scholarly journals Original Experience of Transaortic Approach in Bivalve Replacement

2021 ◽  
Vol 10 (4) ◽  
pp. 281-286
Author(s):  
I. I. Chernov ◽  
S. T. Enginoev ◽  
D. A. Kondratiev ◽  
A. A. Ziankou ◽  
D. G. Tarasov
Keyword(s):  
2011 ◽  
Vol 14 (4) ◽  
pp. 232 ◽  
Author(s):  
Orlando Santana ◽  
Joseph Lamelas

<p><b>Objective:</b> We retrospectively evaluated the results of an edge-to-edge repair (Alfieri stitch) of the mitral valve performed via a transaortic approach in patients who were undergoing minimally invasive aortic valve replacement.</p><p><b>Methods:</b> From January 2010 to September 2010, 6 patients underwent minimally invasive edge-to-edge repair of the mitral valve via a transaortic approach with concomitant aortic valve replacement. The patients were considered to be candidates for this procedure if they were deemed by the surgeon to be high-risk for a double valve procedure and if on preoperative transesophageal echocardiogram the mitral regurgitation jet originated from the middle portion (A2/P2 segments) of the mitral valve.</p><p><b>Results:</b> There was no operative mortality. Mean cardiopulmonary bypass time was 137 minutes, and mean cross-clamp time was 111 minutes. There was a significant improvement in the mean mitral regurgitation grade, with a mean of 3.8 preoperatively and 0.8 postoperatively. The ejection fraction remained stable, with mean preoperative and postoperative ejection fractions of 43.3% and 47.5%, respectively. Follow-up transthoracic echocardiograms obtained at a mean of 33 days postoperatively (range, 8-108 days) showed no significant worsening of mitral regurgitation.</p><p><b>Conclusion:</b> Transaortic repair of the mitral valve is feasible in patients undergoing minimally invasive aortic valve replacement.</p>


Author(s):  
Joaquín Fernandez-Doblas ◽  
Antonio Pamies-Catalan ◽  
Paola Dolader ◽  
Queralt Ferrer ◽  
Raul F. Abella

2005 ◽  
Vol 15 (3) ◽  
pp. 315-318 ◽  
Author(s):  
Radu Vatasescu ◽  
Laszlo Kornyei ◽  
Tamas Szili-Torok

Radiofrequency lesions can, theoretically, be the substrate for new persistent arrhythmias. As far as we know, this has never previously been encountered after transcatheter ablation of accessory pathways. A child with Wolff–Parkinson–White syndrome was referred for radiofrequency catheter ablation of a left-sided accessory pathway. After successful ablation of the accessory pathway using a retrograde transaortic approach, the child developed an incessant wide QRS complex tachycardia at slow rate that was resistant to pharmacologic interventions. The focus of the tachycardia was identical to the ventricular site of insertion of the eliminated accessory pathway.


2010 ◽  
Vol 28 (1) ◽  
pp. 45-50 ◽  
Author(s):  
Slawomir Pluta ◽  
Radoslaw Lenarczyk ◽  
Patrycja Pruszkowska-Skrzep ◽  
Oskar Kowalski ◽  
Adam Sokal ◽  
...  

2013 ◽  
Vol 61 (23) ◽  
pp. 2341-2345 ◽  
Author(s):  
Joel A. Lardizabal ◽  
Brian P. O'Neill ◽  
Harit V. Desai ◽  
Conrad J. Macon ◽  
Alexis P. Rodriguez ◽  
...  

2014 ◽  
Vol 41 (2) ◽  
pp. 23-26
Author(s):  
MR Khandoker ◽  
ZR Khan ◽  
S Kawsar ◽  
MI Khademul ◽  
KAK Azad

33 patients [13 female] with metastatic intractable upper Abdominal Cancer Pain were treated with celiac plexus neurolytic block with 60% alcohol. Aim of study is to observe the effectiveness of three different techniques of celiac plexus block, unilateral paravertibral, bilateral paravertibral and Paravertibral transaortic approach of celiac plexus blocks under C- arm guidance. Satisfactory pain relief occurs in all three techniques but out- come of transaortic approach a little better than other methods. Pain intensity was assessed by VRS and VAS Scale. Celiac plexus blocks are a suitable technique for upper abdominal visceral metastatic pain. Its effects are prolonged and also increase bowel movement, improve appetite and reduced morphine consumption. This is an initial study and numbers of subject are few. So more study required to get conclusive result. Skilled manpower and appropriate case selection is mandatory for successful results. DOI: http://dx.doi.org/10.3329/bmj.v41i2.18800 Bangladesh Medical Journal 2012 Vol. 41 No. 2: 23-26


2021 ◽  
Author(s):  
Jama Jahanyar ◽  
Gaby Aphram ◽  
Laurent de Kerchove ◽  
Gebrine El Khoury
Keyword(s):  

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