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Cardiac

November 19, 2021
Impressive  decrease of death (by approximaltely 40% !) in 2 years from a small RCT in elective structural heart surgery for degeneration. The assumption is  a benefit  by improvement in right ventricular dynamics
November 15, 2021
Interesting in its candour mini-series of partial arterial revascularisation by left thoracotomy. The perioperative graft failure is delt in some detail.
November 15, 2021
The Aortic Valve replAcemenT versus conservative treatment in Asymptomatic seveRe aortic stenosis (AVATAR) trial is an investigator-initiated international prospective randomized controlled trial that evaluated surgical aortic valve replacement (SAVR) in asymptomatic patients with severe aortic stenosis and normal left ventricular function.  The stud
November 9, 2021
A good-size Terumo-sponsored RCT that is set to impact on decisions to discontinue DAPT early after PCI with absorbable stent, a change that will somehow decrease the surgical risk of bleeding in the event of salvage CABG. 
August 28, 2021
In this article, Loo et al demonstrate in a survey to the Thoracic Surgery Residents Association membership that only approximately 20% of trainees were accurate in estimating surgeon reimbursement, with a demonstrated lack of understanding in how reimbursement models work, despite acknowledgement of its importance.
July 16, 2021
This study assessed cognitive involved in cardiac surgical procedures from the perspective of three different specialty groups: surgeons, anesthesiologists, and perfusionists.  The 137 unique processes that were identified were classified as: decision points, critical communications, pitfalls, and strategies.  Understanding these processes and the di
July 12, 2021
In this article, Dr. Sandhu et al. review their 22-year experience in managing patients with thoracic aortic graft infection. They demonstrate that this infection is highly morbid and requires prompt antimicrobial coverage, debridement, graft replacement, and vascularized graft coverage to prevent morbidity and mortality. 
July 12, 2021
In this article, Jacobs et al. provide a multi-institutional outcomes review of 200 consecutive patients with confirmed COVID-19 supported with ECMO. The mean time on ECMO was 15 days with survival on VV-ECMO of 46.3% and survival on VA-ECMO of 25%.
June 15, 2021
Fascinating confirmation of null hypotheses including bleeding complications and survival in a Pennsylvanian cohort study, despite the easily predictable previous PCI, hock, and IABP prevalence in the emergency group. The statistical model is elaborate and complex. Perhaps a randomized trial could now be justified!
May 25, 2021
An authoritative, scholarly but very readable review of the evolution of mechanical circulatory support of the left ventricle from the non-surgical standpoint.

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