Early experience of aortic surgery during the COVID ‐19 pandemic in the UK: A multicentre study
ConclusionsThere was a significant change in service provision for aortovascular patients in the UK. Although the emergency and urgent surgical activity were maintained, elective treatment was minimal during early months of the pandemic.The preoperative COVID ‐19 screening protocol, combined with self‐isolation and shielding, contributed to the low incidence of COVID‐19 in our series and a mortality similar to that of pre‐pandemic outcomes. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Ana Lopez ‐Marco, Amer Harky, Danilo Verdichizzo, Emma Hope, Barbara Rosser, Iain McPherson, Ronan Kelly, Luke Holland, Aung Oo, The UK AS Research Group Tags: ORIGINAL ARTICLE Source Type: research

Left subclavian artery from ascending aortaanomalous origin of left subclavian artery from ascending aorta in a right aortic arch: A case report with review of literature
We present a case of an 11 ‐year‐old boy with a double‐outlet right ventricle and a right‐sided aortic arch showing anomalous origin of the left subclavian artery from the ascending aorta as the first branch. This case highlights the importance of knowledge of this aberrant anatomy before planning any surgical or endo vascular intervention. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Mansi Verma, Niraj Nirmal Pandey, S. H. Chandrashekhara, Sanjeev Kumar, Sivasubramanian Ramakrishnan Tags: IMAGES IN CARDIAC SURGERY Source Type: research

Risks and benefits of concurrent treatment with antiplatelet and anticoagulation therapy in post ‐op bioprosthetic aortic valve replacement patients
ConclusionPatients who underwent bAVR and were discharged on concurrent therapy compared to aspirin only had a significantly increased risk of bleeding without a significant difference in thromboembolic events. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Carma Yaghi, Rajeev Masson, Kyoko Yamada, Shiyun Zhu, Christine Fong, Aida Shirazi, Paul LaPunzina, Kenny Mok Tags: ORIGINAL ARTICLE Source Type: research

Brachiocephalic artery dissection is a marker of stroke after acute type A aortic dissection repair
ConclusionBCA dissection was an independent risk factor of stroke after ATAAD repair. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Tomoki Cho, Keiji Uchida, Keiichiro Kasama, Daisuke Machida, Tomoyuki Minami, Shota Yasuda, Yusuke Matsuki, Shinichi Suzuki, Munetaka Masuda Tags: ORIGINAL ARTICLE Source Type: research

Midterm outcomes of transaortic and transapical TAVI in patients with unsuitable vascular anatomy for femoral access: A propensity score inverse probability weight study
AbstractAimsTransaortic (TAo) and transapical (TA) implantation can be used in transcatheter aortic valve implantation (TAVI) when the transfemoral (TF) approach is precluded. We compare the safety and efficacy of these alternative techniques.MethodsFrom October 2007 to February 2016, TAo and TA patients ’ data were collected. Propensity score inverse probability of treatment weight (IPTW) method was employed to minimize the impact of no‐randomization bias.ResultsFrom our single ‐center non‐TF‐TAVI registry, 282 patients were included: 235 (83.3%) underwent TAo and 47 (16.7%) TA. Differences in baseline chara...
Source: Journal of Cardiac Surgery - January 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Alberto Pilozzi Casado, Fabio Barili, Francesca D'Auria, Eliana Raviola, Alessandro Parolari, Daniel Le Hou érou, Mauro Romano Tags: ORIGINAL ARTICLE 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 - January 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Wael I. Awad, Mohamad Bashir Tags: REVIEW ARTICLE Source Type: research

COVID ‐19 in patients recovering from cardiac surgery: A surprising mild disease course
We describe the baseline, operative, and postoperative features of a group of 18 patients who contracted the severe acute respiratory syndrome coronavirus 2 (SARS ‐CoV2) infection in a rehabilitation facility after cardiac surgery, and present some potential explanations for the surprisingly benign course of the COVID‐19 in this cohort.MethodsAll patients were operated on an urgent or emergency basis (acute aortic syndrome, 3; refractory heart failure, 12; and endocarditis, 3) during the first  lockdown period of the COVID‐19 pandemic. The mean age was 70 years, and 12 patients were male. After the diagnosis of ...
Source: Journal of Cardiac Surgery - January 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Alfredo G. Cerillo, Niccol ò Marchionni, Beatrice Bacchi, Pierluigi Stefàno Tags: ORIGINAL ARTICLE Source Type: research

Technical aspects of modern coronary artery bypass
Journal of Cardiac Surgery, EarlyView. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Robert F Tranbaugh Tags: BOOK REVIEW Source Type: research

Assessment of pain, anxiety and depression, and quality of life after minimally invasive aortic surgery
ConclusionsFollowing minimally invasive aortic surgery, VAS pain scores, HADS and scores in 7 of 8 SF ‐36 domains returned to preoperative baseline or improved compared to preoperative baseline at 1 month. At 3 months, scores in 3 of 8 SF‐36 domains significantly improved compared to preoperative baseline. Larger studies are necessary for further investigation. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Serge Sicouri, Vishal N. Shah, Cinthia P. Orlov, Meghan Buckley, Katerina Dedeilia, Konstadinos A. Plestis Tags: ORIGINAL ARTICLE Source Type: research

Results of surgical ventricular reconstruction in a specialized center and in comparison to the STICH trial: Rationale and study protocol for a patient ‐level pooled analysis
AbstractIntroductionPost ‐infarction left ventricular remodeling is associated with increased mortality in patients with ischemic heart disease. Surgical ventricular reconstruction (SVR) in addition to coronary artery bypass grafting (CABG) has been proposed to reduce left ventricular volume and improve clinical outcomes. The Surgical Treatment for Ischemic Heart Failure (STICH) trial found that the addition of SVR to CABG did not reduce the rates of death or rehospitalization in the 5 years after surgery compared to CABG alone. Like all randomized trials, STICH has limitations and it has been hypothesized that it...
Source: Journal of Cardiac Surgery - January 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Mario Gaudino, Serenella Castelvecchio, Mohamed Rahouma, N. Bryce Robinson, Katia Audisio, Giovanni J. Soletti, Andrea Garatti, Umberto Benedetto, Leonard N. Girardi, Lorenzo Menicanti Tags: ORIGINAL ARTICLE Source Type: research

Restoring ventricular restoration: A call to re ‐evaluate a surgical therapy considered ineffective
AbstractThe technique of surgical restoration of postischemically dilated left ventricles (SVR) has almost disappeared from operating theaters after the Surgical Treatment of IsChemic Heart failure (STICH) Trial demonstrated no treatment effect in patients with CAD and ejection fraction below 35%. Criticism on the trial was expressed stating that surgical expertise and patient selection (i.e., almost no aneurysm patients included) may have been inadequate to test the procedure s potential. Gaudino and colleagues now propose to conduct an analysis comparing the STICH patient population to a group of comparable SVR patients ...
Source: Journal of Cardiac Surgery - January 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Torsten Doenst, Eric J. Velazquez, Robert E. Michler Tags: INVITED COMMENTARY Source Type: research

The Commando procedure: Can it be a preventive option from reoperation in pediatric patients?
In this report, we present aortomitral fibrous body remodeling, Commando procedure, in a 12 ‐year‐old male patient with rheumatic aortic and mitral valve disease to provide adult size mechanical double valve replacement. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 11, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Murat Ugurlucan, Didem M. Oztas, Halil Turkoglu Tags: CASE REPORT Source Type: research

Respect or resect: A single strategy does not fit all
Journal of Cardiac Surgery, EarlyView. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 11, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Antonio M. Calafiore, Gaetano Castellano, Stefano Guarracini, Massimo Di Marco, Antonio Totaro, Cosimo Sacra, Kostas Katsavrias, Michele Di Mauro Tags: INVITED COMMENTARY Source Type: research

Impact of valve size, predicted effective and indexed effective orifice area after aortic valve replacement
ConclusionPredicted prosthetic moderate to severe AS and moderate to severe PPM adversely affect long term survival. Smaller valves are associated with reduced survival. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 11, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Suvitesh Luthra, Pietro G. Malvindi, Carlo Olevano, Anna Zingale, Hamdi Salem, Sunil K Ohri Tags: ORIGINAL ARTICLE Source Type: research

Gastrointestinal complications after cardiac surgery: Incidence, predictors, and impact on outcomes
AbstractBackgroundThe purpose of this study was to investigate the incidence, predictors, and long ‐term impact of gastrointestinal (GI) complications following adult cardiac surgery.MethodsIndex Society of Thoracic Surgeons (STS) adult cardiac operations performed between January 2010 and February 2018 at a single institution were included. Patients were stratified by the occurrence of postoperative GI complications. Outcomes included early and late survival as well as other associated major postoperative complications. A subanalysis of propensity score ‐matched patients was also performed.ResultsA total of 10,285 pat...
Source: Journal of Cardiac Surgery - January 11, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Nicholas R. Hess, Laura M. Seese, Yeahwa Hong, Derek Afflu, Yisi Wang, Floyd W. Thoma, Arman Kilic Tags: ORIGINAL ARTICLE Source Type: research

Major adverse cardiac events and functional capacity in patients at intermediate risk undergoing transcatheter versus surgical aortic valve replacement for aortic stenosis with bicuspid valves
ConclusionsOur analysis showed that SAVR is a significant predictor of better functional recovery and TAVR is associated with a lower level of functional capacity. In summary, TAVR is an acceptable option for AS patients with BcAV, and for a better prognosis, an early intervention aimed at improving functional capacity is highly recommended for this group of patients. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 11, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Hui ‐Yu Tsai, Yu‐Shan Lin, I‐Chen Wu, Li‐Ying Kuo, Bo‐Yan Chen, Shiang‐Lin Shen, Wei‐Ning Hsu, Hsin‐Yi Huang Tags: ORIGINAL ARTICLE Source Type: research

Does the clinical effectiveness of Mitraclip compare with surgical repair for mitral regurgitation?
This study aims to compare the shortterm and midterm outcomes of MitraClip insertion with surgical repair for MR.MethodsA systematic review of the literature was conducted for studies comparing outcomes between surgical repair and MitraClip. The initial search returned 1850 titles, from which 12 studies satisfied the inclusion criteria (one randomized controlled trial and 11 retrospective studies).ResultsThe final analysis comprised 4219 patients (MitraClip 1210; surgery 3009).Operative mortality was not different between the groups (odds ratio [OR]  = 1.63, 95% confidence interval [CI]: [0.63−4.23];p&t...
Source: Journal of Cardiac Surgery - January 11, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Ashiq A. Khader, Mohammed Allaf, Oscar W. Lu, George Lazopoulos, Marco Moscarelli, Simon Kendall, Mohammad Y. Salmasi, Thanos Athanasiou Tags: REVIEW ARTICLE Source Type: research

Patient ‐prosthesis mismatch is a preventable disease but how to prevent it is a story not yet written
Journal of Cardiac Surgery, EarlyView. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 11, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Antonio M. Calafiore, Antonio Totaro, Stefano Guarracini, Sotirios Prapas, Massimo Di Marco, Kostas Katsavrias, Mario Gaudino, Roberto Lorusso, Michele Di Mauro Tags: INVITED COMMENTARY Source Type: research

Clinical impact of the repair technique for posterior mitral leaflet prolapse: Resect or respect?
This study aimed to compare the clinical results of the resect and respect approaches, with a particular focus on MV hemodynamics.MethodsOverall, 291 patients who underwent elective MV repair for isolated posterior leaflet prolapse between 2012 and 2020 were enrolled. Patients who underwent leaflet resection alone were classified as the “resection” group (n = 166), while patients who underwent neochordal replacement with/without limited leaflet resection were classified as the “respect” group (n = 125). Early postoperative MV hemodynamics and midterm repair durability wer...
Source: Journal of Cardiac Surgery - January 11, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Taichi Sakaguchi, Arudo Hiraoka, Toshinori Totsugawa, Akihiro Hayashida, Masaaki Ryomoto, Naosumi Sekiya, Genta Chikazawa, Hidenori Yoshitaka Tags: ORIGINAL ARTICLE Source Type: research

Is surgery the fair competitor for MitraClip?
In conclusions, in case of mitral regurgitation (MR), surgery is still largely the gold standard treatment and so MitraClip cannot be mention at all as competitor of surgery. It can be the right choice of case of primary MR where patients showed high risk for surgery. In case of secondary MR, especially with large and poor left ventricle we should wait for a clear answer on its role, yet. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 11, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Michele Di Mauro, Eliana Raviola, Stefano Guarracini, Massimo Di Marco, Roberto Lorusso, Antonio M. Calafiore Tags: INVITED COMMENTARY Source Type: research

Temporary mechanical circulatory support prevents the occurrence of a low ‐output state in high‐risk coronary artery bypass grafting: A case series
AbstractBackgroundCoronary artery bypass grafting (CABG) is a durable treatment for coronary artery disease. Left ventricular dysfunction (LVD) (a division of cardiothoracic surgery) (ejection fraction  
Source: Journal of Cardiac Surgery - January 11, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Nathan J. Smith, Adhitya Ramamurthi, Lyle D. Joyce, Lucian A. Durham, Takushi Kohmoto, David L. Joyce Tags: ORIGINAL ARTICLE Source Type: research

Impact of distance from implant center on mechanical circulatory device patient outcomes
ConclusionsDistance from implanting center had no impact on adverse outcomes after LVAD implantation. There was a significant increase in hospital stay for patients who live far from the implanting center, suggesting that distance should not be a contraindication when considering patients for LVAD therapy, but plans should be made for prolonged hospital stay or extended local stay near the hospital for close follow ‐up. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Entela B. Lushaj, Amy Fiedler, Malcolm DeCamp, Chan J. Park, Ravi Dhingra, Jason Smith Tags: ORIGINAL ARTICLE Source Type: research

Acute aortic dissection type A: Impact of aortic specialists on short and long term outcomes
AbstractObjectivesAcute aortic dissection type ‐A (AADA) is a life threatening condition which requires emergency surgery. Surgery is usually performed by cardiac surgeons with various levels of aortic surgical experience. We compared the short‐term perioperative outcome and long‐term survival of patients operated by specialist aortic surg eons (SASs)and those who were operated by surgeons without specialist expertise.MethodsA single center retrospective review of 232 patients who underwent acute surgery for AADA was conducted between 2005 and 2020. The cohort was divided into those operated on by SASs (Group A,n&thi...
Source: Journal of Cardiac Surgery - January 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Habib Khan, Azhar Hussain, Sanjay Chaubey, Mohamed Sameh, Inga Salter, Ranjit Deshpande, Max Baghai, Olaf Wendler Tags: ORIGINAL ARTICLE Source Type: research

From ER to OR —Type A aortic dissection delay dilemma
ConclusionBased on the current literature, collaborative data collection, regular audit, national guidance, and communication between Royal Colleges will improve awareness, reduce diagnostic delays, and shine greater light on the issue. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Rashi Yadav, Hamza Mughal, Lara Rimmer, Mohamad Bashir Tags: REVIEW ARTICLE Source Type: research

Utility of logistic clinical SYNTAX score in prediction of in ‐hospital mortality in ST‐elevation myocardial infarction patients undergoing emergent coronary artery bypass graft surgery
ConclusionLog CSS may improve the accuracy of risk assessment in patients who are undergoing emergent CABG for primary revascularization of STEMI. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Begum Uygur, Ali R. Demir, Ahmet Guner, Taner Iyigun, Nedim Uzun, Omer Celik Tags: ORIGINAL ARTICLE Source Type: research

Which criteria should be used to select patients for the Fontan operation?
In this report, the authors describe their results with Fontan procedures in children with pulmonary pressure>15 mmHg. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Melvin C. Almodovar, Leonardo Mulinari Tags: INVITED COMMENTARY Source Type: research

What's so special about a specialist?
Journal of Cardiac Surgery, EarlyView. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Matthew Pichert, Arnar Geirsson Tags: INVITED COMMENTARY Source Type: research

Status of coronary disease and results from early endovascular aneurysm repair after preventive percutaneous coronary revascularization
ConclusionThe strategy to treat severe CAD preoperatively by PCI and early subsequent EVAR brings a similar outcome to that in patients without or with mild/moderate CAD. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Vito A. Mannacio, Luigi Mannacio, Anita Antignano, Mario Monaco, Emilio Mileo, Giovanni B. Pinna, Raffaele Giordano, Michele Mottola, Gabriele Iannelli Tags: ORIGINAL ARTICLE Source Type: research

Fontan procedure in patients with preoperative mean pulmonary artery pressure over 15  mmHg
ConclusionsThe midterm results of stage 3 Fontan completion in patients with pulmonary artery>15  mmHg are encouraging. Not only the mean pulmonary artery pressure but also the pulmonary vascular resistance may be helpful in order to identify the high risk patients before Fontan completion. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Arda Özyüksel, Baran Şimşek, Ömer Özden, Şener Demiroluk, Murat Saygı, Mehmet Salih Bilal Tags: ORIGINAL ARTICLE Source Type: research

Long ‐term renal function after venoarterial extracorporeal membrane oxygenation
ConclusionOverall, these data suggest there is a low incidence of long ‐term dialysis dependence among survivors of VA‐ECMO support. Worries about the potential long‐term detrimental effect of VA‐ECMO should not preclude patients from receiving this life‐saving support. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Brian Ayers, Milica Bjelic, Neil Kumar, Katherine Wood, Bryan Barrus, Sunil Prasad, Igor Gosev Tags: ORIGINAL ARTICLE Source Type: research

Beating ‐heart total arch replacement for an octogenarian patient with severe heart failure
AbstractSurgical outcomes of total arch replacement (TAR) have improved dramatically over the last decades. However, patients of advanced age and with a severely reduced cardiac function and an extended aortic arch aneurysm may not be candidates for conventional TAR. Endovascular and hybrid treatment for extended aortic aneurysm have demonstrated lower mortality and morbidity, and considered for the advanced age and high ‐risk patients. But endovascular with total de‐branching technique remains challenging with the slightly dilated ascending aorta. Reducing the operation time, cardiac arrest time, and circulatory arres...
Source: Journal of Cardiac Surgery - January 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Masato Mutsuga, Hiroshi Banno, Yoshiyuki Tokuda, Akihiko Usui Tags: SURGICAL TECHNIQUE Source Type: research

Evaluation of analgesic and sedative effects of remifentanil ‐based fast‐track anesthesia in children undergoing transthoracic device closure of ventricular septal defects
ConclusionRemifentanil ‐based fast‐track anesthesia can be safely applied in children undergoing transthoracic device closure of VSDs, with acceptable postoperative analgesia and sedation effects and shorter mechanical ventilation times and ICU and hospital stays compared with conventional anesthesia. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Ning Xu, Kai ‐Peng Sun, Shu‐Ting Huang, Liang‐Wan Chen, Hua Cao, Qiang Chen Tags: ORIGINAL ARTICLE Source Type: research

Valvular complications following the Impella device implantation
ConclusionTen case reports and one observational retrospective study were identified, with a total number of 19 patients identified. This article aims to draw attention to potential periprocedural complications relating to the Impella, in particular iatrogenic aortic and mitral valve injuries. Moreover, we have summarized our recommendations emphasizing the need for careful management and meticulous follow ‐up of these patients to avoid such potentially devastating complications. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Davorin Sef, Tito Kabir, Nicholas James Lees, Ulrich Stock Tags: REVIEW ARTICLE Source Type: research

Transfemoral TAVR after chronic type B aortic dissection: Keeping a routine during strenuous circumstances
Journal of Cardiac Surgery, EarlyView. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Cesar E. Mendoza Tags: INVITED COMMENTARY Source Type: research

A report of transcatheter aortic valve insertion in a patient with chronic type B aortic dissection
AbstractA 72 ‐year‐old man presented with symptomatic, severe aortic valve stenosis and a chronic descending thoracic aorta dissection with descending thoracic aortic aneurysm. After careful consideration, a transcatheter aortic valve was inserted through a transfemoral approach. This case demonstrates feasi bility, and consideration should be given to this approach in patients requiring intervention for aortic stenosis. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Erin M. Schumer, Mackram F. Eleid, Kevin L. Greason Tags: CASE REPORT Source Type: research

An analysis of the  learning curve for robotic‐assisted mitral valve repair
ConclusionThe maturation of the learning curve for robotic ‐assisted MV repair appeared to be about 30 cases in our group of patients. This study had encouraging results for surgeons who desire to start a robotic mitral surgery program. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 5, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Ahmet Ü. Güllü, Sahin Senay, Muharrem Kocyigit, Ertugrul Zencirci, Ahmet Akyol, Aleks Degirmencioglu, Gultekin Karakus, Egemen Ersin, Alara Karabiber, Cem Alhan Tags: ORIGINAL ARTICLE Source Type: research

The routine use of platelet function tests in elective coronary artery bypass grafting: A prospective observational trial
AbstractBackgroundPreoperative use of platelet function tests contributes to the decrease of re ‐intervention rate due to bleeding and the necessity of transfusion in coronary artery bypass grafting (CABG) patients. The aim was to investigate the predictive value and to justify routine preoperative use of multiple electrode aggregometry in these patients.MethodsA prospective observational trial which included 416 consecutive patients subjected to elective isolated CABG was conducted. The Multiplate ® test was used to assess platelet function. Platelet function test results, postoperative blood loss, and transfusion r...
Source: Journal of Cardiac Surgery - January 5, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Milos Matkovic, Tina Novakovic, Ilija Bilbija, Jelena Milin Lazovic, Vladimir Tutus, Marko Cubrilo, Nemanja Aleksic, Aleksandar Mikic, Emilija Petrovic, Valerija Peric, Aleksandar Milojevic, Svetozar Putnik Tags: ORIGINAL ARTICLE Source Type: research

Minimally invasive tricuspid valve surgery without caval occlusion: Short and midterm results
ConclusionOur results show that performing tricuspid surgery without caval occlusion is safe. The air was captured by the active vacuum drainage system without causing damage. Midterm follow ‐up data confirm that a minimally invasive approach does not alter the quality of surgery. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 5, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Vito Margari, Pietro G. Malvindi, Adriano De Santis, Giorgio Kounakis, Giuseppe Visicchio, Giuseppe Mastrototaro, Pierpaolo Dambruoso, Carmine Carbone, Domenico Paparella Tags: ORIGINAL ARTICLE Source Type: research

Is transaortic valve replacement the modality of choice in patients with chronic lung disease?
Journal of Cardiac Surgery, EarlyView. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 5, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Cesar E. Mendoza, Diego Celli Tags: COMMENTARY Source Type: research

Impact of chronic lung disease on quality ‐of‐life outcomes in patients undergoing transcatheter aortic valve replacement
AbstractBackgroundAs the symptoms for both chronic lung disease (CLD) and aortic stenosis (AS) frequently overlap, it may be challenging to determine the degree of symptomatic improvement expected for a patient with CLD after correction of AS. Our aim was to determine if patients with CLD have the same degree of quality ‐of‐life improvement following transcatheter aortic valve replacement (TAVR) as patients without CLD.MethodsA retrospective review of 238 TAVR patients from January 2017 to November 2018 who underwent preoperative pulmonary function tests and completed 30 ‐day follow‐up was performed. Patients were ...
Source: Journal of Cardiac Surgery - January 5, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Michael A. Catalano, Dishen Lin, Clancy W. Mullan, Hugh Cassiere, Bruce Rutkin, Greg Maurer, Jacinda Berg, Alan Hartman, Pey ‐Jen Yu Tags: ORIGINAL ARTICLE Source Type: research

Innominate artery dissection due to selective cerebral antegrade perfusion
We present the first case of successfully treated innominate artery dissection as a complication of selective cerebral antegrade perfusion during reoperative aortic valve and hemiarch replacements. Innominate artery dissection was suspected based on unilateral decreases in the right radial arterial pressure and right cerebral oximetry value. Intraoperative ultrasonography demonstrated minimal flow in the right internal carotid. A right aortoaxillary bypass graft was performed leading to immediate improvements in the right radial arterial pressure waveform and right cerebral oximetry. The patient was discharged neurological...
Source: Journal of Cardiac Surgery - January 5, 2021 Category: Cardiovascular & Thoracic Surgery Authors: David M. Williams, Kiriko Masuno, Marc S. Kanchuger, Kazuhiro Hisamoto Tags: CASE REPORT Source Type: research

Coexistence of atrial septal defect with atrial myxoma
Journal of Cardiac Surgery, EarlyView. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 2, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Kudret Keskin, Tolga Demir, Ahmet İbrahim Balkaya, Özlem Ton Eryilmaz, Ömer Alyan Tags: IMAGES IN CARDIAC SURGERY Source Type: research

A black heart: Aortic valve ochronosis secondary to alkaptonuria causing aortic stenosis
We describe a case of aortic valve stenosis due to ochronosis secondary to alkaptonuria requiring aortic valve replacement. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 2, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Tovi Vo, James R.M. Edwards Tags: CASE REPORT Source Type: research

Is mitral annuloplasty an effective treatment for severe atrial functional mitral regurgitation?
ConclusionIn patients with severe atrial functional MR, mitral valve repair by means of isolated ring annuloplasty seems a more effective and durable treatment as compared to patients with MR secondary to ventricular disease. Larger cohorts with longer follow up are needed to confirm these results. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 2, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Davide Carino, Elisabetta Lapenna, Guido Ascione, Stefania Ruggeri, Benedetto Del Forno, Alessandro Castiglioni, Ottavio Alfieri, Michele De Bonis Tags: ORIGINAL ARTICLE Source Type: research

Transcatheter aortic valve replacement using the SAPIEN 3 valve versus surgical aortic valve replacement using the rapid deployment INTUITY valve: Midterm outcomes
AbstractObjectivesLittle data have been published on the midterm effect of transapical/transfemoral ‐transcatheter aortic valve replacement (TA‐/TF‐TAVR) using the Edwards SAPIEN 3 valve (S3). We aimed to compare the outcomes after TA‐/TF‐TAVR utilizing the S3 (TA‐/TF‐S3) valve with those after surgical aortic valve replacement utilizing the rapid deployment Edwards INTUITY valve (RD ‐SAVR).MethodsBetween March 2012 and April 2018, 122 patients with aortic stenosis underwent TA ‐S3, 77 patients underwent TF‐S3 and 182 patients underwent RD‐SAVR through partial sternotomy at our institution. We conduct...
Source: Journal of Cardiac Surgery - January 2, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Dritan Useini, Blerta Beluli, Hildegard Christ, Markus Schl ömicher, Elias Ewais, Peter Haldenwang, Polykarpos Patsalis, Vadim Moustafine, Matthias Bechtel, Justus Strauch Tags: ORIGINAL ARTICLE Source Type: research

Association between the weekday on which coronary artery bypass graft surgery is performed and the 30 ‐day mortality: A nationwide cohort study in South Korea
ConclusionsThis South Korean population ‐based cohort study revealed that relative to surgery early in the week (Monday–Tuesday), CABG surgery later in the week (Wednesday–Friday) was not associated with higher 30‐day mortality. However, using surgery on Monday as a reference, CABG surgery on Friday was associated with higher 30‐ day mortality. Future studies must confirm these findings. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - January 2, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Tak Kyu Oh, In ‐Ae Song Tags: ORIGINAL ARTICLE Source Type: research

Recent trends in aortic valve interventions: Data of the Netherlands heart registration
ConclusionsThe recent developments in TAVI have contributed to the increasing numbers of aortic valve interventions in the Netherlands. Mortality rates after SAVR and TAVI decreased as did the rate of complications after TAVI. Furthermore, a trend towards decrease of preoperative risk was observed. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - December 23, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Edgar J. Daeter, Dennis Veghel, Saskia Houterman, Jules Olsthoorn, Mohamed A. Soliman ‐Hamad, Netherlands Heart Registration (NHR) Transcatheter Heart Valve Interventions (THI) Registration Committees Tags: ORIGINAL ARTICLE Source Type: research

Surgical management of unroofed coronary sinus syndrome: A 20 ‐year‐single‐center experience
ConclusionUCSS is often misdiagnosed during preoperative evaluation of congenital heart diseases. Preoperative transthoracic echocardiography remains the most important method in the diagnosis of UCSS. We adopted multiple surgical approaches to manage the different types of UCSS with LSVC with good results. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - December 23, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Hao Shi, Jun Yan, Qiang Wang, Zhongdong Hua, Shoujun Li, Jing Zhang Tags: ORIGINAL ARTICLE Source Type: research

Bilateral antegrade cerebral perfusion may be the winner as an adjunct for brain protection
AbstractBrain protection during open distal aortic arch replacement surgery is of utmost importance. Hypothermia in combination with cerebral perfusion offers optimal results by maintaining the brain's metabolic supply. Both retrograde cerebral perfusion and antegrade cerebral perfusion, used in combination with hypothermia, produce comparable results when the hypothermic circulatory arrest times are short; in contrast, for longer perfusion times, most aortic surgery centers are trending toward the use of antegrade rather than retrograde cerebral perfusion. Our own preference has been to use a bilateral mode of delivering ...
Source: Journal of Cardiac Surgery - December 23, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Davut Cekmecelioglu, Ourania Preventza Tags: INVITED COMMENTARY Source Type: research

Unilateral or bilateral cerebral perfusion in hemiarch replacement: A prospective randomized study
ConclusionThe present randomized clinical prospective study could not prove the superiority of one of the technique in cerebral protection probably because, our overall ACP time was too short. (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - December 23, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Bilgin Emrecan, Kadir Çekirdekoğlu Tags: ORIGINAL ARTICLE Source Type: research