The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Apr 2022
Influence of facility volume on long-term survival of patients undergoing esophagectomy for esophageal cancer.
This study investigated the influence of facility volume on long-term survival in patients with esophageal cancer treated with esophagectomy. ⋯ Esophageal cancer patients treated with esophagectomy at higher volume facilities have significantly better long-term survival than patients treated at lower volume facilities.
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J. Thorac. Cardiovasc. Surg. · Apr 2022
Creatinine elevations from baseline at the time of cardiac surgery are associated with postoperative complications.
Baseline kidney function is a key predictor of postoperative morbidity and mortality. Whether an increased creatinine at the time of surgery, compared with the lowest creatinine in the 3 months before surgery, is associated with poor outcomes has not been evaluated. We examined whether creatinine elevations from "baseline" were associated with adverse postoperative outcomes. ⋯ Elevations in creatinine at the time of surgery above the "baseline" level are associated with increased postoperative morbidity. Baseline creatinine should be established before surgery, and small changes in creatinine should trigger heightened vigilance in the postoperative period.
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J. Thorac. Cardiovasc. Surg. · Apr 2022
Observational StudyImpact of concomitant complex cardiac anatomy in nonsyndromic patients with complete atrioventricular septal defect.
We studied a cohort of patients with nonsyndromic complete atrioventricular septal defect with and without concomitant complex cardiac anatomy and compared the outcomes after surgical repair. ⋯ Our data show that nonsyndromic patients without complex cardiac anatomy have a good long-term survival and an acceptable risk of reoperation similar to contemporary outcomes for patients with complete atrioventricular septal defect with trisomy 21. However, the corresponding group of nonsyndromic patients with concomitant complex cardiac lesions are still a high-risk population, especially regarding mortality.