Patients undergoing elective or urgent cardiac surgery who were anemic at the time of surgery were compared to a matched population who were not anemic. Anemia was associated with increased mortality during follow-up, but blood transfusion was not associated with mortality.
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Cardiac
September 27, 2019
September 27, 2019
Open distal anastomosis in the frozen elephant trunk operation is usually performed in aortic arch zone 2 or 3. The authors compared outcomes in patients who underwent zone 2 versus 3 open distal anastomosis. They found that proximallization of the anastomosis simplifies the arch replacement, reducing the visceral ischaemia time.
September 26, 2019
Thomas Modine of the Regional University Hospital of Lille in France presents a discussion and demonstration of his modified valve sparing technique for aortic valve replacement that employs the 3f Enable valve.
September 24, 2019
In this case, the authors report on a novel technique to revascularize the left subclavian artery during a frozen elephant trunk procedure with concomitant aortic arch debranching.
September 22, 2019
The authors point out that randomized trials of incentive spirometry have failed to mitigate early postoperative fevers, traditionally attributed to atelectasis.
September 22, 2019
Investigators reported, in abstract form, promising results of a single dose of radiotherapy, delivered with electorphysiologic guidance, for managing ventricular tachycardia. Seventy-eight percent of patients had a clinically important reduction in ventricular tachycardia episodes.
September 19, 2019
Using coworker reports of unprofessional behavior as a metric, surgeons' complication rates were assessed. Compared to surgeons with no reports, the complication rate for surgeons with 1-3 reports was increased 14.3%, and that for surgeons with 4 or more reports was increased 11.9%.
September 19, 2019
In this randomized trial, the authors studied the use of cerebral autoregulation monitoring to target mean arterial pressure during CPB. The outcome of interest was postopertive delirium. The incidence of delirium was 53% in the usual care group compared to 38% in the intervention group, with a reduction in the odds of delirium of 45% (p=0.04).
September 18, 2019
This is a retrospective study in OPCAB patients comparing patients who received skeletonized versus nonskeletonized SIMA and BIMA grafts. They reported patients with any sternal wound complication including redness or minor drainage that healed naturally.
September 18, 2019
Marta Sitges of the Hospital Clinic at the University of Barcelona and Joanna Chikwe of Cedars-Sinai Medical Center debate the influence of imaging on the timing of degenerative mitral valve repair.