The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Dec 2022
Multicenter StudyMidterm outcomes with a sutureless aortic bioprosthesis in a prospective multicenter cohort study.
The objective of this study was to report midterm clinical outcomes with a self-expandable sutureless aortic valve. ⋯ This series, representing, to our knowledge, the longest follow-up with sutureless technology in a prospective, multicenter study, shows that aortic replacement using sutureless valves is associated with low mortality and morbidity and good hemodynamic performance.
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J. Thorac. Cardiovasc. Surg. · Dec 2022
Heart-kidney listing is better than isolated heart listing for pediatric heart transplant candidates with significant renal insufficiency.
Significant renal insufficiency is identified as a risk factor for post-transplantation mortality in pediatric heart transplant recipients. This study evaluates simultaneous heart-kidney transplantation listing outcomes compared with heart transplant for pediatric candidates with significant renal insufficiency. ⋯ Pediatric candidates with significant renal insufficiency listed for heart-kidney transplantation have superior waitlist and post-transplantation outcomes compared with those listed for heart transplant alone. Patients with significant renal insufficiency should be listed for heart-kidney transplantation, however; if their renal function improves significantly, heart transplant alone appears judicious.
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J. Thorac. Cardiovasc. Surg. · Dec 2022
Applicant perception of virtual interviews in cardiothoracic surgery: A Thoracic Education Cooperative Group Study.
Cardiothoracic programs used virtual interviews exclusively this year. As programs consider using virtual interviews permanently, our goal was to evaluate the experience of applicants with virtual interviews. ⋯ Virtual interviews were perceived more favorably compared with last year, but half of applicants were still unable to evaluate a program fully. Fellow interactions were the most popular aspect of virtual interviews. As programs consider using virtual interviews permanently, more exposure to current trainees and a more robust social media/online presence will improve favorability.
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J. Thorac. Cardiovasc. Surg. · Dec 2022
2021: Perioperative and critical care year in review for the cardiothoracic surgery team.
For yet another year, our lives have been dominated by a pandemic. This year in review, we feature an expert panel opinion regarding extracorporeal support in the context of COVID-19, challenging previously held standards. ⋯ Additionally, we address the impact of acute kidney injury on cardiac surgery and highlight the controversy regarding the choice of fluid resuscitation. We close with an evaluation of dysphagia in cardiac surgery and the impact of prehabilitation to optimize surgical outcomes.
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J. Thorac. Cardiovasc. Surg. · Dec 2022
Editorial Comment Multicenter StudyCommentary: Time for a multi-institutional study for congenitally corrected transposition of great arteries?