The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · May 2023
Our experience with 1000 recent thoracoabdominal aneurysm repairs, including endovascular stenting.
Managing patients with thoracoabdominal aneurysms is demanding yet fascinating, and requires a team effort. This invited talk presents lessons learned as our history with open and endovascular procedures evolved for 2578 descending and thoracoabdominal repairs over the past 20 years. ⋯ Through multiple randomized trials and innovations with procedures and techniques, the risk of death and spinal cord ischemia have been reduced. Long-term survival has also been improved. The pursuit of reducing the risks of descending and ascending thoracoabdominal repairs is a fascinating endeavor that has resulted in better patient outcomes. Nevertheless, this is a journey, and there will always be more room to achieve even better results.
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J. Thorac. Cardiovasc. Surg. · May 2023
Racial disparities in mitral valve surgery: A statewide analysis.
Racial disparities in health care have come to the forefront. We hypothesized that Black race was associated with worse preoperative risk, lower repair rates, and worse outcomes among patients who underwent mitral valve surgery. ⋯ Contrary to our hypothesis, there was no difference in the odds of repair or operative mortality across races after accounting for risk and etiology. However, Black patients were more likely to be readmitted after discharge. These findings support a greater focus on reducing disparities in mitral valve surgery.
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J. Thorac. Cardiovasc. Surg. · May 2023
Assessing the impact of publications: A bibliometric analysis of the top-cited articles from The Journal of Thoracic and Cardiovascular Surgery.
After 90 years, The Journal of Thoracic and Cardiovascular Surgery (JTCVS) remains one of the most influential and widely read journals in our specialty. This study analyzes the characteristics of its top-cited articles over the past 6 decades. ⋯ JTCVS continues to provide a global platform to share impactful knowledge related to surgery for thoracic diseases. The use of citations to determine an article's impact has limitations and nontraditional metrics may prove to be an excellent complementary tool for more equitable evaluations.
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J. Thorac. Cardiovasc. Surg. · May 2023
Editorial CommentCommentary: Time to take a stroll around the block?