The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Feb 2025
Multicenter Study Comparative StudyEvaluation of sex differences in the receipt of concomitant atrial fibrillation procedures during non-mitral cardiac surgery.
Women are less likely to receive guideline-recommended cardiovascular care, but evaluation of sex-based disparities in cardiac surgical procedures is limited. Receipt of concomitant atrial fibrillation (AF) procedures during nonmitral cardiac surgery was compared by sex for patients with preoperative AF. ⋯ Women are less likely to receive guideline recommended concomitant AF procedure during nonmitral surgery. Identification of barriers to concomitant AF procedure in women may improve treatment of AF.
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J. Thorac. Cardiovasc. Surg. · Feb 2025
Multicenter StudyTracheoplasty should be proactively considered within the surgical strategy for treating the ring-sling complex.
To examine the safety and effectiveness of proactive tracheoplasty for pediatric ring-sling complex. ⋯ Concurrent sling and tracheal surgeries for children with the ring-sling complex are safe and effective and are especially preferable for those with NWR ≤0.6, long-segment or diffuse tracheal stenosis, anomalous tracheobronchial arborization, and pronounced respiratory symptoms.
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J. Thorac. Cardiovasc. Surg. · Feb 2025
Comparative StudyChoice of revascularization strategy for ischemic cardiomyopathy due to multi-vessel coronary disease.
Limited comparative data guide the decision between coronary artery bypass grafting and percutaneous coronary intervention for multivessel revascularization in ischemic cardiomyopathy. The study objective was to compare the long-term outcomes of coronary artery bypass grafting and percutaneous coronary intervention for ischemic cardiomyopathy. ⋯ Coronary bypass was associated with similar mortality, stroke, and heart failure readmissions, and reduced repeat revascularization compared with percutaneous coronary intervention in patients with ischemic cardiomyopathy if similar rates of complete revascularization were achieved. These findings support consensus recommendations for coronary artery bypass grafting and medical therapy in patients with multivessel coronary disease and left ventricular dysfunction.
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J. Thorac. Cardiovasc. Surg. · Feb 2025
Comparative StudyAcute Type A Intramural Hematoma: The Less Deadly Acute Aortic Syndrome?
To evaluate the short- and midterm outcomes of surgically managed acute type A intramural hematoma (IMH) versus classic acute type A aortic dissection (ATAAD). ⋯ Acute type A IMH could be treated with emergency open aortic repair with excellent short- and midterm outcomes.
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J. Thorac. Cardiovasc. Surg. · Feb 2025
Impact of Telehealth Post-operative Care on Early Outcomes Following Esophagectomy.
To address the short-term clinical outcomes of patients postesophagectomy who underwent telehealth care following surgery. The primary objective was to compare the frequency of emergency department admission between telehealth and in-person cohorts. Secondary objectives included comparing the frequency of endoscopies and clinic visits, as well as reasons for emergency department admission. ⋯ A program of virtual follow-up, with integrated in person visits and endoscopy as required, is feasible and safe for following patients postesophagectomy.