Transcatheter mitral valve therapies: State of the art
AbstractMitral regurgitation (MR) is one of the most prevalent valvular pathologies in the developed world. There continues to be a growing population of aging patients with MR who may be too high risk for surgical management. The rapid adoption and remarkable success of transcatheter aortic valve replacement (TAVR) generated enthusiasm for transcatheter mitral valve therapies; however, the complex anatomy and pathophysiology of the mitral valve confers several unique challenges for a fully percutaneous approach. Nevertheless, several devices are under development and in various phases of preclinical or clinical testing, b...
Source: Journal of Cardiac Surgery - September 18, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Sarah Yousef, George J. Arnaoutakis, Hemal Gada, Anson Jay Conrad Smith, Saurabh Sanon, Ibrahim Sultan Tags: INVITED REVIEW Source Type: research

Early and midterm results of extended septal myectomy: Indian experience
AbstractBackground and ObjectivesHypertrophic obstructive cardiomyopathy (HOCM) is a genetic disorder, which is a cause of significant morbidity and sudden cardiac death. Extended septal myectomy (ESM) is the therapeutic gold standard to treat left ventricular outflow tract obstruction (LVOTO) in HOCM resulting in long-term symptomatic relief. The aim of the study was  to assess the impact of ESM on midterm symptom relief, LVOTO, and survival in patients suffering from HOCM in the Indian population.MethodsWe retrospectively analyzed clinical data of 36 consecutive symptomatic patients with HOCM having symptoms refract...
Source: Journal of Cardiac Surgery - September 17, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Narendra Kumar, Sharmil Kanna, Himanshu Goel, Arun Mohanty, Rajat Mohan, Sumir Dubey, Sujay Shad Tags: ORIGINAL ARTICLE Source Type: research

Complete surgical revascularization: Different definitions, same impact?
ConclusionsA uniformly accepted definition of complete coronary revascularization is lacking. This study raises awareness about the importance of viability guidance for CABG. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 17, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Paulo Veiga Oliveira, M árcio Madeira, Sara Ranchordás, Marta Marques, Manuel Almeida, Miguel Sousa‐Uva, Miguel Abecasis, José Pedro Neves Tags: ORIGINAL ARTICLE Source Type: research

Cesarean section in patient with metastatic Ewing sarcoma requiring VA ‐ECMO support
AbstractA 26-year-old pregnant woman, with multiple metastatic Ewing sarcoma, presented with a sternal mass that began enlarging during pregnancy. Due to high-risk pregnancy, the patient was discussed in a multidisciplinary meeting and intubation was considered too risky without cardiopulmonary support. Computed tomography showed extrinsic tumor compression of the right ventricle outflow tract. Veno-arterial (VA) extracorporeal membrane oxygenation (ECMO) was initiated before general anesthesia, followed by Cesarean section (C-section). VA ECMO was initiated with the patient in the awake position, ECMO support was disconti...
Source: Journal of Cardiac Surgery - September 15, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Joao R. Breda, Oscar Aljure, Anna K. Sfakianaki, Matthias Loebe Tags: CASE REPORT Source Type: research

Transit time flow measurement in coronary artery bypass grafting: For every patient and every surgeon
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Sigrid Sandner, Tomas Salerno, Mario F. L. Gaudino Tags: EDITORIAL Source Type: research

Blood cysts of the cardiac valves in adults: Review and analysis of published cases
ConclusionsBlood cysts of cardiac valves are rare in adults but may cause life-threatening complications, particularly when located on the mitral valve. For such reason, surgical removal appears advisable, with low-risk procedures. Widespread use of multimodality imaging techniques will most likely increase the number of valvular blood cysts diagnosed also in adults. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Uberto Bortolotti, Igor Vendramin, Andrea Lechiancole, Sandro Sponga, Angela Pucci, Aldo D. Milano, Ugolino Livi Tags: REVIEW Source Type: research

Are aortic surgery device technology providers valid or valued assets?
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Sven Z.C.P. Tan, Idhrees Mohammed, Mohamad Bashir Tags: EDITORIAL Source Type: research

Saphenous vein harvesting: Meta ‐analysis, metaflammation, and adipose tissue remodeling
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 11, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Masato Furuhashi, Takuma Mikami, Nobuyoshi Kawaharada, Michael R. Dashwood Tags: LETTER TO THE EDITOR Source Type: research

Analysis of racial disparities in acute type A aortic dissection repair at a rural tertiary academic medical center
AbstractBackgroundTo determine if racial disparities exist between African Americans (AA) and Non-Hispanic Whites (NHW) for patients undergoing repair of acute type A aortic dissection (ATAAD) at a rural tertiary academic medical center.MethodsThere were 215 consecutive AA and NHW patients who underwent ATAAD repair at our institution from 1999 to 2019 included in a retrospective analysis of our Society of Thoracic Surgeons Adult Cardiac Surgery Database. Statistical analysis was performed with ap value of less than .05 considered statistically significant.ResultsPatients undergoing ATAAD repair were 47% AA despite compris...
Source: Journal of Cardiac Surgery - September 10, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Robert D. Allman, Austin L. Rogers, Patrycja Popowicz, Xiangming Fang, Ronny A. Bell, Michael J. Bates, Shahab A. Akhter, Benjamin C. Degner Tags: ORIGINAL ARTICLE Source Type: research

Trifecta versus perimount bioprosthesis for surgical aortic valve replacement; systematic review and meta ‐analysis
AbstractObjectiveRecent studies suggested higher rates of early structural valve degeneration or reintervention for the Trifecta valve compared to other valves. Thus, we conducted a systematic review and meta-analysis comparing the outcomes of the Trifecta valve and the Perimount valves in patients who underwent a surgical aortic valve replacement (SAVR).MethodsAll randomized control trials and observational studies which investigated the outcomes of the Trifecta valve and Perimount valves were identified with PubMed and EMBASE. The endpoints were the rates of reintervention and all-cause mortality. Hazard ratios (HRs) for...
Source: Journal of Cardiac Surgery - September 9, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Yujiro Yokoyama, Toshiki Kuno, Hisato Takagi, Shinichi Fukuhara Tags: REVIEW Source Type: research

Excision of a rare cardiac tumor aided by endocardial electroanatomical mapping
We report a case of right atrial glomus tumor excised using a novel technique utilizing cardiac electroanatomical mapping techniques ordinarily used for arrhythmia surgery. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 9, 2021 Category: Cardiovascular & Thoracic Surgery Authors: John N. R. Massey, Stacey Bates, S. Kim Suvarna, James Richardson, Steven Hunter Tags: CASE REPORT Source Type: research

Response to the manuscript “ex vivo donor heart preservation in heart transplantation (HTx)—Is this the solution to increase the donor pool?”
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 9, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Yuriy Pya, Assel Medressova, Linar Faizov, Aidyn Kuanyshbek, Rymbai Kaliyev, Gulzhan Myrzakhmetova, Philip la Fleur Tags: REPLY Source Type: research

Transcatheter closure for postinfarction ventricular septal defect: A meta ‐analysis of the current evidence
ConclusionTCC should be a relatively safe and minimally invasive method for PIVSD, with an excellent successful device implantation rate and acceptable low 30-day mortality. The procedure appears promising, but its safety and efficacy could only be demonstrated by randomized controlled trials. Therefore, the mortality of data comparing surgery to TCC compels the need for future comparative trials. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 9, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Xiang Yang, Zeran Yu, Yu Wang, Yunchuan Ding, Ruizhi Ni, Pingxi Xiao Tags: ORIGINAL ARTICLE Source Type: research

Postinfarction ventricular septal rupture: Transcatheter intervention or surgical repair?
AbstractPostinfarction ventricular septal rupture is an infrequent but potentially fatal complication of acute myocardial infarction.The 30-day mortality rate with the transcatheter approach when performed in the acute phase (
Source: Journal of Cardiac Surgery - September 9, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Fahad Alfares, Satinder K. Sandhu Tags: COMMENTARY Source Type: research

Issue Information Page
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 9, 2021 Category: Cardiovascular & Thoracic Surgery Tags: ISSUE INFORMATION PAGE Source Type: research

Cardiac surgery in patients with atrial isomerism: Long ‐term results and outcomes
ConclusionsThe survival of our institution is similar to that of other referral centers, where patients with LAI had a better evolution than RAI; in addition, the univentricular approach was required in all with RAI. Patients with AI must undergo a rigorous evaluation to determine an adequate repair strategy, considering univentricular RAI with a high possibility of morbidity and mortality. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Diego B. Ortega ‐Zhindón, Juan Calderón‐Colmenero, José A. García‐Montes, Juan P. Sandoval, María A. Minakata‐Quiroga, Jorge L. Cervantes‐Salazar Tags: ORIGINAL ARTICLE Source Type: research

Alternate accesses for transcatheter aortic valve replacement: A network meta ‐analysis
ConclusionTC and TS approaches are associated with superior postoperative outcomes compared to other TAVR alternate access strategies. Randomized trials definitively assessing the safety and efficacy of alternate access strategies are needed. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Irbaz Hameed, Christian T. Oakley, N. U. Farrukh Hameed, Adham Ahmed, Nyla Naeem, Saket Singh, Kaniz Rizwana, Alexandria Brackett, John K. Forrest, Ryan Kaple, Abeel Mangi, Arash Salemi, Arnar Geirsson, Mario Gaudino, Prashanth Vallabhajosyu Tags: REVIEW Source Type: research

Clinical and hemodynamic outcomes of the Dor procedure in adults with ischemic cardiomyopathy
AbstractIschemic cardiomyopathy continues to be a major contributor to congestive heart failure, which places a significant burden on our healthcare system. Improving medications and different coronary revascularization strategies are the mainstays in the management of ischemic cardiomyopathy. Although medications and mechanical circulatory support are playing an ever-increasing role, cardiac transplantation remains the gold standard for treating advanced heart failure. Given the small number of available and suitable donor hearts, transplantation is limited for the majority of patients. Surgical ventricular restoration ha...
Source: Journal of Cardiac Surgery - September 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Ali Fatehi Hassanabad, Kiana Wiebe, Imtiaz S. Ali Tags: REVIEW Source Type: research

Reply to saphenous vein harvesting: Meta ‐analysis, metaflammation, and adipose tissue remodeling
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Berhane Worku, Mario Gaudino Tags: REPLY Source Type: research

Successful early surgical treatment of a post ‐MINOCA ventricular septal defect
ConclusionOur report suggests that MI's mechanical complications can occur even after a MINOCA. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 7, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Riccardo Codecasa, Francesco Cabrucci, Beatrice Bacchi, Pierluigi Stef àno Tags: CASE REPORT Source Type: research

Tailored management in aortic arch anomalies
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 7, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Igor Vendramin, Andrea Lechiancole, Ugolino Livi Tags: LETTER TO THE EDITOR Source Type: research

Protective effect of soluble Klotho in pediatric patients undergoing cardiac surgery with cardiopulmonary bypass support ‐what do we need to consider?
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 7, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Abul Fajol Tags: LETTER TO THE EDITOR Source Type: research

Hybrid approach for percutaneous mitral valve repair (MitraClip ®) followed by minimally invasive direct coronary artery bypass (MIDCAB) in a patient with a high risk constellation
ConclusionHybrid approach of percutaneous mitral valve repair followed by MIDCAB is an effective minimally invasive treatment for severe ischemic mitral valve regurgitation and coronary artery disease. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 7, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Alper Öner, Anthony Alozie, Pascal M. Dohmen Tags: CASE REPORT Source Type: research

Addressing concerns toward xenotransplantation
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Daniel J. Hurst, Luz Padilla, Wayne Paris, David K. C. Cooper, David C. Cleveland Tags: LETTER TO THE EDITOR Source Type: research

Left ventricle restoration. Keep the door open
AbstractSurgical left ventricle restoration (SVR) was first by Cooley in 1958 with the “linear suture technique,” and three decades later, Dor used a circular patch to reconstruct the left ventricle excluding the scarred parts of the septum and ventricular wall. It gained popularity and eventually almost abandoned after the contrasting literature evidence. Hassanabad et al. presen ted a comprehensive review of current literature on SVR techniques and clinical outcomes, trying to understand if SVR has still a substantial role in the modern medicine. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Carlo Olevano, Marco Moscarelli Tags: COMMENTARY Source Type: research

Prenatal diagnosis in Nevada for patients undergoing cardiovascular surgery in the first six months
ConclusionsOur results demonstrated a progressive rise in prenatal detection rates for young infants undergoing cardiovascular surgery in Nevada. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: William N. Evans, Ruben J. Acherman, Michael L. Ciccolo, Juan Lehoux, Humberto Restrepo Tags: ORIGINAL ARTICLE Source Type: research

Ex vivo donor heart preservation in heart transplantation
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Sandro Sponga, Igor Vendramin, Uberto Bortolotti, Ugolino Livi Tags: LETTER TO THE EDITOR Source Type: research

Effect of music therapy on infants who underwent mechanical ventilation after cardiac surgery
ConclusionMT in the ICU can reduce the use of on-demand sedative drugs, shorten mechanical ventilation, and reduce the occurrence of delirium in infants who underwent mechanical ventilation after cardiac surgery. MT is a safe and reliable treatment and worthy of clinical application. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 4, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Ya ‐Li Huang, Yu‐Qing Lei, Wen‐Peng Xie, Hua Cao, Xian‐Rong Yu, Qiang Chen Tags: ORIGINAL ARTICLE Source Type: research

Increased patency with comparable mortality and revascularization risk: Is the case for no ‐touch vein harvesting open and shut?
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 3, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Makoto Hibino, Nitish K. Dhingra, Subodh Verma Tags: COMMENTARY Source Type: research

Ruptured giant left anterior descending coronary artery pseudoaneurysm
We report a rare case of a ruptured giant left anterior descending coronary artery pseudoaneurysm that necessitated salvage operative repair. This case affirms the life-threatening nature of this clinically significant pathology, as well as the need for emergent repair before pseudoaneurysm rupture to maximize the likelihood of patient survival. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 3, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Navneet Singh, Patrick Kay, Krish Chaudhuri, Parma Nand Tags: CASE REPORT Source Type: research

The frequent insignificance of a “significant” p‐value
We describe diagnostic tests, the prosecutor's fallacy in the courtroom, and NHST, which involve inter-related conditional probabilities, to help clarify the meaning ofp-values, and discuss the enormous sampling variability, or unreliability, ofp-values. Finally, we use a cardiac surgical database and simulations to explore further issues involvingp-values. In clinical studies,p-values provide a poor summary of the observed treatment effect, whereas the three-number summary provided by effect estimates and confidence intervals is more informative and minimizes over-interpretation of a “significant” result.p-val...
Source: Journal of Cardiac Surgery - September 3, 2021 Category: Cardiovascular & Thoracic Surgery Authors: David C. McGiffin, Geoff Cumming, Paul S. Myles Tags: REVIEW Source Type: research

Percutaneous coronary intervention before NeoChord mitral valve repair: Expanding the spectrum of hybrid procedures
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 3, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Cesar E. Mendoza Tags: COMMENTARY Source Type: research

Remote patient monitoring after cardiac surgery: The utility of a novel telemedicine system
ConclusionRemote Patient Monitoring Systems combined with professional medical devices are feasible, effective, and safe for the purpose of improving postoperative outcomes. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 3, 2021 Category: Cardiovascular & Thoracic Surgery Authors: K ıvanç Atilgan, Burak E. Onuk, Pınar Köksal Coşkun, Fahri G. Yeşi̇l, Cemal Aslan, Abdullah Çolak, Aksüyek S. Çelebi̇, Hüseyin Bozbaş Tags: ORIGINAL ARTICLE Source Type: research

Early to midterm survival of patients with deep sternal wound infection managed with laparoscopically harvested omentum
ConclusionUse of LHO is a safe and viable alternative to traditional myocutaneous flaps to manage complex DSWI. Early and late survival were favorable in this high-risk population. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 3, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Mohamed Marzouk, Richard Baillot, Dimitris Kalavrouziotis, Nawal Amhis, Joseph Nader, Frederic S Hould, Laurent Biertho, Siamak Mohammadi, Tarek Malas Tags: ORIGINAL ARTICLE Source Type: research

In which patients should the Trifecta bioprosthesis be chosen?
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 2, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Tohru Takaseya, Kazuyoshi Takagi, Eiki Tayama Tags: COMMENTARY Source Type: research

Improving the prediction of long ‐term readmission and mortality using a novel biomarker panel
AbstractObjectiveSeveral short-term readmission and mortality prediction models have been developed using clinical risk factors or biomarkers among patients undergoing coronary artery bypass graft (CABG) surgery. The use of biomarkers for long-term prediction of readmission and mortality is less well understood. Given the established association of cardiac biomarkers with short-term adverse outcomes, we hypothesized that 5-year prediction of readmission or mortality may be significantly improved using cardiac biomarkers.Materials and MethodsPlasma biomarkers from 1149 patients discharged alive after isolated CABG surgery f...
Source: Journal of Cardiac Surgery - September 2, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Jeremiah R. Brown, Devin Parker, Meagan E. Stabler, Marshall L. Jacobs, Jeffrey P. Jacobs, Allen D. Everett, Kevin W. Lobdell, Moritz C. Wyler von Ballmoos, Heather Thiessen ‐Philbrook, Chirag Parikh, Todd Mackenzie, Anthony DiScipio, David Tags: ORIGINAL ARTICLE Source Type: research

Harvesting techniques of the saphenous vein graft for coronary artery bypass: Insights from a network meta ‐analysis
ConclusionNT vein harvesting is favorable for graft patency, and OVH showed higher all-cause mortality than EVH. Further well-powered RCTs are needed to confirm our findings. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 2, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Yujiro Yokoyama, Junichi Shimamura, Hisato Takagi, Toshiki Kuno Tags: REVIEW Source Type: research

Perils, paradigms, and possibilities: A commentary and recommendation on re ‐evaluating racial disparities in cardiac surgery
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 2, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Zachary O. Enumah, Ahmet Kilic Tags: COMMENTARY Source Type: research

Mirror mirror on the wall, who is going to be readmitted after all?
AbstractIn the jungle of biomarkers that predicts long-term outcome, there are many discrepancies and there is more evidence from single-center retrospective studies rather than clinical trials. While some of these biomarkers such as high sensitivity troponin levels, creatine kinase (CK), and CK-MB have demonstrated a good pattern for patients ’ follow-up, other biomarkers are still struggling to get validated and internationally renown due to the small number of patients included in the studies and their retrospective nature. In this context, Brown and colleagues must be congratulated as they have marked the pathway...
Source: Journal of Cardiac Surgery - August 31, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Aleksander Dokollari, Gianluca Torregrossa Tags: COMMENTARY Source Type: research

Cardiogenic shock and machine learning: A systematic review on prediction through clinical decision support softwares
ConclusionsFrom the present comprehensively gathered data, this study accounts the use of ML software for the early detection of CS in a clinical setting as a valid tool to predict patients at risk of CS. The complexity of ML and its parallel lack of clinical evidence implies that further prospective randomized control trials are needed to draw definitive conclusions before standardizing the use of these technologies.Brief SummaryThe catastrophic risk of developing CS continues to be a concern in the management of critical cardiac care. The use of ML predictive models have the potential to provide the accurate and necessar...
Source: Journal of Cardiac Surgery - August 31, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Rene Aleman, Sinal Patel, Jose Sleiman, Jose Navia, Cedric Sheffield, Nicolas A. Brozzi Tags: COMMENTARY Source Type: research

Enlargement of left ventricular outflow tract using an autologous pericardial patch for anterior mitral valve leaflet and septal myectomy through trans ‐mitral approach for the treatment of hypertrophic obstructive cardiomyopathy
AbstractObjectiveModified Morrow procedure is the gold standard of surgical intervention for hypertrophic obstructive cardiomyopathy (HOCM). However, there are certain cases without complete relief of obstruction through trans-aortic approach, we, therefore, described an unusual technique. We aimed to retrospectively analyze this series of patients to reveal its safety and efficiency.MethodsWe retrospectively analyzed a total of 247 consecutive HOCM patients in our center from January 2016 to December 2019. Sixteen of them who underwent enlargement of left ventricular outflow tract (LVOT) using an autologous pericardial pa...
Source: Journal of Cardiac Surgery - August 31, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Hongqiang Zhang, Kai Zhu, Fanshun Wang, Zhaohua Yang, Shouguo Yang, Chunsheng Wang Tags: ORIGINAL ARTICLE Source Type: research

Conditional uncertainty: Misinterpretations of “significant” p values
AbstractMisapplication ofp values can lead to very misleading conclusions.The frequent insignificance of a “significant” p value1provides examples illustrating situations wherep values are misused in interpretation and describes alternatives top values to consider. The concern aboutp values, and their potential shortcomings and misinterpretations, has been widely discussed and has received a lot of debate from the statistical community. While we agree with much of the content presented in the article, the issue fundamentally represents a misinterpretation of conditional probability, misapplication of measures r...
Source: Journal of Cardiac Surgery - August 31, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Shari Messinger Cayetano, Alejandro Mantero Tags: COMMENTARY Source Type: research

Advances in technology and remote cardiac monitoring: Living the future of cardiovascular technology
AbstractHospital administrations and providers are more than ever in need for new technologies and innovative methods with clinical benefit at lower costs. Surgeons and clinicians depend on conventional risk stratification scores developed to allow physicians to establish the risk of perioperative mortality. However, the current practiced models of preventive cardiology largely depend on patient motivation and awareness to be able to apply such risk scores appropriately. It was not until the appearance of miniaturized pocket-sized, user-friendly digital technologies that the awareness started to grow, highlighting the impo...
Source: Journal of Cardiac Surgery - August 31, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Alaa M. S. Omar, Omar Lattouf Tags: COMMENTARY Source Type: research

Feasibility of percutaneous coronary intervention before mitral NeoChord implantation: Single ‐center early results
ConclusionIn our experience, PCI before NeoChord seems safe and effective, and performing PCI before NeoChord might not affect outcomes. A totally micro-invasive strategy in selected patients suffering from MR and CAD should be considered as a reasonable alternative to conventional surgery. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - August 31, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Nicola Pradegan, Augusto D'Onofrio, Lorenzo Longinotti, Giuseppe Evangelista, Florinda Mastro, Alessandro Fiocco, Matteo Nadali, Gino Gerosa Tags: ORIGINAL ARTICLE Source Type: research

Common arterial trunk in the era of high prenatal detection rates: Results of neonatal palliation and primary repair
ConclusionsIn Nevada, current state-wide, general population prenatal detection of the common arterial trunk was more than 90%. By employing a combination of neonatal palliation and primary repair, surgical mortality was less than 6% in a cohort that included those with birth weights less than 2.5  kg, truncal valve surgery, and interrupted aortic arches. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - August 31, 2021 Category: Cardiovascular & Thoracic Surgery Authors: William N. Evans, Ruben J. Acherman, Michael L. Ciccolo, Juan Lehoux, Alvaro Galindo, Abraham Rothman, Gary A. Mayman, Humberto Restrepo Tags: ORIGINAL ARTICLE Source Type: research

Propensity score ‐based analysis of 30‐day survival in cardiogenic shock patients supported with different microaxial left ventricular assist devices
AbstractBackground and methodsMicroaxial left ventricular assist devices are used increasingly for treating cardiogenic shock. We compared the short-term outcome of patients supported with different microaxial devices for cardiogenic shock. A retrospective propensity score-adjusted analysis was performed in cardiogenic shock patients treated with either the Impella CP (n = 64) or the Impella 5.0/5.5 (n = 62) at two tertiary cardiac care centers between 1/14 and 12/19.ResultsPatients in the Impella CP group were significantly older (69.6  ± 10.7 vs. 58.7 ±&thins...
Source: Journal of Cardiac Surgery - August 31, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Gaik Nersesian, Evgenij V. Potapov, Vivian Nelki, Julia Stein, Christoph Starck, Volkmar Falk, Felix Schoenrath, Florian Krackhardt, Carsten Tsch öpe, Frank Spillmann Tags: ORIGINAL ARTICLE Source Type: research

The learning curve of robotic coronary arterial bypass surgery: A report from the STS database
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - August 30, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Saqib Masroor, Abdullah Nasi Tags: COMMENTARY Source Type: research

All roads lead to Rome, but some  are safer
AbstractSince the first in-human implantation, trans-catheter aortic valve replacement (TAVR) has shown an exciting development in both technical and technological terms, becoming the standard of care for many patients, even not only inoperable ones.   Although trans-femoral (TF) access has the scepter of first-line route for TAVR, in some cases, this access is not feasible, so several alternative routes were introduced over time. The network meta-analysis by Hameed et al. has the great merit to provide a comprehensive picture. Hence, through e ither direct and indirect comparison, the authors confirmed as TF is the g...
Source: Journal of Cardiac Surgery - August 30, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Michele Di Mauro, Antonio M. Calafiore, Roberto Lorusso Tags: COMMENTARY Source Type: research

The learning curve of robotic coronary arterial bypass surgery: A report from the STS database
ConclusionsThe learning curve for RA-CABG is initially steep, but stable clinical outcomes are achieved after the 10th procedure. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - August 30, 2021 Category: Cardiovascular & Thoracic Surgery Authors: William L. Patrick, Amit Iyengar, Jason J. Han, Jarvis C. Mays, Mark Helmers, John J. Kelly, Xingmei Wang, Mehrdad Ghoreishi, Bradley S. Taylor, Pavan Atluri, Nimesh D. Desai, Matthew L. Williams Tags: ORIGINAL ARTICLE Source Type: research

Takotsubo cardiomyopathy following pericardiectomy: A case report
ConclusionTC has to be carefully considered in the differential diagnosis in case of acute left ventricle dysfunction following cardiac surgery. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - August 30, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Huan Zhang, Xuelian Liao Tags: CASE REPORT Source Type: research