Tom C. Nguyen moderates a discussion of the recently published trials on TAVR in low-risk patients with severe symptomatic aortic stenosis, focusing on the implications these studies have for surgeons.
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Short- and Long-Term Outcomes of Aortic Root Repair and Replacement in Patients Undergoing Acute Type A Aortic Dissection Repair: Twenty-Year Experience
May 20, 2019
Discussion and critique editorials accompany this report on extensive emergency surgical treatment of aortic dissection, fueling an important debate.
World's First Randomized Study of Mini-Sternotomy AVR Versus Conventional AVR: 271 Patients and the Results Might Surprise You
May 16, 2019
I believe that this is the world's first randomized controlled trial of mini aortic valve replacement (AVR) versus full sternotomy AVR.
May 14, 2019
Abdelhadi Ismail of the Southampton University Hospitals Trust in the UK presents an educational series on cardiac anatomy in which he discusses some of the fundamental concepts.
Highlighting Recent Research: Prognosis of Severe Asymptomatic Aortic Stenosis With and Without Surgery
May 10, 2019
Patients with asymptomatic severe aortic stenosis whose initial treatment recommendation was to have an early aortic valve replacement had better survival after two years than patients who were watchfully waiting for symptoms to emerge.
May 7, 2019
The authors demonstrate the Nicks aortic root enlargement, which extends the aortotomy through the noncoronary annulus into the anterior leaflet of the mitral valve.
May 1, 2019
The authors discuss a technique of aortic root remodeling without handling of coronaries ostia and a special technique for the posterior aortic wall anastomosis that avoids risk of hidden leak and false aneurysm.
Right Ventricular Function is Reduced During Cardiac Surgery Independent of Procedural Characteristics, Reoperative Status, or Pericardiotomy
April 29, 2019
The authors prospectively analyzed right ventricular (RV) function in 109 patients undergoing a broad range of cardiac surgeries. RV function was assessed at several time points by evaluating TAPSE and 2D longitudinal RV strain to evaluate long axis RV function, and fractional area exchange to evaluate global RV function.
April 28, 2019
The authors analyzed the STS database for elective aortic root replacement (with several important exclusions) to derive risk factors for mortality and morbidity. A total of 8,807 patients met inclusion criteria.
2019 AATS/ACC/ASE/SCAI/STS Expert Consensus Systems of Care Document: A Proposal to Optimize Care for Patients With Valvular Heart Disease
April 20, 2019
The American Association for Thoracic Surgery (AATS), American College of Cardiology (ACC), American Society of Echocardiography (ASE), Society for Cardiovascular Angiography and Interventions (SCAI), and Society of Thoracic Surgeons (STS) published a joint expert consensus and evidence-based recommendations for systems of care related to valvular he