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Estimated pulse-wave velocity predicts survival in patients requiring extracorporeal membrane oxygenation
CONCLUSIONS: ePWV is a promising marker for risk-stratification in ECMO patients. Further investigation is required to better delineate the role of arterial health assessment in disease trajectory and strengthen the validity of AS as a marker of interest in medical and surgical management.PMID:36419384 | DOI:10.1177/02676591221141963
Source: Perfusion - November 24, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Mohsyn I Malik Dave Nagpal Source Type: research

Prognosis and Clinical Results after Coronary Artery Bypass Operation in Young Patients Aged < 45 Years: Chances and Limitations of a New Therapy Option
Thorac Cardiovasc Surg DOI: 10.1055/s-0041-1736229Coronary artery bypass grafting (CABG) is the recommended type of revascularization procedure in patients with left main or three-vessel disease and is considered an alternative when percutaneous coronary intervention is not feasible. We evaluated registry data to obtain long-term outcome data.All patients ≤45 years in whom CABG was performed between 2009 and 2019 were selected from the Heart and Diabetes Center NRW, Germany. Cox regression analysis was applied to estimate the incidence risk of events after surgery.A total of 209 patients (81.8% male) were included. Mean ...
Source: The Thoracic and Cardiovascular Surgeon - November 22, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Wittlinger, Thomas Schramm, Ren é Bleiziffer, Sabine Rudolph, Volker Gummert, Jan Fritz Deutsch, Marcus-Andr é Tags: Original Cardiovascular Source Type: research

Frozen Elephant Trunk for Aortic Arch Reconstruction is Associated with Reduced Mortality as Compared to Conventional Techniques
To examine the perioperative outcomes following aortic arch repair using frozen elephant trunk (FET) vs. conventional elephant trunk (ET) techniques. Between 2002 and 2018, 390 patients underwent aortic repair with elephant trunk reconstruction at 9 centers: 172 patients received a FET (mean age: 65+/-13 years, 30% female, 37% aortic dissection) and 218 patients received an ET (mean age: 63+/-13 years, 37% female, 43% aortic dissection). Outcomes of interest included in-hospital mortality; stroke; and spinal cord injury (SCI).
Source: Seminars in Thoracic and Cardiovascular Surgery - June 2, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Ali Hage, Fadi Hage, Francois Dagenais, Maral Ouzounian, Jennifer Chung, Ismail El-Hamamsy, Mark D. Peterson, Munir Boodhwani, John Bozinovski, Michael C. Moon, Michael Yamashita, Michael W.A. Chu, Canadian Thoracic Aortic Collaborative, Andreanne Cartier Tags: ADULT – Original Submission Source Type: research

Commentary: Caution on Causation
In this edition of The Journal, the Canadian Thoracic Aortic Collaborative (CTAC) presents a multicenter study1 comparing use of frozen elephant trunk (FET) with conventional elephant trunk (ET) techniques in aortic arch repair. The groups had similar rates of stroke (12-13%) and spinal cord injury (SCI) (2-5%), although transient SCI was higher in the FET group (2.9% vs 0%), a phenomenon that did not appear to be related to stent-graft length. The FET endoleak rate was low, with no type 1As using on-label endografts.
Source: Seminars in Thoracic and Cardiovascular Surgery - June 1, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Dawn S. Hui Tags: ADULT – Commentary Source Type: research

Right anterior mini thoracotomy approach for isolated aortic valve replacement: Early outcomes at a Canadian center
ConclusionThe sternum-sparing RAMT approach can be safely integrated into surgical practice as a minimally invasive alternative for isolated AVR, and can reduce postoperative bleeding and narcotic requirements.
Source: Journal of Cardiac Surgery - May 18, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Ali Fatehi Hassanabad, Nader Aboelnazar, Andrew Maitland, Daniel D Holloway, Corey Adams, William D T Kent Tags: ORIGINAL ARTICLE Source Type: research

First-in-Human Use of the COOK Hybrid Frozen Elephant Trunk Graft: The Canadian Experience.
CONCLUSIONS: The Cook hybrid stent-graft device provides encouraging mid-term results in a high-risk cohort. This novel graft is simple to deploy, may be customized to patients' anatomy in elective cases, eases arch reconstruction and allows versatility in the choice of arch grafts. PMID: 33058821 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - October 12, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Chauvette V, Demers P, Lachapelle K, Chu MWA, Dagenais F Tags: Ann Thorac Surg Source Type: research

Costs of surgical ablation of atrial fibrillation in Ontario, Canada from 2006 to 2017
ConclusionOntario taxpayers spend significant financial resources on surgical ablation of AF, a procedure lacking high ‐quality evidence demonstrating benefit in reducing mortality or stroke. Further large prospective studies examining clinically important outcomes are needed to justify its routine use in patient care and to guide allocation of healthcare funds.
Source: Journal of Cardiac Surgery - September 27, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Justin Y. Chow, Graham McClure, Emilie P. Belley ‐Côté, William F. McIntyre, Rohit K. Singal, Richard P. Whitlock Tags: ORIGINAL ARTICLE Source Type: research

Mitral valve prosthesis choice in patients < 70 years: A systematic review and meta ‐analysis of 20 219 patients
ConclusionMechanical MVR in patients aged less than 70 years is associated with a lower risk of operative mortality as well as a 20% lower risk of long ‐term death and 65% lower risk of mitral valve reoperation but 60% greater risk of bleeding compared with bioMVR in matched or adjusted data.
Source: Journal of Cardiac Surgery - February 27, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Bobby Yanagawa, Jessica Lee, Maral Ouzounian, Akshay Bagai, Asim Cheema, Subodh Verma, Jan O. Friedrich, on behalf of the Canadian Cardiovascular Surgery Meta ‐Analysis Working Group Tags: ORIGINAL ARTICLE Source Type: research

Valve-Sparing Root Replacement vs Composite Valve Grafting in Aortic Root Dilation: A Meta-Analysis
ConclusionsAortic valve sparing appears to be safe, and associated with reduced late mortality, thromboembolism/stroke and bleeding compared with composite valve grafting. Late durability is equivalent. Aortic valve sparing should be considered in patients with favorable aortic valve morphology.Graphical abstract
Source: The Annals of Thoracic Surgery - January 23, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Valve-Sparing Root Replacement vs Composite Valve Grafting in Aortic Root Dilation: A Meta-Analysis.
CONCLUSIONS: Aortic valve sparing appears to be safe, and associated with reduced late mortality, thromboembolism/stroke and bleeding compared with composite valve grafting. Late durability is equivalent. Aortic valve sparing should be considered in patients with favorable aortic valve morphology. PMID: 31981499 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - January 21, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Elbatarny M, Tam DY, Edelman JJ, Rocha RV, Chu MWA, Peterson MD, El-Hamamsy I, Appoo JJ, Friedrich JO, Boodhwani M, Yanagawa B, Ouzounian M, Canadian Thoracic Aortic Collaborative (CTAC) Investigators Tags: Ann Thorac Surg Source Type: research

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