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Risk Factors for Perioperative Morbidity in Adults Undergoing Cardiac Surgery at Children's Hospitals
CONCLUSIONS: In this analysis of postoperative ACHD care in pediatric CICUs, high complexity operations, >3 previous sternotomies, preoperative arrhythmias, renal dysfunction, and respiratory failure are associated with prolonged LOS and/or major complications. Future quality improvement initiatives focused on preoperative optimization and implementation of adult-specific perioperative protocols may mitigate morbidity in these patients undergoing surgery at children's hospitals.PMID:33864757 | DOI:10.1016/j.athoracsur.2021.04.002
Source: The Annals of Thoracic Surgery - April 17, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Parag N Jain Katherine B Salciccioli Danielle Guffey Jinyoung Byun Timothy B Cotts Peter Ermis Michael Gaies Nancy Ghanayem Francis Kim Javier Lasa Andrew Smith Stephanie Fuller Source Type: research

Diaphragm Preservation Reduces Respiratory Failure after Extent I Thoraco-Abdominal Aneurysm Repair.
CONCLUSIONS: In patients undergoing extent I TAAA repair, TCS is associated with decreased need for tracheostomy. PMID: 33359719 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - December 23, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Gambardella I, Lau C, Rahouma M, Iannacone E, Farrington W, Gaudino M, Girardi LN Tags: Ann Thorac Surg Source Type: research

The long-term impact of perioperative red blood transfusion on patients undergoing cardiac surgery.
CONCLUSIONS: Patients with perioperative PRBC transfusions have increased operative and long-term mortality and hospital readmissions. Total units of PRBC transfused was directly associated with mortality and readmissions. PMID: 33171175 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - November 7, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Sultan I, Bianco V, Brown JA, Kilic A, Harbertheuer A, Aranda-Michel E, Navid F, Humar R, Wang Y, Gleason TG Tags: Ann Thorac Surg Source Type: research

Device use for proximal anastomosis on ascending aorta in off-pump coronary artery bypass grafting.
CONCLUSIONS: Clinical safety of Device use in CABG comparable to No-touch for mortality and morbidity. Hemostasis may be a key issue for accomplishing higher level quality control when devices used in proximal anastomosis of CABG. PMID: 33065052 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - October 13, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Saito A, Kumamaru H, Miyata H, Motomura N Tags: Ann Thorac Surg Source Type: research

The Impact of Race on Outcomes of Revascularization for Multivessel Coronary Artery Disease.
CONCLUSIONS: Black patients with MVCAD have a higher comorbidity burden and undergo PCI at higher rates. After adjusting for baseline differences, black patients still had higher rates of PCI utilization and long-term stroke. It is possible that a significant portion of racial disparities in MVCAD are driven by differences in baseline risk, however, there is evidence of possible racial bias with regards to revascularization strategies. PMID: 33038339 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - October 7, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Hess N, Seese L, Sultan I, Mulukutla S, Marroquin O, Gleason T, Fallert M, Wang Y, Thoma F, Kilic A Tags: Ann Thorac Surg Source Type: research

TAVR After Prior Mitral Valve Surgery: Results from the Transcatheter Valve Therapy Registry.
CONCLUSIONS: Patients with prior SMVR undergoing TAVR had similar 30-day outcomes, slightly higher 1-year mortality, and no increase in early PVL compared to those without previous SMVR. Prior SMVR should not preclude TAVR in appropriately selected patients. PMID: 31655043 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - October 22, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Thourani VH, Kelly JJ, Cervantes D, Vemulapalli S, Manandhar P, Forcillo J, Holmes D, Cohen DJ, Kirtane A, Kodali S, Leon M, Babaliaros V, Waksman R, Satler L, Shults C, Ben-Dor I, Rogers T, Kapadia S, Reardon M, Chris Malaisrie S, Gleason T, Holper EM, B Tags: Ann Thorac Surg Source Type: research

Long-Term Single Centre Outcomes of Patients with Chronic Renal Dialysis Undergoing Cardiac Surgery.
CONCLUSIONS: Cardiac surgery in DD-CRF patients is associated with high morbidity and mortality. Interestingly, overall mortality was mainly none cardiac-related, where elderly patients or those presented with CHF had the worst life expectancy. However, subsequent kidney transplantation positively impact long-term survival in such patients. PMID: 31563486 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - September 25, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Mourad F, Cleve N, Nowak J, Wendt D, Sander A, Demircioglu E, El Gabry M, Jakob H, Shehada SE Tags: Ann Thorac Surg Source Type: research

Aortic Valve Replacement in Bioprosthetic Failure:Insights from The Society of Thoracic Surgeons National Database.
CONCLUSIONS: The number of patients undergoing SAVR for degenerated bioprosthesis is decreasing in U.S, particularly among older and high-risk patients. These trends may reflect the adoption of valve-in-valve transcatheter aortic valve replacement for degenerated bioprosthesis after its FDA approval in 2015. PMID: 31557477 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - September 22, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kalra A, Raza S, Hussain M, Shorbaji K, Delozier S, Deo SV, Khera S, Kleiman NS, Reardon MJ, Kolte D, Gupta T, Mustafa R, Bhatt DL, Sabik JF Tags: Ann Thorac Surg Source Type: research

Early Outcomes after Thoracoabdominal Aortic Aneurysm Repair with Hypothermic Circulatory Arrest.
CONCLUSIONS: Our extended experience with this technique confirms its safety and effectiveness when used on a routine basis. The rates of spinal cord injury and permanent renal failure are among the lowest reported in the literature. Particularly favorable outcomes were observed in younger patients and those undergoing elective operations. PMID: 31085168 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - May 10, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kouchoukos NT, Kulik A, Haynes M, Castner CF Tags: Ann Thorac Surg Source Type: research

Open Descending and Thoracoabdominal Aortic Repairs in Patients Younger than 50 Years Old.
CONCLUSIONS: Patients under 50 years old with D/TAAA have low surgical risks and open repairs can be performed with excellent short-term and durable long-term results. Open surgical repairs should be considered initially in younger patients requiring D/TAAA repairs. HTAD warrants closer postoperative surveillance. PMID: 31009630 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - April 18, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Tanaka A, Leonard SD, Sandhu HK, Afifi RO, Miller CC, Charlton-Ouw KM, Ray A, Hassan M, Safi HJ, Estrera AL Tags: Ann Thorac Surg Source Type: research

Outcomes of Isolated Tricuspid Valve Surgery Have Improved in the Modern Era.
CONCLUSIONS: In the current era with careful patient selection and periprocedural management, isolated TV surgery can be performed with lower morbidity and mortality than has traditionally been reported with good long term survival. These outcomes can also serve as a benchmark for catheter-based tricuspid valve intervention outcomes. PMID: 30951698 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - April 1, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Hamandi M, Smith RL, Ryan WH, Grayburn PA, Vasudevan A, George TJ, DiMaio JM, Hutcheson KA, Brinkman W, Szerlip M, Moore DO, Mack MJ 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

Preoperative Venoarterial Extracorporeal Membrane Oxygenation Slashes Risk Score in Advanced Structural Heart Disease.
CONCLUSIONS: ECMO can be used as a bridge to heart valve or septal defect surgery in severely decompensated patients. Through recovery of end-organ function, ECMO may allow surgical correction of structural heart disease in patients considered inoperable or convert a salvage situation to an elective operation. PMID: 30236527 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - September 17, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Watkins AC, Maassel NL, Ghoreishi M, Dawood MY, Pham SM, Kon ZN, Taylor BS, Griffith BP, Gammie JS Tags: Ann Thorac Surg Source Type: research

Outcomes of Planned 2-Stage Hybrid Aortic Repair with Dacron Replaced Proximal Landing Zone.
CONCLUSIONS: Planned 2-stage HAR with open 1st stage PAR followed by 2nd stage TEVAR with Dacron replaced PLZ yields excellent short and long-term results, including low rates of re-intervention likely due to long-segment PLZ within Dacron-replaced aorta. The technique should be considered in patients with even mild (>4.0 cm) ascending aortic dilation in whom HAR is otherwise the preferred treatment option. PMID: 29775605 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - May 15, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Ranney DN, Yerokun BA, Benrashid E, Bishawi M, Williams A, McCann RL, Hughes GC Tags: Ann Thorac Surg Source Type: research

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