Search Results
Results 251 - 300 of 1052
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Oppido Guido - - 2008
OBJECTIVE: Management of congenital mitral valve disease is challenging because of a wide morphologic spectrum, frequent associated lesions, and small patient size. We evaluated the results of a repair-oriented policy. METHODS: All consecutive patients with congenital mitral valve disease who underwent surgery between 1996 and 2006 were studied retrospectively. Patients ...
Aminsharifi Alireza - - 2008
OBJECTIVES: To introduce a simple and effective technique for urethroplasty of distal hypospadias, using the advantages of both standard techniques of Snodgrass and Mathieu to reduce or eliminate the shortcomings of each. METHODS: Forty patients with primary distal hypospadias were randomized between two groups (20 in each). Patients in group ...
Sorrell Vincent L - - 2008
BACKGROUND: During mitral valve repair, patients with transesophageal echo-detected immediate postoperative systolic anterior motion of the mitral valve (SAM) and mitral regurgitation (MR) are successfully medically managed. They have been shown to do well in a short-term follow-up. However, the long-term outcome has not been investigated. The objective of this ...
Sanchez-Ledesma Maria - - 2008
BACKGROUND: The aim of the study is to examine the effect of concomitant aortic regurgitation (AR) on percutaneous mitral valvuloplasty (PMV) procedural success, short-term, and long-term clinical outcome. No large-scale study has explored the impact of coexistent AR on PMV procedural success and outcome. METHODS: Demographic, echocardiographic, and procedure-related variables ...
Loulmet Didier F - - 2008
BACKGROUND: Aortic clamping and cardioplegia delivery add complexity to performing intracardiac procedures through a right minithoracotomy. Recent publications have shown excellent patient outcomes after mitral valve (MV) procedures undertaken through thoracotomy on the fibrillating heart. We reviewed our experience with this approach. METHODS: From March 2000 to September 2006, 100 ...
Crabtree Traves D - - 2008
BACKGROUND: Mortality for patients with coronary artery disease and functional ischemic mitral regurgitation (IMR) remains high regardless of the treatment strategy. Data regarding risk factors, progression of MR, and cause of death in this subgroup are limited. METHODS: A retrospective study was performed on 257 consecutive patients undergoing mitral valve ...
Lange Ruediger - - 2008
OBJECTIVE: Various devices have been proposed for ring stabilization in patients with mitral valve disease. This study reports the intermediate-term results of mitral valve repair with a new semirigid partial annuloplasty ring in a large series of patients. METHODS: A total of 437 consecutive patients were analyzed who underwent mitral ...
Chmielak Zbigniew - - 2008
BACKGROUND: Percutaneous mitral commissurotomy (PMC) has become the procedure of choice for patients with isolated mitral stenosis. AIM: To assess immediate and long-term results of PMC and identify predictors of event-free survival. METHODS: Percutaneous mitral commissurotomy was attempted in 1380 patients (mean age 49.36+/-10.0 years) with severe mitral stenosis. RESULTS: ...
Palmen Meindert - - 2008
OBJECTIVE: We studied the long-term results of vertical plication repair of Ebstein's anomaly according to Carpentier. METHODS: Between 1988 and 2007, 28 patients (mean age 28.8+/-15.7 years, range 4-58 years) underwent vertical plication repair of Ebstein's anomaly. At operation the anomaly was classified according to Carpentier. In three patients (11%) ...
Al Tokhais Tariq - - 2008
INTRODUCTION: To date, there is no comparative study of thoracoscopic repair (TR) vs conventional open repair (COR) for tracheoesophageal fistula (TEF). The aim of the study was to compare the 2 techniques in neonates with TEF. METHODS: A multi-institutional case-control study of cases of TEF was undertaken. The minimum follow-up ...
Olbrecht Vanessa A - - 2008
An upper sternal depression following Lorenz bar repair of pectus excavatum (PE) represents a partial recurrence and poses a difficult problem for the surgeon. There is no published experience detailing the management options or best course of therapy for this complication. This study presents our institutional experience in treating eight ...
Fawzy Mohamed Eid - - 2008
AIMS: The purpose of this study was to assess the safety, efficacy, and long-term results (up to 18 years) of mitral balloon valvuloplasty (MBV) in children in comparison to adults. METHODS: 57 children age < or = 18 years (group A) and 474 adult patients (group B) who underwent successful ...
Mavrogeni Sophie - - 2009
OBJECTIVE: To evaluate the involvement of cardiac and sternocleidomastoid muscles by magnetic resonance imaging (MRI) measurement of T2 relaxation time and the left ventricular systolic function in patients with Duchenne muscular dystrophy (DMD) on treatment with deflazacort and compare them with DMD patients without treatment. SUBJECTS: Seventeen patients with DMD ...
Richardson Lydia - - 2008
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether port-access mitral valve repair reduces the recovery period of patients compared to the conventional sternotomy approach. Using the reported search, 778 papers were identified. Thirteen papers represented the best evidence on ...
Miklos John R - - 2008
INTRODUCTION: Limited information is available regarding patients' indication for seeking labiaplasty of the labia minora. AIM: The aim of this article is to investigate a patient's indications for seeking labiaplasty of the labia minora. METHODS: This is a retrospective review of the medical records of all patients undergoing labiaplasty at ...
Grigioni Francesco - - 2008
OBJECTIVES: The purpose of this study was to assess incidence and predictors of events associated with nonsurgical and surgical management of severe mitral regurgitation (MR) in European institutions. BACKGROUND: The management of patients with MR remains disputed, warranting multicenter studies to define clinical outcome in routine clinical practice. METHODS: The ...
Kasegawa Hitoshi - - 2008
BACKGROUND AND AIM OF THE STUDY: The study aim was to assess the long-term durability of mitral valve (MV) repair for MV prolapse using echo-Doppler evaluation. METHODS: Between July 1991 and December 2006, MV repair was performed in 603 patients with nonischemic, severe mitral regurgitation (MR). A subset of 517 ...
Ypenburg Claudia - - 2008
AIMS: The aim of the current study was to evaluate the relationship between the presence of left ventricular (LV) dyssynchrony at baseline and acute vs. late improvement in mitral regurgitation (MR) after cardiac resynchronization therapy (CRT). METHODS AND RESULTS: Sixty eight patients consecutive (LV ejection fraction 23 +/- 8%) with ...
Tissières Pierre - - 2008
OBJECTIVE: To characterize N-terminal pro-brain natriuretic peptide (N-proBNP) and troponin I (TnI) profile following mitral and/or aortic valve surgery and to evaluate correlations with echocardiography measures and outcome criteria. DESIGN AND SETTING: Prospective cross-controlled study in a university children's hospital. PATIENTS: Twenty children with acquired valvular disease requiring valvular surgery. ...
De Bonis Michele - - 2008
OBJECTIVE: To assess the evolution of tricuspid regurgitation (TR) in dilated cardiomyopathy (DCM) patients submitted to mitral repair for functional mitral regurgitation (MR). METHODS: Ninety-one DCM patients (mean age 61+/-11.3) submitted to MV repair (+/-tricuspid repair) for functional MR were included. Preoperative EF was 30.9+/-6.5%, left ventricular (LV) end-diastolic volume ...
Kuntze Thomas - - 2008
OBJECTIVE: Mitral valve (MV) repair with premeasured Gore-Tex loops (the 'loop technique') was introduced in 1999. We assessed the early- and mid-term outcomes for the loop technique in patients with MV prolapse. METHODS: A total of 632 patients (447 male, 185 female) underwent MV repair with Gore-Tex loops for MV ...
Rodriguez Evelio - - 2008
BACKGROUND: Centers have expanded indications for robotic mitral valve repairs to include complex pathologic features. We studied our results after robotic mitral valve repair for anterior leaflet or bileaflet prolapse. METHODS: Data were collected contemporaneously on 289 patients operated on from May 2000 to September 2006. Every patient underwent preoperative ...
Tanaka Shinichiro - - 2008
OBJECTIVES: Treatment of mitral valve stenosis with catheter balloon commissurotomy (CBC) yields acceptable immediate results even when one commissure shows calcification. However, the long-term outcomes in such cases remain unclear. METHODS: We examined the immediate and long-term (mean: 11+/-5 years) outcomes of 57 patients who underwent 58 CBC procedures. Patients ...
Sakamoto Yoshimasa - - 2008
OBJECTIVES: Surgical treatment of a prolapsed anterior leaflet of the mitral valve is relatively difficult and controversial compared with management of a prolapsed posterior leaflet. The aim of this study was to assess the long-term results of mitral valve repair, focusing on triangular resection of the anterior leaflet. METHODS: Between ...
Flameng Willem - - 2008
OBJECTIVE: Durability assessment of mitral valve repair for degenerative valve incompetence is limited to reoperation as a primary indicator and valve-related risk factors for late death as a secondary indicator. We assessed serial echocardiographic follow-up of valve function as an indicator of the durability of mitral valve repair. METHODS AND ...
Alkan Murat - - 2008
OBJECTIVE: To evaluate the outcome of patients with distal hypospadias who are operated using the eccentric circummeatal-based flap (ECBF) with combined limited urethral mobilization (LUM) technique. PATIENTS AND METHODS: We retrospectively reviewed the medical records of all patients who underwent distal hypospadias repair at our institution between January 2000 and ...
Góngora Enrique - - 2008
BACKGROUND: Tricuspid regurgitation (TR) may complicate pericardial constriction; however, its incidence, impact on outcome, and appropriate management are not defined. METHODS: Between January 1993 and March 2006, 481 adult patients underwent pericardiectomy at Mayo Clinic, Rochester, Minnesota. Excluding those with pericardiectomy for reasons other than constriction, previous tricuspid valve surgery, ...
Kaartama T - - 2008
BACKGROUND AND AIMS: This study was undertaken in order to evaluate the usefulness of the Euroscore in the choice and outcome of mitral valve procedures undertaken at the Helsinki University Central Hospital. MATERIAL AND METHODS: Data from 378 patients was collected. predicted mortalities were calculated for all patients using the ...
De La Zerda David J - - 2008
BACKGROUND AND AIM OF THE STUDY: The use of autologous pericardium for annuloplasty during mitral valve repair is a subject of controversy; hence, the study aim was to evaluate the authors' long-term results using this technique. METHODS: A retrospective review was conducted of 173 consecutive patients (mean age 59.6 +/- ...
Ghanei M - - 2008
The association between severity of exposure to sulfur mustard (SM) and late respiratory complications is not clear. The aim of this study was to determine the presence of late pulmonary complications in patients with mild, moderate, and severe initial symptoms of sulfur mustard exposure. This was a retrospective cohort study ...
Wang Guohua - - 2008
PURPOSE: To evaluate the risk factors of tricuspid regurgitation (TR) after left-sided valve replacement (LSVR) and plan the initial surgical treatment of TR. METHODS: Two hundred and forty-eight patients, including 217 patients in the LSVR group and 31 patients in the LSVR+DeVega group, were followed up. A retrospective analysis was ...
Patel Nishant D - - 2008
BACKGROUND: Surgical ventricular restoration (SVR) is classically performed in heart failure patients with anteroseptal infarction. It is unknown how the extent of septal myocardial infarction (SMI) affects prognosis. We reviewed our experience to evaluate the impact of the extent of SMI on outcomes after SVR. METHODS: We retrospectively reviewed SVR ...
Greco Ernesto - - 2008
BACKGROUND AND AIM OF THE STUDY: Minimally invasive mitral valve surgery was introduced into clinical practice during the mid 1990s. The clinical benefits of the technique, namely a reduction of surgical trauma, increased patient comfort and shorter hospital stay, are achieved by using a video-assisted, minithoracotomy approach rather than a ...
De La Zerda David J - - 2008
Uncorrected functional tricuspid regurgitation can lead to long-term morbidity and mortality. To evaluate our results using autologous pericardium annuloplasty to treat tricuspid regurgitation, we retrospectively reviewed 59 consecutive adult patients aged 19 years to 83 years (58.7 +/- 15.5 years) who underwent tricuspid valve annuloplasty between 2000 and 2003. Concomitant ...
Rao Christopher - - 2008
BACKGROUND: Techniques to preserve the sub-valvular apparatus in order to reduce morbidity and mortality following mitral valve replacement have been frequently reported. However, it is uncertain what impact sub-valvular apparatus preservation techniques have on long-term outcomes following mitral valve replacement. This study investigated the effect of sub-valvular apparatus preservation on ...
Lancellotti Patrizio - - 2008
Functional ischaemic mitral regurgitation (IMR) is common in patients with ischaemic left ventricular dysfunction undergoing coronary artery bypass surgery. Although the presence of IMR negatively affects prognosis, the additional benefit of valve repair is debated, particularly with mild IMR at rest. Exercise echocardiography may help identify a subset of patients ...
Kaya Cevdet - - 2008
PURPOSE: We sought to evaluate the efficacy of transdermal dihydrotestosterone treatment based on the results of hypospadias repair in children with primary hypospadias. MATERIALS AND METHODS: A total of 75 randomized consecutive children who were a mean of 33.4 +/- 3.7 months old and had primary hypospadias were included in ...
Delmo Walter Eva Maria - - 2007
BACKGROUND: Surgery for mitral valve endocarditis in children is relatively uncommon. This study assesses its operative outcome and reoperation and long-term survival rates. METHODS: We reviewed the cases of 8 consecutive children who underwent mitral valve repair for infective endocarditis between 1989 and 2005 at our institution. Mean age was ...
Clare Geoffrey C - - 2007
Definitive treatment for constrictive pericarditis is surgical pericardiectomy. Because constriction may be transient in a small proportion of patients, particularly those with exudative effusions, the initial treatment for constrictive pericarditis should be conservative, with loop diuretic therapy to manage volume expansion and edema and the use of colchicine, nonsteroidal anti-inflammatory ...
Tettey M - - 2007
Summary Constrictive pericarditis is a disease characterized by marked thickening and dense scarring of the pericardium with pericardial sac obliteration, or calcification of the pericardium. Without treatment this disease is characterized by high morbidity and mortality. To review the surgical management of constructive pericarditis and the post operative challenges. Eleven ...
Ypenburg Claudia - - 2007
OBJECTIVES: The purpose of this study was to evaluate the relationship between dyssynchrony involving the mitral valve apparatus and the acute improvement in mitral regurgitation (MR) after cardiac resynchronization therapy (CRT). The effect of interruption of CRT at 6 months' follow-up on dyssynchrony and MR was also evaluated. BACKGROUND: Mitral ...
Fukui Toshihiro - - 2007
BACKGROUND: There has been a debate, whether mild or moderate ischemic mitral regurgitation (IMR) should be repaired at the time of coronary bypass surgery. We assessed the early and midterm outcomes of patients with mild or moderate IMR who underwent isolated off-pump coronary artery bypass grafting (OPCAB). METHODS: We retrospectively ...
Wu Qingyu - - 2007
OBJECTIVE: We report the results of surgical treatment of Ebstein anomaly during a 10-year period, especially with an anatomic repair technique that restores to near normal anatomic and physiologic function of the tricuspid valve and the right ventricle. METHODS: Between December 1997 and December 2006, 83 consecutive patients aged 9 ...
Savanelli Antonio - - 2007
We evaluated the importance of urethral coverage using vascularized subcutaneous ventral flaps for the prevention of fistulas in patients undergoing distal hypospadias repair. Our prospective study included 130 patients, aged 9 months to 12 years, who underwent distal hypospadias repair using tubularized incised plate urethroplasty (TIPU), from January 2001 through ...
BrzeziƄska Barbara - - 2007
BACKGROUND: Left ventricular (LV) enlargement - the main discriminant of postinfarction remodelling - is dynamic and not necessarily progressive. The magnitude of the remodelling process is directly proportional to infarct size (IS), although it is significantly influenced by other factors. AIM: To assess the clinical implications of different patterns of ...
St Louis James D - - 2007
BACKGROUND: Multilevel obstruction of left-sided heart structures was originally characterized by Shone and colleagues. The formulation of an appropriate operative strategy remains problematic. Surgical outcomes have generally been poor. This review examines operative strategies and mid-term outcomes. METHODS: A retrospective review was done of 28 patients who presented with the ...
Shipulin Vladimir M - - 2007
OBJECTIVES: To reveal morphological factors causing unfavorable follow-up outcome of surgical treatment of patients with ischemic cardiomyopathy (ICMP) and with left ventricle (LV) aneurysm according to the data of intraoperative biopsies of LV myocardium and right atrium (RA) auricle. METHODS: The object of the study was to examine biopsy material ...
Totaro Pasquale - - 2007
OBJECTIVE: Determining the risk of patient-prosthesis mismatch after mitral valve replacement is still controversial. In this study, we aimed to clarify incidence and clinical implications of such a complication. The accuracy of preoperative prediction of patient-prosthesis mismatch using published in vitro hemodynamic parameters was also investigated. METHODS: Ninety-two patients who ...
Ibañez Ana L - - 2007
Lake Metztitlán was dried up completely in the spring of 1998 and refilled in August of that year. In the period September-November, two cohorts of 1.6 million juveniles of a tilapia hybrid were stocked (Oreochromis aureus/O. niloticus), and monitored every month for one year. Since the date of birth of ...
Chung Cheol Hyun - - 2007
BACKGROUND AND AIM OF THE STUDY: The preferred choice of annuloplasty ring in mitral surgery has not yet been determined. The study aim was to compare the effects of using two ring types, the Duran and the Carpentier-Edwards, for degenerative mitral valve repair. METHODS: The follow up data were reviewed ...
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