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Conventional open versus hybrid arch repair of aortic arch disease: early and long-term outcomes
ConclusionsIn the treatment of aortic arch diseases, HAR showed equivalent short-term outcomes compared with TAR but was limited regarding long-term outcomes beyond 5 years post-procedure. Conventional TAR remains the gold standard of therapy, and our findings suggest that the hybrid approach should be reserved for strictly selected patients with significant comorbidities.
Source: The Annals of Thoracic Surgery - December 1, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Direct Cannulation in Minimally Invasive Cardiac surgery with limited resources
ConclusionsIn 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.
Source: The Annals of Thoracic Surgery - July 21, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Open Repair of Descending and Thoracoabdominal Aortic Aneurysms and Dissections in Patients Aged Younger Than 60 Years: Superior to Endovascular Repair? ORIGINAL ARTICLES: ADULT CARDIAC
Conclusions Although direct comparison with stent grafting is limited by the diversity of patients and indications in published reports, our results suggest that open repair should be the modality of choice. Early mortality and neurologic complication rates are similar, if not superior, to endovascular repair for descending aortic and TAAAs. Open repair has proven durability and a very low rate of required reintervention, in contrast with endovascular repair.
Source: The Annals of Thoracic Surgery - December 31, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Di Luozzo, G., Geisbusch, S., Lin, H.-M., Bischoff, M. S., Schray, D., Pawale, A., Griepp, R. B. Tags: Great vessels ORIGINAL ARTICLES: ADULT CARDIAC Source Type: research

Differences in Clinical Characteristics, Management, and Outcomes of Intraoperative Versus Spontaneous Acute Type A Aortic Dissection ORIGINAL ARTICLES: ADULT CARDIAC
Conclusions IAD does not adversely influence early outcomes and actuarial 5-year survival of patients with type A dissection.
Source: The Annals of Thoracic Surgery - December 31, 2012 Category: Cardiovascular & Thoracic Surgery Authors: Stamou, S. C., Kouchoukos, N. T., Hagberg, R. C., Smith, C. R., Nussbaum, M., Hooker, R. L., Willekes, C. L., Murphy, E. T., Patzelt, L. H., Lobdell, K. W. Tags: Great vessels ORIGINAL ARTICLES: ADULT CARDIAC Source Type: research

Midterm Results of David Reimplantation in Patients With Connective Tissue Disorder ORIGINAL ARTICLES: ADULT CARDIAC
Conclusions Prophylactic root and valve preservation using David reimplantation is safe and provides excellent midterm effectiveness and low risk of late events except for endocarditis.
Source: The Annals of Thoracic Surgery - January 30, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Svensson, L. G., Blackstone, E. H., Alsalihi, M., Batizy, L. H., Roselli, E. E., McCullough, R., Vivacqua, A., Moran, R. T., Gillinov, A. M., Thamilarasan, M., Griffin, B., Hammer, D. F., Stewart, W. J., Sabik, J. F., Lytle, B. W. Tags: Valve disease ORIGINAL ARTICLES: ADULT CARDIAC Source Type: research

Expanding Indications for Valve-Sparing Aortic Root Reconstruction: Early and Midterm Results ORIGINAL ARTICLES: ADULT CARDIAC
Conclusions The midterm results of VSRR in terms of survival, freedom from recurrent aortic valve insufficiency, and the need for reoperation are excellent, even for high-risk patients.
Source: The Annals of Thoracic Surgery - January 30, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Valo, J., Jokinen, J. J., Kaarne, M., Ihlberg, L. Tags: Great vessels, Valve disease ORIGINAL ARTICLES: ADULT CARDIAC Source Type: research

Early and Midterm Outcomes of Open Surgical Correction After Thoracic Endovascular Aortic Repair ORIGINAL ARTICLES: ADULT CARDIAC
Conclusions Secondary surgical procedures after TEVAR can be performed with low mortality and morbidity, despite the precarious preoperative conditions and complex aortic pathologies of patients.
Source: The Annals of Thoracic Surgery - April 30, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Miyahara, S., Nomura, Y., Shirasaka, T., Taketoshi, H., Yamanaka, K., Omura, A., Sakamoto, T., Inoue, T., Minami, H., Okada, K., Okita, Y. Tags: Great vessels ORIGINAL ARTICLES: ADULT CARDIAC Source Type: research

Delayed Management of Blunt Traumatic Aortic Injury: Open Surgical Versus Endovascular Repair ORIGINAL ARTICLES: ADULT CARDIAC
Conclusions Delayed management of traumatic aortic injury was associated with satisfactory short- and long-term results without significant differences between open surgical and endovascular repair. However, the reduced invasiveness of endovascular repair can optimize operative timing allowing prompt aortic repair in unstable patients, earlier repair in stable patients, and, when indicated, easier concomitant non-aortic surgery.
Source: The Annals of Thoracic Surgery - April 30, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Di Eusanio, M., Folesani, G., Berretta, P., Petridis, F. D., Pantaleo, A., Russo, V., Lovato, L., Di Bartolomeo, R. Tags: Great vessels ORIGINAL ARTICLES: ADULT CARDIAC Source Type: research

Variation in Warfarin Thromboprophylaxis After Mitral Valve Repair: Does Equipoise Exist and Is a Randomized Trial Warranted? ORIGINAL ARTICLES: ADULT CARDIAC
Conclusions At present, half of patients are prescribed warfarin after isolated mitral valve repair in North American cardiac surgical practice which may impact the length of hospital stay. Although patient-level predictors of warfarin prescription exist, center- and surgeon-level variations are prominent. There is a pressing need for a randomized trial both to guide therapy and to ascertain the potential for resource conservation.
Source: The Annals of Thoracic Surgery - May 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Suri, R. M., Thourani, V. H., He, X., Brennan, J. M., O'Brien, S. M., Rankin, J. S., Schaff, H. V., Gammie, J. S. Tags: Valve disease ORIGINAL ARTICLES: ADULT CARDIAC Source Type: research

Aortopulmonary Window and the Interrupted Aortic Arch: Midterm Results With Use of the Single-Patch Technique
Conclusions Primary anatomic repair of APW associated with IAA can be safely performed. The efficiency of the single-patch technique was confirmed by the restoration of normal functional anatomy of the great arteries and aortic arch during follow-up.
Source: The Annals of Thoracic Surgery - December 30, 2014 Category: Cardiovascular & Thoracic Surgery Source Type: research

Outcomes of Open Repair for Chronic Descending Thoracic Aortic Dissection
Conclusions Open repairs of chronic descending thoracic aortic aneurysm dissections can be performed with respectable morbidity and mortality. Neurologic deficit remains low with the use of adjuncts, and early deaths are directly related to preoperative renal status. Reintervention on the involved aortic segment is low. These results allow comparisons with endovascular repair for chronic aortic dissection.
Source: The Annals of Thoracic Surgery - January 23, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Propensity Adjusted Analysis of Open and Endovascular Thoracic Aortic Repair for Chronic Type B Dissection: A Twenty-Year Evaluation
Conclusions Intervention for CBAD can be performed with excellent results, either by an open or endovascular approach. The higher rate of treatment failure after TEVAR warrants modification of current device design or endovascular approach before broad application of this treatment strategy.
Source: The Annals of Thoracic Surgery - February 19, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Evolution in the Management of Aberrant Subclavian Arteries and Related Kommerell Diverticulum
Conclusions Aberrant subclavian arteries and associated Kommerell diverticulum can be treated with acceptable rates of mortality and morbidity. The evolution toward an endovascular approach did not appear to affect late outcomes, suggesting that the choice of treatment should be based on patient-specific anatomy and associated comorbidities.
Source: The Annals of Thoracic Surgery - April 23, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Minimally Invasive Port Access Approach for Reoperations on the Mitral Valve
Conclusions The port access approach can be safely adopted for reoperations on the MV without compromising postoperative mortality or MV function.
Source: The Annals of Thoracic Surgery - May 12, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Early and Late Outcomes After Complete Aortic Replacement
Conclusions Complete aortic replacement can be performed with acceptable rates of morbidity and mortality. Most of these patients were younger, had associated dissection, and required multiple stages for completion. As endovascular techniques advance proximally into the ascending aorta and complete endovascular aortic repair comes closer to reality, studies like this will allow comparison.
Source: The Annals of Thoracic Surgery - June 10, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

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