Exercise + Cardiac Rehab: What's the Latest

Exercise + Cardiac Rehab: What's the Latest
By Pam Taub
https://www.vumedi.com/video/exercise-cardiac-rehab-whats-the-latest/

Improved mitochondrial function and increased NO production
1992 Circ Drexler

Using apps telemedicine
HFPef
PAD

Repair of Type V TAAA Using Selective Celiac, Superior Mesenteric, and Renal Artery Perfusion

Repair of Type V TAAA Using Selective Celiac, Superior Mesenteric, and Renal Artery Perfusion

• http://www.ctsnet.org/article/repair-type-v-taaa-using-selective-celiac-superior-mesenteric-and-renal-artery-perfusion?utm_source=iContact&utm_medium=email&utm_campaign=CTSNet&utm_content=Pulse+11%2F29%2F16
• 
  
• By　Konstadinos Plestis
• 78- male
• a symptomatic Type V thoracoabdominal aortic aneurysm
• A left retroperitoneal approach via the 8th intercostal space
• 4-0 prolene for branch anastomosis
• CSF drainage
• The left renal artery was anastomosed via a separate graft in an end-to-side fashion to the main graft after all anastomosises. 

Optimising vein graft outcomes

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

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

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

Minimally Invasive Mitral Valve Repair of Bi-leaflet Prolapse

Minimally Invasive Mitral Valve Repair of Bi-leaflet Prolapse

By Hugo Vanermen

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.

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.