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Journal and News Scan
Because of the rapidly evolving technology and techniques to manage patients affected with type B aortic dissection (TBAD), The Society of Thoracic Surgeons (STS) and the American Association for Thoracic Surgery (AATS) gathered a panel of expert aortic surgeons to methodically review the current data to provide recommendations on the management of patients with TBAD.
In a brand new type of surgery, STS member Dr. Bartley P. Griffith and the University of Maryland Medicine team performed a successful transplant of a genetically modified pig heart into a fifty-seven-year-old man with terminal heart disease.
Randomized evidence on the comparative outcomes of early-stage lung cancer resection by video-assisted thoracoscopic surgery (VATS) versus open resection is limited. Here was conducted a parallel-group multicenter randomized trial that recruited participants with known or suspected early-stage lung cancer and randomly assigned them to open or VATS resection of their lesions.
The Japanese Society for Cardiovascular Surgery, Japanese Association for Thoracic Surgery, and Japanese Association for Coronary Artery Surgery recently issued a joint statement announcing that they disagree with recommendations in chapter 7.1 of the 2021 ACC/AHA/SCAI Guidelines published in December.
Acute, type A aortic dissection remains a challenging emergency in cardiovascular surgery.The management of life-threatening complications has evolved to include endovascular options and complex aortic repair, but expeditious open replacement of the ascending aorta remains the preferred approach. This expert consensus offers recommendations based on current clinical evidence and expert opinions where all cardiac and aortic surgeons needed to be updated.
Notions like antimpulse management pre operatively in order to avoid aortic stress and stabilise the patient using opiod analgesia, thinking about a transfer to a (CAC) comprehensive aortic centre after analysing the recent evidence, focusing on clinical questions that are crucial for the decision making in all aspects, this excellent document gives answers based on the current literature.
An Editorial with some interest for the cardiothoracic surgeon, in particular the awareness of changes in the right vantricle during ECMO support , mostly drawn from the recent Covid experiences, and with a useful paragraph on veno-pulmonary arterial ECMO, discussing the uncoupling of RV and PA.
Recently, increased attention has been paid to the risk of chronic opioid use after surgery. In this nationwide cohort study, we examined the rate of new persistent opioid use after cardiac surgery by sternotomy.
Socioeconomic and racial (SER) disparities among patients with congenital heart disease (CHD) can limit access to high-quality care. We characterized the national SER landscape and its relationship to early outcomes and identified interactions among determinants mitigating adverse outcome.
A scholarly update on the previous (2016) guidelines, with an interesting Chapter 9 Gaps in evidence and future perspectives. The guidelines have been extensively reviewed by European and other experts. The authors insist on the only advisory value of their conclusions. Understandably, there is no mention of venous ECMO.
This study looks to comprehensively characterize details of aortic and aortic valve reinterventions after aortic root replacement (ARR).