The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Feb 2020
Meta AnalysisOutcomes of marginal donors for lung transplantation after ex vivo lung perfusion: A systematic review and meta-analysis.
Ex vivo lung perfusion (EVLP) is reportedly a useful strategy that permits marginal donor lungs to be evaluated and reconditioned for successful lung transplantation (LTx). This systematic review and meta-analysis was performed to evaluate the outcomes of EVLP conducted for marginal donor lungs. ⋯ Posttransplant outcomes were similar between EVLP-treated LTx and standard LTx without EVLP, although the quality of donor lungs was worse with EVLP-treated LTx.
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J. Thorac. Cardiovasc. Surg. · Feb 2020
Intraoperative transfusion and an increased preoperative C-reactive protein level are associated with higher mortality after off-pump coronary artery bypass grafting.
The effects of transfusion on clinical outcomes after cardiac surgery remain inconclusive. We hypothesized that the risk of postoperative cumulative long-term, all-cause mortality after transfusion in patients undergoing cardiac surgery would differ by individual inflammatory status reflected by C-reactive protein level; thus, we performed a retrospective study. ⋯ Intraoperative red blood cell transfusion in patients with increased C-reactive protein level was significantly related to the risk of mortality after off-pump coronary artery bypass grafting.
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J. Thorac. Cardiovasc. Surg. · Feb 2020
Multicenter StudySurgical aortic valve replacement with new-generation bioprostheses: Sutureless versus rapid-deployment.
The aim of this retrospective multicenter study was to compare early clinical and hemodynamic outcomes of Perceval-S sutureless (Livanova, London, United Kingdom) and Intuity rapid-deployment (Edwards Lifesciences, Irvine, Calif) bioprostheses. ⋯ Sutureless Perceval-S and rapid-deployment Intuity bioprostheses provide good and similar early clinical and hemodynamic outcomes. Perceval-S valve implantation requires shorter crossclamp and cardiopulmonary bypass times, whereas Intuity valve implantation provides lower transaortic peak and mean gradients.