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  1. Article ; Online: 2021 CSANZ and ANZSCTS Position Statement on the Operator and Institutional Requirements for a Transcatheter Aortic Valve Implantation (TAVI) Program in Australia.

    Bennetts, Jayme / Sinhal, Ajay / Walters, Darren / MacIsaac, Andrew / Fayers, Trevor / Lo, Sidney / Almeida, Aubrey / Muller, David W M

    Heart, lung & circulation

    2021  Volume 30, Issue 12, Page(s) 1811–1818

    Abstract: This document establishes the minimum standard for accreditation of institutions and operators as endorsed by the Cardiac Society of Australia and New Zealand (CSANZ) and the Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS). ... ...

    Abstract This document establishes the minimum standard for accreditation of institutions and operators as endorsed by the Cardiac Society of Australia and New Zealand (CSANZ) and the Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS). The original Joint Society Position Statement was ratified in August 2014. This 2021 update replaces the original and serves as a consensus within which the Conjoint Committee for Trancatheter Aortic Valve Implantation (TAVI) Accreditation will function, as recommended by Medical Services Advisory Committee (MSAC) Determination for TAVI. This is not a Guideline Statement but takes into consideration regional, legislative, and health system factors important to establishing requirements for TAVI accreditation in Australia.
    MeSH term(s) Aortic Valve/surgery ; Aortic Valve Stenosis/surgery ; Australia ; Consensus ; Heart Valve Prosthesis Implantation ; Humans ; Risk Factors ; Transcatheter Aortic Valve Replacement ; Treatment Outcome
    Language English
    Publishing date 2021-09-02
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 2020980-0
    ISSN 1444-2892 ; 1443-9506
    ISSN (online) 1444-2892
    ISSN 1443-9506
    DOI 10.1016/j.hlc.2021.07.017
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Valvular and aortic diseases in osteogenesis imperfecta.

    Lamanna, Arvin / Fayers, Trevor / Clarke, Sophie / Parsonage, William

    Heart, lung & circulation

    2013  Volume 22, Issue 10, Page(s) 801–810

    Abstract: Osteogenesis imperfecta (OI) is an inheritable connective tissue disorder caused by defective collagen synthesis with the principal manifestations of bone fragility. OI has been associated with left sided valvular regurgitation and aortic dilation. Valve ...

    Abstract Osteogenesis imperfecta (OI) is an inheritable connective tissue disorder caused by defective collagen synthesis with the principal manifestations of bone fragility. OI has been associated with left sided valvular regurgitation and aortic dilation. Valve and aortic surgery are technically feasible in patients with OI but are inherently high risk due to the underlying connective tissue defect. This report reviews the valvular and aortic pathology associated with OI and their management. We describe two cases of patients with OI who have significant aortic and mitral valve regurgitation, one of whom has been managed conservatively and the other who has undergone successful mitral valve repair and aortic valve replacement. The latter case represents the fifth case of mitral valve repair in a patient with OI reported in the medical literature.
    MeSH term(s) Aortic Diseases/etiology ; Aortic Diseases/pathology ; Aortic Diseases/physiopathology ; Aortic Diseases/surgery ; Heart Valve Prosthesis Implantation ; Humans ; Mitral Valve Insufficiency/etiology ; Mitral Valve Insufficiency/pathology ; Mitral Valve Insufficiency/physiopathology ; Mitral Valve Insufficiency/surgery ; Osteogenesis Imperfecta/complications ; Osteogenesis Imperfecta/pathology ; Osteogenesis Imperfecta/physiopathology ; Osteogenesis Imperfecta/surgery
    Language English
    Publishing date 2013-10
    Publishing country Australia
    Document type Journal Article ; Review
    ZDB-ID 2020980-0
    ISSN 1444-2892 ; 1443-9506
    ISSN (online) 1444-2892
    ISSN 1443-9506
    DOI 10.1016/j.hlc.2013.05.640
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Guidelines for the safe introduction of minimally invasive mitral valve surgery.

    Passage, Jurgen / Edwards, James / Almeida, Aubrey / Fayers, Trevor

    Heart, lung & circulation

    2013  Volume 22, Issue 9, Page(s) 703

    MeSH term(s) Humans ; Minimally Invasive Surgical Procedures/methods ; Minimally Invasive Surgical Procedures/standards ; Mitral Valve/surgery ; Practice Guidelines as Topic
    Language English
    Publishing date 2013-09
    Publishing country Australia
    Document type Journal Article ; Review
    ZDB-ID 2020980-0
    ISSN 1444-2892 ; 1443-9506
    ISSN (online) 1444-2892
    ISSN 1443-9506
    DOI 10.1016/j.hlc.2013.06.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Intraoperative transesophageal echocardiography for surgical repair of mitral regurgitation.

    Sidebotham, David Andrew / Allen, Sara Jane / Gerber, Ivor L / Fayers, Trevor

    Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography

    2014  Volume 27, Issue 4, Page(s) 345–366

    Abstract: Surgical repair of the mitral valve is being increasingly performed to treat severe mitral regurgitation. Transesophageal echocardiography is an essential tool for assessing valvular function and guiding surgical decision making during the perioperative ... ...

    Abstract Surgical repair of the mitral valve is being increasingly performed to treat severe mitral regurgitation. Transesophageal echocardiography is an essential tool for assessing valvular function and guiding surgical decision making during the perioperative period. A careful and systematic transesophageal echocardiographic examination is necessary to ensure that appropriate information is obtained and that the correct diagnoses are obtained before and after repair. The purpose of this article is to provide a practical guide for perioperative echocardiographers caring for patients undergoing surgical repair of mitral regurgitation. A guide to performing a systematic transesophageal echocardiographic examination of the mitral valve is provided, along with an approach to prerepair and postrepair assessment. Additionally, the anatomy and function of normal and regurgitant mitral valves are reviewed.
    MeSH term(s) Echocardiography, Transesophageal/methods ; Humans ; Image Enhancement/methods ; Mitral Valve Annuloplasty/methods ; Mitral Valve Insufficiency/diagnostic imaging ; Mitral Valve Insufficiency/surgery ; Monitoring, Intraoperative/methods ; Patient Selection ; Surgery, Computer-Assisted/methods
    Language English
    Publishing date 2014-04
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1035622-8
    ISSN 1097-6795 ; 0894-7317
    ISSN (online) 1097-6795
    ISSN 0894-7317
    DOI 10.1016/j.echo.2014.01.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Long-term outcomes following Medtronic Open Pivot valved conduit.

    Naidoo, Rishendran / Pearse, Bronwyn / Tesar, Peter J / Yap, Su-Ann / Barnett, Adrian G / Fayers, Trevor

    The Journal of heart valve disease

    2014  Volume 23, Issue 1, Page(s) 105–111

    Abstract: Background and aim of the study: Aortic root replacement is a complex procedure, though subsequent modifications of the original Bentall procedure have made surgery more reproducible. The study aim was to examine the outcomes of a modified Bentall ... ...

    Abstract Background and aim of the study: Aortic root replacement is a complex procedure, though subsequent modifications of the original Bentall procedure have made surgery more reproducible. The study aim was to examine the outcomes of a modified Bentall procedure, using the Medtronic Open PivotTM valved conduit. Whilst short-term data on the conduit and long-term data on the valve itself are available, little is known of the long-term results with the valved conduit.
    Methods: Patients undergoing aortic root replacement between February 1999 and February 2010, using the Medtronic Open Pivot valved conduit were identified from the prospectively collected Cardiothoracic Register at The Prince Charles Hospital, Brisbane, Australia. All patients were followed up echocardiographically and clinically. The primary end-point was death, and a Cox proportional model was used to identify factors associated.with survival. Secondary end-points were valve-related morbidity (as defined by STS guidelines) and postoperative morbidity. Predictors of morbidity were identified using logistic regression.
    Results: A total of 246 patients (mean age 50 years) was included in the study. The overall mortality was 12%, with actuarial 10-year survival 79% and a 10-year estimate of valve-related death of 0.04 (95% CI: 0.004, 0.07). Preoperative myocardial infarction (p = 0.004, HR 4.74), urgency of operation (p = 0.038, HR 2.8) and 10% incremental decreases in ejection fraction (p = 0.046, HR 0.69) were predictive of mortality. Survival was also affected by the valve gradients, with a unit increase in peak gradient reducing mortality (p = 0.021, HR 0.93). Valve-related morbidity occurred in 11 patients. Urgent surgery (p <0.001, OR 4.12), aortic dissection (p = 0.015, OR 3.35), calcific aortic stenosis (p = 0.016, OR 2.35) and Marfan syndrome (p 0.009, OR 3.75) were predictive of postoperative morbidity. The reoperation rate was 1.2%.
    Conclusion: The Medtronic Open Pivot valved conduit is a safe and durable option for aortic root replacement, and is associated with low morbidity and 10-year survival of 79%. However, further studies are required to determine the effect of valve gradient on survival.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aorta/surgery ; Aortic Diseases/mortality ; Aortic Diseases/surgery ; Aortic Valve/surgery ; Child ; Emergencies ; Female ; Heart Valve Prosthesis ; Heart Valve Prosthesis Implantation/methods ; Humans ; Kaplan-Meier Estimate ; Logistic Models ; Male ; Marfan Syndrome/surgery ; Middle Aged ; Myocardial Infarction/epidemiology ; Postoperative Complications/mortality ; Registries ; Reoperation ; Stroke Volume ; Vascular Calcification ; Young Adult
    Language English
    Publishing date 2014-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 1205265-6
    ISSN 2053-2644 ; 0966-8519
    ISSN (online) 2053-2644
    ISSN 0966-8519
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: The association between preoperative eGFR and outcomes in cardiac surgical patients.

    Foot, Carole L / Chinthamuneedi, Meher / Fraser, John F / Smith, Susan E / Fayers, Trevor / Tesar, Peter / Mullany, Daniel V

    Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine

    2009  Volume 11, Issue 3, Page(s) 184–190

    Abstract: Aim: To study the relationship between preoperative renal function and outcomes in patients undergoing cardiac surgery.: Design, setting and participants: A retrospective descriptive study was performed on all patients who had coronary artery bypass, ...

    Abstract Aim: To study the relationship between preoperative renal function and outcomes in patients undergoing cardiac surgery.
    Design, setting and participants: A retrospective descriptive study was performed on all patients who had coronary artery bypass, cardiac valve surgery and/or aortic arch surgery at a tertiary-referral hospital between January 2002 and December 2007.
    Main outcome measures: Clinical and demographic variables were compared across renal dysfunction categories, defined by glomerular filtration rate (eGFR) calculated using the modified Modification of Diet in Renal Disease (MDRD) equation. Logistic regression was used to assess the association between eGFR and outcomes, primarily in-hospital mortality.
    Results: 7440 patients were included, with a mean age of 64 years and overall mortality of 1.6%. Across worsening renal function states, excluding patients receiving dialysis, patients were older, more likely to be women and to have comorbidities (particularly diabetes and vascular disease), as well as ventricular dysfunction, and to require emergency or more complex surgery. Unadjusted outcomes, as well as univariate and multivariate analysis, consistently demonstrated that odds ratios for adverse events increased with worsening renal function, even at moderate levels of dysfunction.
    Conclusions: Preoperative renal dysfunction is independently associated with mortality after cardiac surgery. This is consistent with the accumulating evidence supporting preoperative renal dysfunction as a powerful predictor of adverse outcomes.
    MeSH term(s) Aged ; Cardiac Surgical Procedures/methods ; Coronary Care Units ; Female ; Follow-Up Studies ; Glomerular Filtration Rate/physiology ; Heart Diseases/mortality ; Heart Diseases/surgery ; Hospital Mortality/trends ; Humans ; Male ; Middle Aged ; Prognosis ; Queensland/epidemiology ; Retrospective Studies ; Survival Rate/trends
    Language English
    Publishing date 2009-09
    Publishing country Australia
    Document type Comparative Study ; Journal Article
    ZDB-ID 2401976-8
    ISSN 1441-2772
    ISSN 1441-2772
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Minimally Invasive Mitral Valve Surgery II: Surgical Technique and Postoperative Management.

    Wolfe, J Alan / Malaisrie, S Chris / Farivar, R Saeid / Khan, Junaid H / Hargrove, W Clark / Moront, Michael G / Ryan, William H / Ailawadi, Gorav / Agnihotri, Arvind K / Hummel, Brian W / Fayers, Trevor M / Grossi, Eugene A / Guy, T Sloane / Lehr, Eric J / Mehall, John R / Murphy, Douglas A / Rodriguez, Evelio / Salemi, Arash / Segurola, Romualdo J /
    Shemin, Richard J / Smith, J Michael / Smith, Robert L / Weldner, Paul W / Lewis, Clifton T P / Barnhart, Glenn R / Goldman, Scott M

    Innovations (Philadelphia, Pa.)

    2016  Volume 11, Issue 4, Page(s) 251–259

    Abstract: Techniques for minimally invasive mitral valve repair and replacement continue to evolve. This expert opinion, the second of a 3-part series, outlines current best practices for nonrobotic, minimally invasive mitral valve procedures, and for ... ...

    Abstract Techniques for minimally invasive mitral valve repair and replacement continue to evolve. This expert opinion, the second of a 3-part series, outlines current best practices for nonrobotic, minimally invasive mitral valve procedures, and for postoperative care after minimally invasive mitral valve surgery.
    MeSH term(s) Cardiac Surgical Procedures/methods ; Endoscopy/methods ; Heart Valve Diseases/surgery ; Humans ; Minimally Invasive Surgical Procedures/methods ; Mitral Valve/surgery ; Patient Selection ; Postoperative Care ; Practice Guidelines as Topic ; Robotic Surgical Procedures/methods ; Sternotomy/methods ; Thoracotomy/methods ; Treatment Outcome
    Language English
    Publishing date 2016-07
    Publishing country United States
    Document type Consensus Development Conference ; Journal Article
    ISSN 1559-0879
    ISSN (online) 1559-0879
    DOI 10.1097/IMI.0000000000000300
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Minimally Invasive Mitral Valve Surgery I: Patient Selection, Evaluation, and Planning.

    Ailawadi, Gorav / Agnihotri, Arvind K / Mehall, John R / Wolfe, J Alan / Hummel, Brian W / Fayers, Trevor M / Farivar, R Saeid / Grossi, Eugene A / Guy, T Sloane / Hargrove, W Clark / Khan, Junaid H / Lehr, Eric J / Malaisrie, S Chris / Murphy, Douglas A / Rodriguez, Evelio / Ryan, William H / Salemi, Arash / Segurola, Romualdo J / Shemin, Richard J /
    Smith, J Michael / Smith, Robert L / Weldner, Paul W / Goldman, Scott M / Lewis, Clifton T P / Barnhart, Glenn R

    Innovations (Philadelphia, Pa.)

    2016  Volume 11, Issue 4, Page(s) 243–250

    Abstract: Widespread adoption of minimally invasive mitral valve repair and replacement may be fostered by practice consensus and standardization. This expert opinion, first of a 3-part series, outlines current best practices in patient evaluation and selection ... ...

    Abstract Widespread adoption of minimally invasive mitral valve repair and replacement may be fostered by practice consensus and standardization. This expert opinion, first of a 3-part series, outlines current best practices in patient evaluation and selection for minimally invasive mitral valve procedures, and discusses preoperative planning for cannulation and myocardial protection.
    MeSH term(s) Cardiac Surgical Procedures/methods ; Heart Valve Diseases/diagnostic imaging ; Heart Valve Diseases/surgery ; Humans ; Minimally Invasive Surgical Procedures/methods ; Mitral Valve/diagnostic imaging ; Mitral Valve/surgery ; Patient Selection ; Practice Guidelines as Topic ; Preoperative Period ; Radiography, Thoracic
    Language English
    Publishing date 2016-07
    Publishing country United States
    Document type Consensus Development Conference ; Journal Article
    ISSN 1559-0879
    ISSN (online) 1559-0879
    DOI 10.1097/IMI.0000000000000301
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Minimally Invasive Mitral Valve Surgery III: Training and Robotic-Assisted Approaches.

    Lehr, Eric J / Guy, T Sloane / Smith, Robert L / Grossi, Eugene A / Shemin, Richard J / Rodriguez, Evelio / Ailawadi, Gorav / Agnihotri, Arvind K / Fayers, Trevor M / Hargrove, W Clark / Hummel, Brian W / Khan, Junaid H / Malaisrie, S Chris / Mehall, John R / Murphy, Douglas A / Ryan, William H / Salemi, Arash / Segurola, Romualdo J / Smith, J Michael /
    Wolfe, J Alan / Weldner, Paul W / Barnhart, Glenn R / Goldman, Scott M / Lewis, Clifton T P

    Innovations (Philadelphia, Pa.)

    2016  Volume 11, Issue 4, Page(s) 260–267

    Abstract: Minimally invasive mitral valve operations are increasingly common in the United States, but robotic-assisted approaches have not been widely adopted for a variety of reasons. This expert opinion reviews the state of the art and defines best practices, ... ...

    Abstract Minimally invasive mitral valve operations are increasingly common in the United States, but robotic-assisted approaches have not been widely adopted for a variety of reasons. This expert opinion reviews the state of the art and defines best practices, training, and techniques for developing a successful robotics program.
    MeSH term(s) Cardiac Surgical Procedures/education ; Cardiac Surgical Procedures/instrumentation ; Humans ; Minimally Invasive Surgical Procedures/education ; Minimally Invasive Surgical Procedures/instrumentation ; Minimally Invasive Surgical Procedures/methods ; Mitral Valve/surgery ; Patient Selection ; Practice Guidelines as Topic ; Robotic Surgical Procedures/education ; Robotic Surgical Procedures/methods ; Robotic Surgical Procedures/standards ; United States
    Language English
    Publishing date 2016-07
    Publishing country United States
    Document type Consensus Development Conference ; Journal Article
    ISSN 1559-0879
    ISSN (online) 1559-0879
    DOI 10.1097/IMI.0000000000000299
    Database MEDical Literature Analysis and Retrieval System OnLINE

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