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Journal and News Scan
The authors investigated the influence of hypothermic circulatory arrest on renal function. This study includes 191 patients who underwent surgery for acute aortic dissection type A. Postoperative acute kidney injury was observed in 49 patients. Lower body ischemic time was one of the risk factors for postoperative kidney injury.
The authors evaluated outcomes of empyema management in over 9,000 patients in Ontario, Canada, from 1996-2015. Mortality was higher for nonoperative management at all time points assessed up to one year.
This study examines the way in which risk is perceived by parents of children undergoing congenital cardiac surgery. The findings demonstrate differences in the way mothers and fathers perceive risk, with mothers reporting statistically significantly higher scores than their partners. In particular, parents of children who experience postoperative complications presented a persistent rise in risk perception following discharge, emphasizing the need for flexible levels of support and information as parents navigate uncertainty.
A useful narrative on pharmacology and metabolomics for surgeons caring for the diabetic population; the vast majority of the CTSNet membership.
A succinct analysis of a challenging problem, with a discussion on the 'magic diameter' of 55 mm.
This single institution study of outcomes for the treatment of supravalvular aortic stenosis over a 20-year period identified risk factors for reintervention or reoperation: age <1 year, smaller aortic valve or aortic root, and concomitant right ventricular outflow tract repair.
Aortic annulus size and shape were analyzed in computed tomography angiography after a reimplantation procedure in patients with bicuspid and tricuspid aortic valves. Prior to surgery, elliptic shape was observed in tricuspid valves and more circular shape in bicuspid valves. After reimplantation, there was no difference between groups with similar roundness regardless of valve morphology. The authors concluded that annuloplasty plays an active role on the geometry of the aortic annulus.
This single institution study spanning a decade of experience identified a 6.5% rate of mortality, which was related to active endocarditis at the time of surgery, the need for preoperative ventilation, longer bypass times, and increasing European risk score.
Interesting retrospective imaging study of true and false lumens with or without bare metal stents placed distally in the abdominal aorta.
This brief overview of recently presented improvements in lung cancer therapy highlights the substantial benefits of newer chemotherapy and immunotherapy regimens that are transforming the outlooks of many patients with advanced lung cancer.