Hernandez Johansson (toetemper9)

021) whereas weight lost group does not show any significant difference ( = 0.972). Frequency of weight gain was more among patients who weighed < 50kg preoperatively (28 out of 30) ( = 0.013) and 20 to 30years age group patients ( = 0.043). No sex predilection was noted ( = 0.149). In post-MVR patients, weight gain has definitive influence over hemodynamics. In PPM subgroup, weight gained patients had significantly increased PA systolic pressure at follow-up. Young, < 50kg weighed, and PPM patients should be advised to maintain their weight post MVR for better hemodynamics. In post-MVR patients, weight gain has definitive influence over hemodynamics. In PPM subgroup, weight gained patients had significantly increased PA systolic pressure at follow-up. Young, less then 50 kg weighed, and PPM patients should be advised to maintain their weight post MVR for better hemodynamics. Even today, the search for the ideal cardiac valve continues. With advantages of having superior flow dynamics, avoidance of anticoagulation, and resistance to infection, homograft has been shown to have an edge over conventional prosthetic and bioprosthetic valves. But they suffer from disadvantages of limited availability and durability. Our center operates one of the oldest functioning valve banks in the country. We present our experience with homograft valve banking with antibiotic and cryopreserved homografts spread over a quarter century. For donor selection, procurement, sterilization, and preservation, the recommendations of the American Association of Tissue Banks are being followed in accordance with statutory provisions of the Transplantation of Human Organs Act, 1994. During 25-year period (1993-2017), 777 hearts were procured. Age of the donors ranged from 2 to 60years and hearts were procured within 24h of death. A total of 1646 homografts (774 pulmonary, 774 aortic, 60 mitral valves, 20 descending thoracic aortae, and 18 monocusps) were harvested. A total of 546 (32%) homografts were rejected for various reasons. Nine hundred sixty-seven (56.7%) homografts were used in different procedures. Of these, 478 were pulmonary homografts, 425 were aortic homografts, 39 mitral homografts, 18 monocusps, and 7 descending thoracic aorta homografts. One hundred fifty-four (16%) homografts were antibiotic preserved and the rest 813 (84%) were cryopreserved. It is possible to run a homograft valve bank with minimum costs. Compound 9 Though, cryopreservation is more expensive, it provides an opportunity to store the valves for an indefinite period and maintain an uninterrupted supply of homografts. It is possible to run a homograft valve bank with minimum costs. Though, cryopreservation is more expensive, it provides an opportunity to store the valves for an indefinite period and maintain an uninterrupted supply of homografts.Aortic valve surgery invariably becomes a high-risk, challenging procedure when there is extensive calcification of the ascending aorta which precludes safe cross-clamping. Very few case reports of performing aortic valve surgery in this condition with a non-cross-clamping technique of using endoaortic occlusion have been reported. We describe and recommend a non-cross-clamping technique of using a semi-compliant polyurethane balloon catheter (CODA balloon, Cook Incorporated, Bloomington, IN) and report its successful outcome in a patient, with porcelain aorta, who underwent aortic valve replacement.Transcatheter aortic valve replacement (TAVR) has been compared to surgical aortic valve replacement (SAVR) in two different industry-sponsored trials (Edwards Lifesciences-the SAPIEN 3 system; Medtronic-the CoreValve, EvolutR, and EvolutPRO) in patients with low risk for surgical aortic valve replacement. In the balloon-expandable SAPIEN 3 system, requirements for both non-inferiority (P less then 0.001) and superiority (P less then