The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · May 2023
Robotic-assisted cryothermic Cox maze for persistent atrial fibrillation: Longitudinal follow-up.
Surgical ablation of atrial fibrillation (AF) is recommended as a stand-alone therapy for patients refractory to medical or catheter-based treatment, or as a concomitant therapy when associated with structural disease. We report a single-therapy robotic approach to the Cox maze with longitudinal follow-up. ⋯ For persistent AF, robotic biatrial cryothermic Cox maze offered greater than 90% 1-year longitudinal freedom from stroke, oral anticoagulation, repeat ablation, and recurrent AF without the need for antiarrhythmic drugs.
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J. Thorac. Cardiovasc. Surg. · May 2023
Prevention of postoperative delirium after cardiovascular surgery: A team-based approach.
We investigated the efficacy of the Delirium Team Approach program for delirium prevention after cardiovascular surgery. ⋯ Implementation of the Delirium Team Approach program was associated with a lower incidence of postoperative delirium in patients who underwent cardiovascular surgery.
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J. Thorac. Cardiovasc. Surg. · May 2023
Impact of gender in congenital heart surgery: Results from a national survey.
There are limited data regarding the impact of gender within congenital heart surgery. Our aim was to assess gender-related experiences by surgeons in this field. ⋯ This survey highlights many areas of gender-related differences: discouragement due to gender to pursue congenital heart surgery, sexual harassment in training and practice, salary and academic rank differentials, negative gender perception at work, and lower career satisfaction for women. Despite various differences between both genders, the majority in each group would choose to enter this profession again as well as encourage others to do so.
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J. Thorac. Cardiovasc. Surg. · May 2023
Aortic septotomy to optimize landing zones during thoracic endovascular aortic repair for chronic type B aortic dissection.
The role of thoracic endovascular aortic repair for chronic type B aortic dissection remains controversial. Clinical outcomes of thoracic endovascular aortic repair with recently implemented aortic septotomy strategy were compared with stand-alone thoracic endovascular aortic repair. ⋯ Stand-alone thoracic endovascular aortic repair outcomes without adjunctive procedures for chronic type B aortic dissection remain unfavorable. In contrast, landing zone optimization using aortic septotomy resulted in a remarkably higher positive aortic remodeling rate. Routine aortic septotomy strategy may positively affect long-term chronic type B aortic dissection survival and expand thoracic endovascular aortic repair candidacy.
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J. Thorac. Cardiovasc. Surg. · May 2023
Outcomes of a protocolized approach for surgical unroofing of intramural anomalous aortic origin of coronary artery in children and adults.
Management of anomalous aortic origin of coronary arteries has been variable, and limited data are available on early and late outcomes. ⋯ Surgical unroofing of anomalous aortic origin of coronary arteries can be performed safely with low early mortality, even in the setting of concomitant procedures. Late survival is excellent, with the vast majority being symptom free.