The authors provide an excellent overview of the rationale for screening all patients with a new diagnosis of cardiomyopathy for coronary artery disease. This rationale includes the following:
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Cardiac
March 10, 2016
This video show a mitral valve repair in a 64-year-old woman with class III dyspnea and severe mitral regurgitation.
March 8, 2016
This video shows a complex robotic-assisted mitral valve repair performed for active endocarditis with persistent bacteremia, fevers, and embolic neurologic events.
March 7, 2016
This is a very interesting and provocative article that discusses Exracorporeal Cardiac Life Support (ECLS) as an adjunct to CPR. ECLS has gained in popularity with new tools and techniques, ECLS guidelines, protocols and better understanding of the importance of early initiation.
March 7, 2016
The authors report on the transplantation of allogeneic bone graft in 10 patients with massive post-sternotomy defects. There were no further complications in 6 patients. In 3 patients additional re-suture of the soft tissue was necessary and one patient died 6 months later.
March 7, 2016
The analysis compares 1478 patients who underwent CABG and received no red blood cell (RBC) transfusion to 1528 CABG patients with 1–2 units of RBCs. The 30-day mortality rate was 0.3% and 0.2%, respectively. The propensity score-adjusted odds ratio (OR) in the RBC+ group was 0.29 [95% confidence interval (CI): 0.06–1.50; P = 0.14].
March 7, 2016
Approximately 3800 patients who underwent elective cardiac surgery were analyzed for post-surgical acute kidney injury (AKI). AKI occurred in 21% of patients who initiated a statin within 100 days prior to surgery compared with 29% of patients without prior statin use.
March 7, 2016
This literature review evaluated 21 studies that included nearly 4000 patients having undergone transcatheter aortic valve implantation (TAVI), specifically focusing on prosthesis-patient mismatch (PPM). Overall prevalence of PPM was 35%, with 8% of patients having severe PPM. PPM occurred less often after TAVI than after surgical AVR. PPM was not
March 7, 2016
Outcomes of tricuspid valve replacement at a single institution over a 4 decade period were reviewed. A bioprosthesis was used in 82%, and the surgical mortality was nearly 28%. Freedom from structural deterioration was better in the mechanical valve group. Mechanical valves were, however, associated with earlier and more severe morbidity, includi
March 4, 2016
Surgical intervention in older people is increasing in prevalance but is associated with higher rates of adverse postoperative outcomes as compared to younger people. Current models of preoperative risk assessment and optimisation may be indequate for this complex surgical population.