Filmed at the 2015 SCTS Annual Meeting in Manchester, United Kingdom, Mohamad Bashir interviews John Elefteriades, Director of the Aortic Institute at Yale University and Yale New-Haven Hospital in New Haven, Connecticut.
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Cardiac
February 2, 2016
This randomized trial (NEAT-HFpEF) of 110 subjects (59 placebos) disproves, by clinical and biological markers, the utility of nitrates for exercise tolerance. This is a subset of cardiac failure patients we are likely to encounter in general cardiothoracic surgical practice.
February 1, 2016
This video demonstrates a surgical technique for repairing a left pulmonary artery sling.
February 1, 2016
A retrospective analysis of patients suffering blunt cardiac injury was performed to identify factors associated with mortality. Death was not associated with abnormal ECG or the site or number of bone fractures. Mortality was related to hypotension, elevated lactate, and elevated troponins.
January 30, 2016
3D echo was used to preoperatively assess the likelihood of recurrent MR after ring annuloplasty for ischemic MR. Recurrence was asssociated with P3 tethering angle greater than 29.9 degrees (accuracy 92%). The authors suggest that valve replacement rather than ring annuloplasty should be considered in such patients.
January 30, 2016
Outcomes of CABG for patients in cardiogenic shock after acute MI were evaluated using data from the STS Database. The study group of nearly 5,500 patients comprised 1.5% of all CABG patients during the study period. Operative mortality was 18.7%. Mechanical circulatory support use was most common in patients with more risk factors or high clinica
January 29, 2016
This protocol discusses harvesting a vein graft.
January 28, 2016
In this Cardiothoracic Surgical Trials Network (CTSN) trial 251 patients with ischemic mitral regurgitation were randomized to mitral-valve repair or mitral-valve replacement. The current publication reports the 2-year outcomes of the trial.
January 27, 2016
This video demonstrates a coronary artery bypass grafting and mitral valve repair in a 60-year-old female patient.
January 23, 2016
In a propensity-matched analysis of the national database of Sweden, Glaser et al found that survival among patients aged 50-69 who underwent aortic valve replacement was significantly better in those receiving a mechanical versus biological valves. In a subgroup analysis this was evident in patients aged 50-59 but not in those aged 60-69.