Increasing numbers of patients are presenting with bioprosthetic mitral valve degeneration. Transcatheter mitral valve replacement (TMVR) is an emerging treatment for patients with severe mitral valve disease at high risk for conventional mitral valve surgery. Yoon et al sought to evaluate the outcomes of TMVR in patients with degenerated bioprostheses (valve-in-valve [ViV]), failed annuloplasty rings (valve-in-ring [ViR]), and severe mitral annular calcification (valve-in-mitral annular calcification [ViMAC]). Using data from the international, multicenter TMVR registry, procedural and clinical outcomes of ViV, ViR, and ViMAC were compared according to Mitral Valve Academic Research Consortium (MVARC) criteria. A total of 521 patients with mean Society of Thoracic Surgeons score of 9.0% underwent TMVR: 322 of them had ViV, 141 had ViR, and 58 had ViMAC. Trans-septal access was used in 39.5% and Sapien valves were used 90.0%. MORE
Surgical Clinics is proud to announce the December 2018 publication of a comprehensive volume on Enhanced Recovery After Surgery (ERAS). ERAS is a set of protocols used by the surgical team to help ensure a patient has the best possible outcome from their surgery, and ERAS programs have been shown to be more safe and effective relative to traditional care. MORE
Increasing numbers of patients are presenting with bioprosthetic mitral valve degeneration. Transcatheter mitral valve replacement (TMVR) is an emerging treatment for patients with severe mitral valve disease at high risk for conventional mitral valve surgery. Yoon et al sought to evaluate the outcomes of TMVR in patients with degenerated bioprostheses (valve-in-valve [ViV]), failed annuloplasty rings (valve-in-ring [ViR]), and severe mitral annular calcification (valve-in-mitral annular calcification [ViMAC]). Using data from the international, multicenter TMVR registry, procedural and clinical outcomes of ViV, ViR, and ViMAC were compared according to Mitral Valve Academic Research Consortium (MVARC) criteria. A total of 521 patients with mean Society of Thoracic Surgeons score of 9.0% underwent TMVR: 322 of them had ViV, 141 had ViR, and 58 had ViMAC. Trans-septal access was used in 39.5% and Sapien valves were used 90.0%. MORE
This is a very well illustrated, comprehensive textbook of pediatrics and an excellent learning and review resource for pediatric providers in training. This valuable learning and review resource for trainees at every level of education has been thoughtfully revised and updated. MORE
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