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Biomedical subjects

J Agosti

Publications and source records attributed to J Agosti.

59 records · Page 4Linked to original sources
PubMedDate not supplied

Surgical treatment of the "parachute mitral valve" complex in infancy (report of a case).

The case is presented of a 15-month-old male, affected by severe mitral valve regurgitation associated to aortic coarctation. The surgical treatment consisted in replacement of the mitral valve by a Hancock prosthesis followed, at a second state, by resection of the coarctation. The mitral insufficiency was secondary to an anomaly of the subvalvular apparatus of the "Parachute Valve" type. The incidence of defects associated to congenital mitral insufficiency is commented. The surgical indications for replacement or repair of these anomalies in infancy are discussed, and the surgical results achieved to data are analysed. Emphasis is made on the convenience, in case the corrective procedure requires valvular replacement, of implanting a low-profile biological prosthesis, which does not require anticoagulant therapy.

Aortic Coarctation↗
PubMedDate not supplied

Prosthetic valve endocarditis after heart catheterization.

It is accepted that patients with valvular disease or valvular prosthesis should be protected against endocarditis during procedures causing bacteriemia. On the other hand it has been shown that bacteriemia occurs during catheterization. Thus, protection against endocarditis for patients undergoing catheterization deserves more consideration, specially among patients with prosthetic valves. Moved by the fatal outcome of one of our patients with postcatheterization prosthetic valve endocarditis, the authors leave an open discussion about this subject.

Adult↗