The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Jan 2024
Racial disparities in thoracic aortic surgery: Myth or reality?
We examined the relationship between Black or White race and adverse outcomes in patients who underwent surgery of the ascending aorta, aortic root, or aortic arch at our center. ⋯ This is among few studies that have analyzed the relationship between race and proximal aortic surgery. Although outcomes were similar between Black and White patients in our cohort after adjusting for CSE factors, unfavorable CSE factors predicted adverse outcomes in Black but not White patients. More patient-specific studies are needed.
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J. Thorac. Cardiovasc. Surg. · Jan 2024
A New Insight into Super Acute Care for Type A Acute Aortic Dissection in the Tokyo Acute Aortic Super Network.
To determine the status of type A acute aortic dissection using the Tokyo Acute Aortic Super Network. ⋯ This study demonstrated current practices in the emergency care of type A acute aortic dissection via the Tokyo Acute Aortic Super Network system, specifically a high rate of untreatable or inoperable cases and favorable outcomes in patients undergoing surgical treatment. High mortality rates were observed during the super acute phase after symptom onset or hospital arrival.
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J. Thorac. Cardiovasc. Surg. · Jan 2024
Outcomes of Aortic Root Replacement with Tricuspid Aortic Valve Reimplantation in Patients with Residual Aortic Regurgitation.
To characterize residual aortic regurgitation (AR), identify its risk factors, and evaluate outcomes following aortic root replacement with aortic valve reimplantation. ⋯ Residual AR after elective reimplantation of a tricuspid aortic valve for aortic root aneurysm is uncommon. Patients with severe preoperative AR and those who undergo valve repair have higher risk for residual AR, which can progress and increase risk of aortic valve reoperation.
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J. Thorac. Cardiovasc. Surg. · Jan 2024
Long-term Outcomes of Tetralogy of Fallot Repair: A 30-year experience with 960 patients.
This study evaluates the long-term results of tetralogy of Fallot repair and assesses the risk factors for adverse outcomes. ⋯ The long-term outcomes of tetralogy of Fallot repair are excellent. A postoperative right ventricular outflow tract peak gradient less than 25 mm Hg appears to be optimal to prevent reoperation. If the pulmonary valve size is suitable, pulmonary valve preservation reduces the risk of pulmonary valve replacement, yet increases the reoperation rate for right ventricular outflow tract obstruction.