The Journal of thoracic and cardiovascular surgery
-
J. Thorac. Cardiovasc. Surg. · Feb 2024
The Effect of Allograft Ischemic Time on Outcomes Following Bilateral, Single, and Reoperative Lung Transplantation.
To determine whether allograft ischemic times affect outcomes following bilateral, single, and redo lung transplantation. ⋯ Since prolonged allograft ischemia correlates with worse transplant outcomes, the decision to use donor lungs with extended ischemic times must consider the specific benefits and risks associated with individual recipient factors and institutional expertise.
-
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.
-
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.
-
J. Thorac. Cardiovasc. Surg. · Feb 2024
Workforce Diversity in Cardiothoracic Surgery: An Examination of Recent Demographic Changes and the Training Pathway.
The purpose of our study was to examine changes in the demographic makeup of resident physicians in integrated 6-year cardiothoracic surgery and traditional thoracic surgery residency programs from 2013 to 2022 compared with other surgical subspecialties and determine potential leaks in the training pathway. ⋯ Cardiothoracic surgery has not significantly increased the number of Black and Hispanic trainees during the past decade. The lower proportion of Blacks and women in thoracic surgery residency and fellowship programs compared with their proportion in medical schools is concerning and is an opportunity for intervention.
-
J. Thorac. Cardiovasc. Surg. · Feb 2024
Editorial CommentCommentary: Maze deniers and the giant left atrium.