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Surgery

June 30, 2017
Thornblade and colleagues report an increase in off-label esophageal stent usage to treat benign esophageal perforation between 2007 and 2014, with a concomitant decrease in surgical repair and no difference in surgical drainage. Despite increased use of stents, no significant changes in short-term outcomes were observed.
June 29, 2017
Ad and colleagues compared outcomes in patients receiving a Cox Maze (CM) procedure with cryothermal energy only or with cryothermal and bipolar radiofrequency, with 298 patients in each group.
June 27, 2017
Balsam and colleagues present two cases of Mycobacterium chimaera infection following implantation of left ventricular assist devices, likely linked to bioaerosols from heater-cooler units used during surgery.
June 22, 2017
Hiraoka and colleagues compared outcomes of 337 patients receiving conventional total aortic arch repair to 58 patients receiving hybrid aortic arch repair at a single cardiovascular institution. The authors observed no differences in operative or 30-day death.
June 19, 2017
Chudgar and colleagues evaluated clinicopathologic variables and characteristics of treatment for 539 patients who had undergone pulmonary metastasectomy for soft-tissue sarcoma at the Memorial Sloan Kettering Cancer Center.
June 19, 2017
Gaudino and colleagues report a retrospective analysis of short-term outcomes following aortic valve-sparing operations (VSO) with and without reconstruction of the sinuses of Valsalva (SV). Despite the importance of the SV for aortic valve function, data evaluating SV reconstruction with VSO are limited.
May 23, 2017
The authors conducted a retrospective cohort study of 88 patients that received methylene blue (MB) for refractory vasoplegia following cardiopulmonary bypass.  Administration of MB was associated with an 8 mmHg increase in mean arterial pressure, with the peak response occurring at 2 hours after completion of dose.  
May 22, 2017
A surprisingly readable Australasian manuscript on risk prediction models for cardiac surgery. Interesting that the class of dyspnoea was not captured in 5.28% of the operated patients.
January 31, 2017
The authors of this review article offer an approach to the utilization of a contempory mechanical circulatory support devices.  They further provide insights of the key role that well-functioning interdisciplinary teams contribute to the success of a MCS program and future directions to consider as this field continues to rapidly evolve.

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