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Journal and News Scan

Surgical Techniques in Management of Supravalvular Aortic Stenosis in Children

June 4, 2021

Source: The Annals of Thoracic Surgery

Author(s): Christopher Ibarra, MD, Zachary Spigel, MD, MPH, Rija John, RN, MSN, Ziyad M. Binsalamah, MD, Iki Adachi, MD, Jeffrey S. Heinle, MD, Christopher A. Caldarone, MD, E. Dean McKenzie, MD, and Michiaki Imamura, MD, PhD

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There are multiple techniques for the repair of supravalvular aortic stenosis (SVAS), but given the rarity of the lesion, analyses comparing the efficacy of each repair is limited.

Late Health Status of Patients Undergoing Myectomy for Obstructive Hypertrophic Cardiomyopathy

June 4, 2021

Submitted by: Christopher Anderson

Source: The Annals of Thoracic Surgery

Author(s): Anita Nguyen, MBBS, Hartzell V. Schaff, MD, Steve R. Ommen, MD, Bernard J. Gersh, MBChB, DPhil, Joseph A. Dearani, MD, Jeffrey B. Geske, MD, Brian D. Lahr, MS, Rick A. Nishimura, MD

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Septal myectomy leads to excellent symptomatic relief in most patients, and more than 80% report subjective improvement in health status. Important predictors of worsening health included coronary artery disease and poor preoperative health status.

Prolonged Opioid Use Associated With Reduced Survival After Lung Cancer Resection

June 4, 2021

Submitted by: Christopher Anderson

Source: The Annals of Thoracic Surgery

Author(s): William Z. Chancellor, MD, J. Hunter Mehaffey, MD, MSc, Raj P. Desai, MS, Jared Beller, MD, Rajesh Balkrishnan, PhD, Dustin M. Walters, MD, Linda W. Martin, MD, MPH

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Chronic and prolonged opioid use were independently associated with reduced long-term, disease-specific survival after lung cancer resection. These findings provide epidemiologic support for a biological relationship between opioid use and lung cancer progression.

Costs Associated With Lobectomy for Lung Cancer: An Analysis Merging STS and Medicare Data

May 28, 2021

Submitted by: Christopher Anderson

Source: The Annals of Thoracic Surgery

Author(s): Rachel L. Medbery, MD, Felix G. Fernandez, MD, MSc, Andrzej S. Kosinski, PhD, Betty C. Tong, MD, MHS, Anthony P. Furnary, MD, Liqi Feng, MS, Mark Onaitis, MD, Daniel Boffa, MD, Cameron D. Wright, MD, Patricia Cowper, PhD, Jeffrey P. Jacobs, MD, Joe B. Putnam, Jr, MD, and Robert H. Habib, PhD

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The goal of this study was to determine underlying case mix factors that can contribute to a plethora of 90-day costs of lobectomy for early-stage lung cancer.

New-Onset Postoperative Atrial Fibrillation Impact on 5-Year Clinical Outcomes and Costs

May 27, 2021

Submitted by: Aristotle Protopapas

Source: Journal of Thoracic and Cardiovascular Surgery

Author(s): G. Hossein Almassi, Robert B. Hawkins, Muath Bishawi, A. Laurie Shroyer, Brack Hattler, Jacquelyn A. Quin, Joseph F. Collins, Faisal G. Bakaeen, Ramin Ebrahimi, Frederick L. Grover, Todd H. Wagner, for theVeterans Affairs Randomized On/Off Bypass Follow-up Study (ROOBY-FS) Group

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This month's update on the economical and general aspects of the ROOBY-FS trial. The conclusion (on no impact of de novo post-CABG AF on the incidence of stroke nor the 5 year expenditure ) challenges many hitherto perceptions on this frequent compication of coronary surgery.

Reverse Remodeling With Left Ventricular Assist Devices

May 25, 2021

Submitted by: Aristotle Protopapas

Source: Circulation Research

Author(s): Daniel Burkhoff , Veli K. Topkara , Gabriel Sayer , Nir Uriel

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An authoritative, scholarly but very readable review of the evolution of mechanical circulatory support of the left ventricle from the non-surgical standpoint.

Left Atrial Appendage Occlusion During Cardiac Surgery to Prevent Stroke

May 21, 2021

Submitted by: Aristotle Protopapas

Source: The New England Journal of Medicine

Author(s): Richard P. Whitlock, Emilie P. Belley-Cote, Domenico Paparella, Jeff S. Healey, Katheryn Brady, Mukul Sharma, Wilko Reents, Petr Budera, Andony J. Baddour, Petr Fila, P.J. Devereaux, Alexander Bogachev-Prokophiev, Andreas Boening, Kevin H.T. Teoh, Georgios I. Tagarakis, Mark S. Slaughter, Alistair G. Royse, Shay McGuinness, Marco Alings, Prakash P. Punjabi, C. David Mazer, Richard J. Folkeringa, Andrea Colli, Álvaro Avezum, Juliet Nakamya, Kumar Balasubramanian, Jessica Vincent, Pierre Voisine, Andre Lamy, Salim Yusuf, Stuart J. Connolly, M.D., et al., for the LAAOS III Investigators

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A large RCT concluding that 'surgical occlusion of the left atrial appendage provides additional protection against stroke when added to anticoagulation.' A number of limitations are briefly discussed. Findings are interesting in that absolute absence of surgical complications has been declared.

Senning With Aortic Translocation and Anatomic Repair for Congenitally Corrected Transposition

May 20, 2021

Submitted by: Christopher Anderson

Source: The Annals of Thoracic Surgery

Author(s): Vincent K.H. Tam, MD , Eldad Erez, MD, Lisa Roten, MD, Steve Muyskens, MD, Vinod Sebastian, MD, Christopher Tsao, PhD, Hisashi Nikaidoh, MD

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This review examines the anatomic repair for congenitally corrected transposition of the great arteries with ventricular septal defect (VSD) and pulmonic stenosis performed using atrial switch and Rastelli.

Transplantation for Congenital Heart Disease: Focus on the Impact of Functionally Univentricular Versus Biventricular Circulation

May 20, 2021

Submitted by: Catherine Joyce

Source: World Journal for Pediatric and Congenital Heart Surgery

Author(s): Riggs KW, Broderick JT, Price N, Chin C, Zafar F, Morales DLS

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This study which combines two national databases focuses on the posttransplant outcomes of patients with single ventricle circulation, particularly following the Fontan operation.

Performance Comparison Between SURPAS and ACS NSQIP Surgical Risk Calculator in Pulmonary Resection

May 14, 2021

Submitted by: Christopher Anderson

Source: The Annals of Thoracic Surgery

Author(s): Neel P. Chudgar, MD,* Shi Yan, MD,* Meier Hsu, MS, Kay See Tan, PhD, Katherine D. Gray, MD, Daniela Molena, MD, Tamar Nobel, MD, Prasad S. Adusumilli, MD, Manjit Bains, MD, Robert J. Downey, MD, James Huang, MD, Bernard J. Park, MD, Gaetano Rocco, MD, Valerie W. Rusch, MD, Smita Sihag, MD, David R. Jones, MD, and James M. Isbell, MD, MSCI

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This large, single-center validation study examines outcomes, both observed and predicted, after pulmonary resection between SURPAS and NSQIP SRC.