The Journal of thoracic and cardiovascular surgery
-
J. Thorac. Cardiovasc. Surg. · Jan 2018
Randomized Controlled TrialEight-year follow-up of the Clopidogrel After Surgery for Coronary Artery Disease (CASCADE) trial.
In this 8 years' follow-up study, we evaluated the long-term outcomes of the addition of clopidogrel to aspirin during the first year after coronary artery bypass grafting, versus aspirin plus placebo, with respect to survival, major adverse cardiac, or major cerebrovascular events, including revascularization, functional status, graft patency, and native coronary artery disease progression. ⋯ http://www.clinicaltrials.gov. Unique identifier: NCT00228423.
-
J. Thorac. Cardiovasc. Surg. · Jan 2018
Early results of robotically assisted mitral valve surgery: Analysis of the first 1000 cases.
The study objective was to assess the technical and process improvement and clinical outcomes of robotic mitral valve surgery by examining the first 1000 cases performed in a tertiary care center. ⋯ Robotic mitral valve surgery is associated with a high likelihood of valve repair and low operative mortality and morbidity. The combination of algorithm-driven patient selection and increased experience enhanced clinical outcomes and procedural efficiency.
-
J. Thorac. Cardiovasc. Surg. · Jan 2018
Mitral annuloplasty ring suture forces: Impact of surgeon, ring, and use conditions.
The study objective was to quantify the effect of ring type, ring-annulus sizing, suture position, and surgeon on the forces required to tie down and constrain a mitral annuloplasty ring to a beating heart. ⋯ Mitral annuloplasty suture loading is influenced by ring type, ring-annulus sizing, suture position, and surgeon, suggesting that reports of dehiscence may not be merely a series of isolated errors. When compared with forces known to cause suture dehiscence, these in vivo suture loading data aid in establishing potential targets for reducing the occurrence of ring dehiscence.