Schneider and colleagues have narrated a video demonstrating their technique for valve-sparing root replacement in a patient with Marfan syndrome. In the accompanying article, the authors report the outcomes of 61 patients with Marfan syndrome who underwent either aortic valve reimplantation or root remodeling at their institution.
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Vascular
January 25, 2018
January 22, 2018
A model analysis of a phase I surgical device trial. The readable editorial discusses the adoption of surgical innovation on the occasion of a harmonic sealing device for pulmonary resections, highlighting the problem of ligating small branches of the pulmonary artery in confined spaces.
January 18, 2018
The authors describe a clinical unit developed at their institution designed to implement "nudges" to help improve health care delivery, primarily through the EMR. "Nudges" have been used to shape other behaviors, such as offering opt-out (rather than opt-in) for organ donor status to encourage increased organ donation. The concept was described
January 18, 2018
The authors summarize the rationale and utility of point of care ultrasonography for identifying factors associated with hypotension or hypoxia in a deteriorating surgical patient, including hypovolemia, LV dysfunction, PE, pleural fluid, ascites, etc. Their claim is that a variety of other diagnostic measures are less accurate, and that a single ul
January 16, 2018
This video demonstrates a stage I elephant trunk procedure and aortic valve repair via partial sternotomy, for a woman who presented with aortic valve insufficiency and an aortic aneurysm extending from the ascending to descending thoracic aorta.
January 11, 2018
De Beaufort and colleagues assessed the outcomes of acute aortic dissections in 258 consecutive patients with Marfan syndrome in the International Registry of Acute Aortic Dissection (IRAD) database, comparing these with the dissection outcomes in the general population.
January 11, 2018
Christian Etz of the Herzzentrum Leipzig in Germany discusses spinal cord protection during thoracoabdominal aortic procedures.
January 10, 2018
The authors review their clinical experience with management of postoperative chylothorax among 97 patients. They favor duct ligation over embolization, and recommend intervention in patients with outputs greater than 1,100/day.
January 8, 2018
A very brief editorial on frailty as a risk factor. In the time of weighing transcatheter interventions versus variable access surgical options, quantifying this physiological concept is of major importance for the cardiac teams and, importantly, the autonomy of the patient.
January 3, 2018
Video and a readable digest of a talk in a Harvard meeting, especially interesting in its scepticism on prevention.