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210 * contemporary approach of thoraco-abdominal aortic repair using moderate to deep hypothermia combined with target reconstruction of the adamkiewicz artery
Conclusion: Moderate to deep hypothermia combined with target reconstruction of the Adamkiewicz artery brings satisfactory outcomes in thoraco-abdominal aortic repair, especially for spinal cord protection.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Tanaka, H., Minatoya, K., Sasaki, H., Oda, T., Itonaga, T., Kobayashi, J. Tags: Thoraco-abdominal aortic repair reloaded Source Type: research

232-i * endoaortic balloon clamping and transthoracic aortic clamping are both safe and effective in minimally invasive mitral valve surgery
Conclusion: Despite recent concerns arising about EAC, this large multicentre study shows equivalence in term of safety and effectiveness of this technique compared with TTC. Reduction in postoperative bleeding was observed in the EAC group despite the higher rate of complex redo cases.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Rinaldi, M., Krakor, R., Bentala, M., Casselman, F., Candolfi, P., Barbero, C., Goldstein, J. Tags: Adult cardiac rapid response 2 Source Type: research

293 * early and late outcome after surgery for acute type a aortic dissection in the elderly
Conclusion: Emergency surgery for ATAAD in elderly patients can be performed with acceptable early mortality and satisfactory intermediate survival. Preoperative acute neurological deficit predicts a worse outcome. Advanced age alone is not a contraindication to ATAAD repair.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Malvindi, P. G., Modi, A., Miskolczi, S., Ohri, S. K., Barlow, C. W., Livesey, S., Tsang, G. M., Velissaris, T. Tags: Outcome in challenging surgery Source Type: research

302 * full sternotomy versus right anterior mini-thoracotomy for isolated aortic valve replacement in octogenarians: a propensity matched study
Conclusion: Minimally invasive AVR through RAMT can be safely performed in patients aged ≥80 years with acceptable morbidity and mortality rates. It is an expeditious and effective alternative to full sternotomy AVR and might be associated with lower stroke incidence.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Gilmanov, D. S., Farneti, P. A., Ferrarini, M., Santarelli, F., Murzi, M., Miceli, A., Solinas, M., Glauber, M. Tags: Infective endocarditis and outcomes Source Type: research

335 * transaortic transcatheter aortic valve implantation: experience from the first multicentre, multinational prospective registry (route)
Conclusion: The preliminary results of this landmark registry provide important information on the procedural success rates and early mortality in patients undergoing Tao-TAVI in a large cohort.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Romano, M., Bramlage, P., Bonaros, N., Jagielak, D., Cocchieri, R., Heinz, A., Bapat, V. N. Tags: Late Breakers I Source Type: research

168 * acute safety and efficacy of the neochord procedure
Conclusion: Our initial results with the Neochord procedure in a small number of patients indicate that transapical off-pump mitral valve repair is feasible and may be accomplished with favourable short-term safety, efficacy and clinical benefit.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Colli, A., Rucinskas, K., Manzan, E., Zucchetta, F., Janusauskas, V., Zakarkaite, D., Aidietis, A., Gerosa, G. Tags: Part I: Catheter based mitral interventions: The mitral going transcutaneous Source Type: research

Who might benefit from early aspirin after coronary artery surgery?
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether early administration of aspirin might optimize vein graft patency. More than 250 papers were found using the reported search, of which 4 new papers in addition to the previous 7 represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. Early postoperative aspirin administered within 6 h following coronary artery bypass grafting (CABG) has been show...
Source: Interactive CardioVascular and Thoracic Surgery - August 14, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Gukop, P., Gutman, N., Bilkhu, R., Karapanagiotidis, G. T. Tags: Cardiac - physiology, Education, Congestive Heart Failure, Molecular biology Adult Cardiac Source Type: research

P-132 * bronchial sleeve resection or pneumonectomy for non-small-cell lung cancer: a propensity matched analysis of long-term survival and quality of life
Conclusions: During the 5-year follow-up, pneumonectomy and sleeve lobectomy showed no significant differences in cancer-specific survival or in quality of life. However, thereafter sleeve lobectomy patients showed better survival. This advocates the use of sleeve lobectomy in central non-small-cell lung cancer when feasible. Disclosure: No significant relationships.
Source: Interactive CardioVascular and Thoracic Surgery - June 9, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Andersson, S. E. M., Ilonen, I. K., Rasanen, J. V., Sihvo, E. I., Salo, J. A. Tags: SESSION VII: MODERATED POSTERS Source Type: research

Ten-year screening for thrombocytopenia after aortic valve replacement
CONCLUSIONS Thrombocytopenia and Elisa (+) are more common after AVR than after other procedures, and both were associated with increased adverse clinical outcomes. Age and lower preoperative platelet count were associated with postoperative thrombocytopenia and Elisa (+).
Source: Interactive CardioVascular and Thoracic Surgery - April 21, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Sun, X., Hill, P. C., Ellis, J., Corso, P. J., Taylor-Panek, S. L., Chen, F. Tags: Adult Cardiac Source Type: research

Can the temporary use of right ventricular assist devices bridge patients with acute right ventricular failure after cardiac surgery to recovery?
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was: Can the temporary use of right ventricular assist devices (RVADs) bridge patients to recovery who suffer acute right ventricular failure after cardiac surgery? More than 183 papers were found using the reported search, of which 13 represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. Indications for surgical intervention included coronary artery bypas...
Source: Interactive CardioVascular and Thoracic Surgery - March 17, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Lang, S. A., O'Neill, B., Waterworth, P., Bilal, H. Tags: Adult Cardiac Source Type: research

025 * ablative maze surgery normalizes left ventricular function in patients with lone atrial fibrillation
Conclusions: Within a dedicated AF centre, ablative maze surgery grants excellent outcomes, with symptom relief and negligible risk. It provides a complete reversal of AF-related myocardial dysfunction and is therefore a convenient alternative to His bundle ablation and lifelong pacemaker dependency in symptomatic refractory patients.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Pozzoli, A., Taramasso, M., Coppola, G., Kamami, M., La Canna, G., Della Bella, P., Alfieri, O., Benussi, S. Tags: Arrhythmia I Source Type: research

058 * mitral regurgitation and its influence on long-term outcome in patients with ventricular assist devices
Conclusions: Left ventricular diameter improved during ventricular assist support. The degree of mitral regurgitation decreased in a significant portion of patients after assist implantation. Survival and event-free survival was better in patients supported with ventricular assist devices without mitral regurgitation.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Bernhardt, A. M., Wagner, F. M., Biermann, D., Klusmeier, M., Muellerleile, K., Blankenberg, S., Deuse, T., Reichenspurner, H. Tags: Left ventricular assist devices I: Improving outcomes Source Type: research

065 * a propensity-matched analysis of outcomes and long-term survival in stented versus stentless valves for aortic valve replacement
Conclusions: Stentless and stented valves had identical 30-day outcomes except for a higher incidence of postoperative bleeding in the stented group. There was no significant difference in long-term survival between stented and stentless valves in this large cohort. Both valves may be used for AVR with low morbidity and excellent long-term survival.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Shultz, B., Timek, T. A., Davis, A. T., Heiser, J. C., Murphy, E. T., Patzelt, L. H., Willekes, C. L., Hooker, R. L. Tags: Aortic valve replacement: Long-term outcomes Source Type: research

110 * a biocompatible perfusion strategy is safe and is associated with excellent clinical outcomes and reduced blood transfusions in a contemporary series of patients undergoing coronary artery bypass grafting: a two-centre study
Conclusions: In a contemporary cohort of patients undergoing CABG, the use of the BPS is safe and effective. It is associated with excellent clinical outcomes and reduced allogeneic blood transfusions.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Shapira, O., Korach, A., Pinaud, F., Dabah, A., Bao, Y., Corbeau, J. J., de Brux, J. L., Baufreton, C. Tags: Cardiopulmonary bypass: Improving the outcome in marginal patients Source Type: research

118 * total aortic arch replacement with the frozen elephant trunk technique in acute type a aortic dissection: are we pushing the limits too far?
Conclusions: Our experience with FET in AADA shows acceptable results. Total aortic arch replacement with an FET in AADA patients does demand high technical skills. In spite of this, we still believe FET improves long-term outcome in cases of AADA with intimal tear or re-entry in the aortic arch or the descending aorta (DeBakey type I). Modern grafts with four side branches as well as sewing collars for the distal anastomosis, have helped to further ‘simplify’ the FET implantation. Such a strategy should only be implemented in experienced centres, and only if it is absolutely necessary, and not in all AADA patients.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Fleissner, F., Ius, P., Martens, A., Koigeldiyev, N., Stiefel, P., Beckmann, E., Haverich, A., Shrestha, M. Tags: Proximal aorta surgery: Extending to the descending aorta Source Type: research

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