Prolapse was corrected by means of plication of the free margin in the presence of normal cusp tissue only (n = 62) or combined with triangular resection of cusp tissue (n 10). It was treated with additional closure of the fenestration with autologous pericardium in 39 instances (group II). Follow-up was complete in 98.5% (cumulative 385 years).
Results: Hospital mortality was 1.8%, and during follow-up, there was 1 thromboembolic event and no endocarditis. Freedom from reoperation at 5 and 8 years was 96%.
Conclusions: Isolated cusp prolapse is a relevant cause of aortic regurgitation
5-Fluoracil solubility dmso in tricuspid aortic valves without concomitant root dilatation. In myxomatous stretching of cusp tissue, plication of the free margin suffices to restore cusp geometry and aortic valve function. In the presence of fenestrations, reconstruction of normal cusp configuration can be achieved by means of closure of the fenestration with a pericardial patch. The midterm stability of both approaches is good. (J Thorac Cardiovasc Surg 2010;139:660-4)”
“The present study examined the
CA3 in vitro electrophysiological correlates of the psychological processing of possessive pronouns such as “”wo de”" (Chinese for “”my”"/”"mine”") and “”ta de”" (Chinese for “”his”") using a three-stimulus oddball paradigm. Sixteen participants were visually presented the stimuli (possessive pronouns,
small circle and big circle). The results showed that, relative to non-self-relevant possessive pronoun “”ta de”", self-relevant possessive pronoun “”wo de”" elicited a significantly larger P300 amplitude independently. The present study suggested that the self-relevant possessive pronoun was psychologically important to human beings. (C) 2010 Elsevier Ireland Ltd. All rights reserved.”
“Objective: We compared early and long-term results of cryopreserved homograft aortic root replacement in native valve endocarditis or prosthetic valve endocarditis associated with periannular abscess.
Methods: Between May 1986 and December 2007, 1163 patients with endocarditis were operated upon. Of these, 221 patients (n=185 men, median age 55 years) had homograft unless aortic root replacement due to 99 cases of native valve endocarditis (45%) and 122 of prosthetic valve endocarditis (55%). Perinannular abscess developed in 189 patients (86%), and aortoventricular dehiscence in 120 (63.5%) of them. Perioperative characteristics, probability of survival, freedom from recurrence, and reoperation were analyzed. Follow-up (mean 5.2 +/- 0.4 years, maximum 18.4 years) was completed in 96.8% with a total of 1127 patient-years.
Results: Overall native valve endocarditis survival at 30 days and 1, 5, and 10 years was 83.8% +/- 3.7%, 76.6% +/- 4.3%, 66.5% +/- 4.9%, and 47.3% +/- 5.