The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Feb 2024
Robotic repair for Barlow mitral regurgitation: Repairability, safety, and durability.
In Barlow disease, increased repair complexity drives decreased repair rates. We evaluated outcomes of a simplified approach to robotic mitral repair in Barlow disease. ⋯ Barlow disease may be reliably and safely repaired with acceptable long-term durability by experienced robotic mitral surgery programs.
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J. Thorac. Cardiovasc. Surg. · Feb 2024
Prognostic Utility of a Novel Risk Prediction Model of One-Year Mortality in Patients Surviving to Discharge Following Surgery for Congenital or Acquired Heart Disease.
We sought to develop a novel risk prediction model of 1-year mortality after congenital heart surgery that accounts for clinical, anatomic, echocardiographic, and socioeconomic factors. ⋯ A risk prediction model of 1-year mortality may guide prognostication and follow-up of patients after discharge after surgery for congenital or acquired heart disease.
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J. Thorac. Cardiovasc. Surg. · Feb 2024
Characteristics and prognostic significance of right heart remodeling and tricuspid regurgitation after pulmonary endarterectomy.
Right heart remodeling and tricuspid regurgitation (TR) are common in patients with chronic thromboembolic pulmonary hypertension. This study aimed to investigate the significance of right heart remodeling and TR after pulmonary endarterectomy (PEA) in patients with chronic thromboembolic pulmonary hypertension. ⋯ Significant improvements in right heart remodeling were seen following PEA. However, residual TR was a poor prognostic marker.
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J. Thorac. Cardiovasc. Surg. · Feb 2024
Early and late outcomes of surgical repair of mycotic aortic aneurysms: A 30-year experience.
Mycotic aortic aneurysm and its associated complications are often catastrophic. In this study, we examined the early and late outcomes of surgical repair of mycotic aortic aneurysm at our center over the last 3 decades. ⋯ A substantial proportion of patients with mycotic aortic aneurysm present with rupture and generally require urgent or emergency repair. Operative mortality and complications are common, especially for patients who present with rupture, and late survival is poor.
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J. Thorac. Cardiovasc. Surg. · Feb 2024
Development of a risk score to predict occurrence of deep sternal dehiscence requiring operative debridement.
Severe deep sternal wound (DSW) complications after cardiac surgery are a source of cost, morbidity, and mortality. Our objective was to develop and validate a clinical risk score for predicting risk of DSW requiring operative bone debridement, the most severe form of sternal dehiscence. ⋯ This risk stratification model for DSW requiring operative debridement might provide individualized estimates of risk, and guide counseling and potential risk mitigation strategies.