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Journal and News Scan

Source: Stat
Author(s): Usha Lee McFarling

A Columbia University cardiologist calls out a lack of diversity in respected medical journal editorial boards. His analysis demonstrates that as of October 2020, of fifty-one editorial board members at the New England Journal of Medicine, just one was Black and one was Hispanic, four were East Asian, and two were South Asian. Of the forty-nine editorial board members at JAMA, two were Black, two were Hispanic, three were East Asian, and one was South Asian. No board member at either publication was Native American.

Source: People magazine
Author(s): Jeff Truesdell
As a child, this CT surgeon in-training wore the toy stethoscope her father gave her and followed his instruction to practice stitches on a banana. He noticed her attention to details, and picked up on her potential. Fast forward to a recent memorable moment at Washington University in St. Louis when they performed their first heart surgery together.
Source: Circulation Research
Author(s): American Heart Association Council on Basic Cardiovascular Sciences; Council on Arteriosclerosis, Thrombosis, and Vascular Biology; Council on Hypertension; and Stroke Council

This scientific statement is a granular contribution to a major cardiovascular issue, illuminating nuances of the "generally recognized as safe" (GRAS) FDA designation. One would expect the relevant Thoracic Associations in North America and Europe to contribute to this debate.

Source: The Journal of Thoracic and Cardiovascular Surgery
Author(s): Masaaki Sato, MD, PhD; Masashi Kobayashi, MD, PhD; Jin Sakamoto, MD, PhD; Ryuta Fukai, MD, PhD; Hiromitsu Takizawa, MD, PhD; Shinji Shinohara, MD, PhD; Fumitsugu Kojima, MD, PhD; Akira Sakurada, MD, PhD; Jun Nakaji

A new study recently published in JTCVS found that virtual-assisted lung mapping 2.0—a novel preoperative bronchoscopic lung mapping technique—can facilitate successful resections for deep pulmonary nodules, overcoming the limitations of conventional virtual-assisted lung mapping. The technique combines the multiple dye marks of conventional virtual-assisted lung mapping with intrabronchial microcoils to navigate thoracoscopic deep lung resection.

Source: Cardiovascular Business
Author(s): Michael Walter

New findings published in the American Journal of Cardiology posit that transcatheter aortic valve replacement (TAVR) and surgical aortic valve replacement (SAVR) are associated with similar short-term outcomes among pediatric patients presenting with congenital heart disease (CHD). However, SAVR patients in the study had “significantly” longer ICU stays and hospitalization times and were more likely to require medications to control their blood pressure following the procedure.

Source: CBC Radio
Author(s): Mouhamad Rachini
In May, Dr. Teresa Kieser, cardiac surgeon at the Foothills Medical Centre in Calgary, Alberta, Canada, filed a complaint with the Alberta Human Rights Commission against her employer, Alberta Health Services. She claims she has faced gender-based discrimination during her thirty-four years in her position. At least one alleged instance led to the suspension of her surgery privileges. Dr. Kieser is not the first female surgeon in the specialty to experience gender inequality in their training or practice setting. This article discusses Dr. Kieser’s complaint and the broader context of sexism in surgery.
Source: The Annals of Thoracic Surgery
Author(s): Daokun Sun, MD, MPH, Hartzell V. Schaff, MD, Rick A. Nishimura, MD, Jeffrey B. Geske, MD, Joseph A. Dearani, MD, Darrell B. Newman, MD, and Steve R. Ommen, MD
This study investigates the prevalence and risk factors of patient-reported postdischarge atrial fibrillation (AF) after septal myectomy for obstructive hypertrophic cardiomyopathy. It found a correlation between incidence of patient-reported postdischarge AF and increased length of follow-up after septal myectomy, identified risk factors associated with chronicity of left ventricular outflow tract obstruction, and found that earlier intervention may mitigate late atrial arrhythmias.
Source: Icahn School of Medicine at Mount Sinai
Author(s): Mount Sinai

A study, published on June 9 in the Journal of Cardiac Failure, shows heart failure patients who are unvaccinated against COVID-19 are three times more likely to die if infected with the virus compared to fully vaccinated and boosted heart failure patients. The study's corresponding author Anurhada Lala, MD, Director of Heart Failure Research and an Associate Professor of Medicine (Cardiology) at the Icahn School of Medicine at Mount Sinai, said in a press release that these findings can be useful to help educate reluctant patients and encourage them to follow through with full vaccination, including boosters, with the goal of improving their chances of survival.

Source: The Cardiothroracic Surgeon
Author(s): H Ghandour , D Vervoort, R Ravishankar, J Swain

In September 2015, the United Nations introduced Sustainable Development Goals (SDGs) to address persistent gaps in global health by 2030. Of the seventeen SDGs, the authors posit how fifteen goals can be directly or indirectly influenced by the cardiothoracic community. Amid the growing movement of National Surgical, Obstetric, and Anesthesia Plans developed by dozens of countries worldwide and catalyzed by local Ministries of Health and the World Health Organization, cardiac surgery receives little mention because of a lack of individual and societal voices at the table. The cardiothoracic community, however, is ideally positioned to play a pivotal role in securing future access to quality global cardiovascular care. 

Author(s): WDRB Media
A multidisciplinary team within Norton Children’s Heart Institute performed what the institute says is a medical first for the United States: implantation of a tiny pacemaker into a 28-week-old infant born premature with congenital structural heart defects and complete atrioventricular block (CCAVB) that led to a slow heart rate. The patient was too small for the traditional path of care.