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Coronary Disease

March 5, 2017
The authors describe a 10-year experience with extended arteriotomy for endarterectomy of a diffusely diseased LAD, using an internal mammary artery for reconstruction.  Perioperative mortality was 1.1% and postoperative MI occurred in 9%.  Survival at 5 years was 89% and freedom from acute cardiovascular events was 74%.
March 5, 2017
This trial randomly assigned 4,752 patients from 19 countries to either on-pump or off-pump CABG with a mean follow-up of 4.8 years.  The authors report no difference in death, stroke, myocardial infarction, renal failure or repeat revascularization at 5 years between the two groups.
February 23, 2017
Coronary and/or CT angiograms were performed on 585 of 762 (94%) patients at varying intervals after CABG using the PAS-Port System proximal anastomotic device.  The authors retrospectively evaluated the SVG patency at a mean follow-up interval (between CABG and the diagnostic procedures) was 319 ± 624 days.
January 13, 2017
This article is a propensity matched analysis comparing patients undergoing hybrid coronary revascularization (HCR) with minimally invasive left internal mammary artery to left anterior descending artery (LAD) bypass and percutaneous coronary intervention (PCI) to non-LAD arteries to patients undergoing conventional coronary artery bypass grafting (C
January 5, 2017
This video demonstrates a long segment left anterior descending coronary endarterectomy with saphenous vein angioplasty and LIMA-LAD.
December 17, 2016
This study is the 5-year follow-up of a large randomized controlled trial of on-pump CABG vs. OPCAB performed by seasoned surgeons.  A total of 4,752 patients were included in this trial.
December 13, 2016
This video shows a minimally invasive approach to harvesting the inferior epigastric artery.
November 23, 2016
In this  retrospective study of propensity-matched patients undergoing CABG, the authors queried whether prior PCI adversely affected outcomes.  9% of over 4500 pts undergoing first time CABG had prior PCI.  There was no difference between the groups with regard to hospital mortality or 10-year survival. 
November 22, 2016
The Johns Hopkins group reviewed their postoperative complications after heart surgery in 2,477 adult patients from 2011 and 2014 to determine the effect of the number of major complications on the primary outcome of death (as well as several secondary outcomes).  The study found the following rates of mortality by the number of complications:
November 15, 2016
This editor hastes to submit to JANS this manuscript on the 5 year follow -up of the ART trial. It is guaranteed to be widely cited, probably hotly debated and certainly a disappointment to many of us!

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