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055 * simultaneous hybrid carotid stenting and coronary bypass surgery versus concomitant open carotid and coronary bypass surgery: a pilot feasibility study
Conclusions: Our results show that the hybrid procedure of carotid stenting and coronary surgery might be a good therapeutic option for this high-risk population of patients. Further, extended studies are needed to assess the proper value of this procedure.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Micovic, S., Sagic, D., Boskovic, S., Radak, D., Milojevic, P., Nezic, D., Dokic, O., Dukanovic, B. Tags: Controversies in coronary artery surgery II Source Type: research

058 * mitral regurgitation and its influence on long-term outcome in patients with ventricular assist devices
Conclusions: Left ventricular diameter improved during ventricular assist support. The degree of mitral regurgitation decreased in a significant portion of patients after assist implantation. Survival and event-free survival was better in patients supported with ventricular assist devices without mitral regurgitation.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Bernhardt, A. M., Wagner, F. M., Biermann, D., Klusmeier, M., Muellerleile, K., Blankenberg, S., Deuse, T., Reichenspurner, H. Tags: Left ventricular assist devices I: Improving outcomes Source Type: research

064 * ten-year results of redo aortic valve surgery in current practice: results from the multicentre european redo cardiac operations research database (record) initiative
Conclusions: rAVR still achieve satisfactory results. Baseline risk-factors and perioperative complications affecting outcome can be targets for TAVR and for improvements in perioperative management respectively.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Onorati, F., Biancari, F., De Feo, M., Mariscalco, G., Messina, A., Santarpino, G., Santini, F., Faggian, G. Tags: Aortic valve replacement: Long-term outcomes Source Type: research

065 * a propensity-matched analysis of outcomes and long-term survival in stented versus stentless valves for aortic valve replacement
Conclusions: Stentless and stented valves had identical 30-day outcomes except for a higher incidence of postoperative bleeding in the stented group. There was no significant difference in long-term survival between stented and stentless valves in this large cohort. Both valves may be used for AVR with low morbidity and excellent long-term survival.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Shultz, B., Timek, T. A., Davis, A. T., Heiser, J. C., Murphy, E. T., Patzelt, L. H., Willekes, C. L., Hooker, R. L. Tags: Aortic valve replacement: Long-term outcomes Source Type: research

073 * enhancing quality control and performance monitoring in thoracic aortic surgery: a ten-year single-institution experience with 753 procedures
Conclusions: Control charts facilitate near "real-time" learning effects and performance monitoring, allowing early detection and intervention in altered performance. Implementation of continuous departmental and individual performance monitoring is practicable.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Murzi, M., Miceli, A., Farneti, P. A., Cerillo, A. G., Glauber, M. Tags: Risk scores and outcomes reporting Source Type: research

076 * endovascular therapy in patients with genetically triggered thoracic aortic disease: applications and short- and mid-term outcomes
Conclusions: Endovascular technology can be helpful in treating selected young patients with genetically triggered thoracic aortic disease. Long-term studies and further evolution of endovascular technology will be necessary for it to be incorporated into the armamentarium of surgical options for this challenging patient population.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Preventza, O., Mohammed, S., Cheong, B. Y., Gonzalez, L., Ouzounian, M., Livesay, J. J., Cooley, D. A., Coselli, J. S. Tags: Connective tissue disease and bicuspid aortic valves Source Type: research

100 * preoperative aortic annulus diameter affects valve durability in bicuspid aortic valve patients undergoing primary valve repair plus subcommissural annuloplasty for aortic insufficiency
Conclusions: BAV repair plus SCA in patients with a preoperative annulus ≥28 mm results in inferior valve durability at mid-term follow-up, even though greater annular reduction is achieved in this subgroup. Root reimplantation should be considered in these patients irrespective of aortic root dimensions.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Vallabhajosyula, P., Komlo, C., Szeto, W., Desai, N., Bavaria, J. E. Tags: Reflections on aortic valve repair Source Type: research

102 * surgical ventricular restoration for ischaemic cardiomyopathy: is there any difference in outcome between anterior and posterior dilatation?
Conclusions: SVR is an effective treatment for ischaemic cardiomyopathy. Despite posterior aneurysms presenting with larger left ventricles and a higher proportion of severe MR, early and long-term outcome after SVR seem to be unaffected by aneurysm location.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Garatti, A., Castelvecchio, S., Bandera, F., Guazzi, M., Menicanti, L. Tags: Ventricular remodelling Source Type: research

110 * a biocompatible perfusion strategy is safe and is associated with excellent clinical outcomes and reduced blood transfusions in a contemporary series of patients undergoing coronary artery bypass grafting: a two-centre study
Conclusions: In a contemporary cohort of patients undergoing CABG, the use of the BPS is safe and effective. It is associated with excellent clinical outcomes and reduced allogeneic blood transfusions.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Shapira, O., Korach, A., Pinaud, F., Dabah, A., Bao, Y., Corbeau, J. J., de Brux, J. L., Baufreton, C. Tags: Cardiopulmonary bypass: Improving the outcome in marginal patients Source Type: research

115 * the frozen elephant trunk technique for the treatment of complicated type b aortic dissection: early multicentre experience
Conclusions: The FET technique constitutes a feasible therapeutic option, if TEVAR is not recommended. In contrast to conventional aortic surgery via a lateral thoracotomy, the FET procedure provides the opportunity for simultaneous treatment of the ascending aorta and aortic arch, if necessary.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Weiss, G., Tsagakis, K., Jakob, H. G., Di Bartolomeo, R., Barberio, G., Mascaro, J., Mestres, C., Sioris, T., Grabenwoger, M. Tags: Proximal aorta surgery: Extending to the descending aorta Source Type: research

116 * hybrid multi-step approach to mega-aortic syndrome: the lupiae technique
Conclusions: These results show that the multi-step Lupiae hybrid technique is a safe and effective option for the treatment of patients with MAS, achieving the complete exclusion of thoraco-abdominal aneurysms with a low risk of paraplegia and endoleaks.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Esposito, G., Bichi, S., Cappabianca, G., Patrini, D., Pellegrino, P., Redaelli, M., Poloni, C., Peretti, E., Pennesi, M. Tags: Proximal aorta surgery: Extending to the descending aorta Source Type: research

117 * long-term results of the frozen elephant trunk technique for acute type a aortic dissection from a 15-year experience
Conclusions: The FET technique resulted in excellent aortic remodelling on the downstream aorta and could improve the long-term outcome for AAAD.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Uchida, N., Katayama, A., Katayama, K., Takahashi, S., Takasaki, T., Sueda, T. Tags: Proximal aorta surgery: Extending to the descending aorta Source Type: research

118 * total aortic arch replacement with the frozen elephant trunk technique in acute type a aortic dissection: are we pushing the limits too far?
Conclusions: Our experience with FET in AADA shows acceptable results. Total aortic arch replacement with an FET in AADA patients does demand high technical skills. In spite of this, we still believe FET improves long-term outcome in cases of AADA with intimal tear or re-entry in the aortic arch or the descending aorta (DeBakey type I). Modern grafts with four side branches as well as sewing collars for the distal anastomosis, have helped to further ‘simplify’ the FET implantation. Such a strategy should only be implemented in experienced centres, and only if it is absolutely necessary, and not in all AADA patients.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Fleissner, F., Ius, P., Martens, A., Koigeldiyev, N., Stiefel, P., Beckmann, E., Haverich, A., Shrestha, M. Tags: Proximal aorta surgery: Extending to the descending aorta Source Type: research

138 * transapical aortic valve implantation in patients with and without severe calcification of the ascending aorta: different preoperative characteristics but no difference in outcome
Conclusions: In contrast to conventional aortic valve replacement, severe calcification of the ascending aorta has no negative influence on perioperative outcome and long-term survival after transapical TAVI.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Buz, S., Pasic, M., Drews, T., Dreysse, S., Kukucka, M., Mladenow, A., Hetzer, R., Unbehaun, A. Tags: Transcatheter aortic valve implantation: Expanding indications and techniques Source Type: research

141 * mini-thoracotomy direct aortic self-expanding transcatheter aortic valve implantation: a single-centre experience
Conclusions: Transcatheter aortic valve implantation with the direct aortic approach is safe and feasible, offering a new, attractive option for treating selected high-risk patients with severe aortic stenosis and peripheral vasculopathy, including those requiring a redo procedure.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Bruschi, G., Botta, L., De Marco, F., Colombo, P., Barosi, A., Mondino, M., Klugmann, S., Martinelli, L. Tags: Transcatheter aortic valve implantation: Expanding indications and techniques Source Type: research

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