The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Aug 2023
Mortality following durable left ventricular assist device implantation by timing and type of first infection.
Although infections are common after left ventricular assist device implantation, the relationship between timing and type of first infection with regard to mortality is less well understood. ⋯ Relative to those without infection, patients with any postimplantation infection had an increased risk of death. Ventricular assist device-related infections and infections occurring in the intermediate interval were associated with the largest increase in risk of death. After left ventricular assist device implantation, infection prevention strategies should target non-ventricular assist device infections in the first 90 days, then shift to surveillance/prevention of driveline infections after 90 days.
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J. Thorac. Cardiovasc. Surg. · Aug 2023
Observational StudyLong-term outcomes of hemiarch replacement with hypothermic circulatory arrest and retrograde cerebral perfusion.
This study sought to report outcomes of hemiarch replacement with hypothermic circulatory arrest and retrograde cerebral perfusion, and secondarily, to report outcomes of this operative approach by type of underlying aortic disease. ⋯ Morbidity and mortality after hemiarch replacement with hypothermic circulatory arrest plus retrograde cerebral perfusion are acceptably low, and this operative approach may be as advantageous for AAD as it is for aneurysm.
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J. Thorac. Cardiovasc. Surg. · Aug 2023
Outcomes of pulmonary artery sling repair without tracheoplasty.
This study aimed to investigate surgical outcomes of pulmonary artery (PA) sling without tracheoplasty. ⋯ PA sling repair without tracheal surgery might be a reasonable surgical option with rare need for tracheal intervention. Hospital readmissions for respiratory symptoms are more frequently required in patients with smaller tracheal diameter and all readmissions were limited to within 2 years after repair.
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This study aims to investigate the trends, outcomes, and risk factors for mortality after redo orthotopic heart transplantation. ⋯ Although infrequently performed, redo orthotopic heart transplantation remains associated with worse post-transplant outcomes compared with primary orthotopic heart transplantation. Although several high-risk features were identified to affect post-retransplant outcomes in the acute perioperative period, donor characteristics such as hypertension and decreased ejection fraction continue to have lasting negative impacts in the longer term.