Early myocardial changes in patients undergoing rheumatic mitral valve repair versus replacement.
This study aims to evaluate the impact of procedural types on left ventricular function in quinquagenarians. METHODS: Between January 2018 and September 2019, patients with severe rheumatic mitral stenosis were prospectively recruited. Propensity score matching was performed to reduce the selection bias. We compared the strain, twist and synchrony parameters of left ventricle in 70 quinquagenarian patients who underwent rheumatic mitral valve repair and replacement 12 hours before surgery, at 7 days and 6 months postoperatively. RESULTS: The overall group displayed significant improvement of left ventricular defo...
Source: The Journal of Cardiovascular Surgery - July 28, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Chang YS, Meng X, Jiao YQ, Chang DW Tags: J Cardiovasc Surg (Torino) Source Type: research

Echocardiographic and clinical outcome after mitral valve plasty with a minimal access or conventional sternotomy approach.
Abstract BACKGROUND: To evaluate the effects of minimal access mitral valve surgery (MAMVS) versus conventional surgery with or without concomitant tricuspid valve plasty (TVP) in consecutive patients with mitral regurgitation (MR) on clinical and echocardiographic outcome. METHODS: One-hundred-and-twenty patients operated for MR (91 conventional and 29 MAMVS) were followed by echocardiography and quality-of-life assessment before and 6 months after surgery. RESULTS: Patients in the MAMVS group were younger, more often in NYHA functional class I-II and had lower NT-proBNP levels. Only four patients (all ...
Source: The Journal of Cardiovascular Surgery - July 20, 2020 Category: Cardiovascular & Thoracic Surgery Authors: de Groot-de Laat LE, Veen KM, McGhie J, Oei FB, van Leeuwen WJ, Bogers AJ, Geleijnse ML Tags: J Cardiovasc Surg (Torino) Source Type: research

The fate of patients with large abdominal aortic aneurysms referred for consideration for elective repair.
Abstract INTRODUCTION: The premise of the Vascular Services Quality Improvement Programme (VSQIP)in management of patients with asymptomatic large AAA is reducing mortality from ruptured AAA in a sustainable way without introducing excessive procedure related mortality. Inevitably a proportion of patients are deemed unfit for elective repair. The aimof this study was to report outcomesof patients who were referred with large asymptomatic AAAs including those turned down for elective repairand identify independent risk factors for being turned down for elective open or endovascular repair of AAA. METHODS: Cons...
Source: The Journal of Cardiovascular Surgery - July 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Dawkins C, Hollingsworth AC, Milburn S, Cheesman M, Danjoux G, Mofidi R Tags: J Cardiovasc Surg (Torino) Source Type: research

The utilization of intravascular lithotripsy to facilitate transcarotid artery stenting in a nonagenarian patient.
We describe a successful transcarotid artery stenting with flow reversal performed in an independent and active nonagenarian with focal, circumferentially calcified carotid artery plaque, for which intravascular lithotripsy was utilized. PMID: 32613822 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - July 1, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Malgor RD, Rogers K, Malgor EA, Al-Musawi M, Siada S, Jacobs DL Tags: J Cardiovasc Surg (Torino) Source Type: research

Long-term follow-up of the Shelhigh ™ SuperStentless bioprosthesis aortic valve and valved conduit in a monocentric experience.
CONCLUSIONS: The immediate haemodynamic performance of the Shelhigh™ aortic bioprostheses was unexpectedly suboptimal. Despite this, haemodynamic performance emained stable over time. Patients survival at follow-up was satisfactory, however, continued surveillance is necessary. PMID: 32558524 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - June 19, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Le Bars F, Tomasi J, Belhaj Soulami R, Colas F, Anselmi A, Verhoye JP Tags: J Cardiovasc Surg (Torino) Source Type: research

Predictors of inadequate EndoAnchors aortic wall penetration for the Endosutured therapy in hostile neck patients.
CONCLUSIONS: Outcomes of the ESAR therapy should be validated according to their aortic wall penetration checked on first CT-scan. EndoAnchors use in HNA should not be considered an easy approach for the endovascular technique, especially for therapeutic cases. An individual and specific case analysis counterbalancing inadequate use of the device in unexperienced users should be evaluated against the increased risk of proximal failure as in standard EVAR alone during HNA treatment. PMID: 32558525 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - June 19, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Reyes Valdivia A, Duque Santos Á, Pitoulias GA, Aracil Sanus E, Ocaña Guaita J, Gandarias Zúñiga C Tags: J Cardiovasc Surg (Torino) Source Type: research

Rapid-deployment aortic valve replacement in high-risk patients with severe endocarditis.
CONCLUSIONS: Rapid deployment aortic valve replacement in selected very high-risk patients affected by infective endocarditis could be a reasonable choice with acceptable results. However, further studies are needed to confirm these results. PMID: 32558526 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - June 19, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Piperata A, Kalscheuer G, Metras A, Pernot M, Albadi W, Taymoor S, Peltan J, Oses P, Barandon L, Bottio T, Gerosa G, Labrousse L Tags: J Cardiovasc Surg (Torino) Source Type: research

Quadriplegia and quadriparesis after endovascular aortic procedures: a catastrophic and under-reported complication?
CONCLUSIONS: Although rare, cervical-dorsal SCI may develop during TAAA endovascular aortic repair. This possibly catastrophic event should be considered in the decisional process of TAAA repair and taken into account to allow prompt recognition and treatment. PMID: 32558527 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - June 19, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Kahlberg A, Tenorio ER, Grandi A, Oderich GS, Verzini F, Cieri E, Baccani L, Melissano G, Chiesa R Tags: J Cardiovasc Surg (Torino) Source Type: research

Early dual antiplatelet therapy versus aspirin monotherapy after coronary artery bypass surgery: survival and safety outcomes.
CONCLUSIONS: Compared with ASA, DAPT showed a non-significant impact on long- term survival and demonstrated to be a safe option. Further studies are needed to provide recommendations on the therapeutical strategy following CABG. PMID: 32431135 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - May 19, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Rocha-Gomes JN, Saraiva FA, Cerqueira RJ, Moreira R, Ferreira AF, Barros AS, Amorim MJ, Pinho P, Lourenço AP, Leite-Moreira AF Tags: J Cardiovasc Surg (Torino) Source Type: research

Neonatal management of aortic coarctation with ventricular septal defect: a systematic review and meta-analysis.
CONCLUSIONS: Instead of comparing between the two strategies, a case-adapted management considering the anatomy of the ventricular septal defect and of the aortic arch is discussed to address this association of lesions though presenting with a wide range of settings. PMID: 32352247 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - April 29, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Kasdi R, Bounader K, Lemdani M Tags: J Cardiovasc Surg (Torino) Source Type: research

Is the internal mammary artery graft beneficial in emergent coronary artery bypass surgery? A Society of Thoracic Surgeons National Database analysis.
We examined differences between IMA and non-IMA graft recipients in emergent CABGs and its impact on in-hospital outcomes. METHODS: Retrospective review of Society of Thoracic Surgeon National Database was done to identify patients age>/= 18 years undergoing primary emergent isolated CABG between 2013 and 2016. Emergent salvage, non-LAD disease, subclavian stenosis and revascularization with other arterial grafts were excluded. The study population was divided in two groups: IMA and non-IMA groups. Demographics, preoperative, intraoperative factors and postoperative outcomes were analyzed between the groups. R...
Source: The Journal of Cardiovascular Surgery - April 29, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Trivedi JR, Black MC, Whited WM, Sell-Dottin K, Alwair H, Ganzel BL, Slaughter M Tags: J Cardiovasc Surg (Torino) Source Type: research

Ten-Year single center experience with semi-eversion carotid endarterectomy: analysis of a cohort of patients with tips and tricks of our technique.
PMID: 32352249 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - April 29, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Catanese V, Esposito G, Beretta A, Barzaghi ME, Cusmai FA, Martelli E, Setti M Tags: J Cardiovasc Surg (Torino) Source Type: research

Endovascular management of chronic post-dissection aneurysms of the aortic arch.
This article reviews endovascular management of chronic post-dissection aneurysms of the aortic arch. Therapeutic strategies intended for this complex aortic condition are evolving rapidly to allow the treatment of various hostile aortic anatomy and frail patients. Principles, technical considerations, devices and outcomes of each technique are reviewed and summarized. Hybrid repair offer similar early mortality and stroke rates compared to open conventional surgery, with the advantage of being a less invasive and complex intervention. Arch chimney and other parallel graft techniques present poor long term outcome, and sho...
Source: The Journal of Cardiovascular Surgery - April 27, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Mougin J, Charbonneau P, Guihaire J, Schwein A, Tyrrell MR, Maurel B, Fabre D, Haulon S Tags: J Cardiovasc Surg (Torino) Source Type: research

Current Status in decision making to treat acute type A dissection. Limited versus extended repair: India & APAC approach.
Current Status in decision making to treat acute type A dissection. Limited versus extended repair: India & APAC approach. J Cardiovasc Surg (Torino). 2020 Apr 27;: Authors: Velayudhan BV, Idhrees M, Matalanis G, Park KH, Tang D, Sfeir PM, Hosseini S, Bashir M Abstract Acute Type A aortic dissection remains one of the most challenging conditions in aortic surgery. Despite the advancements in the field the mortality rate still remains high. Though there is a general consensus that the ascending aorta should be replaced, the distal extension of the surgery still remains a controversy. Few surgeons a...
Source: The Journal of Cardiovascular Surgery - April 27, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Velayudhan BV, Idhrees M, Matalanis G, Park KH, Tang D, Sfeir PM, Hosseini S, Bashir M Tags: J Cardiovasc Surg (Torino) Source Type: research

Frozen elephant trunk with straight vascular prosthesis: single-center experience with a review of current trends.
CONCLUSIONS: Frozen elephant trunk using EVITA Hybrid Open Plus stent graft and other devices in the family of device technology attain optimal outcomes to treat complex thoracic aortic lesions in elective and non-elective settings. PMID: 32337941 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - April 27, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Jakob H, Moughal S, Bashir M Tags: J Cardiovasc Surg (Torino) Source Type: research

Anatomical aspects and feasibility of endovascular repair for chronic post-dissection arch and thoracoabdominal aortic aneurysms.
This article summarizes anatomical requirements for total endovascular repair of aortic arch and TAAAs using fenestrated and branched endografts. PMID: 32337942 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - April 27, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Fatima J, Tenorio ER, Oderich GS Tags: J Cardiovasc Surg (Torino) Source Type: research

The importance of informed consent when elderly patients refuse aortic valve replacement.
PMID: 32319273 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - April 22, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Spanos K, Spiliopoulos K, Giannoukas AD, Mavroforou A Tags: J Cardiovasc Surg (Torino) Source Type: research

Techniques and outcomes of total aortic arch repair with frozen elephant trunk for DeBakey I dissections.
This report focuses on the techniques and outcomes of TAR with FET for acute/chronic aortic dissection. A review of pooled literature including 27 observational studies showed in-hospital mortality, permanent stroke, and spinal cord injury rates of 8.4 %, 5.9 % and 2.6 % for acute aortic dissections, and 7.5 %, 4.0 % and 4.6 % for chronic aortic dissections, respectively. In most of the studies, complete false lumen thrombosis rate was achieved in 80% of patients at the level of FET for acute and chronic aortic dissections. Mid-term outcomes are equally promising. For chronic aortic dissections, positive remodeling of the ...
Source: The Journal of Cardiovascular Surgery - April 22, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Kawajiri H, Khasawneh MA, Pochettino A, Oderich GS Tags: J Cardiovasc Surg (Torino) Source Type: research

Sizing and planning fenestrated and branched stent-grafts in patients with chronic post-dissection thoracoabdominal aortic aneurysms.
This article focuses on planning and sizing FB-EVAR in patients with chronic postdissection TAAAs. PMID: 32319275 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - April 22, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Tenorio ER, Lima GB, Marcondes GB, Oderich GS Tags: J Cardiovasc Surg (Torino) Source Type: research

Outcomes of fenestrated and branched endovascular aortic repair for chronic post dissection thoracoabdominal aortic aneurysms.
CONCLUSIONS: F/BEVAR for PD-TAAA is associated with low perioperative mortality and morbidity in a large volume endovascular center. Mid-term results demonstrate a high rate of aneurysm sac regression. Extended sealing with longer bridging stents for target vessels is recommended. PMID: 32319276 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - April 22, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Marques De Marino P, Ibraheem A, Gafur N, Lg Verhoeven E, Katsargyris A Tags: J Cardiovasc Surg (Torino) Source Type: research

The evolving management of chronic post-dissection aneurysms.
PMID: 32319277 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - April 22, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Oderich GS, Pochettino A Tags: J Cardiovasc Surg (Torino) Source Type: research

Transfemoral transcatheter aortic valve replacement without contrast medium using the Medtronic CoreValve system: a single center experience.
CONCLUSIONS: In patients with advanced CKD, a strategy of "zero contrast" TAVR, preceded by accurate CT scan analysis and procedural planning, appears to be safe and feasible permitting to preserve renal function. The avoidance of contrast medium during preprocedural analysis and TAVR implantation could reduce the incidence of AKI and consequently could improve outcomes in this complex patient cohort. PMID: 32241088 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - April 1, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Maffeo D, Bettari L, Latib A, Maiandi C, Villa E, Messina A, Saccocci M, Arneri A, Cuccia C, Troise G Tags: J Cardiovasc Surg (Torino) Source Type: research

Intra-arterial thrombolysis in acute popliteal artery occlusion is a safe and effective technique reducing the rate of open surgery.
CONCLUSIONS: Intra-arterial thrombolysis of acute popliteal artery occlusion is an effective technique which reduces the rate of open surgery. The risk of bleeding complications is very low. PMID: 32241089 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - April 1, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Della Schiava N, Naudin I, Bordet M, Boudjelit T, Moia A, Arsicot M, Tresson P, Lermusiaux P, Million A Tags: J Cardiovasc Surg (Torino) Source Type: research

Is gender still a risk factor for mortality in patients who undergo elective repair of abdominal aortic aneurysms? A single centre experience.
This study examines the differences in perioperative mortality and postoperative survival between men and women following elective repair of AAAs in the 10 years after implementation of the (VSQIP). METHODS: Consecutive patients who underwent elective repair of AAA between 1stJanuary 2008 and 31st March 2018 were included. All patients were assessed using the nationally agreed VSQIP pathway which involved cardiopulmonary exercise testing as well as contrast enhanced CT scan of aorta and multidisciplinary assessment to plan each treatment. CT scans were examined to assess the morphology of AAA. Patients were stratified...
Source: The Journal of Cardiovascular Surgery - April 1, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Dawkins C, Hollingsworth AC, Milburn S, Walker P, Cheesman M, Mofidi R Tags: J Cardiovasc Surg (Torino) Source Type: research

The revascularization technique does not impact renal function after proximal abdominal aortic aneurysm open repair.
CONCLUSIONS: Postoperative renal failure after p-AAAs repair is still a major concern although perfusion techniques and organ protection are important to reduce its frequency. Despite recent development of complex endovascular techniques, OR, when offered in high-volume centers, remains safe, effective and durable. PMID: 32241091 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - April 1, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Mascia D, Grandi A, Bertoglio L, Kahlberg A, Saracino C, Melissano G, Chiesa R Tags: J Cardiovasc Surg (Torino) Source Type: research

One-year outcome of the paclitaxel-eluting Legflow balloon catheter in the treatment of long and complex femoropopliteal lesions.
Abstract BACKGROUND: To investigate the efficacy of the paclitaxel-eluting Legflow balloon catheter in the treatment of "real-world" long and complex femoropopliteal lesions. METHODS: The REFLOW study was a prospective, multi-national, non-randomized, single arm study evaluating the safety and efficacy of the Legflow paclitaxel-eluting balloon dilatation catheter in the treatment of stenotic or occlusive lesions>150mm long in the femoropopliteal arteries of symptomatic patients (Rutherford 2-5). A total of 120 study subjects were enrolled in a period of 30 months, between October 2015 and May 201...
Source: The Journal of Cardiovascular Surgery - April 1, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Bosiers M, Deloose K, Torsello G, Scheinert D, Verbist J, van den Eynde W, Maene L, Beelen R, Keirse K, Hendriks J, Callaert J, Bosiers M, Wauters J Tags: J Cardiovasc Surg (Torino) Source Type: research

Prevalence, risk factors and clinical impact of intraprosthetic thrombus deposits after EVAR.
Abstract BACKGROUND: The aim is to define the prevalence, the evolution and the clinical relevance of the intraprosthetic thrombus deposit (IPT) after endovascular abdominal aortic repair (EVAR). METHODS: Patients treated with EVAR from 2009 to 2017 for abdominal aortic aneurysm were retrospectively considered. Patients with at least one post-operative computed tomography angiography (CTA) performed after a 3-month follow-up were included. Post-operative medical therapy (antiplatelet and/or oral anticoagulant) were recorded. Aorto-iliac anatomical characteristics were measured on pre-operative CTA, while stru...
Source: The Journal of Cardiovascular Surgery - April 1, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Bianchini Massoni C, Ucci A, Perini P, Azzarone M, Mariani E, Bramucci A, D'ospina RM, Freyrie A Tags: J Cardiovasc Surg (Torino) Source Type: research

Safety of urgent carotid endarterectomy following thrombolysis.
CONCLUSIONS: Given the trend toward expedited treatment of acute ischemic stroke with subsequent transfer to regional referral centers, vascular specialists will be confronted with an increasing number of patients who may require urgent CEA after antecedent IVT. Further study is warranted to clearly delineate the appropriate interval from IVT to CEA and, specifically, to establish the safety of CEA with 72 hours of tPA administration. PMID: 32225134 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - April 1, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Brinster CJ, Sternbergh WC Tags: J Cardiovasc Surg (Torino) Source Type: research

Five year follow-up of undiagnosed sleep apnea in patients undergoing coronary artery bypass graft surgery.
CONCLUSIONS: We confirm that SAHS is common in CABG-surgery patients, presenting additional clinical challenges and cost implications. The underlying pathophysiology is complex, including upper airway obstruction and cardiorespiratory changes of heart failure. In patients presenting for CABG-surgery, we show chronic susceptibility to SAHS, likely associated with traditional risk factors e.g. obesity but perhaps also with gradual decline in heart function itself. Superimposed on this, there is potential for exacerbated risk of morbidity at the time of CABG surgery itself. PMID: 32186169 [PubMed - as supplied by publish...
Source: The Journal of Cardiovascular Surgery - March 17, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Hogan AM, Ibrahim S, Moylan MJ, McCormack DJ, Openshaw AM, Cormack F, Shipolini A Tags: J Cardiovasc Surg (Torino) Source Type: research

Survival and cause of death after aortic arch aneurysm repair.
CONCLUSIONS: Early and late outcomes did not statistically differ after both procedures. However, the prevalence of cancer-related death occurring late after arch repair was significantly higher after endovascular repair. The most important observation from this series was that significantly more patients died of malignant disease during follow-up after endovascular repair than open repair. PMID: 32186170 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - March 17, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Yamashiro S, Kise Y, Inafuku H, Nagano T, Kuniyoshi Y Tags: J Cardiovasc Surg (Torino) Source Type: research

Editorial for the special issue on urgent carotid endarterectomy.
PMID: 32077674 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - February 18, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Darling RC Tags: J Cardiovasc Surg (Torino) Source Type: research

Limited versus extended repair for acute type A aortic dissection: long-term outcomes of the Beijing approach beyond 10 years.
Abstract BACKGROUND: Long-term data are scarce regarding the efficacy of extended repair for acute type A aortic dissection (ATAAD) using frozen elephant trunk and total arch replacement (FET + TAR) technique. We seek to evaluate our single-center experience with the FET + TAR technique in patients with ATAAD, focusing on early and long-term survival and reoperation. METHODS: The early and long-term outcomes of FET + TAR were analyzed for 518 patients with ATAAD operated on between April 2003 and December 2012. Mean age 46.2 ± 10.5 years and 426 were male (82.2%). Malperfusion occurred in 66 (12.7%) an...
Source: The Journal of Cardiovascular Surgery - February 18, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Ma WG, Chen Y, Zhang W, Li Q, Li JR, Zheng J, Liu YM, Zhu JM, Sun LZ Tags: J Cardiovasc Surg (Torino) Source Type: research

The role of fEVAR, chEVAR and open repair in treatment of juxtarenal aneurysms: a systematic review.
CONCLUSIONS: Based on the results reported in the literature, regardless of its complexity and costs, fEVAR for jrAAA has been accepted in substantial number of hospitals worldwide, while number of reported procedures is reaching OR. PMID: 32079378 [PubMed - in process] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - February 1, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Končar IB, Jovanović AL, Dučič SM Tags: J Cardiovasc Surg (Torino) Source Type: research

Endovascular treatment of atherosclerotic lesions in the superficial femoral artery and proximal popliteal artery using the sinus-SuperFlex-635 stent: twelve-month results from the HERO Registry.
n D Abstract BACKGROUND: The aim of this study was to evaluate the safety and performance of the sinus-SuperFlex-635 self-expandable nitinol stent (Optimed GmbH) for the treatment of steno-occlusive lesions in the superficial femoral artery (SFA) and proximal popliteal artery (PPA). METHODS: The prospective, multicenter, observational HERO study recruited 117 eligible patients (83 men; mean age 69.4±9.7y) from 7 centers in Belgium. RESULTS: A total of 129 stents were successfully deployed in 121 lesions in 117 patients (100%). The patients presented with symptomatic ≥50% stenosis or chronic tot...
Source: The Journal of Cardiovascular Surgery - February 1, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Hendriks JM, Dubois M, Lauwers P, de Vleeschauwer P, Vanbetsbrugge M, Deleersnijder R, Wustenberghs K, Robijn J, Jacobs B, Willaert W, Vandekerkhof J, Keirse K, Gabriëls K, Hoppenbrouwers M, Haesen D Tags: J Cardiovasc Surg (Torino) Source Type: research

Spontaneous rupture of a mechanical valve in a mitral position (On-X) with migration- embolization to aortic bifurcation from the perspective of the vascular surgeon: case report and literature review.
We report the case of spontaneous rupture of an On-X-pure pyrolytic carbon- mechanical valve prosthesis implanted seven years earlier, in a mitral position, at our hospital. The patient was admitted with valvular dysfunction and acute pulmonary oedema requiring emergency surgery (prosthesis replacement); the absence of a leaflet was confirmed intraoperatively. The patient presented severe respiratory failure, which prolonged the postoperative period. A CT scan showed that the migrated leaflet was located in the aortic bifurcation with no apparent arterial lesion. Four months later, once the patient had recovered, laparotom...
Source: The Journal of Cardiovascular Surgery - January 23, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Torres JA, Arevalo A, Sastre JA, González-Porras JR, Salvador R, González-Santos J, Lozano FS Tags: J Cardiovasc Surg (Torino) Source Type: research

Sleeve valve-sparing procedure in bicuspid aortic valve. Early and midterm clinical results.
CONCLUSIONS: Patients with aortic root disease and bicuspid aortic valve may be treated with Sleeve technique with excellent midterm results. However, a longer follow-up is required before drawing any solid conclusion. PMID: 31985188 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - January 23, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Tasca G, Trinca F, Riva B, Lobiati E, Nasatti A, Faccioli P, Gamba A Tags: J Cardiovasc Surg (Torino) Source Type: research

Blood flow assessment by transit time flow measurement and its prognostic impact in coronary bypass surgery.
Abstract BACKGROUND: The competitive coronary flow is influenced by the severity of the stenosis and may affect graft patency. Transit time flow measurement (TTFM) enables intraoperative graft evaluation and cardiac magnetic resonance (MRI) allows for graft evaluation during follow-up. METHODS: Competitive flow and target vessel diameters were determined in 35 patients undergoing off-pump coronary bypass graft surgery (CABG) and correlated to TTFM. Cardiac function, ischemia, and graft flow were evaluated using cardiac MRI during the follow-up period to determine the impact of above-mentioned parameters on gr...
Source: The Journal of Cardiovascular Surgery - January 23, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Niclauss L, Masci PG, Pavon AG, Rodrigues D, Schwitter J Tags: J Cardiovasc Surg (Torino) Source Type: research

Current status in decision making to treat acute type A dissection: limited versus extended repair.
Abstract Type A dissection is a clinical emergency and the extent of repairing the damaged tissue is variable and depends on several factors including the expanse of dissection, entry tear, surgeon's experience, and unit resource availability and performance. The conservative surgeon prefers to perform aortic root up-to hemi arch replacement while the patient recovers planning onward for the second stage approach, however, the aggressive school prefers to replace the entire aortic arch with the deployment of a frozen elephant trunk and control intimal tear and alter false lumen natural history. Data to date remain...
Source: The Journal of Cardiovascular Surgery - January 23, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Bashir M, Harky A Tags: J Cardiovasc Surg (Torino) Source Type: research

Current status in decision making to treat acute type A dissection: limited versus extended repair. The Bologna approach.
Abstract The best surgical treatment for Acute type A aortic dissection is still a strongly debated issue of every cardiac surgeon. The successful result is obtained by taking into consideration both the preoperative and intraoperative aspects, such as cerebral,visceral or coronary malperfusion before surgery. More conservative approaches or more aggressive treatments are different strategies with their pros and cons to face the same problem, especially for the aortic arch management. The expertise of the center, the perfect surgical timing and a dedicated aortic team composed of expert aortic surgeons, anesthesio...
Source: The Journal of Cardiovascular Surgery - January 23, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Leone A, Murana G, Di Marco L, Coppola G, Berardi M, Amodio C, Botta L, Pacini D Tags: J Cardiovasc Surg (Torino) Source Type: research

Limited repair with tear-oriented approach for type A aortic dissection.
Abstract In 1992, Crawford and colleagues1 reported 21% mortality after acute type A aortic dissection (ATAAD) repair. They also found that 30% of the patients required late distal reoperations. However, none of the patients who had elimination of the intimal tear needed reintervention.1 Ten years later, Westaby and colleagues proposed the "tear-oriented" approach, which has been widely accepted to treat ATAAD2: if the tear is located proximal to the arch vessels, simple limited repair with hemiarch replacement is selected; when the entry-tear is in the lesser curvature of the transverse arch, it can als...
Source: The Journal of Cardiovascular Surgery - January 23, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Tanaka A, Ornekian V, Estrera AL Tags: J Cardiovasc Surg (Torino) Source Type: research

Predictive scores for major bleeding after coronary artery bypass surgery in low operative risk patients.
This study aims to compare the WILL-BLEED, CRUSADE, PAPWORTH, TRUST, TRACK and ACTION scores in predicting major bleeding after CABG in patients with low estimated operative risk. METHODS: A multicenter observational study included 1391 patients who underwent isolated CABG from July 2015 to January 2018. We tested the hypothesis that the WILL- BLEED score, specifically designed for CABG, would perform at least as well as the CRUSADE, PAPWORTH, TRUST, TRACK and ACTION scores in predicting postoperative major bleeding in low operative risk patients. The primary endpoint was the performance of known bleeding risk scores ...
Source: The Journal of Cardiovascular Surgery - January 13, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Salsano A, Dominici C, Nenna A, Olivieri GM, Miette A, Barbato R, Sportelli E, Natali R, Maestri F, Chello M, Mariscalco G, Santini F Tags: J Cardiovasc Surg (Torino) Source Type: research

Fenestrated endografting is the preferred option for juxta-renal aortic aneurysm reconstruction.
CONCLUSIONS: FEVAR for j-AAAs is safe and effective at early and long-term follow-up. According with these results, it could be proposed as the first line treatment in high risk patients if anatomically fit. Long term survival is reduced in the presence of pre-operative COPD and postoperative renal function worsening. PMID: 31833736 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - December 13, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Gargiulo M, Gallitto E, Pini R, Giordano J, Mascoli C, Sonetto A, Logiacco A, Ancetti S, Faggioli G Tags: J Cardiovasc Surg (Torino) Source Type: research

Mid-term single-centre outcomes of BioIntegral compared to Freestyle aortic conduit implantation.
Abstract BACKGROUND: Full aortic root replacement with biological conduit has limited options. This non-randomized cohort study aims to compare mid-term clinical and hemodynamic results of the BioIntegral (BI) composite biological versus the stentless Freestyle (FS) conduits in patients undergoing full aortic root replacement. METHODS: From February 2013 to July 2017, 265 patients underwent aortic root replacement at a single institution (BI n=202, FS n=65). Preoperative, intraoperative and postoperative parameters, complications including stroke, myocardial infarction (MI), endocarditis and reoperation were ...
Source: The Journal of Cardiovascular Surgery - December 6, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Mehdiani A, Sorokin VA, Sule J, Smiris K, Stadnik D, Lichtenberg A, Blehm A Tags: J Cardiovasc Surg (Torino) Source Type: research

Implantability of a novel, pre-assembled aortic valved conduit with RESILIA ™ tissue.
CONCLUSIONS: We found this first evaluation of the KONECT RESILIA Aortic Valved Conduit to be that it handled well and was easily implantable and extractable in a human cadaver model. PMID: 31815373 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - December 5, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Podesser BK, De Paulis R Tags: J Cardiovasc Surg (Torino) Source Type: research

Vascular access site complications after transfemoral transcatheter aortic valve implantation in the POL-TAVI registry: surgical versus percutaneous approach.
CONCLUSIONS: Surgical cut-down in the groin with exposure of the artery and manual suture after the procedure seems to be a safer option for TF TAVI patients. PMID: 31815374 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - December 5, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Walas RL, Kukulski L, Rychter J, Jaźwiec T, Gąska M, Hawranek M, Zembala M, Gąsior M, Zembala MO Tags: J Cardiovasc Surg (Torino) Source Type: research

Current results of balloon expandable visceral stent-grafts in fenestrated endografting.
CONCLUSIONS: So far, several balloon-expandable stent-grafts have been used as bridging stents during FEVAR but the ideal bridging stent-graft is far to be designed. The better understanding of the system FEVAR-native aorta and the strict collaboration and exchange of expertise between physicians and engineers are mandatory in order to increase the performances of these important components and to reduce re-interventions and complications in FEVAR. PMID: 31815375 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - December 5, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Gibello L, Ruffino MA, Varetto G, Frola E, Rispoli P, Verzini F Tags: J Cardiovasc Surg (Torino) Source Type: research

Transapical aortic perfusion using a deep hypothermic procedure during descending thoracic or thoracoabdominal aortic surgery.
PMID: 31755681 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - November 19, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Denti P Tags: J Cardiovasc Surg (Torino) Source Type: research

Late open conversion after endovascular abdominal aortic aneurysm repair: experience of three-high volume centers.
CONCLUSIONS: LOSC seems to be safe and effective procedure when preformed in elective manner. On the other side, urgent LOSC after EVAR is associated with very high postoperative mortality and morbidity. Endoleak remains the main indication for open conversion. Further studies are necessary to standardize timing and treatment options for failing EVAR. PMID: 31755677 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - November 18, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Davidovic LB, Palombo D, Treska V, Sladojevic M, Koncar IB, Houdek K, Spinella G, Zlatanovic P, Pane B Tags: J Cardiovasc Surg (Torino) Source Type: research

Meta-analysis of impact of troponins on mortality after transcatheter aortic valve implantation.
Abstract BACKGROUND: To determine whether troponin (Tn) can predict mortality after transcatheter aortic valve implantation (TAVI), we performed a meta-analysis of currently available studies investigating impact of baseline and postprocedural Tn. METHODS: MEDLINE and EMBASE were searched through April 2019 using PubMed and OVID. Studies considered for inclusion met the following criteria: the study investigating impact of baseline and postprocedural Tn on mortality; the study population was patients undergoing TAVI; outcomes included early (30-day or in-hospital)/late (including early) mortality. For each st...
Source: The Journal of Cardiovascular Surgery - November 18, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Takagi H, Hari Y, Nakashima K, Kuno T, Ando T, All-Literature Investigation of Cardiovascular Evidence Group Tags: J Cardiovasc Surg (Torino) Source Type: research

Twenty years outcomes in a single center experience after endovascular aneurysm repair with unibody endograft and anatomical fixation.
CONCLUSIONS: This small, retrospective cohort of anatomically fixed EVAR demonstrated long-term safety and effectiveness. The design of the unibody graft did not substantially change and newer generation should guarantee the same performance. PMID: 31755679 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Surgery)
Source: The Journal of Cardiovascular Surgery - November 18, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Silingardi R, Andreoli F, Saitta GM, Leone N, Migliari M, Gennai S Tags: J Cardiovasc Surg (Torino) Source Type: research