ARTICLES ON VALVULOPATHIES
Mechanical versus biological valve in patients aged 50 to 70 years: do we still lack a definitive answer?
This article reviews the systematic review and meta-analysis by Trevis et al. comparing long-term outcomes after aortic valve replacement (AVR) with mechanical versus bioprosthetic valves in patients aged 50 to 70 years.
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.
Custodiol vs Del Nido: which should we choose for minimally invasive mitral valve repair?
Single-centre retrospective observational study comparing two cardioplegic strategies in patients undergoing minimally invasive mitral valve repair between 2014 and 2025.
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.
TAVI on a dysfunctional mechanical aortic prosthesis: a hope for the future?
Translational study assessing the feasibility of percutaneous implantation of an aortic bioprosthesis within a dysfunctional mechanical valve (ViMech-TAVI), from an animal model to the first-in-human cases.
Practical keys to assessing and treating tricuspid regurgitation in 2025: a clinical guide for cardiologists and cardiac surgeons
This article, published in February 2026, provides a concise update on the evaluation and management of tricuspid regurgitation (TR), in light of the major advances in both the diagnostic assessment of tricuspid valve disease and the emergence of new evidence on surgical and transcatheter treatment.
Tricuspid valve replacement using a right atrial appendage neovalve: when a bioprosthesis is not required.
Case series study with 1-year follow-up on tricuspid valve replacement using the patient’s native right atrial appendage instead of an artificial prosthesis.
Implantation of a transatrial balloon-expandable valve in severe mitral annular calcification: keys to an increasingly adopted hybrid technique
Analysis of several surgical videos on transatrial implantation of balloon-expandable prostheses in severe MAC. The essential procedural steps are reviewed, and technical pearls based on the author’s own experience are shared.
Prophylactic permanent pacemaker implantation after transcatheter aortic valve replacement: is it worth getting ahead of events?
Subanalysis of the PROMOTE study assessing the incidence and clinical impact of prophylactic permanent pacemaker implantation for conduction disturbances after TAVR.
Repair versus replacement? outcomes of mitral repair in obstructive hypertrophic cardiomyopathy
This study analyzes the Mayo Clinic experience comparing 2 cohorts of patients with degenerative mitral valve (MV) disease undergoing repair, with and without obstructive hypertrophic cardiomyopathy (oHCM), the latter treated with concomitant septal myectomy.
