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Cardiac

November 30, 2016
Hans-Joachim Schaefers of Saarland University Medical Center, Homburg/Saar, Germany, discusses the pathophysiology of functional mitral regurgitation.
November 29, 2016
This video demonstrates a repair of Type V thoracoabdominal aortic aneurysm in a 78-year-old man.
November 28, 2016
An extremely important journal article comprised of two case reports involving valve perforation and insufficiency following use of the Cor-Knot Automated Fastener (LSI Solutions, Victor, NY, USA) during valve replacement.
November 24, 2016
John Pepper of the Royal Brompton and Harefield Hospitals, London, UK, considers the causes of vein graft occlusion and discusses possible ways to improve results.
November 24, 2016
The authors performed a meta-analysis to evaluate (1)  if the timing of tracheostomy after cardiac surgery and (2) whether the type of tracheostomy (open v. percutaneous) impacted the incidence of sternal wound infection (SWI).   The findings were as follows:
November 23, 2016
A single institution experience is reported for outcomes of aortic allograft use in 353 pts undergoing 92 subcoronary and 261 root replacements.  Hospital mortality was 5.9%.  Mean follow-up was 12 years, during which time 113 pts died.  20-year survival was 41%.  117 pts required valve-related reoperations.  Long-term mortality was related to LV dil
November 23, 2016
Early single institution experience with minimally invasive sutureless aortic valve replacement was reported.  Among 300 patients, surgeon-specific and institution-specific learning curves were evaluated for technical success and 30-day complications.  A cluster of complications occurred early in the experience and then standardized.  No significant
November 23, 2016
An institutional registry of ECMO patients was surveyed to determine predictors of survival among patients receiving ECMO in the presence of sepsis.  Among 151 studied patients, pneumonia was the most common cause of sepsis.  Mortality was predicted by advanced age, longer door-to ECMO times, gram-negative sepsis, and sepsis due to infections other t
November 23, 2016
Valve in valve transcatheter aortic valve implantation (ViV-TAVI) is an alternative to redo surgical aortic valve replacement (SAVR) in inoperable patients and inpatients at high operative risk.
November 23, 2016
In this  retrospective study of propensity-matched patients undergoing CABG, the authors queried whether prior PCI adversely affected outcomes.  9% of over 4500 pts undergoing first time CABG had prior PCI.  There was no difference between the groups with regard to hospital mortality or 10-year survival. 

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