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Benchmarking Outcomes of Surgical Aortic Valve Replacement in Patients with Bicuspid Aortic Valves
CONCLUSIONS: In this nationally-representative study, 30-day mortality was similar but risk-adjusted 5-year mortality was significantly lower in bicuspid patients undergoing isolated SAVR compared to tricuspid patients, specifically low-risk and normal left ventricular ejection fraction patients. This analyses provides a much-needed 5-year longitudinal national-level benchmark to better inform the discussion of transcatheter vs SAVR in bicuspid patients.PMID:37454786 | DOI:10.1016/j.athoracsur.2023.06.026
Source: The Annals of Thoracic Surgery - July 16, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Sameer A Hirji Zachary Wegermann Sreekanth Vemulapalli Paige Newell Maria Grau-Sepulveda Sean O'Brien Vinod H Thourani Vinay Badhwar Tsuyoshi Kaneko Source Type: research

Race and Socioeconomic Disparities in Proximal Aortic Surgery
CONCLUSIONS: Patients of Non-White race undergoing proximal aortic surgery have less insurance coverage, more urgent procedures, and a higher comorbidity burden than White patients; which translates to Non-White patients having significantly higher morbidity. A greater focus on non-fatal outcome differentials and improving access to care likely will improve aortic surgery disparities.PMID:37031768 | DOI:10.1016/j.athoracsur.2023.03.032
Source: The Annals of Thoracic Surgery - April 9, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Paige Newell Cheryl Zogg Sainath Asokan Alexander Reed Thais Faggion Vinholo Morgan Harloff Sameer Hirji Mariam Kerolos Tsuyoshi Kaneko Ashraf Sabe Source Type: research

Clinical Course of Postoperative Atrial Fibrillation After Cardiac Surgery and Long-Term Outcome
CONCLUSIONS: A more complicated POAF course is associated with increased long-term risk for heart failure hospitalization, but not for all-cause mortality or thromboembolic complications.PMID:35430224 | DOI:10.1016/j.athoracsur.2022.03.062
Source: The Annals of Thoracic Surgery - April 17, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Mary Rezk Amar Taha Susanne J Nielsen Tomas Gudbjartsson Lennart Bergfeldt Anders Ahlsson Anders Jeppsson Source Type: research

Aortic valve repair decreases risks of VRE in AI at 10 years: a propensity score-matched analysis
CONCLUSIONS: This study demonstrated a lower long-term risk of VRE with repair compared to replacement, with low mortality and comparable durability. Further prospective randomized control trials are necessary to formally compare outcomes and determine superiority.PMID:34228974 | DOI:10.1016/j.athoracsur.2021.06.020
Source: The Annals of Thoracic Surgery - July 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Habib Jabagi Vincent Chan Marc Ruel Thierry G Mesana Munir Boodhwani Source Type: research

New oral anticoagulants versus warfarin in atrial fibrillation after early post-operative period in patients with bioprosthetic aortic valve
CONCLUSIONS: In real-word, NOACs use overcomes the indications provided by guidelines. This study evidenced that NOACs use in patients who developed AF after bioprosthetic AVR was more effective in prevention of thromboembolism and safe in reduction of major bleeding events compared to warfarin.PMID:33744222 | DOI:10.1016/j.athoracsur.2021.03.016
Source: The Annals of Thoracic Surgery - March 21, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Vito A Mannacio Luigi Mannacio Anita Antignano Ciro Mauro Pasquale Mastroroberto Francesco Musumeci Carlo Zebele Gabriele Iannelli Source Type: research

Prosthesis selection for aortic valve replacement with concomitant coronary artery bypass graft
CONCLUSIONS: Long-term survival, overall reoperation, or stroke incidence was comparable among the two groups, while patients with a mechanical valve showed a greater likelihood of major bleeding events. Regarding the limited durability of bioprostheses, a larger sample size followed for 15 or more years will be necessary to determine the optimal aortic valve prosthesis for patients aged 50 to 69 years undergoing concurrent AVR and CABG.PMID:33667456 | DOI:10.1016/j.athoracsur.2021.02.033
Source: The Annals of Thoracic Surgery - March 5, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Xingjian Hu Weiwei Jiang Huadong Li Tingwen Zhou Nianguo Dong Yin Wang 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

Direct Cannulation in Minimally Invasive Cardiac surgery with limited resources.
CONCLUSIONS: In our experience, this approach is a reliable platform for a variety of MICS procedures and has resulted in low complication rates. The technique can be applied safely to both paediatric and adult population. Also, it is very cost effective as regular instruments and cannulas are used. PMID: 31336068 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - July 19, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kandakure PR, Batra M, Garre S, Nagendra S, Shaikh F, Pani K Tags: Ann Thorac Surg Source Type: research

Transcatheter and Surgical Aortic Valve Replacement in Patients with Recent Acute Heart Failure.
CONCLUSIONS: Recent AHF is associated with increased risk of mortality and morbidity after SAVR and TAVR. These findings suggest that AS patients should be referred for invasive treatment before the development of clinically evident heart failure. PMID: 31288017 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - July 5, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Jalava MP, Laakso T, Virtanen M, Niemelä M, Ahvenvaara T, Tauriainen T, Maaranen P, Husso A, Kinnunen EM, Dahlbacka S, Jaakkola J, Airaksinen J, Anttila V, Rosato S, D'Errigo P, Savontaus M, Laine M, Mäkikallio T, Valtola A, Raivio P, Eskola M, Biancari Tags: Ann Thorac Surg Source Type: research

Long-term outcomes with mechanical versus biological aortic valve prosthesis in patients > 70 years.
CONCLUSIONS: Mechanical aortic valve prosthesis is associated with worse long-term survival and increased bleeding after SAVR in patients aged >70 years. Our results suggest caution when considering mechanical aortic valve prostheses in elderly patients. PMID: 31082357 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - May 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kytö V, Myllykangas ME, Sipilä J, Niiranen TJ, Rautava P, Gunn J Tags: Ann Thorac Surg Source Type: research

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