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Cardiac

November 15, 2017
With the impressive average of 150 mitral repairs annually for the last 16 years (possibly a world record, even more impressive given the population of Portugal), the Coimbra team led by Antunes reflects on six cases of circumflex artery injury, mostly in non-right dominant anatomy as expected.
November 14, 2017
The authors present a successful surgical treatment in a 14-year-old girl with Loeys-Dietz syndrome; a redo aortic arch and ascending aorta replacement with a valve-sparing operation was performed.
November 13, 2017
The Hospital Readmissions Reduction Program (HRRP) was established as part of the Affordable Care Act in the US with the goal of adding an incentive for quality care that reduced hospital readmission rates. HRRP reduces Medicare reimbursement for hospitals with excess readmissions.
November 12, 2017
This randomized trial evaluated restricted (threshold of Hgb <7.5  at induction of anesthesia ) versus liberal (Hgb <9.5 at induction of anesthesia or <8.5 on arrival in ICU) for patients undergoing cardiac surgery who had a EuroSCORE of 6 or more.  The composite outcome was death, MI, stroke, or new onset renal failure.  Transfusion occurre
November 10, 2017
This video shows you how to take down a skeletonised LIMA.  Very nice 
November 9, 2017
Using a data set from 682 US hospitals during a 10-year period, the relationship of hospital procedure volume for AVR and MVR to adjusted mortality rate was evaluated.  Using terciles of volume to classify hospitals according to quality resulted in misclassification of 305 hospitals.  Hospital volume has only a modest association with quality as judg
November 8, 2017
Trends in the use of bioprosthetic versus mechanical valves for AVR and MVR were assessed using a California-based surgical population from 1996-2013.  During this period the use of bioprosthetic devices increased from 12% to 52% for AVR and from 17% to 54% for MVR.  Bioprostheses were associated with substantially increased 15-year mortality in youn
November 7, 2017
Severe aortic regurgitation without calcification of the aortic annulus cannot be treated with transcatheter implantation of a balloon-expandable valve, however, self-expandable valves can be successfully anchored in the absence of annulus calcification.
November 7, 2017
This video demonstrates how the author teaches a cardiac surgical resident to do a repair of a postinfarction ventricular septal defect.
November 3, 2017
Kamperidis and colleagues report that left ventricular (LV) functional recovery after mitral valve (MV) repair for severe secondary mitral regurgitation is associated with improved patient outcomes.

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