The authors performed a meta-analysis to evaluate (1) if the timing of tracheostomy after cardiac surgery and (2) whether the type of tracheostomy (open v. percutaneous) impacted the incidence of sternal wound infection (SWI).
The findings were as follows:
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Valve Disease
November 24, 2016
November 23, 2016
Early single institution experience with minimally invasive sutureless aortic valve replacement was reported. Among 300 patients, surgeon-specific and institution-specific learning curves were evaluated for technical success and 30-day complications. A cluster of complications occurred early in the experience and then standardized. No significant
November 22, 2016
The Johns Hopkins group reviewed their postoperative complications after heart surgery in 2,477 adult patients from 2011 and 2014 to determine the effect of the number of major complications on the primary outcome of death (as well as several secondary outcomes). The study found the following rates of mortality by the number of complications:
October 31, 2016
This single institution study evalated the effect of prosthesis choice on regression of LV mass after AVR in patients with AS. The St.
October 31, 2016
This single institution study explored the frequency and time course of failure of mitral valve repair for MR caused by prolapse using longitudinal echocardiography. Recurrent MR developed in 49 (5.7%) patients at a mean of 3.1 years; 6 had prolapse and 43 did not. Severe MS occurred in 3. Reoperation was performed in 21 patients, and was most c
October 31, 2016
This single institution retrospective study evaluated outcomes of valve replacement for degenerated bioprosthetic aortic valves comparing surgical AVR (SAVR) to transcatheter valve-in-valve procedures (TViV). Patients were matched into 2 groups of 22 according to STS risk scores. Operative mortality, stroke rate, and 3-year survival were similar b
October 25, 2016
This single center review assessed the need for reintervention after pulmonary valve replacement with bioprostheses for congenital heart disease. Most patients had TOF, and most were in their teens or twenties. After correction for age, the Sorin Mitroflow valve required reintervention sooner and more often than the other two valves (Carpentier-Edw
October 13, 2016
This single center retrospective study analyzed the incidence of permanent pacemaker requirement in 108 consecutive patients undergoing sutureless aortic valve replacement with the Perceval S bioprosthesis.
September 27, 2016
This analysis of PARTNER data evaluated the impact of chronic kidney disease (CKD) on outcomes after TAVR. Patients were grouped according to GFR as none/mild, moderate, and severe renal disease. Severe disease was most common among women with diabetes.
September 27, 2016
This single institution retrospective review assessed outcomes of AVR in patients with concomitant aortic root disease using a composite graft. Early mortality was 5.3% and was related to advanced age, poor NYHA status, urgent operation, and associated MVR or CABG.