Era effect on survival following paediatric heart transplantation [TRANSPLANTATION AND MECHANICAL CIRCULATORY SUPPORT]
CONCLUSIONS The era effect on early survival following heart transplantation is related to underlying pathology; there is a significant improvement in early survival in children with acquired pathology, whereas there is no significant change in early survival in children with congenital pathology or failed prior transplantation. This suggests a potential area for improvement that might include pretransplant stabilization and management of immunosuppression. On the other hand, era effect on late survival is not significant. This demonstrates that advances in the care of paediatric heart transplantation patients have not aff...
Source: European Journal of Cardio-Thoracic Surgery - October 4, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Alsoufi, B., Deshpande, S., McCracken, C., Kogon, B., Vincent, R., Mahle, W. T., Kanter, K. Tags: Mechanical Circulatory Assistance, Minimally invasive surgery, Aorto-iliac disease TRANSPLANTATION AND MECHANICAL CIRCULATORY SUPPORT Source Type: research

Complete myocardial revascularization using only bilateral internal thoracic arteries provides a low-risk and durable 10-year clinical outcome [ADULT CARDIAC]
CONCLUSION Performance of an exclusive composite BITA off-pump revascularization strategy optimal and sustained long-term protection from MACCE. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 4, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Glineur, D., Papadatos, S., Grau, J. B., Shaw, R. E., Kuschner, C. E., Aphram, G., Mairy, Y., Vanbelighen, C., Etienne, P. Y. Tags: Molecular biology ADULT CARDIAC Source Type: research

Bilateral internal mammary artery grafting: in situ versus Y-graft. Similar 20-year outcome [ADULT CARDIAC]
CONCLUSIONS The clinical outcome of BIMA grafting is independent of surgical configuration. Y-grafting increases the flexibility of BIMA grafting and should be taken into account when a surgical strategy for myocardial revascularization needs to be planned. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 4, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Di Mauro, M., Iaco, A. L., Allam, A., Awadi, M. O., Osman, A. A., Clemente, D., Calafiore, A. M. Tags: Molecular biology ADULT CARDIAC Source Type: research

No clinical effect of prosthesis-patient mismatch after transcatheter versus surgical aortic valve replacement in intermediate- and low-risk patients with severe aortic valve stenosis at mid-term follow-up: an analysis from the NOTION trial [ADULT CARDIAC]
CONCLUSIONS The incidence of PPM was lower and less severe after TAVR compared with SAVR in intermediate- and low-risk patients with severe AVS. There were no significant differences in MACCE, cardiac-related hospitalizations or NYHA class after 2 years for patients with versus those without severe PPM. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 4, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Thyregod, H. G. H., Steinbrüchel, D. A., Ihlemann, N., Ngo, T. A., Nissen, H., Kjeldsen, B. J., Chang, Y., Hansen, P. B., Olsen, P. S., Sondergaard, L. Tags: History, Basic research vascular ADULT CARDIAC Source Type: research

Haemodynamic benefits of rapid deployment aortic valve replacement via a minimally invasive approach: 1-year results of a prospective multicentre randomized controlled trial [ADULT CARDIAC]
CONCLUSIONS MIS-RDAVR is associated with a significantly reduced cross-clamp time and better valvular haemodynamic function than FS-AVR. However, paravalvular leak rates are higher with MIS-RDAVR. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 4, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Borger, M. A., Dohmen, P. M., Knosalla, C., Hammerschmidt, R., Merk, D. R., Richter, M., Doenst, T., Conradi, L., Treede, H., Moustafine, V., Holzhey, D. M., Duhay, F., Strauch, J. Tags: Transplantation - heart, Basic research vascular ADULT CARDIAC Source Type: research

Ventricular volume and myocardial viability, evaluated using cardiac magnetic resonance imaging, affect long-term results after surgical ventricular reconstruction [ADULT CARDIAC]
CONCLUSIONS Patients with preoperative LVESVI ranging from 100 to 130 ml/m2 had fairly better outcomes, and the percentage improvement in LVEF and the percentage reduction in LVESVI were more pronounced in these patients. Hence, accurate preoperative assessments of LV volume and viability testing using cardiac MRI studies are essential for better stratification of the SVR procedure. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 4, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Yamazaki, S., Doi, K., Numata, S., Itatani, K., Kawajiri, H., Morimoto, K., Manabe, K., Ikemoto, K., Yaku, H. Tags: Electrophysiology - arrhythmias, Molecular biology ADULT CARDIAC Source Type: research

Surgical ventricular restoration after flawed STICH trial: results when guidelines followed [ADULT CARDIAC]
(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 4, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Buckberg, G. D. Tags: Electrophysiology - arrhythmias, Minimally invasive surgery ADULT CARDIAC Source Type: research

Outcome of left ventricular surgical remodelling after the STICH trial [ADULT CARDIAC]
CONCLUSIONS Our findings show that patients, who are candidates for LVSR, have mostly akinetic areas and CIMR requiring surgical correction and are severely symptomatic. Severe LVDD is common and, along with emergency status, is the most important risk factor for early and late outcome. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 4, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Calafiore, A. M., Iaco, A. L., Kheirallah, H., Sheikh, A. A., Al Sayed, H., El Rasheed, M., Allam, A., Awadi, M. O., Alfonso, J. J., Osman, A. A., Di Mauro, M. Tags: Electrophysiology - arrhythmias, Minimally invasive surgery ADULT CARDIAC Source Type: research

Systolic flow displacement using 3D magnetic resonance imaging in an experimental model of ascending aorta aneurysm: impact of rheological factors [EXPERIMENTAL]
CONCLUSIONS In this preclinical model of supravalvular aortic stenosis and eccentric flow, we found that systolic flow displacement at earlier stages is positively correlated with the degree of aortic dilatation during follow-up as assessed by three-dimensional phase-contrast magnetic resonance imaging. If our findings are confirmed in further studies, this imaging parameter might be useful to identify those subjects with aortic valve disease who are at risk of developing aortic dilatation at a later stage. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 4, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Ayaon-Albarran, A., Fernandez-Jimenez, R., Silva-Guisasola, J., Agüero, J., Sanchez-Gonzalez, J., Galan-Arriola, C., Reguillo-Lacruz, F., Maroto Castellanos, L. C., Ibanez, B. Tags: History, Pericardium EXPERIMENTAL Source Type: research

Spinal near-infrared spectroscopy monitoring in aortic surgery: the beginning of understanding it or already clinical routine? [EXPERIMENTAL]
(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 4, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Kari, F. A., Czerny, M. Tags: History, Pericardium, Vascular malformations EXPERIMENTAL Source Type: research

Non-invasive spinal cord oxygenation monitoring: validating collateral network near-infrared spectroscopy for thoracoabdominal aortic aneurysm repair [EXPERIMENTAL]
CONCLUSIONS These experiments confirm that the paraspinous vasculature in the presented large animal model is directly linked to spinal cord microcirculation and that the regional paraspinous muscle oxygenation status reflects spinal cord tissue oxygenation. As lumbar cnNIRS reproducibly depicts tissue oxygenation of the paraspinous vasculature, it can be used for non-invasive spinal cord oxygenation monitoring in real-time. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 4, 2016 Category: Cardiovascular & Thoracic Surgery Authors: von Aspern, K., Haunschild, J., Hoyer, A., Luehr, M., Bakhtiary, F., Misfeld, M., Mohr, F. W., Etz, C. D. Tags: Cardiac - pharmacology, History, Pericardium EXPERIMENTAL Source Type: research

Effectiveness and predictability of pleurodesis with the Tachosil(R) surgical patch compared with talc poudrage: an experimental study [TRANSLATIONAL RESEARCH]
CONCLUSIONS The fibrin sealant patch is effective in producing localized pleurodesis in swine. The morphology and topography of the adhesions, 2 months after the patch placement, are consistent and more predictable than after talc poudrage. The latter causes a diffuse pleurodesis which is not predictable, with a predominantly gravitational location and produces a much more serious inflammatory response. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 4, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Vannucci, J., Droghetti, A., Bufalari, A., De Monte, V., Bellezza, G., Bianconi, F., Pecoriello, R., Daddi, N., Moriconi, F., Puma, F. Tags: Cardiac - pharmacology, Congenital - acyanotic TRANSLATIONAL RESEARCH Source Type: research

Management of early graft infections in the ascending aorta and aortic arch: a comparison between graft replacement and graft preservation techniques [AORTIC SURGERY]
CONCLUSIONS In situ graft-sparing surgical therapy is safe and effective if diagnosis and treatment of aortic graft infection is initiated promptly and aggressively (ideally <1 month post-surgery). Our method produces good midterm results (3 years). For aortic graft infections that become clinically apparent >3–6 months after surgery, replacement of grafts with biological conduits (homografts or pericardial xenografts) most likely remains the best treatment option. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 4, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Umminger, J., Krueger, H., Beckmann, E., Kaufeld, T., Fleissner, F., Haverich, A., Shrestha, M., Martens, A. Tags: History, Pericardium AORTIC SURGERY Source Type: research

Cerebral perfusion issues in acute type A aortic dissection without preoperative malperfusion: how do surgical factors affect outcomes? [AORTIC SURGERY]
CONCLUSIONS The RAxA cannulation and FemA cannulation are associated with comparable 30-day mortality following surgery for aortic dissection. However, the possible higher risk of LACI-type strokes in the RAxA group, especially when associated with unilateral brain perfusion, should be considered when RAxA cannulation is performed in ATAAD. The hypothesis that more experienced surgeons may produce better earlier outcomes warrants further investigation. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 4, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Buonocore, M., Amarelli, C., Scardone, M., Caiazzo, A., Petrone, G., Majello, L., Sante, P., Nappi, G., Della Corte, A. Tags: Extracorporeal circulation, History, Vascular malformations AORTIC SURGERY Source Type: research

Risk adjustment in paediatric and congenital cardiac surgery [CONGENITAL]
(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 4, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Jacobs, J. P. Tags: Mechanical Circulatory Assistance, History, Professional affairs CONGENITAL Source Type: research