ARTICLES ON VALVULOPATHIES

A second chance in minimally invasive mitral valve repair?

This study evaluates the safety and short- and mid-term outcomes of performing second aortic cross-clamping (2nd XCL) in patients undergoing minimally invasive mitral valve repair (MI-MVr) when the initial repair does not achieve an acceptable result.

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Partner 2 at 10 years: surgery should remain a valid option in intermediate-risk patients

This study analyzes the 10-year clinical and echocardiographic outcomes of the randomized PARTNER 2A trial, which compared transcatheter aortic valve implantation using transfemoral or transthoracic transapical or transaortic access with the SAPIEN XT prosthesis versus surgery in patients with severe symptomatic aortic stenosis and intermediate surgical risk.

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Consequences of overlooking tricuspid regurgitation during TAVI.

The expansion of transcatheter aortic valve implantation avoids open surgery, but also prevents concomitant repair of associated tricuspid regurgitation. This study assesses the consequences of leaving this second valve untreated and seeks to identify which patient profiles might benefit most from conventional combined surgery.

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Double problem, double solution: why treat only one valve when both are diseased?

Single-centre retrospective propensity score–matched study from Columbia University Irving Medical Center, New York, comparing double valve surgery (DVS) with isolated transcatheter aortic valve replacement (I-TAVR) in patients with severe aortic stenosis and concomitant moderate-to-severe mitral stenosis, with particular focus on heart failure readmissions during follow-up.

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