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Journal and News Scan

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.


Source: The Journal of Thoracic and Cardiovascular Surgery
Author(s): Enumah ZO, Bolman RM, Zilla P, et al.

The "Cape Town Declaration On Access to Cardiac Surgery in the Developing World" was published in August 2018, intending to signal a commitment of the global cardiac surgery and cardiology communities to improving care for the 33 million patients affected by rheumatic heart disease. The Cardiac Surgery Intersociety Alliance (CSIA) was subsequently formed as an international consortium of representatives from major cardiothoracic surgical societies and the World Heart Federation. This article describes the history of the CSIA, its formation, ongoing activities and future directions, including the announcement of pilot sites selected in low and middle income countries for CSIA support.

Source: The Annals of Thoracic Surgery
Author(s): Michael P. Veve, PharmD, MPH, Yasir Akhtar, MD, Peter P. McKeown, MD, Morgan K. Morelli, MD, and Mahmoud A. Shorman, MD
This study's purpose was to compare outcomes of percutaneous mechanical aspiration (PMA) using the Penumbra Indigo system to valve surgery in PWID with TVIE. The conclusion was that PMA has an association with similar outcomes to valve surgery for management of TVIE in PWID.
Source: Journal of Heart and Lung Transplantation
Author(s): Peter S. Macdonald, MD, PhD Natasha Gorrie, MBBS Xavier Brennan, MBBS Samira R. Aili, PhD Ricardo De Silva, MD Sunita R. Jha, PhD Rodrigo Fritis-Lamora, RN Elyn Montgomery, RN Kay Wilhelm, MBBS, MD, FRANZCP Rachel Pierce, BSc Fiona Lam, BAppSc Bruno Schnegg, MD Christopher Hayward, MBBS, MD Andrew Jabbour, MBBS, PhD Eugene Kotlyar, MBBS, MD Kavitha Muthiah, MBBS, PhD Anne M. Keogh, MBBS, MD Emily Granger, MBBS, FRACS Mark Connellan, FRACS Alasdair Watson, MBBS, FRACS, PhD Arjun Iyer, MBBS, FRACS, PhD Paul C. Jansz, MBBS, PhD, FRACS

This study assessed the impact of frailty in patients with advanced heart failure on clinical outcomes after heart transplantation (HTx).

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

The authors included type A aortic dissection patients from the International Registry of Acute Aortic Dissection, who were managed surgically. Their aim was to evaluate the incidence and prognosis of patients with cerebral malperfusion.

Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
Author(s): Rami Akhrass, MD; Faisal G. Bakaeen, MD

The authors provide tips and tricks on ten most important considerations for multi-arterial grafting.