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Journal and News Scan
January 15, 2021
Submitted by: Emily Robinson
Ceylan et al. present a retrospective study regarding the prevention of viral transmission via chest tube in COVID-19 patients. Out of 542 hospitalized COVID-19 patients, 13 (3.8%) required chest tube insertion. In these patients, a two-bottle technique combined with a HEPA filter was used to prevent viral transmission. The incidence of bloodstream infections was 32.1% within the first year. This event was associated with increased risk of death and stroke. Risk factors of bloodstream infections were identified as lower albumin and ECMO/IABP prior to LVAD implantation.
January 15, 2021
Submitted by: Emily Robinson
This study analyzed the association of antibiotic resistance with morbidity and mortality for patients with empyema.
January 13, 2021
Submitted by: Aristotle Protopapas
A large series of closure of atrial septal defects ( mostly secundum) in adult and some adolescent patients. There are token cases of other (moderate to severe) congenital cases included in this narrative. The Onans offer details on the evolution of their Da Vinci program in Istanbul.
January 10, 2021
Submitted by: Aristotle Protopapas
An interesting retrospective study on the efficacy of the the US screening program for aortic aneurysmal disease in the abdomen. The discussion on the detective importance of clinical examination being complementary to sonography is pertinent. Additionally, we note the relevance of the paper to a recent call for relevant screening of the supradiaphragmatic proximal aorta: https://www.ctsnet.org/jans/commentary-lack-screening-makes-primary-prev....
The Pulmonary Autograft After the Ross Operation: Results of 25-Year Follow-Up in a Pediatric Cohort
January 8, 2021
Submitted by: Emily Robinson
This study investigates the need for follow-up and reoperation after the Ross procudure over 25 years.
January 8, 2021
Submitted by: Emily Robinson
Froede et al. present a new simplified technique to determine commissural orientation in bicuspid aortic valves using echocardiography. Their technique using a line between the center of the nonfused and fused sinuses led to reproducible results, whereas the use of the coaptation center led to misleading results.
December 22, 2020
Submitted by: Catherine Joyce
Tamer et al. analyzed the influence of preoperative aortic regurgitation (AR) on the necessity of cusp repair during valve-sparing reimplantation (VSR). They focused on patients with tricuspid aortic valves (TAV) and evaluated the impact of AR and cusp repair on long-term outcomes.
December 22, 2020
Submitted by: Catherine Joyce
Montgomery et al. report on untreated infectious aneurysms of native coronary artery and aortocoronary bypass grafts are associated with high mortality. Early diagnosis proves difficult given non-specific presenting symptoms, however once recognized, early intervention is essential to mitigate complications such as myocardial ischemia or pericardial tamponade. The successful surgical management of a patient who presented two months after diagnosis of Staphylococcus aureus bacteremia is described in this report.
December 20, 2020
Submitted by: Aristotle Protopapas
A scholarly metanalytic review on training by surgical simulators. The authors submit that low-fidelity is acceptable, balancing affordable basic inanimate models against the higher cost (and ethics) of zootomy and cadaceric dissection.
December 18, 2020
Submitted by: Emily Robinson
Morimura et al. report on mechanical circulatory support bridging prior to repair of ventricular septal rupture. In eight patients, the use of intraaortic balloon pump +/- extracorporeal life support led to avoidance of emergency operation. Survival was 7/8 perioperative and 5/8 after one year. Delayed surgery of ventricular septal rupture by mechanical circulatory support bridging constitutes a safe strategy.