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Journal and News Scan
This is a comprehensive review of current strategies for monitoring and protection of the brain during aortic arch surgery under hypothermic circulatory arrest.
Hoyos Mejia et al. present a single center report regarding the outcome of thoracic surgery during the COVID-19 pandemic. They recorded a significant reduction in thoracic surgical cases. They observed five cases of coronarvirus infection in 101 surgical patients within 14 days after surgery. Two of these patients needed inpatient treatment and none died due to the infection. They conclude that it is safe to perform selected surgical procedures during the pandemic if managed properly.
This study evaluated preoperative cerebrospinal fluid drainage (CSFD) In patients undergoing isolated descending TEVAR with or without arch involvement (+/− arch TEVAR).
A scholarly and sober narrative review on , as the authors state, a ' hot topic' that is already being debated in Multidisciplinary Meetings and Lung Cnacer Boards.
Philipp Angleitner et al. present a retrospective study regarding incidence and outcome of bloodstream infections in LVAD patients. The incidence of bloodstream infections is 32.1% within the first year. This event was associated with increased risk of death and stroke. Risk factors of bloodstream infections were identified as lower albumin and ECMO/IABP prior to LVAD implantation.
The authors used The Society of Thoracic Surgeons Database to evaluate cerebral perfusion strategies for type A aortic dissection.
A latge RCT of the first myosin inhibitor in severe chronic heart failure: somewhat difficult to interpret results, as deaths were slightly higher in the intervention group while there was no 'significant' benefit in cardiovascular deaths. The authors discuss the possibility of benefit in lower ejection fractions and proceed to discuss and present subgroups in an effort to glean some granularity in indications for omecamtiv mecarbil.
This free online course provides a series of step-wise presentations for developing a minimally invasive valve program with contributions from experts in the fielid.
Techniques of unifocalization and pulmonary artery reconstructions have been developed to treat complex disorders of pulmonary artery development. The objective of this study was to document the prevalence of complications in these patients. The data demonstrate that the median value for duration of cardiopulmonary bypass (CPB) was 473 minutes, number of complications was five, and length of stay was 24 days. Major adverse cardiac events occurred in 11% of patients. Notably, while complications were relatively frequent, the overall outcomes were generally favorable. Importantly, CPB time had a poor correlation with total number of complications and hospital length of stay; a finding that is different from what has been observed in relation to other complex congenital or adult cardiac operations.
In this important article published in The Annals of Thoracic Surgery by Drs. Preventza et al, they report on the sex, racial and ethnic disparities in cardiovascular trials in the US. The authors conclude that targeted focus and leadership is needed in addressing these disparities to ensure that the population studied in cardiovascular trials is consistent with the patient population that we treat.