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Journal and News Scan

Source: The Annals of Thoracic Surgery
Author(s): Rachel L. Medbery, MD, Felix G. Fernandez, MD, MSc, Andrzej S. Kosinski, PhD, Betty C. Tong, MD, MHS, Anthony P. Furnary, MD, Liqi Feng, MS, Mark Onaitis, MD, Daniel Boffa, MD, Cameron D. Wright, MD, Patricia Cowper, PhD, Jeffrey P. Jacobs, MD, Joe B. Putnam, Jr, MD, and Robert H. Habib, PhD
The goal of this study was to determine underlying case mix factors that can contribute to a plethora of 90-day costs of lobectomy for early-stage lung cancer.
Source: Journal of Thoracic and Cardiovascular Surgery
Author(s): G. Hossein Almassi, Robert B. Hawkins, Muath Bishawi, A. Laurie Shroyer, Brack Hattler, Jacquelyn A. Quin, Joseph F. Collins, Faisal G. Bakaeen, Ramin Ebrahimi, Frederick L. Grover, Todd H. Wagner, for theVeterans Affairs Randomized On/Off Bypass Follow-up Study (ROOBY-FS) Group

This month's update on the economical and general aspects of the ROOBY-FS trial. The conclusion (on no impact of de novo post-CABG AF on the incidence of stroke nor the 5 year expenditure ) challenges many hitherto perceptions on this frequent compication of coronary surgery.

Source: Circulation Research
Author(s): Daniel Burkhoff , Veli K. Topkara , Gabriel Sayer , Nir Uriel

An authoritative, scholarly but very readable review of the evolution of mechanical circulatory support of the left ventricle from the non-surgical standpoint.

Source: The New England Journal of Medicine
Author(s): Richard P. Whitlock, Emilie P. Belley-Cote, Domenico Paparella, Jeff S. Healey, Katheryn Brady, Mukul Sharma, Wilko Reents, Petr Budera, Andony J. Baddour, Petr Fila, P.J. Devereaux, Alexander Bogachev-Prokophiev, Andreas Boening, Kevin H.T. Teoh, Georgios I. Tagarakis, Mark S. Slaughter, Alistair G. Royse, Shay McGuinness, Marco Alings, Prakash P. Punjabi, C. David Mazer, Richard J. Folkeringa, Andrea Colli, Álvaro Avezum, Juliet Nakamya, Kumar Balasubramanian, Jessica Vincent, Pierre Voisine, Andre Lamy, Salim Yusuf, Stuart J. Connolly, M.D., et al., for the LAAOS III Investigators

A large RCT concluding that 'surgical occlusion of the left atrial appendage provides additional protection against stroke when added to anticoagulation.' A number of limitations are briefly discussed. Findings are interesting in that absolute absence of surgical complications has been declared.

Source: The Annals of Thoracic Surgery
Author(s): Vincent K.H. Tam, MD , Eldad Erez, MD, Lisa Roten, MD, Steve Muyskens, MD, Vinod Sebastian, MD, Christopher Tsao, PhD, Hisashi Nikaidoh, MD
This review examines the anatomic repair for congenitally corrected transposition of the great arteries with ventricular septal defect (VSD) and pulmonic stenosis performed using atrial switch and Rastelli.
Source: World Journal for Pediatric and Congenital Heart Surgery
Author(s): Riggs KW, Broderick JT, Price N, Chin C, Zafar F, Morales DLS
This study which combines two national databases focuses on the posttransplant outcomes of patients with single ventricle circulation, particularly following the Fontan operation.
Source: The Annals of Thoracic Surgery
Author(s): Neel P. Chudgar, MD,* Shi Yan, MD,* Meier Hsu, MS, Kay See Tan, PhD, Katherine D. Gray, MD, Daniela Molena, MD, Tamar Nobel, MD, Prasad S. Adusumilli, MD, Manjit Bains, MD, Robert J. Downey, MD, James Huang, MD, Bernard J. Park, MD, Gaetano Rocco, MD, Valerie W. Rusch, MD, Smita Sihag, MD, David R. Jones, MD, and James M. Isbell, MD, MSCI
This large, single-center validation study examines outcomes, both observed and predicted, after pulmonary resection between SURPAS and NSQIP SRC.
Source: The Journal of Thoracic and Cardiovascular Surgery
Author(s): Ivancarmine Gambardella, Christopher Lau, Leonard N. Girardi

The updated version of an expert viewpoint on resources for management of acute aortic syndrome in the United States is presented. The esteemed authors advance the position of positive volume–outcome relationship for surgery for acute De Bakey I and II (ATAAD). They provide a historical perspective in favor of specialization and they comment on data on transferring the victims of ATAAD to aortic centers. The primary outcome measure is that of operative mortality rather than stroke. The case made is also relevant to European and global trends, although the geography, telecommunication, transport and health systems vary considerably from country to country.

Source: The Annals of Thoracic Surgery
Author(s): Won Ho Kim, MD, PhD, Jinyoung Bae, MD, Sang-Hwan Ji, MD, Kyung Won Shin, MD, Jin-Tae Kim, MD, PhD, Young-Jin Lim, MD, PhD, and Jae-Hyon Bahk, MD, PhD
This review studied the outcomes in the two subgroups of stage 1 acute kidney injury in patients undergoing cardiac or thoracic aortic surgery.
Source: The Journal of Thoracic and Cardiovascular Surgery
Author(s): S. Christopher Malaisrie, Wilson Y. Szeto, Monika Halas, Leonard N. Girardi, Joseph S. Coselli, Thoralf M. Sundt, III, Edward P. Chen, Michael P. Fischbein, Thomas G. Gleason, Yutaka Okita, Maral Ouzounian, Himanshu J. Patel, Eric E. Roselli, Malakh L. Shrestha, Lars G. Svensson, Marc R. Moon, AATS Clinical Practice Standards Committee:Adult Cardiac Surgery

The AATS expert consensus document was recently released and focused on surgical treatment of acute type A aortic dissection. The documents provides evidence-based recommendations, including initial medical therapy, interhospital transfer, surgical triage, cannulation and perfusion strategy, aortic root management, ascending aorta and distal anastomosis, aortic arch management, malperfusion management, and postoperative considerations.

 

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