ALERT!

This site is not optimized for Internet Explorer 8 (or older).

Please upgrade to a newer version of Internet Explorer or use an alternate browser such as Chrome or Firefox.

Journal and News Scan

Source: Circulation Research
Author(s): Naomi M. Hamburg and Reiko Matsui

The authors revisit the older, somewhat misinterpreted hypothesis of cocoa and vasodilation. The title may again be misinterpreted by the general media as an encouragement to gorge on HIGH CALORIE, HIGH FAT nutrients

Source: The Journal of Thoracic and Cardiovascular Surgery
Author(s): Subhasis Chatterjee, Jose G. Casar, Scott A. LeMaire, Ourania Preventza, and Joseph S. Coselli

Dr Coselli and associates from Baylor published a comprehensive review of their practice in the perioperative management of patients undergoing thoracoabdominal aortic aneurysm repair. 

This is the second part of the review, focusing on fundamentals of postoperative care and management of operative complications.

Source: The Journal of Thoracic and Cardiovascular Surgery
Author(s): Subhasis Chatterjee, Jose G. Casar, Scott A. LeMaire, Ourania Preventza, and Joseph S. Coselli

Dr Coselli and associates from Baylor published a comprehensive review of their practice in the perioperative management of patients undergoing thoracoabdominal aortic aneurysm repair. 

This is the first part of the review. The unique preoperative considerations to reduce the risk of adverse operative outcomes are expounded. 

Source: European Journal of Cardio-Thoracic Surgery
Author(s): Alexander Wahba, Milan Milojevic, Christa Boer, Filip M J J De Somer, Tomas Gudbjartsson, Jenny van den Goor, Timothy J Jones, Vladimir Lomivorotov, Frank Merkle, Marco Ranucci, Gudrun Kunst, Luc Puis, EACTS/EACTA/EBCP Committee Reviewers

The 2019 EACTS/EACTA/EBCP Guidelines on cardiopulmonary bypass in adult cardiac surgery is setting a worldwide benchmark on cooperation of perfusionists and cardiac surgeons in the joined care of cardiac surgery patients. This is the first European document on guidelines regarding the conduction of cardiopulmonary bypass. Many recommendations are based on expert consensus, thereby urging joined research efforts within this important field.

Source: The Annals of Thoracic Surgery
Author(s): Tamar B. Nobel, Nikita Dave, Mahmoud Eljalby, Xinxin Xingg, Arianna Barbetta, Meier Hsu, Kay See Tan, Yelena Janjigian, Manjit S. Bains, Smita Sihag, David R. Jones, Daniela Molena

In this retrospective study of 1760 patients undergoing esophagectomy for cancer at Memorial Sloan Kettering, isolated brain metastases occurred in 2% during follow-up. More than half of those developed within one year of resection. Response to induction therapy was associated with long-term survival in these patients.

Source: Innovations
Author(s): Joseph Zacharias, Peter Perier

The authors attempt to capture the main reasons why some centers are successful in embarking on an endoscopic mitral valve surgery program. The supplementary material includes videos of two alternative cross-clamping options by the authors.

Source: Journal of Clinical Oncology
Author(s): Bryan J. Schneider, Nofisat Ismaila, Joachim Aerts, Caroline Chiles, Megan E. Daly, Frank C. Detterbeck, Jason W.D. Hearn, Sharyn I. Katz, Natasha B. Leighl, Benjamin Levy, Bryan Meyers, Septimiu Murgu, Larissa Nekhlyudov, Edgardo S. Santos, Navneet Singh, Joan Tashbar, David Yankelevitz, and Nasser Altorki

The newest version of the ASCO guidelines for lung cancer surveillance after curative lung cancer therapy is presented. The overall quality of supportive evidence is low, and the strength of recommendations is moderate. CT is recommended as the optimal imaging modality. Of interest, PET and circulating biomarkers are not recommended for routine surveillance.

Source: The Annals of Thoracic Surgery
Author(s): Shinobu Itagaki, Joanna Chikwe, Erick Sun, Danny Chu, Nana Toyoda, Natalia Egorova

Among 7830 patients undergoing arch or hemiarch replacement with hypothermic circulatory arrest in the STS Database, risk factors for the composite of mortality or major permanent neurologic complications were assessed. The incidence of the outcome was 10.9%. The use of antegrade or retrograde cerebral perfusion was protective compared to no cerebral perfusion.

Source: JAMA Cardiology
Author(s): Megan Coylewright, Elizabeth O’Neill, Ariel Sherman, Megan Gerling, Kaavya Adam, Keren Xu, Stuart W. Grande, Harold L. Dauerman, Shayne E. Dodge, Navjot Kaur Sobti, Catherine H. Saunders, Stacey L. Schott, Glyn Elwyn, Marie-Anne Durand

Use of a novel decision aid for patients with symptomatic aortic stenosis resulted in greater patient knowledge and satisfaction, although decisional conflict was unchanged.  Physicians, on the other hand, felt that the aid was not understood by elderly patients, and believed that they used shared decision-making in their usual practice, without the use of a decision aid.

Source: Nature
Author(s): Kenichi Yoshida, Kate H. C. Gowers, Henry Lee-Six, Deepak P. Chandrasekharan, Tim Coorens, Elizabeth F. Maughan, Kathryn Beal, Andrew Menzies, Fraser R. Millar, Elizabeth Anderson, Sarah E. Clarke, Adam Pennycuick, Ricky M. Thakrar, Colin R. Butler, Nobuyuki Kakiuchi, Tomonori Hirano, Robert E. Hynds, Michael R. Stratton, Iñigo Martincorena, Sam M. Janes, Peter J. Campbell

This interesting study compared bronchial epithelial mutation burden, the primary source of new lung cancers, among nonsmokers, former smokers, and current smokers.  Smoking typically adds 1,000 to 10,000 mutations per cell.  Smoking cessation in this study was associated with replenishment of the abnormal epithelium with cells that are typical of nonsmokers and have a normal mutagenic potential.

Pages