The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Jan 2025
Endo-Bentall Repair: Early Results and Feasibility of a Physician-Constructed Endo-Bentall Device.
We present our experience with endovascular Bentall procedure (Endo-Bentall) using a modular valve conduit (Endo-Bentall) in high-risk patients with aortic root pathologies. ⋯ The Endo-Bentall repair using a single-stage valve-carrying conduit is feasible and effective with encouraging early outcomes for highly selected patients with aortic root dissection or aneurysm who are deemed not to be operative candidates. Long-term follow up data are required to assess the persistence of the seal and ongoing durability of this novel technique.
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J. Thorac. Cardiovasc. Surg. · Jan 2025
Postoperative Outcomes Following Lung Resection Performed at Private Equity-Acquired Hospitals.
Private equity acquisition of hospitals performing complex operations is increasingly prevalent in the United States healthcare landscape. While comparative health outcomes for common medical conditions have been investigated, the quality of thoracic surgical care in private equity-acquired hospitals is unknown. ⋯ These findings raise concern that private equity-acquired hospitals may provide lower-quality care for patients undergoing common thoracic procedures. Underlying structural factors may contribute to these differences. This motivates further investigation of specialty surgical care performed at private equity-acquired health institutions.
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J. Thorac. Cardiovasc. Surg. · Jan 2025
From Zone -1 to Zone 3: Feasibility and Safety of Complex Endovascular Aortic Repairs in Type A Aortic Dissection.
Over 30% of patients presenting with acute type A aortic dissection (ATAAD) are considered high - risk or inoperable. This study aims to investigate the early and mid-term outcomes of complex endovascular aortic repair of aortic root, ascending aorta, and aortic arch among patients with ATAAD. ⋯ Early outcomes of complex endovascular repair of ascending aortic dissection are promising with acceptable mortality and stroke rate. However, the rate of endoleak after isolated ascending TEVAR with a tear within 2cm of the aortic root is high with poor long-term survival.
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J. Thorac. Cardiovasc. Surg. · Jan 2025
Disparities in 180-day Infection Rates Following Coronary Artery Bypass Grafting and Aortic Valve Replacement.
To compare sex and racial differences in 180-day infection rates after coronary artery bypass grafting (CABG) and aortic valve replacement (AVR). ⋯ This multi-center study identified a 1.6-fold higher odds of infection among female patients. Non-Black female versus male patients had a 63% higher odds of infection. Transdisciplinary collaborative learning interventions should be considered to address these known disparities in infection rates.