The Journal of thoracic and cardiovascular surgery
-
J. Thorac. Cardiovasc. Surg. · May 2020
Multicenter StudyImplementation of a specific safety check is associated with lower postoperative mortality in cardiac surgery.
In cardiac surgery, a preincision safety checklist may decrease complications and improve survival. Until now, it has not been demonstrated whether the implementation of such a checklist indeed reduces mortality. ⋯ Application of a short preincision safety checklist in a mixed population of adult cardiac surgery patients is associated with significantly reduced 120-day mortality.
-
J. Thorac. Cardiovasc. Surg. · May 2020
Surgical outcomes for anomalous left coronary artery from the pulmonary artery: Influence of late presentation.
Although surgical outcomes for anomalous left coronary artery from the pulmonary artery (ALCAPA) are excellent in the modern era with the coronary reimplantantion technique, mortality remains high in Chinese population. This study was undertaken to review the surgical management for ALCAPA in our center and assess the midterm outcomes. ⋯ Late referral of patients with ALCAPA is not uncommon in our center. Older age at repair in patients with preoperative left ventricular dysfunction is the main reason for higher early mortality, and is also associated with longer time to normalization of left ventricular function after surgery.
-
J. Thorac. Cardiovasc. Surg. · May 2020
Comparative StudyInfluence of warfarin on cardiac and cerebrovascular events following bioprosthetic aortic valve replacement: A nationwide cohort study.
The need for anticoagulation treatment following bioprosthetic aortic valve replacement remains controversial. We investigated the associations of warfarin treatment with the risks of major adverse cardiac and cerebrovascular events, including mortality, bleeding incidents, and reoperation requirement after bioprosthetic aortic valve replacement surgery. ⋯ Short-term use of postoperative warfarin (especially <30 days) following bioprosthetic aortic valve replacement may be associated with a reduction in MACCE compared with nonuse.
-
J. Thorac. Cardiovasc. Surg. · May 2020
Comparative StudyRisk of adding prophylactic aorta replacement to a cardiac operation.
The study objective was to determine whether adding prophylactic aorta replacement increases the risk of a cardiac operation when cardiac rather than aortic disease is the primary indication for operation. ⋯ Prophylactic aorta replacement can be safely performed during a cardioaortic operation, without added penalty, when aortic disease is less severe and not the primary indication for surgery. Risks after an aorta replacement combined with cardiac surgery can be substantial, however, when advanced aortic disease is the primary indication for operation. These distinctive risks should be taken into consideration at the time of surgical decision-making.
-
J. Thorac. Cardiovasc. Surg. · May 2020
Serial cardiac magnetic resonance imaging after surgical coronary revascularization for left ventricular dysfunction.
Serial changes in segmental myocardial function after surgical myocardial revascularization have not been well demonstrated. This study was conducted to evaluate improvements in segmental myocardial function after coronary artery bypass grafting in patients with left ventricular dysfunction. ⋯ One third of segments with a transmural extent of LGE >50% still had a chance for improvement after revascularization, although an inverse correlation was seen between the LGE grade and improvement of segmental myocardial function.