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257 * minimally invasive mitral valve surgery without aortic cross clamping and with femoral cannulation is not associated with increased risk for stroke compared to traditional mitral valve surgery: a propensity score matched analysis
Conclusion: These results suggest an MI fibrillating heart approach for MV surgery was not associated with greater incidence of stroke/TIA. All MI MV surgeries with fibrillatory arrest were performed by surgeons experienced in the MI approach. In the presence of highly experienced surgeons, the MI approach using fibrillatory arrest did not increase risk for perioperative stroke.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Ad, N., Holmes, S. D., Pritchard, G., Massimiano, P. S. Tags: Long-term results of mitral valve surgery Source Type: research

Incidence and causes of silent and symptomatic stroke following surgical and transcatheter aortic valve replacement: a comprehensive review
Stroke associated with aortic valve replacement in calcific aortic stenosis, either via transcatheter implantation (TAVR) or via surgical replacement (SAVR), is one of the most devastating complications. However, data concerning the clinical impact and incidence of clinical and silent stroke complicating SAVR and TAVR are varying. This comprehensive review of the literature explores the genuine incidence of neurological events after these procedures. Additionally, potential factors responsible for the discrepancies in stroke rates in the current literature are analysed and a lack of uniform neurological definitions and sta...
Source: Interactive CardioVascular and Thoracic Surgery - August 21, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Grabert, S., Lange, R., Bleiziffer, S. Tags: Extracorporeal circulation, History Adult Cardiac Source Type: research

064 * ten-year results of redo aortic valve surgery in current practice: results from the multicentre european redo cardiac operations research database (record) initiative
Conclusions: rAVR still achieve satisfactory results. Baseline risk-factors and perioperative complications affecting outcome can be targets for TAVR and for improvements in perioperative management respectively.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Onorati, F., Biancari, F., De Feo, M., Mariscalco, G., Messina, A., Santarpino, G., Santini, F., Faggian, G. Tags: Aortic valve replacement: Long-term outcomes Source Type: research

224 * what is the best surgical strategy for aortic disease in redo scenarios? a comparison between traditional aortic valve replacement and transapical transcatheter aortic valve implantation from two real-world multicentre surgical registries
Conclusion: Outcome differences between RAVR and TaTAVI in redo scenarios reflect methodological differences and different baseline risk-profiles. Propensity-matched patients show comparable outcome data, which slightly favour TaTAVI.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Onorati, F. E., D'Onofrio, A., Gerosa, G., Faggian, G. Tags: Transcatheter aortic valve implantation: The treatment of choice Source Type: research

300 * influence of different pacemaker stimulation modes in patients with ventricular hypertrophy
Conclusion: An increase in the heart rate does not lead to a notable drop in stroke volume postoperatively in left-ventricular hypertrophy; hence a rise in cardiac output can be anticipated up to a rate of 100 bpm. A standardised response in terms of an ideal pacemaker stimulation mode could not be identified.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Kiessling, A. H., Elhadouchi, L., Miskovic, A., Reyher, C., Stock, U. A., Moritz, A. Tags: Infective endocarditis and outcomes Source Type: research

Results of surgical aortic valve replacement and transapical transcatheter aortic valve replacement in patients with previous coronary artery bypass grafting
CONCLUSIONS Reported differences in mortality and morbidity after TaTAVR and RAVR reflect differences in baseline risk profiles. Given the lower trend for renal complications, patients at higher perioperative renal risk might be better served by TaTAVR.
Source: Interactive CardioVascular and Thoracic Surgery - May 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Onorati, F., D'Onofrio, A., Biancari, F., Salizzoni, S., De Feo, M., Agrifoglio, M., Mariscalco, G., Lucchetti, V., Messina, A., Musumeci, F., Santarpino, G., Esposito, G., Santini, F., Magagna, P., Beghi, C., Aiello, M., Ratta, E. D., Savini, C., Troise, Tags: Molecular biology, Transplantation - heart, Basic research vascular Adult Cardiac Source Type: research

316 * ministernotomy versus conventional sternotomy for aortic valve replacement: propensity score analysis of 808 patients
Conclusions: Aortic valve replacement can be safely conducted through a partial ministernotomy. This approach is not associated with an increased rate of complications. Prospective studies with special emphasis on endpoints such as postoperative pain, duration of postoperative recovery, and quality of life during follow-up, are needed to further clarify the role of ministernotomy for aortic valve replacement.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Furukawa, N., Aboud, A., Schonbrodt, M., Renner, A., Hakim, K., Becker, T., Zittermann, A., Oliver, K., Gummert, J. F., Borgermann, J. Tags: Minimally invasive aortic valve surgery Source Type: research

017 * aortic valve replacement through an anterior right mini-thoracotomy with central aortic cannulation is safe
Conclusion: MIAVR via an anterior right mini-thoracotomy with central cannulation results in similar perioperative mortality and stroke rates as compared to standard sternotomy. In addition, the MIAVR technique resulted in earlier extubation, fewer wound infections, reduced intraoperative transfusions, and shorter ICU and hospital stays. As compared to standard sternotomy AVR, our technique of MIAVR with preferential central cannulation appears safe.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Hui, D., Bowdish, M., Cleveland, J., Ranjan, R., Sinha, R., Baker, C. J., Cunningham, M. J., Starnes, V. A. Tags: Small incisions and sutureless valves: A perfect marriage Source Type: research

044 * open aortic arch replacement in high risk patients: the gold standard
Conclusion: Open TAR can be performed with low mortality and morbidity and excellent long-term results even in high-risk patients. Total endovascular repair may represent an option for patients not suitable for open surgery.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Iafrancesco, M., Ranasinghe, A., Dronavalli, V., Adam, D., Claridge, M., Riley, P., McCafferty, I., Mascaro, J. Tags: Part I: Aortic arch interventions: Debranching, rebranching, stenting and beyond Source Type: research

148 * one-year registry outcomes of the recently approved transapical acurate tavi device
Conclusion: One-year outcomes of this first registry demonstrate sustained excellent performance of the ACURATE TA prosthesis. The overall safety profile and 1-year survival is comparable to longer approved TAVI devices. This all-comers registry highlights excellent functional results, especially in regard to extremely low rates of relevant paravalvular leaks.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Kempfert, J., Holzhey, D. M., Hoffmann, S., Girdauskas, E., Treede, H., Schroefel, H., Thielmann, M., Walther, T. Tags: Transcatheter aortic valve implantation and its place in the contemporary treatment Source Type: research

142 * transcatheter aortic valve implantation through carotid artery access under local anaesthesia
Conclusions: TAVI through the CCA approach under LA is feasible and safe in high-risk patients. It allows continuous neurological status monitoring with low risk of stroke, minimal vascular complication risk, excellent bleeding control and immediate patient mobilization. It appears a valuable alternative option compared to transapical, transaxillary or transaortic accesses for patients who cannot undergo transfemoral TAVI.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Azmoun, A., Amabile, N., Ramadan, R., Ghostine, S., Brenot, P., Caussin, C., Deleuze, P., Nottin, R. Tags: Transcatheter aortic valve implantation: Expanding indications and techniques Source Type: research

151 * comparison of intermittent cold versus intermittent warm blood cardioplegia in 2200 adult cardiac surgery patients
Conclusions: In elective cardiac surgery, there was no difference in clinical outcome between cold and warm blood cardioplegia. In emergency patients, however, with most of them operated on in acute coronary syndrome, warm cardioplegia might be an option to improve outcome.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Trescher, K., Gleiss, A., Boxleitner, M., Dietl, W., Kassal, H., Holzinger, C., Podesser, B. Tags: Cardiac potpourri Source Type: research

232 * early anticoagulation therapy after bioprosthetic aortic valve implantation: comparing warfarin versus aspirin
Conclusions: This is to date the largest randomized trial comparing warfarin to aspirin as early anticoagulation therapy after implantation of bioprosthetic aortic valves. The results are not conclusive, but aspirin therapy seems as safe as warfarin therapy, and with significantly fewer gastrointestinal bleeding events, three months after surgery.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Rafiq, S., Steinbruchel, D. A., Moeller, C. H., Lund, J., Thiis, J. J., Koeber, L., Lilleoer, N. B., Olsen, P. S. Tags: Decision-making in aortic valve repair Source Type: research

268 * cerebral embolization during transcatheter aortic valve implantation compared with surgical aortic valve replacement
Conclusions: Surgical AVR is associated with more cerebral emboli than TAVI. Emboli were detected by TCD in all patients during TAVI and AVR. The main source of emboli was termination of bypass (most probably air emboli) and device implantation during AVR and TAVI, respectively.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Alassar, A., Roy, D., Valencia, O., Brecker, S., Jahangiri, M. Tags: Transcatheter aortic valve implantation: Crossing the chasm I Source Type: research

089 * innominate artery cannulation for proximal aortic surgery: outcomes and neurologic events in 263 patients
Conclusion: Innominate artery cannulation can be performed safely and poses a low risk of neurologic events in procedures requiring hypothermic circulatory arrest. This artery may be considered the optimal perfusion site for delivering ACP.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Preventza, O., Garcia, A., Tuluca, A., Henry, M., Bakaeen, F., Omer, S., Cornwell, L., Coselli, J. S. Tags: Part II: Cannulation issues in aortic surgery: Doing things right or doing the right things Source Type: research

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