Recorded via Google Hangouts, this roundtable discussion focuses on mitral valve repair for rheumatic mitral valve disease.
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Cardiac
March 17, 2015
The study investigated management of atrial fibrillation existing at the time of mitral valve surgery, randomizing 260 pts to ablation or observation. The end point was freedom from afib at both 6 and 12 mos. Ablation yielded success in 63% compared to 29% of controls, but was associated with a higher risk of pacemaker implant (21% vs 8%).
March 16, 2015
In this manuscript the authors present a post-hoc study of the SYNTAX trial. They compare outcomes between those patients on optimal medical therapy (OMT) and non-optimal medical therapy following revascularization for complex coronary artery disease (CAD).
March 16, 2015
This video shows a surgical repair in a 49-year-old male patient for massive regurgitation of a bicuspid aortic valve in an anteroposterior configuration.
March 16, 2015
Using STS/ACC registry data, the authors updated 30-day outcomes and present 1 year outcomes for TAVR pts. Over 12,000 pts were in the registry; median age was 84, and STS predicted operative mortality risk was 7.1%. 30-day mortality was 7.0%, 1-year mortality was 23.7%. 1-year mortality was associated with advanced age, male sex, end-stage renal
March 14, 2015
This is a very provocative British study that examined whether a more liberal (Hgb < 9 g/dL) versus a more restrictive (Hgb < 7.5 g/dL) transfusion threshold after cardiac surgery is associated with higher morbidity and costs.
March 10, 2015
Filmed at the 2015 STS Annual Meeting in San Diego, California, this roundtable discussion focuses on improving hemodynamics with a next generation aortic pericardial valve.
March 10, 2015
This article describes the technique of composite graft replacement and emphasizes some technical details for the left-handed surgeon.
March 6, 2015
This video demonstrates a transaortic approach for TAVR, through the second intercostal space. Illustrations, photos, 3D CAT scan images, and rotating fluoroscopic images are used to demonstrate this approach.
March 6, 2015
In this oral history interview, William Stoney talks with Viking O. Bjork. During his innovative career in cardiothoracic surgery, Dr. Bjork was the first to develop a disk oxygenator and a tilting disk valve.