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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

Sixth Annual Pediatric Interagency Registry for Mechanical Circulatory Support (Pedimacs) Report
CONCLUSIONS: This Sixth Pedimacs Report demonstrates the continued evolution of the pediatric field. The complexity of cardiac physiologies and anatomical constraint mandates the need for multiple types of devices utilized (PC, PP, IC). Detailed analyses of each device type in this report provide valuable information to further advance the care of this challenging and vulnerable population.PMID:36402175 | DOI:10.1016/j.athoracsur.2022.10.042
Source: The Annals of Thoracic Surgery - November 19, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Iki Adachi David M Peng Seth A Hollander Kathleen E Simpson Ryan R Davies Jeffrey P Jacobs Christina J VanderPluym Francis Fynn-Thompson Dennis A Wells Sabrina P Law Shahnawaz Amdani Ryan Cantor Devin Koehl James K Kirklin David L S Morales Joseph W Rossa Source Type: research

Transapical Ventricular Remodeling for Hypertrophic Cardiomyopathy with Systolic Cavity Obliteration
CONCLUSIONS: Transapical myectomy to enlarge LV cavity volume can be performed safely with good early survival and functional results. This procedure is an important alternative to cardiac transplantation for HCM patients with systolic cavity obliteration and progressive heart failure.PMID:35339438 | DOI:10.1016/j.athoracsur.2022.02.073
Source: The Annals of Thoracic Surgery - March 27, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Daokun Sun Hartzell V Schaff Rick A Nishimura Jeffrey B Geske Joseph A Dearani Steve R Ommen Source Type: research

Twelfth Interagency Registry for Mechanically Assisted Circulatory Support Report: Readmissions after LVAD
Ann Thorac Surg. 2022 Jan 7:S0003-4975(22)00007-8. doi: 10.1016/j.athoracsur.2021.12.011. Online ahead of print.ABSTRACTThe twelfth annual report from the Society of Thoracic Surgeons (STS) Interagency Registry for Mechanically Assisted Circulatory Support (Intermacs) highlights outcomes for 26,688 continuous-flow LVAD patients over the past decade (2011-2020). In 2020, we observed the largest drop in yearly LVAD implant volumes since the registry's inception, which reflects the effects of the COVID-19 pandemic on cardiac surgical volumes in the United States. The 2018 heart transplant allocation policy change in the U.S. ...
Source: The Annals of Thoracic Surgery - January 10, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Palak Shah Melana Yuzefpolskaya Gavin W Hickey Khadijah Breathett Omar Wever-Pinzon Van Khue-Ton William Hiesinger Devin Koehl James K Kirklin Ryan S Cantor Jeffrey P Jacobs Robert H Habib Francis D Pagani Daniel J Goldstein Source Type: research

Mid-Term Outcomes of Heart Transplantation in Children with Genetic Disorders
CONCLUSIONS: Despite more preoperative comorbidities, mid-term outcomes following heart transplant in children with genetic syndromes and disorders are promising.PMID:35007503 | DOI:10.1016/j.athoracsur.2021.12.019
Source: The Annals of Thoracic Surgery - January 10, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Horacio G Carvajal Catherine Gooch Taylor C Merritt J Chancellor Fox Anne N Pourney Harshini D Kumaresan Matthew W Canter Pirooz Eghtesady Source Type: research

Competing Risks to Transplant in Bridging with Continuous Flow Left Ventricular Assist Devices
CONCLUSIONS: While device related-complications were significantly associated with decreased rates of transplant, CF-LVAD patients had excellent waitlist outcomes overall. In light of the 2018 allocation score change, the risk of complications should be taken into account when deciding whether to offer CF-LVAD as a bridge to transplant.PMID:34808111 | DOI:10.1016/j.athoracsur.2021.09.079
Source: The Annals of Thoracic Surgery - November 22, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Nadia H Bakir Michael J Finnan Akinobu Itoh Michael K Pasque Gregory A Ewald Kunal D Kotkar Ralph J Damiano Marc R Moon Justin C Hartupee Joel D Schilling Muhammad F Masood Source Type: research

Fifth Annual Pediatric Interagency Registry for Mechanical Circulatory Support (Pedimacs) Report
CONCLUSIONS: This Fifth Pedimacs Report demonstrates the continued robust growth of VADs in the pediatric community, now with over 1000 patients reported to the registry. The multiple available device types (PC, PP, IC) serve different populations with different pre-VAD risk profiles, which may account for differences in survival and AE between device types.PMID:34648810 | DOI:10.1016/j.athoracsur.2021.10.001
Source: The Annals of Thoracic Surgery - October 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Joseph W Rossano Christina J VanderPluym David M Peng Seth A Hollander Katsuhide Maeda Iki Adachi Ryan R Davies Kathleen E Simpson Francis Fynn-Thompson Jennifer Conway Sabrina P Law Ryan Cantor Devin Koehl Jeffrey P Jacobs Shahnawaz Amdani James K Kirkli Source Type: research

The Specialized Donor Care Facility (SDCF) Model and Advances in Management of Thoracic Organ Donors.
CONCLUSIONS: Lack of high-quality prospective evidence results in conflicting practices across organ procurement organizations and best practices remain controversial. Future studies should focus on prospective, randomized investigations to evaluate donor management strategies. The SDCF model fosters a collaborative environment that encourages academic inquiry and is an ideal setting for these investigations. PMID: 33421385 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - January 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Bery A, Marklin G, Itoh A, Kreisel D, Takahashi T, Meyers BF, Nava R, Kozower BD, Shepherd H, Patterson GA, Puri V Tags: Ann Thorac Surg Source Type: research

A Frailty Screening Tool for Patients undergoing Orthotopic Heart Transplant.
CONCLUSIONS: The OHT frailty screening tool is highly predictive of adverse post-transplant outcomes. This screening tool may provide a framework to improve enhance existing risk stratification tools and improve overall resource utilization. PMID: 32622795 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - July 1, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Seese L, Hirji S, Sultan I, Gleason T, Kilic A Tags: Ann Thorac Surg Source Type: research

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