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Surgical Ablation for Atrial Fibrillation During Aortic and Mitral Valve Surgery: A Nationwide Population-Based Cohort Study
There is limited evidence on the effectiveness of surgical AF ablation in reducing mortality or thromboembolic events during aortic/mitral valve (AV/MV) surgery. We evaluated the association of surgical ablation vs. no-ablation with risks of all-cause death and ischemic stroke or systemic embolization (SE) among patients with preoperative atrial fibrillation (AF) undergoing concomitant AV or MV surgery.
Source: The Journal of Thoracic and Cardiovascular Surgery - September 9, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Ho Jin Kim, Ye-Jee Kim, Minju Kim, Jae Suk Yoo, Dae-Hee Kim, Duk-Woo Park, Sung-Ho Jung, Suk Jung Choo, Joon Bum Kim Source Type: research

Atrial fibrillation ablation improves late survival after concomitant cardiac surgery
Preoperative atrial fibrillation (AF) increases risk of stroke, heart failure, and all-cause mortality after cardiac surgery. Despite encouraging results and guideline recommendations, surgical ablation (SA) for AF concomitant with other heart surgery remains low. In the current study we aimed to address the long-term mortality after SA concomitant with cardiac surgery.
Source: The Journal of Thoracic and Cardiovascular Surgery - May 14, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Mariusz Kowalewski, Micha ł Pasierski, Michalina Kołodziejczak, Radosław Litwinowicz, Adam Kowalówka, Wojciech Wańha, Andrzej Łoś, Sebastian Stefaniak, Wojciech Wojakowski, Marek Jemielity, Jan Rogowski, Marek Deja, Krzysztof Bartuś, Silvia Marian Tags: Adult Source Type: research

HVAD to HeartMate 3 left ventricular assist device exchange: Best practices recommendations
The HeartWare HVAD System (Medtronic) is a durable implantable left ventricular assist device that has been implanted in approximately 20,000 patients worldwide for bridge to transplant and destination therapy indications. In December 2020, Medtronic issued an Urgent Medical Device Communication informing clinicians of a critical device malfunction in which the HVAD may experience a delay or failure to restart after elective or accidental discontinuation of pump operation. Moreover, evolving retrospective comparative effectiveness studies of patients supported with the HVAD demonstrated a significantly higher risk of strok...
Source: The Journal of Thoracic and Cardiovascular Surgery - March 24, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Christopher T. Salerno, Christopher Hayward, Shelley Hall, Daniel Goldstein, Diyar Saeed, Jan Schmitto, David Kaczorowski, Ezequiel Molina, Daniel Zimpfer, Steven Tsui, Edward Soltesz, Duc Thin Pham, Nahush A. Mokadam, Arman Kilic, Erin Davis, Erika Felle Tags: Expert Review Source Type: research

Femoral Artery Cannulation Increases the Risk of Postoperative Stroke in Patients with Acute DeBakey I Aortic Dissection
The selection of different arterial cannulation site influences the incidence of postoperative stroke in patients with DeBakey I acute aortic dissection (AAD). The study aimed to explore the optimal arterial cannulation for these patients.
Source: The Journal of Thoracic and Cardiovascular Surgery - January 13, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Xiaomeng Wang, Nan Liu, Hong Wang, Yongmin Liu, Lizhong Sun, Junming Zhu, Xiaotong Hou Source Type: research

Epicardial Left Atrial Appendage Clip Occlusion in Patients with Atrial Fibrillation during Minimally Invasive Cardiac Surgery
Left atrial appendage (LAA) is a major source of stroke in patients with atrial fibrillation (AF), and clinical benefits of LAA occlusion have been demonstrated in previous studies. Complete exclusion of LAA has been recently available with epicardial clipping device in the setting of minimally invasive cardiac surgery (MICS).
Source: The Journal of Thoracic and Cardiovascular Surgery - October 27, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Younju Rhee, Sung Jun Park, Jae Won Lee Source Type: research

Commentary: Statins for secondary prevention after coronary artery bypass grafting: Pleiotropic effects and dementia risk
In this issue, Pan and colleagues1  present a study using population-based data from the SWEDEHEART registry to report on the impact of statins on major adverse events after coronary artery bypass grafting (CABG). Their results demonstrate decisively that the use of statins is associated with a decreased risk of all-cause mortality, cardiovascular mortality, myocardial infarction, stroke, the need for new revascularization or angiography, and, interestingly, dementia. These effects were observed in both men and women, and in those younger than and older than 75 years of age, and were not dependent on whether patients wer...
Source: The Journal of Thoracic and Cardiovascular Surgery - September 20, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Juan B. Grau Tags: Commentary Source Type: research

Commentary: Until we take it seriously, the status quo of postoperative atrial fibrillation management will prevail
New-onset postoperative atrial fibrillation (POAF) is common following cardiac surgery, developing in almost one-third of patients after coronary artery bypass grafting (CABG) and two-thirds of patients after valvular surgery.1 The long-standing characterization of atrial fibrillation (AF) as a transient and benign postoperative complication may be an underlying reason for the relatively limited progress in terms of its prophylaxis and management.2 This assumption has only recently been called into question by  new studies reporting varying degrees of association between POAF and mortality, stroke, myocardial infarction, or renal failure.
Source: The Journal of Thoracic and Cardiovascular Surgery - April 19, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Grace Lee, Derrick Y. Tam, Stephen E. Fremes Tags: Commentary Source Type: research

Atrial fibrillation after cardiac surgery: A systematic review and meta-analysis
The objective was to perform a meta-analysis of the studies reporting the association of POAF with perioperative and long-term outcomes in patients with cardiac surgery.
Source: The Journal of Thoracic and Cardiovascular Surgery - March 31, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Tulio Caldonazo, Hristo Kirov, Mohamed Rahouma, N. Bryce Robinson, Michelle Demetres, Mario Gaudino, Torsten Doenst, POAF-MA Group Tags: Adult Source Type: research

Atrial Fibrillation after Cardiac Surgery – A Systematic Review and Meta-Analysis
The objective was to perform a meta-analysis of the studies reporting the association of POAF with peri-operative and long-term outcomes in cardiac surgery.
Source: The Journal of Thoracic and Cardiovascular Surgery - March 31, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Tulio Caldonazo, Hristo Kirov, Mohamed Rahouma, N. Bryce Robinson, Michelle Demetres, Mario Gaudino, Torsten Doenst, POAF-MA Group Source Type: research

Biological versus Mechanical Prostheses for Aortic Valve Replacement.
The objective was to compare long-term survival and major adverse cardiac and cardiovascular events (i.e. stroke, reoperation, and major bleeding) within this population.
Source: The Journal of Thoracic and Cardiovascular Surgery - February 5, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Emiliano A. Rodr íguez-Caulo, Oscar Blanco-Herrera, Elisabet Berastegui, Javier Arias-Dachary, Souhayla Souaf, Gertrudis Parody, Gregorio Laguna, SPAVALVE study group Source Type: research

Biological versus mechanical prostheses for aortic valve replacement
The objective was to compare long-term survival and major adverse cardiac and cardiovascular events (ie, stroke, reoperation, and major bleeding) within this population.
Source: The Journal of Thoracic and Cardiovascular Surgery - February 5, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Emiliano A. Rodr íguez-Caulo, Oscar R. Blanco-Herrera, Elisabet Berastegui, Javier Arias-Dachary, Souhayla Souaf-Khalafi, Gertrudis Parody-Cuerda, Gregorio Laguna, SPAVALVE Study Group Tags: Adult Source Type: research

Cerebral Atherosclerosis and Early Ischemic Stroke After Left-Sided Valve Replacement Surgery
This study evaluated the impact of cerebral atherosclerosis on the risk of stroke after left-sided valve replacement surgery.
Source: The Journal of Thoracic and Cardiovascular Surgery - May 11, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Ho Jin Kim, Eun-Jae Lee, Sung-Ho Jung, Jae Won Lee, Jong S. Kim, Joon Bum Kim, Sun U. Kwon Source Type: research

Commentary: Postpericardial syndrome after cardiac surgery: Is it really benign?
Lehto and colleagues1 report on the long-term outcomes of postpericardiotomy syndrome (PPS) occurring after aortic valve replacement (AVR) surgery. The patient cohort was drawn from 2 large Finnish multi-institutional clinical trial databases, namely CAREAVR (Consortium of Studies in the Field of Atrial Fibrillation, Stroke, and Bleeding in Patients Undergoing Aortic Valve Replacement) and CAREBANK (Cardiovascular Research Consortium---A Prospective Project to Identify Biomarkers of Morbidity and Mortality in Cardiovascular Interventional Patients),1 in which a total of 671 AVR patients (bioprosthesis, n  = 361 and mecha...
Source: The Journal of Thoracic and Cardiovascular Surgery - March 11, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Suk Jung Choo Tags: Commentary Source Type: research

Commentary: Subclinical valve thrombosis —Are all transcatheter aortic valves created equal?
Transcatheter aortic valve insertion (TAVI) technology presents new opportunities but also new challenges, including subclinical valve thrombosis (SCVT). In this edition of the Journal, Woldendorp and colleagues1 report a meta-analysis investigating SCVT after TAVI focusing on prevalence, predisposing factors, management, and consequences. Twelve studies that screened for SCVT using multidetector computed tomography (MDCT) were included comparing stroke risk between patients with SCVT and those without, as well as the effects of antiplatelet therapy and oral anticoagulation (OAC) on preventing SCVT.
Source: The Journal of Thoracic and Cardiovascular Surgery - February 20, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Sajiram Sarvananthan, Clifford William Barlow Tags: Commentary Source Type: research

Subclinical valve thrombosis in transcatheter aortic valve implantation: A systematic review and meta-analysis.
Recent high-resolution CT studies after transcatheter aortic valve insertion (TAVI) have reported high prevalence of subclinical valve thrombosis (SCVT), potentially contributing to increased risk of late stroke. We aimed to investigate SCVT after TAVI patients with focus on prevalence, predisposing factors, management, and potential sequelae.
Source: The Journal of Thoracic and Cardiovascular Surgery - February 18, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Kei Woldendorp, Mathew P. Doyle, Deborah Black, Martin Ng, Anthony Keech, Stuart Grieve, Paul G. Bannon Source Type: research

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