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Source: The Annals of Thoracic Surgery
Condition: Stroke

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Total 354 results found since Jan 2013.

Risk of Intraatrial Thrombi After Thoracoscopic Ablation in Absence of Heparin and Appendage Closure
Conclusions Thoracoscopic ablation of AF can be associated with a risk of left atrial appendage thrombus formation and possibly also stroke. With administration of heparin during the ablation, followed by occlusion of the left atrial appendage as a part of the procedure, this risk can be effectively reduced.
Source: The Annals of Thoracic Surgery - August 25, 2017 Category: Cardiovascular & Thoracic Surgery Source Type: research

Aortic Atheroma Increases the Risk of Long-Term Mortality in 20,000 Patients
Conclusions Aortic atheromatous disease of any grade in the ascending and descending aorta is a significant long-term risk of long-term, all-cause mortality in cardiac operation patients. This association remains independent of other conventional risk factors and is not related to postoperative cerebrovascular accidents.
Source: The Annals of Thoracic Surgery - September 19, 2017 Category: Cardiovascular & Thoracic Surgery Source Type: research

Bilateral Internal Mammary Artery Utilization in Diabetics: Friend or Foe?
Conclusions In this statewide analysis, diabetics who received BIMA grafts (compared to diabetics with LIMA grafts or non-diabetics with BIMA grafts) had higher O/E ratios for composite morbidity/mortality as a result of higher O/E ratios for major complications.
Source: The Annals of Thoracic Surgery - June 20, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

A Systemic Review and Meta-Analysis of Sutureless Aortic Valve Replacement Versus Transcatheter Aortic Valve Implantation
ConclusionsOur meta-analysis of observational studies demonstrates that early mortality is lower after SU-AVR than after TAVI in selected patients. The rates of stroke and pacemaker implant are comparable between procedures; however, the incidence of paravalvular leak is higher after TAVI.
Source: The Annals of Thoracic Surgery - August 21, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Bilateral Internal Mammary Artery Use in Diabetic Patients: Friend or Foe?
ConclusionsIn this statewide analysis, diabetic patients who received BIMA grafts (compared with diabetic patients with LIMA grafts or nondiabetic patients with BIMA grafts) had higher O/E ratios for composite morbidity/mortality as a result of higher O/E ratios for major complications.
Source: The Annals of Thoracic Surgery - September 21, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Cognition and Cerebral Infarction in Older Adults After Surgical Aortic Valve Replacement
ConclusionsIn high-risk, aged participants undergoing surgical AVR for aortic stenosis, post-operative cognitive dysfunction was surprisingly limited and was resolved by 1-year in most. Post-operative cognitive dysfunction at 4-6 weeks was associated with more and larger acute cerebral infarcts.
Source: The Annals of Thoracic Surgery - November 11, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Surgical repair of distal aortic arch aneurysm with distal extension: sternotomy versus thoracotomy
ConclusionsThe sternotomy approach showed better outcomes in terms of operative mortality, stroke, and pneumonia, as well as long-term survival compared to thoractomy. These results suggested that the sternotomy approach was more appropriate for patients with distal aortic arch aneurysms with distal extensions.
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Impact of Aortic Atherosclerosis Burden on Outcomes of Surgical Aortic Valve Replacement
ConclusionsModerate/severe aortic atherosclerosis was associated with an increased risk of adverse events following SAVR. Epiaortic ultrasound may serve as a useful adjunct for identifying patients who may benefit from strategies to reduce atheroembolic complications during SAVR.
Source: The Annals of Thoracic Surgery - August 7, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Risk factors for atrial fibrillation recurrence post Cox-maze IV performed without pre-exclusion
ConclusionsThe Cox maze IV procedure performed without pre-exclusions showed reasonable survival rates. Although AF recurred in patients with longer AFD, they fared well with significant increases in stroke volume. Concomitant atrial volume reduction may have contributed to these additional benefits.
Source: The Annals of Thoracic Surgery - August 28, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Thrombocytopenia After Cardiopulmonary Bypass is Associated with Increased Morbidity and Mortality
ConclusionsPost-operative thrombocytopenia is independently associated with post-operative mortality, AKI, infection, stroke, and prolonged ICU and hospital LOS. Serial platelet monitoring may help identify patients at higher risk of post-operative complications. Further studies investigating strategies to reduce post-operative thrombocytopenia, including reducing CPB time, are needed.
Source: The Annals of Thoracic Surgery - December 7, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Analysis of Autologous Platelet-Rich Plasma During Ascending and Transverse Aortic Arch Surgery ORIGINAL ARTICLES: ADULT CARDIAC
Conclusions The utilization of aPRP was associated with a reduction in allogeneic blood transfusions as well as a decrease in early postoperative morbidity during repairs of the ascending and transverse arch aorta using PHCA.
Source: The Annals of Thoracic Surgery - April 30, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Zhou, S.-F., Estrera, A. L., Miller, C. C., Ignacio, C., Panthayi, S., Loubser, P., Sagun, D. L., Sheinbaum, R., Safi, H. J. Tags: Cardiac - pharmacology, Great vessels ORIGINAL ARTICLES: ADULT CARDIAC Source Type: research

Survival and Quality of Life for Nonagenarians After Cardiac Surgery ORIGINAL ARTICLES: ADULT CARDIAC
Conclusions Survival in nonagenarians is comparable after CABG or valve surgery. Redo surgery, stroke, and increasing age are significant hazards for mortality. Nonagenarians can undergo cardiac surgery with acceptable mortality and quality of life.
Source: The Annals of Thoracic Surgery - April 30, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Caceres, M., Cheng, W., De Robertis, M., Mirocha, J. M., Czer, L., Esmailian, F., Khoynezhad, A., Ramzy, D., Kass, R., Trento, A. Tags: Coronary disease, Valve disease ORIGINAL ARTICLES: ADULT CARDIAC Source Type: research

Early and Long-Term Mortality in 536 Patients After the Cox-Maze III Procedure: A National Registry-Based Study ORIGINAL ARTICLES: ADULT CARDIAC
Conclusions Registry-based follow-up showed low early and long-term cardiovascular mortality and no stroke-related mortality. This is important baseline information when evaluating current surgical and nonsurgical treatment of atrial fibrillation.
Source: The Annals of Thoracic Surgery - April 30, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Albage, A., Jideus, L., Stahle, E., Johansson, B., Berglin, E. Tags: Electrophysiology - arrhythmias ORIGINAL ARTICLES: ADULT CARDIAC Source Type: research

Coronary Artery Surgery Versus Percutaneous Coronary Intervention in Octogenarians: Long-Term Results
Conclusions In this real-world setting, surgical coronary revascularization remains the standard of care for patients with left main or multivessel disease. The long-term outcomes of current percutaneous coronary intervention technology in octogenarians are yet to be determined with adequately powered prospective randomized studies.
Source: The Annals of Thoracic Surgery - December 11, 2014 Category: Cardiovascular & Thoracic Surgery Source Type: research

Relationship of Single Ventricle Filling and Preload to Total Cavopulmonary Connection Hemodynamics
Conclusions Flow-independent TCPC power loss is inversely related with ventricular end-diastolic and stroke volumes. Elevated power losses may contribute to impaired diastolic filling and limited preload reserve in single ventricle patients.
Source: The Annals of Thoracic Surgery - January 23, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research