Sutureless Aortic Valve Replacement in a Patient with Transfemoral Aortic Valve Replacement and Left Ventricular Hypertrophy.

 Transarterial valve intervention (TAVI) is valuable in high-risk patients, however, in case of left ventricular outflow tract (LVOT) obstruction, conventional surgery, including partial myectomy, is indicated.  An 84-year-old female patient presented with increasing fatigue after TAVI in 2012, demonstrated a narrowed LVOT. Conventional surgery was performed, including removal of the transcathether valve, partial septal myectomy, and implantation of a sutureless valve.

Clinical outcome and hemodynamic behavior of the Labcor Dokimos Plus aortic valve.

Background: The Labcor Dokimos Plus (LDP) is a stented externally mounted pericardial aortic bioprosthesis, which was recently introduced in Europe. Aims of the study are evaluation of operative and postoperative results as well as hemodynamic performance.

Methods: One hundred consecutive patients with a mean age of 65.

Surgery for prosthetic valve endocarditis: associations between morbidity, mortality and costs.

Objectives: Surgery for prosthetic valve endocarditis (PVE) is associated with significant morbidity and mortality as well as with increased resource utilization and costs. For risk and cost reduction, an understanding of contributing factors and interrelations is essential.

Methods: Out of 1080 heart valve procedures performed between January 2010 and December 2012, 41 patients underwent surgery for PVE.

The St. Jude Toronto stentless bioprosthesis: up to 20 years follow-up in younger patients.

Background: A retrospective long-term evaluation of the St. Jude Toronto stentless bioprosthesis in patients aged 60 years or younger.

Methods: From 1994 to 1997, 50 patients underwent aortic valve replacement with the prosthesis.

Risk and Outcome of Aortic Valve Surgery in the Transcatheter Valve Era: The Gender Aspect.

Objectives: In 2009, a transcatheter valve intervention program was introduced at our centre. The aim of this single-centre retrospective study was to evaluate gender-specific risk profiles and outcome of patients undergoing surgical aortic valve replacement before and after 2009.

Methods: We assessed the preoperative logistic EuroSCORE and age, gender and 30-day-survival of 357 patients diagnosed with symptomatic severe aortic stenosis that underwent primary isolated surgical aortic valve replacement in 2007-2008 (group I, n = 191, 47% female) and 2010-2011 (group II, n = 166, 40% female).