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Improvement of early outcomes in type A acute aortic syndrome after an Aorta Code implementation
CONCLUSIONS: An Aorta Code can be successfully implemented by using a standardized protocol within a hospital network. The number of cases increased, time to diagnosis, transfer and operating room were reduced and 30- day mortality significantly decreased.PMID:37488005 | DOI:10.1016/j.athoracsur.2023.07.010
Source: The Annals of Thoracic Surgery - July 24, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Luis C Maroto Carlos Ferrera Javier Cobiella Manuel Carnero Rosa Beltrao Isaac Mart ínez Paula Campelos Francisco J Mart ín-Sánchez Ana M Carrero Mar ía J Domínguez Esther Álvarez F átima Fernández Beatriz Cabeza Estrella Colorado Juli án P Villa 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

Outcomes of Surgical Repair of Aberrant Subclavian Arteries in Adults
CONCLUSIONS: KD Aortic Origin Diameter correlates with number of symptoms, and surgical repair of ASCA and descending aorta origin/KD effectively relieves symptoms with low rates of reintervention. Given the operative complexity, surgical repair should be performed in patients meeting size criteria or with significant dysphagia or shortness of breath symptoms.PMID:37030428 | DOI:10.1016/j.athoracsur.2023.03.031
Source: The Annals of Thoracic Surgery - April 8, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Elaine M Griffeth Elizabeth H Stephens Joseph A Dearani Christopher Francois Austin Todd William R Miranda Heidi M Connolly Crystal R Bonnichsen Alberto Pochettino Source Type: research

Isolated Tricuspid Operations: Society of Thoracic Surgeons Adult Cardiac Surgery Database Analysis
CONCLUSIONS: Isolated tricuspid repair was associated with lower adjusted mortality and morbidities than replacement. Beating heart operation was associated with lower adjusted major morbidities. Pre-operative MELD scores may identify high-risk patients, and referral to higher volume centers may help improve outcomes.PMID:36696939 | DOI:10.1016/j.athoracsur.2022.12.041
Source: The Annals of Thoracic Surgery - January 25, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Qiudong Chen Michael E Bowdish Jad Malas Amy Roach George Gill Georgina Rowe Jason Thomas Dominic Emerson Alfredo Trento Natalia Egorova Joanna Chikwe Source Type: research

Aortic Reoperation After Prior Acute Type A Aortic Dissection Repair: Don't Despair the Repair
CONCLUSIONS: Reoperation after ATAD repair can be safely performed as an elective procedure at experienced centers. Staged distal interventions utilizing classic elephant trunk insertion and open repair above the celiac axis showed durable outcomes.PMID:36653324 | DOI:10.1016/j.athoracsur.2022.10.021
Source: The Annals of Thoracic Surgery - January 18, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Suguru Ohira Ramin Malekan Masashi Kai Joshua B Goldberg Igor Laskowski Corazon De La Pena Ian Mason Steven L Lansman David Spielvogel Source Type: research

Distal Aortic Progression After Hemi- Zones 1-3 Arch Replacement in Acute Type A Aortic Dissection
CONCLUSIONS: There was no significant difference in long-term survival, distal aorta growth, or reoperation rate for distal aortic aneurysm after Hemiarch or Zones 1-3 arch replacement. Patient-specific arch replacement strategies may be utilized rather than defaulting to aggressive arch replacement for all ATAAD patients.PMID:36368349 | DOI:10.1016/j.athoracsur.2022.10.035
Source: The Annals of Thoracic Surgery - November 11, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Nathan Graham Marc Titsworth Rana-Armaghan Ahmad Xiaoting Wu Aroma Naeem Karen M Kim Shinichi Fukuhara Himanshu Patel G Michael Deeb Bo Yang Source Type: research

Deep Hypothermic Circulatory Arrest with Retrograde Cerebral Perfusion: How Long is Safe?
CONCLUSIONS: DHCA/RCA provided satisfactory outcomes after proximal aortic operations. The safe duration of RCP with DHCA was up to 30 minutes in our experience. When the circulatory arrest time is expected to exceed 60 minutes, other adjuncts for cerebral protection should be recommended.PMID:36243133 | DOI:10.1016/j.athoracsur.2022.09.045
Source: The Annals of Thoracic Surgery - October 15, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Akiko Tanaka Max Chehadi Holly N Smith Madiha Hassan Harleen K Sandhu Charles C Miller Hazim J Safi Anthony L Estrera Source Type: research

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