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Cardiac

September 27, 2016
In this single institution retrospective study of postoperative cardiac surgery patients, serum potassium and magnesium levels at times when postoperative atrial fibrillation (POAF) occured were compared with levels in patients who did not experience POAF.  The incidence of POAF was 37%, and was associated with increasing magnesium levels.
September 27, 2016
This analysis of PARTNER data evaluated the impact of chronic kidney disease (CKD) on outcomes after TAVR.  Patients were grouped according to GFR as none/mild, moderate, and severe renal disease.  Severe disease was most common among women with diabetes.
September 27, 2016
The authors conducted a meta-analysis of propensity-scored matched patients in published studies to assess outcomes of right internal mammary artery (RIMA) and radial artery (RA) as second conduits for CABG.  Eight studies included nearly 3000 matched pairs.
September 27, 2016
This single institution retrospective review assessed outcomes of AVR in patients with concomitant aortic root disease using a composite graft.  Early mortality was 5.3% and was related to advanced age, poor NYHA status, urgent operation, and associated MVR or CABG.
September 27, 2016
The authors demonstrate how to perform mitroaortic replacement using the David Technique in a case of prosthethic endocarditis.
September 27, 2016
The Duke group analyzed their group of patients undergoing proximal aortic operations during a 9-year period (n=869) to determine the incidence and etiology of reintervention on the aorta during follow-up.
September 27, 2016
The authors performed a subgroup analysis of the Papillary Muscle Approximation (PMA) trial, a randomized trial that, while showing superiority of PMA + restrictive annuloplasty (RA) over RA alone in terms of LV remodeling and MR recurrence, failed to show a survival advantage and was plagued by a relatively high incidence of reoperation.
September 27, 2016
This erudite publication by Dr. Engelman explores the alphabet soup of the new payment models already upon us and sure to be central to our future.  If you are not well-versed in acronyms such as MACRA, MIPS, BPCI and so forth, this is a must-read.  Dr.
September 23, 2016
The Johns Hopkins group reviewed their experience with mediastinal exploration for bleeding after cardiac surgery during the period from 2011 through June 2014, and retrospectively reviewed the outcomes of two categories of patients:  (1)  Planned Reexploration, defined as patients left open at the initial operation with a plan for a second-look proc
September 22, 2016
In a roundtable filmed at the 2016 STS Annual Meeting in Phoenix, Arizona, a group of experts discuss the current state and future of image-guided cardiothoracic surgery.

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