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Long ‐term outcomes of patients undergoing mechanical versus bioprosthetic aortic root replacement
ConclusionsThese findings suggest that mechanical valves for ARRs may confer a survival benefit over bioprosthetic valves. Surgeon bias was likely to account for this survival advantage.
Source: Journal of Cardiac Surgery - April 30, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Derek Serna ‐Gallegos, James A. Brown, Jacqueline Ridgley, Edgar Aranda‐Michel, Forozan Navid, Yisi Wang, Floyd W. Thoma, Ibrahim Sultan Tags: ORIGINAL ARTICLE Source Type: research

Heart valve surgery and the obesity paradox: A systematic review
SummaryObesity has been associated with increased incidence of comorbidities and shorter life expectancy, and it has generally been assumed that patients with obesity should have inferior outcomes after surgery. Previous literature has often demonstrated equivalent or even improved rates of mortality after cardiac surgery when compared to their lower-weight counterparts, coined the obesity paradox. Herein, we aim to review the literature investigating the impact of obesity on surgical valve interventions. PubMed and Embase were systematically searched for articles published from 1 January 2000 to 15 October 2021. A total o...
Source: Clinical Obesity - December 28, 2021 Category: Eating Disorders & Weight Management Authors: Ryaan EL ‐Andari, Sabin J. Bozso, Jimmy J. H. Kang, Alexandre M. A. Bedard, Corey Adams, Wei Wang, Jeevan Nagendran Tags: Review Article Source Type: research

Fast-track anesthesia in lateral mini-thoracotomy for transapical transcatheter valve implantation
CONCLUSIONS: Fast-track anesthesia using paravertebral-blockade for transcatheter transapical valve replacement in high-risk patients is a possible anesthetic approach. An effective PVB, in addition to a double-lumen laryngeal mask, provide an alternative strategy to conventional general anesthesia. These promising results could encourage further consideration of this approach in similar cardiac surgery patients.PMID:34527324 | PMC:PMC8411149 | DOI:10.21037/jtd-21-751
Source: Journal of Thoracic Disease - September 16, 2021 Category: Respiratory Medicine Authors: Ali Haddad Cynthia Szalai Lena van Brakel Yacine Elhmidi Sven Arends Marco Rabis Anca Pop Arjang Ruhparwar Thorsten Brenner Sharaf-Eldin Shehada Source Type: research

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