TAVI in patients younger than 65 years: when evidence has not yet reached the age of the patients
A new U.S. study analyzes outcomes of transcatheter aortic valve implantation (TAVI) versus conventional surgical aortic valve replacement (SAVR) in patients younger than 65 years, highlighting the growing expansion of TAVI despite limited evidence on long-term durability.
Ventricular support in children with congenital heart disease: time to join “ACTION” promptly!
This study analyzes data from the ACTION registry to assess whether morbidity and mortality after ventricular assist device (VAD) implantation differ between children with and without congenital heart disease (CHD), and whether outcomes among those with CHD vary according to anatomy (single- vs. biventricular).
New european guidelines on valvular heart disease 2025: the most relevant changes for surgical practice
The 2025 ESC/EACTS update redefines the boundaries between surgery and transcatheter therapy. It advocates earlier intervention in severe aortic stenosis, lowers the age threshold for TAVI to 70 years, expands the use of MitraClip to lower-risk scenarios, promotes percutaneous tricuspid treatment, and grants a new central role to advanced imaging in decision-making.
Can we afford innovation? cost-effectiveness of robotic mitral surgery in the United States
This national study compares the efficiency of robotic-assisted versus conventional mitral valve repair in the United States, stratifying centers by surgical volume and experience.
AMDS: simplifying the surgical management of complicated type a dissection
Early results of the PRESERVERE trial with the hybrid AMDS prosthesis to improve perfusion
Percutaneous versus surgical revascularization in unprotected left main coronary artery disease: does age matter?
A meta-analysis including 14 studies with a total of 24.767 patients assessed the outcomes of percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) according to age in patients with unprotected left main coronary artery (LMCA) disease.
Prophylactic left atrial appendage occlusion during coronary surgery in patients without prior atrial fibrillation: how far should we go?
This historical cohort observational study from the University of Virginia analyzed short-term outcomes in patients without preoperative atrial fibrillation who underwent concomitant prophylactic left atrial appendage closure during coronary artery bypass grafting.
The ruler or the scalpel: rethinking surgical indication in ascending aortic aneurysm dilation
A multicenter North American study assessed the utility of considering a threshold lower than 5.5 cm for surgical repair of ascending aortic aneurysms.
