Replica sizing strategy for aortic valve replacement improves haemodynamic outcome of the epic supra valve.

Objectives: Current sizing strategies suggest valve selection based on annulus diameter despite supra-annular placement of biological prostheses potentially allowing placement of a larger size. We assessed the frequency of selecting a larger prosthesis if prosthesis size was selected using a replica (upsizing) and evaluated its impact on haemodynamics.

Methods: We analysed all discharge echocardiograms between June 2012 and June 2014, where a replica sizer was used for isolated aortic valve replacement (Epic Supra: 266 patients, Trifecta: 49 patients).

Low Fibrinogen Is Associated with Increased Bleeding-Related Re-exploration after Cardiac Surgery.

Background: Re-exploration after cardiac surgery remains a relatively frequent complication associated with adverse effects on outcome. We aimed to identify risk factors for re-exploration.

Methods: We retrospectively reviewed 2,403 patients having undergone cardiac surgical procedure between January 2013 and December 2014.