Publications by authors named "J Vojacek"
Aortic valve performance after remodelling versus reimplantation in a propensity-matched comparison.
Eur J Cardiothorac Surg
August 2024
Article Synopsis
- The study aimed to compare two techniques for valve-sparing root replacement in patients with aortic root aneurysm: aortic root remodelling and aortic valve reimplantation, utilizing a multicenter approach and propensity-score matching.* -
- Researchers conducted a retrospective analysis of data from 2010 to 2021, selecting pairs of patients who underwent either technique to evaluate perioperative outcomes and long-term valve function.* -
- Findings indicated that while there were no significant differences in short-term outcomes, patients who underwent remodelling faced a higher risk of needing further interventions compared to those who had reimplantation, especially if immediate postoperative valve function was suboptimal.*
Background: The optimal treatment of patients with severe symptomatic aortic regurgitation (AR) is state-of-the-art surgery. Asymptomatic patients with advanced left ventricular (LV) dilatation and/or impaired ejection fraction should undergo surgical treatment, but there is no guidelines consensus on cut-off values for this recommendation. Multimodality imaging has brought new tools for the accurate selection of asymptomatic patients at risk of early clinical deterioration, however, prospective and randomized data are pending.
View Article and Find Full Text PDFTechnical considerations and sizing of external annuloplasty in the Ross procedure.
Eur J Cardiothorac Surg
March 2024
Pure aortic regurgitation and dilation of aortic annulus are the most significant risk factors for the failure of pulmonary autograft after the Ross procedure. Aortic annuloplasty has a positive effect on the durability of the autograft. Previously, we described a technique for external annuloplasty with dedicated CORONEO ring.
View Article and Find Full Text PDFArticle Synopsis
- * A study reviewed literature, selecting 65 relevant articles showing that surgical occlusion during heart surgery is effective for reducing thromboembolism in at-risk patients and is generally safe.
- * Different methods, like thoracoscopic and transcatheter techniques, are viable, and individual treatment plans should be personalized; concerns about long-term complications are not well-supported by current evidence.