This meta-analysis compares short-term mortality, neurological dysfunction and malperfusion in patients who underwent acute type A aortic dissection (AAD) repair with axillary artery cannulation (AXC) compared to femoral artery cannulation (FAC).
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Cardiac
March 3, 2015
In in-vitro experiments, human cardiac extracellular matrix supported proliferation and cardiomyocyte differentiation of murine embryonic stem cells and induced pluripotent stem cells. Artificial matrices did not promote differentiation.
March 2, 2015
This study evaluated outcomes of synchronous or delayed kidney Tx in patients with lung or heart-lung transplant. Delayed living-donor kidney Tx was associated with favorable outcomes. Synchronous cadaver kidney transplant at the time of heart-lung or lung transplant was clinically challenging.
March 2, 2015
The frequency of blood draws after cardiac surgery is rarely tracked. This study tracked such activity for a 6-month period at the Cleveland Clinic. In over 1,800 pts, the average number of tests requiring blood was 115. Total average blood volume removed was 454 ml. The average for complex procedures was 653 ml. This system is ripe for process
March 2, 2015
This interesting article mapped myocardial remodeling in swine after induced MI using serial 3D MRI imaging. Principal strain magnitude and angle were measured, and demonstrated progressive decrease in magnitude and angle rotation away from the site of injury, resulting in adverse remodeling and decreased contractility.
Extracorporeal life support in cardiogenic shock: impact of acute versus chronic etiology on outcome
March 2, 2015
The authors retrospectively analyze outcomes for patients placed on ECMO for cardiogenic shock, and separately analyze the patients depending on whether the ECMO support was for isolated acute cardiogenic shock or for acute-upon-chronic cardiogenic shock.
March 2, 2015
This retrospective review of outcomes after reconstruction of the intervalvular fibrous trigone combined with aortic and mitral valve replacement tracked patients who were operated upon for either severe endocarditis (n=26) or severe calcification (n=14) involving the trigone.
February 28, 2015
Comparing 714 on pump and 714 off pump CABG patients, the investigators investigated the incidence of Acute Kidney Injury (AKI) and whether cardiopulmonary bypass time and or duration were independent contributors to AKI. The investigators concluded that there are no differences in the incidence of AKI during CABG surgery employing CPB.
February 26, 2015
In this series of videos representing a case discussion that occurred during the STSA 61st Annual Meeting, an expert panel discusses blood utilization in adult cardiac surgery.
February 25, 2015
This study describes the development and validation of a risk score for post-operative mortality in patients undergoing surgical ventricular reconstruction (SVR). The study included data on 525 patients who underwent SVR at a single institution since 2001. Most patients (93%) had cocomitant CABG and 27% of patients had concomitant mitral surgery.