Using data from the Australian Cardiac Surgical Database, the authors provide further information regarding acute kidney damage after cardiac surgery. This study has added to the evidence that preoperative impairment, IABP use, red cell transfusion and infective endocarditis are predictive factors.
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Cardiac
June 16, 2014
The rate of cerebral embolism in patients with acute infective endocarditis (AIE) was about one quarter on CT scanning, with about one third having silent emboli. This had an adverse impact on survival. Haemorrhagic transformation was low. The authors indicate CT scanning should be routine for all patients with AIE.
June 11, 2014
This video demonstrates an ITA harvest for CABG. It was designed specifically for cardiothoracic surgery residents, and includes a step-by-step approach to enhance safety and reproducibility.
June 9, 2014
A step-by-step guide for performing an aortic root replacement with the Freestyle Aortic Root. Safeguards and pitfalls are reviewed.
June 8, 2014
In this study, the authors identify a number of markers in cardiac stem cells obtained from 38 patients undergoing coronary artery bypass grafting which appear to predict positive myocardial remodelling at 12 months following surgery
June 5, 2014
This large-scale study evaluated kidney function postoperatively and at 1 year after either on-pump or off-pump isolated first time CABG. Nearly 3000 pts were enrolled over a 2 year period. Outcomes were a >50% increase in creatinine within 30 days of operation (AKI) and >20% loss of GFR at 1 year. Off-pump bypass was associated with a lower
June 4, 2014
Coronary artery bypass grafting (CABG) has been considered the standard of care for patients with three-vessel disease (3VD), but long-term comparative results from randomized trials of CABG vs. percutaneous coronary intervention (PCI) using drug-eluting stents (DES) remain limited.
June 4, 2014
Filmed at the 2014 STS Annual Meeting, the roundtable discussion focuses on the growing role of women in the cardiothoracic surgery specialty.
June 3, 2014
The authors of this paper prospectively studied stroke after aortic valve replacement (AVR) in patients with aortic stenosis (AS) and >65years old. Neurological status was assessed pre- and postoperatively assessed by neurologists, postoperatively by MRI and strokes were evaluated according to the National Institutes of Health Stroke Sscale.
June 2, 2014
This video is part of a series demonstrating cardiothoracic surgery performed by left-handed surgeons. This video shows a left-handed proximal anastomosis.