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Journal and News Scan

Source: Annals of Cardiothoracic Surgery
Author(s): urania Preventza, Alice Le Huu, Jackie Olive, Davut Cekmecelioglu, Joseph S. Coselli

A useful short review accompanied by media , related to the background of the ARISE Study. The esteemed authors discuss the potential endovascular options for zone 0 for inoperable Acute Aortic Syndromes.

Source: The Annals of Thoracic Surgery
Author(s): Lauren V. Huckaby, MD, MS Ibrahim Sultan, MD Santi Trimarchi, MD, PhD Bradley Leshnower, MD Edward P. Chen, MD Derek R. Brinster, MD Truls Myrmel, MD, PhD Anthony L. Estrera, MD Daniel G. Montgomery, BS Amit Korach, MD Hans-Henning Eckstein, MD Joseph S. Coselli, MD Takeyoshi Ota, MD, PhD Clayton A. Kaiser, MD Kim A. Eagle, MD Himanshu J. Patel, MD Thomas G. Gleason, MD

For women, worse outcomes have been reported with type A acute aortic dissection (TAAD). The authors sought to determine sex-specific operative approaches and outcomes for TAAD in the current era.

Source: The Annals of Thoracic Surgery
Author(s): Lauren Jansa, CPC, CCP Courtney Fischer, CPC, CCP Cyril Serrick, CPC, CCP Vivek Rao, MD, PhD

Recurrent observation of clot in the cardiopulmonary bypass circuit after the administration of a protamine test dose (PTD) prompted concern over the effects of PTDs on patient activated clotting times (ACTs).

Source: The Annals of Thoracic Surgery
Author(s): Nicolas Zhou, DO David C. Rice, MBBCh Anne S. Tsao, MD Percy P. Lee, MD Cara L. Haymaker, PhD Erin M. Corsini, MD, MSc Mara B. Antonoff, MD Wayne L. Hofstetter, MD Ravi Rajaram, MD Jack A. Roth, MD Stephen G. Swisher, MD Ara A. Vaporciyan, MD Garrett L. Walsh, MD Reza J. Mehran, MD Boris Sepesi, MD

It is controversal whether extrapleural pneumonectomy (EPP) or extended pleurectomy/decortication (P/D) is the optimal resection for malignant pleural mesothelioma. We therefore compared perioperative outcomes and long-term survival of patients who underwent EPP versus P/D.

Source: The Annals of Thoracic Surgery
Author(s): Carmelo Gaudioso MD PhD, Alexis Sykes MS, Philip E. Whalen PhD, Kristopher M. Attwood PhD, Martin M. Masika MD, Todd L. Demmy MD, Elisabeth U. Dexter MD, Mark W. Hennon MD, Anthony L. Picone MD PhD, Saikrishna S. Yendamuri MD, Chukwumere E. Nwogu MD PhD
The complexity of cancer treatment is rising. Thus, the role of multidisciplinary conferences (MDCs) in making diagnostic and treatment decisions has become critical. This study looked at the impact of a thoracic MDC (T-MDC) on lung cancer care quality and survival.
Source: The Annals of Thoracic Surgery
Author(s): Thomas E. MacGillivray MD, Thomas G. Gleason MD, Himanshu J. Patel MD, Gabriel S. Aldea MD, Joseph E. Bavaria MD, Thomas M. Beaver MD, Edward P. Chen MD, Martin Czerny MD, Anthony L. Estrera MD, Scott Firestone MS, Michael P. Fischbein MD, G. Chad Hughes MD, Dawn S. Hui MD, Kalie Kissoon, Jennifer S. Lawton MD, Davide Pacini MD, T. Brett Reece MD, Eric E. Roselli MD, John Stulak MD

Because of the rapidly evolving technology and techniques to manage patients affected with type B aortic dissection (TBAD), The Society of Thoracic Surgeons (STS) and the American Association for Thoracic Surgery (AATS) gathered a panel of expert aortic surgeons to methodically review the current data to provide recommendations on the management of patients with TBAD.

Source: The Society of Thoracic Surgeons
Author(s): Bartley P. Griffith, MD

In a brand new type of surgery, STS member Dr. Bartley P. Griffith and the University of Maryland Medicine team performed a successful transplant of a genetically modified pig heart into a fifty-seven-year-old man with terminal heart disease.

Source: NEJM Evidence
Author(s): Eric Lim, F.R.C.S., Tim J.P. Batchelor, F.R.C.S., Joel Dunning, F.R.C.S., Michael Shackcloth, F.R.C.S., Vladimir Anikin, F.R.C.S., Babu Naidu, F.C.R.S. (C-Th), Elizabeth Belcher, F.C.R.S. (C-Th), Mahmoud Loubani, F.R.C.S. (C-Th), Vipin Zamvar, F.R.C.S. (C-Th), Rosie A. Harris, M.Sc., Lucy Dabner, M.Sc., Holly E. McKeon, M.Res., Sangeetha Paramasivan, Ph.D., Alba Realpe, Ph.D., Daisy Elliott, Ph.D, Paulo De Sousa, P.G, Elizabeth A. Stokes, D.Phil, Sarah Wordsworth, Ph.D., Jane M. Blazeby, F.C.R.S., Chris A. Rogers, Ph.D.

Randomized evidence on the comparative outcomes of early-stage lung cancer resection by video-assisted thoracoscopic surgery (VATS) versus open resection is limited. Here was conducted a parallel-group multicenter randomized trial that recruited participants with known or suspected early-stage lung cancer and randomly assigned them to open or VATS resection of their lesions.

Source: Japanese Association for Coronary Artery Surgery
Author(s): Hitoshi Yokoyama MD, Yoshiki Sawa MD, Hirokuni Arai MD

The Japanese Society for Cardiovascular Surgery, Japanese Association for Thoracic Surgery, and Japanese Association for Coronary Artery Surgery recently issued a joint statement announcing that they disagree with recommendations in chapter 7.1 of the 2021 ACC/AHA/SCAI Guidelines published in December.

Source: The Journal of Thoracic and Cardiovascular Surgery
Author(s): S. Christopher Malaisrie, MD, Wilson Y. Szeto, MD, Monika Halas, MD, Leonard N. Girardi, MD, Joseph S. Coselli, MD, Thoralf M. Sundt III, MD, Edward P. Chen, MD, Michael P. Fischbein, MD, PhD, Thomas G. Gleason, MD, Yutaka Okita, MD, Maral Ouzounian, MD, PhD, Himanshu J. Patel, MD, Eric E. Roselli, MD, Malakh L. Shrestha, MD, PhD, Lars G. Svensson, MD, PhD, and Marc R. Moon, MD, the AATS Clinical Practice Standards Committee: Adult Cardiac Surgery

Acute type A aortic dissection remains a challenging emergency in cardiovascular surgery.The management of life-threatening complications has evolved to include endovascular options and complex aortic repair, but expeditious open replacement of the ascending aorta remains the preferred approach. This expert consensus offers recommendations based on current clinical evidence and expert opinions where all cardiac and aortic surgeons needed to be updated.

Notions like antimpulse management preoperatively in order to avoid aortic stress and stabilize the patient using opioid analgesia, thinking about a transfer to a (CAC) comprehensive aortic center after analyzing the recent evidence, focusing on clinical questions that are crucial for the decision making in all aspects, this excellent document gives answers based on the current literature.

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