Outcomes of a hybrid approach of percutaneous coronary intervention followed by minimally invasive aortic valve replacement.

Background: In patients requiring coronary revascularization and aortic valve replacement, a combined approach of percutaneous coronary intervention followed by minimally invasive aortic valve replacement may be a viable treatment strategy.

Methods: The outcomes of 123 consecutive patients with significant coronary artery and aortic valve disease, who underwent percutaneous coronary intervention followed by elective minimally invasive aortic valve replacement between February 2009 and April 2014, were retrospectively evaluated.

Results: The cohort consisted of 80 males and 43 females, with a mean age of 75.

Interesting images: Multiple coronary artery aneurysms.

We present the case of a 65-year-old male who presented with stable angina and dyspnea on exertion. His initial workup yielded a positive treadmill stress test for reversible apical ischemia, and transthoracic echocardiogram demonstrated impaired systolic function. Cardiac catheterization was then performed, revealing severe atherosclerotic disease including multiple coronary artery aneurysms.

Bicuspid Aortic Valve and Aortic Root Morphology in Hispanic Patients.

Background: The study aim was to evaluate the aortic valve and aortic root morphology in Hispanic patients with a bicuspid aortic valve (BAV). BAV disease is one of the most common congenital anomaly of the heart, and is associated with abnormalities of the aorta. Interracial differences have been described between Caucasian and African-American patients with BAV, which may have clinical and therapeutic implications.

Incidence of cerebrovascular accidents in patients undergoing minimally invasive valve surgery.

Objectives: Minimally invasive valve surgery has been associated with increased cerebrovascular complications. Our objective was to evaluate the incidence of cerebrovascular accidents in patients undergoing minimally invasive valve surgery.

Methods: We retrospectively reviewed all the minimally invasive valve surgery performed at our institution from January 2009 to June 2012.