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A review and meta-analysis of conventional sternotomy versus minimally invasive mitral valve surgery for degenerative mitral valve disease focused on the last decade of evidence
CONCLUSION: In the modern era, MIMVS for degenerative disease is associated with improved short-term outcomes when compared to the CS.PMID:37145960 | DOI:10.1177/02676591231174579
Source: Perfusion - May 5, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Sajad Hussain Alexander G Swystun Massimo Caputo Gianni D Angelini Hunaid A Vohra Source Type: research

Left atrial appendage closure during mitral repair in patients without atrial fibrillation
Routine left atrial appendage closure during mitral repair in patients without atrial fibrillation (AF) is controversial. We aimed to compare the incidence of stroke after mitral repair in patients without recent AF according to left atrial appendage closure.
Source: The Journal of Thoracic and Cardiovascular Surgery - April 4, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Joanna Chikwe, Amy Roach, Dominic Emerson, Qiudong Chen, Georgina Rowe, George Gill, Achille Peiris, Danny Ramzy, Wen Cheng, Natalia Egorova, Alfredo Trento Source Type: research

Left atrial appendage occlusion
EuroIntervention. 2023 Feb 6;18(13):e1038-e1065. doi: 10.4244/EIJ-D-22-00627.ABSTRACTPrevention of stroke represents a goal of primary importance in health systems due to its associated morbidity and mortality. As several patient groups with increased stroke rates have been identified, multiple approaches have been developed and implemented: oral anticoagulation (OAC) for patients with atrial fibrillation, surgical and percutaneous revascularisation in patients with carotid disease, device closure for patients with patent foramen ovale, and now, left atrial appendage occlusion (LAAO) for selected patients with non-valvular...
Source: EuroIntervention - February 10, 2023 Category: Cardiovascular & Thoracic Surgery Authors: David R Holmes Kasper Korsholm Josep Rod és-Cabau Jacqueline Saw Sergio Berti Mohamad A Alkhouli Source Type: research

Early and midterm outcomes after off pump coronary artery bypass surgery
ConclusionOPCAB can safely be performed with satisfactory short and mid-term outcomes. Further corroborative studies from different regions of the country or a multi-center study will help to establish the suitability of the technique in Indian patients.
Source: Indian Journal of Thoracic and Cardiovascular Surgery - February 6, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Role of Intraoperative Neurophysiological Monitoring in Preventing Stroke after Cardiac Surgery
CONCLUSIONS: Permanent EEG change and diabetes were significant postoperative stroke predictors in cardiac surgeries. Furthermore, overall survival out to 10-years postoperatively was significantly higher in the group without intraoperative neurophysiological monitoring changes, emphasizing its important predictive role.PMID:36634835 | DOI:10.1016/j.athoracsur.2023.01.004
Source: The Annals of Thoracic Surgery - January 12, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Cara M Fleseriu Ibrahim Sultan James A Brown Amir Mina Jacob Frenchman Donald J Crammond Jeffrey Balzer Katherine M Anetakis Kathirvel Subramaniam Varun Shandal Forozan Navid Parthasarathy D Thirumala Source Type: research

Health ‐related quality of life impacts upon 5‐year survival after coronary artery bypass surgery
ConclusionsPre-CABG HRQoL scores may provide clinically relevant prognostic information beyond traditional risk models and prove useful for patient-provider shared decision-making and enhancing pre-CABG informed consent.
Source: Journal of Cardiac Surgery - November 24, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Muath Bishawi, Brack Hattler, G. Hossein Almassi, Jacquelyn A. Quin, Frederick L. Grover, Joseph F. Collins, Ramin Ebrahimi, Daniel H. Wolbrom, A. Laurie Shroyer, Veterans Affairs Randomized On/Off Bypass Follow ‐up Study (ROOBY‐FS) Group Tags: ORIGINAL ARTICLE Source Type: research

An alternate approach: Percutaneous axillary cannulation for minimally invasive cardiac surgery
ConclusionPercutaneous cannulation of the axillary artery is a novel and promising CPB modality for robotic cardiac surgery in patients with extensive peripheral and aortic atherosclerotic disease.
Source: Journal of Cardiac Surgery - November 24, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Jenna L. Mandel, Colin C. Yost, Jake L. Rosen, Kyle W. Prochno, Kellen J. Round, Caroline M. Komlo, Thomas Sloane Guy Tags: CASE REPORT Source Type: research

Closure of Left Atrial Appendage Has no Effect on Thromboembolic Rates after Mitral Valve Repair in Patients in Sinus Rhythm
This study examined the effects of closing the LAA in TIA/stroke after MV repair. Our database on patients who had MV repair for leaflet prolapse from 2000 through 2019 was reviewed. After excluding patients at higher risk of TIA/stroke, 1,050 patients in sinus rhythm were entered into the study: 781 with open LAA and 269 with surgically closed LAA.
Source: Seminars in Thoracic and Cardiovascular Surgery - November 21, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Maria Ascaso Arbona, Carolyn M. David, Chun-Po Steve Fan, Sudipta Saha, Tirone E. David Tags: ADULT – Original Submission Source Type: research

Early myocardial injury and coagulation activation in thoracoscopic left atrial appendage clipping
ConclusionThoracoscopic left atrial appendage closure surgery presents early myocardial injury and activation of coagulation function. The secondary increase of coagulation index needs our attention.
Source: Journal of Cardiac Surgery - November 15, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Cong Ye, Xuesong Han, Yiming Chen, Dong Xu Tags: ORIGINAL ARTICLE Source Type: research

The impact of prior cardiac surgery on patients undergoing surgical repair for acute type A aortic dissection
ConclusionsThese findings suggest that re-sternotomy can be safely performed with similar outcomes as first-time sternotomy. Central initiation of CPB after sternal reentry limits CPB time and may therefore represent a protective strategy that enhances outcomes for patients presenting with ATAAD and prior cardiac surgery.
Source: Journal of Cardiac Surgery - November 10, 2022 Category: Cardiovascular & Thoracic Surgery Authors: James A. Brown, Derek Serna ‐Gallegos, Jianhui Zhu, Nav Warraich, Sarah Yousef, Edgar Aranda‐Michel, Valentino Bianco, Ibrahim Sultan Tags: ORIGINAL ARTICLE Source Type: research

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