The evolving role of machine learning in the analysis of outcomes after pediatric and congenital cardiac surgery
Ann Thorac Surg. 2023 Dec 9:S0003-4975(23)01246-8. doi: 10.1016/j.athoracsur.2023.11.030. Online ahead of print.NO ABSTRACTPMID:38081496 | DOI:10.1016/j.athoracsur.2023.11.030 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - December 11, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Jeffrey Phillip Jacobs S Ram A Kumar David M Overman Jennifer C Romano Joseph A Dearani Source Type: research

Review of Anticoagulant Prescribing Patterns in New Onset Atrial Fibrillation After Cardiac Surgery
CONCLUSIONS: In patients who developed POAF after cardiac surgery, a minority of patients were prescribed an OAC with warfarin being the most common agent. OAC initiation was associated with increased bleeding risk, warranting special consideration when assessing a patient's risk of stroke with the increased risk of bleeding, particularly in the post-operative period.PMID:38081497 | DOI:10.1016/j.athoracsur.2023.11.031 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - December 11, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Kaitlyn M Krahn Sheri L Koshman Ting Wang June Chen Tammy J Bungard Jian Song Zhou Mohamed A Omar Emily C Cowley Source Type: research

Coronary Artery Aneurysms, Arteriovenous Malformations, and Spontaneous Dissections - A Review of the Evidence
CONCLUSIONS: Further evidence regarding the management of these rare diseases is needed and can ideally be derived from multi-center collaborations.PMID:38081498 | DOI:10.1016/j.athoracsur.2023.11.033 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - December 11, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Arnaldo Dimagli Jad Malas Sarah Chen Sigrid Sandner Thomas Scwhann James Tatoulis John Puskas Michael E Bowdish Mario Gaudino Source Type: research

Minimally Invasive Surgery for Congenital Heart Disease
We describe available techniques and routes of access as well as the lesions amenable for minimally invasive repairs. Mainly derived from case series and smaller retrospective studies, we report available evidence on outcome especially in comparison to conventional repairs via median sternotomy. We highlight the unique challenges that arise from the wide range of lesions as well as from the spectrum of patients ranging from infant to adulthood and describe ways to mitigate those.PMID:38081499 | DOI:10.1016/j.athoracsur.2023.11.032 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - December 11, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Saurabh Gupta Charlotte McEwen Adam Eqbal Christoph Haller Source Type: research

Stroke after Acute Type A Dissection Repair Using Right Axillary Cannulation First Approach
CONCLUSIONS: Majority of strokes in ATAD occurred perioperatively from various mechanisms predominantly affecting the right anterior circulation irrespective of the arterial cannulation site. This is most likely due to unstable hemodynamics and dissection in the innominate artery or its downstream.PMID:38081500 | DOI:10.1016/j.athoracsur.2023.11.028 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - December 11, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Suguru Ohira Masashi Kai Joshua B Goldberg Ramin Malekan Vasiliki Gregory Corazon de la Pena Kosuke Aoki Satoshi Egawa Steven L Lansman David Spielvogel Source Type: research

Regional Arch Measurements Differ Between Imaging Modalities in Infants with Aortic Coarctation
CONCLUSIONS: Significant variability exists between TTE- and CTA-derived aortic measurements in infants with coarctation, with proximal arch measurements demonstrating the poorest correlation. This anatomic location represents a commonly utilized arch region for the determination of approach for repair of neonatal aortic coarctation. Thus, these findings have important implications for current preoperative surgical decision-making paradigms and future prospective study to minimize the risk of residual or recurrent arch obstruction.PMID:38072352 | DOI:10.1016/j.athoracsur.2023.11.027 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - December 10, 2023 Category: Cardiovascular & Thoracic Surgery Authors: John Iguidbashian LaDonna J Malone Lorna P Browne Michael Nguyen Benjamin Frank Michal Schafer David N Campbell Max B Mitchell James Jaggers Matthew L Stone Source Type: research

Regional Arch Measurements Differ Between Imaging Modalities in Infants with Aortic Coarctation
CONCLUSIONS: Significant variability exists between TTE- and CTA-derived aortic measurements in infants with coarctation, with proximal arch measurements demonstrating the poorest correlation. This anatomic location represents a commonly utilized arch region for the determination of approach for repair of neonatal aortic coarctation. Thus, these findings have important implications for current preoperative surgical decision-making paradigms and future prospective study to minimize the risk of residual or recurrent arch obstruction.PMID:38072352 | DOI:10.1016/j.athoracsur.2023.11.027 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - December 10, 2023 Category: Cardiovascular & Thoracic Surgery Authors: John Iguidbashian LaDonna J Malone Lorna P Browne Michael Nguyen Benjamin Frank Michal Schafer David N Campbell Max B Mitchell James Jaggers Matthew L Stone Source Type: research

Congenital Heart Surgery Machine Learning-Derived In-Depth Benchmarking Tool
CONCLUSIONS: ML-based OCT benchmarking analysis provides automatic assessment of hospital-specific case-adjusted performance after CHS, not only overall but importantly, by similar risk patient cohorts. This is a tool for hospital self-assessment, particularly facilitated by the user-accessible online-platform.PMID:38065331 | DOI:10.1016/j.athoracsur.2023.10.034 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - December 8, 2023 Category: Cardiovascular & Thoracic Surgery Authors: George E Sarris Daisy Zhuo Luca Mingardi Jack Dunn Jordan Levine Zdzislaw Tobota Bohdan Maruszewski Jose Fragata Dimitris Bertsimas Source Type: research

Congenital Heart Surgery Machine Learning-Derived In-Depth Benchmarking Tool
CONCLUSIONS: ML-based OCT benchmarking analysis provides automatic assessment of hospital-specific case-adjusted performance after CHS, not only overall but importantly, by similar risk patient cohorts. This is a tool for hospital self-assessment, particularly facilitated by the user-accessible online-platform.PMID:38065331 | DOI:10.1016/j.athoracsur.2023.10.034 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - December 8, 2023 Category: Cardiovascular & Thoracic Surgery Authors: George E Sarris Daisy Zhuo Luca Mingardi Jack Dunn Jordan Levine Zdzislaw Tobota Bohdan Maruszewski Jose Fragata Dimitris Bertsimas Source Type: research

Research Concepts and Opportunities for Early-Career Investigators in Cardiac Surgery
Ann Thorac Surg. 2023 Dec 2:S0003-4975(23)01230-4. doi: 10.1016/j.athoracsur.2023.10.033. Online ahead of print.ABSTRACTBasic, translational or clinic, research is a key component of cardiac surgery. Understanding basic cellular and molecular mechanisms is key to improve patient outcomes and cardiac surgery procedures must be compared with non-surgical alternatives. However, there is limited guidance for early-career investigators interested in cardiac surgery research. This opinion piece aims at providing basic guidance and principles based on the authors experience.PMID:38048972 | DOI:10.1016/j.athoracsur.2023.10.033 (So...
Source: The Annals of Thoracic Surgery - December 4, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Mario Gaudino Lisa Q Rong Michael Baiocchi Arnaldo Dimagli Torsten Doenst Stephen E Fremes Annetine C Gelijins Paul Kurlansky Sigrid Sandner Jonathan W Weinsaft Antonino Di Franco Source Type: research

Disappearing plaques and valves
Ann Thorac Surg. 2023 Dec 2:S0003-4975(23)01229-8. doi: 10.1016/j.athoracsur.2023.11.025. Online ahead of print.NO ABSTRACTPMID:38048973 | DOI:10.1016/j.athoracsur.2023.11.025 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - December 4, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Arkalgud Sampathkumar Carlos Mestress Source Type: research

Reducing Postoperative Complications Related to Air Leaks - Is the Goddard Score the Answer?
Ann Thorac Surg. 2023 Dec 2:S0003-4975(23)01227-4. doi: 10.1016/j.athoracsur.2023.11.024. Online ahead of print.NO ABSTRACTPMID:38048974 | DOI:10.1016/j.athoracsur.2023.11.024 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - December 4, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Victor A Ferraris Source Type: research

Having It Both Ways
Ann Thorac Surg. 2023 Dec 2:S0003-4975(23)01226-2. doi: 10.1016/j.athoracsur.2023.11.023. Online ahead of print.NO ABSTRACTPMID:38048975 | DOI:10.1016/j.athoracsur.2023.11.023 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - December 4, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Robert M Sade Andrea J Carpenter Joseph B Zwischenberger Martin Zammert Source Type: research

Letter to the Editor: But What's Her h-Index?
Ann Thorac Surg. 2023 Dec 2:S0003-4975(23)01231-6. doi: 10.1016/j.athoracsur.2023.11.026. Online ahead of print.NO ABSTRACTPMID:38048976 | DOI:10.1016/j.athoracsur.2023.11.026 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - December 4, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Justin A Olivera Mara B Antonoff Source Type: research

Research Concepts and Opportunities for Early-Career Investigators in Cardiac Surgery
Ann Thorac Surg. 2023 Dec 2:S0003-4975(23)01230-4. doi: 10.1016/j.athoracsur.2023.10.033. Online ahead of print.ABSTRACTBasic, translational or clinic, research is a key component of cardiac surgery. Understanding basic cellular and molecular mechanisms is key to improve patient outcomes and cardiac surgery procedures must be compared with non-surgical alternatives. However, there is limited guidance for early-career investigators interested in cardiac surgery research. This opinion piece aims at providing basic guidance and principles based on the authors experience.PMID:38048972 | DOI:10.1016/j.athoracsur.2023.10.033 (So...
Source: The Annals of Thoracic Surgery - December 4, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Mario Gaudino Lisa Q Rong Michael Baiocchi Arnaldo Dimagli Torsten Doenst Stephen E Fremes Annetine C Gelijins Paul Kurlansky Sigrid Sandner Jonathan W Weinsaft Antonino Di Franco Source Type: research