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Journal and News Scan

Source: The Annals of Thoracic Surgery
Author(s): Avery M. Trudell, BSA, William C. Frankel, BS, Jessica G.Y. Luc, MD, Shanda H. Blackmon, MD, MPH, Lauren Kane, MD, Thomas K. Varghese Jr., MD, MS, Mara B. Antonoff, MD

In this article, Trudell et al surveyed the Women in Thoracic Surgery membership to assess for characteristics of allyship. Qualities of allyship identified include mentorship, support, and sponsorship; whereas, competitiveness, disrespect, discrimination, stereotyping, unconscious bias, and undermining were reported as detrimental factors.

Source: The Annals of Thoracic Surgery
Author(s): Jacqueline K. Olive, MD, Sanaa Mansoor, MS, Katherine Simpson, MS, Lorraine D. Cornwell, MD, Ernesto Jimenez, MD, Ravi K. Ghanta, MD, Shawn S. Groth, MD, Bryan M. Burt, MD, Todd K. Rosengart, MD, Joseph S. Coselli, MD, Ourania Preventza, MD

In this study by Olive et al, they demonstrate the demographic landscape of current cardiothoracic surgeons and trainees in terms of sex and race/ethnicity, and demonstrate improvement in diversity of trainees and faculty across multiple training pathways over the years.

Source: The Annals of Thoracic Surgery
Author(s): Megan K. Loo, MD MPH, Robbin G. Cohen, MD MMM, Craig J. Baker, MD, Vaughn A. Starnes, MD, Michael E. Bowdish, MD MS

In this article, Loo et al demonstrate in a survey to the Thoracic Surgery Residents Association membership that only approximately 20% of trainees were accurate in estimating surgeon reimbursement, with a demonstrated lack of understanding in how reimbursement models work, despite acknowledgement of its importance. This study highlights an area of need for creation of a dedicated reimbursement / financial education curricula for cardiothoracic surgery trainees.

Source: Journal of Thoracic and Cardiovascular Surgery
Author(s): Shinichi Fukuhara, MD, Minhaj S. Khaja, MD, MBA, David M. Williams, MD, Xhorlina Marko, MD, Bo Yang, MD, PhD, Himanshu J. Patel, MD, Karen M. Kim, MD, MSc
This paper shows that landing zone optimization using aortic septotomy resulted in a much higher positive aortic remodeling rate, whereas standalone TEVAR outcomes without adjunctive procedures for cTBAD were unfavorable. The authors show that routine aortic septotomy may have a positive effect on long-term cTBAD survival and expand TEVAR candidacy.
Source: Annals of Thoracic Surgery
Author(s): Alexander P. Nissen, Timothy J. Vreeland, Mediget Teshome, Michael A. Archer, Amanda B. Francescatti, Matthew H. G. Katz, Kelly K. Hunt, Linda Zheng, Timothy W. Mullett
The following editorial focuses on CoC Standard 5.8 for curative-intent resection of primary pulmonary malignancy. We offer a summary of Standard 5.8, and relevant data upon which it is based, in hopes of improving implementation in 2021 and improving compliance, which will first be assessed during site reviews taking place in 2022. We also describe best practices for pathologists, registrars and surgeons to achieve these compliance goals.
Source: European Journal of Cardio-Thoracic Surgery
Author(s): Bertrand Mennecier, Anne Olland, Céline Mascaux, Pierre-Emmanuel Falcoz
This invited commentary offers insights into a manuscript that provides a deeper understanding of the perioperative outcomes of patients with stage II/IV non-small-cell lung cancer (NSCLC) with tumour resection after neoadjuvant immunotherapy, alone or as part of multimodal treatment.
Source: Journal of Thoracic and Cardiovascular Surgery
Author(s): Christopher Wilcox, DO, Nikolhaus Smith, MD, Glenn J.R. Whitman, MD
It is difficult to identify patients with myocardial infarction after they have undergone heart surgery, but this manuscript presents a useful algorithm to help one decide between watchful waiting and immediate action.
Source: JTCVS
Author(s): Jarosław Bis, MD, Kinga Gościńska-Bis, MD, Krzysztof S. Gołba, MD, Radosław Gocoł, MD, Marcin Zębalski, MD, Marek A. Deja, MD, PhD
It is generally necessary to implant a permanent pacemaker (PPM) in 1% to 5% of patients undergoing cardiac surgery due to conduction disturbances. The authors of this study sought to discover whether PPM implantation timing and particular conduction disturbances are linked to the need for a permanent pacemaker. They concluded that implanting a PPM on postoperative day 7 was optimal for preventing unnecessary implantations and long-term hospitalizations.
Source: The Annals of Thoracic Surgery
Author(s): Tom C. Nguyen MD, Vinod H. Thourani MD, Alexander P. Nissen MD, Robert H. Habib PhD, Joseph A. Dearani MD, Allan Ropski MS

This is the largest analysis of COVID-19 related impact on adult cardiac surgery volume, trends, and outcomes. During the pandemic, cardiac surgery volume suffered dramatically, particularly in the Mid-Atlantic and New England regions during the first COVID-19 surge, with a concurrent increase in observed-to-expected 30-day mortality.

Source: The New England Journal of Medicine
Author(s): Peter Verhamme, B. Alexander Yi,Annelise Segers, Janeen Salter, Daniel Bloomfield, Harry R. Büller, Gary E. Raskob, Jeffrey I. Weitz

Interesting multi-center RCT that paves the way for potential paradigm shifts in antithrombotic modulation. The abcence of symptomatic pulmonary embolism warrants further investigation...

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