Cardiac Surgery

RCT: Effectiveness and safety of early initiation of poststernotomy cardiac rehabilitation exercise training.

23 Jun, 2022 | 12:59h | UTC

Effectiveness and Safety of Early Initiation of Poststernotomy Cardiac Rehabilitation Exercise Training: The SCAR Randomized Clinical Trial – JAMA Cardiology (free for a limited period)

Commentary on Twitter

RCT found starting exercise 2 weeks post-sternotomy was as effective as starting at 6 weeks. Clinicians and cardiac rehabilitation professionals can recommend starting exercise training as early as 2 weeks post-sternotomy. https://t.co/MpBhRmyfUh

— JAMA Cardiology (@JAMACardio) June 22, 2022

Cardiac xenotransplantation: challenges, evolution, and advances.

20 Jun, 2022 | 00:58h | UTC

Cardiac Xenotransplantation: Challenges, Evolution, and Advances – JACC: Basic to Translational Science

News Release: New review paper proposes framework for advancing application of animal-to-human transplantation – American College of Cardiology

Commentary: Many Hurdles to Clear Before Cardiac Xenotransplantation Takes Off – TCTMD

In 1st, US surgeons transplant pig heart into human patient – Associated Press

Results of Two Cases of Pig-to-Human Kidney Xenotransplantation – New England Journal of Medicine (link to abstract – $ for full-text)

Moving xenotransplantation research into human trials will require adjusting our expectations, researchers say – STAT

After a flurry of firsts, xenotransplantation is suddenly back in the spotlight – STAT

M-A: Acute or subacute, the optimal timing for uncomplicated Type B aortic dissection.

16 Jun, 2022 | 10:46h | UTC

Acute or Subacute, the Optimal Timing for Uncomplicated Type B Aortic Dissection: A Systematic Review and Meta-Analysis – Frontiers in Surgery

Isolated coarctation of the aorta: current concepts and perspectives.

14 Jun, 2022 | 10:49h | UTC

Isolated Coarctation of the Aorta: Current Concepts and Perspectives – Frontiers in Cardiovascular Medicine

Review: Anticoagulation management of post-cardiac surgery new-onset atrial fibrillation.

7 Jun, 2022 | 11:01h | UTC

Anticoagulation management of post-cardiac surgery new-onset atrial fibrillation – Cleveland Clinic Journal of Medicine

Exploratory RCT suggests Cardiovascular Magnetic Resonance accurately diagnoses cardiac allograft rejection in the first year after transplantation.

6 Jun, 2022 | 10:56h | UTC

Cardiovascular Magnetic Resonance for Rejection Surveillance After Cardiac Transplantation – Circulation

News Release: Virtual biopsy set to transform heart transplant care – Victor Chang Cardiac Research Institute

Commentary on Twitter

#OriginalResearch: In this #RCT, #CMR-based surveillance reliably graded cardiac allograft rejection compared to a biopsy-based strategy @vass_vassiliou #AHAJournals https://t.co/0kbpeXUtu1 pic.twitter.com/FwDGdJldHK

— Circulation (@CircAHA) June 2, 2022

Cardiac metastasis from solid cancers: a 35-year single-center autopsy study.

3 Jun, 2022 | 10:54h | UTC

Cardiac Metastasis From Solid Cancers: A 35-Year Single-Center Autopsy Study – Archives of Pathology & Laboratory Medicine

Guidelines for clothing in the operating theatre.

30 May, 2022 | 11:52h | UTC

Guidelines for clothing in the operating theatre, 2021 – Anaesthesia Critical Care & Pain Medicine

M-A: Timing of cardiac surgery during pregnancy.

30 May, 2022 | 10:43h | UTC

Timing of cardiac surgery during pregnancy: a patient-level meta-analysis – European Heart Journal (link to abstract – $ for full-text)

Commentary: Timing of Cardiac Surgery During Pregnancy – American College of Cardiology

Commentary on Twitter

Timing of cardiac surgery during pregnancy: a patient-level meta-analysishttps://t.co/l1YwmJrABL #EHJ #CardioTwitter @escardio @ESC_Journals #metaanalysis pic.twitter.com/eW2rf7pDLI

— EHJ Editor-in-Chief (@ehj_ed) May 14, 2022

M-A: Surgical timing in patients with infective endocarditis and with intracranial hemorrhage.

27 May, 2022 | 11:25h | UTC

Surgical Timing in Patients With Infective Endocarditis and With Intracranial Hemorrhage: A Systematic Review and Meta‐Analysis – Journal of the American Heart Association

Commentary from the author on Twitter

Check out the results of our meta-analysis regarding operation timing in endocarditis patients with intracranial hemorrhage.

An interesting highlight is the evident immortal-time bias present in most studies. See more: https://t.co/6YskZPIXWB @HrisKirov @MahmDiab @ToDoenst pic.twitter.com/HvcbjTQAjT

— Tulio Caldonazo (@TulioCaldonazo) May 17, 2022

Under a Creative Commons Attribution‐Noncommercial License

RCT: Effect of transcatheter aortic valve implantation vs. surgical aortic valve replacement on all-cause mortality in patients with aortic stenosis.

18 May, 2022 | 11:12h | UTC

Effect of Transcatheter Aortic Valve Implantation vs Surgical Aortic Valve Replacement on All-Cause Mortality in Patients With Aortic Stenosis: A Randomized Clinical Trial – JAMA (free for a limited period)

Editorial: Treatment of Aortic Stenosis With Transcatheter Aortic Valve Implantation – JAMA (free for a limited period)

Commentary on Twitter

In this study, among patients aged 70 years or older with severe, symptomatic aortic stenosis and moderately increased operative risk, treatment with TAVI was noninferior to surgery with respect to all-cause mortality at 1 year. https://t.co/ORegyw1PKs

— JAMA (@JAMA_current) May 17, 2022

Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump.

5 May, 2022 | 10:57h | UTC

Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump – Anaesthesia Critical Care & Pain Medicine

Controversies in enhanced recovery after cardiac surgery – Perioperative Medicine

Guidelines for Perioperative Care in Cardiac Surgery: Enhanced Recovery After Surgery Society Recommendations – JAMA Surgery

Expert Consensus of Data Elements for Collection for Enhanced Recovery After Cardiac Surgery – World Journal of Surgery

Enhanced Recovery After Cardiac Surgery (ERAS Cardiac) Recommendations: An Important First Step—But There Is Much Work to Be Done – Cardiothoracic and Vascular Anesthesia

Controversies in enhanced recovery after cardiac surgery.

1 May, 2022 | 23:25h | UTC

Controversies in enhanced recovery after cardiac surgery – Perioperative Medicine

Guidelines for Perioperative Care in Cardiac Surgery: Enhanced Recovery After Surgery Society Recommendations – JAMA Surgery

Expert Consensus of Data Elements for Collection for Enhanced Recovery After Cardiac Surgery – World Journal of Surgery

Enhanced Recovery After Cardiac Surgery (ERAS Cardiac) Recommendations: An Important First Step—But There Is Much Work to Be Done – Cardiothoracic and Vascular Anesthesia

RCT: Ten-year outcomes of off-pump vs. on-pump coronary artery bypass grafting.

26 Apr, 2022 | 07:45h | UTC

Ten-Year Outcomes of Off-Pump vs On-Pump Coronary Artery Bypass Grafting in the Department of Veterans Affairs: A Randomized Clinical Trial – JAMA Surgery (link to abstract – $ for full-text)

Commentaries:

ROOBY-FS: 10-Year Data Affirm On-Pump CABG as Default Strategy – TCTMD

10-Year Study Results Find Patient Outcomes Similar for Two CABG Procedures – Stony Brook University

Commentary on Twitter

The @DeptVetAffairs ROOBY follow-up study compared off-pump versus on-pump ten-year post-CABG outcomes and costs. Across all endpoints, no off-pump advantage was found. Sensitivity analyses, removing conversions, confirmed these findings to be robust. https://t.co/IAcnxVHFWj

— JAMA Surgery (@JAMASurgery) February 16, 2022

Expert Analysis: The role of the posterior left pericardiotomy in reducing pericardial effusion and postoperative atrial fibrillation after cardiac surgery.

14 Apr, 2022 | 08:45h | UTC

The Role of the Posterior Left Pericardiotomy in Reducing Pericardial Effusion and Postoperative Atrial Fibrillation After Cardiac Surgery – American College of Cardiology

Commentary on Twitter

A significantly higher incidence of postoperative #AFib has been found in patients developing pericardial effusion following #cvSurg. Read the expert analysis to learn more: https://t.co/2Pm1wo7Tg0 @AntoninoDiFran1 #cvHCM #CardioTwitter pic.twitter.com/68adiFnFrt

— American College of Cardiology (@ACCinTouch) April 12, 2022

Cohort Study: Increased thoracic aortic diameter is associated with increased risk of cardiovascular events and mortality among women and men.

13 Apr, 2022 | 10:20h | UTC

Thoracic Aortic Diameter and Cardiovascular Events and Mortality among Women and Men – Radiology

News Release: Increased aortic diameter raises risk of heart attack, stroke – Radiological Society of North America

RCT: The analgesic efficacy of ultrasound-guided bilateral transversus thoracic muscle plane block after open-heart surgeries.

8 Apr, 2022 | 09:45h | UTC

The Analgesic Efficacy of Ultrasound-Guided Bilateral Transversus Thoracic Muscle Plane Block After Open-Heart Surgeries: A Randomized Controlled Study – Journal of Pain Research

Cohort Study: Impact of myocardial injury after coronary artery bypass grafting on long-term prognosis.

5 Apr, 2022 | 08:03h | UTC

Impact of myocardial injury after coronary artery bypass grafting on long-term prognosis – European Heart Journal

Editorial: Revisiting the definition of perioperative myocardial infarction after coronary artery bypass grafting – European Heart Journal

Commentary on Twitter

Revisiting the definition of perioperative myocardial infarction after coronary artery bypass grafting https://t.co/RnTrSZN96l @escardio #EHJ #ESCYoung #cardiotwitter @ehj_ed @rladeiraslopes pic.twitter.com/DvR3LX38ji

— European Society of Cardiology Journals (@ESC_Journals) March 30, 2022

Retrospective Cohort Study: Association of donor brain death due to stroke with prognosis after heart transplantation.

17 Mar, 2022 | 08:33h | UTC

Association of Donor Brain Death Due to Stroke With Prognosis After Heart Transplantation – Journal of the American College of Cardiology (link to abstract – $ for full-text)

Commentaries:

Donor Brain Death Due to Stroke and Prognosis After Heart Transplant – American College of Cardiology

Young Stroke Victims’ Hearts Might Not Be as Good for Transplantation – MedPage Today

Commentary on Twitter

🔑 Takeaway: #Stroke as the cause of donor brain death compared to all other causes of brain death was not associated w/ increased mortality or allograft failure in heart transplant recipients. Read more: https://t.co/NynBVsQSqh #cvSurg #cvHCM @MartyTamMD

— American College of Cardiology (@ACCinTouch) March 16, 2022

Expert Analysis: Clinical practice algorithm for the follow-up of unrepaired and repaired secundum atrial septal defects.

11 Mar, 2022 | 09:31h | UTC

Clinical Practice Algorithm For the Follow-up of Unrepaired and Repaired Secundum Atrial Septal Defects – American College of Cardiology

Multicenter observational prospective study: thrombolysis or surgery in patients with obstructive mechanical valve thrombosis.

11 Mar, 2022 | 09:30h | UTC

Thrombolysis or Surgery in Patients With Obstructive Mechanical Valve Thrombosis: The Multicenter HATTUSHA Study – Journal of the American College of Cardiology (link to abstract – $ for full-text)

Commentary: Thrombolysis or Surgery for Mechanical Valve Thrombosis – American College of Cardiology

Cohort Study: High-sensitivity Troponin I after cardiac surgery and 30-day mortality.

3 Mar, 2022 | 08:54h | UTC

High-Sensitivity Troponin I after Cardiac Surgery and 30-Day Mortality – New England Journal of Medicine (link to abstract – $ for full-text)

Commentaries:

Better assessment of risk from heart surgery results in better patient outcomes – McMaster University

NEJM study evaluates levels of HS Troponin after cardiac surgery and risk of death – MedicalResearch

Commentary on Twitter

The levels of high-sensitivity troponin I associated with an increased risk of death within 30 days after cardiac surgery are higher than levels currently used to define clinically important periprocedural myocardial injury. https://t.co/bnwPzQmh1h pic.twitter.com/pdmx23jPdz

— NEJM (@NEJM) March 2, 2022

Guideline Update: Timing of elective surgery and risk assessment after SARS-CoV-2 infection – “The guidance remains that patients should avoid elective surgery within 7 weeks of infection, unless the benefits of doing so exceed the risk of waiting”.

1 Mar, 2022 | 08:58h | UTC

Timing of elective surgery and risk assessment after SARS-CoV-2 infection: an update – Anaesthesia

Perioperative cardiovascular considerations prior to elective noncardiac surgery in patients with a history of Covid-19.

Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery

Study from 116 countries suggests surgery should be delayed for at least seven weeks following a COVID-19 diagnosis to reduce mortality risk

BJS commission on surgery and perioperative care post-COVID-19.

The risk of postoperative complications following major elective surgery in active or resolved COVID-19 in the United States – Major, elective surgery 0–4 weeks after Covid-19 is associated with greatly increased risk of postoperative complications; surgery performed 4–8 weeks after infection is still associated with an increased risk of pneumonia.

ASA Guidance: Preoperative testing for COVID-19 is essential, regardless of vaccination.

Position statement: Perioperative management of post-COVID-19 surgical patients.

Cohort study: Postoperative in-hospital mortality of patients with COVID-19 infection was more than double that in patients without COVID-19

Retrospective cohort: Serial high-sensitivity cardiac troponin I after coronary artery bypass grafting may add prognostic information for post-operative decision-making.

1 Mar, 2022 | 08:48h | UTC

High-sensitivity cardiac troponin I after coronary artery bypass grafting for post-operative decision-making – European Journal of Cardiology

Commentary: High-Sensitivity Troponin I After CABG for Postop Decision-Making – American College of Cardiology

Commentary on Twitter

High-sensitivity cardiac troponin I after coronary artery bypass grafting for post-operative decision-making https://t.co/sTUfRSBeWl @escardio #EHJ #ESCYoung #cardiotwitter @ehj_ed @rladeiraslopes pic.twitter.com/aYsepPazwe

— European Society of Cardiology Journals (@ESC_Journals) February 23, 2022

RCT: Effectiveness and safety of early initiation of poststernotomy cardiac rehabilitation exercise training.

Cardiac xenotransplantation: challenges, evolution, and advances.

M-A: Acute or subacute, the optimal timing for uncomplicated Type B aortic dissection.

Isolated coarctation of the aorta: current concepts and perspectives.

Review: Anticoagulation management of post-cardiac surgery new-onset atrial fibrillation.

Exploratory RCT suggests Cardiovascular Magnetic Resonance accurately diagnoses cardiac allograft rejection in the first year after transplantation.

Cardiac metastasis from solid cancers: a 35-year single-center autopsy study.

Guidelines for clothing in the operating theatre.

M-A: Timing of cardiac surgery during pregnancy.

M-A: Surgical timing in patients with infective endocarditis and with intracranial hemorrhage.

Top 100 most-cited articles on enhanced recovery after surgery.

RCT: Effect of transcatheter aortic valve implantation vs. surgical aortic valve replacement on all-cause mortality in patients with aortic stenosis.

Guidelines on enhanced recovery after cardiac surgery under cardiopulmonary bypass or off-pump.

Controversies in enhanced recovery after cardiac surgery.

RCT: Ten-year outcomes of off-pump vs. on-pump coronary artery bypass grafting.

Expert Analysis: The role of the posterior left pericardiotomy in reducing pericardial effusion and postoperative atrial fibrillation after cardiac surgery.

Cohort Study: Increased thoracic aortic diameter is associated with increased risk of cardiovascular events and mortality among women and men.

RCT: The analgesic efficacy of ultrasound-guided bilateral transversus thoracic muscle plane block after open-heart surgeries.

Cohort Study: Impact of myocardial injury after coronary artery bypass grafting on long-term prognosis.

Retrospective Cohort Study: Association of donor brain death due to stroke with prognosis after heart transplantation.

Expert Analysis: Clinical practice algorithm for the follow-up of unrepaired and repaired secundum atrial septal defects.

Multicenter observational prospective study: thrombolysis or surgery in patients with obstructive mechanical valve thrombosis.

Cohort Study: High-sensitivity Troponin I after cardiac surgery and 30-day mortality.

Guideline Update: Timing of elective surgery and risk assessment after SARS-CoV-2 infection – “The guidance remains that patients should avoid elective surgery within 7 weeks of infection, unless the benefits of doing so exceed the risk of waiting”.

Retrospective cohort: Serial high-sensitivity cardiac troponin I after coronary artery bypass grafting may add prognostic information for post-operative decision-making.

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