Publications by authors named "Bonaros N"

Background: Traumatic tricuspid valve regurgitation is a rare condition related to blunt chest trauma. In the early phase, the patients may remain asymptomatic. Progressive tricuspid regurgitation leads to the development of symptoms thereafter.

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  • Stroke is a significant risk following transcatheter aortic valve implantation (TAVI), and this study aimed to determine if patterns from CT scans can predict stroke or transient ischemic attacks (TIA) in patients with severe aortic stenosis.
  • The research included 124 patients and found that stroke/TIA occurred in 9.6% of cases; late-phase filling defects (FDs) in the left atrial appendage (LAA) were significantly linked to stroke, while early-phase FDs showed some correlation, particularly with lower density values.
  • The study concluded that ongoing LAA filling defects observed in late-phase CT scans and certain density criteria from early-phase scans may enhance the assessment of stroke risk, suggesting a
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Objectives: Memo 4D is a semi-rigid ring with an exclusive saddle shape and progressive increased anteroposterior diameter. This preliminary analysis reports 30-day clinical and haemodynamic outcomes of the MANTRA Memo 4D sub-study.

Methods: MANTRA is an 'umbrella' prospective, multicentre, worldwide post-market study to collect real-life safety and performance data on the Corcym devices.

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  • Over the past 50 years, more invasive cardiovascular procedures have been performed worldwide, increasing risks of acute brain injury during and after these interventions.
  • Current international guidelines often overlook the issue of acute brain injury from cardiovascular procedures, which can lead to worse medical outcomes and higher healthcare costs.
  • The international Consensus Statement aims to provide recommendations for prevention, diagnosis, and treatment of this acute brain injury while also highlighting areas where more research is needed.
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  • Hypertrophic cardiomyopathy (HCM) is a common heart disease that makes the heart muscle thicker, and it can be inherited from family.
  • In Austria, about 20,000 to 40,000 people might have this condition, but it's often hard to diagnose because it shows up in many different ways.
  • Early diagnosis and genetic testing are important to help patients and their families, and new treatments are available that can help without surgery.
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Systolic anterior motion is characterized by the displacement of the anterior mitral leaflet towards the left ventricle outflow tract. Iatrogenic systolic anterior motion occurs after mitral valve repair as a result of mitral annuloplasty. Possible causes include excess height of a redundant posterior mitral leaflet and/or the use of an undersized ring.

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Objective: Acute postoperative pain remains a major obstacle in minimally invasive cardiac surgery (MICS). Evidence of the analgesic benefit of chest wall blocks is limited. This study was designed to assess the influence of combined pectoserratus plane block plus interpectoral plane block (PSPB + IPPB) on postoperative pain and the overall benefit of analgesia compared with placebo.

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  • Percutaneous treatment for structural heart disease is advancing quickly, with the EAPCI's Core Curriculum defining crucial competencies for new interventional cardiologists specializing in this area.
  • These specialists, trained in interventional cardiology, manage adult patients and perform various procedures, requiring skills in advanced imaging and planning software, with a focus on the aortic, mitral, and tricuspid valves.
  • Comprehensive training in all three areas typically takes at least 18 months, supporting consistent education across Europe, which will eventually influence certifications and patient safety measures.
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Background: We aimed to assess the impact of complex mitral valve disease and patient risk profile on operative outcomes in the large cohort of the Mini-Mitral International Registry.

Methods: Patients were assigned to categories of complex degenerative mitral valve regurgitation (DMR; bileaflet or anterior mitral leaflet prolapse/flail) and simple DMR (posterior mitral leaflet prolapse/flail). Subgroup analyses was performed in low-risk (EuroSCORE II <8%) and high-risk (EuroSCORE II >8%) cohorts.

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  • The percutaneous treatment of structural heart disease (SHD) is advancing quickly, with the EAPCI's Core Curriculum (CC) defining the necessary competencies for newly trained interventional cardiologists (IC).
  • SHD interventional cardiologists manage adult patients throughout the entire treatment process, requiring skills in advanced imaging and planning software, as well as proficiency in procedures related to the aortic, mitral, and tricuspid heart valves.
  • Completing specialized SHD training typically takes at least 18 months, though it can be shortened to 1 year for focused training on specific areas, with the goal of promoting standardized, high-quality training across Europe for better patient care and future certifications.
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  • A group of heart surgeons and doctors met to talk about how to improve a special type of heart surgery called minimally invasive cardiac surgery (MICS).
  • They want to make sure the surgery uses smaller cuts to make recovery easier for patients while still achieving good results.
  • They believe that to get the best results from MICS, there should be three key parts: smaller surgical cuts, proper care of the heart during surgery, and a program called Enhanced Recovery After Surgery (ERAS) that helps patients heal better afterward.
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In this case report, we illustrate the minimally invasive endoscopic repair of an atrial septal defect via a right minithoracotomy in a young patient with a dislocated Amplatzer Septal Occluder.

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  • - Myocardial revascularization, either through percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG) surgery, effectively alleviates symptoms and enhances quality of life when paired with guideline-directed medical therapy.
  • - Hybrid coronary revascularization is a combination approach that employs CABG for the left anterior descending artery (LAD) and PCI for other coronary vessels, targeting patients who are not ideal candidates for traditional CABG.
  • - The procedure is best performed in a collaborative setting with a specialized heart team, focusing on complete revascularization, particularly in patients with complex multivessel coronary disease, leveraging advanced drug-eluting stents.
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  • The study aimed to explore differences in characteristics and 2-year outcomes after surgical aortic valve replacement (SAVR) between males and females, using data from two registries involving 933 patients.
  • Females had certain clinical differences such as lower body mass index, higher surgical risk scores, and smaller valves compared to males, but these disparities largely disappeared after adjusting for similar baseline characteristics.
  • Ultimately, despite a higher initial surgical risk profile, both sexes had comparable outcomes 2 years post-SAVR, indicating no significant differences in overall results based on sex.
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  • Recent advancements in transcatheter technologies have led to updated guidelines, increasing treatment options for aortic stenosis.
  • New "rapid deployment" or "sutureless valves" have been developed to simplify valve implantation and reduce surgery time by eliminating the need for sutures.
  • The effectiveness of these sutureless valves compared to traditional surgical methods and TAVR is still under discussion, with the review focusing on existing evidence and outcomes for each method.
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Background: The impact of sex-differences on the release of cardiac biomarkers after coronary artery bypass grafting (CABG) remains unknown. The aim of our study was to (1) investigate the impact of sex-differences in cardiac biomarker release after CABG and (2) determine sex-specific thresholds for high-sensitivity cardiac troponin (hs-cTn) and creatine kinase-myocardial band (CK-MB) associated with 30-day major adverse cardiovascular events (MACE) and mortality.

Methods: A consecutive cohort of 3687 patients, comprising 643 women (17.

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  • Ventricular septal defects are a serious complication that can occur after a heart attack, and if untreated, they have a near 100% mortality rate.
  • Even surgical or other treatment options carry a high risk of mortality, and there are currently no randomized controlled trials to guide optimal treatment approaches.
  • This review aims to detail the diagnosis, effects on blood flow, and treatment options for these defects post-heart attack, highlighting existing research gaps and key questions that need addressing.
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Unlabelled: Infective endocarditis surgical patients suffer from high rates of severe complications such as systemic inflammatory response, septic shock, and multi-organ failure leading to high mortality. Systemic inflammatory response based on cytokines as messengers plays an important role in these patients. The concept of intraoperative haemoadsorption has been proposed to remove such elevated cytokines in patients undergoing cardiac surgery for infective endocarditis.

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Objectives: Barlow's disease is a specific sub-form of mitral valve (MV) disease, characterized by diffuse excessive tissue and multi segment prolapse. The anterolateral mini-thoracotomy represents the standard access for MV regurgitation in many centres. It still remains unclear which surgical technique provides the best results.

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Purpose: Heart valve disease is commonly treated by minimally invasive procedures with guide wires and catheterization. The main purpose of this study is to find out whether an extension of the guide wire with a sensor can support the surgeon within the blood vessel to reduce X-ray necessity.

Methods: A smart guide wire is developed by an extension with a flex-bending sensor to evaluate the sensor signal with and without "blood" flow at a constant compression force.

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Latest research has indicated a potential adverse effect on graft patency rates and clinical outcomes with skeletonizing the left internal thoracic artery. We aim to provide a prospective, randomized, multicentre trial to compare skeletonized versus pedicled harvesting technique of left internal thoracic artery concerning graft patency rates and patient survival. A total of 1350 patients will be randomized to either skeletonized or pedicled harvesting technique and undergo surgical revascularization.

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