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Source: The Annals of Thoracic Surgery

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Total 475 results found since Jan 2013.

Outcomes of Isolated Tricuspid Valve Surgery Have Improved in the Modern Era.
CONCLUSIONS: In the current era with careful patient selection and periprocedural management, isolated TV surgery can be performed with lower morbidity and mortality than has traditionally been reported with good long term survival. These outcomes can also serve as a benchmark for catheter-based tricuspid valve intervention outcomes. PMID: 30951698 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - April 1, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Hamandi M, Smith RL, Ryan WH, Grayburn PA, Vasudevan A, George TJ, DiMaio JM, Hutcheson KA, Brinkman W, Szerlip M, Moore DO, Mack MJ Tags: Ann Thorac Surg Source Type: research

Continuous-Flow Left Ventricular Assist Device Survival Improves with Multidisciplinary Approach.
CONCLUSIONS: Implementing a comprehensive multidisciplinary approach substantially improved outcomes for CF-LVAD recipients. PMID: 30853587 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - March 6, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Jorde UP, Shah AM, Sims DB, Madan S, Siddiqi N, Luke A, Saeed O, Patel SR, Murthy S, Shin J, Oviedo J, Watts S, Jakobleff W, Forest S, Vukelic S, Belov D, Puius Y, Minamoto G, Muggia V, Carlese A, Leung S, Rahmanian M, Leff J, Goldstein D Tags: Ann Thorac Surg Source Type: research

The Addition of Aortic Root Procedures during Elective Arch Surgery Does Not Confer Added Morbidity nor Mortality.
CONCLUSIONS: The addition of an aortic root procedure during elective aortic arch surgery lengthens cardiopulmonary bypass and aortic crossclamp times but does not increase postoperative morbidity nor mortality. PMID: 30851260 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - March 5, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Keeling B, Tian D, Jakob H, Shrestha M, Fujikawa T, Corvera JS, Di Eusanio M, Leshnower B, Chen EP, ARCH Investigators Tags: Ann Thorac Surg Source Type: research

Impact of Bleeding Revision on Outcomes after Left-Ventricular Assist Device Implantation.
CONCLUSIONS: A bleeding revision is associated with significantly reduced survival and substantially increased morbidity during LVAD support. Pre-, intra- and post-operative prophylactic strategies may help to prevent this life-threatening complication. PMID: 30851258 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - March 5, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Angleitner P, Simon P, Kaider A, Wiedemann D, Dimitrov K, Schlöglhofer T, Rajek MA, Riebandt J, Laufer G, Zimpfer D Tags: Ann Thorac Surg Source Type: research

Reversal and Resumption of Antithrombotic Therapy in LVAD- Associated Intracranial Hemorrhage.
CONCLUSIONS: Reversal of anticoagulation appears safe following LVAD-associated intracranial hemorrhage, though inadequate reversal was common. Resumption of warfarin±antiplatelet was associated with fewer fatal and non-fatal thrombotic events compared to antiplatelets alone, though more non-fatal hemorrhage events occurred. PMID: 30763560 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - February 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Cho SM, Moazami N, Katz S, Starling R, Frontera JA Tags: Ann Thorac Surg Source Type: research

The Society of Thoracic Surgeons Intermacs Database Annual Report: Evolving Indications, Outcomes, and Scientific Partnerships.
CONCLUSIONS: With the evolution of MCS, patient phenotype and outcomes are also changing over time. CF LVAD support is increasingly being used in the less ill patient phenotype and more patients are supported for destination therapy. Mean survival is now approaching 5 years, but adverse events, especially neurologic events, continue to have a detrimental impact on the success of CF LVAD support. PMID: 30691584 [PubMed - in process]
Source: The Annals of Thoracic Surgery - January 31, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kormos RL, Cowger J, Pagani FD, Teuteberg JJ, Goldstein DJ, Jacobs JP, Higgins RS, Stevenson LW, Stehlik J, Atluri P, Grady KL, Kirklin JK Tags: Ann Thorac Surg Source Type: research

Model for End Stage Liver Disease Score Independently Predicts Mortality in Cardiac Surgery.
CONCLUSIONS: Increasing MELD score, INR, and bilirubin all independently increase risk of operative mortality. Since high rates of missing data currently limit utilization of MELD, efforts to simplify and improve data collection would help improve future risk models. PMID: 30639362 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - January 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Hawkins RB, Young BAC, Mehaffey JH, Speir AM, Quader MA, Rich JB, Ailawadi G, Investigators for the Virginia Cardiac Services Quality Initiative Tags: Ann Thorac Surg Source Type: research

Impact of Complications on Resource Utilization during 90-day CABG Bundle for Medicare Beneficiaries.
CONCLUSIONS: Medicare beneficiaries that experience adverse events during their index CABG hospitalization will significantly impact that hospital's financial risk. The challenge under the voluntary CABG bundled payment program will be to monitor and reduce adverse events and managing the services consumed by Medicare beneficiaries experiencing adverse events delivered at all the venues of care. PMID: 30553739 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - December 13, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Culler SD, Brown PP, Kugelmass AD, Cohen DJ, Reynolds MR, Katz MR, Schlosser ML, Simon AW Tags: Ann Thorac Surg Source Type: research

Association Between Red Blood Cell Transfusion and Clinical Outcomes Among Patients Undergoing Transcatheter Aortic Valve Replacement.
CONCLUSIONS: PRBC transfusion in patients undergoing TAVR is associated with an increased incidence of adverse outcomes during hospitalization, at 30-day and 1-year follow-up. PMID: 30552884 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - December 12, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Apostolidou E, Aronow HD, Beale CE, Kolte D, Kennedy KF, Sellke FW, Gordon PC, Sharaf B, Ehsan A Tags: Ann Thorac Surg Source Type: research

Development and Application of a Risk Prediction Model for In-Hospital Stroke After Transcatheter Aortic Valve Replacement - A Report from the Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy Registry.
CONCLUSIONS: A risk model for in-hospital stroke following TAVR was developed from the STS/ACC TVT Registry and used to estimate site-specific stroke performance. This model can serve as a valuable resource for quality improvement, clinical decision-making, and patient counseling. PMID: 30529671 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - December 7, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Thourani VH, O'Brien SM, Kelly JJ, Cohen DJ, Peterson ED, Mack MJ, Shahian DM, Grover FL, Carroll EJ, Brennan JM, Forcillo J, Arnold SV, Vemulapalli S, Fitzgerald S, Holmes DR, Bavaria JE, Edwards FH Tags: Ann Thorac Surg Source Type: research

Successful heart transplantation in a patient with Loeys-Dietz Syndrome.
Abstract Our patient is a 45-year-old woman with a history of Loeys-Dietz syndrome (LDS), vertebral artery dissection, stroke, prior atrial septal defect (ASD) repair, and spontaneous left main coronary artery dissection re-vascularized with coronary artery bypass grafting who progressed to end-stage heart failure. She was listed for cardiac transplantation and a suitable organ became available. She underwent heart transplantation over one year ago successfully. This is the first reported case of a successful heart transplantation in an individual with Loeys-Dietz syndrome. PMID: 30513314 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - December 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Feroe AG, Fiedler AG, D'Alessandro DA Tags: Ann Thorac Surg Source Type: research

Deep Hypothermia + Retrograde Cerebral Perfusion vs. Moderate Hypothermia + Antegrade Cerebral Perfusion for Arch Surgery.
CONCLUSIONS: Although there was no significant difference in clinically evident neurologic injury, this pilot study suggests that MHCA+ACP may be associated with a higher incidence of radiographic neurologic injury than DHCA+RCP in patients undergoing elective hemiarch replacement. PMID: 30448484 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - November 15, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Leshnower BG, Rangaraju S, Allen JW, Stringer AY, Gleason TG, Chen EP Tags: Ann Thorac Surg Source Type: research

Surgical repair of distal aortic arch aneurysm with distal extension: sternotomy versus thoracotomy.
CONCLUSIONS: The sternotomy approach showed better outcomes in terms of operative mortality, stroke, and pneumonia, as well as long-term survival compared to thoractomy. These results suggested that the sternotomy approach was more appropriate for patients with distal aortic arch aneurysms with distal extensions. PMID: 30448483 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - November 15, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Joo HC, Youn YN, Kim JH, Lee SH, Lee S, Yoo KJ Tags: Ann Thorac Surg Source Type: research

Emergency surgery for acute type A aortic dissection in octogenarians without patient selection.
CONCLUSIONS: Emergency surgery for type A aortic dissection in octogenarians without patient selection resulted in similar rates of mortality and morbidity to younger patients. Octogenarians should not be refused this life-saving emergent surgery. PMID: 30448481 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - November 15, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Suzuki T, Asai T, Kinoshita T Tags: Ann Thorac Surg Source Type: research

Complete sternal-sparing HeartMate 3 implantation: a case series of ten consecutive patients.
CONCLUSIONS: Our early outcomes suggest that the CSS approach may reduce the incidence of right ventricular failure, bleeding, intubation time and ICU length of stay. Further studies are needed to fully elucidate the advantages of CSS LVAD implantation compared with median sternotomy. PMID: 30444989 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - November 13, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Wood KL, Ayers B, Sagebin F, Vidula H, Thomas S, Alexis J, Barrus B, Knight P, Prasad S, Gosev I Tags: Ann Thorac Surg Source Type: research