The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Mar 2023
Intervention rates and outcomes in medically managed uncomplicated descending thoracic aortic dissections.
To evaluate the long-term incidence and outcome of aortic interventions for medically managed uncomplicated thoracic aortic dissections. ⋯ The need for secondary aortic interventions in patients with initially medically managed, uncomplicated descending aortic dissections is substantial. The full spectrum of aortic treatment options (endovascular, hybrid, conventional open surgical) is required in these patients.
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J. Thorac. Cardiovasc. Surg. · Mar 2023
Outcomes of transapical mitral valve repair with neochordae implantation.
Transapical off-pump beating-heart neochord implantation (NC) has shown encouraging early results in patients with degenerative mitral regurgitation. The aim of this study was to evaluate clinical and echocardiographic 5-year outcomes of patients who underwent NC. ⋯ Transapical off-pump beating heart NC might represent an acceptable option in patients with degenerative mitral valve disease and FA.
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J. Thorac. Cardiovasc. Surg. · Mar 2023
Impact of time from symptom onset to operation on outcome of repair of acute type A aortic dissection with malperfusion.
We analyzed patients with acute type A aortic dissection complicated by malperfusion syndrome to establish whether the timing of operative treatment and the location of malperfusion are factors in determining outcomes. ⋯ Although preoperative coronary malperfusion and shock on arrival worsened the long-term outcomes in patients undergoing aortic repair for acute type A aortic dissection with preoperative malperfusion syndrome, conducting an operation within 5 hours of the onset of symptoms significantly improved their long-term outcomes.
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J. Thorac. Cardiovasc. Surg. · Mar 2023
Editorial CommentCommentary: How to predict a harmonious relationship between patients and their left ventricular assist device?
SIPAT score components seem useful in evaluating psychosocial support for LVAD candidacy. However, a focused LVAD psychosocial score may be more relevant given distinct challenges.
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J. Thorac. Cardiovasc. Surg. · Mar 2023
Ministernotomy compared with right anterior minithoracotomy for aortic valve surgery.
Ministernotomy and right anterior minithoracotomy are the 2 main techniques applied for minimally invasive aortic valve replacement. The goal of this study is to compare early and long-term outcomes of both techniques. ⋯ Minimally invasive aortic valve replacement using ministernotomy is associated with reduced operative time, intensive care unit stay, hospital length of stay, and postoperative morbidities and incisional pain, and improves early and long-term mortality.