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Source: The Journal of Thoracic and Cardiovascular Surgery
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Total 276 results found since Jan 2013.
Surgical Ablation of Atrial Fibrillation is Associated with Improved Survival Compared to Appendage Obliteration Alone: An Analysis of 100,000 Medicare Beneficiaries
Societal guidelines support the concomitant surgical ablation (SA) of atrial fibrillation (AF) in patients undergoing cardiac surgery. Recent evidence has highlighted the stroke reduction of left atrial appendage obliteration (LAAO) with or without SA in similar populations. To inform clinical decision-making, we evaluated real-world outcomes of patients with AF undergoing cardiac surgery by comparing no AF management vs. LAAO alone vs. SA+LAAO.
Source: The Journal of Thoracic and Cardiovascular Surgery - May 7, 2023 Category: Cardiovascular & Thoracic Surgery Authors: J. Hunter Mehaffey, J. W. Awori Hayanga, Lawrence Wei, Christopher Mascio, J. Scott Rankin, Vinay Badhwar Source Type: research
Surgical ablation of atrial fibrillation is associated with improved survival compared with appendage obliteration alone: An analysis of 100,000 Medicare beneficiaries
Societal guidelines support the concomitant surgical ablation of atrial fibrillation in patients undergoing cardiac surgery. Recent evidence has highlighted the stroke reduction of left atrial appendage obliteration with or without surgical ablation in similar populations. To inform clinical decision-making, we evaluated real-world outcomes of patients with atrial fibrillation undergoing cardiac surgery by comparing no atrial fibrillation management with left atrial appendage obliteration alone versus surgical ablation + left atrial appendage obliteration.
Source: The Journal of Thoracic and Cardiovascular Surgery - May 7, 2023 Category: Cardiovascular & Thoracic Surgery Authors: J. Hunter Mehaffey, J. W. Awori Hayanga, Lawrence Wei, Christopher Mascio, J. Scott Rankin, Vinay Badhwar Tags: Adult Source Type: research
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
Left atrial appendage closure during mitral repair in patients without atrial fibrillation
Routine left atrial appendage closure during mitral repair in patients without atrial fibrillation (AF) is controversial. We aimed to compare the incidence of stroke after mitral repair in patients without recent AF according to left atrial appendage closure.
Source: The Journal of Thoracic and Cardiovascular Surgery - April 4, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Joanna Chikwe, Amy Roach, Dominic Emerson, Qiudong Chen, Georgina Rowe, George Gill, Achille Peiris, Danny Ramzy, Wen Cheng, Natalia Egorova, Alfredo Trento Source Type: research
Enjoy the holiday spirit, not the holiday heart
The holidays are approaching. Many people will be gathering with family, friends, and loved ones. The holidays are filled with laughter, joy, gluttony, and festivity. There are some traditions that are unique to each family, but one tradition that is pervasive in western society is alcohol consumption. It is estimated that a quarter of the yearly sales of distilled spirits occur between Thanksgiving and New Year's Day.1 Alcohol consumption, especially in excess, is not without risk. Chronic alcohol abuse is associated with hypertension, stroke, liver damage, and an increased risk of cancer.
Source: The Journal of Thoracic and Cardiovascular Surgery - January 31, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Ali Syed, Benjamin D. Seadler, David L. Joyce Tags: Letter to the Editor Source Type: research
Surgical Ablation for Atrial Fibrillation During Aortic and Mitral Valve Surgery: A Nationwide Population-Based Cohort Study
There is limited evidence on the effectiveness of surgical AF ablation in reducing mortality or thromboembolic events during aortic/mitral valve (AV/MV) surgery. We evaluated the association of surgical ablation vs. no-ablation with risks of all-cause death and ischemic stroke or systemic embolization (SE) among patients with preoperative atrial fibrillation (AF) undergoing concomitant AV or MV surgery.
Source: The Journal of Thoracic and Cardiovascular Surgery - September 9, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Ho Jin Kim, Ye-Jee Kim, Minju Kim, Jae Suk Yoo, Dae-Hee Kim, Duk-Woo Park, Sung-Ho Jung, Suk Jung Choo, Joon Bum Kim Source Type: research
Commentary: Don't throw the baby out with the bath water
Surgical management of pathology involving the transverse aortic arch and adjacent aortic segments remains a technical challenge for surgeons and a significant undertaking for patients with a substantial risk of postoperative stroke, death, and other complications. Contemporary repair focuses not only on the arch and proximal aorta but also on the downstream aorta. The frozen elephant trunk (FET) approach to total aortic arch replacement aims to extend repair into the descending thoracic aorta by combining open and endovascular technology and commonly relies on a hybrid device that is part traditional open graft and part e...
Source: The Journal of Thoracic and Cardiovascular Surgery - September 6, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Joseph S. Coselli Tags: Commentary Source Type: research
Atrial Fibrillation Ablation Improves Late Survival After Concomitant Cardiac Surgery.
Preoperative atrial fibrillation (AF) increases risk of stroke, heart failure, and all-cause mortality after cardiac surgery. Despite encouraging results and guideline recommendations, surgical ablation (SA) for AF concomitant to other heart surgery remains low. The current report aimed to address the long-term mortality after SA concomitant to cardiac surgery.
Source: The Journal of Thoracic and Cardiovascular Surgery - May 14, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Mariusz Kowalewski, Micha ł Pasierski, Michalina Kołodziejczak, Radosław Litwinowicz, Adam Kowalówka, Wojciech Wańha, Andrzej Łoś, Sebastian Stefaniak, Wojciech Wojakowski, Marek Jemielity, Jan Rogowski, Marek Deja, Krzysztof Bartus, Silvia Mariani Source Type: research
Atrial fibrillation ablation improves late survival after concomitant cardiac surgery
Preoperative atrial fibrillation (AF) increases risk of stroke, heart failure, and all-cause mortality after cardiac surgery. Despite encouraging results and guideline recommendations, surgical ablation (SA) for AF concomitant with other heart surgery remains low. In the current study we aimed to address the long-term mortality after SA concomitant with cardiac surgery.
Source: The Journal of Thoracic and Cardiovascular Surgery - May 14, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Mariusz Kowalewski, Micha ł Pasierski, Michalina Kołodziejczak, Radosław Litwinowicz, Adam Kowalówka, Wojciech Wańha, Andrzej Łoś, Sebastian Stefaniak, Wojciech Wojakowski, Marek Jemielity, Jan Rogowski, Marek Deja, Krzysztof Bartuś, Silvia Marian Tags: Adult Source Type: research
Aortic Arch Isolation to Reduce Cerebral Embolic Risk during Replacement of the Atherosclerotic Aortic Arch
To analyze the efficacy of isolating the upper body circulation from the lower body (isolation technique) in reducing the risk of embolic stroke during cardiopulmonary bypass (CPB) in patients with severe atherosclerosis undergoing aortic arch surgery.
Source: The Journal of Thoracic and Cardiovascular Surgery - April 23, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Sung Jun Park, Hong Rae Kim, Sung Ho Shin, Ho Jin Kim, Sung-Ho Jung, Suk Jung Choo Source Type: research
HVAD to HeartMate 3 left ventricular assist device exchange: Best practices recommendations
The HeartWare HVAD System (Medtronic) is a durable implantable left ventricular assist device that has been implanted in approximately 20,000 patients worldwide for bridge to transplant and destination therapy indications. In December 2020, Medtronic issued an Urgent Medical Device Communication informing clinicians of a critical device malfunction in which the HVAD may experience a delay or failure to restart after elective or accidental discontinuation of pump operation. Moreover, evolving retrospective comparative effectiveness studies of patients supported with the HVAD demonstrated a significantly higher risk of strok...
Source: The Journal of Thoracic and Cardiovascular Surgery - March 24, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Christopher T. Salerno, Christopher Hayward, Shelley Hall, Daniel Goldstein, Diyar Saeed, Jan Schmitto, David Kaczorowski, Ezequiel Molina, Daniel Zimpfer, Steven Tsui, Edward Soltesz, Duc Thin Pham, Nahush A. Mokadam, Arman Kilic, Erin Davis, Erika Felle Tags: Expert Review Source Type: research
The Impact of Perioperative Stroke and Delirium on Outcomes after Surgical Aortic Valve Replacement
The effects of stroke and delirium on post-discharge cognition and patient-centered health outcomes after surgical aortic valve replacement (SAVR) are not well characterized. Here we assess the impact of post-operative stroke and delirium on these health outcomes in SAVR patients at 90 days.
Source: The Journal of Thoracic and Cardiovascular Surgery - March 18, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Steven R. Mess é, Jessica R. Overbey, Vinod H. Thourani, Alan J. Moskowitz, Annetine C. Gelijns, Mark A. Groh, Michael J. Mack, Gorav Ailawadi, Karen L. Furie, Andrew M. Southerland, Michael L. James, Claudia Scala Moy, Lopa Gupta, Pierre Voisine, Louis Source Type: research
Commentary: Sequelae of neurologic injury after cardiac surgery
Stroke may occur in approximately 0.2% of patients undergoing any surgical procedure, and it is associated with a 16% risk of perioperative mortality.1 Patients undergoing cardiac surgery are the ones at greatest risk of postoperative stroke. Gaudino and colleagues2 estimated a pooled rate of stroke after cardiac surgery of 2.0%, which increased the risk of operative mortality (21.3% vs 2.4%) and the incidence rate of late mortality (10.9% vs 3.4%) compared with those who did not experience stroke.
Source: The Journal of Thoracic and Cardiovascular Surgery - February 18, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Fausto Biancari, Giuseppe Speziale Tags: Commentary Source Type: research
Neurological event rates and associated risk factors in acute type B aortic dissections treated by thoracic aortic endovascular repair
Thoracic endovascular aortic repair (TEVAR) is the method of choice in patients with complicated type B acute aortic dissection (TBAAD). However, TEVAR carries a risk of periprocedural neurological events including stroke and spinal cord ischemia. We aimed to look at procedure-related neurological complications within a large cohort of TBAAD patients treated by TEVAR.
Source: The Journal of Thoracic and Cardiovascular Surgery - February 9, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Benedikt Reutersberg, Thomas Gleason, Nimesh Desai, Marek Ehrlich, Arturo Evangelista, Alan Braverman, Truls Myrmel, Edward P. Chen, Anthony Estrera, Marc Schermerhorn, Eduardo Bossone, Chih-Wen Pai, Kim Eagle, Thoralf Sundt, Himanshu Patel, Santi Trimarc Source Type: research
