The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Oct 2020
The rapid transformation of cardiac surgery practice in the coronavirus disease 2019 (COVID-19) pandemic: Insights and clinical strategies from a center at the epicenter.
The onset of the coronavirus disease 2019 (COVID-19) pandemic has forced our cardiac surgery program and hospital to enact drastic measures that has forced us to change how we care for cardiac surgery patients, assist with COVID-19 care, and enable support for the hospital in terms of physical resources, providers, and resident training. ⋯ We recognize that individual programs around the world will eventually face COVID-19 with varying levels of infection burden and different resources, and we hope this document can assist programs to plan for the future.
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J. Thorac. Cardiovasc. Surg. · Oct 2020
Multicenter StudyDevelopment of a validated risk score for interstage death or transplant after stage I palliation for single-ventricle heart disease.
To develop a risk score to predict mortality or transplant in the interstage period. ⋯ We introduce a risk score that can be used post-stage 1 palliation to predict freedom from interstage mortality or transplant.
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J. Thorac. Cardiovasc. Surg. · Oct 2020
Routine surveillance for diagnosis of venous thromboembolism after pleurectomy for malignant pleural mesothelioma.
The purpose of this study was to determine the incidence of venous thromboembolism and utility of a routine surveillance program in patients undergoing surgery for mesothelioma. ⋯ The incidence of venous thromboembolism is high (32%) among patients undergoing surveillance after pleurectomy for mesothelioma. Up to 33% of patients with deep vein thrombosis are asymptomatic at the time of diagnosis, and the incidence of complications related to anticoagulation is low. Routine surveillance may be useful to diagnose and treat deep vein thrombosis before it progresses to symptomatic or fatal pulmonary embolus.
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J. Thorac. Cardiovasc. Surg. · Oct 2020
Impact of shaggy aorta on outcomes of open thoracoabdominal aortic aneurysm repair.
The aim of this study was to evaluate the impact of diffuse aortic atherosclerosis-related thrombosis, or "shaggy aorta" on the outcomes of open thoracoabdominal aortic aneurysm repair (TAAA). ⋯ Preoperative enhanced computed tomography assessment of shaggy aorta could predict high-risk patients for open TAAA repair.