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Minimally Invasive Surgery

January 13, 2021
A large series of closure of atrial septal defects ( mostly secundum) in adult and some adolescent patients. There are token cases of other (moderate to severe) congenital cases included in this narrative. The Onans offer details on the evolution of their Da Vinci program in Istanbul.
January 10, 2021
An interesting retrospective study on the efficacy of the the US screening program for aortic aneurysmal disease in the abdomen. The discussion on the detective importance of clinical examination being complementary to sonography is pertinent.
December 10, 2020
An ad hoc interim analysis pursuant to previous publications raising concerns on Paclitaxel DCS in chronic critical and not-critical lower limb ischaemia. The short manuscript requires careful reading to form an individual opinion beyond the relatively simple arithmetics: slightly more deaths in the intervention group.
September 15, 2020
An open-access large metanalysis on the utility and risks of antiplatelets after PCI. Of note, mortality was not a primary endpoint. The message is that long dual antiplatelet use is an exchange between avoidance of myocardial events and serious bleeding. The novel oral anticoagulants may enter the arena soon..
September 12, 2020
In this article, the authors demonstrate a novel technique of antegrade cardioplegia decannulation using the Cor-Knot system with phenomenal video and description on their case series. This technique has great utility in cases where closing the cardioplegia cannulation site can be challenging in minimally invasive video-assisted cardiac surgery.
September 7, 2020
Patients with aneurysms 7 cm or greater demonstrated a higher probability of survival when treated immediately, compared to delayed repair, for patients under 80 years of age. An interesting attempt to construct a decision tool for aortic aneurysms.
August 20, 2020
In this article, Dr. Bethencourt outlines eight key strategies for successful robotic heart startups and how to initiate a new robotic program at one's institution. 
June 27, 2020
The previous randomized study of minimally invasive esophagectomy vs open esophagectomy (TIME trial) conducted in the Netherlands demonstrated reduced pulmonary complications and LOS with MIE.  Compared to the benefits of MIE in those selected high volume centers, national use of MIE was associated with increased overall complications, increased pulm
October 8, 2019
An interesting pilot experiment on attempting to quantify the optimum disposition of neochordae in transapical intervention for severe mitral regurgitation.
August 6, 2019
This video demonstrates a transapical off-pump mitral valve repair case.

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