Reply: The importance of early intervention for ischemia after coronary artery bypass grafting
We thank Heuts and Vriesendorp1 for their comments on our article.2 Indeed our study does have a lower incidence of postoperative ischemia compared with other reports in the literature. Furthermore, the low incidence in our study does pose an inherent risk for type II error. However, our study focuses on those who underwent postoperative cardiac catheterization after isolated coronary artery bypass grafting in a multicenter regional collaborative consisting of 17 centers. It represents a real-world experience across a diversity of practice patterns. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 29, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Anthony V. Norman, Irving L. Kron Tags: Letter to the Editor Source Type: research

Discussion to: Intraoperative blood products, fluid administration, and persistent hypothermia on bleeding leading to reexploration after cardiac surgery
Presenter: Mr Benjamin L. Shou (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 29, 2023 Category: Cardiovascular & Thoracic Surgery Tags: Adult Source Type: research

Discussion to: Valved Sano conduit improves immediate outcomes following Norwood operation compared with nonvalved Sano conduit
Presenter: Dr David M. Kalfa (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 29, 2023 Category: Cardiovascular & Thoracic Surgery Tags: Congenital Source Type: research

Discussion to: A national survey of occupational musculoskeletal injuries in cardiothoracic surgeons
Presenter: Dr Camille Mathey-Andrews (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 29, 2023 Category: Cardiovascular & Thoracic Surgery Tags: Miscellaneous Source Type: research

Interpretable Machine Learning-Based Predictive Modeling of Patient Outcomes Following Cardiac Surgery
The clinical applicability of machine learning predictions of patient outcomes following cardiac surgery remains unclear. We applied machine learning to predict patient outcomes associated with high morbidity and mortality after cardiac surgery and identified the importance of variables to the derived model ’s performance. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 29, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Adeel Abbasi, Cindy Li, Max Dekle, Christian A. Bermudez, Daniel Brodie, Frank W. Selke, Neel R. Sodha, Corey E. Ventetuolo, Carsten Eickhoff Source Type: research

Reply from the authors: A need for randomized prospective trial for early aortic valve repair in asymptomatic aortic regurgitation
We sincerely appreciate the interest and positive feedback by the authors of the recent letter by Jasinski and Nienaber1 on our paper.2 Indeed, we clearly acknowledge the inherent limitations associated with retrospective data analysis in registries like the AVIATOR database. It is also essential to recognize that, up to this point, most of the data pertaining to outcomes in aortic regurgitation and various other valve diseases have primarily been derived from such retrospective registries. Consequently, we agree with the authors that there exists a pressing need for validation through well-structured randomized multicente...
Source: The Journal of Thoracic and Cardiovascular Surgery - November 28, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Vincent Hanet, David Vancraeynest, Bernhard L. Gerber Tags: Adult: Aorta: Letters to the Editor Source Type: research

Discussion to: Induction chemoimmunotherapy with surgery versus concurrent chemoradiation followed by immunotherapy for stage III-N2 non –small cell lung cancer
Presenter: Dr Arvind Kumar (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 28, 2023 Category: Cardiovascular & Thoracic Surgery Tags: Thoracic Source Type: research

Reply: A need for randomized prospective trial for early aortic valve repair in asymptomatic aortic regurgitation
We sincerely appreciate the interest and positive feedback by the authors of the recent letter by Jasinski and Nienaber1 on our paper.2 Indeed, we clearly acknowledge the inherent limitations associated with retrospective data analysis in registries like the AVIATOR database. It is also essential to recognize that, up to this point, most of the data pertaining to outcomes in aortic regurgitation and various other valve diseases have primarily been derived from such retrospective registries. Consequently, we agree with the authors that there exists a pressing need for validation through well-structured randomized multicente...
Source: The Journal of Thoracic and Cardiovascular Surgery - November 28, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Vincent Hanet, David Vancraeynest, Bernhard L. Gerber Tags: Letter to the Editor Source Type: research

Discussion to: Factor XII promotes the thromboinflammatory response in a rat model of venoarterial extracorporeal membrane oxygenation
Presenter: Dr Mousa Kharnaf (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 28, 2023 Category: Cardiovascular & Thoracic Surgery Tags: Mechanical Circulatory Support Source Type: research

Discussion to: Reoperative total arch replacement after previous cardiovascular surgery: Outcomes in 426 consecutive patients
Presenter: Dr Leonard N. Girardi (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 28, 2023 Category: Cardiovascular & Thoracic Surgery Tags: Adult Source Type: research

Discussion to: Volume –failure to rescue relationship in acute type A aortic dissections: An analysis of The Society of Thoracic Surgeons Database
Presenter: Dr Carlos E. Diaz-Castrillon (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 28, 2023 Category: Cardiovascular & Thoracic Surgery Tags: Adult Source Type: research

Discussion to: Heterogeneous treatment effects of coronary artery bypass grafting in ischemic cardiomyopathy: A machine-learning causal forest analysis
Presenter: Dr Zhongkai Wu (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 28, 2023 Category: Cardiovascular & Thoracic Surgery Tags: Adult Source Type: research

Machine Learning and Decision Making in Aortic Arch Repair
Decision making during aortic arch surgery regarding cannulation strategy and nadir temperature are important in reducing risk, though there is a need to determine the best individualized strategy in a data driven fashion. Using machine learning (ML), we modelled the risk of death or stroke in elective aortic arch surgery based upon patient characteristics and intraoperative decisions. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 25, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Rashmi Nedadur, Nitish Bhatt, Jennifer Chung, Michael W.A. Chu, Maral Ouzounian, Bo Wang, Canadian Thoracic Aortic Collaborative (CTAC) Source Type: research

Outcomes of aortic valve repair in children stratified by complexity: Which outcome for which lesion?
Aortic valvuloplasty frequency has significantly increased over the past 15 years. Surgical repair varies in complexity depending on valvular lesions. The aim is to report results on the whole spectrum of aortic valvuloplasty techniques. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 24, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Pichoy Danial, Alexander Moiroux-Sahraoui, Asma Nelly, Margaux Pontailler, R égis Gaudin, Emmanuel Lansac, Carine Pavy, Damien Bonnet, Pascal Vouhé, Olivier Raisky Source Type: research

Preoperative predictors of spread through air spaces in lung cancer
Spread through air spaces (STAS) is a new histologic feature of invasion of non –small cell lung cancer that lacks sensitivity and specificity on frozen sections and is associated with higher recurrence and worse survival with sublobar resections. Our objective is to identify preoperative characteristics that are predictive of STAS to guide operative decisions. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 23, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Sadia Tasnim, Siva Raja, Sanjay Mukhopadhyay, Eugene H. Blackstone, Andrew J. Toth, John O. Barron, Daniel P. Raymond, Alejandro C. Bribriesco, Dean P. Schraufnagel, Sudish C. Murthy, Monisha Sudarshan Tags: Thoracic Source Type: research