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Coronary Disease

November 19, 2017
Del Nido cardioplegia has been used in congenital heart surgery but the data for adult cardiac surgery has been lacking.  This randomized trial compares del Nido to whole blood cardioplegia for patients undergoing either a CABG, valve, or CABG/valve.  The results suggest that the use of del Nido is safe and may streamline the workflow.
November 16, 2017
Dr. John Warner, President of the AHA, suffered a minor heart attack during the AHA congress in California.  The day prior he had delivered an address describing the impact that coronary artery disease has had on his extended family. He was treated with stent placement and is recovering well.
November 7, 2017
This video demonstrates how the author teaches a cardiac surgical resident to do a repair of a postinfarction ventricular septal defect.
October 26, 2017
The Swiss Society of Cardiology and the Swiss Society of Cardiac Surgery officially endorse the European guidelines on the modern heart team and intend to ensure that all cardiac institutions are informed about the application of the heart team approach to daily clinical practice.
October 18, 2017
In this JAMA Forum article, Harvard's Ashish Jha discusses the pros and cons of public reporting of individual surgeon's outcomes. He uses the New York state cardiac surgery registry as an example and argues why, despite its problems, it is still the way forward. What are your thoughts!?
October 12, 2017
In this retrospective study, the long-term survival benefits of multiple arterial coronary grafting were evaluated among over 20,000 patients in British Columbia by comparing outcomes to those of L IMA + SVG.
October 12, 2017
The authors, using a decision analysis model, compared the cost-effectiveness (over one year) of three different strategies for preventing Staphylococcus aureus infections in patients undergoing CABG in the U.S.  The three strategies were as follows:
September 17, 2017
In this study the authors randomized 142 patients within two separate treatment arms:  (1) Patients undergoing on-pump CABG were randomized to either a single- vs.
September 9, 2017
The STS Adult Cardiac Surgery database data that had been submitted to a regional quality initiative were compared to a hospital claims database to assess what effect, if any, would supplying missing data provided by the latter affect the reported STS 30-day mortality rates.  The STS database currently counts as "alive" any patient that has unknown s
August 23, 2017
This CCF retrospective study compared outcomes for diabetic patients undergoing CABG who received either (1) bilateral internal thoracic artery (BITA) grafts or (2) single internal thoracic artery  (SITA) plus radial artery (RA) grafts during CABG.

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