A Band-Aid for dilated left ventricular cardiomyopathy
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 23, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Aaron Eckhauser Source Type: research

Is the Era of Bilateral Internal Thoracic Artery Grafting coming for Diabetic Patients? An Updated Meta-Analysis
The objective of present meta-analysis is to compare the safety and efficacy of single internal thoracic artery (SITA) and BITA grafting in diabetic population. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 23, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Pengyu Zhou, Peng Zhu, Zhiqiang Nie, Shaoyi Zheng Source Type: research

Resection of noncoronary sinus segment in a nonaneurysmal root: To do or not to do
We read with keen interest the report by Hui and colleagues1 on the stability of nonaneurysmal sinus of Valsalva after aortic valve and ascending aorta replacement in patients with bicuspid aortic valve (BAV) and tricuspid aortic valve (TAV). Of 406 patients followed up, only 1 required reoperation for root dilatation at 22 postoperative years. We congratulate Hui and colleagues1 on their excellent outcomes and for adding to the increasing literature supporting sinus of Valsalva preservation in the context of aortic valvulopathy with isolated ascending aorta or arch aneurysm. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 21, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Roland Assi, Rita Karianna Milewski, Joseph E. Bavaria, Prashanth Vallabhajosyula Tags: Letter to the Editor Source Type: research

Getting in shape: Current hurdles in 3-dimensionally printed airway stents
We highly appreciate the interesting comment of Li and Han on our article “Patient-Specific, 3-Dimensionally Engineered Silicone Y-Stents in Tracheobronchomalacia: Clinical Experience with a Novel Type of Airway Stent.”1 Currently, we are witnessing a strong growth of 3-dimensional printing in medical applications, and this novel technique enables us to provide tailor ed implants in an easy and time-efficient manner. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 21, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Thomas Schweiger, Konrad Hoetzenecker Tags: Letter to the Editor Source Type: research

Aortic Valve Repair using Valve-sparing Root Replacement for Asymmetric Quadricuspid Aortic Valve and Conversion into Symmetric Tricuspid Valve
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 21, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Yuki Ikeno, Katsuhiro Yamanaka, Hiroshi Tanaka, Yutaka Okita Source Type: research

The intercoronary pillar: not necessarily an innocent bystander
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 21, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Luis E. Mart ínez-Bravo, Carlos M. Mery Source Type: research

Single-patch, two-patch, caval division … and double-decker?
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 21, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Harold M. Burkhart, Jess L. Thompson, Arshid Mir Source Type: research

Efficacy of Unilateral Cerebral Perfusion for Brain Protection in Aortic Arch Surgery
The aim of the study was to evaluate the surgical and neurological outcomes after aortic arch surgery using unilateral cerebral perfusion. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 21, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Paul P. Urbanski, Tarvo Thamm, Petros Bougioukakis, Vadim Irimie, Pravin Prasad, Anno Diegeler, Aristidis Lenos Source Type: research

Concomitant valve procedures in patients undergoing continuous-flow left ventricular assist device implantation: A single-center experience
Long-term support with continuous-flow left ventricular assist device (CF-LVADs) has improved the outcomes of patients with end-stage heart failure. However, valve disease management in patients undergoing CF-LVAD implantation remains controversial. The aim of this study was to assess our single-center experience with patients who underwent a concomitant valve procedure during implantation of a CF-LVAD. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 21, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Tadahisa Sugiura, Chitaru Kurihara, Masashi Kawabori, Andre C. Critsinelis, Suwei Wang, Andrew B. Civitello, Todd K. Rosengart, O.H. Frazier, Jeffrey A. Morgan Source Type: research

A Novel Adaptor System Enables Endovascular Access Through Extracorporeal Life Support Circuits
Extracorporeal life support (ECLS) has traditionally been used as a supportive platform for patients with cardiopulmonary failure. Many of these patients require endovascular access for the performance of diagnostic or therapeutic procedures, and obtaining vascular access in these patients can be problematic. We sought to develop a novel system that allows the ECLS circuit to serve as an access point to the cardiovascular system. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 21, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Chetan Pasrija, Gregory J. Bittle, Jiafeng Zhang, David Morales, Douglas Tran, Kristopher B. Deatrick, James S. Gammie, Zhongjun Wu, Bartley P. Griffith, Zachary N. Kon, David J. Kaczorowski Source Type: research

Finally, Data to Support Dogma
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 21, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Scott I. Reznik Source Type: research

Preoperative Inflammation and Intraoperative Blood: A Bad Marriage?
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 21, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Richa Dhawan, Mark A. Chaney Source Type: research

Early Prediction of Critical Events for Infants with Single Ventricle Physiology in Critical Care Using Routinely Collected Data
Critical events are common and difficult to predict among infants with congenital heart disease and are associated with mortality and long-term sequelae. We aimed to achieve early prediction of critical events, i.e., cardiopulmonary resuscitation, emergent endotracheal intubation, and extracorporeal membrane oxygenation in infants with single-ventricle (SV) physiology prior to second-stage surgery. We hypothesized that Na ïve Bayesian models learned from expert knowledge and clinical data can predict critical events early and accurately. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 21, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Victor M. Ruiz, Lucas Saenz, Alejandro Lopez-Magallon, Ashlee Shields, Henry A. Ogoe, Srinivasan Suresh, Ricardo Munoz, Fuchiang R. Tsui Source Type: research

Cerebral protection strategies in aortic arch surgery: A network meta-analysis
Cerebral protection for aortic arch surgery has been widely studied, but comparisons of all the available strategies have rarely been performed. We performed direct and indirect comparisons of antegrade cerebral perfusion (ACP), retrograde cerebral perfusion (RCP) and deep hypothermic circulatory arrest (DHCA) in a network meta-analysis (NMA). (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 21, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Irbaz Hameed, Mohamed Rahouma, Faiza M. Khan, Matthew Wingo, Michelle Demetres, Derrick Y. Tam, Cristopher Lau, Erin M. Iannacone, Antonino Di Franco, Ashwin Palaniappan, Heather Anderson, Stephen E. Fremes, Leonard N. Girardi, Mario Gaudino Source Type: research

A turbulence in-vitro assessment of ON-X and St. Jude Medical prostheses
The objective of this study is to investigate and compare the hemodynamic and turbulence characteristics upon implantation of St. Jude Medical (SJM) and ON-X bileaflet mechanical valves (BMHV). Both valves are considered highly successful BMHVs characterized by good clinical outcomes despite their numerous design differences. While thromboembolism remains the main disadvantage of BMHVs, ON-X has been shown to need less anti-coagulation therapy. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 21, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Hoda Hatoum, Pablo Maureira, Lakshmi P. Dasi Source Type: research

Patient-reported outcomes: How to advance the minimally invasive debate
Since their introduction 2  decades ago, minimally invasive techniques for aortic valve replacement have been a topic of research and debate among cardiac surgeons. Proponents of minimally invasive approaches argue the ability to deliver similar clinical outcomes with improved cosmesis and reduced resource use.1 Critics poin t to longer operative times and criticize increased complexity without reproducible improvements in overall morbidity and mortality.2 (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Edward D. Percy, Sameer A. Hirji, Tsuyoshi Kaneko, Marc P. Pelletier Tags: Letter to the Editor Source Type: research

What's in a name? That which we call a rose by any other name would smell as sweet
I have enjoyed reading the dialog between Drs Vallabhajosyula and Ouzounian1,2 on the management of the sinuses of Valsalva in the setting of bicuspid aortic valve in what seems to be competitive conservatism. It would appear that they are in violent agreement on the safety of leaving the left and right sinuses alone but differ perhaps on the management of the noncoronary sinus, or at least on inclusion of those with resection in their data sets. The topic appears to be what one might term “a hearty perennial.” I have been interested for many years in the place of what I would call “separate valve and gra...
Source: The Journal of Thoracic and Cardiovascular Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Thoralf M. Sundt Tags: Letter to the Editor Source Type: research

Quality Reporting for Salvage Cardiac Surgery: A Deeper Dive is Needed
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Leonard N. Girardi, Erin M. Iannacone Source Type: research

The Perils of the Pump
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Samuel Jacob, Kevin P. Landolfo Source Type: research

Move Fast and Break Things
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Craig R. Smith Source Type: research

Postoperative time-to-arrest – a new metric?
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 19, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Syed Murfad Peer, Can Yerebakan Source Type: research

Using ex vivo modeling to validate technical innovations in cardiac surgery
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 19, 2019 Category: Cardiovascular & Thoracic Surgery Authors: R.Scott McClure, Paul W.M. Fedak Source Type: research

We Can Prevent Post-Esophagectomy Atrial Fibrillation, But Should We?
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 19, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Omar F. Hassan, Benny Weksler Source Type: research

Transdiaphragmatic plombage omentoplasty without thoracotomy for post-lobectomy bronchial fistula
A 60-year old man presented with a pleural cavity secondary to a stabilized bronchopleural fistula following a robot-assisted right lower lobectomy. He was successfully treated by one-stage laparotomy and transdiaphragmatic plombage omentoplasty without the need of redo thoracotomy. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 19, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Charles-Henri David, Xavier B. D ’journo, Hervé Dutau, Pascal A. Thomas Source Type: research

Polymer Prosthetic Heart Valves: A New Era
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 19, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Ming-Sing Si Source Type: research

Effect of prehabilitation on ventilatory efficiency in Non-Small Cell Lung Cancer patients: a cohort-study
Cardiopulmonary exercise testing (CPET) for patients awaiting lung resection for non-small cell lung cancer (NSCLC) has developed considerably in recent years. Pulmonary rehabilitation before surgery (prehabilitation) improves postoperative risk-factors such as FEV1 and VO2peak. Ventilatory inefficiency assessed by the VE/VCO2 slope> 35, is a high risk-factor for postoperative complications. Our objective was to assess the effect of prehabilitation on VE/VCO2 slope, and its relationship with VO2peak. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 19, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Francis-Edouard Gravier, Tristan Bonnevie, Fairuz Boujibar, Cl ément Médrinal, Guillaume Prieur, Combret Yann, Jean-François Muir, Antoine Cuvelier, Jean-Marc Baste, David Debeaumont Source Type: research

Is the brain spared when the heart is broken?
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 19, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Shabnam Peyvandi, Patrick S. McQuillen Source Type: research

Bacterial infiltration in structural heart valve disease
The pathology of structural valvular heart disease (sVHD) ranges from basic diseases of rheumatologic origin to chronic degenerative remodeling processes following acute bacterial infections. Molecular genetic methods allow detection of the complete microbial spectrum in heart valve tissues independent of microbiological cultivation. In particular, whole-metagenome analysis is a sensitive and highly specific analytical method that allows a deeper insight into the pathogenicity of the diseases. The present study assessed the pathogen spectrum in heart valve tissue from 25 sVHD patients by molecular and microbiological metho...
Source: The Journal of Thoracic and Cardiovascular Surgery - February 19, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Andreas Oberbach, Maik Friedrich, Stefanie Lehmann, Nadine Schlichting, Yvonne Kullnick, Sandra Gr äber, Tilo Buschmann, Christian Hagl, Erik Bagaev, CardiOmics group, Clinical Microbiology group, Bioinformatics group Source Type: research

Where Have All The Lymph Nodes Gone?
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 19, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Benjamin D. Kozower Source Type: research

The path to prophylaxis for predictable palpitations
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 19, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Jonathan D. Spicer Source Type: research

Individualized surgery for patients with single-ventricle physiology
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 19, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Travis J. Wilder Source Type: research

Commentary: A Tree in Winter: The Case for Arterial Grafting in the Diabetic Patient
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 19, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Paul A. Kurlansky Source Type: research

Utilizing Hepatitis C and B Virus Infected Donor Organs for Pediatric Heart Transplantation
The objective of this study is to investigate the utilization of Hepatitis B Virus core antibody positive or Hepatitis C Virus seropositive donors for pediatric heart transplantation. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 19, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Yasmin Radzi, Muhammad Farrukh Shezad, Lara Danziger-Isakov, David L.S. Morales, Farhan Zafar Source Type: research

Vasoplegia: Be Prepared!
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 19, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Carl L. Backer Source Type: research

Still Not Enough Data Yet – Sublobar Resection versus Lobectomy for Lung Cancer
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 19, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Victor van Berkel Source Type: research

Utilizing Pathologic Variation to Inform Clinical Practice
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 19, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Meghana R.K. Helder Source Type: research

Valve-Sparing Approach to the Hypoplastic Pulmonary Valve in Tetralogy of Fallot Repair
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 19, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Robert Sorabella, Ming-Sing Si Source Type: research

Time may heal, but a word of caution is advised
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 18, 2019 Category: Cardiovascular & Thoracic Surgery Authors: James D. St. Louis, Mark D. Plunkett Source Type: research

Timing IS everything!
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 18, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Jay K. Bhama Source Type: research

Two Ounces of Prevention Does Not Equal a Pound of Cure
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 18, 2019 Category: Cardiovascular & Thoracic Surgery Authors: J.Awori Hayanga, Percy Buenaventura, Ghulam Abbas Source Type: research

Staying in the Zone During Aortic Arch Replacement
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 18, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Leora B. Balsam, Abe DeAnda Source Type: research

Is the Right Ventricular an Innocent Bystander in Pulmonary Resection?
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 18, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Sandra L. Starnes Source Type: research

Predicting Patients at Risk for Complications after Thoracic Surgery: Application in the Era of Enhanced Recovery
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 18, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Mara B. Antonoff Source Type: research

Cardiac surgery in underdeveloped countries: the cart before the horse?
(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 18, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Vijay S. Patel, Richard Lee Source Type: research

Experience does matter for pulmonary endarterectomy surgery
I have read the article entitled “Is Subdural Hemorrhage After Pulmonary Endarterectomy Underrecognized?” by Yap and colleagues.1 I want to congratulate the authors for this article and starting a pulmonary endarterectomy (PEA) program in Singapore, and make some contributions. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 16, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Bedrettin Y ıldızeli Tags: Adult: Pulmonary Thromboembolism: Letter to the Editor Source Type: research

Look before you leap
In Zen teachings, the term mushin reflects a state of mind that is undisturbed by thought, emotion, or judgment. This state of mind allows one to act in a fashion that is free of obstructive thought processes and emotions. It is challenging to achieve mushin, but doing so allows one to be more reflective and to be less prone to jumping to conclusions. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 16, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Thin Xuan Vo, Fraser Rubens Tags: Adult: Pulmonary Thromboembolism: Letter to the Editor Source Type: research

Redo mitral surgery without transcatheter options: A case of 7 consecutive mitral operations
We read with great interest the analysis of Ejiofor and colleagues1 regarding conventional mitral reoperation in patients who could potentially be treated with a transcatheter device. They point out that the need for reoperation arose from prosthetic dysfunction, endocarditis, and perivalvular leak, in that order. Unfortunately, endocarditis and perivalvular leak may not be amenable to current transcatheter technology in all patients. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 16, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Yaron D. Barac, Walter Wolfe, Donald D. Glower Tags: Adult: Mitral Valve: Letter to the Editor Source Type: research

Pulmonary endarterectomy in Southeast Asia
We have read the letter “Experience Does Matter for Pulmonary Endarterectomy Surgery” by Yıldızel1 and agree that pulmonary endarterectomy (PEA) is indeed a complex procedure that requires not only good surgical expertise but also a competent multidisciplinary team to manage the patient preoperatively, perioperativel y, and postoperatively. Recognizing the lack of such a service within Southeast Asia and the inability of patients with chronic thromboembolic pulmonary hypertension (CTEPH) to seek adequate workup and management, our center has set up the first multidisciplinary CTEPH service within Southea...
Source: The Journal of Thoracic and Cardiovascular Surgery - February 16, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Jonathan Yap, Victor Chao, Soo Teik Lim, Singapore CTEPH Group Tags: Adult: Pulmonary Thromboembolism: Letter to the Editor Source Type: research

Preventing prosthesis-patient mismatch: With the correct valve, with a correct formula, or with both?
We read with great interest the article of Sabik and colleagues1 reporting 1-year outcomes with a novel stented bovine pericardial aortic bioprosthesis (PERIGON pivotal trial). It is striking that they report a 1-year prosthesis-patient mismatch (PPM) rate of 75.5%, with a severe PPM rate of 30.3%. Considering the negative impact of PPM on postoperative left ventricular mass regression, functional improvement and quality of life, heart failure, and long-term survival after aortic valve replacement,2 this high rate of PPM may pose a problem for the widespread use of this novel bioprosthesis. (Source: The Journal of Thoracic...
Source: The Journal of Thoracic and Cardiovascular Surgery - February 16, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Andras P. Durko, Mevl üt Çelik, Stuart J. Head Tags: Adult: Aortic Valve: Letter to the Editor Source Type: research

Radial artery use is safe in plumbers and surgeons
In his Editorial Commentary in the Journal, Dr Craig Smith1 declares that the “best in class” coronary surgery in 2018 is the use of both internal thoracic arteries to bypass the left-sided circulation and then the use of any graft to bypass the right coronary artery. Although this may be true, Smith1 goes further and raises 2 important issues regarding use of the radial artery (RA)—its safety and its use in surgeons. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - February 16, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Robert F. Tranbaugh Tags: Adult: Coronary: Letter to the Editor Source Type: research