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This study sought to compare the morbidity and mortality of redo aortic valve replacement (redo-AVR) versus valve-in-valve trans-catheter aortic valve implantation (valve-in-valve TAVI) for patients with a failing bioprosthetic valve. A multicentre UK retrospective study of redo-AVR or valve-in-valve TAVI for patients referred for redo aortic valve intervention due to a degenerated aortic bioprosthesis. Propensity score matching was performed for confounding factors. From July 2005 to April 2021, 911 patients underwent redo-AVR and 411 patients valve-in-valve TAVI. There were 125 pairs for analysis after propensity score matching. Mean age was 75.2±8.5 years. In-hospital mortality was 7.2% (n=9) for redo-AVR vs 0 for valve-in-valve TAVI, p=0.002. Surgical patients suffered more post-operative complications, including IABP support (p=0.02), early re-operation (p

Osteomyelitis of the sternal bone is very rare and is usually secondary to trauma or surgery. Primary sternal osteomyelitis and secondary sternal osteomyelitis commonly are caused by Staphylococcus spp, and in drug addicts by Pseudomonas aerugenosa, while in sickle cell anemic children, Salmonella spp are mostly implicated. We, therefore, present an unusual causative organism, Streptococcal spp in a sickle cell anemic child.

A 22-year-old university student presented to our hospital with a 7-year history of recurrent palpitation and easy fatigability, with occasional dry cough and no history of fever or weight loss. Examination revealed the presence of machinery murmur, and echocardiography revealed isolated patent ductus arteriosus (PDA). She had left thoracotomy and double ligation of the uncalcified PDA. Chest drain was inserted and she did well postoperatively, and she was discharged home on the 5th postoperative day. Postoperative echocardiography revealed no residual PDA.

A 22-year-old university student presented to our hospital with a 7-year history of recurrent palpitation and easy fatigability, with occasional dry cough and no history of fever or weight loss. Examination revealed the presence of machinery murmur, and echocardiography revealed isolated patent ductus arteriosus (PDA). She had left thoracotomy and double ligation of the uncalcified PDA. Chest drain was inserted and she did well postoperatively, and she was discharged home on the 5th postoperative day. Postoperative echocardiography revealed no residual PDA. [ABSTRACT FROM AUTHOR]