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Journal and News Scan
This review nicely summarizes the recommendations for antithrombotic therapy in the setting of acute coronary syndromes. In a section relevant to cardiac surgeons, they suggest that patients who undergo CABG surgery in the setting of an acute coronary syndrome should be similarly treated with dual antiplatelet therapy.
On Friday, March 26, the U.S. Food and Drug Administration approved the Harmony Transcatheter Pulmonary Valve (TPV) System to be used to treat pediatric and adult patients with a native or surgically-repaired right ventricular outflow tract who have severe pulmonary valve regurgitation.
This study analyzes surgery versus chemoradiation for esophageal cancer in older patients.
Holmgren et al. report the long-term outcome of aortic valve replacement patients for bicuspid or tricuspid aortic valve pathologies within a Swedish cohort. In their analysis, patients with bicuspid valve morphology showed an independent association with improved outcome, even matching the general population´s prognosis.
Amirghofran et al. present a cohort of 21 patients receiving repair of tetralogy of Fallot (ToF) by a new surgical technique using autologous right atrial appendage tissue as a pulmonary valve substitute. This technique was proven feasible with good mid-term results and valve function in patients undergoing ToF repair requiring a PA valve substitute.
This study compared outcomes of mechanical valves, bioprostheses, and homografts patients undergoing an operation for active complex aortic endocarditis.
STAT Mortality Categories (developed 2009) stratify congenital heart surgery procedures into groups of increasing mortality risk to characterize case mix of congenital heart surgery providers. This update of the STAT Mortality Score and Categories is empirically based for all procedures and reflects contemporary outcomes. Cardiovascular surgical operations in the Society of Thoracic Surgeons Congenital Heart Surgery Database (January 1, 2010 – June 30, 2017) were analyzed. In this STAT 2020 Update of the STAT Mortality Score and Categories, the risk associated with a specific combination of procedures was estimated under the assumption that risk is determined by the highest risk individual component procedure. Operations composed of multiple component procedures were eligible for unique STAT Scores when the statistically estimated mortality risk differed from that of the highest risk component procedure. Bayesian modeling accounted for small denominators.