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BACKGROUND The reoperative risk for degenerated aortic valve xenografts may be increased in elderly patients with comorbidities. We evaluated the off-pump beating heart concept of transapical aortic valve implantation using the valve-in-valve (VinV) concept. METHODS Since March 2007, 11 patients with degenerated xenografts received transapical aortic(More)
BACKGROUND The authors compared the safety and efficacy of a newly developed fast-track concept at their center, including implementation of a direct admission postanesthetic care unit, to standard perioperative management. METHODS All fast-track patients treated within the first 6 months of implementation of our direct admission postanesthetic care unit(More)
OBJECTIVE The purpose of this study was to review the management of anesthesia for transapical transcatheter aortic valve implantation. DESIGN Retrospective review of collected data. SETTING University-affiliated heart center. PARTICIPANTS One hundred consecutive patients with severe aortic stenosis. INTERVENTIONS General anesthesia followed by an(More)
AIMS To evaluate the outcome of transapical aortic valve implantation (TA-AVI) in comparison to conventional surgery. METHODS AND RESULTS One hundred consecutive high-risk patients with symptomatic aortic valve stenosis received TA-AVI using the Edwards SAPIEN pericardial xenograft between February 2006 and January 2008. Patient age was 82.7 +/- 5 years,(More)
BACKGROUND Transcatheter aortic valve implantation (TAVI) using the Medtronic CoreValve (MCV) system might represent an alternative to conventional redo surgery in older high-risk patients with a failing aortic valve bioprosthesis. METHODS AND RESULTS Symptomatic patients with failing aortic valve bioprosthesis, aged ≥65 years with a logistic EuroSCORE(More)
BACKGROUND AND AIM OF THE STUDY Outcomes after minimally invasive isolated tricuspid valve (TV) surgery have not been well described. Hence, an assessment was made of the authors' results for minimally invasive, isolated TV surgery. METHODS Between September 2000 and January 2008, at the authors' institution, a total of 35 patients (15 males, 20 females;(More)
OBJECTIVE To evaluate the results of minimally invasive transapical aortic valve implantation (TA-AVI) in patients requiring redo surgery. METHODS Twenty-five high risk patients with symptomatic aortic valve stenosis and previous cardiac surgical interventions received TA-AVI using a pericardial xenograft fixed within a stainless steel, balloon-expandable(More)
OBJECTIVE The aim of this study was to evaluate the feasibility of non-invasive monitoring of the paraspinous collateral network (CN) oxygenation prior to, during, and after thoracoabdominal aortic repair in a clinical series. METHODS Near-infrared spectroscopy optodes were positioned bilaterally-over the thoracic and lumbar paraspinous vasculature-to(More)
BACKGROUND The HeartWare (HeartWare International, Inc. Framingham, MA) ventricular assist device (HVAD) is approved for implantation through a sternotomy with cardiopulmonary bypass. We report on our initial experience with this device implanted off-pump via thoracotomy. METHODS A total of 26 patients were included in this review. All patients were(More)
In the last 10 years, implantation of ventricular-assist devices has become an interesting option as either bridge-to-transplantation or destination procedure for patients with end-stage congestive heart failure. In the future, the number of ventricular assist device implantations is expected to increase furthermore. In general, this patient cohort is(More)