The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Jan 2024
Neurological event rates and associated risk factors in acute type B aortic dissections treated by thoracic aortic endovascular repair.
Thoracic endovascular aortic repair is the method of choice in patients with complicated type B acute aortic dissection. However, thoracic endovascular aortic repair carries a risk of periprocedural neurological events including stroke and spinal cord ischemia. We aimed to look at procedure-related neurological complications within a large cohort of patients with type B acute aortic dissection treated by thoracic endovascular aortic repair. ⋯ In this highly selected group from dedicated aortic centers, more than 1 in 10 patients with type B acute aortic dissection treated by thoracic endovascular aortic repair had neurological events, in particular women. Further research is needed to identify the causes and presentation of these events after thoracic endovascular aortic repair, especially among women.
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J. Thorac. Cardiovasc. Surg. · Jan 2024
Current status of National Institutes of Health funding for thoracic surgeons in the United States: Beacon of hope or candle in the wind?
Increasing forces threaten the viability of thoracic surgeon-initiated research, a core component of our academic mission. National Institutes of Health funding is a benchmark of research productivity and innovation. This study examined the current status of National Institutes of Health funding for thoracic surgeons. ⋯ Long-term structural changes must be implemented to more effectively nurture the next generation of thoracic surgeon scientists.
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J. Thorac. Cardiovasc. Surg. · Jan 2024
Transfusion of non-red blood cell blood products does not reduce survival following cardiac surgery.
The literature supports the assertion that patients undergoing cardiac surgery who receive perioperative packed red blood cell (pRBC) transfusions have increased associated mortality. The aim of the current study is to assess whether there is an association between non-pRBC blood product transfusions and increased mortality. ⋯ Patients who undergo cardiac surgery requiring blood products alone, without pRBC transfusion, have similar postoperative and long-term survival compared with patients not requiring blood products. These data are based on a limited patient sample, and future studies will aid in improving the generalizability of these results.
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J. Thorac. Cardiovasc. Surg. · Jan 2024
Long-term Outcomes of Tetralogy of Fallot Repair: A 30-year experience with 960 patients.
This study evaluates the long-term results of tetralogy of Fallot repair and assesses the risk factors for adverse outcomes. ⋯ The long-term outcomes of tetralogy of Fallot repair are excellent. A postoperative right ventricular outflow tract peak gradient less than 25 mm Hg appears to be optimal to prevent reoperation. If the pulmonary valve size is suitable, pulmonary valve preservation reduces the risk of pulmonary valve replacement, yet increases the reoperation rate for right ventricular outflow tract obstruction.
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The study objective was to identify whether the results of JCOG0802 could be generalized to US clinical settings. ⋯ In this national analysis of US patients diagnosed with stage IA (≤2 cm) non-small cell lung cancer, there were no significant differences in overall survival between segmentectomy and lobectomy in the overall cohort or in subgroup analyses by tumor grade or histologic subtype.