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Prospective Randomized Evaluation of the Watchman Left Atrial Appendage Closure Device in Patients With Atrial Fibrillation Versus Long-Term Warfarin Therapy The PREVAIL Trial
ConclusionsIn this trial, LAA occlusion was noninferior to warfarin for ischemic stroke prevention or SE>7 days’ post-procedure. Although noninferiority was not achieved for overall efficacy, event rates were low and numerically comparable in both arms. Procedural safety has significantly improved. This trial provides additional data that LAA occlusion is a reasonable alternative to warfarin therapy for stroke prevention in patients with NVAF who do not have an absolute contraindication to short-term warfarin therapy.
Source: Journal of the American College of Cardiology: Cardiovascular Imaging - July 3, 2014 Category: Radiology Source Type: research

An Unusual Cause of Altered Mental Status: Recurrent Cerebral Air Embolism from Atrial-Esophageal Fistula (P2.119)
Conclusion:The incidence of stroke secondary to air emboli is rare but a known complication of AEF's. Review of literature showed no reports of recurrent air embolism following successful treatment with HBO and repair of AEF. It is important to consider air embolism in any patient with a history of AEF, regardless of prior treatment.Disclosure: Dr. Ahmed has nothing to disclose. Dr. Myers has nothing to disclose. Dr. Kim has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Ahmed, I., Myers, T., Kim, J. Tags: Cerebrovascular Disease and Interventional Neurology: Behavioral, Cognitive, and Miscellaneous Source Type: research

Ascending-to-Descending Aoritc Bypass: A Simple Solution to a Complex Problem.
CONCLUSIONS: The ascending-to-descending aortic bypass can be performed with low morbidity and mortality. It is an effective solution to complex aortic coarctation and represents a safe single-stage approach for patients with concomitant cardiac pathology. PMID: 24725830 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - April 8, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Said SM, Burkhart HM, Dearani JA, Connolly HM, Schaff HV Tags: Ann Thorac Surg Source Type: research

Feasibility and Efficacy of Mitral Valve Repair for Degenerative Mitral Regurgitation in the Elderly.
Conclusion: Mitral valve repair can provide satisfactory early as well as long-term outcomes and can preserve left ventricular function even in the elderly. PMID: 24429695 [PubMed - as supplied by publisher]
Source: Annals of Thoracic and Cardiovascular Surgery - January 15, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Murashita T, Okada Y, Kanemitsu H, Fukunaga N, Konishi Y, Nakamura K, Koyama T Tags: Ann Thorac Cardiovasc Surg Source Type: research

Inhospital Complications Associated with Catheter Ablation of Atrial Fibrillation in the United States between 2000-2010: Analysis of 93,801 Procedures.
CONCLUSIONS: The overall complication rate was 6.29% in patients undergoing AF ablation. There was a significant association between operator and hospital volume on adverse outcomes. This suggests a need for future research into identifying the safety measures in AF ablations and instituting appropriate interventions to improve overall AF ablation outcomes. PMID: 24061087 [PubMed - as supplied by publisher]
Source: Circulation - September 23, 2013 Category: Cardiology Authors: Deshmukh A, Patel NJ, Pant S, Shah N, Chothani A, Mehta K, Grover P, Singh V, Vallurupalli S, Savani GT, Badheka A, Tuliani T, Dabhadkar K, Dibu G, Reddy YM, Sewani A, Kowalski M, Mitrani R, Paydak H, Viles-Gonzalez JF Tags: Circulation Source Type: research

Ringless alfieri mitral valve repair for significant ischemic mitral regurgitation with coronary artery bypass grafting.
Conclusions: Alfieri mitral valve repair is associated with lower risks of mortality, postoperative stroke, and prolonged intensive care unit and hospital stays. Alfieri mitral valve repair and concomitant CABG surgery can be performed in patients with IMR. PMID: 23958527 [PubMed - in process]
Source: The Heart Surgery Forum - August 1, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Kunt AS Tags: Heart Surg Forum Source Type: research

Minimally Invasive Fibrillating Heart Surgery: A Safe and Effective Approach for Mitral Valve and Surgical Ablation for Atrial Fibrillation.
CONCLUSIONS: We demonstrated that low operative mortality and low stroke rate with MI fibrillating cardiac operations without cross-clamping allows for MVS and AF ablation. Our results suggest that the MI fibrillating heart approach is safe and effective. PMID: 23773732 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - June 15, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Massimiano PS, Yanagawa B, Henry L, Holmes SD, Pritchard G, Ad N Tags: Ann Thorac Surg Source Type: research

Variation in Warfarin Thromboprophylaxis After Mitral Valve Repair: Does Equipoise Exist and Is a Randomized Trial Warranted?
CONCLUSIONS: At present, half of patients are prescribed warfarin after isolated mitral valve repair in North American cardiac surgical practice which may impact the length of hospital stay. Although patient-level predictors of warfarin prescription exist, center- and surgeon-level variations are prominent. There is a pressing need for a randomized trial both to guide therapy and to ascertain the potential for resource conservation. PMID: 23706423 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - May 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Suri RM, Thourani VH, He X, Brennan JM, O'Brien SM, Rankin JS, Schaff HV, Gammie JS Tags: Ann Thorac Surg Source Type: research

Variation in Warfarin Thromboprophylaxis After Mitral Valve Repair: Does Equipoise Exist and Is a Randomized Trial Warranted? ORIGINAL ARTICLES: ADULT CARDIAC
Conclusions At present, half of patients are prescribed warfarin after isolated mitral valve repair in North American cardiac surgical practice which may impact the length of hospital stay. Although patient-level predictors of warfarin prescription exist, center- and surgeon-level variations are prominent. There is a pressing need for a randomized trial both to guide therapy and to ascertain the potential for resource conservation.
Source: The Annals of Thoracic Surgery - May 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Suri, R. M., Thourani, V. H., He, X., Brennan, J. M., O'Brien, S. M., Rankin, J. S., Schaff, H. V., Gammie, J. S. Tags: Valve disease ORIGINAL ARTICLES: ADULT CARDIAC Source Type: research

Minimally invasive approach provides at least equivalent results for surgical correction of mitral regurgitation: A propensity-matched comparison
Conclusions: In appropriate patients with isolated mitral valve disease of any cause, a right minithoracotomy approach may be used without compromising clinical outcome.
Source: The Journal of Thoracic and Cardiovascular Surgery - February 16, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Andrew B. Goldstone, Pavan Atluri, Wilson Y. Szeto, Alen Trubelja, Jessica L. Howard, John W. MacArthur, Craig Newcomb, Joseph P. Donnelly, Dale M. Kobrin, Mary A. Sheridan, Christiana Powers, Robert C. Gorman, Joseph H. Gorman, Alberto Pochettino, Joseph Tags: Acquired Cardiovascular Disease Source Type: research

Boston Doctors Use ‘Medical GPS’ To Help In Heart Surgeries
var WNVideoCanvas_vid8327388 = new WNVideoWidget("WNVideoCanvas", "WNVideoCanvas_vid8327388", "1"); //Playback options WNVideoCanvas_vid8327388.SetVariable("widgetId", 8327388); WNVideoCanvas_vid8327388.SetVariable("addThisDivId", "WNVideoCanvas_vid8327388_addThis"); WNVideoCanvas_vid8327388.SetVariable("incanvasAdDivId", "WNVideoCanvas_vid8327388_adDiv"); WNVideoCanvas_vid8327388.SetVariable("clipId", "8327388"); WNVideoCanvas_vid8327388.SetVariable("isMute", "false"); WNVideoCanvas_vid8327388.SetVariable("isAutoStart", "false"); //AdRevenue settings WNVideoCanvas_vid8327388.SetReportingKeywords("CBS.BOSTON"); W...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - February 5, 2013 Category: Consumer Health News Authors: deanreddington Tags: Health Local News Seen On WBZ-TV Syndicated Local Watch Listen Atrial Fibrillation GPS Heart Surgery Kerry Connolly Mediguide Source Type: news

Midterm Results of David Reimplantation in Patients With Connective Tissue Disorder ORIGINAL ARTICLES: ADULT CARDIAC
Conclusions Prophylactic root and valve preservation using David reimplantation is safe and provides excellent midterm effectiveness and low risk of late events except for endocarditis.
Source: The Annals of Thoracic Surgery - January 30, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Svensson, L. G., Blackstone, E. H., Alsalihi, M., Batizy, L. H., Roselli, E. E., McCullough, R., Vivacqua, A., Moran, R. T., Gillinov, A. M., Thamilarasan, M., Griffin, B., Hammer, D. F., Stewart, W. J., Sabik, J. F., Lytle, B. W. Tags: Valve disease ORIGINAL ARTICLES: ADULT CARDIAC Source Type: research

Initial Experience With a Novel Percutaneous Left Atrial Appendage Exclusion Device in Patients With Atrial Fibrillation, Increased Stroke Risk, and Contraindications to Anticoagulation
Atrial fibrillation (AF) increases by fivefold a patient's risk for thromboembolic stroke. The main source of emboli in AF is the left atrial appendage (LAA). Therefore, LAA closure could reduce the risk for thromboembolic events in AF. The investigators report the first United States experience with a novel percutaneous LAA closure device, the Lariat snare device, and its outcomes in 21 patients with AF, CHADS2 scores ≥2, and contraindications to anticoagulation. The LAA was closed with a snare containing suture from within the pericardial space. The intraoperative success of the procedure was confirmed by left atrial a...
Source: The American Journal of Cardiology - January 11, 2013 Category: Cardiology Authors: Ali Massumi, Mihail Gabriel Chelu, Alireza Nazeri, Stephen Allen May, Hamid Afshar-Kharaghan, Mohammad Saeed, Mehdi Razavi, Abdi Rasekh Tags: Arrhythmias and Conduction Disturbances Source Type: research

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