Optimising vein graft outcomes
John Pepper
http://www.ctsnet.org/article/optimizing-vein-graft-outcomes?utm_source=iContact&utm_medium=email&utm_campaign=CTSNet&utm_content=Pulse+11%2F29%2F16
Minimal information on type of anastomosis versus SVG failure
Endoscopic harvest not good
Buffered solution good
2016年11月30日水曜日
2016年11月29日火曜日
Hybrid Repairs of Arch Aneurysms
Hybrid Repairs of Arch Aneurysms
http://www.ctsnet.org/article/hybrid-repairs-arch-aneurysms
Hybrid Repairs does not replace open repairs.
Why
for morbidity
hybrid results is not so good
the Critical complication : new type A dissection
Zero: WD Kent JTCVS 2014
Open mortality 14%!!
Proper selection of patients
http://www.ctsnet.org/article/hybrid-repairs-arch-aneurysms
Hybrid Repairs does not replace open repairs.
Why
for morbidity
hybrid results is not so good
the Critical complication : new type A dissection
Zero: WD Kent JTCVS 2014
Open mortality 14%!!
Proper selection of patients
2016年11月27日日曜日
Valve Sparing Aortic Root Replacement
Valve Sparing Aortic Root Replacement
By Gabriel Loor
https://www.vumedi.com/video/valve-sparing-aortic-root-replacement/
Indication: above 50mm
1st row 6 mattress sutures 2-0 pledget
2016年11月24日木曜日
Minimally Invasive Mitral Valve Repair of Bi-leaflet Prolapse
Minimally Invasive Mitral Valve Repair of Bi-leaflet Prolapse
https://www.vumedi.com/video/minimally-invasive-mitral-valve-repair-of-bi-leaflet-prolapse/
MICS
1st: valve annular sutures (start from 10 o'clock)
2nd: assessment
He uesd pledgets and artificial chordae on anterior mitral valve to prevent malformation of leaflet.
2016年11月20日日曜日
Effect of aortic pericardial valve choice on outcomes and left ventricular mass regression in patients with left ventricular hypertrophy
Effect of aortic pericardial valve choice on outcomes and left ventricular mass regression in patients with left ventricular hypertrophy
J Thorac Cardiovasc Surg 2016;152:1291-8
I was surprised of the bigger difference than I expected.
Trifecta use was associated with significantly increased left ventricular mass regression and improved intermediate-term clinical outcome in patients with left ventricular hypertrophy undergoing AVR for AS, compared with use of the Perimount Magna Ease.
Because
The orifice area of Trifecta is bigger than that of Perimount Magna Ease.
I should check our data.
J Thorac Cardiovasc Surg 2016;152:1291-8
I was surprised of the bigger difference than I expected.
Trifecta use was associated with significantly increased left ventricular mass regression and improved intermediate-term clinical outcome in patients with left ventricular hypertrophy undergoing AVR for AS, compared with use of the Perimount Magna Ease.
Because
The orifice area of Trifecta is bigger than that of Perimount Magna Ease.
I should check our data.
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