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Successful heart transplantation in a patient with Loeys-Dietz Syndrome.
Abstract Our patient is a 45-year-old woman with a history of Loeys-Dietz syndrome (LDS), vertebral artery dissection, stroke, prior atrial septal defect (ASD) repair, and spontaneous left main coronary artery dissection re-vascularized with coronary artery bypass grafting who progressed to end-stage heart failure. She was listed for cardiac transplantation and a suitable organ became available. She underwent heart transplantation over one year ago successfully. This is the first reported case of a successful heart transplantation in an individual with Loeys-Dietz syndrome. PMID: 30513314 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - December 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Feroe AG, Fiedler AG, D'Alessandro DA Tags: Ann Thorac Surg Source Type: research

Does Mitral Valve Calcium In Patients Undergoing Mitral Valve Replacement Portend Worse Survival?
CONCLUSIONS: Conservative approach to treat MAC achieves satisfactory results. Patients with MAC have significant comorbidities contributing to a worse survival though MAC in itself is not a risk factor for mortality. PMID: 30391339 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - November 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Saran N, Greason KL, Schaff HV, Cicek SM, Daly RC, Maltais S, Stulak JM, Pochettino A, King KS, Dearani JA, Said SM Tags: Ann Thorac Surg Source Type: research

Clinical Outcomes of Mitral Valve Reoperations in the United States: An Analysis of the Society of Thoracic Surgeons National Database.
CONCLUSIONS: Despite a high-risk patient profile, surgical outcomes of reoperative MVS were acceptable, particularly in elective cases with prior mitral valve surgery and without endocarditis. PMID: 30365952 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Kilic A, Acker MA, Gleason TG, Sultan I, Vemulapalli S, Thibault D, Ailawadi G, Badhwar V, Thourani V, Kilic A Tags: Ann Thorac Surg Source Type: research

Bilateral Internal Mammary Artery Utilization in Diabetics: Friend or Foe?
CONCLUSIONS: In this statewide analysis, diabetics who received BIMA grafts (compared to diabetics with LIMA grafts or non-diabetics with BIMA grafts) had higher O/E ratios for composite morbidity/mortality as a result of higher O/E ratios for major complications. PMID: 29758209 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - May 11, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Crawford TC, Zhou X, Fraser CD, Magruder JT, Suarez-Pierre A, Alejo D, Bobbitt J, Fonner CE, Wehberg K, Taylor B, Kwon C, Fiocco M, Conte JV, Salenger R, Whitman GJ, Investigators for the Maryland Cardiac Surgery Quality Initiative Tags: Ann Thorac Surg Source Type: research

Hemiarch Reconstruction Vs Clamped Aortic Anastomosis for Concomitant Ascending Aortic Aneurysm.
CONCLUSIONS: Hemiarch replacement using DHCA with RCP does not increase the risk of operative complications compared to a normothermic, clamped-distal aortic anastomosis, and therefore its use should not be limited when planning complex multi-procedural reconstructions during elective ascending thoracic aortic replacement with concomitant cardiac surgery. PMID: 29730345 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - May 3, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Sultan I, Bianco V, Yajzi I, Kilic A, Dufendach K, Cardounel A, Althouse AD, Masri A, Navid F, Gleason TG Tags: Ann Thorac Surg Source Type: research

Aortic Valve Reoperation Following Stentless Bioprosthesis: Short- and Long-Term Outcomes.
CONCLUSIONS: Aortic valve reoperation following stentless valve implantation can be performed with low operative mortality and favorable long-term survival. PMID: 29625103 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - April 3, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Yang B, Patel HJ, Norton EL, Debenedictus C, Farhat L, Wu X, He K, Hornsby WE, Likosky DS, Deeb GM Tags: Ann Thorac Surg Source Type: research

The Society of Thoracic Surgeons 2018 Adult Cardiac Surgery Risk Models: Part 1 - Background, Design Considerations, and Model Development.
CONCLUSIONS: Completely new STS ACSD risk models have been developed based on contemporary patient data; their performance is superior to that of previous STS ACSD models. PMID: 29577925 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - March 22, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Shahian DM, Jacobs JP, Badhwar V, Kurlansky PA, Furnary AP, Cleveland JC, Lobdell KW, Vassileva C, Wyler von Ballmoos MC, Thourani VH, Rankin JS, Edgerton JR, D'Agostino RS, Desai ND, Feng L, He X, O'Brien SM Tags: Ann Thorac Surg Source Type: research

The Society of Thoracic Surgeons 2018 Adult Cardiac Surgery Risk Models: Part 2 - Statistical Methods and Results.
CONCLUSIONS: New STS ACSD risk models have generally excellent calibration and discrimination and are well suited for risk adjustment of STS performance metrics. PMID: 29577924 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - March 22, 2018 Category: Cardiovascular & Thoracic Surgery Authors: O'Brien SM, Feng L, He X, Xian Y, Jacobs JP, Badhwar V, Kurlansky PA, Furnary AP, Cleveland JC, Lobdell KW, Vassileva C, Wyler von Ballmoos MC, Thourani VH, Rankin JS, Edgerton JR, D'Agostino RS, Desai ND, Edwards FH, Shahian DM Tags: Ann Thorac Surg Source Type: research

Hybrid Coronary Revascularization Versus On-Pump Coronary Artery Bypass Grafting.
CONCLUSIONS: For selected patients, HCR is associated with a faster postoperative recovery as well as similar short-term and long-term outcomes when compared with standard on-pump CABG. PMID: 29571730 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - March 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Giambruno V, Jones P, Khaliel F, Chu MW, Teefy P, Sridhar K, Cucchietti C, Barnfield R, Kiaii B Tags: Ann Thorac Surg Source Type: research

Coronary Revascularization with Single Versus Bilateral Mammary Arteries: Is It Time to Change?
CONCLUSIONS: In a large regional experience BIMA is associated with no upfront risk of adverse events and improved long-term survival compared to SIMA. Our results indicate that BIMA conduits should be considered more frequently during CABG due to their demonstrated survival advantage. PMID: 29550203 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - March 14, 2018 Category: Cardiovascular & Thoracic Surgery Authors: DeSimone JP, Malenka DJ, Weldner PW, Iribarne A, Leavitt BJ, McCullough JN, Quinn RD, Schmoker JD, Kramer RS, Baribeau Y, Klemperer JD, Sardella GL, Olmstead EM, Ross CS, DiScipio AW, Northern New England Cardiovascular Disease Study Group Tags: Ann Thorac Surg Source Type: research

Bilateral Internal Thoracic Artery Grafts in Hemodialysis: A Single-Center Propensity Score Analysis.
CONCLUSIONS: CABG using BITA grafts showed no advantages in midterm outcome among hemodialysis patients; however, there were no adverse effects on perioperative morbidity or death. For hemodialysis patients with limited available conduits, BITA may be an important option for multivessel revascularization. PMID: 28964409 [PubMed - indexed for MEDLINE]
Source: The Annals of Thoracic Surgery - December 29, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Nakahara Y, Yoshida S, Kanemura T, Yamagishi S, Tochigi S, Osaka S Tags: Ann Thorac Surg Source Type: research

Should We Ablate Atrial Fibrillation During Coronary Artery Bypass Grafting and Aortic Valve Replacement?
CONCLUSIONS: Concomitant AF ablation in patients with AF undergoing CABG or AVR or both does not increase perioperative rates of mortality or morbidity. Moreover, concomitant AF ablation is effective at reducing postoperative AF burden and increases mid-term AF-free survival. PMID: 28262298 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - March 1, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Al-Atassi T, Kimmaliardjuk DM, Dagenais C, Bourke M, Lam BK, Rubens FD Tags: Ann Thorac Surg Source Type: research

The Society of Thoracic Surgeons Mitral Valve Repair/Replacement Plus Coronary Artery Bypass Grafting Composite Score: A Report of The Society of Thoracic Surgeons Quality Measurement Task Force.
CONCLUSIONS: An STS composite performance measure was developed for MVRR + CABG operations. This measure may be useful for outcome assessment, quality improvement, patient counseling, clinical research, and public reporting. PMID: 27938886 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - December 5, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Rankin JS, Badhwar V, He X, Jacobs JP, Gammie JS, Furnary AP, Fazzalari FL, Han J, O'Brien SM, Shahian DM Tags: Ann Thorac Surg Source Type: research

Outcomes of Dialysis-Dependent Patients After Cardiac Operations in a Single-Center Experience of 483 Patients.
CONCLUSIONS: Patients with DD CRF undergoing cardiac operations have high perioperative and medium-term mortality, particularly in the presence of combined aortic and mitral valve pathologic conditions, active endocarditis, and poor left ventricular function. PMID: 27938884 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - December 5, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Leontyev S, Davierwala PM, Gaube LM, Röhrig KA, Lehmann S, Holzhey DM, Seeburger J, Noack T, Misfeld M, Mohr FW Tags: Ann Thorac Surg Source Type: research

Transesophageal Echocardiography Complications in Adult Cardiac Surgery: A Retrospective Cohort Study.
CONCLUSIONS: The overall incidence of TEE complications after cardiac surgery was 1.4%. Advanced age, low body mass index, complexity of procedure, prior stroke, prolonged bypass time, and return to the operating room appear to be significant risk factors for TEE complications. PMID: 27646612 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - September 15, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Purza R, Ghosh SB, Walker C, Hiebert B, Koley L, Mackenzie GS, Grocott HP Tags: Ann Thorac Surg Source Type: research

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