Real Structural Valve Deterioration of the Mitroflow Aortic Prosthesis: Competing Risk Analysis.

Introduction And Objectives: The Mitroflow aortic prosthesis is a bovine pericardial bioprosthesis specially designed to increase the valve area in relation to its size. There is controversy regarding the pattern of structural valve deterioration (SVD). Our aim was to determine the cumulative incidence of SVD, risk factors influencing its occurrence, and its impact on mortality.

Impact of reperfusion strategy on outcomes in very elderly patients with acute myocardial infarction.

Aim: The best reperfusion strategy for patients of advanced age (either primary-angioplasty or thrombolysis) after a ST-segment elevation myocardial infarction (STEMI) remains controversial. Aim of the study was to test differences in morbidity and mortality regarding the reperfusion strategy adopted.

Methods: From 2007-2012, 182 patients ≥85 year-old with STEMI were admitted to the coronary care unit of two tertiary centers.

Primary cardiac tumors: 32 years of experience from a Spanish tertiary surgical center.

Introduction: Primary cardiac tumors are rare entities with an autopsy frequency ranging between 0.001% and 0.3%.

Left ventricle non-compaction cardiomyopathy: different clinical scenarios and magnetic resonance imaging findings.

Left ventricle non-compaction cardiomyopathy is currently considered as a well-defined individual entity. However, it includes a broad spectrum of clinical, radiological and pathophysiological findings. In this review we describe 3 different scenarios of this entity: an isolated case with severe left ventricle dysfunction, an "associated" case in a patient with previous atrial septum defect and pulmonary stenosis and finally, as a finding in a patient with a transient cerebrovascular ischemic attack.

Management and risk factors for mortality in very elderly patients with acute myocardial infarction.

Aim: Elderly patients often remain underrepresented in clinical trials. The aim of our study was to analyze the treatment, clinical outcome and risk factors for mortality in patients aged ≥85 years with ST-segment elevation myocardial infarction (STEMI).

Methods: From 2005-2011, 102 patients aged ≥85 years with STEMI admitted to a coronary care unit were retrospectively reviewed.

[Myocardial Infarction Registry in Asturias: the RIMAS project].

Background And Objective: Spanish hospital registers of myocardial infarction (MI) are not uniform. The RIMAS project is trying to know the real situation of myocardial infarction in Asturias and to observe possible differences among hospitals and with other registers.

Patients And Method: It was a cohorts study using a hospital registry of patients with MI.

Electrical storm as initial presentation of arrhytmogenic right ventricular cardiomyopathy in an elderly woman.

Arrhythmogenic right ventricular dysplasia (ARVD) is an unusual cause of electrical storm in the elderly. We report the case of a 76-year-old woman with no previous known disease who developed recurrent ventricular tachycardia and fibrillation. Postmortem examination revealed histological features of arrhythmogenic right ventricular dysplasia.

Floating thrombi on the Eustachian valve as a complication of venous thromboembolic disease.

Floating right heart thrombi can occur in 4-18% of patients with pulmonary embolism. Usually, the diagnosis is done by echocardiography and carries an important prognostic significance as thrombi can embolize at any moment and severe pulmonary embolism is the most frequent way of floating right heart thrombi presentation (mortality rate >40%). We present a case report of floating right thrombi in a patient with proven deep venous thrombosis complicated with nonmassive pulmonary embolism that was successfully treated with thrombolysis.

Retinal cholesterol emboli during diagnostic cardiac catheterization.

Retinal embolism is a highly infrequent complication of cardiac catheterization of thrombotic, lipidic, and calcific etiology. We provide the first reported clinical case of retinal embolism caused by cholesterol crystal without systemic adverse effects as a severe complication of diagnostic cardiac catheterization. Cathet.

Alternate-day dosing of aspirin in atrial fibrillation. LASAF Pilot Study Group.

Background: In inhibiting platelet function, aspirin seems to reduce the risk of cerebrovascular accidents, death, and acute coronary events in patients with nonrheumatic atrial fibrillation. Aspirin given on alternate days might have the advantage of not hindering prostacyclin synthesis. Thus a study was performed to evaluate whether aspirin used in this way might improve the results reported with daily treatment.

PTCA procedure for Shepherd's Crook right coronary artery lesion with a new long soft-tip 6F guiding catheter.

A new Cordis Long Brite Tip 6F guiding catheter (I.D. .