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Predicting early mortality following single ‐stage coronary artery or valve surgery and carotid endarterectomy
ConclusionsConsidering that postoperative stroke rate and mortality was acceptably low, single-stage approach is an effective option in such selected high-risk patients.
Source: Journal of Cardiac Surgery - November 9, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Marco Franchin, Walter Dorigo, Stefano Benussi, Sara Speziali, Raffaele Pulli, Stefano Bonardelli, Mohamad Bashir, Gabriele Piffaretti Tags: ORIGINAL ARTICLE Source Type: research

Endovascular thrombectomy for large vessel occlusion acute ischemic stroke after cardiac surgery
ConclusionWe report the largest case series of EVT after cardiac surgery. EVT can be associated with excellent outcomes in these patients. Close neurological monitoring postoperatively to identify patients who may benefit from intervention is key.
Source: Journal of Cardiac Surgery - November 6, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Aashray K. Gupta, Ahad Sabab, Rudy Goh, Christopher D. Ovenden, Joshua G. Kovoor, Fabio Ramponi, Justin C. Y. Chan, Benjamin A. J. Reddi, Jayme S. Bennetts, Guy J. Maddern, Timothy J. Kleinig Tags: ORIGINAL ARTICLE Source Type: research

On ‐ versus off‐pump CABG in octogenarians: A propensity‐matched analysis from the UK National Database
ConclusionThe data show similar in-hospital mortality in octogenarians regardless of the revascularization technique used. Off-pump when compared with on-pump CABG is associated with a lower incidence in postoperative neurological events but a higher need for renal dialysis.
Source: Journal of Cardiac Surgery - November 2, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Jeremy Chan, Arnaldo Dimagli, Daniel P. Fudulu, Tim Dong, Ester Mikova, Gianni D. Angelini Tags: ORIGINAL ARTICLE Source Type: research

Improved outcomes in CABG patients with atrial fibrillation associated with surgical left atrial appendage exclusion
ConclusionsConcomitant LAA exclusion via an epicardial closure device is associated with reduced CABG mortality, thromboembolic events, and readmissions in patients with pre ‐existing atrial fibrillation.
Source: Journal of Cardiac Surgery - March 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Edward G. Soltesz, Krish C. Dewan, Louise H. Anderson, Michael A. Ferguson, A. M. Gillinov Tags: ORIGINAL ARTICLE Source Type: research

Trans ‐ventricular catheter device‐based closure of postmyocardial infarction ventricular septal defect following coronary artery bypass grafting: A staged hybrid approach
AbstractA 66 ‐year‐old woman with a history of hypertension, ischemic stroke, and rheumatoid arthritis presented to the hospital with severe angina pectoris and dyspnea and was diagnosed with myocardial infarction (MI). Coronary angiography revealed multisystem coronary artery occlusive disease. Due to refra ctory myocardial ischemia/evolving MI, emergency coronary artery bypass grafting (CABG) was undertaken. Intraoperative transesophageal echocardiography additionally revealed an apical muscular ventricular septal defect (VSD). Concomitant VSD repair was deferred due to the absence of surface evidence of transmural M...
Source: Journal of Cardiac Surgery - March 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Pranav Loyalka, Faisal H. Cheema, Shakeel Thakurdas, Keshava Rajagopal, Abdul Hannan Chaugle Tags: CASE REPORT Source Type: research

Improved outcomes in CABG patients with atrial fibrillation associated with surgical left atrial appendage exclusion
ConclusionsConcomitant LAA exclusion via an epicardial closure device is associated with reduced CABG mortality, thromboembolic events, and readmissions in patients with pre ‐existing atrial fibrillation.
Source: Journal of Cardiac Surgery - January 24, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Edward G. Soltesz, Krish C. Dewan, Louise H. Anderson, Michael A. Ferguson, A. M. Gillinov Tags: ORIGINAL ARTICLE Source Type: research

Impact of stroke on outcomes following cardiac surgery: Propensity matched analysis
ConclusionPerioperative stroke is a devastating complication following cardiac surgery. Perioperative stroke is associated with significantly inferior outcomes in terms of both morbidity and mortality. Notably a 28% reduction in 1 ‐year survival. Efforts should focus on identifying strategies aimed at reducing the incidence, morbidity, and mortality of perioperative stroke following cardiac surgery.
Source: Journal of Cardiac Surgery - October 21, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Jayenthan Karunanantham, Jason M. Ali, Nicholas R. Evans, Stephen Webb, Stephen R. Large Tags: ORIGINAL ARTICLE Source Type: research

Neurological outcomes after on ‐pump vs off‐pump CABG in patients with cerebrovascular disease
ConclusionsIn patients with a previous TIA or stroke, off ‐pump CABG is associated with a reduced risk of stroke, delirium, and postoperative adverse neurological events, compared to on‐pump CABG. Patients with high neurological risk can potentially benefit from off‐pump CABG, due to an overall reduction of postoperative neurological complications.
Source: Journal of Cardiac Surgery - July 2, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Carmelo Dominici, Antonio Salsano, Antonio Nenna, Cristiano Spadaccio, Zein El ‐Dean, Mohamad Bashir, Giovanni Mariscalco, Francesco Santini, Massimo Chello Tags: ORIGINAL ARTICLE Source Type: research

Predicting postoperative atrial fibrillation after myocardial revascularization without cardiopulmonary bypass: A retrospective cohort study
ConclusionOff ‐pump coronary artery bypass grafting proved a safe and effective procedure, with low postoperative atrial fibrillation occurrence, for myocardial revascularization. Chronic renal insufficiency and the use of venous‐origin graft solely proved to be independent predictor factors for PAOF.
Source: Journal of Cardiac Surgery - June 17, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Edgar Vidotti, Lisia F. K. Vidotti, Camila A. G. Arruda Tavares, Érica D. Z. Ferraz, Vagner Oliveira, Augusto G. Andrade, Janaina M. B. Cardoso, Márcio H. Cardoso Tags: ORIGINAL ARTICLE Source Type: research