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Journal and News Scan

Source: European Journal of Cardio-Thoracic Surgery
Author(s): Hermann Reichenspurner, Wolfgang Schillinger, Stephan Baldus, Jörg Hausleiter, Christian Butter, Ulrich Schäefer, Giovanni Pedrazzini, and Francesco Maisano

The MitraClip Therapy Economic and Clinical Outcomes Study Europe (ACCESS-EU) enroled 117 patients with degenerative mitral regurgitation (MR) considered ineligible for surgery. Mortalities at 30 days and 12 months were 6.0 and 17.1%, respectively. At 12 months, 74.6% (53 of 71) of patients in follow-up achieved significant reductions in MR and improved clinical outcomes. This complementary non-surgical intervention should be indicated by an inter-disciplinary team of cardiologists and cardiac surgeons.

Source: European Journal of Cardio-Thoracic Surgery
Author(s): Richard Warwick, Michael Shackcloth, Neeraj Mediratta, Richard Page, James McShane, Mathew Shaw, and Michael Poullis

A database analysis on 4212 patients found female sex to be associated with improved survival in patients with Stage I adenocarcinoma but not with other stages or with squamous carcinoma. The authors discuss the reasons for their findings.

Source: European Journal of Cardio-Thoracic Surgery
Author(s): Fernando Hornero, Elio Martín, Rafael Rodríguez, Manel Castellà, Carlos Porras, Bernat Romero, Luis Maroto, and Enrique Pérez de la Sota

A multicenter retrospective study on over 26000 patients compared off-pump and on-pump surgery for CABG. Off-pump surgery was associated with a lower perioperative incidence of stroke in patients with two or more cardiovascular risk factors especially with chronic renal failure.

Source: EACTS
Author(s): Jose Pomar

See highlights as the meeting takes place, including the interview below with the EACTS President, Jose Luis Pomar.

Source: MMCTS
Author(s): Olivier Ghez et al

This is an outstanding video on the surgical repair of the pulmonary arteries, which has been published in the MMCTS as a detailed techniques article.

Source: Journal of Thoracic and Cardiovascular Surgery
Author(s): S Costanzo, V di Niro, A di Castelnuovo, F Gianfagna, M Benedetta Donati, G de Gaetano, L la Coviello

This updated meta-analysis evaluated outcomes in 2687 pts from 8 randomized clinical trials assessing the utility of polyunsaturated fatty acids in preventing postoperative atrial fibrillation after cardiac surgery.  Treatment reduced the incidence of a-fib overall by 16% to 25%.  In patients undergoing isolated CABG the reduction was 34% (p=0.003).

Source: Journal of Thoracic and Cardiovascular Surgery
Author(s): MK Kavarana, A Savage, R O'Connell, CS Rubinstein, J Flynn-Reeves, K Joshi, MR Stroud, JS Ikonomidis, SM Bradley

This study reviewed single institutional data to develop a composite risk index for mortality after heart transplantation in patients with congenital heart disease.  Results in 46 pts operated 1996-2011 were studied with the primary differentiation being single vs double ventricle morphology.  Predictors of mortality were preoperative renal insufficiency and the combination of single ventricle morphology and dialysis.      

Source: Journal of Thoracic and Cardiovascular Surgery
Author(s): CR Kelsey, KA Higgins, BL Peterson, JP Chino, LB Marks, TA D'Amico

This derivation and validation study involving 2300 patients who underwent resection for NSCLC explored predictors of local/regional recurrence.  Recurrence-free survival was similar between the datasets.  Predictors of recurrence were different between the datasets.  The derivation dataset identified stage I adeno, stage I squamous/large cell, and stage II-IIIA as predictors.  The validation dataset identified lymphovascular invasion and stage as predictors. 

Source: Journal of Thoracic and Cardiovascular Surgery
Author(s): SH Lee, JB Kim, DH Kim, S-H Jung, SJ Choo, CH Chung, JW Lee

Management of a dilated ascending aorta at the time of AVR was investigated in patients undergoing AVR alone (362), AVR plus aortic wrapping (67), or AVR plus aortic replacement (70).  Long-term outcomes including death and aortic expansion were similar among the 3 groups.    

Author(s): Donald Doty

This is a lovely gem of an operation back from 1998 , by Donald Doty. Really nicely filmed. 

The only bit I didn't get was where the surgeons was standing !! isn't he on the left side of the patient ? 

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