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Journal and News Scan

Source: JAMA Network
Author(s): Howard Buchner, Editor in Chief of JAMA

This is a MUST WATCH interview with Maurizio Cecconi, president elect of the European Intensive Care Society and an intensivist in Milan, Italy, where the Lombardy region has looked after around a thousand patients in the intensive cares of the region with COVID-19. He is interviewed by the Editor in Chief of JAMA and gives very sensible advice. 

Source: The Annals of Thoracic Surgery
Author(s): Jennifer Bailey, Okan U. Elci, Christopher E. Mascio, Laura Mercer-Rosa, Elizabeth Goldmuntz

The optimal approach for repair of tetralogy of Fallot in symptomatic neonates was assessed comparing complete repair to staged repair. Greater early morbidity was associated with complete repair, but long-term outcomes regarding neurocognitive development need to be assessed in both groups.

Source: The Annals of Thoracic Surgery
Author(s): Hyo-Hyun Kim, Sak Lee, Hyun-Chel Joo, Jung-Hwan Kim, Young-Nam Youn, Kyung-Jong Yoo, Seung-Hyun Lee

Suture techniques were compared for prosthesis-patient mismatch among groups who underwent aortic valve replacement and had a small annulus. Nonpledget mattress sutures performed better than pledget mattress sutures and figure-of-8 nonpledget sutures.

Source: European Journal of Cardio-Thoracic Surgery
Author(s): Chunji Chen, Xiaofeng Zhang, Chang Gu, Yiyang Wang, Kun Liu, Xufeng Pan, Shijie Fu, Limin Fan, Rui Wang

This article analyzes the outcome of video-assisted thoracoscopic lung resections performed at night compared to daytime operations. Nighttime operations carried a higher risk of intraoperative complications. The authors conclude surgeons should avoid nighttime operations whenever possible.

Source: European Journal of Cardio-Thoracic Surgery
Author(s): Massimiliano M Marrocco-Trischitta, Moad Alaidroos, Rodrigo M Romarowski, Valentina Milani, Federico Ambrogi, Francesco Secchi, Mattia Glauber, Giovanni Nano

This review article looks into the role of ´bovine´ aortic arch configuration as a risk factor for aortic disease. An arch configuration with common origin of the innominate and left carotid artery was associated with a higher risk of thoracic aortic dissection when looking at the results of 485 studies, including 11,381 patients. The authors concluded that ´bovine´ aortic arch configuration should be recognized as a risk factor for aortic disease.

Source: Interactive CardioVascular and Thoracic Surgery
Author(s): Amalia A Winters, Michael J McDaniel, Jose N Binongo, Rena C Moon, Wissam A Jaber, Ravi R Rajani, Henry A Liberman, Omar M Lattouf, Michael E Halkos, Chadwick W Stouffer, W Brent Keeling

This retrospective single center observational study investigates the impact of surgical and catheter-based interventions in patients with life-threatening pulmonary emboli (PE). The results of both techniques have been comparable regarding survival and recovery of right ventricular function and acceptable complication rates within these critical patients. The authors conclude that both therapies should be adapted more widely in the treatment of these patients.

Source: Circulation Research
Author(s): Helle F. Jørgensen, Martin R. Bennett

A very easy-to-read editorial that digests a manuscript on the IMPROVE study. The study suggests an association of this group of enzymes to the Matrix Metalloproteinases and hence a theory on explaining the biochemistry of atheromatous plaque in relation to smooth muscle cells: if this will be translated to humans, it may offer a route of novel pharmacologic intervention to cardiovascular disease.

Source: European Journal of Cardio-Thoracic Surgery
Author(s): David Pedde, Sajjad Soltani, Julia Stein, Dmytro Tsyganenko, Markus Müller, Felix Schönrath, Volkmar Falk, Evgenij V Potapov

This single-center retrospective cohort analysis looks into the impact of preoperative atrial fibrillation on post-LVAD outcomes. Within their cohort, they did not observe any difference in pump thrombosis and thromboembolic events with regard to this preoperative variable. Thereby, the authors concluded that the MAZE procedure, AF catheter ablation, or LAA exclusion might be of questionable impact within these patients. However, they urge a prospective evaluation of this topic.

Source: The Annals of Thoracic Surgery
Author(s): Fabian A. Kari, Holger Bohnens, Benjamin Bierbach, Emile A. Bacha, Brigitte Stiller, Ulrike Bauer

Using a German congenital heart defects registry, analyses were performed to identify risk factors for death and reintervention in patients who underwent correction of TGV with VSD and LVOTO.  The median follow-up was 15 years. At least five different types of corrective operations were performed.  

Source: New England Journal of Medicine
Author(s): Raj R. Makkar, Vinod H. Thourani, Michael J. Mack, Susheel K. Kodali, Samir Kapadia, John G. Webb, Sung-Han Yoon, Alfredo Trento, Lars G. Svensson, Howard C. Herrmann, Wilson Y. Szeto, D. Craig Miller, et al., for the PARTNER 2 Investigators

Five year results of the PARTNER II trial demonstrated no difference in the risk of stroke or death comparing TAVR to surgical aortic valve replacement among intermediate surgical risk patients.  

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