The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Nov 2014
Comparative Study Observational StudyIncreased late mortality after coronary artery bypass surgery complicated by isolated new-onset atrial fibrillation: a comprehensive propensity-matched analysis.
The association of new-onset postoperative atrial fibrillation (POAF) and late death after coronary artery bypass grafting (CABG) has been confounded by the frequent concomitant serious complications that co-occur with POAF. We aimed to define the magnitude and time dependence of the effect of isolated POAF on late survival after uncomplicated CABG to comprehensively account for comorbidity and perioperative confounding factors. ⋯ Isolated POAF was associated with a time-varying increase in mortality after CABG. Given these findings and the high incidence of POAF, efforts to reduce POAF should be pursued to potentially improve resource usage, morbidity, and mortality.
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J. Thorac. Cardiovasc. Surg. · Nov 2014
Review Meta AnalysisWorse long-term survival after off-pump than on-pump coronary artery bypass grafting.
To determine whether off-pump coronary artery bypass grafting (CABG) is associated with worse long-term survival compared with on-pump CABG. We performed a meta-analysis of adjusted observational studies and randomized controlled trials. ⋯ A meta-analysis of 22 studies, enrolling a total of >100,000 patients, showed that off-pump CABG is likely associated with worse long-term (≥5-year) survival compared with on-pump CABG.
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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
Multicenter Study Observational StudyOutcomes of cardiac surgery in chronic kidney disease.
To identify predictors of early and late outcomes of cardiac surgery in patients with chronic kidney disease. ⋯ Left ventricular impairment is a risk factor for perioperative and late death in patients with kidney disease. After cardiac surgery, preoperative dialysis-dependent and dialysis-free patients had similar long-term outcomes.