Primary Versus Staged Repair in Neonates with Pulmonary Atresia and Ventricular Septal Defect
Publication date: Available online 4 September 2020Source: The Annals of Thoracic SurgeryAuthor(s): Eung Re Kim, Chang-Ha Lee, Woong-Han Kim, Jae Hong Lim, Yong-Jin Kim, Jooncheol Min, Sungkyu Cho, Jae Gun Kwak (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 6, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Mortality of ECMO because of truncus arteriosus repair: is the surgical strategy the problem?
Publication date: Available online 4 September 2020Source: The Annals of Thoracic SurgeryAuthor(s): Michela Cuomo, Sven Dittrich, Robert Cesnjevar (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 6, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Appreciation of the lifelong repercussions of post-operative atrial fibrillation
Publication date: Available online 4 September 2020Source: The Annals of Thoracic SurgeryAuthor(s): Francis L. Shannon (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 6, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Trifecta degeneration?
Publication date: Available online 4 September 2020Source: The Annals of Thoracic SurgeryAuthor(s): Frank A. Baciewicz (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 6, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Early Discharge after CABG Is Not for Everyone: A Note of Caution
Publication date: Available online 4 September 2020Source: The Annals of Thoracic SurgeryAuthor(s): Victor A. Ferraris (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 6, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Long-term symptom control following laparoscopic Heller myotomy and Dor fundoplication for achalasia
Publication date: Available online 3 September 2020Source: The Annals of Thoracic SurgeryAuthor(s): Maria Doubova, Stephen Gowing, Hassan Robaidi, Sebastien Gilbert, Donna E. Maziak, Farid Shamji, Sudhir Sundaresan, Patrick James Villeneuve, Andrew J.E. Seely (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 5, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Lobectomy Versus Stereotactic Body Radiotherapy In Healthy Octogenarians With Stage I Lung Cancer
Publication date: Available online 3 September 2020Source: The Annals of Thoracic SurgeryAuthor(s): Syed S. Razi, Karishma Kodia, Ahmed Alnajar, Mark I. Block, Francisco Tarrazzi, Dao Nguyen, Nestor Villamizar (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 5, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Modified Reconstruction of Left Ventricular Outflow Tract till Proximal Ascending Aorta as Reversed Elephant Trunk in Extensive Infective Endocarditis Surgery
Publication date: Available online 3 September 2020Source: The Annals of Thoracic SurgeryAuthor(s): Farhad Bakhtiary, Ali El-Sayed Ahmad, Michael Borger (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 5, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Early Postoperative Functional Assessment Predicts Non-home Discharge following Pulmonary Lobectomy
Publication date: Available online 3 September 2020Source: The Annals of Thoracic SurgeryAuthor(s): Alexandra D. Power, Robert E. Merritt, Kelli Patterson, Mahmoud Abdel-Rasoul, Desmond D'Souza, Morgan Fitzgerald, Susan D. Moffatt-Bruce, Peter J. Kneuertz (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 5, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Vision impairment is a risk factor neglected in the value calculation
Publication date: Available online 3 September 2020Source: The Annals of Thoracic SurgeryAuthor(s): David P. Bichell (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 5, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Seizure Prediction After Neonatal Cardiac Surgery - The Search Continues.
Publication date: Available online 3 September 2020Source: The Annals of Thoracic SurgeryAuthor(s): Meena Nathan (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 5, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Coronary Anastomosis Simulation: Directed Interventions to Optimize Success
Publication date: Available online 3 September 2020Source: The Annals of Thoracic SurgeryAuthor(s): Jatin Anand, Julie Doberne, Charles M. Wojnarski, Peter K. Smith, Brittany A. Zwischenberger (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 5, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Emperor has no Clothes: Low Cardiothoracic Surgical Volume in the Military
Publication date: Available online 3 September 2020Source: The Annals of Thoracic SurgeryAuthor(s): T. Sloane Guy, Michael Meyer (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 5, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Clinical Relevance and Statistical Significance.
PMID: 32898479 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 5, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Emerson D, Chikwe J Tags: Ann Thorac Surg Source Type: research

Outcomes of tricuspid valve operation at the time of pericardiectomy for constrictive pericarditis.
CONCLUSIONS: Concomitant tricuspid valve operation for regurgitation can be done without increased operative mortality during pericardiectomy for constrictive pericarditis. Operation appears protective against long-term mortality, residual tricuspid regurgitation, and right ventricular enlargement. PMID: 32896543 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 4, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Calderon-Rojas R, Greason KL, King KS, Luis SA, Oh JK, Stulak JM, Daly RC, Dearani JA, Schaff HV Tags: Ann Thorac Surg Source Type: research

Evaluation of routine coronary angiography prior to pulmonary thromboendarterectomy.
This study sought to evaluate whether the current approach may be better optimized based on cardiac risk factors. METHODS: This study included 462 consecutive patients with CTEPH undergoing preoperative coronary angiography for pulmonary thromboendarterectomy. Baseline demographic and medical information were recorded. Major cardiac risk factors included: diabetes, hypertension, hyperlipidemia, body mass index ≥25 kg/m2, tobacco use, and family history of CAD. Charts were then reviewed for presence of significant CAD and revascularization. RESULTS: Significant CAD was found in 13.4% of patients who underwent r...
Source: The Annals of Thoracic Surgery - September 4, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Pandey AK, Lee NS, Marsal J, Knowlton KU, McDivit AM, Blanchard DG, Pretorius V, Madani MM, Fedullo PF, Kerr KM, Kim NH, Fernandes TM, Poch DS, Auger WR, Daniels LB Tags: Ann Thorac Surg Source Type: research

Blood loss kinetics during first 12 hours after on-pump cardiac surgery.
Abstract BACKGROUND: Anemia and coagulation management, or restrictive transfusion strategy are key points in patient blood management in cardiac surgery. Meanwhile, little consideration has been paid to the kinetics of postoperative bleeding. We designed a prospective observational study on the bleeding kinetics from chest tubes, to assess whether it is possible to predict, within the early postoperative hours, major bleeding at the 12 postoperative hour (H12). METHODS: Cardiac surgery adult patients admitted consecutively to the postoperative Intensive Care Unit in a tertiary academic hospital were included...
Source: The Annals of Thoracic Surgery - September 4, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Saour M, Zeroual N, Aubry E, Blin C, Gaudard P, Colson PH Tags: Ann Thorac Surg Source Type: research

Preparing for Bundled Payments: Impact of Complications Post-Coronary Artery Bypass Grafting on Costs.
Abstract BACKGROUND: Bundled payments for Coronary Artery Bypass Grafting (CABG) provide a single reimbursement for care provided from admission through 90 days post-discharge. We aim to explore the impact of complications on total institutional costs, as well as the drivers of high costs for index hospitalization. METHODS: We linked clinical and internal cost data for patients undergoing CABG from 2014-2017 at a single institution. We compared unadjusted average variable direct costs, reporting excess cost from an uncomplicated baseline. We stratified by the Society of Thoracic Surgeons preoperative risk and...
Source: The Annals of Thoracic Surgery - September 4, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Haddad DN, Shipe ME, Absi TS, Danter MR, Vyas R, Levack M, Shah AS, Grogan EL, Balsara KR Tags: Ann Thorac Surg Source Type: research

Primary Versus Staged Repair in Neonates with Pulmonary Atresia and Ventricular Septal Defect.
In this study, we report the combined outcomes from 2 hospitals using different strategies. METHODS: Between 2004 and 2017, 66 neonates underwent surgery with palliative shunts (BTS group: n=30, 45.5%) or primary biventricular repair (pBVR group: n=36, 54.5%). The two groups were similar in age, body weight, and Nakata index scores. The overall mean follow-up duration was 7.51 ± 4.35 years, and early and late results were compared between the groups. RESULTS: The 10-year overall survival was 84.8% (94.4% for pBVR versus 75.7% for BTS, p=0.032). The BTS group had 2 early and 6 interstage mortalities, while ...
Source: The Annals of Thoracic Surgery - September 4, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Kim ER, Lee CH, Kim WH, Lim JH, Kim YJ, Min J, Cho S, Kwak JG Tags: Ann Thorac Surg Source Type: research

Observed versus expected survival after HTX: Is the cup half-full or half-empty?
PMID: 32896548 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 4, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Takkenberg JJM Tags: Ann Thorac Surg Source Type: research

Common Criteria for Ex-vivo Lung Perfusion Have No Significant Impact on Post-Transplant Outcomes
Publication date: Available online 2 September 2020Source: The Annals of Thoracic SurgeryAuthor(s): Shuji Okahara, Bronwyn Levvey, Mark McDonald, Rohit D’Costa, Helen Opdam, David V. Pilcher, Gregory I. Snell (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 3, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Setting the Stage: TAVR versus less-invasive AVR for low risk aortic stenosis
Publication date: Available online 2 September 2020Source: The Annals of Thoracic SurgeryAuthor(s): Tom C. Nguyen, Mario Castillo-Sang (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 3, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Comparative Effectiveness of Mechanical Valves and Homografts in Complex Aortic Endocarditis
Publication date: Available online 2 September 2020Source: The Annals of Thoracic SurgeryAuthor(s): Zaid M. Abdelsattar, Mohamed F. Elsisy, Hartzell Schaff, John Stulak, Kevin Greason, Alberto Pochettino, Arman Arghami, Philip Rowse, Gabor Bagameri, Vishal Khullar, Richard Daly, Sertac Cicek, Joseph Dearani, Juan Crestanello (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 3, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Intraoperative extracorporeal circulatory support in lung transplantation for pulmonary fibrosis
Publication date: Available online 3 September 2020Source: The Annals of Thoracic SurgeryAuthor(s): Jawad Salman, Beeke-Alina Bernhard, Fabio Ius, Reza Poyanmehr, Wiebke Sommer, Khalil Aburahma, Hani Alhadidi, Thierry Siemeni, Christian Kuehn, Murat Avsar, Axel Haverich, Gregor Warnecke, Igor Tudorache (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 3, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Natural Growth of Left Atrial Myxoma
Publication date: Available online 3 September 2020Source: The Annals of Thoracic SurgeryAuthor(s): Lilaf Abdulmajid, Haroun El Addouli, Bernard Paelinck, Dina De Bock (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 3, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Spinal Cord Infarction During Femoral Veno-Arterial Extracorporeal Membrane Oxygenation
Publication date: Available online 3 September 2020Source: The Annals of Thoracic SurgeryAuthor(s): Michael Salna, James Beck, Josh Willey, Koji Takeda (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 3, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Benign tracheo-enteric fistula to a Zenker’s diverticulum with complete esophageal obstruction
Publication date: Available online 3 September 2020Source: The Annals of Thoracic SurgeryAuthor(s): Diego M. Avella, Catharine Bernal, Sebastian D. Wiesemann, Jussuf T. Kaifi (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 3, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

To Perfuse or Not to Perfuse: That is the Question
Publication date: Available online 3 September 2020Source: The Annals of Thoracic SurgeryAuthor(s): John A. Elefteriades, Bulat A. Ziganshin (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 3, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Underestimation of CT Surgery “Burnout”
Publication date: Available online 3 September 2020Source: The Annals of Thoracic SurgeryAuthor(s): John S. Ikonomidis (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 3, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Trifecta degeneration?
TRIFECTA DEGENERATION? Ann Thorac Surg. 2020 Sep 03;: Authors: Baciewicz FA PMID: 32891650 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 3, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Baciewicz FA Tags: Ann Thorac Surg Source Type: research

Long-term symptom control following laparoscopic Heller myotomy and Dor fundoplication for achalasia.
Abstract BACKGROUND: Achalasia is a primary esophageal motility disorder in which there is incomplete relaxation of the lower esophageal sphincter and absence of peristalsis in the lower two-thirds of the esophagus. A favored treatment is laparoscopic modified Heller myotomy with Dor fundoplication (LHMDor) with over 90% immediate beneficial effect. The short-term outcomes of LHMDor are well documented, but stability and durability of post-operative symptom control over time is less understood. METHODS: Between 2004-2016, 54 patients with achalasia underwent LHMDor (single center). Using validated questionnai...
Source: The Annals of Thoracic Surgery - September 3, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Doubova M, Gowing S, Robaidi H, Gilbert S, Maziak DE, Shamji F, Sundaresan S, Villeneuve PJ, Seely AJE Tags: Ann Thorac Surg Source Type: research

Early Postoperative Functional Assessment Predicts Non-home Discharge following Pulmonary Lobectomy.
CONCLUSIONS: Early postoperative functional impairment assessment using AM-PAC may be useful to predict of non-hospital discharge following pulmonary lobectomy. Attention to these factors may be used to aid early disposition planning, and adjust preventative strategies. PMID: 32891652 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 3, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Power AD, Merritt RE, Patterson K, Abdel-Rasoul M, D'Souza D, Fitzgerald M, Moffatt-Bruce SD, Kneuertz PJ Tags: Ann Thorac Surg Source Type: research

Mortality of ECMO because of truncus arteriosus repair: is the surgical strategy the problem?
PMID: 32891653 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 3, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Cuomo M, Dittrich S, Cesnjevar R Tags: Ann Thorac Surg Source Type: research

Vision impairment is a risk factor neglected in the value calculation.
PMID: 32891654 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 3, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Bichell DP Tags: Ann Thorac Surg Source Type: research

The Emperor has no Clothes: Low Cardiothoracic Surgical Volume in the Military.
PMID: 32891655 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 3, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Guy TS, Meyer M Tags: Ann Thorac Surg Source Type: research

Lobectomy Versus Stereotactic Body Radiotherapy In Healthy Octogenarians With Stage I Lung Cancer.
Abstract BACKGROUND: Stereotactic Body Radiation Therapy (SBRT) is increasingly being offered for early stage non-small cell lung cancer (NSCLC). We sought to evaluate long-term survival outcomes following lobectomy and SBRT in patients ≥ 80 years with stage I NSCLC. METHODS: The National Cancer Database was queried for patients with clinical stage IA and IB (size ≤ 40 mm) NSCLC who underwent SBRT or lobectomy. Only patients with no comorbidities were selected. Number of lymph nodes (LN) examined was used to stratify lobectomy patients into 0 LNs, 1-6 LNs and ≥ 7 LNs. Propensity score analysis was us...
Source: The Annals of Thoracic Surgery - September 3, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Razi SS, Kodia K, Alnajar A, Block MI, Tarrazzi F, Nguyen D, Villamizar N Tags: Ann Thorac Surg Source Type: research

Modified Reconstruction of Left Ventricular Outflow Tract till Proximal Ascending Aorta as Reversed Elephant Trunk in Extensive Infective Endocarditis Surgery.
PMID: 32891657 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 3, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Bakhtiary F, El-Sayed Ahmad A, Borger M Tags: Ann Thorac Surg Source Type: research

Early Discharge after CABG Is Not for Everyone: A Note of Caution.
PMID: 32891658 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 3, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Ferraris VA Tags: Ann Thorac Surg Source Type: research

Appreciation of the lifelong repercussions of post-operative atrial fibrillation.
PMID: 32891659 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 3, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Shannon FL Tags: Ann Thorac Surg Source Type: research

Coronary Anastomosis Simulation: Directed Interventions to Optimize Success.
CONCLUSIONS: Providing residents with a low-fidelity coronary anastomosis trainer with high quality instruments and a faculty mentor improved rates of independent practice, TSDA assessment scores, and anastomosis time. Our next step is validating the coronary simulator curriculum by measuring improvement of resident performance in the operating room. PMID: 32891660 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 3, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Anand J, Doberne J, Wojnarski CM, Smith PK, Zwischenberger BA Tags: Ann Thorac Surg Source Type: research

Seizure Prediction After Neonatal Cardiac Surgery - The Search Continues.
PMID: 32891661 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 3, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Nathan M Tags: Ann Thorac Surg Source Type: research

Prognostic factor of completely resected and pathologic T3N0M0 thymic epithelial tumor
Publication date: Available online 2 September 2020Source: The Annals of Thoracic SurgeryAuthor(s): En-Kuei Tang, Jia-Ming Chang, Chao-Chun Chang, Shang-Yin Wu, Wei-Li Huang, Ying-Yuan Chen, Hong-Hong Kam, Yi-Ting Yen, Yau-Lin Tseng (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 2, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Benign tracheo-enteric fistula to a Zenker's diverticulum with complete esophageal obstruction.
Abstract A fistula between a Zenker's diverticulum and the trachea has only been reported once in 1983. Here, we report a case of a fistula between a large Zenker's diverticulum and the trachea with complete occlusion of the esophagus. The fistula was repaired, performing an esophageal myotomy first, followed by proximal resection of the diverticulum, completion of the esophageal myotomy, transection of the fistula, and repair of the trachea. The surgical repair provided complete resolution of symptoms without complications. PMID: 32890485 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 2, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Avella DM, Bernal C, Wiesemann SD, Kaifi JT Tags: Ann Thorac Surg Source Type: research

Intraoperative extracorporeal circulatory support in lung transplantation for pulmonary fibrosis.
INTRAOPERATIVE EXTRACORPOREAL CIRCULATORY SUPPORT IN LUNG TRANSPLANTATION FOR PULMONARY FIBROSIS. Ann Thorac Surg. 2020 Sep 02;: Authors: Salman J, Bernhard BA, Ius F, Poyanmehr R, Sommer W, Aburahma K, Alhadidi H, Siemeni T, Kuehn C, Avsar M, Haverich A, Warnecke G, Tudorache I Abstract BACKGROUND: Veno-arterial extracorporeal membrane oxygenation (v-a ECMO) is an established technique for intraoperative cardiopulmonary support in patients undergoing lung transplantation. Patients with pulmonary fibrosis have a higher risk to require it. Aim of this study was to identify risk factors for the need of ...
Source: The Annals of Thoracic Surgery - September 2, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Salman J, Bernhard BA, Ius F, Poyanmehr R, Sommer W, Aburahma K, Alhadidi H, Siemeni T, Kuehn C, Avsar M, Haverich A, Warnecke G, Tudorache I Tags: Ann Thorac Surg Source Type: research

Setting the Stage: TAVR versus less-invasive AVR for low risk aortic stenosis.
PMID: 32890487 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 2, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Nguyen TC, Castillo-Sang M Tags: Ann Thorac Surg Source Type: research

Spinal Cord Infarction During Femoral Veno-Arterial Extracorporeal Membrane Oxygenation.
We describe four cases of spinal cord ischemia resulting in paraplegia after peripheral venoarterial extracorporeal membrane oxygenation for cardiogenic shock. This is an uncommon, but possibly underreported, complication with significant irreversible long-term morbidity. While causes are likely multifactorial, it is possible that thrombosis may occur at the level of the mixing cloud due to turbulent flow. Additional studies will be needed to elucidate the true incidence of this complication and investigate whether flow dynamics may potentiate clot formation. PMID: 32890488 [PubMed - as supplied by publisher] (Source:...
Source: The Annals of Thoracic Surgery - September 2, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Salna M, Beck J, Willey J, Takeda K Tags: Ann Thorac Surg Source Type: research

Underestimation of CT Surgery "Burnout".
Underestimation of CT Surgery "Burnout". Ann Thorac Surg. 2020 Sep 02;: Authors: Ikonomidis JS PMID: 32890489 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 2, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Ikonomidis JS Tags: Ann Thorac Surg Source Type: research

Common Criteria for Ex-vivo Lung Perfusion Have No Significant Impact on Post-Transplant Outcomes.
CONCLUSIONS: At least one commonly cited criterion for EVLP initiation was present in the majority of our transplanted donors, and yet did not predict clinical results, with acceptable outcomes seen in both subgroups. To discover the true utility of EVLP beyond good clinical management, and focus EVLP on otherwise unacceptable lungs, requires reconsideration of EVLP inclusion criteria. PMID: 32890490 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 2, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Okahara S, Levvey B, McDonald M, D'Costa R, Opdam H, Pilcher DV, Snell GI Tags: Ann Thorac Surg Source Type: research

Comparative Effectiveness of Mechanical Valves and Homografts in Complex Aortic Endocarditis.
Abstract BACKGROUND: The ideal surgical reconstruction of the aortic root in patients with complex endocarditis is controversial. We compare the short- and long-term outcomes between mechanical valves, bioprostheses and homografts. METHODS: We identified all patients undergoing surgery for active complex aortic endocarditis at our institution between 2003 and 2017. We grouped patients into those who received a mechanical valve, bioprosthesis, or homograft. We used multiple logistic regression and proportional hazards models. To minimize confounding by indication, we used marginal risk-adjustment to simulate t...
Source: The Annals of Thoracic Surgery - September 2, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Abdelsattar ZM, Elsisy MF, Schaff H, Stulak J, Greason K, Pochettino A, Arghami A, Rowse P, Bagameri G, Khullar V, Daly R, Cicek S, Dearani J, Crestanello J Tags: Ann Thorac Surg Source Type: research

To Perfuse or Not to Perfuse: That is the Question.
PMID: 32890492 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 2, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Elefteriades JA, Ziganshin BA Tags: Ann Thorac Surg Source Type: research