamic properties of biological valves with the durability of mechanical ...

Background: Heart valve disease gradually increases the pressure in the heart chambers and impairs heart pumping. It influences on quality of life due to low output, disability, fear, amnesia, anxiety, and depression. Although most of signs and symptoms in patients with heart valve diseases may significantly decrease after valve replacement surgery, there is limited information about the impact...