This article addresses the controversy surrounding the optimal annular stabilization technique following valve sparing root reconstruction (VSRR) and the lack of comprehensive imaging data in the evaluation of the natural history of aortic root graft geometry, valve competency, and prognosis postreconstruction.
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Cardiac
July 24, 2019
July 24, 2019
The authors report a case of early migration of a self-expanding transcatheter aortic valve prosthesis causing coronary obstruction and myocardial infarction.
July 23, 2019
The authors present herein a type A dissection repair using the Florida sleeve technique, which allows for preservation of the native aortic valve and sinuses.
July 23, 2019
The authors’ method of left ventricular aneurysm repair was hemostatic with no short- or mid-term complications.
July 20, 2019
In this editorial, Ikonomidis et al not only describe the challenges but also provide specific actionable steps towards improving the retention as well as clinical, academic, and personal success of cardiothoracic surgeon-scientists.
Challenges include:
Transcatheter Valve-in-Valve Versus Surgical Replacement of Failing Stented Aortic Biological Valves
July 20, 2019
This retrospective study by Sedeek et al aimed to compare the outcomes of patients undergoing transcatheter aortic valve replacement (TAVR) valve-in-valve (n=90) versus surgical replacement (SAVR) (n=260) of failing stented aortic biological valves in a cohort of 350 patients .
July 19, 2019
Henry and colleagues evaluated frailty in patients undergoing cardiac surgery using two frailty indices, the simplified Study of Osteoporotic Fractures (SOF) and the complex Cardiovascular Health Study (CHS), comparing postsurgical outcomes between frail and nonfrail patients. Agreement between the two indices was poor.
July 18, 2019
This meta-analysis included 70 articles reporting on more than 100,000 patients who underwent surgical aortic valve replacement. The incidence of patient-prosthesis mismatch (PPM) was 53.7%. Moderate and severe PPM was associated with higher mortality, both early and late after surgery.
July 18, 2019
Norman Briffa of the Sheffield Teaching Hospitals NHS Trust in the UK discusses the decision between mechanical and biological valves, focusing on patients between the ages of 50 and 70 years old.
July 17, 2019
In this editorial, Harrington and coauthors introduce the updated guidelines for statistical reporting in the New England Journal of Medicine, which can be accessed at https://www.nejm.org/author-center/new-manuscripts.