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Source: The Annals of Thoracic Surgery
Condition: Stroke

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Total 354 results found since Jan 2013.

Results of Open Surgical Repair in Patients With Marfan Syndrome and Distal Aortic Dissection
Conclusions In these patients with MFS with aortic dissection, open TAAA repair incurred reasonable operative risk, but improvements are needed to reduce rates of renal failure. Extent II TAAA repair does not appear to increase operative risk in patients with MFS.
Source: The Annals of Thoracic Surgery - February 12, 2016 Category: Cardiovascular & Thoracic Surgery Source Type: research

Moderate Ischemic Mitral Regurgitation After Posterolateral Myocardial Infarction in Sheep Alters Left Ventricular Shear but Not Normal Strain in the Infarct and Infarct Borderzone
Conclusions Moderate CIMR alters radial circumferential shear strain after posterolateral MI in sheep. Further studies are needed to determine the effect of shear strain on myocyte hypertrophy and the effect of mitral repair on myocardial strain.
Source: The Annals of Thoracic Surgery - February 8, 2016 Category: Cardiovascular & Thoracic Surgery Source Type: research

Mechanical Versus Bioprosthetic Aortic Valve Replacement in Patients Aged 40 to 70 Years: A Systematic Review and Meta-Analysis
Publication date: Available online 12 January 2016 Source:The Annals of Thoracic Surgery Author(s): James J. Wu, Michael Seco, James B. Edelman, Guy D. Eslick, Michael K. Wilson, Michael P. Vallely, Michael J. Byrom, Paul G. Bannon Prosthetic valve choice for middle-aged adults undergoing aortic valve replacement is a complex decision. Database searches identified 13 studies comparing mechanical and bioprosthetic valves in aortic valve replacement patients aged 40 to 70 years. No significant difference was found at 15 years for survival, freedom from stroke, and freedom from endocarditis. Mechanical valves were a...
Source: The Annals of Thoracic Surgery - January 13, 2016 Category: Cardiovascular & Thoracic Surgery Source Type: research

Transatrial Cannulation of the Left Ventricle for Acute Type A Aortic Dissection: A 5-Year Experience
Conclusions In patients undergoing surgery for AAD, transatrial cannulation of the left ventricle proved to be a safe and easy cannulation method that significantly reduced postoperative complications.
Source: The Annals of Thoracic Surgery - January 13, 2016 Category: Cardiovascular & Thoracic Surgery Source Type: research

European Multicenter Registry for the Performance of the Chimney/Snorkel Technique in the Treatment of Aortic Arch Pathologic Conditions
Conclusions The chimney technique in the aortic arch proved highly and predictably successful, with a low rate of reinterventions.
Source: The Annals of Thoracic Surgery - January 13, 2016 Category: Cardiovascular & Thoracic Surgery Source Type: research

Transcatheter or Surgical Aortic Valve Replacement in Patients With Prior Coronary Artery Bypass Grafting
Conclusions For patients with prior coronary artery bypass graft surgery and aortic stenosis, TAVR offers a significant morbidity advantage and a strong trend toward improved survival over SAVR at 1 year.
Source: The Annals of Thoracic Surgery - December 15, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Long-Term Follow-Up of Cardiac Rhythm in 320 Patients After the Cox-Maze III Procedure for Atrial Fibrillation
Conclusions In a single-moment electrocardiogram evaluation 9 years after the cut-and-sew CM-III, 82% of patients were in sinus rhythm or other regular supraventricular rhythm. These findings support a long-lasting positive effect of the CM-III procedure, which is relevant when evaluating current nonpharmacologic therapies for AF.
Source: The Annals of Thoracic Surgery - December 2, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Annual Outcomes With Transcatheter Valve Therapy
Conclusions The TVT Registry provides important information on characteristics and outcomes of TAVR in contemporary U.S. clinical practice. It can be used to identify trends in practice and opportunities for quality improvement.
Source: The Annals of Thoracic Surgery - November 30, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Trends, Predictors, and Outcomes of Stroke After Surgical Aortic Valve Replacement in the United States
Conclusions The incidence of stroke after AVR has decreased but remains a significant cause of morbidity in medium- and high-risk patients. Superior outcomes can be achieved in medium- to high-risk patients at high-volume centers.
Source: The Annals of Thoracic Surgery - November 27, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Left Subclavian Arterial Coverage and Stroke During Thoracic Aortic Endografting: A Systematic Review
We report a systematic review of 63 studies comprising more than 3,000 patients. We conclude that stroke risk after TEVAR is increased by LSA coverage, and that LSA revascularization reduces stroke risk. LSA revascularization may lower the rate of posterior stroke. TEVAR for aneurysm is associated with increased stroke risk compared to TEVAR for dissection.
Source: The Annals of Thoracic Surgery - November 17, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Current Results of Surgical Aortic Valve Replacement: Insights From the German Aortic Valve Registry
Conclusions Contemporary surgical AVR yields excellent outcomes with low in-hospital mortality, a low overall complication rate, and good 1-year outcome for all risk groups. Accordingly, conventional AVR remains an important therapeutic option for many patients.
Source: The Annals of Thoracic Surgery - November 12, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Beyond the Aortic Root: Staged Open and Endovascular Repair of Arch and Descending Aorta in Patients with Connective Tissue Disorders
Conclusions Most patients with CTDs who require operations beyond the aortic root have aortic dissection and require multiple reinterventions. Staged repair strategies, including open repair in combination with TEVAR, are feasible, and benefits outweigh risks. These patients require lifelong imaging surveillance.
Source: The Annals of Thoracic Surgery - November 4, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Aggressive Aortic Arch and Carotid Replacement Strategy for Type A Aortic Dissection Improves Neurologic Outcomes
Conclusions An algorithmic approach to TAAD including (1) rapid transport-to-incision-to-cardiopulmonary bypass established centrally, (2) neurocerebral monitoring, (3) liberal use of total arch replacement for clearly defined indications (and hemiarch for all others), and (4) common carotid arterial replacement for concomitant carotid dissections significantly improves outcomes.
Source: The Annals of Thoracic Surgery - November 4, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Mitral Valve Surgery in Patients With Severe Mitral Annular Calcification
Conclusions In patients with severe mitral annular calcification undergoing mitral valve surgery, complete annular decalcification and reconstruction yields favorable outcomes.
Source: The Annals of Thoracic Surgery - November 4, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Moderate Versus Deep Hypothermia With Unilateral Selective Antegrade Cerebral Perfusion for Acute Type A Dissection
Conclusions Moderate HCA with uSACP is an effective circulation management strategy that provides excellent cerebral and visceral protection during emergent ATAAD repair. In the setting of antegrade cerebral perfusion, deep hypothermia does not provide any additional benefit.
Source: The Annals of Thoracic Surgery - October 30, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research