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Coronary disease

June 23, 2022
This scientific statement is a granular contribution to a major cardiovascular issue, illuminating nuances of the "generally recognized as safe" (GRAS) FDA designation. One would expect the relevant Thoracic Associations in North America and Europe to contribute to this debate.
May 18, 2022
Gripping vignette of a fatal case of renocardiac pathologies. The stills from the (sadly non-contrast) CTA are most interesting.
April 21, 2022
This video outlines the evolution of resternotomy from its historical use to the modern, modified version that was adopted in 1999, which uses a transabdominal approach while avoiding resternotomy.
April 19, 2022
Interesting manuscript on the immunology of coronary atheroma, with tanslational potential in therapies and prevention of ischaemic heart disease.
April 14, 2022
Redo coronary artery bypass grafting can be technically challenging. Performing the surgery off-pump via a left thoracotomy offers significant advantages.
April 14, 2022
This 10-year follow-up of the ROBY study reports on the primary end points of all-cause death and the composite of death or revascularization among 2203 patients randomized to off-pump or on-pump CABG 2002-2007.  Death rates at 10 years were 34.2% for off-pump and 31.1% for on-pump.  The composite end point was reached at 4.6 years for off-pump and 5
March 31, 2022
With symptomatic myocardial bridges being fairly common, it’s important to know how to treat them. This video shows present the clinical workup, operative technique, and postoperative course of a myocardial bridge unroofing.
March 23, 2022
Complex composite grafting can occasionally be required for total arterial revascularization in patients who need multiple grafts, so it is important for surgeons to learn as many techniques as possible. This video shows how to use double Y grafting utilizing bilateral IMA and a radial artery with endarterectomy to increase a patient’s chance at long-term survival.
March 4, 2022
A paper that addresses a gap in knowledge and will guide future research: of particular interest, the penultimate paragraph on The Role of Interventions.
February 22, 2022
The Dor procedure is a valuable tool in a cardiac surgeon’s toolkit. This video outlines a Dor repair of a large left ventricular aneurysm, with a prior contained rupture that led to a secondary large pseudoaneurysm.

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