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Moderate Versus Deep Hypothermia With Unilateral Selective Antegrade Cerebral Perfusion for Acute Type A Dissection
Conclusions Moderate HCA with uSACP is an effective circulation management strategy that provides excellent cerebral and visceral protection during emergent ATAAD repair. In the setting of antegrade cerebral perfusion, deep hypothermia does not provide any additional benefit.
Source: The Annals of Thoracic Surgery - October 30, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Impact of respiratory infection in the results of cardiac surgery in a tertiary hospital in Brazil
Conclusion:The development of respiratory tract infection postoperative cardiac surgery is related to higher mortality, longer periods of hospitalization and intensive care unit stay.ResumoObjetivo:Avaliar o impacto da infecção do trato respiratório no pós-operatório da cirurgia cardíaca no Hospital Português de Pernambuco em relação à mortalidade hospitalar e identificar os pacientes com maior risco de desenvolver essa complicação.Métodos:Estudo do tipo transversal observacional realizado na Unidade de Recuperação de Cirurgia Cardiotorácica, utilizando informações de um banco de dados composto por um tot...
Source: Revista Brasileira de Cirurgia Cardiovascular - August 25, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Contemporary Outcomes of Coronary Artery Bypass Grafting Among Patients With Insulin-Treated and Non–Insulin-Treated Diabetes
Conclusions Patients with diabetes undergoing CABG have substantially increased risk of major adverse events. Patients with ITDM represent an especially high-risk group.
Source: The Annals of Thoracic Surgery - August 25, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Contemporary Outcomes of Coronary Artery Bypass Grafting Among Patients With Insulin-Treated and Non-Insulin-Treated Diabetes.
CONCLUSIONS: Patients with diabetes undergoing CABG have substantially increased risk of major adverse events. Patients with ITDM represent an especially high-risk group. PMID: 26319487 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - August 25, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Li Z, Amsterdam EA, Young JN, Hoegh H, Armstrong EJ Tags: Ann Thorac Surg Source Type: research

Outcomes of Open Repair of Mycotic Descending Thoracic and Thoracoabdominal Aortic Aneurysms
Conclusions Open repair of mycotic descending thoracic and thoracoabdominal aortic aneurysms remains the gold standard of therapy. Aggressive intraoperative debridement with in situ prosthetic reconstruction permits a high rate of success in this very high risk cohort of patients. Lifelong antibiotic suppression therapy may prevent late prosthetic graft infection.
Source: The Annals of Thoracic Surgery - August 14, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Outcomes of Open Repair of Mycotic Descending Thoracic and Thoracoabdominal Aortic Aneurysms.
CONCLUSIONS: Open repair of mycotic descending thoracic and thoracoabdominal aortic aneurysms remains the gold standard of therapy. Aggressive intraoperative debridement with in situ prosthetic reconstruction permits a high rate of success in this very high risk cohort of patients. Lifelong antibiotic suppression therapy may prevent late prosthetic graft infection. PMID: 26277557 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - August 13, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Lau C, Gaudino M, de Biasi AR, Munjal M, Girardi LN Tags: Ann Thorac Surg Source Type: research

Is Total Arch Replacement Associated With Worse Outcomes During Repair of Acute Type A Aortic Dissection?
Conclusions Acute type A aortic dissection remains a challenge associated with significant mortality and morbidity. When compared with a less aggressive resection, total arch replacement performed in an individualized fashion can be associated with acceptable early and late outcomes for ATAAD and was not associated with worse outcomes.
Source: The Annals of Thoracic Surgery - August 11, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Moderate Versus Deep Hypothermia With Unilateral Selective Antegrade Cerebral Perfusion for Acute Type A Dissection.
CONCLUSIONS: Moderate HCA with uSACP is an effective circulation management strategy that provides excellent cerebral and visceral protection during emergent ATAAD repair. In the setting of antegrade cerebral perfusion, deep hypothermia does not provide any additional benefit. PMID: 26233273 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - July 30, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Leshnower BG, Thourani VH, Halkos ME, Sarin EL, Keeling WB, Lamias MJ, Guyton RA, Chen EP Tags: Ann Thorac Surg Source Type: research

Evolution in the Management of Aberrant Subclavian Arteries and Related Kommerell Diverticulum
Conclusions Aberrant subclavian arteries and associated Kommerell diverticulum can be treated with acceptable rates of mortality and morbidity. The evolution toward an endovascular approach did not appear to affect late outcomes, suggesting that the choice of treatment should be based on patient-specific anatomy and associated comorbidities.
Source: The Annals of Thoracic Surgery - April 23, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Evolution in the Management of Aberrant Subclavian Arteries and Related Kommerell Diverticulum.
CONCLUSIONS: Aberrant subclavian arteries and associated Kommerell diverticulum can be treated with acceptable rates of mortality and morbidity. The evolution toward an endovascular approach did not appear to affect late outcomes, suggesting that the choice of treatment should be based on patient-specific anatomy and associated comorbidities. PMID: 25912743 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - April 23, 2015 Category: Cardiovascular & Thoracic Surgery Authors: van Bogerijen GH, Patel HJ, Eliason JL, Criado E, Williams DM, Knepper J, Yang B, Deeb GM Tags: Ann Thorac Surg Source Type: research

Recent thoraco-abdominal aortic repair outcomes using moderate-to-deep hypothermia combined with targeted reconstruction of the Adamkiewicz artery
CONCLUSIONS Moderate-to-deep hypothermia combined with targeted reconstruction of the AKA provided satisfactory outcomes with thoraco-abdominal aortic repair, particularly for spinal cord protection.
Source: Interactive CardioVascular and Thoracic Surgery - April 22, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Tanaka, H., Minatoya, K., Sasaki, H., Seike, Y., Itonaga, T., Oda, T., Kobayashi, J. Tags: Pericardium Adult Cardiac Source Type: research

Preoperative renal function and surgical outcomes in patients with acute type A aortic dissection
CONCLUSIONS Preoperative estimated glomerular filtration rate can effectively predict the need for renal replacement therapy after surgery for acute type A aortic dissection. However, it is not an effective diagnostic tool to predict in-hospital mortality. The complexity of the characteristics of patients who undergo surgical procedures may make prediction of surgical outcomes difficult. Risk models to predict hospital mortality and morbidities are needed to assist clinicians in determining the optimal treatment.
Source: Interactive CardioVascular and Thoracic Surgery - March 19, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Imasaka, K.-i., Tayama, E., Tomita, Y. Tags: Great vessels, Aorto-iliac disease, Thoracic aorta Vascular Source Type: research

Propensity Adjusted Analysis of Open and Endovascular Thoracic Aortic Repair for Chronic Type B Dissection: A Twenty-Year Evaluation
Conclusions Intervention for CBAD can be performed with excellent results, either by an open or endovascular approach. The higher rate of treatment failure after TEVAR warrants modification of current device design or endovascular approach before broad application of this treatment strategy.
Source: The Annals of Thoracic Surgery - February 19, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

Impact of postoperative acute kidney injury on clinical outcomes after transcatheter aortic valve implantation: A meta‐analysis of 5,971 patients
ConclusionsPostoperative AKI seems to significantly worsen TAVI prognosis. The results of the present meta‐analysis should be considered hypothesis‐generating and future studies on risk stratification, prevention, and postoperative management are needed. © 2015 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - February 17, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Giuseppe Gargiulo, Anna Sannino, Davide Capodanno, Cinzia Perrino, Piera Capranzano, Marco Barbanti, Eugenio Stabile, Bruno Trimarco, Corrado Tamburino, Giovanni Esposito Tags: Valvular and Structural Heart Diseases Source Type: research

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