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Right Minithoracotomy for Mitral Valve Surgery: Impact of Tailored Strategies on Early Outcome.
CONCLUSIONS: Right minithoracotomy MVS can routinely be performed with favorable outcomes in all comers when perfusion strategies and clamping techniques are carefully selected after proper evaluation of the patient's preoperative characteristics. PMID: 27435516 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - July 15, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Barbero C, Marchetto G, Ricci D, El Qarra S, Attisani M, Filippini C, Boffini M, Rinaldi M Tags: Ann Thorac Surg Source Type: research

Aortic Valve Replacement in the Moderately Elevated Risk Patient: A Population-Based Analysis of Outcomes.
CONCLUSIONS: This population-based contemporary assessment suggests moderate-risk patients undergoing AVR experience favorable outcomes. Although increasing PROM is important in preoperative evaluation of risk, preexisting pulmonary hypertension and indication for operation are among other factors that should be considered as TAVR expands into this group of patients. PMID: 27324524 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - June 17, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Patel HJ, Likosky DS, Pruitt AL, Murphy ET, Theurer PF, Prager RL 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

Does a Higher Society of Thoracic Surgeons Score Predict Outcomes in Transfemoral and Alternative Access Transcatheter Aortic Valve Replacement?
CONCLUSIONS: As expected, non-TF patients were at a higher risk than TF patients for procedural morbidity and death. Although no differences were observed in 30-day deaths or morbidity in different STS PROM subgroups, those undergoing non-TF TAVR at a higher STS PROM (>8%) had higher 1-year mortality. When applicable, TF TAVR remains the procedure of choice in high- or extreme-risk patients undergoing TAVR. PMID: 27209615 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - May 17, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Jensen HA, Thourani VH, Forcillo J, Condado JF, Binongo JN, Babaliaros V, Lasanajak Y, Leshnower B, Devireddy C, Guyton R, Mavromatis K, Block P, Simone A, Keegan P, Stewart J, Tsai LL, Rajaei MH, Lerakis S, Sarin EL Tags: Ann Thorac Surg Source Type: research

Transapical Transcatheter Valve-in-Valve Implantation for Failed Mitral Bioprostheses: Gradient, Symptoms, and Functional Status in 18 High-Risk Patients Up to 5 Years.
CONCLUSIONS: Mitral valve-in-valve implantation allows good clinical and hemodynamic results. In our series, the appearance of a significant gradient at follow-up was not associated with echocardiographic signs of structural deterioration, and was possibly related to the size of the transcatheter and recipient valve. PMID: 27209614 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - May 17, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Cerillo AG, Gasbarri T, Celi S, Murzi M, Trianni G, Ravani M, Solinas M, Berti S Tags: Ann Thorac Surg Source Type: research

Performing the Left Atrial Maze Ablation Pattern Without Atriotomy.
This report describes a technique how pulmonary vein isolation, an isolation of the posterior left atrial wall and an anterior mitral annular line, which substitutes for the mitral isthmus line in order to prevent perimitral atrial flutter, can be performed during aortic valve replacement without the need for an atriotomy. This technique allows for an optimal time management by minimizing additional cardiopulmonary bypass-time and cross-clamp-time; however, its equivalent efficacy in successfully treating atrial fibrillation compared to the left atrial Maze IV ablation pattern needs to be revealed in future trials. PM...
Source: The Annals of Thoracic Surgery - January 20, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Weimar T, Gaynor SL, Seubert DY, Damiano RJ, Doll N Tags: Ann Thorac Surg Source Type: research

Trends, Predictors, and Outcomes of Stroke After Surgical Aortic Valve Replacement in the United States.
CONCLUSIONS: The incidence of stroke after AVR has decreased but remains a significant cause of morbidity in medium- and high-risk patients. Superior outcomes can be achieved in medium- to high-risk patients at high-volume centers. PMID: 26611821 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - November 20, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Idrees JJ, Schiltz NK, Johnston DR, Mick S, Smedira NG, Sabik JF, Blackstone EH, Svensson LG, Soltesz EG Tags: Ann Thorac Surg Source Type: research

Current Results of Surgical Aortic Valve Replacement: Insights From the German Aortic Valve Registry.
CONCLUSIONS: Contemporary surgical AVR yields excellent outcomes with low in-hospital mortality, a low overall complication rate, and good 1-year outcome for all risk groups. Accordingly, conventional AVR remains an important therapeutic option for many patients. PMID: 26576751 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - November 11, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Holzhey D, Mohr FW, Walther T, Möllmann H, Beckmann A, Kötting J, Figulla HR, Cremer J, Kuck KH, Lange R, Sack S, Schuler G, Beyersdorf F, Böhm M, Heusch G, Meinertz T, Neumann T, Papoutsis K, Schneider S, Welz A, Hamm CW Tags: Ann Thorac Surg Source Type: research

Mitral Valve Surgery in Patients With Severe Mitral Annular Calcification.
CONCLUSIONS: In patients with severe mitral annular calcification undergoing mitral valve surgery, complete annular decalcification and reconstruction yields favorable outcomes. PMID: 26545623 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - November 3, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Uchimuro T, Fukui T, Shimizu A, Takanashi S Tags: Ann Thorac Surg Source Type: research

Transcatheter or Surgical Aortic Valve Replacement in Patients With Prior Coronary Artery Bypass Grafting.
CONCLUSIONS: For patients with prior coronary artery bypass graft surgery and aortic stenosis, TAVR offers a significant morbidity advantage and a strong trend toward improved survival over SAVR at 1 year. PMID: 26433523 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - September 30, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Conte JV, Gleason TG, Resar JR, Adams DH, Deeb GM, Popma JJ, Hughes GC, Zorn GL, Reardon MJ Tags: Ann Thorac Surg Source Type: research

Transcatheter Aortic Valve Replacement Versus Aortic Valve Bypass: A Comparison of Outcomes and Economics.
CONCLUSIONS: TAVR and AVB relieve aortic stenosis and have similar and acceptable procedural mortality rates. AVB-treated patients had 1.75 times the STS risk score when compared with the TAVR cohort. Hospital charges for TAVR were nearly twofold those of AVB. Hospital reimbursement was similar, but AVB had two to four times the profit margin of TAVR. Longer follow-up for the TAVR cohort will determine whether survival is comparable to that after AVB at 3 and 5 years. PMID: 26365675 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - September 11, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Brown JW, Boyd JH, Patel PM, Baker ML, Syed A, Ladowski J, Corvera J Tags: Ann Thorac Surg Source Type: research

Contemporary Outcomes of Coronary Artery Bypass Grafting Among Patients With Insulin-Treated and Non-Insulin-Treated Diabetes.
CONCLUSIONS: Patients with diabetes undergoing CABG have substantially increased risk of major adverse events. Patients with ITDM represent an especially high-risk group. PMID: 26319487 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - August 25, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Li Z, Amsterdam EA, Young JN, Hoegh H, Armstrong EJ Tags: Ann Thorac Surg Source Type: research

The Expanding Role of Endoscopic Robotics in Mitral Valve Surgery: 1,257 Consecutive Procedures.
CONCLUSIONS: Mitral valve repair or replacement, including concomitant procedures, can be performed safely and effectively using the LEAR technique. With a dedicated robotic team, the vast majority of patients with MV disorders, either isolated or with concomitant problems, can be treated using the LEAR technique. PMID: 26296272 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - August 18, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Murphy DA, Moss E, Binongo J, Miller JS, Macheers SK, Sarin EL, Herzog AM, Thourani VH, Guyton RA, Halkos ME Tags: Ann Thorac Surg Source Type: research

Intraaortic Protection From Embolization in Patients Undergoing Transaortic Transcatheter Aortic Valve Implantation.
CONCLUSIONS: The intraaortic protection device seems to reduce both the incidence and the volume of new cerebral lesions (ClinicalTrials.gov number, NCT01735513). PMID: 26234838 [PubMed - in process]
Source: The Annals of Thoracic Surgery - August 1, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Wendt D, Kleinbongard P, Knipp S, Al-Rashid F, Gedik N, El Chilali K, Schweter S, Schlamann M, Kahlert P, Neuhäuser M, Forsting M, Erbel R, Heusch G, Jakob H, Thielmann M Tags: Ann Thorac Surg Source Type: research

Outcomes in Nonagenarians Undergoing Transcatheter Aortic Valve Replacement in the PARTNER-I Trial.
CONCLUSIONS: A TAVR can be performed in nonagenarians with acceptable short- and mid-term outcomes. Although TF- and TA-TAVR outcomes are not directly comparable, TA-TAVR appears to carry a higher risk of early death without a difference in intermediate-term mortality. Age alone should not preclude referral for TAVR in nonagenarians. PMID: 26242213 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - August 1, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Thourani VH, Jensen HA, Babaliaros V, Kodali SK, Rajeswaran J, Ehrlinger J, Blackstone EH, Suri RM, Don CW, Aldea G, Williams MR, Makkar R, Svensson LG, McCabe JM, Dean LS, Kapadia S, Cohen DJ, Pichard AD, Szeto WY, Herrmann HC, Devireddy C, Leshnower BG, Tags: Ann Thorac Surg Source Type: research

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