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Journal and News Scan

Author(s): Thessgiatro Giatroi Thessalonikis
This is an amazing video that actually shows live evidence of clot in the vein after harvesting ! Why are we all not doing this routinely after all vein harvest ? You must have a quick look at this
Source: Journal of the American Medical Association
Author(s): Christopher Vinden; Danielle M. Nash; Jagadish Rangrej; Salimah Z. Shariff; Stephanie N. Dixon; Arsh K. Jain; Amit X. Garg
The debate between surgeon sleep deprivation and performance continues. This study looked at complications from laparoscopoic cholecystectomies (n=94,183) in surgeons who operateed the night before and found no difference in outcomes. Although lap cholecystectomies don't translate to cardiothoracic surgery, some of the discussion points apply. Also, there is an excellent editorial accompanied the article written by Michael Zinner and Julie Ann Freischlag.
Source: Circulation
Author(s): Van Belle E, Juthier F, Susen S, Vincentelli A, Iung B, Dallongeville J, Eltchaninoff H, Laskar M, Leprince P, Lievre M, Banfi C, Auffray JL, Delhaye C, Donzeau-Gouge P, Chevreul K, Fajadet J, Leguerrier A, Prat A, Gilard M, Teiger E; for the FRANCE 2 Investigators.
In this study, the authors evaluate the relevance of post-procedural-aortic-regurgitation (AR) following transcatheter aortic valve replacement (TAVR) in patients included in the FRANCE 2 registry. They compare outcomes and risk factors for post-procedural AR in balloon expandable (BE) and self-expandable (SE) prosthesis. Not surprisingly, post-procedural AR was significantly more frequent in SE than in BE prosthesis. Post-procedural AR ≥2 was a predictor of 1-year mortality. Risk factors for post-procedural AR were identified for BE and SE prosthesis.
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: Medscape
Author(s): Laird harrison
A new study suggests that delaying heart surgery may be associated with a high risk of adverse events or death in the period between dental surgery and a planned cardiac operation
Source: Thoracic Surgery News
Author(s): Bruce Jancin
Routine screening is warranted for the first-degree relatives of patients who present with thoracic aortic disease before age 60 years in the absence of predisposing conditions such as hypertension, Marfan syndrome, or bicuspid aortic valve, Dr. Elizabeth N. Robertson said at the American Heart Association scientific sessions. "We've shown that screening of first-degree relatives for familial thoracic aortic aneurysm disease is essential, as we detected an average of two additional affected individuals per initial patient
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.