![]() Szacuje się, że w USA rocznie wykonuje się blisko 60 000 implantacji sztucznej zastawki serca. However, the intraoperative view also seems to be crucial in individualizing the surgical approach. ![]() Precise and modern diagnostic methods facilitated selection of the treatment method. The thrombus and pannus were removed, and normal functionality of the prosthetic valve was restored. During the operation, a thrombus growing around a minor pannus was found. Transesophageal echocardiography and fluoroscopy confirmed the prosthetic dysfunction. Preoperative transthoracic echocardiography revealed an obstruction of the posterior prosthetic disc and significant aortic regurgitation. As in the case of the first patient, she was admitted due to valvular prosthesis dysfunction. The second patient was an 87-year-old woman with arterial hypertension, persistent atrial fibrillation, and COPD, whose past medical history included gastric ulcer disease and ischemic stroke. A biological aortic prosthesis was reimplanted without complications. During the operation, pannus covering the discs' surface was found. The mean transvalvular gradient was very high. Transthoracic echocardiography revealed complete obstruction of one disc and a severe reduction in the mobility of the second. The patient was admitted to the Cardiac Surgery Department due to aortic prosthesis dysfunction. The first patient was a 71-year-old woman whose medical history included arterial hypertension, stable coronary artery disease, diabetes mellitus, chronic obstructive pulmonary disease (COPD), and hypercholesterolemia she had previously undergone left-sided mastectomy and radiotherapy. Different surgical solutions were used in the treatment of each case. The authors present two patients with dysfunctional aortic prostheses who were referred for cardiac surgery. However, 10% of prosthetic valves are dysfunctional due to pannus formation, and 12% of prostheses are damaged by both fibrinous and thrombotic components. Prosthesis valve dysfunction is usually caused by a thrombus obstructing the prosthetic discs. The risk of prosthesis dysfunction ranges from 0.1% to 4% per year. ![]() Other artists on the bill included Dierks Bentley, Florida Georgia Line and Brantley Gilbert.Approximately 60 000 prosthetic valves are implanted annually in the USA. The highlights included Ne-Yo and McGraw duetting on “She Is,” which the two recorded originally for Ne-Yo”s current album, “R.E.D.,” and watching John Fogerty and Keith Urban have a guitar shoot out on show closer “Born On The Bayou,” along with McGraw, Jason Aldean, and Luke Bryan, who were looking on, admiring the pyrotechnics. Though much of the playlist concentrated on artists” current hits such as The Band Perry with “Done” and Jason Aldean with “1994,” plenty of other acts performed older tunes, such as Keith Urban with “Long Hot Summer” McGraw himself, who threw in a jaunty “Something Like That,” and his wife, Faith Hill, who sung her breakthrough hit, her cover of “Piece of My Heart.”ĭuring one set changeover, McGraw serenaded the audience an a capella version of George Strait”s “You Look So Good In Love,” and the score of the Louisville – Michigan NCAA championship game. “This is my personal playlist, live and onstage,” McGraw said, by way of explanation at the start of the 3:40 minute taping. This year, they opted for something a little different: for Monday night’s taping: “ACM Presents: Tim McGraw”s Superstar Summer Night” features the country star performing a number of his hits, including “One of Those Nights” and “Felt Good On My Lips” (with Pitbull), but instead of the other artists playing their favorite McGraw songs, they play their own material. The previous quartet of specials have paid homage to George Strait, Brooks & Dunn, The Women of Country Music, and Lionel Richie. ![]() LAS VEGAS – For the past four years, the Academy of Country Music has taken advantage of having a flotilla of country artists in Las Vegas for the annual ACM Awards to tape a special the following night that airs several weeks later.
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