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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. PMID: 26588864 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - November 14, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Waterford SD, Chou D, Bombien R, Uzun I, Shah A, Khoynezhad A Tags: Ann Thorac Surg Source Type: research

Random Finding of a Ruptured Kommerell Aneurysm After  Stroke.
We report the case of a 74-year-old man who received an incidental diagnosis of a contained rKA involving an aberrant right subclavian artery after a stroke. He underwent successful hybrid repair with the use of thoracic endovascular aortic repair associated with cervical debranching of the left subclavian artery and vascular plug occlusion of both subclavian artery origins. Whereas no early adverse event was reported, the patient experienced a vertebrobasilar insufficiency once he had recovered, requiring an additional right carotid-to-subclavian bypass. PMID: 28007277 [PubMed - in process]
Source: The Annals of Thoracic Surgery - December 23, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Ben Abdallah I, El Batti S, Julia P, Alsac JM Tags: Ann Thorac Surg Source Type: research

Risk of Stroke and Major Bleeding with Vitamin-K Antagonist Use after Mitral Valve Repair
CONCLUSIONS: Our study suggests that VKA after MVr does not reduce risk of cerebral embolic events but is associated with increased risk of major bleeding events.PMID:36223805 | DOI:10.1016/j.athoracsur.2022.09.038
Source: The Annals of Thoracic Surgery - October 12, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Chase R Brown Alexandra E Sperry William G Cohen Jason J Han Fabliha Khurshan Peter Groeneveld Nimesh Desai Source Type: research

Direct Aortic versus Peripheral Arterial Cannulation in Surgery for Type-A Aortic Dissection.
CONCLUSIONS: In this institutional series, central arterial cannulation allowed a straightforward surgical repair of TAAD and achieved similar early outcomes to those of peripheral arterial cannulation. PMID: 32165179 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - March 8, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Jormalainen M, Raivio P, Mustonen C, Honkanen HP, Vento A, Biancari F, Juvonen T Tags: Ann Thorac Surg Source Type: research

Long Term Outcomes and Anticoagulation in Mitral Valve Surgery - A Report from the Society of Thoracic Surgeons Database
CONCLUSIONS: Anticoagulation was used in less than half of mitral valve surgery. In MVrep patients, warfarin was associated with increased bleeding and was not protective against either stroke or mortality. In BMVR patients, warfarin was associated with a modest survival benefit, increased bleeding and equivalent stroke risk. NOAC was associated with increased adverse outcomes.PMID:37308066 | DOI:10.1016/j.athoracsur.2023.05.025
Source: The Annals of Thoracic Surgery - June 12, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Thomas A Schwann Andrew M Vekstein Daniel T Engelman Dylan Thibault Joanna Chikwe Milo Engoren Mario Gaudino Sreekanth Vemulapalli Vinod Thourani Gorav Ailawadi Anthony Rousou Robert H Habib Source Type: research

Hypothermia and Selective Antegrade Cerebral Perfusion Is Safe for Arch Repair in Type A Dissection.
CONCLUSIONS: Unilateral selective antegrade cerebral perfusion with moderate hypothermic circulatory arrest remains a safe strategy for cerebral protection during emergent surgical repair of acute type A dissection and provides equivalent outcomes for both limited and extensive aortic arch reconstruction. Based on these data, unilateral selective antegrade cerebral perfusion and moderate hypothermic circulatory arrest may represent an optimal strategy for cerebral protection in this acute setting. PMID: 28551049 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - May 24, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Keeling WB, Leshnower BG, Hunting JC, Binongo J, 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

Minimally Invasive Fibrillating Heart Surgery: A Safe and Effective Approach for Mitral Valve and Surgical Ablation for Atrial Fibrillation.
CONCLUSIONS: We demonstrated that low operative mortality and low stroke rate with MI fibrillating cardiac operations without cross-clamping allows for MVS and AF ablation. Our results suggest that the MI fibrillating heart approach is safe and effective. PMID: 23773732 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - June 15, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Massimiano PS, Yanagawa B, Henry L, Holmes SD, Pritchard G, Ad N Tags: Ann Thorac Surg Source Type: research

Surgical Management of Caseous Calcification of the Mitral Annulus.
We present a strategy of limited incision and drainage of the liquid material, closure of the incision, and subsequent suture obliteration of the cavity and mitral valve repair or replacement. In our experience, this technique is safe and has not been associated with perioperative stroke. PMID: 26046892 [PubMed - in process]
Source: The Annals of Thoracic Surgery - June 1, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Wehman B, Dawood M, Ghoreishi M, Cheema F, Jones JW, Kane MA, Ward CW, Gammie JS Tags: Ann Thorac Surg 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. PMID: 26233273 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - July 30, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Leshnower BG, Thourani VH, Halkos ME, Sarin EL, Keeling WB, Lamias MJ, Guyton RA, Chen EP Tags: Ann Thorac Surg Source Type: research

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. PMID: 26876340 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - February 12, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Coselli JS, Green SY, Price MD, Hash JA, Ouyang Y, Volguina IV, Preventza O, de la Cruz KI, LeMaire SA Tags: Ann Thorac Surg Source Type: research

Bicuspid Aortic Insufficiency With Aortic Root Aneurysm: Root Reimplantation Versus Bentall Root Replacement.
CONCLUSIONS: In patients with bicuspid aortic valve AI with root aneurysm, primary cusp repair with root reimplantation achieves equivalent midterm outcomes compared with Bentall root replacement. PMID: 27261086 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - May 31, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Vallabhajosyula P, Szeto WY, Habertheuer A, Komlo C, Milewski RK, McCarthy F, Desai ND, Bavaria JE Tags: Ann Thorac Surg Source Type: research

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