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Microplegia vs. 4:1 Blood Cardioplegia: Effectiveness and Cost Savings in Complex Cardiac Operations.
CONCLUSIONS: Our simplified microplegia technique offers several advantages over Buckberg cardioplegia without compromising myocardial protection or safety in complex, multi-component operations with extended aortic clamp times. PMID: 32160958 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - March 7, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Borden RA, Ball C, Grady PM, Toth AJ, Lober C, Bakaeen FG, Zhen-Yu Tong M, Soltesz EG, Blackstone EH, Roselli EE Tags: Ann Thorac Surg Source Type: research

Intraoperative fluid balance and perioperative outcomes following aortic valve surgery.
CONCLUSIONS: In patients who underwent AVR for aortic stenosis, positive intraoperative fluid balance was associated with decreased odds of AKI. Patients developing AKI had increased 30- and 90-day mortality. While the overall incidence was low, increased intraoperative fluid balance was associated with MI and 30-day mortality, while increased ultrafiltration volume was associated with 30- and 90-day morality. Prospective studies are needed to better define proper intraoperative fluid management in patients undergoing cardiac surgery. PMID: 32151580 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - March 5, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Smith BB, Mauermann WJ, Yalamuri SM, Frank RD, Gurrieri C, Arghami A, Smith MM Tags: Ann Thorac Surg Source Type: research

Impact of Perioperative Stroke on Mid Term Outcomes after Transcatheter Aortic Valve Replacement.
CONCLUSIONS: Stroke increases short term and mid-term mortality following TAVR. Risk prediction for neurologic events in TAVR could aid framework for patient selection, further improving outcomes. PMID: 32151578 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - March 5, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Habertheuer A, Gleason TG, Kilic A, Schindler J, Kliner D, Bianco V, Toma C, Aranda-Michel E, Kacin A, Sultan I Tags: Ann Thorac Surg Source Type: research

Valve-Sparing Root Replacement vs Composite Valve Grafting in Aortic Root Dilation: A Meta-Analysis.
CONCLUSIONS: Aortic valve sparing appears to be safe, and associated with reduced late mortality, thromboembolism/stroke and bleeding compared with composite valve grafting. Late durability is equivalent. Aortic valve sparing should be considered in patients with favorable aortic valve morphology. PMID: 31981499 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - January 21, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Elbatarny M, Tam DY, Edelman JJ, Rocha RV, Chu MWA, Peterson MD, El-Hamamsy I, Appoo JJ, Friedrich JO, Boodhwani M, Yanagawa B, Ouzounian M, Canadian Thoracic Aortic Collaborative (CTAC) Investigators Tags: Ann Thorac Surg Source Type: research

TAVR After Prior Mitral Valve Surgery: Results from the Transcatheter Valve Therapy Registry.
CONCLUSIONS: Patients with prior SMVR undergoing TAVR had similar 30-day outcomes, slightly higher 1-year mortality, and no increase in early PVL compared to those without previous SMVR. Prior SMVR should not preclude TAVR in appropriately selected patients. PMID: 31655043 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - October 22, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Thourani VH, Kelly JJ, Cervantes D, Vemulapalli S, Manandhar P, Forcillo J, Holmes D, Cohen DJ, Kirtane A, Kodali S, Leon M, Babaliaros V, Waksman R, Satler L, Shults C, Ben-Dor I, Rogers T, Kapadia S, Reardon M, Chris Malaisrie S, Gleason T, Holper EM, B Tags: Ann Thorac Surg Source Type: research

Aortic Valve Replacement in Bioprosthetic Failure:Insights from The Society of Thoracic Surgeons National Database.
CONCLUSIONS: The number of patients undergoing SAVR for degenerated bioprosthesis is decreasing in U.S, particularly among older and high-risk patients. These trends may reflect the adoption of valve-in-valve transcatheter aortic valve replacement for degenerated bioprosthesis after its FDA approval in 2015. PMID: 31557477 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - September 22, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kalra A, Raza S, Hussain M, Shorbaji K, Delozier S, Deo SV, Khera S, Kleiman NS, Reardon MJ, Kolte D, Gupta T, Mustafa R, Bhatt DL, Sabik JF Tags: Ann Thorac Surg Source Type: research

Impact of Aortic Atherosclerosis Burden on Outcomes of Surgical Aortic Valve Replacement.
CONCLUSIONS: Moderate/severe aortic atherosclerosis was associated with an increased risk of adverse events following SAVR. Epiaortic ultrasound may serve as a useful adjunct for identifying patients who may benefit from strategies to reduce atheroembolic complications during SAVR. PMID: 31400333 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - August 6, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Iribarne A, Pan S, McCullough JN, Mathew JP, Hung J, Zeng X, Voisine P, O'Gara PT, Sledz NM, Gelijns AC, Taddei-Peters WC, Messé SR, Moskowitz AJ, Thourani VH, Argenziano M, Groh MA, Giustino G, Overbey JR, DiMaio JM, Smith PK Tags: Ann Thorac Surg Source Type: research

Direct Cannulation in Minimally Invasive Cardiac surgery with limited resources.
CONCLUSIONS: In 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. PMID: 31336068 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - July 19, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kandakure PR, Batra M, Garre S, Nagendra S, Shaikh F, Pani K Tags: Ann Thorac Surg Source Type: research

Transcatheter and Surgical Aortic Valve Replacement in Patients with Recent Acute Heart Failure.
CONCLUSIONS: Recent AHF is associated with increased risk of mortality and morbidity after SAVR and TAVR. These findings suggest that AS patients should be referred for invasive treatment before the development of clinically evident heart failure. PMID: 31288017 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - July 5, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Jalava MP, Laakso T, Virtanen M, Niemelä M, Ahvenvaara T, Tauriainen T, Maaranen P, Husso A, Kinnunen EM, Dahlbacka S, Jaakkola J, Airaksinen J, Anttila V, Rosato S, D'Errigo P, Savontaus M, Laine M, Mäkikallio T, Valtola A, Raivio P, Eskola M, Biancari Tags: Ann Thorac Surg Source Type: research

Comparative Outcomes of Transcarotid and Trans-subclavian Transcatheter Aortic Valve Replacement.
CONCLUSIONS: The transcarotid and the trans-subclavian approaches have similar safety and efficacy outcomes. The transcarotid approach had a shorter procedure duration and a trend towards lower fluoroscopy duration and radiation exposure. PMID: 31279787 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - July 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Amer MR, Mosleh W, Joshi S, Mather JF, El-Mallah W, Cheema M, McKay RG Tags: Ann Thorac Surg Source Type: research

Long-term outcomes with mechanical versus biological aortic valve prosthesis in patients > 70 years.
CONCLUSIONS: Mechanical aortic valve prosthesis is associated with worse long-term survival and increased bleeding after SAVR in patients aged >70 years. Our results suggest caution when considering mechanical aortic valve prostheses in elderly patients. PMID: 31082357 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - May 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kytö V, Myllykangas ME, Sipilä J, Niiranen TJ, Rautava P, Gunn J Tags: Ann Thorac Surg Source Type: research

Outcomes of Isolated Tricuspid Valve Surgery Have Improved in the Modern Era.
CONCLUSIONS: In the current era with careful patient selection and periprocedural management, isolated TV surgery can be performed with lower morbidity and mortality than has traditionally been reported with good long term survival. These outcomes can also serve as a benchmark for catheter-based tricuspid valve intervention outcomes. PMID: 30951698 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - April 1, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Hamandi M, Smith RL, Ryan WH, Grayburn PA, Vasudevan A, George TJ, DiMaio JM, Hutcheson KA, Brinkman W, Szerlip M, Moore DO, Mack MJ Tags: Ann Thorac Surg Source Type: research

Association Between Red Blood Cell Transfusion and Clinical Outcomes Among Patients Undergoing Transcatheter Aortic Valve Replacement.
CONCLUSIONS: PRBC transfusion in patients undergoing TAVR is associated with an increased incidence of adverse outcomes during hospitalization, at 30-day and 1-year follow-up. PMID: 30552884 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - December 12, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Apostolidou E, Aronow HD, Beale CE, Kolte D, Kennedy KF, Sellke FW, Gordon PC, Sharaf B, Ehsan A Tags: Ann Thorac Surg Source Type: research

Development and Application of a Risk Prediction Model for In-Hospital Stroke After Transcatheter Aortic Valve Replacement - A Report from the Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy Registry.
CONCLUSIONS: A risk model for in-hospital stroke following TAVR was developed from the STS/ACC TVT Registry and used to estimate site-specific stroke performance. This model can serve as a valuable resource for quality improvement, clinical decision-making, and patient counseling. PMID: 30529671 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - December 7, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Thourani VH, O'Brien SM, Kelly JJ, Cohen DJ, Peterson ED, Mack MJ, Shahian DM, Grover FL, Carroll EJ, Brennan JM, Forcillo J, Arnold SV, Vemulapalli S, Fitzgerald S, Holmes DR, Bavaria JE, Edwards FH Tags: Ann Thorac Surg Source Type: research

Cognition and Cerebral Infarction in Older Adults After Surgical Aortic Valve Replacement.
CONCLUSIONS: In high-risk, aged participants undergoing surgical AVR for aortic stenosis, post-operative cognitive dysfunction was surprisingly limited and was resolved by 1-year in most. Post-operative cognitive dysfunction at 4-6 weeks was associated with more and larger acute cerebral infarcts. PMID: 30423336 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - November 10, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Giovannetti T, Price CC, Fanning M, Messé S, Ratcliffe SJ, Lyon A, Kasner SE, Seidel G, Bavaria JE, Szeto WY, Hargrove WC, Acker MA, Floyd TF, DENOVO Investigators Tags: Ann Thorac Surg Source Type: research

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