Richard Van Valen

Richard Van Valen
Erasmus MC | Erasmus MC · Department of Cardiothoracic Surgery

PhD

About

18
Publications
1,943
Reads
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114
Citations
Citations since 2016
13 Research Items
103 Citations
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201620172018201920202021202205101520
201620172018201920202021202205101520

Publications

Publications (18)
Preprint
Background and aim of the study This study aims to provide an overview of clinical outcome after bioprosthetic aortic root replacement and lifetime event-risk estimates of mortality and valve-related events, and the potential effect of type of prosthesis used. Methods A systematic literature search was conducted between January 2000 and August 2019...
Chapter
Reduction of surgical site infection (SSI) rates after (cardiac) surgery remains an important topic for all involved in the surgical domain. These infections lead to a higher risk for mortality and an increased morbidity in the individual patient. Despite many advances in perioperative care, however, the percentage of SSI has not declined. On a mac...
Article
Objectives: Reduction of blood loss after cardiac surgery remains challenging. The effectiveness of adherence to a protocol on cessation of anticoagulants and platelet-inhibiting medications was investigated together with the influence of protocol violations on blood loss after surgery, use of blood products, surgical re-explorations and 30-day mo...
Article
Pump pocket infection and mediastinitis after LVAD surgery in patients with destination LVAD therapy is challenging. A potential surgical therapy can be surgical debridement followed by rectus abdominis coverage of the defects. In this case there was no need to explore the driveline of the LVAD. In case of destination therapy this should be followe...
Article
The present case exemplified the detrimental traits of prosthetic valve endocarditis caused by Propionibacterium acnes. As a baby, the patient had a congenital cardiac defect with truncus arteriosus type I with interrupted aortic arch and open ductus Botalli, and had undergone several operations. However, at 18 months after a Bentall procedure perf...
Article
Minimally invasive video-assisted epicardial beating heart ablation for lone atrial fibrillation claims to be safe and effective. We, however, report on three patients with an atrioesophageal fistula after this procedure. The exact pathogenesis of this complication is unknown. All patients presented around 6 weeks after surgery with either fever or...
Article
1 KLINISCHE PR AKTIJK Video-geassisteerde thoracoscopische pulmonale-venenisolatie (VATS-PVI) is een relatief nieuwe techniek voor de behandeling van atriumfibrilleren. In 2012 verscheen een artikel over deze techniek in het Nederlands Tijdschrift voor Geneeskunde. 1 Bij deze ingreep kan als complicatie een atrio-oesofageale fistel (AOF) optreden....
Article
Objectives: To study the characteristics of patients with Propionibacterium acnes prosthetic valve endocarditis (PVE) who required surgery. Methods: A single-centre retrospective cohort study was conducted during a 7-year period. Patients with definite infective P. acnes endocarditis, according to the modified Duke criteria, were included. An ex...
Article
Background: An atrio-oesophageal fistula (AOF) is a rare but severe complication of radiofrequency ablation during video-assisted thoracoscopic pulmonary vein isolation (VATS-PVI). Case description: A 68-year-old man presented to the emergency department with reduced general well-being and a fever. Eight weeks prior he had undergone a VATS-PVI....
Article
Full-text available
Objective: Sleeping problems are among the issues most mentioned by patients after cardiotho-racic surgery. These problems can have a negative effect on duration of the hospital stay and recovery. In the ward of our cardiothoracic surgery department, a study was initiated to assess the quality of sleep after cardiothoracic surgery. The primary obje...
Article
Full-text available
Abstract Negative pressure wound therapy is a concept introduced initially to assist in the treatment of chronic open wounds. Recently, there has been growing interest in using the technique on closed incisions after surgery to prevent potentially severe surgical site infections and other wound complications in high-risk patients. Negative pressure...
Article
Full-text available
Post-sternotomy mediastinitis is a serious complication after cardiothoracic surgery and contribute significantly to post-operative morbidity, mortality, and healthcare costs. Negative pressure wound therapy is today's golden standard for post-sternotomy mediastinitis treatment. A systematic literature search was conducted at PubMed until October 2...
Article
Management of post-operative pain is important for decreasing post-operative morbidity and mortality. After evaluating our pain score database of patients undergoing cardiac surgery (2007-2009) we revised our pain protocol. The new protocol allows nurses to administer analgesic medication without consulting the attending physician. The setting was...

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