Does adding a root replacement in type A aortic dissection repair provide better outcomes?
ConclusionsThere exists much controversy regarding fate of the aortic root in ATAAD. There are conflicting studies for impact of root replacement on mortality, whilst some study's report no significant results at all. There is strong evidence regarding risk of reoperation being greater when root is not replaced. Majority of these studies are limited by the single centered, retrospective nature of these small sample sized cohorts, further hindered by potential of treatment bias. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Wahaj Munir, Amer Harky, Mohamad Bashir, Benjamin Adams Tags: REVIEW ARTICLE Source Type: research

Benefits of perioperative sildenafil therapy in children with a ventricular septal defect with pulmonary artery hypertension on early surgical outcomes
ConclusionOral Sildenafil therapy is an inexpensive and well ‐tolerated method for reducing pulmonary hypertension secondary to non‐restrictive ventricular septal defect. It has noteworthy advantages regarding early surgical outcomes like reduced cardiopulmonary bypass time, improved mechanical ventilation time, lower inotrope requirement and shorter hosp ital stay if used preoperatively in select patient population. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Ruchit Patel, Shyam Kumar Singh Thingnam, Anand Kumar Mishra, Manoj Kumar Rohit, Vinay Upadhyay, Vikram Halder, Vidur Bansal Tags: ORIGINAL ARTICLE Source Type: research

A brief comment on the past and present of surgical treatment of cardiac wounds
Journal of Cardiac Surgery, EarlyView. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Yoandy L ópez de la Cruz Tags: LETTER TO THE EDITOR Source Type: research

Extracorporeal membrane oxygenation in COVID ‐19: Supplementary considerations
Journal of Cardiac Surgery, EarlyView. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Ariana Axiaq, Ana Alina Haiduc, Samiha Alom, Naomi Melamed, Amer Harky Tags: RESPONSE TO LETTER TO THE EDITOR Source Type: research

Left ventricular metastasis of osteosarcoma: A report of an unusual case
ConclusionCardiac metastasis of osteosarcoma is a strong predictor of disease. The demographic differences shown in our case include male sex and a short interval between onset and cardiac involvement. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Nour El Houda Snoussi, Fatimazohra Radi, Yousra Oussou, Kawtar Manouri, Fatima ‐Zahra El Hattab, Mohamed Cherti Tags: CASE REPORT Source Type: research

Management of acute type A aortic dissection during COVID ‐19 outbreak: The Anzhen experience
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 - September 16, 2020 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: ORIGINAL ARTICLE Source Type: research

New York's perspective 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 - September 16, 2020 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: REVIEW ARTICLE Source Type: research

Time of day does not influence outcomes in acute type A aortic dissection: Results from the IRAD
AbstractBackgroundType A acute aortic dissection (TAAAD) represents a surgical emergency requiring intervention regardless of time of day. Whether such a “evening effect” exists regarding outcomes for TAAAD has not been previously studied using a large registry data.MethodsPatients with TAAAD were identified from the International Registry of Acute Aortic Dissections (1996 –2019). Outcomes were compared between patients undergoing operative repair during the daytime (D), defined as 8 am–5 pm, versus the evening (N), defined as 5 pm–8 am.ResultsFour thousand one ‐hundrd and ninety‐seven sur...
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: George Arnaoutakis, Valentino Bianco, Anthony L. Estrera, Derek R. Brinster, Marek P. Ehrlich, Mark D. Peterson, Eduardo Bossone, Truls Myrmel, Davide Pacini, Daniel G. Montgomery, Kim A. Eagle, Raffi Bekeredijan, Sherene Shalhub, Carlo De Vi Tags: ORIGINAL ARTICLE Source Type: research

Rapid deployment and sutureless aortic prostheses: Time to validate unusual or  off label indications?
Journal of Cardiac Surgery, EarlyView. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Igor Vendramin, Uberto Bortolotti, Ugolino Livi Tags: LETTER TO THE EDITOR Source Type: research

Right ventricular dysfunction due to effusive ‐constrictive pericarditis
Journal of Cardiac Surgery, EarlyView. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Xiaojun Xie, Juyi Wan, Fengxu Yu Tags: IMAGES IN CARDIAC SURGERY Source Type: research

Anticoagulation and antiplatelet therapy in patients with prosthetic heart valves
DiscussionThis review aims to summarize and critique the available literature concerning therapeutic agents used for bioprosthetic and mechanical valves as well as for valve repair, so as to assist clinicians and researchers in making decisions with regard to their patients and research endeavors. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Joel Aikins, Abeku Koomson, Mofolaoluwami Ladele, Lana Al ‐Nusair, Amna Ahmed, Amr Ashry, Amer Harky Tags: REVIEW ARTICLE 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 - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Roberto Chiesa, Andrea Kahlberg, Enrico Rinaldi, Daniele Mascia Tags: REVIEW ARTICLE Source Type: research

Left atrial appendage exclusion is effective in reducing postoperative stroke after mitral valve replacement
ConclusionsConcurrent LAA exclusion during MVR is a safe and effective way to reduce postoperative ischemic stroke, particularly in patients with AF. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Shengli Jiang, Huajun Zhang, Shixiong Wei, Lin Zhang, Zhiyun Gong, Bojun Li, Yao Wang Tags: ORIGINAL ARTICLE Source Type: research

Oxy ‐RVAD support for lung transplant in the absence of inferior vena cava
In this report, we describe a patient with congenital absence of the inferior vena cava undergoing lung transplantation who required perioperative cardiopulmonary support. A percutaneous dual lumen cannula, Protek Duo, was connected in an Oxy ‐RVAD configuration to provide right ventricular and oxygenation support both intraoperatively and postoperatively to this patient. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Kyla Joubert, Takashi Harano, Joseph Pilewski, Pablo G. Sanchez Tags: CASE REPORT Source Type: research

Reply to a brief comment on the past and present of surgical treatment of cardiac wounds
Journal of Cardiac Surgery, EarlyView. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Erwan Fl écher, Alain Leguerrier, Nicolas Nesseler Tags: RESPONSE TO LETTER TO THE EDITOR Source Type: research

A rare case of cardiac mass complicated with chronic thromboembolic pulmonary hypertension
Journal of Cardiac Surgery, EarlyView. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Xiaoli Qin, Weitao Liang, Zhong Wu Tags: IMAGES IN CARDIAC SURGERY 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 - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Parham Sadeghipour, Bahram Mohebbi, Mostafa Mousavizadeh, Saeid Hosseini, Majid Maleki Tags: REVIEW ARTICLE Source Type: research

Splenic artery embolization for atraumatic splenic rupture
Journal of Cardiac Surgery, EarlyView. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Zoe A. Miller Tags: INVITED COMMENTARY Source Type: research

Comparison of device ‐specific adverse event profiles between Impella platforms
AbstractBackgroundThe Impella (Abiomed) ventricular support system is a family of temporary mechanical circulatory support (MCS) devices used to treat patients with cardiogenic shock, acute cardiogenic decompensation, and for high ‐risk percutaneous or surgical revascularization. These devices include the percutaneously implanted 2.5/cardiac power (CP) and the surgically implanted 5.0/left direct (LD). Despite the beneficial effects and increased usage of these devices, data to assess adverse outcomes and guide clinician de cision‐making between the Impella CP and 5.0/LD are limited.MethodsThis is a retrospective analy...
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Stacey Chen, Darien Paone, Lilly Spellman, Neel K. Ranganath, Julius A. Carillo, Claudia G. Gidea, Alex Reyentovich, Craig A. Thompson, Louai Razzouk, Zachary N. Kon, Nader Moazami, Deane E. Smith Tags: ORIGINAL ARTICLE Source Type: research

Intraoperative management of a hybrid extracorporeal membrane oxygenation circuit for lung transplantation
AbstractBackgroundThe use of extracorporeal circulation (ECC) for intraoperative cardiopulmonary support during lung transplantation has been increasing in the recent years. Our group previously described a novel hybrid extracorporeal membrane oxygenation (ECMO) circuit for use in lung transplantation.TechniqueOur approach for intraoperative management of our novel hybrid ECMO circuit for lung transplantation is driven by two main goals: The first is to deliver management that ensures an appropriate balance between the native and ECMO cardiac outputs in order to provide a stable environment that promotes attenuation of isc...
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Archer Kilbourne Martin, Barry A. Harrison, Ashley Virginia Fritz, Kevin P. Landolfo, Ian A. Makey, Basar Sareyyupoglu, Thomas E. Brown, James L. Johnson, Si M. Pham, Mathew Thomas Tags: HOW TO DO IT Source Type: research

Transcatheter procedures in structural heart disease: The surgeon stepping ‐in
AbstractThe seismic impact of transcatheter interventions is rocking the spectrum of structural heart disease (SHD) treatment, with the compelling and attractive appeal of minimally invasive procedures and fast ‐track discharge. The trend is relentless and continual innovation comes to our doors nearly on a daily basis. Litwinowicz and colleagues describe their trailblazing experience in 223 consecutive patients in whom they performed left atrial appendage occlusion via the percutaneous route. All interv entions were performed by surgeons, who had undergone pretraining in a simulation model. Soon thereafter, they were ab...
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Nelson A. Hossne, Walter J. Gomes Tags: INVITED COMMENTARY Source Type: research

Why should cardiac surgeons occlude the left atrial appendage percutaneously?
ConclusionsPercutaneous LAAO procedures can be safely performed by cardiac surgeons, with no cardiological assistance. LAAO done by surgeons is safe and effective, and periprocedural and long ‐term outcomes are excellent. Cardiac surgeons should be trained in both types of LAAO: endocardial and epicardial. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Radoslaw Litwinowicz, Piotr Mazur, Marian Burysz, Grzegorz Filip, Grzegorz Wasilewski, Boguslaw Kapelak, Krzysztof Bartus Tags: ORIGINAL ARTICLE Source Type: research

Spontaneous splenic rupture following mitral valve replacement for infective endocarditis successfully managed with splenic artery embolisation
We report a rare case of infective endocarditis complicated by postoperative splenic rupture. A patient underwent urgent mitral valve replacement for infective endocarditis believed to be associated with a recent spinal surgical intervention. The patient developed haemodynamic compromise on the third day postoperatively. Computed tomography showed a splenic rupture as the cause. The patient underwent emergency radiological intervention with coil embolization avoiding the need for a splenectomy and was discharged home. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Ahmed Mohamed Abdel Shafi, Michelle Lee, Damian Balmforth, Kulvinder Lall Tags: CASE REPORT Source Type: research

Effects of antidiabetic medications on cardiovascular outcomes
ConclusionOptimizing blood glucose level during the perioperative period with correct medication and dose have a significant role in reducing morbidities. Measures should be taken to provide a safe blood glucose level for optimum outcomes. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Marco Shiu Tsun Leung, Shangzhe George Lin, Leshanth Uthayanan, Amer Harky Tags: REVIEW ARTICLE Source Type: research

Coronary artery bypass grafting: Factors affecting outcomes
ConclusionThe numerous and complex factors which impair outcomes following CABG need to be further researched and addressed using larger trials and possible optimization of multi ‐disciplinary team approach to further improve long term outcomes. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Ter ‐Er Kusu‐Orkar, Muhammed Kermali, Nina Oguamanam, Christiana Bithas, Amer Harky Tags: REVIEW ARTICLE Source Type: research

Surgical revision after percutaneous mitral valve repair by edge ‐to‐edge device in high‐risk patients
ConclusionsSurgery is demanding when patients require surgery for persistent or recurrent mitral regurgitation after MitraClip therapy and can be successfully implemented as a possible therapy option for selective cases as an interdisciplinary approach despite calculated high perioperative mortality risk. These patients should not be denied surgery outright. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Anthony Alozie, Bernd Westphal, Evren Caglayan, Seyrani Yuecel, Roland Schubert, Ali Aydin, Frank Kletzin, Alper Öner, Pascal M. Dohmen, Hasan Bushnaq Tags: ORIGINAL ARTICLE Source Type: research

Ebstein's anomaly of tricuspid valve with aortic stenosis and coarctation of aorta: Successful single ‐stage repair of a rare adult congenital heart disease
We report here an unusual case of Ebstein's anomaly of the tricuspid valve and severe aortic stenosis with coarctation of aorta in an adult who presented to us with exertional dyspnoea in the third decade and underwent a successful single ‐stage intracardiac repair. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Anand Kumar Mishra, Parag Barwad, Vidur Bansal, Banashree Mandal, Ayush Srivastava, Sanjeev Hanumantacharya Naganur Tags: CASE REPORT Source Type: research

Transcatheter valve ‐in‐valve implantation Edwards Sapien XT in a direct flow valve after early degeneration
AbstractIn recent years, the use of bioprosthetic valve (BPV) has increased significantly with both surgical aortic valve replacement (SAVR) and transcatheter aortic valve implantation (TAVI) due to reasons such as the advantage of not using anticoagulants. Nevertheless, major disadvantage of all BPV is the risk of early structural valve deterioration, leading to valve dysfunction, and requires reoperation, which significantly increases the risk of mortality or major morbidity especially after SAVR. There are a limited number of TAV ‐in‐TAV case reports due to TAVI BPV degeneration. In our knowledge, this is the second...
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Bilge Duran Karaduman, H üseyin Ayhan, Serkan Bulguroğlu, Telat Keleş, Engin Bozkurt Tags: CASE REPORT Source Type: research

Closing the borders: The unmet need of congenital heart surgery during the COVID ‐19 pandemic
Journal of Cardiac Surgery, EarlyView. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Dominique Vervoort Tags: LETTER TO THE EDITOR Source Type: research

Perioperative improvement in serum albumin level in patients with left ventricular assist device
AbstractBackgroundThe negative impact of baseline hypoalbuminemia on clinical outcome following left ventricular assist device (LVAD) implantation is well known. However, the implications of perioperative change in serum albumin levels on post ‐LVAD outcomes remain uninvestigated.MethodsAmong consecutive patients with baseline serum albumin0.7  g/dl had higher 1‐year freedom from adverse events (45% vs. 14%,p = .008), dominantly due to lower incidence of death or sepsis compared with those without (p 
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Teruhiko Imamura, Pamela Combs, Umar Siddiqi, Saeid Mirzai, Corinne Stonebraker, Heather Bullard, Pamela Simone, Valluvan Jeevanandam Tags: ORIGINAL ARTICLE Source Type: research

EMPROVING outcomes: Evaluating the effect of an ultralung protective strategy for patients with ARDS treated with ECMO
ConclusionFailing to protect the lungs with a lung protective strategy such as the EMPROVE protocol after ECMO cannulation was associated with mortality. For every 1 mm  Hg increase in the mean PIP, the odds of dying increased 1.4 times, and for every 1% increase in the mean FiO2, the odds of dying increased 1.16 times. For lung rest to truly be effective, the lungs must be relieved of the burden of gas exchange. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: April A. Grant, Amit Badiye, Christina Mehta, Ziyue Wu, Michael Koerner, Rodrigo Vianna, Matthias Loebe, Ali Ghodsizad Tags: ORIGINAL ARTICLE Source Type: research

A simpler minimal
Journal of Cardiac Surgery, EarlyView. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Mauro Del Giglio, Gabriele Tamagnini, Raoul Biondi, Michele Di Mauro Tags: LETTER TO THE EDITOR Source Type: research

“Heart and kidney transplant from donor with recent veno‐arterial extracorporeal cardiopulmonary resuscitation”
ConclusionOur experience supports the concept that VA ECMO is not a contraindication for solid organ donation. Individual evaluation of organ function can lead to successful transplantation of multiple organs from donors with recent history of VA ECMO support. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Nicolas A. Brozzi, Renzo O. Cifuentes, Jose M. Figueiro, Ali Ghodsizad, Matthias Loebe Tags: CASE REPORT Source Type: research

Severe stenosis of bioprosthetic valve due to late valve thrombosis
AbstractThe typical cause of bioprosthetic valve dysfunction over years is calcification of leaflets, pannus formation, or tears due to structural degeneration. Thrombosis is rare as the valves get endothelialized early on, and, hence, anticoagulation is not recommended beyond 6 months after valve replacement. While bioprosthetic valve thrombosis is unusual (0.03% to 0.34%/year), it can be associated with significant mortality and morbidity. Here, we present a case of a middle ‐aged man with history of bioprosthetic mitral valve who presented with syncopal episode and was referred to us for mitral valve replacement for t...
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Shruti Hegde, Youssef Rahban, Arvind Agnihotri, Michael Maysky Tags: IMAGES IN CARDIAC SURGERY Source Type: research

Re ‐exploration after off‐pump coronary artery bypass grafting: Incidence, risk factors, and impact of timing
ConclusionDelaying re ‐exploration is associated with a three fold increase in mortality and morbidity. So, a strategy of minimizing the incidence of re‐exploration, like the use of minimally invasive surgery and early re‐exploration with the judicial use of products, should be used to improve outcomes after re‐e xploration following OPCABG. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Kartik Patel, Sudhir Adalti, Shreyas Runwal, Rahul Singh, Chandrasekaran Ananthanarayanan, Chirag Doshi, Himani Pandya Tags: CareORIGINAL ARTICLE Source Type: research

One stage combined repair of intracardiac defects with vascular ring employing sternotomy approach
We present an unusual case of atrial septal defect and ventricular septal defect with a vascular ring formed by a right ‐sided aortic arch with an aberrant left subclavian artery that gave rise to a patent ductus arteriosus connecting to the main pulmonary artery. We performed a single‐stage repair of the intracardiac defects and division of vascular ring with a sternotomy instead of the traditionally practiced d ual approach. This included division and reimplantation of the aberrant left subclavian artery to the left carotid artery after transection. This approach has not been described so far. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Jineel H. Raythatha, Himanshu Choudhury, Bharat V. Dalvi, Krishnanaik Shivaprakasha Tags: CASE REPORT Source Type: research

Cardiac surgery in presence of concomitant corona virus disease ‐2019 infection
Journal of Cardiac Surgery, EarlyView. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Pradeep Narayan Tags: INVITED COMMENTARY Source Type: research

Robotic coronary artery surgery: Outcomes and pitfalls
ConclusionThere exist patient ‐related benefits from minimally invasive techniques such as decreased certain postoperative complications. Furthermore, with experience and a specialized stepwise program, it is possible to perform the entire procedure from the console. However, certain pitfalls involving increased expenses, stee p learning curve and the lack of proper haptic feedback currently withhold the worldwide expansion of RACAB and limit it to specialized institutions only. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Nidhruv Ravikumar, Varghese George, Manasi M. Shirke, Amr Ashry, Amer Harky Tags: REVIEW ARTICLE Source Type: research

Surgical ablation for atrial fibrillation: Breaking the bank or worth every penny?
Journal of Cardiac Surgery, EarlyView. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Litsa K. Lambrakos, Jeffrey J. Goldberger Tags: INVITED COMMENTARY Source Type: research

The coronary sinus interatrial connection with total unroofing coronary sinus discovered late after correction of secundum atrial septal defect
We present a 53 ‐year‐old woman after surgical correction of a secundum atrial septal defect in 1974, with a CS interatrial connection and paroxysmal atrial fibrillation (PAF). She gave a history of PAF and was admitted to our clinic due to progressive exertional intolerance, peripheral edema, and mild hypoxia (SatO2 92%) with subsequent cyanosis. Transthoracic echocardiography showed a left ‐to‐right shunt in the posteroinferior part of the atrial septum. Computed tomography revealed a persistent LSCV draining directly into the LA, the absence of the CS, and cardiac veins draining into the LA. The right atrium (RA...
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Piotr Zieli ński, Mirosław Kowalski, Mariusz Kuśmierczyk, Piotr Hoffman, Ilona Michałowska Tags: IMAGES IN CARDIAC SURGERY Source Type: research

Occlusion following the deployment of MANTA VCD after TAVR
ConclusionWe believe this is the first report to address this kind of complication and may prove useful as more of the MANTA devices are being used in multiple procedures. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Mohammed F. Hassan, Timothy Mixon, William Todd Gray, Ramachandra Reddy Tags: IMAGES IN CARDIAC SURGERY Source Type: research

Coronary revascularisation in cardiac amyloidosis
We present a case of coronary artery bypass grafting in a 78 ‐year‐old man with triple vessel disease and concomitant cardiac amyloidosis. Postoperatively, he developed a profound low cardiac output state and multiorgan failure. He died 3 weeks following surgery. Bypass surgery is rarely performed in patients with cardiac amyloidosis, and there is little in the literature regarding outcomes. The few published cases present a bleak picture, and hence percutaneous coronary intervention should always be preferred. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Alexander Smith, Joy Edlin, Charles Hinds, Shirish Ambekar Tags: CASE REPORT Source Type: research

Reply to Del Giglio, Tamagnini, Biondi, and Di Mauro
Journal of Cardiac Surgery, EarlyView. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 9, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Karel M. Van Praet, Markus Kofler, Axel Unbehaun, Matthias Hommel, Stephan Jacobs, Volkmar Falk, J örg Kempfert Tags: RESPONSE TO LETTER TO THE EDITOR Source Type: research

Prediction for residual regurgitation after MitraClip for functional mitral regurgitation using leaflet coaptation index
ConclusionThis novel index may be a useful adjunct that can be incorporated into the armamentarium of contemporary clinical performance risk prediction tools for MitraClip success. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 9, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Hunbo Shim, Morgan Harloff, Edward Percy, Sameer Hirji, Pinak B. Shah, Tsuyoshi Kaneko Tags: NEW TECHNOLOGIES Source Type: research

Outcomes in minimally invasive double valve surgery
ConclusionMinimally invasive double valve surgery continues to develop, but scarcity in the literature suggests uptake is slow, possibly due to the learning curve associated with MIS. Many outcomes appear to be comparable to conventional sternotomy. There is need for larger, multi ‐center, and randomized trial to fully evaluate and establish the early, mid‐ and long‐term morbidity and mortality rates associated with both techniques. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 9, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Louise J. Brown, Sophie L. Mellor, Gunaratnam Niranjan, Amer Harky Tags: REVIEW ARTICLE Source Type: research

Consenting in cardiac surgery during COVID ‐19: Are the risks quantifiable?
Journal of Cardiac Surgery, EarlyView. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 9, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Ahmed M. A. Shafi, Amer Harky Tags: EDITORIAL Source Type: research

COVID 19 —The Spanish perspective
ConclusionCardiac surgical activity has suffered a negative impact all over the country. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 9, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Enrique P érez de la Sota, Miguel Piñón, Eduard Quintana, Carlos A. Mestres Tags: REVIEW ARTICLE Source Type: research

Analysis of clinical outcome and postoperative organ function effects in a propensity ‐matched comparison between conventional and minimally invasive mitral valve surgery
This study analyzes clinical outcomes and effects on secondary organ functions in a propensity ‐matched comparison with conventional MV surgery.Methods and ResultsOut of 439 patients undergoing MV surgery from January 2005 to May 2017, 233 patients were included after propensity ‐matching: 90 sternotomy patients and 143 MIVT patients. Endpoints focused on survival, quality of MV repair, and organ function effects through analysis of biomarkers and functional parameters. Regardless of longer cardiopulmonary bypass (sternotomy: 101(IQR33) min—MIVT:143(IQR45) min,p 
Source: Journal of Cardiac Surgery - September 9, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Sophie Missault, J érôme Van Causenbroeck, Korneel Vandewiele, Jens Czapla, Tine Philipsen, Katrien François, Thierry Bové Tags: ORIGINAL ARTICLE Source Type: research

Early superior mesenteric artery revascularization for acute type A aortic dissection with cardiac tamponade and mesenteric malperfusion
We report herein the successful treatment of a case of acute type A aortic dissection complicated by cardiac tamponade and mesenteric malperfusion. The patient was a 60 ‐year‐old man with back and abdominal pain and in shock, who was transported to our hospital 2 h after symptom onset. Computed tomography revealed DeBakey type I dissection with massive hemopericardium and obstruction of both the celiac artery and superior mesenteric artery. After emergency pericardiotomy and removal of the hematoma, superior mesenteric artery‐external iliac artery bypass was constructed with a vein graft, and this re...
Source: Journal of Cardiac Surgery - September 9, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Sho Kusadokoro, Naoyuki Kimura, Kosuke Miyoshi, Daijiro Hori, Manabu Shiraishi, Atsushi Yamaguchi Tags: CASE REPORT Source Type: research

Resident perception of standardization and credentialing for high ‐risk bedside procedures in cardiothoracic surgery: Results from an institutional pilot study
ConclusionCardiothoracic residents have favorable attitudes towards standardization and credentialing for high ‐risk bedside procedures and utilizing such courses may help standardize procedural techniques. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - September 9, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Olugbenga Okusanya, Alexandrea Bartow, Edgar Aranda ‐Michel, Angela Kinnunen, Matthew Schuchert, Arman Kilic, Pablo Sanchez, Rajeev Dhupar, James Luketich, Ibrahim Sultan Tags: ORIGINAL ARTICLE Source Type: research