Publications by authors named "Joseph C Sweeney"

Article Synopsis
  • Recent studies have indicated that mitral valve replacement (MVR) may perform better hemodynamically compared to mitral valve repair (MVr) for ischemic mitral regurgitation, but with no significant survival difference at 2 years.
  • A study analyzed outcomes of 111 patients who underwent either MVr or MVR, finding that although MVR experienced less regurgitation at 1 year, mortality rates between the two groups were similar after 1 and 2 years.
  • The results suggest that MVr may be a viable surgical option for ischemic mitral regurgitation, offering comparable early mortality and mid-term valve performance to MVR.
View Article and Find Full Text PDF

Background: Aortic aneurysms involving the proximal aortic arch, which require hemiarch-type repair, typically require circulatory arrest with antegrade cerebral perfusion. Left carotid antegrade cerebral perfusion (LCP) via distal arch cannulation without circulatory arrest was used in this study's patient population. The goal was to assess the operative efficiency and clinical outcomes of using a distal arch cannulation technique that would not require any hypothermic circulatory arrest (HCA) time compared with more traditional brachiocephalic artery cannulation with right-sided unilateral antegrade cerebral perfusion (RCP) and HCA.

View Article and Find Full Text PDF

Background: Stentless porcine bioprothesis is a surgical strategy to treat aortic root disease. Use has been limited due to the concern for long-term valve degeneration. This study evaluated the perioperative and late outcomes of patients with aortic root disease requiring root replacement.

View Article and Find Full Text PDF