The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Sep 2022
Meta AnalysisUtility and safety of coronary angiography in patients with acute infective endocarditis who required surgery.
To assess the benefit/risk ratio to perform a coronary angiography (CA) before surgery for infective endocarditis (IE). ⋯ In daily practice, two-thirds of the patients with acute IE who required surgery have a preoperative CA leading to a combined CABG in 18% of the patients. Our results suggest that to perform a preoperative CA in this context is not associated with improved prognosis.
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J. Thorac. Cardiovasc. Surg. · Sep 2022
ReviewIs there referral bias in outcomes of septal myectomy for hypertrophic cardiomyopathy?
To determine the potential impact of referral bias on short- and long-term outcomes following septal myectomy for hypertrophic cardiomyopathy. ⋯ Compared with distant referrals, local patients who undergo septal myectomy at our institution have more comorbid conditions, and require more concomitant surgical procedures. Despite these differences, referral patterns did not impact early or late outcomes following transaortic septal myectomy.
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J. Thorac. Cardiovasc. Surg. · Sep 2022
ReviewCorrelating oxygen delivery on cardiopulmonary bypass with Society of Thoracic Surgeons outcomes following cardiac surgery.
The relationship between low oxygen delivery (DO2) on cardiopulmonary bypass and morbidity and mortality following cardiac surgery remains unexamined. ⋯ Low DO2 on bypass may be associated with morbidity/mortality following cardiac surgery, particularly in patients undergoing nonisolated CABG. These results underscore the importance of goal-directed perfusion strategies.