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Journal and News Scan

Source: Journal of the American College of Cardiology
Author(s): Duk-Hyun Kang; Sung-Ji Park; Byung Joo Sun; Eun Jeong Cho; Dae-Hee Kim; Sung-Cheol Yun; Jong-Min Song; Seung Woo Park; Cheol-Hyun Chung; Jae-Kwan Song; Jae-Won Lee; Pyo-Won Park
The authors of this article sought to compare long-term outcome with early surgery with a conventional treatment strategy in patients with asymptomatic severe mitral regurgitation. In a propensity matched analysis of 207 pairs, they found that early surgery was associated with a lower risk of mortality (p=0.033) and cardiac events (p=0.002) than conventional treatment. In additional Cox proportional hazard analyses, the benefit of early early surgery seemed to be restricted to patients >50 years old.
Source: JAMA
Author(s): Mohamed Abdel-Wahab; Julinda Mehilli; Christian Frerker; Franz-Josef Neumann; Thomas Kurz; Ralph Tölg; Dirk Zachow; Elena Guerra; Steffen Massberg; Ulrich Schäfer; Mohamed El-Mawardy; Gert Richardt; for the CHOICE investigators
Randomized trial in high risk patients (n=121) with severe aortic stenosis comparing a balloon-expandable valve (Edwards Sapien XT) versus a self-expandable valve (Medtronic CoreValve). Higher device success and lower PPM implantation was appreciated in the ballon-expandable group.
Source: JAMA
Author(s): Mohamed Abdel-Wahab; Julinda Mehilli; Christian Frerker; Franz-Josef Neumann; Thomas Kurz; Ralph Tölg; Dirk Zachow; Elena Guerra; Steffen Massberg; Ulrich Schäfer; Mohamed El-Mawardy; Gert Richardt; for the CHOICE investigators
Randomized trial in high risk patients (n=121) with severe aortic stenosis comparing a balloon-expandable valve (Edwards Sapien XT) versus a self-expandable valve (Medtronic CoreValve). Higher device success and lower PPM implantation was appreciated in the ballon-expandable group.
Source: Journal of Thoracic and Cardiovascular Surgery
Author(s): Curt Tribble and Walter H. Merrill
Recognized educational leaders Dr. Curt Tribble and Dr. Walter Merrill describe how to effectively use language during teaching, specifically the language of science, performance, and memory.
Source: Circulation
Author(s): Gregory J. Dehmer; James C. Blankenship; Mehmet Cilingiroglu; James G. Dwyer; Dmitriy N. Feldman; Timothy J. Gardner; Cindy L. Grines; and Mandeep Singh
Consensus guidelines on performing PCI without on-site surgery backup. The document outlines best practices and requirements for centers performing PCI without on-site surgery and evaluates the role of PCI without on-site surgery within the context of the US healthcare system.
Source: Interactive Cardiovascular and Thoracic Surgery
Author(s): Sofie Schrøder Pedersen, Thomas Kirkegaard, Martin Balslev Jørgensen, and Vibeke Lind Jørgensen

The authors analysed the influence of Haloperidol on post-cardiotomy delirium. The study on over 200 patients revealed that Haloperidol is not effective for reducing the duration of delirium.

Source: European Journal of Cardio-Thoracic Surgery
Author(s): Michael Ibrahim, Christopher Rao, Maria Savvopoulou, Roberto Casula, and Thanos Athanasiou

The authors review 17 publications on the use of artificial chordae in mitral valve repair. Rates of mortality, morbidity, complications and reoperation are low. Correct determination of the length of the chordae presents still one of the most important problems.

Source: European Journal of Cardio-Thoracic Surgery
Author(s): Alberto Rodríguez-Fuster, José Belda-Sanchis, Rafael Aguiló, Raul Embun, Sergio Mojal, Sergi Call, Laureano Molins, Juan José Rivas de Andrés, and on behalf of GECMP-CCR-SEPAR

A prospective multicentre study analysed 532 patients with a first surgical procedure for pulmonary metastases of colorectal carcinoma. Complications arose in 16%, reoperations were necessary in 1% and mortality was 0.4%. Major lung resection and respiratory and/or cardiovascular co-morbidity were identified as independent risk factors, whereas a video-assisted approach was protective.

Source: European Journal of Cardio-Thoracic Surgery
Author(s): Tristan D. Yan, Christopher Cao, Thomas A. D'Amico, Todd L. Demmy, Jianxing He, Henrik Hansen, Scott J. Swanson, William S. Walker, and on behalf of the International VATS Lobectomy Consensus Group

A consensus statement on video-assisted thoracoscopic lobectomy for patients with non-small-cell lung cancer has been issued by 50 international experts.

Source: International Journal of Cardiology
Author(s): R Dobson et al

Carcinoid heart disease is a major cause of morbidity and mortality in patients with metastatic neuroendocrine tumours (NETs). Although cases of carcinoid syndrome and severe carcinoid heart disease requiring urgent intervention are well described, many patients with significant carcinoid heart disease may have insidious symptoms or even be asymptomatic. As haemodynamically significant carcinoid heart disease may be clinically silent, specific and individualised considerations must be made as to the most appropriate clinical criteria and time point at which surgical valve replacement should be undertaken in patients with carcinoid heart disease.

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