Publications by authors named "A A Peivandi"

Objectives: Re-operations due to material degeneration carry a burden for patients with congenital heart disease (CHD). The study aim was to compare rapid vs. slow degeneration of biomaterials in CHD patients.

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Article Synopsis
  • This study reviews surgical outcomes of pulmonary valve replacements in adults with congenital heart disease, specifically focusing on patients who underwent this procedure over the past decade.
  • A total of 79 patients were analyzed, with the majority having Tetralogy of Fallot, and the surgery involved removing the old valve and using a larger bioprosthesis, often alongside other surgeries like tricuspid valve repairs.
  • Results showed effective post-operative outcomes, with no severe valve insufficiency noted and improved heart function metrics in MRI studies, confirming sPVR as a safe and effective treatment option with a low mortality rate (5.1%).
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Neoaortic pseudoaneurysm after previous surgery is rare and life-threatening. We present a case of a 6th redo surgery in a 23-year-old male patient with a history of hypoplastic left heart syndrome presenting with transsternal penetration of aortic pseudoaneurysm. The previously implanted Dacron prosthesis showed semicircular dehiscence.

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Background: The use of venoarterial extracorporeal membrane oxygenation (VA-ECMO) after coronary artery bypass grafting (CABG) is associated with high in-hospital mortality rates. The pRedicting mortality in patients undergoing venoarterial Extracorporeal MEMBrane oxygenation after coronary artEry bypass gRafting (REMEMBER) score has been created to predict in-hospital mortality in this subgroup of patients. The aim of this study is to externally validate the REMEMBER score.

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Fungal endocarditis is associated with high surgical mortality rates. Advanced expertise is required for surgical treatment of this serious condition. In the present report, we describe the homograft replacement in a beating heart during re-re-re-re-do in a 29-year-old female patient with fungal endocarditis.

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