Tachyarrhythmia as a possible symptom of coronavirus in a neonate diagnosed with transposition of the great arteries
ConclusionWe propose that, despite negative preoperative testing, coronavirus infection may present as refractory tachyarrhythmia, and may be considered along with surgical complications as a cause for unexplained hypoxemia postoperatively. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 16, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Raymond A. Lopez, Luz A. Padilla, Robert A. Sorabella, David C. Cleveland, Leslie A. Rhodes, Robert J. Dabal Tags: CASE REPORT Source Type: research

Pulmonary ‐to‐systemic venous collateral in obstructed supracardiac totally anomalous pulmonary venous connection: Blood finds a way!
We describe a rare variant of obstructed supracardiac totally anomalous venous connection in a 7 ‐day‐old boy where the vertical vein was occluded and the entire pulmonary venous return was draining through a large tortuous pulmonary‐systemic venous collateral. The case highlights the importance of computed tomography angiography in demonstrating such complex anatomies in congenital heart diseases. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 16, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Mansi Verma, Niraj N. Pandey, Sanjeev Kumar, Anita Saxena Tags: IMAGES IN CARDIAC SURGERY Source Type: research

Left ventricular assist device implantation by bi ‐thoracotomy technique: A single‐center perspective
ConclusionsOur data suggest inflow cannula angles are smaller and more consistent with the BT approach, which leads to a shorter duration of postoperative inotropic support. This finding may suggest improved right heart function following LVAD implant via BT approach. Further study is warranted to determine additional benefits of the BT approach. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 16, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Elizabeth M. Stoeckl, Jason W. Smith, Ravi Dhingra, Amy G. Fiedler Tags: ORIGINAL ARTICLE Source Type: research

Edge ‐to‐edge mitral repair for iatrogenic chordal rupture related to Impella 5.0
We present a case of a 47 ‐year‐old man with ischemic cardiomyopathy who required insertion of an Impella 5.0 device. During Impella support, he developed acute pulmonary edema secondary to newly diagnosed posterior mitral valve chordal rupture and subsequent severe mitral regurgitation. He underwent implantation of a du rable left ventricular assist device with concomitant edge‐to‐edge mitral valve repair through the apex. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 15, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Hiroto Kitahara, Samer Najjar, Sara Ahmed, Phillip Lam, Ajay Kadakkal, Maria Rodrigo, Mark Hofmeyer, Farooq Sheikh, Ezequiel Molina Tags: IMAGES IN CARDIAC SURGERY Source Type: research

Preoperative troponin levels and outcomes of coronary surgery following myocardial infarction
ConclusionsPreoperative troponin levels do not appear to be predictive of short ‐ or long‐term outcomes following CABG, and clinical decisions regarding surgical revascularization should not be dictated by these measurements. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 15, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Nicholas R. Hess, Ibrahim Sultan, Yisi Wang, Floyd W. Thoma, Arman Kilic Tags: ORIGINAL ARTICLE Source Type: research

A 52 ‐year‐old man with asymptomatic giant thoracic‐abdominal aortic aneurysm
AbstractA 52 ‐year‐old man was admitted to our hospital for a “CT‐diagnosed thoracic‐abdominal aortic aneurysm.” One week ago, the patient had repeated dry coughs and went to the local hospital for treatment. A chest radiograph revealed a huge mass in the left thoracic cavity. A further chest compute rized tomography examination revealed a thoracic‐abdominal aortic aneurysm and was transferred to our hospital for surgical treatment. The patient is almost healthy, with no fever, no severe chest and abdomen pain, no dyspnea, no dysphagia, or other clinical symptoms. Ten years ago, the patient un derwent...
Source: Journal of Cardiac Surgery - April 15, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Jianying Deng, Wei Liu Tags: CASE REPORT Source Type: research

Variants of the aortic arch in adult general population and their association with thoracic aortic aneurysm disease
AbstractBackgroundQuery a single institution computed tomography (CT) database to assess the prevalence of aortic arch anomalies in general adult population and their potential association with thoracic aortopathies.MethodsCT chest scan reports of patients aged 50 –85 years old performed for any indication at a single health system between 2013 and 2016 were included in the analysis. Characteristics of patients with and without aortic arch anomalies were compared byt test and Fisher exact tests. Logistic regression analysis was performed to assess for independent risk factors of thoracic aortic aneurysm (TAA).Results...
Source: Journal of Cardiac Surgery - April 15, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Sameh Yousef, Saket Singh, Abedalrazaq Alkukhun, Bilal Alturkmani, Makoto Mori, Juliafayanne Chen, Clancy W. Mullan, Cornell W. Brooks, Roland Assi, Peter J. Gruber, Isabel Cortopassi, Arnar Geirsson, Prashanth Vallabhajosyula Tags: ORIGINAL ARTICLE Source Type: research

How much troponin leak is too much before CABG?
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 15, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Clancy W. Mullan, Arnar Geirsson Tags: INVITED COMMENTARY Source Type: research

Management of the aortic root in type A aortic dissection: A valve sparing approach
ConclusionVSRR is a sound technique in TAAAD in experienced hands. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Eltayeb Mohamed Ahmed, Edward P. Chen Tags: Special Section: Trend & Controversies in Type A Aortic Surgery in 21st Century Source Type: research

COVID ‐19 and cardiac surgery: A perspective from United Kingdom
We describe our aortovascular activity and outcomes during the period of UK lockdown and present a patient survey of attitudes to aortic surgery during COVID‐19 pandemic. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Amer Harky, Deborah Harrington, Omar Nawaytou, Ahmed Othman, Catherine Fowler, Gareth Owens, Francesco Torella, Manoj Kuduvalli, Mark Field Tags: Special Section: Cardiac Surgery Amid COVID 19 Source Type: research

Cardiac surgery during the COVID ‐19 sine wave: Preparation once, preparation twice. A view from Houston
AbstractThe novel coronavirus disease (COVID ‐19) pandemic has created major challenges and disruptions to hospitals throughout the world, with profound implications for cardiac surgery and cardiac surgeons. In this review, we highlight the hospital and cardiac surgical experience at Baylor St. Luke's Medical Center in the Texas Medical Cent er in Houston, Texas as of mid‐July 2020. Our local experience has consisted of a spring surge (early March to early May), followed by a relative flattening and then a summer surge (early June to present day), similar to a sine wave. Throughout the entire pandemic, our simultaneous...
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Subhasis Chatterjee, James M. Anton, Todd K. Rosengart, Joseph S. Coselli Tags: Special Section: Cardiac Surgery Amid COVID 19 Source Type: research

Management of acute and chronic aortic disease during the COVID ‐19 pandemic—Results from a web‐based ad hoc platform
ConclusionThe current COVID ‐19 pandemic has—besides the stoppage of elective referrals—also led to a decrease of referrals of acute aortic syndromes in many settings. The reluctance of patients seeking medical help seems to be a major driver. The number of patients, who have been postponed due to the provisioning of ICU resources but having experienced aortic rupture in the waiting period, is still low. Further, studies are needed to learn more about the influence that the COVID‐19 pandemic has on the treatment of patients with acute and chronic aortic disease. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Martin Czerny, Jos Berg, Roberto Chiesa, Michael Jacobs, Stephan Jakob, Hans ‐Jörg Jenni, Roberto Lorusso, Davide Pacini, Eduardo Quintana, Bartosz Rylski, Klaus Staier, Nikolaos Tsilimparis, Thomas Wyss, Roman Gottardi, Juerg Schmidli Tags: Special Section: Cardiac Surgery Amid COVID 19 Source Type: research

International study on impact of COVID ‐19 on cardiac and thoracic aortic aneurysm surgery
ConclusionIn the present climate where there is a paucity of evidence, this will give an interim consensus for the cardiac surgeons. With the increase in the cumulative number of patients with COVID ‐19, careful utilization of the resources regarding hospital beds and manpower is of paramount importance. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Mohammed Idhrees, Mohamad Bashir, Mostafa Mousavizadeh, Saeid Hosseini Tags: Special Section: Cardiac Surgery Amid COVID 19 Source Type: research

A Perspective from New York of COVID 19: Effect and impact on cardiac surgery
ConclusionsHere, we demonstrate the response of a large tertiary academic medical center to the COVID ‐19 pandemic. Specifically, we demonstrate how rapid structural changes can allow for the continued delivery of cardiac surgical care with similar outcomes as those reported before the pandemic. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Woodrow J. Farrington, Charles A. Mack, Maria G. Karas, Natalia S. Ivascu, N. Bryce Robinson, Erin Iannacone, Christopher Lau, Stephanie L. Mick, Leonard N. Girardi Tags: Special Section: Cardiac Surgery Amid COVID 19 Source Type: research

Management of acute type A aortic dissection during COVID ‐19 outbreak: Experience from Anzhen
ConclusionsThe results of this study show that our management protocol based on testing results and hemodynamic stability in patients with ATAAD during the COVID ‐19 pandemic was effective and achieved favorable early surgical outcomes. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Chen ‐Han Zhang, Wei‐Guo Ma, Yong‐Liang Zhong, Yi‐Peng Ge, Cheng‐Nan Li, Zhi‐Yu Qiao, Yong‐Min Liu, Jun‐Ming Zhu, Li‐Zhong Sun Tags: Special Section: Cardiac Surgery Amid COVID 19 Source Type: research

Teamwork in the time of coronavirus: An MGH experience
We describe here the challenge we faced in Boston and some of the details of the structure and function of our division. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Arminder S. Jassar, Katy E. Perkins, Thoralf M. Sundt Tags: Special Section: Cardiac Surgery Amid COVID 19 Source Type: research

ECMO —Challenges, strategies, and preparation from Spain
AbstractProviding complex therapies such as extracorporeal membrane oxygenation (ECMO) during outbreaks of infectious diseases has singular challenges. The impact of the SARS ‐CoV‐2 pandemic has implied a mentality change by force of circumstances, and cardiac surgery has not been stranger to this trend. The need to treat critically ill patients with an unknown evolution has compelled cardiovascular surgeons to decide whether or not to implant an ECMO system, despite the limited scientific evidence available in the context of COVID‐19. To add some confusion, doubts were raised about its potential deleterious outcome ...
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Enrique P érez de la Sota, Andrea Eixerés‐Esteve Tags: Special Section: Cardiac Surgery Amid COVID 19 Source Type: research

COVID 19 — Perspective of an Italian Center
AbstractItaly has been hard hit by severe acute respiratory syndrome coronavirus 2 infection with more than 240,000 cases and 35,000 deaths. During the acute phase of the pandemic, the Italian government decided on the lockdown which lasted about 2 months. During this period, all surgical activities were limited to nondeferable procedures only. The sudden closure posed problems with the management of the heart surgery waiting which at that time included 135 patients. Among these were selected cases with the worst clinical characteristics that were progressively operated on. Compared with a similar period in 2019, the cardi...
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Michele D. Pierri, Jacopo Alfonsi, Mariano Cefarelli, Paolo Berretta, Marco Di Eusanio Tags: Special Section: Cardiac Surgery Amid COVID 19 Source Type: research

COVID ‐19: A perspective from Iran
AbstractThe coronavirus disease 2019 (COVID ‐19) pandemic has presented unique challenges to healthcare systems the world over. The management of the current pandemic places a huge strain on healthcare sectors and demands new strategies on a global level. We herein review the latest epidemiologic data on the COVID‐19 pandemic, the Iranian healthcare system's response, and the impact on cardiac surgery practice in Iran. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Zargham H. Ahmadi, Mostafa Mousavizadeh, Akbar Nikpajouh, Mohamad Bahsir, Saeid Hosseini Tags: Special Section: Cardiac Surgery Amid COVID 19 Source Type: research

Emergency management of the COVID ‐19 pandemic in a vascular surgery department of a large metropolitan hospital in Italy. Preparation, escalation, de‐escalation, and normal activity
AbstractBackgroundDuring the first phase of coronavirus disease ‐2019 (COVID‐19) pandemic in Italy, several strategies have been taken to deal with the pandemic outbreak.Aim of the studyTo report the remodeling of the Vascular Surgery Department of San Raffaele Hospital as regards the strategies of preparation, escalation, and return to normal activities during the COVID ‐19 pandemic.Preparation, escalation, de ‐escalationThe Regional Authority of Lombardy remodeled the hospitalization system to allocate appropriate resources to treat patients with COVID ‐19 and to identify “Hub/Spoke” hospitals for h...
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Roberto Chiesa, Andrea Kahlberg, Enrico Rinaldi, Daniele Mascia Tags: Special Section: Cardiac Surgery Amid COVID 19 Source Type: research

COVID ‐19: An Australian center's perspective
AbstractSARS CoV ‐2 (COVID 19) is having a deep and lasting impact around the world. We review the effect it has had on our cardiothoracic surgery practice in Australia and give insights into our contingency planning, restructuring, practice changes, and the effect on our patients in this evolving pandemic. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Lisa Lim, George Matalanis Tags: Special Section: Cardiac Surgery Amid COVID 19 Source Type: research

COVID ‐19: A Greek Perspective
AbstractGreece has managed to timely and properly implement a public health safety plan and contained the burden of the coronavirus disease (COVID ‐19) pandemic. On the contrary, COVID‐19 has led to a national catastrophe in countries with superior infrastructures, such as Italy, Spain, France, and the United States. At a time when our nation's healthcare resources were insufficient to meet this unprecedented demand, it was necessary to pr ioritize needs in the hopes of maximizing lives saved. Although delaying definitive treatment of disorders presented a risk to specific individuals, countless others afforded life‐...
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Dimitrios C. Iliopoulos Tags: Special Section: Cardiac Surgery Amid COVID 19 Source Type: research

COVID 19 —A Spanish perspective
ConclusionCardiac surgical activity has suffered a negative impact all over the country. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Enrique P érez de la Sota, Miguel Piñón, Eduard Quintana, Carlos A. Mestres Tags: Special Section: Cardiac Surgery Amid COVID 19 Source Type: research

COVID ‐19: An Indian perspective
AbstractLockdown, quarantine, self ‐isolation, personal protection equipment, and social distancing have become words of daily usage ever since the world health organization declared coronavirus disease 2019 (COVID‐19) as a pandemic. The impact of COVID‐19 extends over the medical field, economy, education, and politics. Though the knowledge of the virus is evolving, we are yet to find a solution. India, country with the second largest population, went into a phase of lockdown from 25th March 2020 to 31st May 2020. There was phased measure to “Unlock” starting from 1st June 2020. This has affected the cli...
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Bashi Velayudhan, Mohammed Idhrees Tags: Special Section: Cardiac Surgery Amid COVID 19 Source Type: research

ECMO therapy in COVID ‐19: An experience from Zurich
ConclusionsMeasures to prevent a collapse of the healthcare system were effective. Our local ECMO ‐Program on the ongoing COVID‐19 pandemic has proven to be a useful tool to control mortality and organ failure in critically ill patients. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Juri Sromicki, Martin Schmiady, Francesco Maisano, Carlos A. Mestres Tags: Special Section: Cardiac Surgery Amid COVID 19 Source Type: research

Mechanical circulatory support —Challenges, strategies, and preparations
ConclusionsHF incidence, prevalence, and undertreatment will grow as a result of new COVID ‐19‐related heart disease. ECMO should be reserved for highly selected cases of COVID‐19 with a reasonable probability of recovery. Special considerations are needed for patients with advanced HF, including those supported by durable LVADs. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Wael I. Awad, Mohamad Bashir Tags: Special Section: Cardiac Surgery Amid COVID 19 Source Type: research

Is there a vascular side of the story? Vascular consequences during COVID ‐19 outbreak in Lombardy, Italy
ConclusionCOVID ‐19 infection seems to be not only a pulmonary but also a vascular (arterial and venous) disease. Further study are necessary to described mid and long‐term outcomes in COVID‐19 vascular patients population. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Daniele Bissacco, Viviana Grassi, Chiara Lomazzi, Maurizio Domanin, Raffaello Bellosta, Gabriele Piffaretti, Santi Trimarchi Tags: Special Section: Cardiac Surgery Amid COVID 19 Source Type: research

Acute aortic dissection during pregnancy: Trials and tribulations
ConclusionsManagement of this group includes rapid and dynamic assessment without delay. From conception to postpartum, there are multiple stages in which to manage these women. Challenges in carrying out management in the form of operative techniques and cardiopulmonary bypass place the fetus at risk and must be approached with caution, particularly as there is little evidence ‐base for many of these decisions. Further research into reducing maternal and fetal mortality is necessary. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Lara Rimmer, Jessica Heyward ‐Chaplin, Matthew South, Mohamed Gouda, Mohamad Bashir Tags: Special Section: Trend & Controversies in Type A Aortic Surgery in 21st Century Source Type: research

Preparation, escalation, de ‐escalation, and normal activities
AbstractIran is one of the earliest countries involved with coronavirus disease 2019 (COVID ‐19) pandemic. In the present short report, we have presented our experiences as a cardiovascular tertiary center during the COVID‐19 outbreak. At the beginning, we have pursued our activities in four field of administrative, preventative, therapeutic, and research. Then by gaining new experienc es, we have tailored our strategies. Finally, we have described our challenges and future strategies on returning to normal activities. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Parham Sadeghipour, Bahram Mohebbi, Mostafa Mousavizadeh, Saeid Hosseini, Majid Maleki Tags: Special Section: Cardiac Surgery Amid COVID 19 Source Type: research

Perspectives of Surgeons from Atlanta, USA
ConclusionThe pandemic challenged and changed the way we work as health care providers, and how we train the future surgeons. Changes in the system were effective. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Eltayeb Mohamed Ahmed, Edward P. Chen Tags: Special Section: Cardiac Surgery Amid COVID 19 Source Type: research

A Perspective from Los Angeles of COVID ‐19 effect and impact on cardiac surgery
Discussion includes public health response to the pandemic, how local hospitals reacted to the expected surge in patients with COVID, the establishment of telemedicine services, and the projected future impact on California healthcare as a result of the COVID‐19 pandemic. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Tiffany Worthington, Ali Khoynezhad Tags: Special Section: Cardiac Surgery Amid COVID 19 Source Type: research

Issue Information Page
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Tags: ISSUE INFORMATION PAGE Source Type: research

From E ‐VITA open plus to E‐VITA NEO and E‐NOVIA
AbstractThe first clinical implantation of the “Essen I prosthesis” took place in 2005, which was then followed by E‐Vita open plus. With further advancements E‐Vita Neo and E‐Novia was introduced. These devices enable the surgeons to perform frozen elephant trunk in zone 0/1 which eventually reduce the incidence of paraplegia, recurre nt laryngeal nerve palsy and proximalization of supraaortic arch vessels. E‐vita open plus and successors alleviate frozen elephant trunk operations rendering more stable results in promoting positive remodelling of the distal aorta. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Heinz Jakob, Mohammed Idhrees, Mohamad Bashir Tags: Special Section: Trend & Controversies in Type A Aortic Surgery in 21st Century Source Type: research

COVID ‐19: The rising cost of cardiac surgery and disease
AbstractThe coronavirus disease 19 (COVID ‐19) pandemic has resulted in widespread economic, health and social disruptions. The delivery of cardiovascular care has been stifled during the pandemic to adhere to infection control measures as a way of protecting patients and the workforce at large. This cautious approach has been protective since individuals with COVID‐19 and cardiovascular disease are anticipated to have poorer outcomes and an increased risk of death. The combination of postponing elective cardiovascular surgeries, reduced acute care and long‐term cardiac damage directly resulting from COVID‐19 will ...
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Fatima Osman, Noah Caplin, Mohamad Bashir Tags: Special Section: Cardiac Surgery Amid COVID 19 Source Type: research

The role of mechanical circulatory support in COVID 19 patients
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Bastian Schmack, Alexander Weymann, Peter L üdike, Tienush Rassaf, Arjang Ruhparwar Tags: Special Section: Cardiac Surgery Amid COVID 19 Source Type: research

Limited versus extended repair for type A aortic dissection involving the aortic arch
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Matthew C. Henn, Marc R. Moon Tags: Special Section: Trend & Controversies in Type A Aortic Surgery in 21st Century Source Type: research

The COVID pandemic —Potential collateral damage in a less focused dimension
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Hans ‐Joachim Schäfers, Carolin Kunz, Volker Köllner Tags: Special Section: Cardiac Surgery Amid COVID 19 Source Type: research

Endovascular type A aortic repair —When?
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Santi Trimarchi, Viviana Grassi, Chiara Lomazzi, Maurizio Domanin, Daniele Bissacco, Raffaello Bellosta, Gabriele Piffaretti Tags: Special Section: Trend & Controversies in Type A Aortic Surgery in 21st Century Source Type: research

“Type A aortic dissection—Open with an open mind”
(Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Robert A. Hetz, Zain Al ‐Rstum, Anthony L. Estrera Tags: Special Section: Trend & Controversies in Type A Aortic Surgery in 21st Century Source Type: research

Treatment strategies for malperfusion syndrome secondary to acute aortic dissection
ConclusionAcute organ malperfusion caused by the aortic dissection requires accurate and prompt diagnosis to proceed with an appropriate intervention before repairing the central aorta for preventing irreversible organ damage. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Yutaka Okita, Kenji Okada Tags: Special Section: Trend & Controversies in Type A Aortic Surgery in 21st Century Source Type: research

Trends and controversies in type A aortic surgery in the 21st century: Branch first aortic arch replacement
ConclusionThe use of a branch first aortic arch replacement technique in ATAAD results in improved outcomes and is an approach applicable to all cardiac surgeons not only the aortic sub specialist. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Nisal Perera, George Matalanis Tags: Special Section: Trend & Controversies in Type A Aortic Surgery in 21st Century Source Type: research

Aortic root remodeling with external annuloplasty for acute type A aortic dissection: Midterm results
ConclusionIn a center with expertise in valve ‐sparing procedures, ARREAA is a reasonable option in the surgical management of AAAD in selected patients. This technique stabilizes the aortic annulus and preserves root anatomy for durable outcomes. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Marie ‐Catherine Morgant, Ghislain Malapert, Chloé Bernard, Aline Laubriet, Charline Pujos, Thomas Varin, Emmanuel Lansac, Olivier Bouchot Tags: Special Section: Trend & Controversies in Type A Aortic Surgery in 21st Century Source Type: research

Management of aortic root in type A dissection: Bentall approach
AbstractBackgroundWe analyzed the results of the modified Bentall procedure in a high ‐risk group of patients presenting with acute type A aortic dissection (ATAAD).MethodsATAAD patients undergoing a modified Bentall between 1996 and 2018 (n = 314) were analyzed. Mechanical composite conduits were used in 45%, and biological ones using either a bioprosthesis implanted into an aortic graft (33%) or xeno‐/homograft root conduits (22%) in the rest. Preoperative malperfusion was present in 34% of patients and cardiopulmonary resuscit ation required in 9%.ResultsConcomitant arch procedures consisted of hemiarc...
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Zara Khachatryan, Sergey Leontyev, Khadzhimurad Magomedov, Josephina Haunschild, David M. Holzhey, Martin Misfeld, Christian D. Etz, Michael A. Borger Tags: Special Section: Trend & Controversies in Type A Aortic Surgery in 21st Century Source Type: research

Management of malperfusion: New York approach and outcomes
AbstractBackground and AimAortic branch malperfusion complicates up to one ‐third of acute type A aortic dissection (ATAAD), and it is a strong predictor of poor outcomes. We analyzed our results for the surgical management of this high‐risk cohort.MethodsWe queried our aortic database for consecutive patients undergoing ATAAD repair. Those presenting with malperfusion were compared with those without. Outcomes were compared using univariate and multivariate analysis.ResultsFrom 1997 to 2019, a total of  336 patients underwent ATAAD repair. A total of 97 ATAAD patients presented with malperfusion. Malperfusion pat...
Source: Journal of Cardiac Surgery - April 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Erin Iannacone, Bryce Robinson, Mohamed Rahouma, Leonard Girardi Tags: Special Section: Trend & Controversies in Type A Aortic Surgery in 21st Century Source Type: research

Is surgery necessary for adults with isolated interrupted aortic arch?: Case series with literature review
ConclusionsAdult patients with isolated IAA usually have extensive collateral vessels joining the descending aorta. Anti ‐hypertensives medical management with long‐term follow‐up appears to be a reasonable treatment option for these patients, although surgical intervention is a good choice. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Yefan Jiang, Chen Wang, Xionggang Jiang, Si Chen Tags: REVIEW ARTICLE Source Type: research

Increased number of ventricular septal rupture cases after acute myocardial infarction in 2020
ConclusionWe reported an increased number of mechanical complication cases from April to September 2020, compared to our historical records. Despite therapeutic advances, mortality rates remain high. Although the number of cases is small to conclude that the pandemic was responsible for this augmentation, we believe that it is related to the decreased number of patients seeking medical assistance. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 9, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Luis R. P. Dallan, Luis A. O. Dallan, Luiz A. F. Lisboa, Omar A. V. Mejia, Elinthon T. Veronese, Juliana P. M. Camilo, Polyanna C. M. Nascimento, Fabio B. Jatene Tags: ORIGINAL ARTICLE Source Type: research

Pre ‐implant right ventricular free wall strain predicts post‐LVAD right heart failure
ConclusionPre ‐implant RV FWS is predictive of RV failure in the first postoperative year after LVAD implantation. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - April 9, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Keith A. Dufendach, Toby Zhu, Carlos Diaz Castrillon, Yeahwa Hong, Malamo E. Countouris, Gavin Hickey, Mary Keebler, Floyd W. Thoma, Arman Kilic Tags: ORIGINAL ARTICLE Source Type: research

Fontan ‐associated liver disease and total cavopulmonary anatomical flow effectors
AbstractObjectiveWe investigated a relationship between a composite index comprised of Fontan ‐circuit anatomical features and hepatic fibrosis scores from biopsy.MethodsWe identified living extracardiac Fontan patients, ≥7 years old and ≥5 but
Source: Journal of Cardiac Surgery - April 9, 2021 Category: Cardiovascular & Thoracic Surgery Authors: William N. Evans, Ruben J. Acherman, Alvaro Galindo, Abraham Rothman, Michael L. Ciccolo, Juan Lehoux, Brody J. Winn, Noel S. Yumiaco, Humberto Restrepo Tags: ORIGINAL ARTICLE Source Type: research

Editorial comment: “Plug‐In Hybrid”—Are we ready for this in heart valve surgery?
AbstractIf we think about plug ‐in hybrids, the treatment of paravalvular leaks in cardiac surgery may not be the first thing that comes to mind. Yet, there appears to be an attractive analogy between the plug in hybrid car and an interventional device that may be “plugged in” intra‐operatively to treat a paravalvular lea k. Both technologies provide additional degrees of freedom to the fields, combine different technologies but may also be criticized for their increase in cost, introduction of new problems and their questionable practical need. We address this analogy based on a case series presented in th...
Source: Journal of Cardiac Surgery - April 9, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Torsten Doenst, Joseph Zacharias Tags: INVITED COMMENTARY Source Type: research