The Journal of thoracic and cardiovascular surgery
-
J. Thorac. Cardiovasc. Surg. · Jan 2025
Unplanned readmissions, community socioeconomic factors, and their effects on long-term survival after complex thoracic aortic surgery.
We evaluated community socioeconomic factors in patients who had unplanned readmission after undergoing proximal aortic surgery (ascending aorta, aortic root, or arch). ⋯ Among readmitted patients, Black patients and patients who had emergency surgery had less favorable community socioeconomic factors and poorer long-term survival. Earlier and more frequent follow-up in these patients should be considered. Developing off-campus clinics and specific postdischarge measures targeting these patients is important.
-
J. Thorac. Cardiovasc. Surg. · Jan 2025
Multicenter StudyLong-term outcomes after recurrent acute thoracic aortic dissection: Insights from the International Registry of Aortic Dissection.
With an aging population and advancements in imaging, recurrence of thoracic aortic dissection is becoming more common. ⋯ The case volume of recurrent dissection or the ability to detect recurrent dissection has increased over time. Acute type A recurrent dissection was associated with a higher risk of major aortic events than initial dissection. Further judicious follow-up may be crucial after type A recurrent dissection.
-
J. Thorac. Cardiovasc. Surg. · Jan 2025
The impact of multimodal analgesia in Coronary Artery Bypass Graft Surgery - a population-based analysis.
Multimodal pain management aims to concurrently target several pain pathways for improved treatment efficacy and recovery. We investigated associations between multimodal analgesia use and postoperative complications, length of hospital stay (LOS), and opioid consumption among patients undergoing coronary artery bypass graft surgery. ⋯ These nationally representative data indicate that enhanced pain management by multiple pain pathways is associated with significant reductions in postoperative complications and shortened patient recovery.
-
J. Thorac. Cardiovasc. Surg. · Jan 2025
Changes in Heart Transplant Outcomes of Elderly Patients in the New Allocation Era.
Studies demonstrate that heart transplantation can be performed safely in septuagenarians. We evaluate the outcomes of septuagenarians undergoing heart transplantation after the US heart allocation change in 2018. ⋯ Septuagenarians comprise a greater proportion of heart transplant recipients after the allocation change, and their post-transplant outcomes relative to younger recipients have worsened.
-
J. Thorac. Cardiovasc. Surg. · Jan 2025
Current Status of Surgical Treatment for Acute Aortic Dissection in Japan: Nation-wide Database Analysis.
To clarify the current status of surgical treatment of acute aortic dissection (AAD) in Japan through the Japan Cardiovascular Database analysis. ⋯ The current status of surgical treatments for AAD including the increased prevalence of endografting of thoracic endovascular aortic repair and frozen elephant trunk were demonstrated with favorable outcomes in the Japan Cardiovascular Database analyses.