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Journal and News Scan

Source: The Annals of Thoracic Surgery
Author(s): Michal Coret, Matthew Rok, Jane Newman, Deven Deonarain, John Agzarian, Christian Finley, Yaron Shargall, Peter R.A. Malik, Yogita Patel, Waël C. Hanna

Many surgeons remain skeptical navigating the intersection of professionalism and social media presence. Utilizing profiles in Canada and the United States, these authors hypothesized that thoracic surgeons who are active on Twitter have a higher research citation index (h-index) than their nonactive counterparts. 

Source: European Journal of Cardio-Thoracic Surgery
Author(s): Pawel Nawrocki, Konrad Wisniewski, Christoph Schmidt, Andreas Bruenen, Volker Debus, Edward Malec, Katarzyna Januszewska

Sixty-five children who underwent biventricular repair were extubated early (immediately after chest closure in the operating room) or were extubated later on intensive care unit (ICU). The results of these two different strategies were compared. Early extubation resulted in better cardiac output, fewer pleural effusion, and shorter stay in the ICU and hospital. The authors concluded that early extubation is safe and feasible and has a beneficial effect on the postoperative course.

Source: The Annals of Thoracic Surgery
Author(s): Alexander C. Egbe, Heidi M. Connolly, William R. Miranda, Joseph A. Dearani, Hartzell V. Schaff

In this study from the Mayo Clinic, outcomes of bioprosthetic valves placed in the pulmonary position in adults with congenital heart disease were evaluated. Cumulative prosthetic valve dysfunction at 15 years was 48%, raising the question of the efficacy of using such valves in this position.

Source: The New England Journal of Medicine
Author(s): Kristin Newby

An editorial related to a recent randomized controlled trial suggesting a striking benefit of anti-inflammatory secondary prevention after recent myocardial events.

Source: The Journal of Thoracic and Cardiovascular Surgery
Author(s): Ibrahim Sultan, Valentino Bianco, Himanshu J. Patel, George J. Arnaoutakis, Marco Di Eusanio, Edward P. Chen, Bradley Leshnower, Thoralf M. Sundt, Udo Sechtem, Daniel G. Montgomery, Santi Trimarchi, Kim A. Eagle, and Thomas G. Gleason

The International Registry of Acute Aortic Dissection investigators analyzed the impact of cerebral malperfusion (CM) on the surgical outcomes of acute type A dissection in 2402 patients. The incidence of CM and neurologic deficit was 15.1% (362/2402). While patients with CM were less likely to present with chest pain and back pain, they had a significantly higher incidence of syncope, peripheral malperfusion, and shock and were more likely to have Debakey type I dissection and pericardial effusion on presentation. In-hospital mortality and the incidences of cerebrovascular accident and acute kidney injury were significantly higher in patients with CM. The authors conclude that surgeons may continue to offer lifesaving surgery for acute type A dissection to this critically ill cohort of patients with acceptable morbidity and mortality.

Source: Interactive CardioVascular and Thoracic Surgery
Author(s): Kentaro Amano, Yoshiyuki Takami, Hiroshi Ishikawa, Michiko Ishida, Masato Tochii, Kiyotoshi Akita, Yusuke Sakurai, Mika Noda, Yasushi Takagi

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.

Source: The Annals of Thoracic Surgery
Author(s): Rahul Nayak, Susan B. Brogly, Katherine Lajkosz, M. Diane Lougheed, Dimitri Petsikas

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.

Source: World Journal for Pediatric and Congenital Heart Surgery
Author(s): Robyn Lotto, Ian Jones, Sarah E. Seaton, Ram Dhannapuneni, Rafael Guerrero, Attilio Lotto

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.

Source: The Journal of Thoracic and Cardiovascular Surgery
Author(s): Percy ED, Kaneko T, Aranki SF

Interesting succinct note on a major issue, noting a possible association between cardiopulmonary bypass and this common complication.

Source: The Journal of Thoracic and Cardiovascular Surgery
Author(s): Neha J. Pagidipati, Renato D. Lopes

A useful narrative on pharmacology and metabolomics for surgeons caring for the diabetic population; the vast majority of the CTSNet membership.