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Journal and News Scan

Source: Journal of the American College of Cardiology
Author(s): Rick A. Nishimura; Catherine M. Otto; Robert O. Bonow; Blase A. Carabello; John P. Erwin; Robert A. Guyton; Patrick T. O’Gara; Carlos E. Ruiz; Nikolaos J. Skubas; Paul Sorajja; Thoralf M. Sundt; James D. Thomas
The new AHA/ACC Guideline for the management of patients with valvular heart disease. This version is a complete update of the 2008 version and provides up-to-date guidance implementing the new developments in valvular heart disease.
Source: Annals of Thoracic Surgery
Author(s): Mark M. Smith, David W. Barbara, William J. Mauermann, Christopher F. Viozzi, Joseph A. Dearani, Kendra J. Grim
The utility of dental extraction for infection prior to planned cardiac surgery is unkown. The authors evaluated the risk of dental extraction in a group of 205 patients for whom elective cardiac surgery was planned. 8% experienced major morbidity after dental extraction, 3% died prior to cardiac surgery, and 3% died following cardiac surgery.
Source: Journal of the American College of Cardiology
Author(s): Grasso C, Ohno Y, Attizzani GF, Cannata S, Immè S, Barbanti M, Pistritto AM, Ministeri M, Caggegi A, Chiarandà M, Dipasqua F, Ronsivalle G, Mangiafico S, Scandura S, Capranzano P, Capodanno D, Tamburino C.
In this manuscript the authors report on 6 patients who underwent implantation of a MitraClip device for failing surgical mitral valve repair. All the procedures were successful with the use of a simple clip. MitraClip appears to be a good alternative in this setting.
Source: Annals of Thoracic Surgery
Author(s): Nathan M. Mollberg, Carrie Bennette, Eric Howell, Leah Backhus, Beth Devine, Mark K. Ferguson
LVI is thought to be an adverse prognostic indicator of survival in patients with NSCLC. This review quantified the relationship of LVI and survival. The unadjusted effect of LVI for recurrence-free survival was HR=3.63 and for overall survival was HR=2.38. After adjustment for covarates, these HRs were 2.52 and 1.81, both highly significant.
Source: Annals of Thoracic Surgery
Author(s): Maria Restrepo, Lucia Mirabella, Elaine Tang, Christopher M. Haggerty, Reza H. Khiabani, Francis Fynn-Thompson, Anne Marie Valente, Doff B. McElhinney, Mark A. Fogel, Ajit P. Yoganathan
Fontan connections made using a lateral tunnel (LT) or extracardiac (EC) pathway were evaluated over time using MR. LT pathways generally increased in diameter while EC pathways did not. Normalized LT and EC diameters decreased relative to somatic growth, while descending aortic diameter increased in parallel with somatic growth. Changes in pathways over time are complex and require further investigation.
Source: Annals of Thoracic Surgery
Author(s): Mark M. Smith, David W. Barbara, William J. Mauermann, Christopher F. Viozzi, Joseph A. Dearani, Kendra J. Grim
The utility of dental extraction for infection prior to planned cardiac surgery is unkown. The authors evaluated the risk of dental extraction in a group of 205 patients for whom elective cardiac surgery was planned. 8% experienced major morbidity after dental extraction, 3% died prior to cardiac surgery, and 3% died following cardiac surgery.
Source: Journal of Thoracic and Cardiovascular Surgery
Author(s): Martin Yates, Gopal Soppa, Oswaldo Valencia, Sion Jones, Sami Firoozi, Marjan Jahangiri
Yates and coauthors evaluated the implementation of Heart Team discussions for patients with complex coronary artery disease, and determined whether the 2010 ESC/EACTS guideline recommendations changed clinical practice in this regards. Unfortunately, Heart Team discussions were infrequent pre- and post-guideline publication (9% vs 17%).
Source: The Annals of Thoracic Surgery
Author(s): Victor Dayan, Gerardo Soca, Leandro Cura, Carlos A. Mestres
In this meta-analysis, the authors set out to investigate whether MV repair or replacement was better for patients with ischemic mitral regurgitation. Combining 12 eligible studies, they found that MV repair is associated with lower operative mortality, but higher recurrence of regurgitation. There were no differences in survival, functional measures and NYHA class.
Source: Journal of Thoracic Oncology
Author(s): Bovolato, Pietro; Casadio, Caterina; Billè, Andrea; Ardissone, Francesco; Santambrogio, Luigi; Ratto, Giovanni Battista; Garofalo, Giuseppe; Bedini, Amedeo Vittorio; Garassino, Marina; Porcu, Luca; Torri, Valter; Pastorino, Ugo
A group of 1365 pts from 6 institutions was retrospectively reviewed for outcomes after palliative treatment, chemotherapy alone, pleurectomy/decortication (P/D), or extrapleural pneumonectomy (EPP). Multivariable analysis identified age <70, epithelial histology, and chemotherapy as independent predictors of improved survival. In patients with all 3 favorable characteristics, median survival with or without P/D or EPP was similar.
Source: Journal of Thoracic Oncology
Author(s): Smith, Cardinale B.; Kale, Minal; Mhango, Grace; Neugut, Alfred I.; Hershman, Dawn L.; Mandeli, John P.; Wisnivesky, Juan P.
Using SEER data the authors compared open to VATS segmental resection in a population of pts >65 years old. Propensity score matching was used to adjust for baseline differences between the groups. VATS pts had lower complication rates, fewer ICU admissions, and shorter length of hospital stay. Outcomes did not appear to be surgeon-specific. Survival was similar between the groups.

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