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Journal and News Scan

Source: The Annals of Thoracic Surgery
Author(s): J. Hunter Mehaffey, MD, MSc, Robert B. Hawkins, MD, MSc, Zachary K. Wegermann, MD, Maria V. Grau-Sepulveda, MD, MPH, John M. Fallon, MD, J. Matthew Brennan, MD, MPH, Vinod H. Thourani, MD, Vinay Badhwar, MD, Gorav Ailawadi, MD

Patient prosthesis mismatch is linked with significant long-term morbidity and mortality after aortic valve replacement, but the roles and conclusion of annular enlargement (AE) remain poorly defined. We hypothesized that increasing rates of AE may lead to improved outcomes for patients at risk for severe patient prosthesis mismatch.

 

 

Source: Circulation: Cardiovascular Interventions
Author(s): Rafail A. Kotronias, Jonathan J.H. Bray, Skanda Rajasundaram, Flavien Vincent, Cedric Delhaye, Roberto Scarsini, Federico Marin, Dimitrios Terentes-Printzios, Julian P.J. Halcox, Mamas A. Mamas, Rajesh Kharbanda, Eric Van Belle, Adrian P. Banning

A small meta-analysis suggesting a bemefit of vascular ultrasound for access to the groin vessels in TAVI. The utility of ultrasonography may be extended in access for groin cannulation in aortovascular surgery and ECMO 

Source: The Journal of Thoracic and Cardiovascular Surgery
Author(s): the AATS Clinical Practice Standards Committee: Adult Cardiac Surgery

A comprehensive update on the evidence on the management of acute aortic syndromes, including IMH. Of particular interest is the robust recommendation to bypass non-dedicated aortic centers even to the expense of increased transit time in order to offer management in a Comprehensive Aortic Center (CAC). The femoral cannulation appears to come gradually out of favour. The cerebral perfusion for arch work is proposed to be either ante-or retrograde. Figure 3 is particularly germane to the technical aspects. Visceral malperfusion is again heralded as a poor-outcome situation.

 

 

Source: The Annals of Thoracic Surgery
Author(s): Uma M. Sachdeva, MD, PhD, Andrea L. Axtell, MD, MPH, Tiuri E. Kroese, MD, David C. Chang, PhD, MPH, Christopher R. Morse, MD
With the prevalence of obesity and its known link with esophageal cancer, there is increasing need to understand how obesity affects treatment. We retrospectively evaluated all patients who underwent esophagectomy with gastric conduit reconstruction between 2012 and 2016 using The Society of Thoracic Surgeons General Thoracic Surgery Database.
Source: Annals of King Edward Medical University
Author(s): Saad Javed, Tajamal Hayat Bajwa, Muhammad Shahzaib Bajwa, Syed Salman Ahmed Shah

Pakistan has a prevalence of approximately 60,000 births with Congenital Heart Diseases (CHD) each year. With a population of 200 million and only 17 paediatric cardiac surgeons in Pakistan, the current ratio is 0.08 surgeons/milllion. This review outlines the current status and defines the need for significantly more investment in human resources and infrastructure of paediatric cardiac surgery to meet the needs ofpopulation.

Source: Nigerian Journal of Cardiovascular & Thoracic Surgery
Author(s): Yankah C, Thameur H, Toit Hd, Awori MN, Okello E, Ambassa JC, Ashmeg A, Bouzid A, Fynn-Thompson F, Ferreira BM, Smit F, Urban A, Nwiloh J.

There is a lack of reliable data to measure the impact of cardiovascular surgical activities in sub-Saharan Africa (SSA) and to compare with those of the other sub-regions. The Pan African Society of Cardiothoracic Surgery (PASCaTS) proposes development of an African cardiothoracic surgery database with pooled datasets similar to the practice in other continents. This would ideally serve as a working instrument to evaluate the burden of disease and to develop strategies for prevention and treatment of cardiovascular diseases and associated morbidities in these regions, ultimately with improved clincial outcomes.

 

 

Source: European Heart Journal
Author(s): Umberto Benedetto, Arnaldo Dimagli, Amit Kaura, Mrcp, Shubhra Sinha, Giovanni Mariscalco, George Krasopoulos, Narain Moorjani, Mark Field, Trivedi Uday, Simon Kendal, Graham Cooper, Rakesh Uppal, Haris Bilal, Jorge Mascaro, Andrew Goodwin, Gianni Angelini, Geoffry Tsang, Enoch Akowuah, on the behalf of UK Aortic group

Based on data of 4203 patients with acute type A dissection in the UK National Adult Cardiac Surgical Audit, Benedetto and associates have identified the following risk factors for operative mortality: age (odds ratio, OR, 1.02), malperfusion (OR 1.79), left ventricular ejection fraction (moderate: OR 1.40; poor: OR 2.83), prior cardiac surgery (OR 2.29), preoperative mechanical ventilation (OR 2.76), preoperative resuscitation (OR 3.36), and concomitant coronary artery bypass grafting (OR 2.29).

Source: The Journal of Thoracic and Cardiovascular Surgery
Author(s): Vito Domenico Bruno, Mustafa Zakkar

A brief but dense editorial included in a compedium on cardioplegia.

The last sentence summarises what many colleagues would think on the matter of single-shot plegia for root surgery.

 

 

Source: Journal of the American Heart Association
Author(s): Paris D. Kalogerakos , MD, PhD; Mohammad A. Zafar , MD; Yupeng Li , PhD; Sandip K. Mukherjee, MD; Bulat A. Ziganshin, MD, PhD; John A. Rizzo, PhD; John A. Elefteriades , MD, PhD (Hon)

The Yale database of 1162 patients with ascending aortic aneurysms was queried.  Analysis suggested root dilatation was more significant in predicting adverse events than mid -ascending aortic dilatation, with short stature as a serious risk factor.  Hinge points at 5.0 and 5.25 cm respectively were identified.  The authors suggest these paramenters should be considered as intervention criteria.

Source: The Annals of Thoracic Surgery
Author(s): Kimihiro Shimizu, MD, PhD, Yoichi Ohtaki, MD, PhD, Kenji Suzuki, MD, PhD, Hiroshi Date, MD, PhD, Motohiro Yamashita, MD, PhD, Toshihiko Iizasa, MD, PhD, Hiroyuki Ito, MD, PhD, Kenichi Yoshimura, PhD, Morihito Okada, MD, PhD, and Masayuki Chida, MD, PhD, for the Japanese Association for Chest Surgery
This study aimed to describe the characteristics and outcomes of patients with non-small cell lung cancer undergoing salvage surgery after chemoradiotherapy, conventional external beam, stereotactic body radiotherapy, and ion beam radiotherapy.

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