Dr Om P. Yadava and Professor Rui Almeida discuss the reasons for a lack of trainee interest in the specialty of cardiovascular surgery, and the steps that the Brazilian Society of Cardiovascular Surgery has taken to address this issue.
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November 18, 2019
Lower Body Ischemic Time is a Risk Factor for Acute Kidney Injury After Surgery for Type A Acute Aortic Dissection
November 15, 2019
The authors investigated the influence of hypothermic circulatory arrest on renal function. This study includes 191 patients who underwent surgery for acute aortic dissection type A. Postoperative acute kidney injury was observed in 49 patients. Lower body ischemic time was one of the risk factors for postoperative kidney injury.
November 14, 2019
Interesting succinct note on a major issue, noting a possible association between cardiopulmonary bypass and this common complication.
November 7, 2019
Data from the PARTNER trials were assessed regarding post-procedural prosthetic valve endocarditis (PVE) after transcatheter aortic valve replacement and surgical aortic valve replacement. The timing and rates of PVE were similar between the groups, and they had a similar high mortality.
November 6, 2019
The author describes a single surgeon, single institution experience using a SuperCable® in sternotomy closure, which was found effective and reliable, and can potentially reduce sternum dehiscence risk.
Association of Cardiac Rehabilitation With Decreased Hospitalization and Mortality Risk After Cardiac Valve Surgery
November 2, 2019
Participation in a post-discharge rehabilitation program after valve surgery was associated with a 34% relative decrease in hospitalization during the first year and a 61% relative decrease in mortality at one year.
Outcomes of Second Arterial Conduits in Patients Undergoing Multivessel Coronary Artery Bypass Graft Surgery
October 29, 2019
This article reviews real-life outcomes of 42,714 patients undergoing coronary bypass grafting from 2005 to 2012.
Peripheral Vasoconstriction During Mental Stress and Adverse Cardiovascular Outcomes in Patients With Coronary Artery Disease
October 26, 2019
Interesting clinicolaboratory experiment: Any translational value for the coronary surgeon and the cardiologist remains to be seen, especially regarding the risk stratification and prioritization for urgent (inpatient) revascularisation. Also, the value of the observation for the cardiovascular anesthetist may be important with regards to induction
October 26, 2019
A must-read position paper.
Incidence and Characteristics of Left Atrial Appendage Stumps After Device-Enabled Epicardial Closure
October 25, 2019
The authors analyzed the effectiveness of left atrial appendage closure with AtriClip in 43 patients. In all patients, the absence of blood flow in the excluded appendage was confirmed. In 31 patients, no residual stump was observed. In only one patient, there was a significant (>10 mm) stump.