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Reply: Stentless versus stented bioprosthetic root replacement in the medicare population and the wisdom of crowds
In our recent analysis of long-term outcomes of aortic root operations in the United States among Medicare beneficiaries using the Society of Thoracic Surgeons Adult Cardiac Surgery Database (STS-ACSD) and Centers for Medicare and Medicaid Services linked data for patients aged 65 years or older undergoing elective aortic root surgery, we concluded that the bioprosthetic Bentall operation should be the procedure of choice in this population due to improved survival and lower stroke risk compared with the use of the mechanical Bentall, and lower risk of aortic valve reintervention compared with valve-sparing aortic root replacement.
Source: The Journal of Thoracic and Cardiovascular Surgery - April 21, 2023 Category: Cardiovascular & Thoracic Surgery Authors: G. Chad Hughes Tags: Letter to the Editor Source Type: research

Reply from the authors: Stentless versus stented bioprosthetic root replacement in the medicare population and the wisdom of crowds
In our recent analysis of long-term outcomes of aortic root operations in the United States among Medicare beneficiaries using the Society of Thoracic Surgeons Adult Cardiac Surgery Database (STS-ACSD) and Centers for Medicare and Medicaid Services linked data for patients aged 65 years or older undergoing elective aortic root surgery, we concluded that the bioprosthetic Bentall operation should be the procedure of choice in this population due to improved survival and lower stroke risk compared with the use of the mechanical Bentall, and lower risk of aortic valve reintervention compared with valve-sparing aortic root replacement.
Source: The Journal of Thoracic and Cardiovascular Surgery - April 21, 2023 Category: Cardiovascular & Thoracic Surgery Authors: G. Chad Hughes Tags: Adult: Aorta: Letters to the Editor Source Type: research

Transcatheter heart valve selection in patients with low ejection fraction and aortic stenosis
ConclusionThe choice of THV in patients with severe AS and systolic dysfunction must be weighed on a case-by-case basis.
Source: Journal of Cardiac Surgery - November 15, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Ahmad Mustafa, Chad Kliger, Luigi Pirelli, Arber Kodra, Denny Wang, Priyanka Singh, Paley Arnone, Apurva Patel, Shangyi Liu, Efstathia Mihelis, Elana Koss, Sean Wilson, Gregory Maniatis, Mohammed Imam, Puneet Gandotra, Robert Kalimi, Azhar Tags: ORIGINAL ARTICLE Source Type: research

Selective Sinus Replacement for Aortic Root Aneurysm: Durable Approach in Selected Patients
CONCLUSIONS: For patients with sinus of Valsalva or asymmetric root aneurysm, SSR is associated with excellent operative outcomes, and mid-term follow-up suggests the technique is durable. Longer-term follow-up is needed to confirm continued stability of the aortic root.PMID:35872034 | DOI:10.1016/j.athoracsur.2022.05.071
Source: The Annals of Thoracic Surgery - July 25, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Andrew M Vekstein Charles M Wojnarski E Hope Weissler Adam R Williams Ryan P Plichta Jacob N Schroder G Chad Hughes Source Type: research

Open arch surgery in the redo setting. Contemporary outcomes
CONCLUSIONS: In this modern single-institution series, a systematic approach to redo-arch repair yields excellent operative outcomes and late aorta-specific survival. Reduced late overall survival reflects the comorbidity burden of this population. Open reconstruction continues to play an important role in reoperative arch repair in the modern era.PMID:35621063 | DOI:10.23736/S0021-9509.22.12388-8
Source: The Journal of Cardiovascular Surgery - May 27, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Andrew M Vekstein G Chad Hughes Edward P Chen Source Type: research

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