The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Aug 2022
Early experience with donation after circulatory death heart transplantation using normothermic regional perfusion in the United States.
This pilot study sought to evaluate the feasibility of our donation after circulatory death (DCD) heart transplantation protocol using cardiopulmonary bypass (CPB) for normothermic regional reperfusion (NRP). ⋯ DCD heart transplantation outcomes have been excellent. Our DCD protocol is adoptable for more widespread use and will increase donor heart availability in the United States.
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J. Thorac. Cardiovasc. Surg. · Aug 2022
Transcarotid versus transthoracic access for transcatheter aortic valve replacement: A propensity-matched analysis.
Transcarotid access for transcatheter aortic valve replacement is emerging as an alternative to more traditional nonfemoral access options such as transapical or transaortic; however, comparative data are limited. The purpose of the study was to analyze outcomes after transcatheter aortic valve replacement using transcatheter compared with transthoracic (transapical/transaortic) access. ⋯ Transcatheter aortic valve replacement using transcarotid access is associated with lower 30-day mortality, less atrial fibrillation, shorter intensive care unit and overall length of stay, fewer readmissions, greater improvement in Kansas City Cardiomyopathy Questionnaire scores, and no significant difference in stroke or major vascular complications compared with transthoracic access.
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J. Thorac. Cardiovasc. Surg. · Aug 2022
Bilateral internal thoracic artery grafting in elderly patients: Any benefit in survival?
The purpose of the present study was to compare survival outcomes in propensity score-matched patients aged 70 years or greater receiving a bilateral internal thoracic artery graft with patients receiving a single internal thoracic artery graft. ⋯ The use of bilateral internal thoracic artery grafting in older patients improves 10-year survival, with similar postoperative morbidity. This surgical technique might have beneficial effects in survival in patients aged more than 70 years. Its use could be considered more frequently.
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J. Thorac. Cardiovasc. Surg. · Aug 2022
Treatment of aortic valve endocarditis with stented or stentless valve.
The study objective was to provide evidence for choosing a bioprosthesis in treating patients with active aortic valve endocarditis. ⋯ Both stented and stentless aortic valves are appropriate conduits for replacement of active aortic valve endocarditis for select patients.
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This study aimed to understand the population-level treatment modalities and to evaluate the survival benefits of surgical resection in primary cardiac lymphoma. ⋯ Surgical resection was not independently associated with survival in patients with primary cardiac lymphoma. Chemotherapy was the predominant treatment option and associated with improved survival, whereas increasing age and advanced stage were independently associated with worse outcomes.