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Direct Axillary Artery Cannulation for Type A Dissection and Impact of Dissected Innominate Artery
CONCLUSIONS: Routine direct AX cannulation strategy is safe in ATAD repair. Right AX cannulation can be used in most patients with IAD, even with a compromised true lumen, with low mortality, stroke and vascular injury rates.PMID:34052222 | DOI:10.1016/j.athoracsur.2021.05.008
Source: The Annals of Thoracic Surgery - May 30, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Suguru Ohira Ramin Malekan Masashi Kai Joshua B Goldberg Philip J Spencer Steven L Lansman David Spielvogel Source Type: research

Outcomes of Open v. Endovascular Repair of Descending Thoracic and Thoracoabdominal Aortic Aneurysms
CONCLUSIONS: Open repair of descending thoracic and thoracoabdominal aneurysms can achieve acceptable short-term outcomes with better intermediate-term outcomes than endovascular repair.PMID:34048754 | DOI:10.1016/j.athoracsur.2021.04.100
Source: The Annals of Thoracic Surgery - May 28, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Michael Z Tong Matthew J Eagleton Eric E Roselli Eugene H Blackstone Fei Xiang Mudathir Ibrahim Douglas R Johnston Edward G Soltesz Faisal G Bakaeen Sean P Lyden Andrew J Toth Huan Liu Lars G Svensson Source Type: research

Reoperative Total Arch Repair Using a Trifurcated Graft and Selective Antegrade Cerebral Perfusion
CONCLUSIONS: We report a reoperative TAR technique that minimizes dissection of the cardiac structures, simplifies the distal anastomosis, and protects vital organs, such as the brain, heart, and spinal cord.PMID:33857494 | DOI:10.1016/j.athoracsur.2021.03.090
Source: The Annals of Thoracic Surgery - April 15, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Suguru Ohira Ramin Malekan Masashi Kai Joshua B Goldberg Philip J Spencer Steven L Lansman David Spielvogel Source Type: research

Society of Thoracic Surgeons 2021 Adult Cardiac Surgery Risk Models for Multiple Valve Operations
CONCLUSIONS: New STS-ACSD risk models have been developed for multiple valve +/- CABG operations, and these models will be used in subsequent STS performance metrics.PMID:33844993 | DOI:10.1016/j.athoracsur.2021.03.089
Source: The Annals of Thoracic Surgery - April 12, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Jeffrey Jacobs David Shahian Vinay Badhwar Dylan Thibault Vinod Thourani J Scott Rankin Paul Kurlansky Michael Bowdish Joseph Cleveland Anthony Furnary Karen Kim Kevin Lobdell Christina Vassileva Moritz Wyler von Ballmoos Mark Antman Liqi Feng Sean O'Brie Source Type: research

Beating vs Arrested Heart Isolated Tricuspid Valve Surgery: Long-term Outcomes
CONCLUSIONS: Isolated tricuspid valve surgery performed with a beating heart strategy is a safe option and resulted in a trend of increased long-term survival and freedom from reoperation when compared with the standard arrested heart technique. Patients undergoing beating heart valve repair had the best long-term outcome.PMID:33831392 | DOI:10.1016/j.athoracsur.2021.03.070
Source: The Annals of Thoracic Surgery - April 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Marco Russo Michele Di Mauro Guglielmo Saitto Antonio Lio Paolo Berretta Maurizio Taramasso Roberto Scrofani Alessandro Della Corte Sandro Sponga Ernesto Greco Matteo Saccocci Antonio Calafiore Giacomo Bianchi Dror B Leviner Andrea Biondi Ester Della Ratt Source Type: research

Endovascular Repair for Acute Type B Aortic Dissection with Unfavorable Proximal Landing Zone
CONCLUSIONS: Both techniques are feasible and safe for isolated LSA revascularization during endovascular repair for ATBAD. Apart from the associated perioperative risks of complications and mortality for the fenestrated technique, both procedures contributed to favorable aortic remodeling.PMID:33819473 | DOI:10.1016/j.athoracsur.2021.02.092
Source: The Annals of Thoracic Surgery - April 5, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Hai-Yang Chang Yong-Zheng Wang Bin Liu Wu-Jie Wang Yu-Liang Li Source Type: research

Initial Clinical Experience with Mitral Valve Translocation for Secondary Mitral Regurgitation.
CONCLUSIONS: Mitral valve translocation creates a large surface of coaptation and effectively corrects FMR. Further study is needed to demonstrate the long-term durability and clinical utility of this operation. PMID: 33440174 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - January 10, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Gammie JS, Quinn RW, Strauss ER, Wang L, D'Ambra MN, Hung J, Bernstein DA, Tran D, Rice MK, Holmes SD, Pasrija C Tags: Ann Thorac Surg Source Type: research

Transcarotid Approach for Ascending Aortic Endovascular Repair.
We report a case of penetrating aortic ulcer in zone 0 of the ascending aorta with concern for free rupture that was treated by transcarotid endovascular stent graft. The patient was noted to be a poor candidate for open repair given comorbidities, frailty and age. She had a chronic occlusion of the right external iliac artery and stenosis of the left external iliac artery. Endovascular ascending aortic stenting was deployed successfully via right common carotid access. Patient had an uncomplicated postoperative course without evidence of stroke. Transcarotid approach is an optimal alternative access for patients undergoin...
Source: The Annals of Thoracic Surgery - January 4, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Prasad NK, Ghoreishi M, Boyajian G, Gupta A, Hall M, Toursavadkouhi S, Taylor BS Tags: Ann Thorac Surg Source Type: research

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