Discussion
Presenter: Dr Koji Takeda (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - March 4, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Carmelo A. Milano Source Type: research

Commentary: Tetralogy of Fallot- In Pursuit of Perfection
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - March 4, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Sitaram M. Emani Source Type: research

Commentary: “POEM: Provision of effective management (through collaboration)”
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - March 4, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Virginia R. Litle Source Type: research

Commentary: Measures of relevance from relevant measurements: pulmonary artery size on computed tomography as predictor of post-lobectomy complications
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - March 4, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Marcelo Cerullo Source Type: research

Commentary: When you wish upon a valve …
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - March 4, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Gal Levy, Abe DeAnda Source Type: research

Commentary: Sglt2 Inhibitors Reduce Mortality And Heart Failure In Patients With Type 2 Diabetes Mellitus---Is Metabolic Reprogramming The Mechanism For These Favorable Outcomes?
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - March 4, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Harold L. Lazar Source Type: research

Commentary: Elucidating the mechanisms underlying left ventricular function recovery in ischemic heart failure patients undergoing surgical remodeling: Physiology vs Empirism
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - March 4, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Giuseppe Ambrosio, Roberto Mattioli, Erberto Carluccio Source Type: research

Commentary: Maybe it is better to be a lefty
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - March 4, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Michael D. Taylor Source Type: research

Renal Perfusion With Custodiol Compared to Ringer ’s Solution in Patients Undergoing Thoracoabdominal Aortic Open Repair.
To compare the efficacy of renal perfusion with Custodiol vs. enriched Ringer ’s solution for renal protection in patients undergoing open thoracoabdominal aortic aneurysm (TAAA) repair. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - March 3, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Andrea Kahlberg, Yamume Tshomba, Domenico Baccellieri, Luca Bertoglio, Enrico Rinaldi, Vincenzo Ardita, Elisa Colombo, Umberto Moscato, Germano Melissano, Roberto Chiesa, CURITIBA Investigators Source Type: research

Commentary: Wrapping the Ross could prevent its loss!
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - March 3, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Kanika Kalra, Edward P. Chen Source Type: research

Dysphagia Following Cardiac Surgery: Prevalence, Risk Factors and Associated Outcomes
Determine the prevalence of swallowing impairment in adults following cardiac surgery and examine associated risk factors and health-related outcomes. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - March 3, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Emily K. Plowman, Amber Anderson, Justine Dallal York, Lauren DiBiase, Terrie Vasilopoulos, George Arnaoutakis, Thomas Beaver, Tomas Martin, Eric I. Jeng Source Type: research

Cardiac substrate utilization in heart failure – where is the relevance of SGLT2 inhibition
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - March 2, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Pascal Alexander Mann, Michael Lehrke Source Type: research

Commentary: How to Save and Improve the Lives of Families with Heritable Aortic Diseases
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - March 1, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Michelle Keir, R. Scott McClure, Paul W.M. Fedak Source Type: research

Commentary: Lesson from 0.9538 ° S, 90.9656° W: Survival of the Adaptable
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - March 1, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Thoralf M. Sundt Source Type: research

Commentary: Rise of the Machines
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 26, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Brian Mitzman Source Type: research

Commentary: Mitral bioprosthesis versus mechanical in severe chronic mitral regurgitation: bioprosthesis wins the duel
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 26, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Francesco Formica, Francesco Maestri, Alan Gallingani, Francesco Nicolini Source Type: research

Commentary: Show Me The Data
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 26, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Ryan Plichta, Edward P. Chen Source Type: research

The Advantage of Surgical Revascularization in Diabetics with Multivessel Disease: More Arterial Conduits, More Benefit
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 26, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Rami Akhrass, Faisal Bakaeen Source Type: research

Decision-making to perform elective surgery for patients with proximal thoracic aortic pathology: A European perspective
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 26, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Martin Czerny, Bartosz Rylski, Alessandro Della Corte, Tobias Kr üger Source Type: research

Proximal Aortic Repair in Dialysis Patients: A National Database Analysis
Dialysis is a well-established risk factor for morbidity and mortality after cardiovascular procedures. However, little is known regarding the outcomes of proximal aortic surgery in this high-risk cohort. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 26, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Takuya Ogami, Eric Zimmermann, Roger Zhu, Yanling Zhao, Yuming Ning, Paul Kurlansky, Jacob Stevens, Dimitrios V. Avgerinos, Virendra Patel, Hiroo Takayama Source Type: research

Commentary: Doing the distal more proximal
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 26, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Anthony L. Estrera Source Type: research

The Latinamerican Association of Cardiac and Endovascular Surgery Statement regarding the recently released AHA/ACC Guidelines for the Management of Patients with Valvular Heart Disease 2020.
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 26, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Victor Dayan, Ovidio A. Garcia-Villarreal, Alejandro Escobar, Javier Ferrari, Eduard Quintana, Mateo Marin-Cuartas, Rui Almeida Source Type: research

Commentary: Non-Technical Skills Redux.
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 26, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Marco A. Zenati, Roger D. Dias, Lauren R. Kennedy-Metz Source Type: research

Commentary: A New Hope – Does ADAURA Change the Paradigm for Treatment of Resectable Lung Adenocarcinoma?
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 26, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Sue Xue Wang, Margaret Blair Marshall Source Type: research

Commentary: Let ’s push on medical device innovation.
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 26, 2021 Category: Cardiovascular & Thoracic Surgery Authors: David Kalfa Source Type: research

Commentary: The perfect arch: A pipe dream that may be achievable!
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 26, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Meena Nathan Source Type: research

Commentary: Valve options for ischemic mitral regurgitation in an era of new technologies -- ViV(a) la Bioprosthetic
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 26, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Tomer Z. Karas, Kevin D. Accola Source Type: research

Commentary: Why Not MAG-nify the Benefit in Diabetics?
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 26, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Jennifer S. Lawton Source Type: research

Commentary: The Ross Procedure in a Dacron Graft: Is Everything Wrapped a Present?
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 26, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Elbert Williams, Michael W.A. Chu, Mark D. Peterson, Ismail El-Hamamsy Source Type: research

Commentary: The Elusive Holy Grail for Accurate Prediction of Aortic Dissection and Rupture
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 26, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Christopher Lau, Leonard N. Girardi Source Type: research

Commentary: AHA/ACC Valve Guidelines: Starting Point for Discussion by the Heart Team or Dictum?
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 26, 2021 Category: Cardiovascular & Thoracic Surgery Authors: J. James Edelman, Vinod H. Thourani Source Type: research

Reply: When is a hybrid no longer a hybrid?
We appreciate the insightful response by Drs Schranz and Akintuerk to our hybrid review,1 “Apples to Oranges: Making Sense of Hybrid Palliation for Hypoplastic Left Heart Syndrome.”2 Their pioneering work in using hybrid strategies for palliation of neonates with hypoplastic left heart syndrome (HLHS) and related variants has advanced the field of congenital heart surgery. It is not surprising, therefore, that they have added to the armamentarium of stage I palliation strategies by successfully treating 6 children using a total catheter-based approach (Figure 1). (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 25, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Travis J. Wilder, Christopher A. Caldarone Tags: Letter to the Editor Source Type: research

Elucidating the mechanisms underlying left ventricular function recovery in ischemic heart failure patients undergoing surgical remodelling: a 3D ultrasound analysis
To elucidate the mechanisms of left ventricle (LV) functional recovery in terms of endocardial contractility and synchronicity after surgical ventricular reconstruction (SVR). (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 25, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Serenella Castelvecchio, Matteo Frigelli, Francesco Sturla, Valentina Milani, Omar A. Pappalardo, Michele Citarella, Lorenzo Menicanti, Emiliano Votta Source Type: research

Long-term Outcomes of Aortic Root Operations in the United States Among Medicare Beneficiaries
The best method of aortic root repair (ARR) in older patients remains unknown given a lack of comparative effectiveness long-term outcomes data. Objective of this study was to compare long-term outcomes of different surgical approaches to ARR in Medicare patients using Society of Thoracic Surgeons Adult Cardiac Surgery Database-Centers for Medicare& Medicaid Services (STS ACSD-CMS) linked data. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 25, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Babatunde A. Yerokun, Prashanth Vallabhajosyula, Andrew M. Vekstein, Maria V. Grau-Sepulveda, Ehsan Benrashid, Ying Xian, David N. Ranney, Sin-Ho Jung, Jeffrey P. Jacobs, Vinay Badhwar, Vinod H. Thourani, Joseph E. Bavaria, G. Chad Hughes Source Type: research

Malpractice litigation: The unmeasured complication
We read with great interest the article by Palaniappan and colleagues1 on their study using the Westlaw legal database to examine medical malpractice litigations involving aortic dissections in the United States over a 25-year period. With up to 20% of cardiothoracic surgeons facing a medical malpractice claim annually,2 it behooves us to understand the factors associated with litigation.3 (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 24, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Jessica G.Y. Luc, Richard Lee Tags: Letter to the Editor Source Type: research

A right track stems from the right learning
Wan and Hu's commentary1 on our work2 is notable; however, some points need clarification. The geometric disorder of the ischemic mitral valve (MV) is caused by the 3-dimensional modification of the anteroposterior annular diameter, area/volume of tenting, and interpapillary muscle distance (IPMD). In extreme conditions of altered geometry (left ventricular [LV] end systolic volume/body surface area/mL/m2 ≥65, CL ≥12, α2 angle ≥45°, IPMD>20  mm), the correction of all measures is needed to normalize function. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 24, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Francesco Nappi, Sanjeet Singh Avtaar Singh Tags: Letter to the Editor Source Type: research

Reply: Skeletonized bilateral internal thoracic artery grafting is a quality metric in coronary artery bypass grafting
I read with interest the letter to the editor by Navia and colleagues.1 After commending the published outcomes of their evolving coronary artery bypass grafting (CABG) technique over last 2  decades, based on the routine use of total arterial revascularization by composite T skeletonized bilateral internal thoracic artery (BITA) grafting in 95% of their patients undergoing CABG, including in elderly patients, I have several important points to further discuss. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 24, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Chaim Locker Tags: Letter to the Editor Source Type: research

Reply: Anatomical or functional repair for ischemic mitral regurgitation: Find the right antidote!
We appreciate the thoughtful feedback provided by Nappi and Singh1 on our editorial commentary.2 They echo our proposal regarding the use of anterior mitral valve leaflet (MVL) patch augmentation as an effective strategy for repairing ischemic mitral regurgitation (IMR). A fundamental lesson learned from the Cardiothoracic Surgical Trials Network multicenter randomized investigations is the nonexistence of a universal repair method that fits all types of patients with severe IMR.2 We cannot agree more with Nappi and colleagues1 that IMR is a dynamic disorder influenced by multiple pathological factors. (Source: The Journal...
Source: The Journal of Thoracic and Cardiovascular Surgery - February 24, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Song Wan, Jia Hu, Jun Liu Tags: Letter to the Editor Source Type: research

Reply: Time to embrace transcarotid transcatheter aortic valve replacement —new route, same valve
In this issue of the Journal, Dr Useini1 continues the conversation of alternative access for transcatheter aortic valve replacement (TAVR), specifically highlighting some of the current knowledge gaps in transcommon carotid (TC) TAVR following the report by Allen and colleagues2 comparing the national experience of TC and transthoracic (transaortic or transapical) TAVR. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 24, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Kimberly A. Holst, Juan A. Crestanello Tags: Letter to the Editor Source Type: research

Reply: The issues to address when repairing ischemic mitral regurgitation
The optimal intervention for patients with moderate ischemic mitral regurgitation has been controversial. The letter by Nappi and colleagues1 emphasizes the importance of optimal myocardial revascularization in addition to mitral valve repair using effective valvular and subvalvular techniques. The lack of predictable long-term outcomes of revascularization combined with mitral valve repair on the long-term outcomes have led to the impression highlighted by a randomized trial that, especially with severe ischemic mitral regurgitation, mitral valve replacement yields better results than mitral valve repair. (Source: The Jou...
Source: The Journal of Thoracic and Cardiovascular Surgery - February 24, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Vincent R. Conti Tags: Letter to the Editor Source Type: research

Commentary: Younger Patients Are Choosing Tissue Valves: Does the Data Match Their Fervor?
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 24, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Jessica Forcillo, Vinod H. Thourani Source Type: research

Commentary: Targeting Our Attention
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 23, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Todd L. Demmy, Sai Yendamuri Source Type: research

The Primary Spontaneous Pneumothorax Trial: A Critical Appraisal from the Surgeon ’s Perspective
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 23, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Andrew E. Giles, Biniam Kidane, Morgan Schellenberg, Chad G. Ball, Evidence Based Reviews in Surgery (EBRS) Group Source Type: research

Reply: Transcarotid trumps transapical/direct aortic access for transcatheter aortic valve replacement —It's a no brainer!
We appreciate the interest that Dr Useini1 showed in our recent article, “Transcarotid versus transthoracic access for transcatheter aortic valve replacement: a propensity-matched analysis.”2 Although we agree that the need for nonfemoral access is declining, Useini's insistence on clinging to an intrathoracic (transapical/direct aortic) access when femoral access is inadequate is misguided. In a propensity-matched analysis using the Society of Thoracic Surgeons and American College of Cardiology Transcatheter Valve Therapy (TVT) Registry, compared with transapical/direct aortic access using the SAPIEN 3 heart ...
Source: The Journal of Thoracic and Cardiovascular Surgery - February 22, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Keith B. Allen, Adnan K. Chhatriwalla, John Saxon, James Hermiller, David Heimansohn, Sina Moainie, Raymond G. McKay, Mohiuddin Cheema, Brandon Jones, Robert W. Hodson, Ethan Korngold, Eric Kirker Tags: Letter to the Editor Source Type: research

Reply: External wrapping procedure for type A intramural hematoma
We thank Drs Madjarov and Katz for their thoughtful comments regarding the external wrapping procedure.1 In addition, we appreciate that they acknowledged the pioneering work of the late Dr Robicsek,2 and we are impressed by that they have already accumulated more than 400 cases over the past 50  years, especially in comparison with our small series with limited follow-up durations.3 (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 22, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Yoshihiro Suematsu Tags: Letter to the Editor Source Type: research

Mitral valve repair for isolated posterior mitral valve leaflet prolapse: the effect of respect and resect techniques on left ventricular function
Posterior mitral valve (MV) leaflet prolapse repair can be performed by either leaflet resection and/or chordal replacement techniques. The impact of these techniques on left ventricular (LV) function remains a topic of debate, considering the presumed better preservation of mitral-ventricular continuity when leaflet resection is avoided. We therefore explored the effect of different posterior MV leaflet repair techniques on postoperative LV function. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 22, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Aniek L. van Wijngaarden, Anton Tom šič, Bart J.A. Mertens, Federico Fortuni, Victoria Delgado, Jeroen J. Bax, Robert J.M. Klautz, Nina Ajmone Marsan, Meindert Palmen Source Type: research

Commentary: The Fontan Cardiac Transplant – It’s Time to Embrace Change
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 22, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Ronald K. Woods Source Type: research

Commentary: Combined heart-lung procurement: avoiding the bottleneck effect.
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 22, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Edward Buratto, Igor E. Konstantinov Source Type: research

Commentary: The Debate Continues On Optimal Myocardial Recovery Assessment
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 22, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Robert B. Hawkins, Leora T. Yarboro, J. Hunter Mehaffey Source Type: research

Commentary: Left ventricular function after mitral valve repair
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 22, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Tirone David Source Type: research