ARTICLES ON VALVULOPATHIES
Mitral atrial functional regurgitation, a distinct entity
Comparative analysis of the management of functional mitral regurgitation in its different phenotypes (ventricular and atrial), with a comprehensive evaluation that also integrates the role of concomitant surgical ablation and myocardial revascularization.
Should the left atrial appendage be closed during mitral repair in patients without atrial fibrillation?
This study analyzes a large US national registry to evaluate whether concomitant left atrial appendage (LAA) closure during isolated mitral valve repair in patients without atrial fibrillation (AF) is associated with better long-term outcomes, specifically thromboembolic events and mortality, comparing patients who underwent LAA closure with those who did not.
Atrial functional mitral regurgitation: surgical techniques and outcomes from the Mini Mitral International Registry
Multicentre observational registry providing descriptive data and exploratory analyses on surgical techniques and early outcomes in patients with atrial functional mitral regurgitation undergoing minimally invasive mitral surgery.
Preserving the valve during reoperative aortic root surgery: unacceptable risk or opportunity in selected patients?
Valve-sparing root replacement in the reoperative setting remains a debated strategy. This study evaluates whether valve-sparing aortic root replacement can be performed safely and with acceptable durability in patients requiring resternotomy.
The future of minimally invasive aortic valve replacement: ministernotomy, minithoracotomy, or totally endoscopic approach?
This systematic review and network meta-analysis compares three minimally invasive techniques for surgical aortic valve replacement: ministernotomy (MS), minithoracotomy (MT), and a totally endoscopic approach (TT).
Intentional fracture of surgical bioprostheses in valve-in-valve TAVI: a real solution to prosthesis–patient mismatch?
Systematic review of the literature exploring the efficacy and safety of intentional fracture of bioprosthetic valves as a tool to improve hemodynamics during valve-in-valve implantation using TAVI.
What if the “perfect” valve finally existed? triflo and the potential earthquake in valve surgery
First-in-human, pilot, non-comparative study assessing the clinical feasibility of a new polymeric trileaflet surgical aortic valve prosthesis designed to pursue long-term durability without the need for chronic anticoagulation.
Which bicuspid, which tricuspid? Tricuspidization as a reparative strategy during root reimplantation in bicuspid aortic valve
A short case series, almost in a how-to-do-it format, describing the experience with a tricuspidization technique applied to very asymmetrical bicuspid aortic valves (Sievers type I, type C, 120-139°).
Transcatheter valve repair and replacement: a critical perspective from the literature
This narrative review provides a deliberately cautious overview of the current landscape of transcatheter mitral interventions.
Implantation of a permanent pacemaker after mitral valve surgery: critical commentary on a state-of-the-art scoping review
Scoping review of studies analyzing permanent pacemaker implantation after mitral valve surgery, including repair and replacement, with or without concomitant procedures, providing data on incidence, risk factors, timing of implantation, dependency, and preventive strategies.
