Showing papers in "The Journal of Thoracic and Cardiovascular Surgery in 2018"

TL;DR: Current guidelines cover all major aspects of bicuspid aortic valve aortopathy, including natural history, phenotypic expression, histology and molecular pathomechanisms, imaging, indications for surgery, surveillance, and follow-up, and recommendations for future research.

TL;DR: The midterm outcomes of AVNeo using autologous pericardium were satisfactory in 850 patients with various aortic valve diseases, but further randomized, multicenter prospective studies are needed to confirm the results of the current study.

TL;DR: A GDP strategy is effective in reducing AKIN stage 1 AKI, and further studies are needed to define perfusion interventions that may reduce more severe levels of renal injury (AKIN stage 2 or 3).

TL;DR: The incidence of thoracic aortic dissections and aneurysms increased over time but all‐cause hospital and late outcomes improved and gender differences exist.

TL;DR: Robotic mitral valve surgery is associated with a high likelihood of valve repair and low operative mortality and morbidity, and the combination of algorithm‐driven patient selection and increased experience enhanced clinical outcomes and procedural efficiency.

TL;DR: From the Division of Thoracic Surgery, Yale University, New Haven, Conn, Received for publication March 6,2017; accepted for publication Aug 26, 2017; available ahead of print Oct 20, 2017.

TL;DR: In the center experience, ECLS bridge to first lung transplant leads to good short‐term and long‐term outcomes in carefully selected patients, in contrast, the data suggest that ECLs as a bridge to retransplantation should be used with caution.

TL;DR: For patients with BAV, increased aortic valve‐mediated WSS is significantly associated with elastic fiber thinning, particularly with aorti valve stenosis and in earlier stages of aortopathy.

TL;DR: Surgical treatment for anomalous aortic origin of a coronary artery is safe and should aim to associate the coronary ostium with the correct sinus, away from the intercoronary pillar.

TL;DR: PRBC transfusion appears to be more closely associated with risk‐adjusted morbidity and mortality compared with preoperative Hct level alone, supporting efforts to reduce unnecessary PRBC transfusions.

TL;DR: For selected patients with a history of AF undergoing cardiac surgery, concomitant CM4 did not add significantly to postoperative morbidity or mortality and was associated with improved late survival compared with patients with untreated AF and a similar survival to patients without aHistory of AF.

TL;DR: The three-strikes model of frailty, adapted with permission from Arora and colleagues is adapted from the Divisions of Cardiac Surgery and Cardiac Sciences Program.

TL;DR: All major aspects of bicuspid aortic valve aortopathy, including natural history, phenotypic expression, histology and molecular pathomechanisms, imaging, indications for surgery, surveillance, and follow-up, and recommendations for future research are contained within these guidelines.

TL;DR: Transatrial implantation of a THV for the treatment of MAC is associated with high technical success despite unfavorable anatomy, and 30‐day all‐cause mortality was high in this early experience of very high surgical risk patients.

TL;DR: In this article, a cohort study of term neonates with hypoplastic left heart syndrome (HLHS) and d-transposition of the great arteries (d-TGA) was conducted to assess the trajectory of perioperative brain growth in relationship to cardiac diagnosis and acquired brain injuries.

TL;DR: Comparable PGs were found among the TAVs in different models; pinwheeling indices were found to be different between both T AVs; turbulence patterns among both Tavs translated according to RSS were different; and both TAV's exhibit peak maximal RSS that exceeds platelet activation 100 Pa threshold limit.

TL;DR: Chordal replacement may be associated with greater freedom from reoperation and may lead to improved postoperative left ventricular function compared with leaflet resection; however, these conclusions are supported primarily by data from unadjusted observational studies, and high‐quality RCTs of chordal replacement versus leaflets resection are needed.

TL;DR: The treatment strategy for type A acute aortic dissection with malperfusion was revised to reperfuse each ischemic organ before central repair to avoid unproductive central repair procedures in irreversibly damaged patients.

TL;DR: It was showed that virtual‐assisted lung mapping has reasonable efficacy, although the successful resection rate did not reach the primary goal, and the depth of the required margin was the most significant factor leading to resection failure.

TL;DR: Many patients having sublobar resection for early stage NSCLC in the United States do not have a single lymph node removed for pathologic examination, and the number of LNE is associated with improved survival, presumably due to avoidance of mis‐staging.

TL;DR: The presence of notch and the absence of GGO were independently associated with the STAS phenomenon and will prove helpful in identifying STAS‐positive adenocarcinoma by CT before surgical resection.

TL;DR: In neonates with TGA or HLHS, increasing cerebral oxygen extraction combined with an abnormal cerebral blood flow response during the time between birth and heart surgery leads to a progressive decrease in cerebral tissue oxygenation.

TL;DR: In patients with postcardiotomy cardiogenic shock, ischemic heart disease and level of arterial lactate before venoarterial extracorporeal membrane oxygenation initiation were identified as independent risk factors of 90‐day mortality and may improve patient selection for this resource‐intensive therapy.

TL;DR: On the basis of current evidence, transcatheter aortic valve implantation may be cost‐effective for the treatment of severe aorti stenosis in patients with intermediate surgical risk.

TL;DR: The long‐term outcomes of the ePTFE conduit with a fan‐shaped valve and bulging sinuses appear clinically satisfactory, and it is believed that the longevity of small‐sized conduits can yield sufficient time to exchange them to larger‐ sized conduits without any loss of their valve functions.

TL;DR: These up to 22 years data show that the subcoronary Ross procedure continues to provide an excellent tissue aortic valve replacement with the probability of 79% being in the favorable class I or II at 20 years.

TL;DR: The IOCT‐guided approach decreased the time at risk, despite a significant increase in the global OR utilization time, and the choice between the 2 approaches should be based on the most readily available approach at a surgeon's specific facility.

TL;DR: Evidence from RCTs showed no differences between the techniques, whereas rigorously adjusted observational studies and the combined analysis indicated that off‐pump CABG offers lower short‐term mortality but poorer long‐term survival.

TL;DR: Pulmonary endarterectomy is the gold standard treatment for chronic thromboembolic pulmonary hypertension and provides immediate correction of hemodynamic parameters in most patients, however, in up to one quarter of operable cases, pulmonary hypertension persists after surgery.