In a large multi-center, propensity-matched study, Paparella et al found that antiplatelet therapy as opposed to oral anticoagulation therapy initiated after mitral valve repair as antithrombotic prophylaxis caused significantly less major bleeding, which also caused mortality to be less by a 5-fold than with anticoagulation therapy.
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Cardiac
April 27, 2016
Should off-pump CABG be abandoned? Joseph Sabik of the Cleveland Clinic, Cleveland, Ohio, suggests that while off-pump CABG should not be completely abandoned, it should no longer be the default option.
April 25, 2016
This video shows an aortic annulus enlargement using a modified Manouguian technique without opening the left atrium roof.
April 23, 2016
An editorial discussion of the impressive 10-year benefits of CABG for ischemic cardiomyopathy as found in the STICH trial.
April 21, 2016
These authors analyzed retrospectively the effect of postoperative fibrinogen level on bleeding after heart surgery in their database of 2,800 patients. They found that serum fibrinogen levels lower than 220 mg/dl more than doubled the risk of postoperative bleeding.
April 20, 2016
Is open repair or TEVAR the best approach for a patient with chronic type B dissection? An expert panel of cardiothoracic surgeons and an interventional cardiologist met at the 2016 SCTS Annual Meeting in Birmingham, United Kingdom, to discuss this complex issue.
April 18, 2016
The authors present the minimally invasive repair of a stenotic bicuspid aortic valve and ascending aorta aneurysm through a J-shaped ministernotomy approach.
April 14, 2016
Joseph Sabik of the Cleveland Clinic, Cleveland, Ohio, considers the importance of internal mammary artery (IMA) grafts in long-term CABG outcomes.
April 12, 2016
The association of acute kidney injury (AKI) with adverse outcomes after cardiac surgery is well known. This study compared the association of AKI and the elevation of cystatin C, another filtration marker, with long-term survival after cardiac surgery. 30% of patients experienced an abnormal increase in creatinine postop compared to 15% who had an