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Artificial aortic valve dysfunction due to pannus and thrombus - different methods of cardiac surgical management.
CONCLUSIONS: Precise and modern diagnostic methods facilitated selection of the treatment method. However, the intraoperative view also seems to be crucial in individualizing the surgical approach. PMID: 26702274 [PubMed]
Source: Polish Journal of Cardio-Thoracic Surgery - January 20, 2016 Category: Cardiovascular & Thoracic Surgery Tags: Kardiochir Torakochirurgia Pol Source Type: research

One-Stop Hybrid Coronary Revascularization versus Off-Pump Coronary Artery Bypass in Patients with Diabetes Mellitus
Using propensity score matching, We compared the inhospital and midterm outcomes after one-stop HCR with OPCAB in patients with DM, and found that one-stop HCR had less blood loss, lower PRBC requirement, faster recovery, and similar MACCE rate but reduced stroke rate over 30 months follow-up.
Source: The Journal of Thoracic and Cardiovascular Surgery - February 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Zhizhao Song, Liuzhong Shen, Zhe Zheng, Bo Xu, Hui Xiong, Lihuan Li, Shengshou Hu Source Type: research

Medtronic Freestyle aortic bioprosthesis: a potential option for haemodialysis patients
CONCLUSIONS Aortic bioprostheses are a good option for haemodialysis patients requiring AVR, offering acceptable mid-term survival. The Medtronic Freestyle aortic bioprostheses could allow the implantation of larger bioprostheses inferring consequently lower mean gradients, with a potentially higher resistance to calcification and sclerosis in haemodialysis patients.
Source: Interactive CardioVascular and Thoracic Surgery - March 21, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Hegazy, Y. Y., Rayan, A., Sodian, R., Hassanein, W., Ennker, J. Tags: Basic research vascular ADULT CARDIAC Source Type: research

No clinical effect of prosthesis-patient mismatch after transcatheter versus surgical aortic valve replacement in intermediate- and low-risk patients with severe aortic valve stenosis at mid-term follow-up: an analysis from the NOTION trial ADULT CARDIAC
CONCLUSIONS The incidence of PPM was lower and less severe after TAVR compared with SAVR in intermediate- and low-risk patients with severe AVS. There were no significant differences in MACCE, cardiac-related hospitalizations or NYHA class after 2 years for patients with versus those without severe PPM.
Source: European Journal of Cardio-Thoracic Surgery - October 4, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Thyregod, H. G. H., Steinbrüchel, D. A., Ihlemann, N., Ngo, T. A., Nissen, H., Kjeldsen, B. J., Chang, Y., Hansen, P. B., Olsen, P. S., Sondergaard, L. Tags: History, Basic research vascular ADULT CARDIAC Source Type: research

The Use of Bilateral Internal Mammary Arteries for Coronary Revascularization in Patients with COPD: Is It a Good Idea?
CONCLUSION: COPD patients can benefit from coronary artery revascularization with BIMA; however, postoperative blood loss can be higher using this technique. PMID: 27801306 [PubMed - in process]
Source: The Heart Surgery Forum - October 30, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Hegazy YY, Sodian R, Hassanein W, Rayan A, Ennker J Tags: Heart Surg Forum Source Type: research

Contrast ‐induced encephalopathy following cardiac catheterization
ConclusionsCIE is an important clinical entity to consider in the differential diagnosis of stroke following cardiac catheterization. Given that prognosis is excellent with supportive management only, physicians should be aware of it, and consider it prior to initiating thrombolysis. © 2016 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - November 28, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Roberto Spina, Neil Simon, Romesh Markus, David WM Muller, Krishna Kathir Tags: Coronary Artery Disease Source Type: research

Predictors of Atrial Fibrillation After Coronary Artery Bypass Grafting: A  Bayesian Analysis
Conclusions This prospective Bayesian analysis identified five independent preoperative predictors of POAF after isolated CABG with cardiopulmonary bypass: CHA2DS2-VASc score, severe obesity, preoperative β-blocker use, preoperative antiplatelet therapy, and renal failure. The main interest in the CHA2DS2-VASc score as a predictor of POAF is that it is a simple and widely used bedside tool. Patients with these independent predictors of POAF may constitute a target population to test preventive strategies, such as non-antiarrhythmic and antiarrhythmic drugs.
Source: The Annals of Thoracic Surgery - December 18, 2016 Category: Cardiovascular & Thoracic Surgery Source Type: research

Clinical events beyond one year after an acute coronary syndrome: insights from the RECLOSE 2-ACS study.
CONCLUSIONS: Patients at risk of adverse events beyond 12 months after an ACS may be identified by simple clinical and angiographic characteristics such as age, diabetes, chronic kidney disease, prior MI and multivessel CAD. The risk of adverse events progressively increases with the number of these high-risk features. PMID: 28317790 [PubMed - in process]
Source: EuroIntervention - March 23, 2017 Category: Cardiovascular & Thoracic Surgery Tags: EuroIntervention Source Type: research

Reoperation for Coronary Artery Bypass Grafting Surgery: Outcomes and Considerations for Expanding Interventional Procedures
Conclusions Redo CABG can be performed safely with low early and late morbidity and mortality. Important predictors of long-term mortality such as age, diabetes, renal disease, and peripheral vascular disease were identified and should guide the treatment strategy chosen for this challenging group of patients.
Source: The Annals of Thoracic Surgery - May 18, 2017 Category: Cardiovascular & Thoracic Surgery Source Type: research

Cardiac Surgery Outcomes in Abdominal Solid Organ Transplant Recipients
Conclusions Previous history of abdominal transplant is associated with an increased 30-day incidence of stroke after cardiac surgery. Abdominal transplant does not affect 30-day mortality after cardiac surgery, whereas long-term survival is significantly reduced. Regular patient follow-up and prevention and early treatment of postoperative complications are key to patient survival.
Source: The Annals of Thoracic Surgery - February 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Relationship of mildly increased albuminuria and coronary artery revascularization outcomes in patients with diabetes
ConclusionsMildly increased albuminuria is a significant predictor of all ‐cause mortality in those with type‐II diabetes mellitus and stable coronary artery disease, as well as for cardiovascular events those who are nonwhites.
Source: Catheterization and Cardiovascular Interventions - November 23, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Ayesha Siddique, Timothy P. Murphy, Syed S. Naeem, Efaza U. Siddiqui, Karol M. Pencina, Gregory E. McEnteggart, Frank W. Sellke, Lance D. Dworkin Tags: CORONARY ARTERY DISEASE Source Type: research

The Relation Between Echocardiographic Epicardial Fat Thickness and CHA2DS2-VASc Score in Patients with Sinus Rhythm
Conclusion: Our findings suggest that echocardiographic EFT measurement could provide additional information on assessing cardiovascular risks, such as thromboembolic events, and individuals with increased EFT should receive more attention to reduce unfavorable cardiovascular risk factors and the development of future cardiovascular events.
Source: Revista Brasileira de Cirurgia Cardiovascular - February 25, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Diabetes and Outcomes following Guided De-Escalation of Antiplatelet Treatment in Acute Coronary Syndrome Patients Undergoing Percutaneous Coronary Intervention: A Prespecified Analysis from the Randomized TROPICAL-ACS Trial.
CONCLUSIONS: Although diabetic status did not significantly interfere with treatment effects of guided DAPT de-escalation, our results suggest that this approach might be safe and effective in non-diabetic patients, whilst further investigation is definitely warranted in diabetic patients. PMID: 31012853 [PubMed - as supplied by publisher]
Source: EuroIntervention - April 25, 2019 Category: Cardiovascular & Thoracic Surgery Tags: EuroIntervention Source Type: research

Predicting postoperative atrial fibrillation after myocardial revascularization without cardiopulmonary bypass: A retrospective cohort study
ConclusionOff ‐pump coronary artery bypass grafting proved a safe and effective procedure, with low postoperative atrial fibrillation occurrence, for myocardial revascularization. Chronic renal insufficiency and the use of venous‐origin graft solely proved to be independent predictor factors for PAOF.
Source: Journal of Cardiac Surgery - June 17, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Edgar Vidotti, Lisia F. K. Vidotti, Camila A. G. Arruda Tavares, Érica D. Z. Ferraz, Vagner Oliveira, Augusto G. Andrade, Janaina M. B. Cardoso, Márcio H. Cardoso Tags: ORIGINAL ARTICLE Source Type: research

Bilateral versus single internal thoracic artery grafting in hemodialysis patients
ConclusionsBITA grafting was able to achieve revascularization with minimal manipulation of the diseased ascending aorta without increasing the complication rate. The long-term survival benefit of BITA grafting, however, was unclear in dialysis patients, especially because such patients have a relatively short life expectancy.
Source: General Thoracic and Cardiovascular Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

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