Cardiac surgery services during COVID ‐19—what did we learn?
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 15, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Malak Mohamed, Mawiyah Haq, Iqra Ahmed, Amer Harky Tags: COMMENTARY Source Type: research

Outcomes of redo ‐isolated tricuspid valve surgery after left‐sided valve surgery
ConclusionPatients undergoing RITS carry a high risk of early mortality. There was no significant difference in early mortality or long-term survival between the endoscopy and median sternotomy, whereas the endoscopy approach was associated with shorter intensive care unit stays and fewer reoperations. Repair resulted in lower surgical mortality than replacement with acceptable residual tricuspid regurgitation. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Liang Yang, Kan Zhou, Yan ‐chen Yang, Biao‐chuan He, Ze‐rui Chen, Cheng‐nan Tian, Huan‐lei Huang Tags: ORIGINAL ARTICLE Source Type: research

Hypothermic circulatory arrest time affects neurological outcomes of frozen elephant trunk for acute type A aortic dissection: A systematic review and meta ‐analysis
ConclusionsIt seems that employing the FET procedure for acute type A dissection is associated with acceptable neurologic outcomes and a similar mortality rate comparing with other aorta pathologies. Besides, increasing hypothermic circulation arrest time appears to be a significant predictor of adverse neurologic outcomes after FET. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Mostafa Mousavizadeh, Mahdi Daliri, Hadi Abo Aljadayel, Idhrees Mohammed, Yousef Rezaei, Mohamad Bashir, Saeid Hosseini Tags: REVIEW Source Type: research

A simplified repair method for adult Ebstein's anomaly
We present a simplified repair method which combines the plication of the atrialized right ventricle, tricuspid leaflet repair and ring annuloplasty. This method is suitable for older adult EA patients with progressive right heart dysfunction symptoms. Compared with complex repair methods (such as Cone reconstruction) this simplified repair method can reduce surgical risk, and achieve mild or less tricuspid regurgitation with acceptable long-term effects compared with prosthetic valve replacement. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Yunxing Xue, Jie Li, Hoshun Chong, Dongjin Wang, Hailong Cao Tags: HOW DO I DO IT Source Type: research

Ochronotic heart disease leading to severe aortic valve and coronary artery stenosis
We report the case of a 64-year old patient with a known history of alkaptonuria who presented with dyspnea and weight loss. On evaluation, he was found to have severe aortic stenosis, coronary artery disease, and interventricular septal hypertrophy. Surgery revealed extensive ochronotic pigment deposition affecting the cardiac septum, both internal thoracic arteries, the native coronary arteries, and the aortic valve. Ochronotic heart disease is an often disregarded presentation of alkaptonuria. More information is needed on the course of the disease, as well as long-term outcomes after valve replacement surgery and/or co...
Source: Journal of Cardiac Surgery - June 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Ana K. Velez, Natalie A. Gaughan, Rosmi P. Thomas, Stefano Schena Tags: CASE REPORT Source Type: research

The risk factors of the early postoperative residual tricuspid regurgitation after concomitant thoracoscopic tricuspid valve repair
AbstractObjectiveSecondary tricuspid regurgitation will be aggravated if left uncorrected during the initial surgery. Recently, an aggressive strategy of routine concomitant tricuspid valve repair has been warranted. Follow this strategy, routine concomitant thoracoscopic tricuspid valve repair was performed and the surgical effect and postoperative residual TR were reviewed.MethodsA two-center, retrospective, observational study was conducted. Patients who underwent concomitant thoracoscopic tricuspid valve repair performed by the same surgeon between May 2012 to April 2020 were recruited into the study. The data were col...
Source: Journal of Cardiac Surgery - June 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Shengjie Liao, Zhen Wu, Yu Xia, Xiangnian Li, Xiaoshen Zhang Tags: ORIGINAL ARTICLE Source Type: research

Delirium and depression in cardiac surgery: A comprehensive review of risk factors, pathophysiology, and management
ConclusionHerein, we provide a comprehensive review of the links between depression, delirium, and cardiovascular surgery. We critically examine the current data that pertains to the pathophysiology of these debilitating mental health issues in the context of cardiac surgery. Finally, we summarize the various treatment options available for managing depression and delirium in the cardiac surgery patient population. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Ali Fatehi  Hassanabad, Nabila Bahrami, Richard J. Novick, Imtiaz S. Ali Tags: REVIEW ARTICLE Source Type: research

Cardiac surgeons' concerns, perceptions, and responses during the COVID ‐19 pandemic
ConclusionsThe present study demonstrates the impact of COVID-19 on North American cardiac surgeons. Our study should stimulate further discussions to identify optimal solutions to improve workforce preparedness for subsequent surges, as well as facilitate the navigation of future healthcare crises. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 12, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Jessica G.Y. Luc, Niv Ad, Tom C. Nguyen, the COVID ‐19 North American Cardiac Surgery Survey Working Group Collaborators, Rakesh C. Arora, Husam H. Balkhy, Edward M. Bender, Daniel M. Bethencourt, Gianluigi Bisleri, Douglas Boyd, Michael W.A. Tags: ORIGINAL ARTICLE Source Type: research

Tetra ostial coronary arterial anatomy —A rare pattern in transposition
ConclusionBeing a rare coronary arterial pattern not described in previous coding systems, the surgeon would do well to be aware of this possibility while performing the switch procedure. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 12, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Joanna M. Roy, Sreeja Pavithran, Roy Varghese Tags: CASE REPORT Source Type: research

Heart transplantation from controlled donation after circulatory death using thoracoabdominal normothermic regional perfusion and cold storage
Conclusion: This is one of the first published cases of a controlled donation after circulatory death heart retrieved using only TA-NRP and successfully transplanted. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 12, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Juan F. Nistal, Manuel Cobo, Eduardo Larraz, Carlos Ju árez, María Á. Ballesteros Tags: CASE REPORT Source Type: research

Successful perioperative management of a case of infective endocarditis secondary to a Lemierre's syndrome variant with severe neurological manifestations
This report provides insights into the perioperative management of IE secondary to LS. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 11, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Shoji Morishige, Masahiro Oe, Takeyuki Goto, Toshiyuki Ishimaru Tags: CASE REPORT Source Type: research

Racial and socioeconomic disparities in urgent transcatheter mitral valve repair: A National Inpatient Sample analysis
AbstractBackgroundCardiac interventions performed urgently are known to be associated with poor outcomes compared with electively performed procedures. Transcatheter edge-to-edge mitral valve repair (TMVr) has developed as a reasonable alternative to mitral valve surgery in certain patient populations. We aimed to leverage a national database to identify predictors of urgent versus elective TMVr, as well as the association between urgency and outcomes.MethodsThe National Inpatient Sample (NIS) was queried to identify patients who underwent TMVr from 2016 to 2017. Hospitalizations were identified within the database as elec...
Source: Journal of Cardiac Surgery - June 10, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Alexander M. Spring, Michael A. Catalano, Bruce Rutkin, Alan Hartman, Pey ‐Jen Yu Tags: ORIGINAL ARTICLE Source Type: research

Aortic proximalization —Zone 0 versus Zone 2: A concept or true challenge?
ConclusionCurrent literature seems to suggest that Z-0-FET procedures are more straightforward and associated with lower rates of certain adverse events, however, the majority of data reviewed is retrospective. This review, therefore, recommends prospective research into the comparative strengths and limitations of Z-0-FET and Z-2-FET to better substantiate whether proximalization of arch repair represents a concept, or a true challenge to advance surgical intervention for arch pathologies. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 10, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Sven Z. C. P. Tan, Aleksandra Lopuszko, Wahaj Munir, Benjamin Adams, Mohamad Bashir Tags: REVIEW Source Type: research

Regional analgesia in cardiac anesthesia: Welcoming a new era in perioperative pain management
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 10, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Soojie Yu, Oscar D. Aljure Tags: COMMENTARY Source Type: research

Left ventricular free wall rupture: A real nightmare
AbstractLeft ventricular free wall rupture (LVFWR) is a rarest but often lethal mechanical complication of acute myocardial infarction (AMI). The mortality rate for LVFWR is described from 75% to 90% and it is the cause for 20% of in-hospital deaths after AMI. Death results essentially from the limited time available for emergent intervention after onset of symptoms. Emergency surgery is indicated and normally the rupture site is easily identified, but it may not be apparent macroscopically, corresponding to transmyocardial or subepicardial dissection with an external rupture far from the infarction site, or already thromb...
Source: Journal of Cardiac Surgery - June 9, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Manuel J. Antunes Tags: COMMENTARY Source Type: research

Revascularization ‐first strategy in managing acute type A aortic dissection with mesenteric malperfusion: Current evidence
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Kanhua Yin, Beishi Zheng, Zhiqi Zhang, Niloo M. Edwards, Nikola Dobrilovic Tags: LETTER TO THE EDITOR Source Type: research

Takotsubo cardiomyopathy causing “transient heart failure” after cardiac surgery: A rare phenomenon
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Devika Kir, Eduardo J. Demarchena Tags: COMMENTARY Source Type: research

Heart transplantations amidst the COVID ‐19 pandemic: “In the midst of chaos, there is also opportunity”
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Andrea Amabile, Arnar Geirsson Tags: COMMENTARY Source Type: research

Neurological complications following frozen elephant trunk for aortic dissection: What's truly to blame?
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Sven Z. C. P. Tan, Hazem El Santawy, Amr Abdelhaliem Tags: COMMENTARY Source Type: research

Erratum
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 8, 2021 Category: Cardiovascular & Thoracic Surgery Tags: ERRATUM Source Type: research

Issue Information Page
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 8, 2021 Category: Cardiovascular & Thoracic Surgery Tags: ISSUE INFORMATION PAGE Source Type: research

Lemierre –like syndrome and infective endocarditis: A triumph of eponyms
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 7, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Andrea Amabile, Arnar Geirsson Tags: COMMENTARY Source Type: research

Minimally invasive mitral valve surgery after previous sternotomy: A propensity ‐matched analysis
AbstractBackgroundAlthough the incidence of mitral valve (MV) surgery after previous open-heart surgery is increasing, there is no consensus regarding the optimal surgical approach. Reoperative MV surgery is most commonly performed via sternotomy (ST). We sought to determine whether minimally-invasive (MIS) reoperative MV surgery is safe and feasible.MethodsAll patients with a history of ST undergoing MV surgery with or without concomitant tricuspid or atrial fibrillation surgery at a single institution from 2007 to 2018 were retrospectively reviewed. ST and MIS approaches were compared using propensity-matched analysis. T...
Source: Journal of Cardiac Surgery - June 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Mohanad Hamandi, John J. Squiers, Allison T. Lanfear, Jasjit K. Banwait, Talia G. Meidan, Robert L. Smith, Kelley Hutcheson, John Michael DiMaio, Michael J. Mack, Timothy J. George, William H. Ryan Tags: ORIGINAL ARTICLE Source Type: research

Chylothorax after coronary artery bypass grafting: Is it always early?
ConclusionChylothorax should be considered in patients with recurrent pleural effusions even if the effusions do not have the typical milky appearance. Although chylothorax in most cases will present early in post operative period, it should be remembered that it can present in a delayed manner. Morbidity and health care costs associated with this entity can be remarkably high and therefore it is of great importance to diagnose and treat it. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Sharmil Kanna, Shashank Arora, Himanshu Goel, Pramoj Jindal, Sujay Shad Tags: CASE REPORT Source Type: research

The arrival of COVID ‐19 in Brazil and the impact on coronary artery bypass surgery
This study analyzed the arrival of coronavirus disease 2019 (COVID-19) in Brazil and its impact on coronary artery bypass grafting (CABG) surgery.MethodsPatients undergoing isolated CABG in six hospitals in Brazil were divided into two periods: pre-COVID-19 (March –May 2019,N = 468) and COVID-19 era (March–May 2020,N = 182). Perioperative data were included on a dedicated REDCap platform. Patients with clinical and tomographic criteria and/or PCR (+) for severe acute respiratory syndrome coronavirus 2 infection were considered COVID-19 (+). Logistic regression analysis was performed ...
Source: Journal of Cardiac Surgery - June 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Omar A. V. Mejia, Gabrielle B. Borgomoni, Lucas M.V. Silveira, Gustavo P. Guerreiro, Alexandre. T. G. Falc ão Filho, Maxim Goncharov, Luís R. P. Dallan, Marco A. P. Oliveira, Alexandre G. Sousa, Marcelo A. Nakazone, Marcos G. Tiveron, Valquí Tags: ORIGINAL ARTICLE Source Type: research

Outcomes in patients with primary malignant cardiac tumors: A surveillance, epidemiology, and end results program (SEER) database analysis
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Aakash Rajendra Sheth, Udhayvir Singh Grewal, Sahith Reddy Thotamgari, Runhua Shi Tags: LETTER TO THE EDITOR Source Type: research

Comparison of hospital cost between robotic versus thoracoscopic mitral valve repair
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Shixiong Wei Tags: LETTER TO THE EDITOR Source Type: research

Commentary: The bidirectional Glenn procedure can be useful in palliating late ‐presenting patients with complex cyanotic congenital heart disease
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: John J. Lamberti Tags: COMMENTARY Source Type: research

Mycotic aneurysms of pulmonary artery secondary to pulmonary valve endocarditis in a child
We present the case of a 7-year-old child with mycotic aneurysms of bilateral lower lobe pulmonary arteries secondary to pulmonary valve endocarditis. The child underwent pulmonary vegetectomy with ventricular septal defect closure and left lower lobe pulmonary lobectomy via midline sternotomy. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Mansi Verma, Saurabh Gaind, Rishabh Khurana, Sanjeev Kumar Tags: CASE IMAGE Source Type: research

Early outcomes after the on pump bidirectional Glenn procedure: A single center experience
ConclusionBidirectional Glenn procedure is an effective procedure to improve efficacy of the gas exchange and reduce volume overload on the single ventricle at early as well as late stages. However, the late age of presentation increases the risk of the postoperative outcomes. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Ranajit B. Naik, Chandra Prakash Srivastava, Saify Arsiwala, Ankit Mathur, Sunil Sharma Tags: ORIGINAL ARTICLE Source Type: research

Commentary: When will the robots come marching in?
AbstractMinimally invasive techniques for coronary artery bypass grafting (CABG), specifically robotic-assisted CABG has increased in popularity despite conflicting evidence. Here, we review a report by Yokoyama and colleagues to theJournal of Cardiac Surgery investigating outcomes of robotic versus nonrobotic CABG utilizing the National Inpatient Sample (NIS). (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Evan P. Rotar, Irving L. Kron Tags: COMMENTARY Source Type: research

Commentary: A case of the double rarities
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Michelle B. Mulder, Olivia M. D ′Angelo Tags: COMMENTARY Source Type: research

Outcomes of robotic coronary artery bypass versus nonrobotic coronary artery bypass
AbstractBackgroundRobotic coronary artery bypass graft (CABG) has developed in recent decades, however, prior studies showed conflicting result of robotic CABG compared to nonrobotic CABG in terms of mortality, morbidity, and cost. Herein, we sought to analyze the in-hospital outcomes and health care utilization after robotic CABG compared to nonrobotic CABG, based on data from a nationally representative sample.MethodsPatients who underwent CABG were identified using the national inpatient sample. Endpoints were in-hospital outcomes, length of stay, and total cost. Procedure-related complications were identified via inter...
Source: Journal of Cardiac Surgery - June 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Yujiro Yokoyama, Toshiki Kuno, Aaqib Malik, Alexandros Briasoulis Tags: ORIGINAL ARTICLE Source Type: research

Incidental finding of an adult intracardiac teratoma
We reported an exceedingly rare adult case of intracardiac teratoma with a bicuspid aortic valve. A small mass was discovered in the right ventricle of a 37-year-old man by accident after he was referred to our hospital due to chronic chest distress and aggravated palpitation. We performed a surgical exploration with excision of the lesion after a repeat transthoracic echocardiography suggested a space-occupying lesion in the interventricular septum. A mature cystic teratoma was pathologically confirmed. During the half-year follow-up, no symptoms were reported. This case constitutes the first report of the smallest primar...
Source: Journal of Cardiac Surgery - June 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Zhenze Tao, Yongnan Li, Yinglu Zhao, Debin Liu Tags: CASE REPORT Source Type: research

COVID ‐19 complicating perioperative management of LVAD implantation: A case report and systematic review
We report a 31-year-old male patient who developed COVID-19 during LVAD implantation. His postoperative period was complicated by severe pneumonia and mechanical ventilation (MV) leading to right ventricular failure (RVF) and inotrope necessity. He experienced multiple complications, but eventually recovered. We present a systematic review of LVAD recipients and COVID-19. Among 14 patients, the mean age was 62.7 years, 78.5% were male. A total of  5 patients (35.7%) required MV and 3 patients (21.4%) died. A total of 2 patients (14.2%) had thromboembolic events. This case and systematic review suggest LVAD recipients ...
Source: Journal of Cardiac Surgery - June 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Deborah de S á Pereira Belfort, Bruno Biselli, Mônica Samuel Ávila, Maria Tereza Sampaio de Sousa Lira, Filomena Regina Barbosa Gomes Galas, Samuel Padovani Steffen, Fabio Antonio Gaiotto, Fabio Biscegli Jatene, Edimar Alcides Bocchi, Silvia M Tags: CASE REPORT Source Type: research

Dawn of a new era: The Matryoshka procedure
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Cesar E. Mendoza Tags: COMMENTARY Source Type: research

The matryoshka procedure
We present the case of a 73-year-old male patient undergoing a modified Bentall –DeBono procedure in 2015 due to aortic stenosis and aortic aneurism involving the root. A bioprosthetic stented conduit made with a stented Edwards Perimount 21-mm bioprosthesis and a Vascutek Valsalva 28-mm Dacron graft was implanted along with a mitral annuloplasty. Five years later, due to ear ly degeneration of the bioprosthesis and a progression of the mitral disease, he underwent a second surgical procedure where a Medtronic Mosaic 27-mm valve prosthesis was implanted in mitral position and a sutureless Livanova Perceval 23-mm valv...
Source: Journal of Cardiac Surgery - June 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Fabrizio Tomai, Luca Weltert, Giovanni Persio, Tiziana Salatino, Ruggero Paulis Tags: IMAGES IN CARDIAC SURGERY Source Type: research

Should we ignore asymptomatic anomalous coronary arteries in patients presenting for aortic valve replacement?
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Aschraf El ‐Essawi Tags: COMMENTARY Source Type: research

Evaluation of respiratory and peripheral muscle training in individuals undergoing myocardial revascularization
ConclusionConventional physical therapy combined with PMT and RMT may reduce inspiratory muscle strength loss and improve pain and vitality perception in the immediate postoperative period after CABG. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 4, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Tarc ísio Nema Aquino, Simone Faria Rosseto, Jaqueline Lúcio Vaz, Carolline Faria Cordeiro Alves, Fernanda de Carvalho Vidigal, Giovane Galdino Tags: ORIGINAL ARTICLE Source Type: research

Mobilization of an anomalous retroaortic coronary artery to prevent myocardial ischemia after aortic valve replacement
AbstractAbnormal distribution may put coronary arteries at risk of damage during valvular surgery, especially if it is not identified during a preoperative examination. In this case report, we describe an approach to an anomalous right coronary artery during aortic valve replacement. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 4, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Jos é Máximo, Paulo Pinho, Jorge Casanova Tags: CASE REPORT Source Type: research

Impact of antimicrobial selection for prophylaxis of left ventricular assist device surgical infections
ConclusionsThe rates of infection and all-cause mortality were not different between patients who received narrow or broad prophylaxis. This highlights an opportunity for institutions to narrow their surgical infection prophylaxis protocols to primarily cover gram-positive organisms. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 3, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Peter T. Nguyen, Teena Sam, Peter Colley, Johanna S. Zyl, Joost Felius, Mezgebe Berhe, Dan Meyer Tags: ORIGINAL ARTICLE Source Type: research

Cardiac surgery and healthcare quality: Is the right question being asked?
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 3, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Abdullah Nasif, Saqib Masroor Tags: COMMENTARY Source Type: research

Apex rotation as a risk factor for total anomalous pulmonary connection repair in single ventricle
ConclusionA postoperative rotation of the heart apex into the ipsilateral thorax was a risk factor for branch PVO after TAPVC repair. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 3, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Hidetsugu Asai, Yasushige Shingu, Jin Ikarashi, Yuchen Cao, Daisuke Takeyoshi, Yosuke Arai, Noriyoshi Ebuoka, Tsuyoshi Tachibana Tags: ORIGINAL ARTICLE Source Type: research

Preoperative percutaneous carotid artery recanalization in a patient with aortic dissection type A
AbstractManagement of patients with acute type A aortic dissection (ATAAD) presenting with cerebral malperfusion due to carotid artery obstruction is still a major challenge and often associated with poor prognosis despite successful surgical aortic repair, due to prolonged cerebral perfusion deficit. Here, we present the first report regarding successful percutaneous recanalization of an internal carotid artery occlusion in the setting of an ATAAD before open surgical aortic repair with excellent clinical outcome after three year follow-up, including almost full neurological recovery. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 2, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Hug Aubin, Egzon Memedi, Arash Mehdiani, Artur Lichtenberg, Alexander Albert Tags: CASE REPORT Source Type: research

A simplified delivery frozen elephant trunk technique to reduce circulatory arrest time in hybrid aortic arch surgery
AbstractA simplified delivery technique for the frozen elephant trunk procedure allows the distal suture to be performed on a perfused and loaded aorta in moderate hypothermia —or even normothermia—reducing circulatory arrest time to just a few minutes. Two surgical sealing tourniquets are placed around the aortic arch, usually between the brachiocephalic trunk (BCT) and the left common carotid artery and the aorta is cross-clamped and cardioplegia started. Once in mi ld hypothermia, the BCT is disconnected and circulatory arrest is initiated while cerebral perfusion is maintained. This modified technique can b...
Source: Journal of Cardiac Surgery - June 2, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Thomas S énage, Nicolas Bonnet, Guillaume Guimbretière, Charles‐Henri David, Jean‐Christian Roussel, Eric Braunberger Tags: HOW TO DO IT Source Type: research

Subtle aortic dissection in a patient with severe aortic regurgitation and undiagnosed bicuspid aortic valve:  A case report with a literature review
Conclusions: Our case along with the review of current literature emphasizes that current imaging techniques may be inadequate for diagnosis of this rare variant of aortic dissection. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 2, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Davorin Sef, Stewart Brown, Omar A. Jarral, Azhar Hussain, Elizabeth Haslam, Cha Rajakaruna, Christopher J. McAloon Tags: CASE REPORT Source Type: research

Meta ‐analysis of surgical treatment for postinfarction left ventricular free‐wall rupture
AbstractBackgroundLeft ventricular free-wall rupture (LVFWR) is one of the most lethal complications after acute myocardial infarction (AMI). The optimal therapeutic strategy is controversial. The current meta-analysis sought to examine the outcome of patients surgically treated for post-AMI LVFWR.MethodsA comprehensive literature review was performed to identify articles reporting outcomes of subjects who underwent LVFWR surgical repair. The primary endpoint was operative mortality. A meta-analysis was performed to assess the associations of predefined variables of interest and clinical prognosis.ResultsOf the 3132 retrie...
Source: Journal of Cardiac Surgery - June 2, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Matteo Matteucci, Francesco Formica, Mariusz Kowalewski, Giulio Massimi, Daniele Ronco, Cesare Beghi, Roberto Lorusso Tags: REVIEW Source Type: research

Response to Letter to the Editor: “Impact of preoperative troponin levels on cardiac function following coronary surgery for myocardial infarction”
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 1, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Nicholas Hess, Arman Kilic Tags: REPLY Source Type: research

An unusual case of Shone's complex in an adult depicted on computed tomography angiography
We present a case of a 22-year-old male with dyspnea on exertion where computed tomography revealed complete Shone's complex. This case highlights the complementary role of computed tomography in the anatomical evaluation of patients with complex heart diseases. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 1, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Mansi Verma, Rahul Chavhan, Sanjeev Kumar, Sandeep Seth Tags: CASE IMAGE Source Type: research

Mixed type TAPVR —Measure twice, cut once
AbstractTotal anomalous pulmonary venous return (TAVR) can have varying drainage configurations. Here, we review a report by Nagulakonda et al. to theJournal of Cardiac Surgery detailing how additional computed tomography imaging revealed a mixed type presentation of TAPVR not identified on echocardiography. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 1, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Evan P. Rotar, Irving L. Kron Tags: COMMENTARY Source Type: research