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Cardiac

November 17, 2015
The authors report on the extended follow-up of Courage Trial patients for up to 15 years.  In this trial, patients with chronic stable angina were randomized to medical therapy alone versus PCI plus medical therapy.  At extended follow-up, there was no difference in overall survival between the two treatment strategies.
November 11, 2015
The timing and dosage of preoperative ASA administration was evaluated with regard to CABG outcomes in a series of 3018 pts.  Dosing within 24 hrs of surgery was associated with a 50% lower mortality rate and an 81mg dose was associated with a 50% or greater reduction in mortality compared to a 325mg dose or no ASA.   
November 3, 2015
Surgeons will soon be able to plan heart operations using 3D models of patients’ organs with revolutionary software that recreates working versions of human body parts.
October 29, 2015
Using University of Michigan Health and Retirement Study data, the authors evaluated marital status at the time of cardiac surgery and subsequent survival or deterioration in the ability to perform activities of daily living (ADLs) independently.   At follow-up, those who were married had a 19.4% incidence of death or new disability, which was simila
October 6, 2015
This video demonstrates a Florida sleeve valve-sparing aortic root repair, repair of the leaking bicuspid valve with raphe shaving, virtual basal ring annuloplasty and leaflet plication, and ascending through proximal arch replacement with alternate aortic cannulation/clamping.
October 5, 2015
Pts undergoing cardiac surgery requiring CPB were randomized to remote ischemic preconditioning of the upper extremity or sham intervention.  The end point was combined death, MI, stroke, and acute renal failure during hospitalization, and secondary endpoints were the occurrence of any such event within 90 days.  Outcomes were similar between the gro
September 26, 2015
In this RCT, patients at increased risk for cardiac surgery requiring CPB were assigned to steroids at the time of anesthetic induction and again at the time of CPB induction or no steroids.  Primary outcomes were 30-day mortality and major morbidity.  Steriods had no effect on the primary outcomes.  There was no evidence that stero
September 14, 2015
A large left atrial myxoma arising from the posterior wall near the origin of the left pulmonary vein is very rare. This video describes the steps to remove a left atrial myxoma, and precautions to take during surgery.
August 30, 2015
Multicenter trial examining the efficacy of a miniaturized and fully self-contained leadless pacemaker percutaneously implanted into the right ventricle.  The leadless pacemaker met prespecified pacing and sensing requirements with 1 in 15 patients experiencing adverse device related events.
August 20, 2015
This video demonstrates the surgical resection technique for a right atrial myxoma.

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