A good follow up for repair of mitral insufficiency due to excessive leaflet mobility, confirming good results for what appears again to be a not very lethal condition. (Be aware of the somewhat confusing abbreviation "MI" for mitral insufficiency.)
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Cardiac
January 10, 2018
January 9, 2018
This video demonstrates the resection of a fibroelastoma in the left ventricular outflow tract using a minimally invasive approach.
January 8, 2018
Rahmanian and colleagues retrospectively compared surgical outcomes and hemodynamics between rapid deployment aortic valve replacement (RDAVR) and standard AVR. The authors conclude that RDAVR required shorter aortic cross-clamp times and allowed for larger prostheses, achieving better hemodynamics than standard AVR.
January 8, 2018
A very brief editorial on frailty as a risk factor. In the time of weighing transcatheter interventions versus variable access surgical options, quantifying this physiological concept is of major importance for the cardiac teams and, importantly, the autonomy of the patient.
January 8, 2018
A refreshing brief editorial comment on hydrohemodynamics on the occasion of critiquing a manuscript on related echocardiographic computations in neonates. The focus is on the Laplacean principles of compliance/elastance applied to the left ventricle.
January 5, 2018
This is a meta-analysis of perioperative aspirin use. Preoperative aspirin use increased bleeding risk, but it did not increase the need for reexploration or red cell transfusion if the preoperative dose was lower than 160 mg/d. Aspirin use was associated with decreased mortality, acute kidney injury, and perioperative myocardial infarction.
January 5, 2018
A handy free, short, good quality video on an open valve-in valve procedure.
January 5, 2018
A large cadaveric study of the scalloping of normal mitral valve leaflets. As the accompanying editorial points out, it would be useful to correlate the cadaveric observations to imaging and surgical anatomy.
January 3, 2018
This article from the BBC highlights two different artificial intelligence (AI) diagnostic systems, one that evaluates coronary artery disease (CAD) and another that determines whether a lung nodule is cancerous. The systems are being trialed around the UK, and they show promise for improved accuracy of imaging-based diagnoses.
January 3, 2018
Video and a readable digest of a talk in a Harvard meeting, especially interesting in its scepticism on prevention.