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Journal and News Scan

Source: World Journal for Pediatric and Congenital Heart Surgery
Author(s): Joseph A. Dearani

In this editorial, Dr Joseph Dearani, Chair of the Department of Cardiovascular Surgery at Mayo Clinic in Rochester, Minnesota, addresses the important and timely subject of outcomes measurement, and of transparency and public reporting of cardiac surgery outcomes.

Source: European Journal of Cardio-Thoracic Surgery
Author(s): Saadallah Tamer, Stefano Mastrobuoni, Michel van Dyck, Emiliano Navarra, Xavier Bollen, Alain Poncelet, Philippe Noirhomme, Parla Astarci, Gebrine El Khoury, Laurent de Kerchove

The aim of this study was to investigate the role of free margin length and geometric height in normal aortic valves and aortic dilatation. 

This study prospectively acquired these measurements within 132 patients, who were operated on for aortic insufficiency, aortic dilatation, endocarditis, or fibroelastoma. Patients with aortic dilatation and leaflet prolapse showed significantly larger free margin length and geometric height compared to patients with normal aortic valve function.

The authors concluded that these measurements provide a new point of view into the pathomorphology of the aortic valve and might support new aortic valve repair methods.

Source: CA: A Cancer Journal for Clinicians
Author(s): Rebecca L. Siegel MPH Kimberly D. Miller MPH Ahmedin Jemal DVM, PhD

Declines in US annual lung cancer mortality rates of 5% for men and 4% for women led improvements in overall cancer mortality rates in the latest update from the American Cancer Society. This is likely linked to efforts at decreasing tobacco use, improved screening, and newer systemic therapies.

Source: The Lancet
Author(s): Timo Mäkikallio, Niels R Holm, Mitchell Lindsay, Mark S Spence, Andrejs Erglis, Ian B A Menown, Thor Trovik, Markku Eskola, Hannu Romppanen, Thomas Kellerth, Jan Ravkilde, Lisette O Jensen, Gintaras Kalinauskas, Rikard B A Linder, Markku Pentikainen, Anders Hervold, Adrian Banning, Azfar Zaman, Jamen Cotton, Erlend Eriksen, Sulev Margus, Henrik T Sørensen, Per H Nielsen, Matti Niemelä, Kari Kervinen, Jens F Lassen, Michael Maeng, Keith Oldroyd, Geoff Berg, Simon J Walsh, Colm G Hanratty, Indulis Kumsars, Peteris Stradins, Terje K Steigen, Ole Fröbert, Alastair N J Graham, Petter C Endresen, Matthias Corbascio, Olli Kajander, Uday Trivedi, Juha Hartikainen, Vesa Anttila, David Hildick-Smith, Leif Thuesen, Evald H Christiansen, for the NOBLE study investigators

''CABG was significantly better than PCI (p=0·0066........''

Source: Lung Cancer
Author(s): Paul Pinskya, David S. Gieradab

Benign-appearing lung nodules identified on screening CTs are associated with an increased risk of lung cancer diagnosis 4 to 8 and 8 to 11 years after the scan (RRs 1.9 and 1.6, respectively).

Source: The New England Journal of Medicine
Author(s): Duk-Hyun Kang, Sung-Ji Park, Seung-Ah Lee, Sahmin Lee, Dae-Hee Kim, Hyung-Kwan Kim, Sung-Cheol Yun, Ph.D., Geu-Ru Hong, Jong-Min Song, Cheol-Hyun Chung, Jae-Kwan Song, Jae-Won Lee, Seung-Woo Park

A medium size RCT with encouraging surgical outcomes in the era of TAVI expansion.....

Source: JAMA
Author(s): Rahul Bhatnagar, Hania E. G. Piotrowska, Magda Laskawiec-Szkonter, Brennan C. Kahan, Ramon Luengo-Fernandez, Justin C. T. Pepperell, Matthew D. Evison, Jayne Holme, Mohamed Al-Aloul, Ioannis Psallidas, Wei Shen Lim, Kevin G. Blyth, Mark E. Roberts, Giles Cox, Nicola J. Downer, Jurgen Herre, Pasupathy Sivasothy, Daniel Menzies, Mohammed Munavvar, Moe M. Kyi, Liju Ahmed, Alex G. West, Richard N. Harrison, Benjamin Prudon, Gihan Hettiarachchi, Biswajit Chakrabarti, Ajikumar Kavidasan, Benjamin P. Sutton, Natalie J. Zahan-Evans, Jack L. Quaddy, Anthony J. Edey, Amelia O. Clive, Steven P. Walker, Matthew H. R. Little, Xue W. Mei, John E. Harvey, Clare E. Hooper, Helen E. Davies, Mark Slade, Merle Sivier, Robert F. Miller, Najib M. Rahman, Nick A. Maskell

In this randomized trial including 330 pts with MPE, talc slurry and VATS talc insufflation under local anesthesia had similar failure rates (24% vs 22%) at 90 days.

Source: The Annals of Thoracic Surgery
Author(s): Eric Zimmermann, Roger Zhu, Takuya Ogami, Anthony Lamonica, John A. Petrie III, Charles Mack, Samuel Lang, Dimitrios V. Avgerinos

Using a standardized intraoperative autologous blood donation protocol,  surgical complications, postoperative transfusions, and transfusion volumes were all reduced.  

Source: European Journal of Cardio-Thoracic Surgery
Author(s): Thierry A Folliguet, Emmanuel Teiger, Sylvain Beurtheret, Thomas Modine, Thierry Lefevre, Eric Van Belle, Martine Gilard, Helene Eltchaninoff, René Koning, Bernard Iung, Jean Philippe Verhoye, Pascal Leprince, Hervé Le Breton, Antoine Lafont, Alessandro Parolari, Fabio Barili

The authors aimed to analyze the outcome of transcatheter aortic valve implantation (TAVI) via carotid arteries. Included are more than 10,000 patients. The study showed a similar two-year outcome regardless of access. Transcarotid TAVI was associated with higher risk of stroke but lower rate of access site complications.

Source: The Annals of Thoracic Surgery
Author(s): Vignesh Raman, Oliver K. Jawitz, Soraya L. Voigt, Norma E. Farrow, Shi-Fu J. Yang, Thomas A D’Amico, David H. Harpole Jr.

Using the NCDB, the authors evaluated outcomes for patients with T4a esophageal adenocarcinoma. Receipt of surgery, compared to definitive chemoradiotherapy, offered a significant benefit to overall survival (HR 0.26).