The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Jun 2023
Editorial Meta AnalysisSurvival effect of radial artery usage in addition to bilateral internal thoracic arterial grafting: A meta-analysis.
Little evidence shows whether the radial artery (RA) as third arterial graft provides superior outcomes compared with the use of the bilateral internal thoracic artery (BITA) and saphenous vein (SV) graft in patients undergoing coronary artery bypass grafting. A meta-analysis of propensity score-matched observational studies that compared the long-term outcomes of coronary artery bypass grafting with the use of BITA and the RA (BITA + RA) versus BITA and SV (BITA + SV) was performed. ⋯ In patients with coronary artery bypass grafting, BITA + RA usage is not associated with higher rates of operative risk and is associated with superior long-term overall survival.
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J. Thorac. Cardiovasc. Surg. · Jun 2023
Surgical versus transcatheter repair for secondary mitral regurgitation: A propensity score-matched cohorts comparison.
To compare the efficacy and clinical outcomes of transcatheter edge-to-edge mitral valve repair (TMVr) and surgical mitral valve repair (SMVr) among patients with secondary mitral regurgitation (SMR). ⋯ In this propensity score-matched analysis, there was no significant difference in 2-year survival between TMVr and SMVr, despite greater and more durable SMR reduction, as well as LVEF improvement in the surgical group.
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J. Thorac. Cardiovasc. Surg. · Jun 2023
Editorial CommentCommentary: Myocardial relaxation matters.