Rafael Sádaba
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View article: Dual transcriptomic profiling of <i>Staphylococcus aureus</i> endocarditis in a porcine model reveals strong parallels with human infection
Dual transcriptomic profiling of <i>Staphylococcus aureus</i> endocarditis in a porcine model reveals strong parallels with human infection Open
Understanding the intricate interactions between Staphylococcus aureus and valve cells during the course of endocarditis is crucial for developing more effective treatments for an infection that has a mortality rate exceeding 30%. To inves…
View article: EACTS Expert Consensus Statement on the Ross Procedure in Adult Patients
EACTS Expert Consensus Statement on the Ross Procedure in Adult Patients Open
The Ross procedure, which involves replacing a diseased aortic valve with the patient’s own pulmonary valve (pulmonary autograft), has gained renewed attention in adult patients due to mounting evidence of excellent long-term outcomes. Wit…
View article: 2025 ESC/EACTS Guidelines for the management of valvular heart disease
2025 ESC/EACTS Guidelines for the management of valvular heart disease Open
International audience
View article: Use of complementary electrocardiogram-gated cardiac computed tomography in the assessment of aortic valve repairability: a pilot study
Use of complementary electrocardiogram-gated cardiac computed tomography in the assessment of aortic valve repairability: a pilot study Open
OBJECTIVES In young patients with type I/II aortic regurgitation, the feasibility of aortic valve (AV) repair has been traditionally evaluated with echocardiography. We evaluate electrocardiogram (ECG)-gated cardiac computed tomography as …
View article: The Presence of Adipose Tissue in Aortic Valves Influences Inflammation and Extracellular Matrix Composition in Chronic Aortic Regurgitation
The Presence of Adipose Tissue in Aortic Valves Influences Inflammation and Extracellular Matrix Composition in Chronic Aortic Regurgitation Open
Adipose tissue is present in aortic valves (AVs). Valve interstitial cells (VICs) could differentiate into adipogenic lineages. We here characterize whether the presence of adipose tissue in the AV influences inflammation and extracellular…
View article: Long-term mortality after coronary surgery in women patients depend on diabetes and age
Long-term mortality after coronary surgery in women patients depend on diabetes and age Open
OBJECTIVES There is general consensus of the higher short-term risk in women after coronary artery bypass grafts (CABG), nonetheless, long-term survival is a matter of debate. We aimed to compare in a national database with over 10 years o…
View article: The First International Consortium for Health Outcomes Measurement (ICHOM) Standard Dataset for Reporting Outcomes in Heart Valve Disease: Moving From Device- to Patient-Centered Outcomes
The First International Consortium for Health Outcomes Measurement (ICHOM) Standard Dataset for Reporting Outcomes in Heart Valve Disease: Moving From Device- to Patient-Centered Outcomes Open
Objective: Globally significant variation in treatment and course of heart valve disease (HVD) exists, and outcome measurement is procedure focused instead of patient focused. This article describes the development of a patient-related (In…
View article: The First International Consortium for Health Outcomes Measurement (ICHOM) Standard Dataset for Reporting Outcomes in Heart Valve Disease: Moving From Device- to Patient-Centered Outcomes
The First International Consortium for Health Outcomes Measurement (ICHOM) Standard Dataset for Reporting Outcomes in Heart Valve Disease: Moving From Device- to Patient-Centered Outcomes Open
Through a unique collaborative effort between patients and cardiology and cardiothoracic surgery societies, a standard set of measures for HVD was developed. This dataset focuses on outcome measurement regardless of treatment, moving from …
View article: The First International Consortium for Health Outcomes Measurement (ICHOM) Standard Dataset for Reporting Outcomes in Heart Valve Disease: Moving From Device- to Patient-Centered Outcomes
The First International Consortium for Health Outcomes Measurement (ICHOM) Standard Dataset for Reporting Outcomes in Heart Valve Disease: Moving From Device- to Patient-Centered Outcomes Open
Through a unique collaborative effort between patients and cardiology and cardiothoracic surgery societies, a standard set of measures for HVD was developed. This dataset focuses on outcome measurement regardless of treatment, moving from …
View article: The First International Consortium for Health Outcomes Measurement (ICHOM) Standard Dataset for Reporting Outcomes in Heart Valve Disease: Moving From Device- to Patient-Centered Outcomes
The First International Consortium for Health Outcomes Measurement (ICHOM) Standard Dataset for Reporting Outcomes in Heart Valve Disease: Moving From Device- to Patient-Centered Outcomes Open
BACKGROUND: Globally significant variation in treatment and course of heart valve disease (HVD) exists, and outcome measurement is procedure focused instead of patient focused. This article describes the development of a patient-related (I…
View article: The first International Consortium for Health Outcomes Measurement (ICHOM) standard dataset for reporting outcomes in heart valve disease: moving from device- to patient- centered outcomes
The first International Consortium for Health Outcomes Measurement (ICHOM) standard dataset for reporting outcomes in heart valve disease: moving from device- to patient- centered outcomes Open
Background Globally significant variation in treatment and course of heart valve disease (HVD) exists, and outcome measurement is procedure focused instead of patient focused. This article describes the development of a patient-related (In…
View article: The First International Consortium for Health Outcomes Measurement (ICHOM) Standard Dataset for Reporting Outcomes in Heart Valve Disease: Moving From Device- to Patient-Centered Outcomes
The First International Consortium for Health Outcomes Measurement (ICHOM) Standard Dataset for Reporting Outcomes in Heart Valve Disease: Moving From Device- to Patient-Centered Outcomes Open
BACKGROUND Globally significant variation in treatment and course of heart valve disease (HVD) exists, and outcome measurement is procedure focused instead of patient focused. This article describes the development of a patient-related (In…
View article: Chemerin is a new sex-specific target in aortic stenosis concomitant with diabetes regulated by the aldosterone/mineralocorticoid receptor axis
Chemerin is a new sex-specific target in aortic stenosis concomitant with diabetes regulated by the aldosterone/mineralocorticoid receptor axis Open
Chemerin is upregulated in AV of male diabetic patients with AS, correlating with valve degeneration markers and influenced by Aldo/MR activation. This highlights chemerin as a sex-specific target for AS therapy.
View article: Sex differences in aortic valve inflammation and remodeling in chronic severe aortic regurgitation
Sex differences in aortic valve inflammation and remodeling in chronic severe aortic regurgitation Open
The pathogenesis of chronic aortic regurgitation (AR) is different in male and female. Female patients with AR showed less aortic valve inflammation and collagen accumulation as compared with male. Valvular cells from female patients secre…
View article: Manejo del aparato subvalvular mitral en pacientes con miocardiopatía hipertrófica obstructiva
Manejo del aparato subvalvular mitral en pacientes con miocardiopatía hipertrófica obstructiva Open
Resumen: Introducción: En la miocardiopatía hipertrófica obstructiva, a la obstrucción del tracto de salida concurre, además de la hipertrofia, la insuficiencia mitral dinámica. Esta depende del movimiento sistólico anterior del velo anter…
View article: Human endocarditis on prosthetic valves due to Bartonella vinsonii subsp. berkhoffii
Human endocarditis on prosthetic valves due to Bartonella vinsonii subsp. berkhoffii Open
Bartonella spp. infections are increasingly recognized as causes of zoonotic diseases. One of the most severe infections caused by Bartonella spp. is infective endocarditis, predominantly affecting individuals with underlying valvular hear…
View article: 2024 EACTS/EACTAIC Guidelines on patient blood management in adult cardiac surgery in collaboration with EBCP
2024 EACTS/EACTAIC Guidelines on patient blood management in adult cardiac surgery in collaboration with EBCP Open
View article: 2024 EACTS/EACTAIC Guidelines on patient blood management in adult cardiac surgery in collaboration with EBCP
2024 EACTS/EACTAIC Guidelines on patient blood management in adult cardiac surgery in collaboration with EBCP Open
Clinical practice guidelines consolidate and evaluate all pertinent evidence available at their time of formulation on a specific topic, the goal being to assist physicians in determining the most effective management strategies for patien…
View article: Conflicts of interest in clinical practice: lessons learned from cardiovascular medicine.
Conflicts of interest in clinical practice: lessons learned from cardiovascular medicine. Open
Cardiovascular diseases represent a major burden worldwide, and clinical trials are critical to define treatment improvements. Since various conflicts of interest (COIs) may influence trials at multiple levels, cardiovascular research repr…
View article: TREATMENT OF SEVERE AORTIC STENOSIS IN PATIENTS WITH LOW SURGICAL RISK
TREATMENT OF SEVERE AORTIC STENOSIS IN PATIENTS WITH LOW SURGICAL RISK Open
Following the first implantation of a percutaneous valve in 2002, two of the leading manufacturers of biological valve prostheses developed percutaneous aortic platforms, which have promoted transcatheter aortic valve implantation (TAVI) a…
View article: TRATAMIENTO DE LA ESTENOSIS AÓRTICA GRAVE EN PACIENTES DE BAJO RIESGO QUIRÚRGICO
TRATAMIENTO DE LA ESTENOSIS AÓRTICA GRAVE EN PACIENTES DE BAJO RIESGO QUIRÚRGICO Open
Tras el primer implante de una prótesis valvular percutánea en 2002, dos de los principales fabricantes de prótesis valvulares biológicas desarrollaron sendas plataformas percutáneas para posición aórtica, que han impulsado al implante val…
View article: Benefits of coronary artery bypass grafting over percutaneous coronary intervention in left main disease: the strength of the evidence
Benefits of coronary artery bypass grafting over percutaneous coronary intervention in left main disease: the strength of the evidence Open
View article: SEX-RELATED SIGNALLING OF ALDOSTERONE/MINERALOCORTICOID RECEPTOR PATHWAY IN CALCIFIC AORTIC STENOSIS
SEX-RELATED SIGNALLING OF ALDOSTERONE/MINERALOCORTICOID RECEPTOR PATHWAY IN CALCIFIC AORTIC STENOSIS Open
BACKGROUND AND PURPOSE: There are clear sex differences in the pathophysiology of aortic valve (AV) calcification in aortic stenosis (AS) patients. However, the molecular and cellular mechanisms underlying such sex differences have not bee…
View article: Outcomes after surgical revascularization in diabetic patients
Outcomes after surgical revascularization in diabetic patients Open
OBJECTIVES Patients with diabetes mellitus (DM) undergoing coronary artery bypass grafting (CABG) have been repeatedly demonstrated to have worse clinical outcomes compared to patients without DM. The objective of this study was to evaluat…
View article: Sex-specific role of galectin-3 in aortic stenosis
Sex-specific role of galectin-3 in aortic stenosis Open
View article: Influence of diabetes mellitus on the pathological profile of aortic stenosis: a sex-based approach
Influence of diabetes mellitus on the pathological profile of aortic stenosis: a sex-based approach Open
Background Diabetes mellitus (DM) accelerates the progression of aortic stenosis (AS), but how their underlying molecular mechanisms interact is not clear. Moreover, whether DM contributes to clinically relevant sex-differences in AS is un…
View article: Revascularization of low-surgical risk patients with disease of the left main coronary artery: a fresh look at the evidence
Revascularization of low-surgical risk patients with disease of the left main coronary artery: a fresh look at the evidence Open
This editorial refers to ‘2022 joint ESC/EACTS review of the 2018 guideline recommendations on the revascularization of left main coronary artery disease in patients at low surgical risk and anatomy suitable for PCI or CABG’, by R.A.
View article: Revascularization of low-surgical risk patients with disease of the left main coronary artery: a fresh look at the evidence
Revascularization of low-surgical risk patients with disease of the left main coronary artery: a fresh look at the evidence Open
Graphical AbstractOpen in new tabDownload slideCABG, coronary artery bypass grafting; DES, drug-eluting stent; EACTS, European Association for Cardio-Thoracic Surgery; ESC, European Society of Cardiology; EXCEL, Evaluation of XIENCE vs. Co…
View article: EXPECTATIONS FOR THE FUTURE OF CARDIOVASCULAR SURGERY
EXPECTATIONS FOR THE FUTURE OF CARDIOVASCULAR SURGERY Open
Recently, I had the opportunity to watch a video, Surgical Correction ofDissecting Aneurysm of Ascending Aorta (Baylor College of Medicine, 1963),which made me reflect on the evolution of cardiovascular surgery in recentdecades and, at the…
View article: Expectativas de futuro en la cirugía cardiovascular
Expectativas de futuro en la cirugía cardiovascular Open
Recently, I had the opportunity to watch a video, Surgical Correction ofDissecting Aneurysm of Ascending Aorta (Baylor College of Medicine, 1963),which made me reflect on the evolution of cardiovascular surgery in recentdecades and, at the…