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Journal and News Scan

Source: The Annals of Thoracic Surgery
Author(s): Tara Karamlou, MD, MSc; Jesse L. Hawke, PhD; Farhan Zafar, MD, MS; Mahendra Kafle, MS; James S. Tweddell, MD; Hani K. Najm, MD, MSc; James R. Frebis, MBA; Roosevelt G. Bryant III, MD

Socioeconomic and racial (SER) disparities among patients with congenital heart disease (CHD) can limit access to high-quality care. We characterized the national SER landscape and its relationship to early outcomes and identified interactions among determinants mitigating adverse outcome.

Source: European Journal of Vascular and Endovascular Surgery
Author(s): Marianne G. De Maeseneer ,, Stavros K. Kakkos , Thomas Aherne , Niels Baekgaard , Stephen Black , Lena Blomgren , Athanasios Giannoukas ,Manjit Gohel , Rick de Graaf Claudine Hamel-Desnos , Arkadiusz Jawien , Aleksandra Jaworucka-Kaczorowska , Christopher R. Lattimer Giovanni Mosti , Thomas Noppeney , Marie Josee van Rijn Gerry Stansby ESVS Guidelines Committee Philippe Kolh, Frederico Bastos Goncalves, Nabil Chakfé, Raphael Coscas, Gert J. de Borst, Nuno V. Dias, Robert J. Hinchliffe, Igor B. Koncar, Jes S. Lindholt, Santi Trimarchi, Riikka Tulamo, Christopher P. Twine, Frank Vermassen, Anders Wanhainen Document Reviewers , Martin Björck, Nicos Labropoulos, Fedor Lurie, Armando Mansilha, Isaac K. Nyamekye, Marta Ramirez Ortega, Jorge H. Ulloa, Tomasz Urbanek, Andre M. van Rij, Marc E. Vuylsteke

A scholarly update on the previous (2016) guidelines, with an interesting Chapter 9 Gaps in evidence and future perspectives. The guidelines have been extensively reviewed by European and other experts. The authors insist on the only advisory value of their conclusions. Understandably, there is no mention of venous ECMO.

Source: The Annals of Thoracic Surgery
Author(s): Tsuyoshi Yamabe, MD, Christian A. Pearsall, BS, Yanling Zhao, MPH, Paul A. Kurlansky, MD, Casidhe-Nicole R. Bethancourt, BS, Suzuka Nitta, BS, Isaac George, MD, Craig R. Smith, MD, and Hiroo Takayama, MD, PhD

This study looks to comprehensively characterize details of aortic and aortic valve reinterventions after aortic root replacement (ARR).

Source: University of Maryland Medical Center
Author(s): University of Maryland Medical Center

On January 10, 2021, the University of Maryland School of Medicine annnounced that Dr. Bartley P. Griffith and his team successfully transplanted a genetically modified pig heart in a 57-year-old man with end-stage heart failure, and the patient was doing well three days later. 

This historic xenotransplant operation may provide an important new option for patients with terminal heart disease in dire need of heart donor and a viable solution to the organ crisis. 

Source: Reuters
Author(s): Julie Steenhuysen

On January 10, 2021, the University of Maryland School of Medicine annnounced that Dr. Bartley P. Griffith and his team successfully transplanted a genetically modified pig heart in a 57-year-old man with end-stage heart failure, and the patient was doing well three days later.  This historic xenotransplant operation may provide an important new option for patients in dire need of heart donor and  a viable solution to the organ crisis. 

Source: CTSNet
Author(s): Donald D. Chang, MD PhD

The Southern Thoracic Surgical Association (STSA) is a regional society whose mission is to support members of the cardiothoracic community. Since 1954, STSA has held its annual meeting to promote the scholarly work and networking of its members. This year, Donald D. Chang, MD PhD had the privilege of attending the 68th Annual Meeting as a James W. Brooks scholar, named in honor of the Society’s 23rd President for his lifelong support and contribution to the society. Here he gives his account of his experiecs at the event.

Source: The Annals of Thoracic Surgery
Author(s): Joseph F. Sabik III, MD, Faisal G. Bakaeen, MD, Marc Ruel, MD, MPH, Marc R. Moon, MD, S. Christopher Malaisrie, MD, John H. Calhoon, MD, Leonard N. Girardi, MD, Robert Guyton, MD

The American Association for Thoracic Surgery and Society of Thoracic Surgeons share their reasoning for not endorsing the 2021 ACC/AHA/SCAI Coronary Revascularization Guidelines. To read these guidelines, click here.

Source: European Association for Cardio-Thoracic Surgery
Author(s): Friedhelm Beyersdorf, Rafa Sádaba, Milan Milojevic, Patrick Myers

This is a letter from EACTS about the new ACC/AHA/SCAI guidelines. To ready these guidelines, click here.

Source: Journal of the American Heart Association
Author(s): Simeon Isezuo, Mahmoud Umar San, Abdullahi Talle, et al.

The rising burden of CAD in low- and middle-income countries like Nigeria is a result of the epidemiological transition from communicable to non- communicable diseases. The system of care for acute coronary syndrome (ACS) is evolving and constrained by a lack of prehospital emergency services, prolonged intervention times, and low patient eligibility and infrastructural capacity for reperfusion. Management guidelines that are based on best practices in resource-endowed nations may not be implementable, with the consequence of  frequent major adverse cardiac events and high mortality.

This observational multicentered national registry enrolled 1072 Nigerians with ACS to evaluate incidence, intervention times, reperfusion rates, and 1 year mortality. Recommendations are considered for preventative strategies and  infrastructure-appropriate management guidelines.

Source: Journal of American College of Cardiology
Author(s): Jennifer S. Lawton, Jacqueline E. Tamis-Holland, Sripal Bangalore, Eric R. Bates, Theresa M. Beckie, James M. Bischoff, John A. Bittl, Mauricio G. Cohen, J. Michael DiMaio, Creighton W. Don, Stephen E. Fremes, Mario F. Gaudino, Zachary D. Goldberger, Michael C. Grant, Jang B. Jaswal, Paul A. Kurlansky, Roxana Mehran, Thomas S. Metkus, Lorraine C. Nnacheta, Sunil V. Rao, Frank W. Sellke, Garima Sharma, Celina M. Yong, and Brittany A. Zwischenberger

Coronary artery disease remains a leading cause of morbidity and mortality globally. Coronary revascularization is an important therapeutic option when managing patients with this disease. The 2021 Coronary Artery Revascularization Guideline, released on December 9 by the American College of Cardiology, and American Heart Association, and the Society for Cardiovascular Angiography and Interventions, provides recommendations based on contemporary evidence for the treatment of these patients.

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