The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Nov 2014
Review Meta AnalysisMeta-analysis of minimally invasive coronary artery bypass versus drug-eluting stents for isolated left anterior descending coronary artery disease.
To compare the outcomes between minimally invasive coronary artery bypass (MINI-CAB) and drug-eluting stent (DES) implantation for isolated left anterior descending artery disease. ⋯ Given the available evidence, MINI-CAB will result in lower target vessel revascularization rates but otherwise similar clinical outcomes compared with DESs in patients with left anterior descending artery disease.
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J. Thorac. Cardiovasc. Surg. · Nov 2014
Review Meta AnalysisMitral valve surgery: right lateral minithoracotomy or sternotomy? A systematic review and meta-analysis.
To update the current evidence on mitral valve surgery through a lateral minithoracotomy versus median sternotomy. ⋯ MIVS and conventional mitral valve surgery have a similar perioperative outcome. Mitral valve surgery via a right lateral minithoracotomy seems to be favorable with regard to resource-related outcome.
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J. Thorac. Cardiovasc. Surg. · Nov 2014
Neurologic and psycho-intellectual outcome related to structural brain imaging in adolescents and young adults after neonatal arterial switch operation for transposition of the great arteries.
We studied brain structure abnormalities in adolescents and young adults who had undergone the neonatal arterial switch operation for transposition of the great arteries and related them to the neurologic and psycho-intellectual outcomes. ⋯ Despite encouraging overall neurodevelopmental outcomes, a significant minority had performances below the expected level, emphasizing the need for ongoing surveillance. Considering the high frequency of structural brain abnormalities, prospective long-term studies are needed to define their prognostic value with respect to the neuropsychological outcomes in childhood and adolescence.
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J. Thorac. Cardiovasc. Surg. · Nov 2014
Randomized Controlled Trial Comparative StudyGraft patency after off-pump coronary artery bypass surgery is inferior even with identical heparinization protocols: results from the Danish On-pump Versus Off-pump Randomization Study (DOORS).
To determine whether graft patency after on-pump and off-pump coronary artery bypass surgery is similar when performed using the same heparinization protocol. ⋯ Despite comparable heparinization, graft patency after off-pump surgery was inferior to that after on-pump surgery.
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J. Thorac. Cardiovasc. Surg. · Nov 2014
Comparative StudyNinety-day mortality after resection for lung cancer is nearly double 30-day mortality.
To evaluate 30-day and 90-day mortality after major pulmonary resection for lung cancer including the relationship to hospital volume. ⋯ Mortality at 30 and 90 days and hospital volume should be monitored by institutions performing major pulmonary resection and benchmarked against hospitals performing at least 30 resections per year.