Beating Heart Transplants —Overview and Implications for Anesthesiologists
As the demand for heart allografts for transplantation continues to rise, ex vivo organ perfusion strategies are playing an increasingly important role in the preservation of organs from donation after circulatory death and extended-criteria donors. One such method uses the Organ Care System (TransMedics, Andover, MA). Traditionally, this technique of preservation requires 2 periods of warm ischemia and subsequent cardioplegic arrest. In a novel surgical technique pioneered at the authors ’ institution, heart allograft implantation no longer requires a second cardioplegic arrest. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 22, 2023 Category: Anesthesiology Authors: Perin Kothari, Larissa Miyachi Kiwakyou, Brandon A. Guenthart, Matthew Vanneman Tags: Special Article Source Type: research

Beating Heart Transplants – Overview and Implications for Anesthesiologists
As the demand of heart allografts for transplantation continues to rise, ex-vivo organ perfusion strategies are playing an increasingly important role in preservation of organs from donation after circulatory death (DCD) and extended-criteria donors. One such method utilizes the Organ Care System ™ (TransMedics, Andover, MA). Traditionally, this technique of preservation requires two periods of warm ischemia and subsequent cardioplegic arrest. In a novel surgical technique pioneered at our institution, heart allograft implantation no longer requires a second cardioplegic arrest. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 22, 2023 Category: Anesthesiology Authors: Perin Kothari, Larissa Miyachi Kiwakyou, Brandon A. Guenthart, Matthew Vanneman Tags: Special Article Source Type: research

Masthead
(Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 21, 2023 Category: Anesthesiology Source Type: research

Editorial Board
(Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 21, 2023 Category: Anesthesiology Source Type: research

Contents
(Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 21, 2023 Category: Anesthesiology Source Type: research

Articles to Appear in Future Issues
(Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 21, 2023 Category: Anesthesiology Source Type: research

How Would I Treat My Own Thoracoabdominal Aortic Aneurysm: Perioperative Considerations From the Anesthesiologist Perspective
A thoracoabdominal aortic aneurysm (TAAA) can be potentially life-threatening due to its associated risk of rupture. Thoracoabdominal aortic aneurysm repair, performed as endovascular repair and/or open surgery, is the recommended therapy of choice. Hemodynamic instability, severe blood loss, and spinal cord or cerebral ischemia are some potential hazards the perioperative team has to face during these procedures. Therefore, preoperative risk assessment and intraoperative anesthesia management addressing these potential hazards are essential to improving patients ’ outcomes. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 21, 2023 Category: Anesthesiology Authors: Christian Berger, Andreas Greiner, Philipp Brandhorst, Sophie Claire Reimers, Olaf Kniesel, Safwan Omran, Sascha Treskatsch Tags: Review Article Source Type: research

Impact of Surgical Positioning on the Occurrence of Postoperative Ipilateral Shoulder Pain After Lung Resection by Video-Assisted Thoracoscopy: A Randomized Trial
The aim of this study was to evaluate the impact of the ipsilateral arm position on ipsilateral shoulder pain after lung cancer resection by video-assisted thoracic surgery. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 21, 2023 Category: Anesthesiology Authors: Geraud Galvaing, Jean Bussi ères, Serge Simard, Etienne J. Couture, Catherine Cournoyer, Massimo Conti, Yves Lacasse, Anne Sophie Laliberté Tags: Original Article Source Type: research

Extracorporeal Membrane Oxygenation for Myocardial Infarction-Related Cardiogenic Shock: The Devil is in the Details
I read with great interest a recent article in the Journal of Cardiothoracic and Vascular Anesthesia.1 The authors provided insightful commentary about a paper on extracorporeal life support (ECLS) in cardiogenic shock due to myocardial infarction. The study reported no difference in survival between patients supported by ECLS versus those who were not.1,2 The authors emphasized that a low incidence of left ventricular (LV) unloading was observed in the intervention arm at 5.8% (11 of 191 patients), and discussed the importance of the maneuver. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 21, 2023 Category: Anesthesiology Authors: Jamel Ortoleva Tags: Letters to the Editor Source Type: research

Impact of Operative Positioning on the occurrence of Postoperative Ipilateral Shoulder Pain After Lung Resection by Video-Assisted Thoracoscopy: A Randomized Trial
Any thoracic surgical procedure must respond to a paradox in the patient's positioning, favoring the best possible access for the surgeon while guaranteeing the comfort of the patient to ensure the least pain and complications related to the chosen position. Neurological complications from surgical and arm position as well as post-thoracotomy pain have been well documented and studied.1 In the current era of minimally invasive surgery, we strive for decreased post-operative pain, shorter length of stay and minimal opioid use. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 21, 2023 Category: Anesthesiology Authors: Geraud Galvaing, Jean Bussi ères, Serge Simard, Etienne J. Couture, Catherine Cournoyer, Massimo Conti, Yves Lacasse, Anne Sophie Laliberté Tags: Original Article Source Type: research

How would I treat my own thoracoabdominal aortic aneurysm (TAAA): perioperative considerations from the anesthesiological perspective.
A thoracoabdominal aortic aneurysm (TAAA) can be potentially life-threatening due to its associated risk of rupture. TAAA-repair, performed as endovascular repair and/or open surgery, is the recommend therapy of choice. Hemodynamic instability, severe blood loss, spinal cord or cerebral ischemia are some potential hazards the perioperative team has to face during these procedures. Therefore, preoperative risk assessment and intraoperative anesthesia management addressing these potential hazards is essential to improve patients ´ outcome. (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 21, 2023 Category: Anesthesiology Authors: Christian Berger, Andreas Greiner, Philipp Brandhorst, Sophie Claire Reimers, Olaf Kniesel, Safwan Omra, Sascha Treskatsch Tags: Review Article Source Type: research

ECMO for Myocardial Infarction Related Cardiogenic Shock: The Devil is in the Details
To the editor: (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 21, 2023 Category: Anesthesiology Authors: Jamel Ortoleva Tags: Letter to the Editor Source Type: research

Apnea testing practice to increase baseline PaCO2 and frequency of blood gas analyses
To study the influence of the initial partial pressure of carbon dioxide (PaCO2) and frequency of blood gas analyses on the positivity rate and safety of apnea testing (AT). (Source: Journal of Cardiothoracic and Vascular Anesthesia)
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 21, 2023 Category: Anesthesiology Authors: Linlin Fan, Wei Li, Ran Du, Yajuan Hu, Wenchen Li, Wenhao Zhu, Lei Zhang, Yingying Su, Brain Injury Evaluation Quality Control Center of National Health Commission Tags: Original Article Source Type: research

Lung Transplantation in Patients with Cystic Fibrosis: A Complex Task, A Changing Target
CYSTIC FIBROSIS is a genetic disorder that affects nearly 40,000 Americans. Approximately 11,000 deaths per year are attributed to cystic fibrosis in the United States. Recent improvements in management have had a significant impact on the cystic fibrosis population —between 1999 and 2020, cystic fibrosis-related mortality decreased from 1.9 to 1.04 per million Americans. Life expectancy has increased from 24 to 37 years. Advances include nationwide newborn screening, infection prevention, targeted nutritional support, enhanced pancreatic function, improved m ucociliary clearance, and the introduction of highly effective...
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 20, 2023 Category: Anesthesiology Authors: Matthias Loebe, Tobias Deuse, Neeraj Sinha, Andreas Koster, Gabor Erdoes Tags: Editorial Source Type: research

Extracorporeal Carbon Dioxide Removal to De-escalate Venovenous Extracorporeal Membrane Oxygenation in Severe COVID-19 Acute Respiratory Distress Syndrome
In a subset of patients with severe COVID acute respiratory distress syndrome (ARDS) there was a need for extracorporeal membrane oxygenation (ECMO) for pulmonary support. The primary extracorporeal support tool for severe COVID ARDS is venovenous (VV) ECMO, however after hypoxemic respiratory failure resolves many patients experience refractory residual hypercarbic respiratory failure. Extracorporeal Carbon Dioxide Removal (ECCO2R) for isolated hypercarbic type II respiratory failure can be used in select cases to deescalate patients from VV ECMO while the lung recovers the ability to exchange CO2. (Source: Journal of Car...
Source: Journal of Cardiothoracic and Vascular Anesthesia - December 20, 2023 Category: Anesthesiology Authors: Gaetano Cambria, Audrey E. Spelde, Salim E. Olia, Mauer Biscotti, Emily Mackay, Michael Ibrahim, Marisa Cevasco, Christian Bermudez, William Vernick, Jacob Gutsche, Asad A. Usman Tags: Original Article Source Type: research