Cover Image: Volume 34 Issue 7
Cover Caption: The cover image is based on the Surgical TechniqueRepair of bileaflet prolapse in Barlow syndrome: The 4 ‐chord technique by Per Wierup et al.,https://doi.org/10.1111/jocs.14078 (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - July 18, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Raphaelle A. Chemtob, Stephanie Mick, Marc Gillinov, Kevin Hodges, Per Wierup Tags: COVER Source Type: research

Issue Information Page
Journal of Cardiac Surgery, Volume 34, Issue 7, Page 529-532, July 2019. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - July 18, 2019 Category: Cardiovascular & Thoracic Surgery Tags: ISSUE INFORMATION PAGE Source Type: research

Long saphenous vein harvesting techniques and their effect on graft patency
AbstractCoronary artery bypass grafting is a key cardiac surgery procedure and is the main treatment for patients with multivessel coronary artery disease. The most frequently used conduit for this procedure is the long saphenous vein (LSV). The technique of harvesting the LSV has evolved over the last 30 years from total open harvesting to endoscopic with minimal access technique. The most important determining factor for success in coronary artery surgery is the graft patency rate. The literature evidence behind each technique has been reported at different levels and there is an ongoing debate about which technique can ...
Source: Journal of Cardiac Surgery - July 12, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Amer Harky, Beverly MacCarthy ‐Ofosu, Ciaran Grafton‐Clarke, Dimitrios Pousios, Andrew D. Muir Tags: REVIEW ARTICLE Source Type: research

Intraoperative assessment of mitral valve repair: Validation of the saline test with nonresectional repair techniques
ConclusionAfter repair with neochordae, a satisfactory saline test indicates a good repair and discrete leaks on the saline test suggest the need for further surgical maneuvers. If the surgeon has employed standard repair techniques using neochordae but the saline test is inconclusive or poor, additional repair maneuvers are generally unnecessary, as intraoperative echocardiography will usually demonstrate a good repair. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - July 12, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Raphaelle A. Chemtob, Per Wierup, Stephanie L. Mick, A. Marc Gillinov Tags: ORIGINAL ARTICLE Source Type: research

Early and long ‐term results of surgery for secondary mitral regurgitation with a damaged heart
ConclusionsEarly results of this study were good and long ‐term results were acceptable. Our results suggest that mitral valve surgery is feasible for secondary mitral valve regurgitation even in dilated, damaged hearts. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - July 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Hideki Kitamura, Ai Kagase, Yutaka Koyama, Mototsugu Tamaki, Yasuhiko Kawaguchi Tags: ORIGINAL ARTICLE Source Type: research

Is malnutrition associated with postoperative complications after cardiac surgery?
AbstractBackground and aimMalnutrition is the central component of frailty that has an adverse influence on the prognosis of patients undergoing cardiac surgery. The relationship between malnutrition and postoperative complications was evaluated in a retrospective cohort study.MethodsIn 287 patients undergoing elective cardiac surgery, nutritional status was assessed by using the Geriatric Nutritional Risk Index (GNRI). Then the patients were divided into a malnutrition group (GNRI
Source: Journal of Cardiac Surgery - July 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Satoshi Unosawa, Makoto Taoka, Shunji Osaka, Daisuke Yuji, Yoshiki Kitazumi, Keito Suzuki, Keita Kamata, Akira Sezai, Masashi Tanaka Tags: ORIGINAL ARTICLE Source Type: research

Neurological outcomes after on ‐pump vs off‐pump CABG in patients with cerebrovascular disease
ConclusionsIn patients with a previous TIA or stroke, off ‐pump CABG is associated with a reduced risk of stroke, delirium, and postoperative adverse neurological events, compared to on‐pump CABG. Patients with high neurological risk can potentially benefit from off‐pump CABG, due to an overall reduction of postoperative neurological complications. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - July 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Carmelo Dominici, Antonio Salsano, Antonio Nenna, Cristiano Spadaccio, Zein El ‐Dean, Mohamad Bashir, Giovanni Mariscalco, Francesco Santini, Massimo Chello Tags: ORIGINAL ARTICLE Source Type: research

Nontraumatic tension pneumopericardium in nonventilated pediatric patients: a review
Conclusions: Pneumopericardium is a rare condition with a higher mortality rate in patients with tension pneumopericardium, which requires immediate diagnosis and treatment. In nonventilated patients, tension pneumopericardium occurred more frequently in neonates, as an isolated air leak, and in those with a history of surgery or hematological disease. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - July 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Claudia M Bonardi, Silvia Spadini, Paola C Fazio, Moreno Galiazzo, Elena Voltan, Nadia Coscini, Massimo Padalino, Marco Daverio Tags: REVIEW ARTICLE Source Type: research

Challenging surgery of giant right coronary aneurysm associated with coronary sinus fistula
We present the surgical treatment of the coronary artery to coronary sinus fistula, which includes the complete exclusion of the giant right coronary artery and followed by triple bypass surgery. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - July 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Slobodan V. Micovic, Igor S. Zivkovic, Petar A. Milacic, Petar M. Vukovic, Vladimir Z. Kecmanovic, Ljiljana I. Jovovic, Nebojsa Bulatovic Tags: CASE REPORT Source Type: research

Pulmonary alveolar hemorrhage in a patient with a temporary external ventricular assist device and extracorporeal membrane oxygenation
We report the case of a young man awaiting heart retransplantation, who was supported with a temporary extracorporeal ventricular assist device with the addition of an oxygenator. He developed hemoptysis that forced the cessation of anticoagulation exposing to increased thromboembolic risk. We discuss this distinct clinical scenario with no clearly defined solution and explore the risks and benefits of the different treatment options. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - July 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Amy L. Wang, Erin Hittesdorf, Koji Takeda, Paolo C. Colombo, Gebhard Wagener Tags: CASE REPORT Source Type: research

Modified Commando operation using stentless aortic bioprosthesis
AbstractOperations necessitating intervalvular fibrous body reconstruction in patients with extensive endocarditis are referred to as “Commando operations,” an indicator of the procedure's difficulty. Aortic root replacement is inevitable when performing the Commando operation for extensive aortic annular defect after radical debridement. We performed a modified Commando operation, in which supra‐annular aortic valve replace ment with the Solo Smart stentless bioprosthesis was employed instead of aortic root replacement. Supra‐annular implantation can spare damaged annular structures. This modification is e...
Source: Journal of Cardiac Surgery - July 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Tetsuro Uchida, Yoshinori Kuroda, Azumi Hamasaki, Mitsuaki Sadahiro Tags: SURGICAL TECHNIQUE Source Type: research

Mitral valve ‐in‐valve replacement supported by a transapically snared guidewire via septostomy
We describe a 72 ‐year‐old woman, a known case of rheumatic heart disease with a history of mitral and aortic valve replacement 8 years previously, who underwent mitral valve‐in‐valve replacement supported by a transapically snared guidewire through septostomy. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - July 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Seifollah Abdi, Iraj Nazeri, Mohammad Hossein Mandegar, Seyedeh Hamideh Mortazavi, Babak Geraiely Tags: CASE REPORT Source Type: research

Perioperative red blood cell transfusion and mortality following heart transplantation: A retrospective nationwide population ‐based study between 2007 and 2016 in Korea
AbstractBackgroundPatients undergoing heart transplantation (HT) frequently receive perioperative red blood cell (RBC) transfusions, but the impact of perioperative transfusion on clinical outcomes after HT remains unclear.MethodsAll adult HTs performed in Korea between 2007 and 2016 were analyzed using data from the National Health Insurance Service. Patients were classified into four groups based on the number of RBC units transfused during hospital admission for HT: 0, 1 to 2, 3 to 5, and greater than or equal to 6  units. In‐hospital and long‐term mortality rates were compared among the groups.ResultsIn tota...
Source: Journal of Cardiac Surgery - July 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Karam Nam, Eun Jin Jang, Ga Hee Kim, Hyung Been Yhim, Hannah Lee, Dal Ho Kim, Ho Geol Ryu Tags: ORIGINAL ARTICLE Source Type: research

The learning curve effect on outcomes with frozen elephant trunk technique for extensive thoracic aorta disease
ConclusionThe learning curve with the FET procedure had a significant impact on hospital mortality and midterm survival over the follow ‐up period, albeit did not influence the freedom from reintervention on the downstream aorta. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - July 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Fabr ício José Dinato, Ricardo Ribeiro Dias, José Augusto Duncan, Fábio Fernandes, Felix José Alvares Ramires, Charles Mady, Fabio Biscegli Jatene Tags: ORIGINAL ARTICLE Source Type: research

Systematic review and meta ‐analysis of staged vs simultaneous coronary artery bypass grafting surgery and carotid endarterectomy
AbstractObjective: To systematically compare outcomes between patients with asymptomatic carotid artery diseases (>80% stenosis) that had undergone staged carotid endarterectomy (CEA) before coronary artery bypass grafting (CABG) vs simultaneous CEA and CABG.Methods: A comprehensive electronic search of MEDLINE, Scopus, EMBASE, and Ovid from their inception up till August 2018 was performed to identify all studies comparing staged CEA followed by CABG to simultaneous CEA and CABG. Primary outcome measure was postoperative stroke, and secondary measures were myocardial infarction (MI) and 30 ‐day mortality rates.Result...
Source: Journal of Cardiac Surgery - July 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Jeffrey Shi Kai Chan, Ahmed Mohamed Abdel Shafi, Ciaran Grafton ‐Clarke, Sukhdeep Singh, Amer Harky Tags: ORIGINAL ARTICLE Source Type: research

Evaluation of a simulation ‐based mini‐elective on medical student interest in cardiac surgery
ConclusionsA CT surgery mini ‐elective increased awareness and interest in the field among preclinical medical students. Longitudinal exposure and mentorship provided in programs such as this will be key to the continued recruitment of high‐quality medical students to the field. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - July 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Garrett N. Coyan, Michael P. D'Angelo, Arman Kilic, Thomas G. Gleason, James D. Luketich, Edgar Aranda ‐Michel, Olugbenga Okusanya, Matthew J. Schuchert, Angela Kinnunen, Ibrahim Sultan Tags: ORIGINAL ARTICLE Source Type: research

Minimally invasive single ‐vessel left internal mammary to left anterior descending artery bypass grafting improves outcomes over conventional sternotomy: A single‐institution retrospective cohort study
AbstractBackground: Coronary artery bypass grafting (CABG) can be performed through a variety of approaches. Minimally ‐invasive CABG (MICABG) may reduce perioperative morbidity. Previous results demonstrate improved perioperative outcomes; however, adoption has been limited.Methods: The Society of Thoracic Surgeons (STS) database and electronic medical record at a single institution were reviewed for isolated left internal mammary to left anterior descending artery (LIMA ‐LAD) bypass procedures performed between 2011 and 2018. Patients were grouped on the basis of operative approach, comparing sternotomy to non‐ster...
Source: Journal of Cardiac Surgery - July 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Nathan J. Smith, Bryan Miles, Michael T. Cain, Lyle D. Joyce, Paul Pearson, David L. Joyce Tags: ORIGINAL ARTICLE Source Type: research

The 100 most cited manuscripts in coronary artery bypass grafting
ConclusionThe most cited manuscripts by Serruys et al described a randomised trial comparing percutaneous coronary intervention and CABG for treating severe coronary artery disease. This work provides the most influential references related to CABG and serves as a guide as to the area of focus in CABG. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - July 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Jeremy Chan, Tsz Lun Allenis Mak, Timothy Shun Man Chu, Teresa Lok Yee Hui, Lok Yin Ada Kwan Tags: ORIGINAL ARTICLE Source Type: research

Predictors of operative mortality among cardiac surgery patients with prolonged ventilation
ConclusionProlonged ventilation following cardiac surgery is associated with a five ‐fold increase in operative mortality. In these patients, operative mortality is associated with older age, intraoperative initiation of ECMO, postoperative cardiac arrest, and renal failure requiring dialysis. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - July 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Alejandro Suarez ‐Pierre, Charles D Fraser, Xun Zhou, Todd C Crawford, Cecillia Lui, Thomas S Metkus, Glenn J Whitman, Robert SD Higgins, Jennifer S Lawton Tags: ORIGINAL ARTICLE Source Type: research

Outcome of early vs delayed surgery for infective mitral endocarditis
ConclusionsES was associated with a higher rate of reoperations and the composite endpoint of recurrent MR or reoperation. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - July 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Antti Huuskonen, Antti Vento, Peter Raivio Tags: ORIGINAL ARTICLE Source Type: research

A novel anticalcification treatment strategy for bioprosthetic valves and review of the literature
AbstractBackground and aim of the studyGlutaraldehyde (Glut) fixed bioprosthetic valves fail due to progressive dystrophic calcification. Many treatments have been proposed to eliminate calcification but none have been entirely successful. Calcitonin (CT) and sodium bisulfite (BSF) have recently been introduced as independent anticalcification reagents. It is postulated that their combined effect, along with the addition of the detergent Tween 80 and alcohol at 37 °C, may efficiently minimize tissue calcification due to aldehyde adduct formation and elimination of lipids.Material and MethodsThree groups were created fr...
Source: Journal of Cardiac Surgery - July 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: E. Andreas Agathos, Periklis I. Tomos, Nikolaos Kostomitsopoulos, Petros G. Koutsoukos Tags: ORIGINAL ARTICLE Source Type: research

Surgical extraction of a giant intracardiac lead vegetation and epicardial pacemaker reimplantation in a pacemaker ‐dependent hemodialysis patient
AbstractA 57 –year old male with a dual‐chamber pacemaker and 40‐year history of hemodialysis and autoinflammatory disease developed a large, 35 × 35 mm intracardiac vegetation on the right ventricular pacing lead. As this mass was large enough to occlude the tricuspid valve orifice, transvenous lea d extraction was deemed unsuitable. Instead, an urgent surgical extraction of the whole pacemaker system, including leads and vegetation, was conducted under cardiopulmonary bypass. In light of a high risk of recurrent blood infection, a new dual‐chamber pacing system was then immediately ...
Source: Journal of Cardiac Surgery - July 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Tomomi Nakajima, Yuichiro Kaminishi, Hideyuki Kato, Seigo Gomi, Bryan J. Mathis, Yuji Hiramatsu, Hiroaki Sakamoto Tags: CASE REPORT Source Type: research

Extra ‐anatomical splanchnic revascularization for hybrid treatment of thoracoabdominal aortic aneurysms
This report describes an alternative hybrid procedure which consists of an innovative mini ‐invasive thoracic approach combined with laparotomy to perform antegrade revascularization of the visceral arteries from the ascending aorta, followed by endovascular treatment. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - July 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Igor Vendramin, Paolo Frigatti, Andrea Lechiancole, Massimo Sponza, Uberto Bortolotti, Ugolino Livi Tags: CASE REPORT Source Type: research

Left ventricular remodeling after mini ‐mitral repair—does the complexity of mitral disease matter?
AbstractObjectivesDegenerative mitral valve (MV) regurgitation (MR) is associated with left ventricular (LV) dilatation. Surgical treatment of MR has been shown to favorably affect LV remodeling. We prospectively compared the long ‐term echocardiographic outcomes of LV remodeling following mini‐mitral repair for simple versus complex MV disease.MethodsWe prospectively followed up 203 consecutive patients who underwent mini ‐MV repair for severe degenerative MR over a 9‐year period. Simple disease (n = 122 patients: posterior leaflet prolapse) was compared to complex disease (n = 81 patie...
Source: Journal of Cardiac Surgery - July 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Fadi Hage, Ali Hage, Usha Manian, Nikolaos Tzemos, Michael W. A. Chu Tags: ORIGINAL ARTICLE Source Type: research

Predictors of blood transfusion use in robotic beating ‐heart totally endoscopic coronary artery bypass with anastomotic connectors
ConclusionsWe found that preoperative hemoglobin and operative time were independent predictors of BT requirement during robotic beating ‐heart TECAB. These data would help to select patients to minimize perioperative BT as well as predict outcomes after this procedure. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - July 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Hiroto Kitahara, Mackenzie McCrorey, Brooke Patel, Sarah Nisivaco, Husam H Balkhy Tags: ORIGINAL ARTICLE Source Type: research

Predictors of increased costs following index adult cardiac operations: Insights from a statewide publicly reported registry
ConclusionsHospitals that performed higher risk cases and had higher OE ratios for operative mortality in isolated CABG were found to have increased costs. These data collectively suggest that attention to risk assessment and outcome optimization efforts in isolated CABG would likely result in programmatic advantages not only from a clinical standpoint but also economic. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - July 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Edgar Aranda ‐Michel, Valentino Bianco, Ibrahim Sultan, Thomas G Gleason, Forozan Navid, Arman Kilic Tags: ORIGINAL ARTICLE Source Type: research

Midterm cerebral outcomes of Stanford type A aortic dissection in patients who underwent novel triple ‐branched stent graft implantation combined with intraoperative monitoring of regional cerebral oxygen saturation
ConclusionsThe novel triple ‐branched stent graft implantation procedure combined with intraoperative monitoring of the regional cerebral oxygen saturation was an effective treatment for Stanford type A aortic dissection, with a relatively low incidence of postoperative cerebral dysfunction. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - July 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Yong Lin, Mei ‐Fang Chen, Liang‐Wan Chen, Jie‐Bo Wang, Hui Zhang, Ruo‐Meng Li Tags: ORIGINAL ARTICLE Source Type: research

“Double‐barrel endocarditis”
We report a case of an 18 ‐year‐old woman who presented with infective endocarditis (IE), in two conduits percutaneously delivered in the right ventricle outflow tract (“double‐barrel endocarditis”). The patient's clinical presentation, echocardiogram findings, infectious agent, clinical management, surgical approa ch, and follow‐up assessment are described. Percutaneous pulmonary valve implantation has emerged as a viable therapy for conduit dysfunction in the right ventricular outflow tract. Although the percutaneous approach has several advantages, this strategy and the valves used are not complicati...
Source: Journal of Cardiac Surgery - June 27, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Ángela Irabien, Juan‐Miguel Gil‐Jaurena, Ana Pita, Ramón Pérez‐Caballero, Ángel González‐Pinto Tags: CASE REPORT Source Type: research

How to prevent gastrointestinal bleeding in the high ‐risk patients following left ventricular assist device implantation
Journal of Cardiac Surgery, EarlyView. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 27, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Teruhiko Imamura Tags: LETTER TO THE EDITOR Source Type: research

Right coronary artery to left carotid artery collateral in the absence of stenosis
In this report, we present the image of a collateral between the left common carotid artery and right coronary artery in the absence of significant stenosis. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 24, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Cenk Conkbayir, Didem Melis Oztas, Murat Ugurlucan Tags: IMAGES IN CARDIAC SURGERY Source Type: research

Successful orthotopic heart transplantation in a patient with Marfan syndrome
We report a successful orthotopic heart transplantation for a Marfan syndrome patient in end‐stage heart failure. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 24, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Yukihisa Ogawa, Chun W Choi, Yasuhiro Shudo, Yi ‐Ping Joseph Woo Tags: CASE REPORT Source Type: research

Thrombus straddling a patent foramen ovale and massive pulmonary embolism: Venous arterial extracorporeal membrane oxygenation as a valuable support tool
We present a case of a thrombus straddling the patent foramen ovale with massive pulmonary embolism, hemodynamic instabili ty, and upper extremity embolism. We performed surgical pulmonary embolectomy, and venous arterial extracorporeal membrane oxygenation was needed to successfully overcome severe right ventricular impairment and pulmonary injury. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 24, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Ali Ayaon Albarr án, Nuria Pérez Chulia, Juan Meca Aguirrezabalaga, José Antonio Blázquez González Tags: CASE REPORT Source Type: research

Aspergillus aortitis & aortic valve endocarditis after coronary surgery
AbstractThe authors report a case ofAspergillus aortitis and aortic valve endocarditis that developed after coronary artery bypass surgery resulting in recurrent, embolic, bilateral lower extremity ischemia. This necessitated multiple lower extremity embolectomies followed by redo ‐sternotomy, extensive annular debridement, root reconstruction with a modified Bentall technique, and hemiarch replacement. This case highlights the challenges in diagnosis and management of this rare disease entity and some of its devastating complications. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 24, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Nicholas S. Clarke, Aditya Sengupta, Amanda Miller, Michael E. Jessen, Raghav A. Murthy Tags: CASE REPORT Source Type: research

Acute pulmonary artery dissection with aneurysm without pulmonary hypertension
Journal of Cardiac Surgery, EarlyView. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 24, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Serkan Burc Deser Tags: IMAGES IN CARDIAC SURGERY Source Type: research

Redo robotic cardiac surgery and concomitant cesarean section in a pregnant patient with dextrocardia and situs inversus totalis
In conclusion, as it is seen in our case, robotic cardiac surgery can be safely and successfully performed, and can minimize morbidity and mortality even in very complex clinical conditions such as pregnancy, dextrocardia, and reoperation. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 24, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Cengiz Bolcal, Murat Kadan, H üseyin Sicim, Mustafa Ulubay, Vedat Yildirim Tags: CASE REPORT Source Type: research

Cardiac myxoma in the right atrium
Journal of Cardiac Surgery, EarlyView. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 24, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Qi Xiong, Bin Liao, Fengxu Yu, Xin Li Tags: IMAGES IN CARDIAC SURGERY Source Type: research

Neointima on the scar site after the left atrial appendage amputation
Journal of Cardiac Surgery, EarlyView. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 24, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Daisuke Endo, Taira Yamamoto, Kenji Kuwaki, Kan Kajimoto, Atsushi Amano Tags: IMAGES IN CARDIAC SURGERY Source Type: research

Mitral annuloplasty for atrial functional mitral regurgitation in patients with chronic atrial fibrillation
ConclusionsIn patients with the combination of atrial functional MR, left ventricular dilatation and excessive leaflet tethering, mitral annuloplasty alone may not be sufficient to achieve long ‐term correction of MR. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 24, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Taichi Sakaguchi, Toshinori Totsugawa, Kazumasa Orihashi, Kazuki Kihara, Kentaro Tamura, Arudo Hiraoka, Genta Chikazawa, Hidenori Yoshitaka Tags: ORIGINAL ARTICLE Source Type: research

Finite element analysis for mechanics of guiding catheters in transfemoral intervention
ConclusionsThis study sought to investigate the influencing rules of the geometric parameters of the guiding catheter on its backup support in transfemoral intervention. A finite element model for analyzing the backup support of a guiding catheter was validated by experiments. It indicated that the finite element method can analyze the varied laws of the guiding catheter with different geometric parameters. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 24, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Wei Wang, Zhenping Wan, Boxi Wu, Longsheng Lu, Yong Tang Tags: ORIGINAL ARTICLE Source Type: research

Superior trans ‐septal approach for minimally invasive mitral valve surgery via right small thoracotomy
In conclusion, MIMVS via right thoracotomy using the superior trans‐septal approach can be performed easily and safely, similar to mitral valve su rgery performed via median sternotomy. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 24, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Masataka Yamazaki, Akihiro Yoshitake, Tatsuo Takahashi, Tsutomu Ito, Naritaka Kimura, Hideyuki Shimizu Tags: SURGICAL TECHNIQUE Source Type: research

Unbalanced mitral valve remodeling in ischemic mitral regurgitation: Implications for a durable repair
Journal of Cardiac Surgery, EarlyView. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 24, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Antonio M Calafiore, Antonio Totaro, Cosimo Sacra, Massimiliano Foschi, Fabrizio Tancredi, Piero Pelini, Mario Gaudino, Michele Di Mauro Tags: EDITORIAL Source Type: research

Aortic arch aneurysm and Kommerell's diverticulum: Repair with a single ‐stage hybrid approach
AbstractKommerell's diverticulum is a rare congenital anomaly, consisting in aneurysmal dilatation at the origin of an aberrant subclavian artery. Depending on concomitant anatomical characteristics, different endovascular and open surgical procedures have been proposed. The following report describes the first single ‐stage hybrid repair of a type I Kommerell's diverticulum associated with an aortic arch aneurysm and anomalous origin of the brachiocephalic vessels by total aortic arch replacement with a composite frozen elephant trunk prosthesis and endovascular treatment of the right subclavian artery. This h ybrid pro...
Source: Journal of Cardiac Surgery - June 18, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Igor Vendramin, Andrea Lechiancole, Paolo Frigatti, Massimo Sponza, Sandro Sponga, Daniela Piani, Uberto Bortolotti, Ugolino Livi Tags: CASE REPORT Source Type: research

A multi ‐center analysis of readmission after cardiac surgery: Experience of The Northern New England Cardiovascular Disease Study Group
AbstractBackgroundReadmissions after cardiac surgery are common and associated with increased morbidity, mortality and cost of care. Policymakers have targeted coronary artery bypass grafting to achieve value ‐oriented health care milestones. We explored the causes of readmission following cardiac surgery among a regional consortium of hospitals.MethodsUsing administrative data, we identified patients readmitted to the same institution within 30 days of cardiac surgery. We performed standardized review of readmitted patients ’ medical records to identify primary and secondary causes of readmission. We evaluated cau...
Source: Journal of Cardiac Surgery - June 18, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Spencer W. Trooboff, Patrick C. Magnus, Cathy S. Ross, Kristine Chaisson, Robert S. Kramer, Robert E. Helm, Helen Desaulniers, Roberto C. Rosa, Benjamin M. Westbrook, Dennis Duquette, Jeremiah R. Brown, Elaine M. Olmstead, David J. Malenka, A Tags: ORIGINAL ARTICLE Source Type: research

Predicting postoperative atrial fibrillation after myocardial revascularization without cardiopulmonary bypass: A retrospective cohort study
ConclusionOff ‐pump coronary artery bypass grafting proved a safe and effective procedure, with low postoperative atrial fibrillation occurrence, for myocardial revascularization. Chronic renal insufficiency and the use of venous‐origin graft solely proved to be independent predictor factors for PAOF. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 18, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Edgar Vidotti, Lisia F. K. Vidotti, Camila A. G. Arruda Tavares, Érica D. Z. Ferraz, Vagner Oliveira, Augusto G. Andrade, Janaina M. B. Cardoso, Márcio H. Cardoso Tags: ORIGINAL ARTICLE Source Type: research

Functional assessment of improvement of myocardial ischemia using coronary flow velocity reserve after coronary artery bypass surgery in hemodialysis
ConclusionIn both groups, CFVR values improved after successful CABG, but postoperative CFVR values were significant different. In younger populations CFVR values are generally higher. Our HD group was significantly younger than the non ‐HD group, but CFVR values were postoperatively significantly lower. CFVR values are reportedly affected by both epicardial and microcoronary circulation. In this study population, as all grafts to the LAD were patent, the lower CFVR value in the HD group was considered to have resulted in microva scular disorders. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 18, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kentaro Honda, Mitsuru Yuzaki, Masahiro Kaneko, Ryosuke Funahashi, Hideki Kunimoto, Takahiro Fujimoto, Yasuka Nakanishi, Kota Agematsu, Mitsugi Nagashima, Yoshiharu Nishimura Tags: ORIGINAL ARTICLE Source Type: research

Contemporary trends and outcomes of mitral valve surgery for infective endocarditis
AbstractBackgroundContemporary data on mitral valve (MV) surgery in patients with infective endocarditis (IE) are limited.MethodsThe National Inpatient Sample was queried to identify patients with IE who underwent MV surgery between 2003 and 2016. We assessed (a) temporal trends in the incidence of MV surgery for IE, (b) morbidity, mortality, and cost of MV repair vs replacement, and (c) predictors of in ‐hospital mortality.ResultsThe proportion of MV operations involving patients with IE increased from 5.4% in 2003 to 7.3%, and the proportion of MV repair among those undergoing surgery for IE increased from 15.2% to 25.0% (Ptrend 
Source: Journal of Cardiac Surgery - June 18, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Mohamad Alkhouli, Fahad Alqahtani, Chalak Berzingi, Chris C. Cook Tags: SURGICAL TECHNIQUE Source Type: research

Early postoperative rupture of Heartware outflow graft: A case report
AbstractWe know that new generation left ventricular assist devices (LVAD), significantly reduce the mortality of patients in the treatment of advanced heart failure disease, compared to optimal medical therapy. Day by day, we treat more heart failure patients with LVADs. Patients that can be cured are on the rise. But this also causes us to struggle with more complications. In this article, we present a case of cardiac tamponade due to rupture that occurred in the outflow graft of HeartWare left ventricular assist device (HVAD), a complication encountered for the first time as far as we know. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 18, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Cemal Kemalo ğlu, Salih Özçobanoğlu, Umut Köksel, Ozan Erbasan, İlhan Gölbaşı, Cengiz Türkay, Ömer Bayezid Tags: CASE REPORT Source Type: research

Characteristics and anatomic distribution of early vs late stroke after cardiac surgery
AbstractBackgroundThe primary objective of this study was to identify the specific predictors of early and late stroke in patients after open heart surgery. Secondary outcomes included (a) risk factors for perioperative stroke, (b) anatomic location of stroke according to time of presentation, and (c) the impact of stroke on operative mortality.MethodsAdult patients undergoing open cardiac surgery with cardiopulmonary bypass from 2006 to 2016 at the New York Presbyterian Hospital/Weill Cornell Medicine were retrospectively reviewed. In total 7957 patients were included. We compared the demographic and perioperative variabl...
Source: Journal of Cardiac Surgery - June 18, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Natalia S. Ivascu, Faiza M. Khan, Mohammed Rahouma, Irbaz Hameed, Ahmed Abouarab, Alan Z. Segal, Mario F. L. Gaudino, Leonard N. Girardi Tags: ORIGINAL ARTICLE Source Type: research

Choosing the “Best” surgical techniques for mitral valve repair: Lessons from the literature
AbstractMitral valve (MV) repair is the procedure of choice to correct mitral regurgitation caused by degenerative MV disease, due to its well ‐documented superiority over MV replacement. Repair of the MV is feasible in more than 95% of such patients and restores valve function and preserve ventricular function. Surgeons choose from a wide variety of mitral repair techniques, with the ultimate procedure based upon the pathology and the p articular surgeon's personal preference. As a result, there is considerable controversy concerning choice of repair techniques and prostheses (ie, annuloplasty device). This targeted rev...
Source: Journal of Cardiac Surgery - June 18, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Raphaelle A. Chemtob, Per Wierup, Stephanie Mick, Marc Gillinov Tags: REVIEW ARTICLE Source Type: research

Value of perioperative inhaled epoprostenol with low tidal volume ventilation for complex endocarditis surgery
ConclusionsProphylactic application of iEpo with low tidal volume ventilation for an anticipated complex endocarditis operation may contribute to favorable outcome when compared with postoperative epoprostenol rescue. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - June 18, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Dean P. Schraufnagel, Haytham Elgharably, Shirin Siddiqi, Ali H. Hakim, Shiva Sale, Anand Mehta, Nikolaos J. Skubas, Steven M. Gordon, Faisal Bakaeen, A. Marc Gillinov, Lars G. Svensson, Jose L. Navia Tags: ORIGINAL ARTICLE Source Type: research