Journal of Cardiac Surgery最新文献

{"title":"Single-Center, Multisurgeon Experience with a Sutureless Rapid Deployment Aortic Valve Prosthesis: A Clinical Analysis in the United States","authors":"Michael P. Robich,&nbsp;Kelly Ohlrich,&nbsp;Catherine Raymer,&nbsp;David Robaczewski,&nbsp;Jaime Rabb,&nbsp;Dorothy J. Radziszewski,&nbsp;Alexander Iribarne,&nbsp;Shravanthi M. Seshasayee,&nbsp;Cathy S. Ross,&nbsp;Reed D. Quinn,&nbsp;Robert S. Kramer","doi":"10.1155/2023/4827516","DOIUrl":"10.1155/2023/4827516","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. The Perceval S is a sutureless, bovine pericardial aortic prosthesis on a nitinol stent, which has limited data on outcomes, as well as cost, from the United States. <i>Methods</i>. We performed a retrospective review of Perceval S implantation at a single center between 2015 and 2018. After exclusion criteria, we compared 234 patients who underwent sutureless aortic valve (SLV) implantation with 370 patients who underwent standard sutured aortic valves (SAVR). Hospital cost data were reviewed, and risk adjustment, done by propensity score and inverse probability weighting, was used to compare outcomes. <i>Results</i>. Compared to those undergoing SAVR, the SLV group was older and had a higher proportion of multicomponent operations, higher preoperative white blood cell count, higher rate of previous percutaneous coronary interventions, more comorbid conditions (diabetes, renal insufficiency, and dialysis), and more three-vessel coronary disease. For isolated AVR, partial upper hemisternotomy was more frequent in SLV. The mean cardiopulmonary bypass and cross-clamp times for isolated SLV were significantly lower than SAVR. After adjustment, the cohort was balanced. Operative differences for SLV were lower cross-clamp and pump time, larger valve size, more minimally invasive approaches, and shorter operating room times. There were no differences in other postoperative complications (postoperative atrial fibrillation, stroke, renal failure, prolonged ventilation, and in-hospital mortality; <i>p</i> &gt; 0.05 for all). Mean and median hospital costs were higher in the SLV group, largely due to the cost of the implant. <i>Conclusion</i>. Sutureless tissue aortic valves can be used safely with lower cardiopulmonary bypass and clamp times than sutured prostheses and facilitate use of minimally invasive approaches. This valve may be advantageous in older, higher risk patients requiring more complex operations.</p>\u0000 </div>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"2023 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2023/4827516","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45743126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Descending Aortic Replacement with Third-Part Left Axillary Artery Graft Perfusion","authors":"Shigeru Hattori,&nbsp;Kenichiro Noguchi,&nbsp;Yusuke Gunji,&nbsp;Motoki Nagatsuka,&nbsp;Tsuyoshi Yamabe,&nbsp;Hideo Kagaya,&nbsp;Ikuo Katayama,&nbsp;Tohru Asai","doi":"10.1155/2023/2767859","DOIUrl":"10.1155/2023/2767859","url":null,"abstract":"<div>\u0000 <p>We introduce a unique perfusion method for open descending aortic repair through a left thoracotomy. Perfusion from femoral artery cannulation is generally adopted in descending aortic replacement surgery. However, in cases with shaggy or partially thrombosed chronic aortic dissection, retrograde perfusion alone has a high risk of embolization and alternative perfusion methods should be considered. Our perfusion method from the third part of the left axillary artery graft is safe, simple, and useful for avoiding postoperative cerebral complications. In the present study, we report the advantages and challenges of this graft-interposed perfusion via the distal left axillary artery for descending aortic replacement.</p>\u0000 </div>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"2023 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2023/2767859","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45699175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intraoperative Anesthesia Handoff Does Not Affect Patient Outcomes after Cardiac Surgery: A Single-Center Experience","authors":"Jordan P. Bloom,&nbsp;Dane C. Paneitz,&nbsp;Stanley B. Wolfe,&nbsp;David L. Convissar,&nbsp;Thoralf M. Sundt,&nbsp;David A. D’Alessandro,&nbsp;Adam A. Dalia","doi":"10.1155/2023/1793257","DOIUrl":"10.1155/2023/1793257","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. Intraoperative team turnover is necessary given the duration of many cardiac surgical procedures, despite being an established risk factor for harm. We sought to determine if there was an association between intraoperative anesthesia handoff (AH) and patient morbidity and/or mortality after cardiac surgery. <i>Methods</i>. All adult cardiac surgery procedures from November 2016 through November 2021 were retrospectively interrogated for AH. These results were merged with postoperative patient outcomes data and analyzed for morbidity and mortality. <i>Results</i>. A single AH occurred in 1,087/5,937 (18.3%) procedures, and two or more AHs occurred in 224 (3.8%) procedures. Baseline characteristics show that AH is more frequently associated with higher complexity patients and operations. The primary outcome of operative mortality occurred in 113 (2.4%), 54 (5.0%), and 7 (3.1%) patients in the no AH, single AH, and multiple AH cohorts. After multivariable adjustment, the odds ratio for mortality was 1.15 (95% CI 0.79–1.67 and <i>P</i> = 0.46) for a single AH and 0.83 (95% CI 0.36–1.90 and <i>P</i> = 0.66) for multiple AH. There were no significant differences in readmission, length of stay, or a composite complication outcome between the cohorts after adjustment. <i>Conclusions</i>. In a large single-center experience, intraoperative anesthesia handoffs were not associated with adverse outcomes after cardiac surgery.</p>\u0000 </div>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"2023 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2023/1793257","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45631301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Predictive Factors of Early Degeneration of Bioprosthetic Mitral Valves: A Single-Center Cohort Study","authors":"Akbar Shafiee,&nbsp;Aryan Ayati,&nbsp;Elnaz Salimi,&nbsp;Mohammad Sahebjam,&nbsp;Abbas Salehi Omran,&nbsp;Alireza Hadizadeh,&nbsp;Arezou Zoroufian","doi":"10.1155/2023/2901632","DOIUrl":"10.1155/2023/2901632","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. Bioprosthetic mitral valves (MV) have limited durability. Dysfunction and degeneration of these valves can lead to reoperation and progressive heart failure. We investigated the frequency and predictors of MV bioprosthesis early degeneration within three years following MV replacement surgery. <i>Methods</i>. In this retrospective cohort study, we retrieved the data of consecutive patients who underwent bioprosthetic MV replacement through midsternotomy at Tehran Heart Center between 2013 and 2019. Based on the reviewed parameters of the bioprosthetic MV in the follow-up echocardiography, the patients were divided into two groups to compare the variables respecting early degeneration. Finally, the predictors of early degeneration were recognized using the Cox regression hazards model. <i>Results</i>. We reviewed and analyzed data of 177 patients from our hospital database. The mean age of the patients was 63.9 ± 11.7 years and 100 (56.5%) were women. 39 (22.0%) patients had experienced early degeneration and two (1.1% of the total) had died during the follow-up period. Patients in the degeneration group tended to have a history of stroke and renal failure, although not statistically significant. The sole independent predictor of early degeneration of bioprosthetic MV was a high MV mean gradient in the first postoperative echocardiography study (HR = 11.01, 95% CI: 4.80–25.24; <i>P</i> &lt; 0.001). <i>Conclusion</i>. About 22.0% of our patients had echocardiographic criteria for early degeneration, and according to our results, increased MV gradients (without considering the reason) in the first postoperative echocardiography were the sole independent predictor for it. Careful valve selection can be essential in reducing early degeneration.</p>\u0000 </div>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"2023 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2023/2901632","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45040441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of Mitral Valve Surgery Does Not Differ by Hospital Volume in New Jersey","authors":"Kayla N. Laraia,&nbsp;Marlena E. Sabatino,&nbsp;Lindsay Volk,&nbsp;Krish C. Dewan,&nbsp;NaYoung K. Yang,&nbsp;Jin Yoo,&nbsp;Ankitha H. Dindigal,&nbsp;Mark J. Russo,&nbsp;Leonard Y. Lee","doi":"10.1155/2023/6983270","DOIUrl":"10.1155/2023/6983270","url":null,"abstract":"<div>\u0000 <p><i>Background and Aim of the Study</i>. To investigate if mitral valve (MV) surgery quality differs by hospital volume in New Jersey (NJ). <i>Methods</i>. Using the NJ State Inpatient Database, patients ≥18 years undergoing MV repair or replacement from 2016–2019 were identified. Centers were considered high-volume if they performed more than 50 mitral operations annually. Baseline characteristics and outcomes (in-hospital mortality, seven-day readmission, hospital length of stay (LOS), and postoperative complications) were evaluated for the population and by center volume. Subanalysis by center volume within each procedure was conducted. <i>Results</i>. Among 2,560 mitral operations, MV replacement (92.3% (<i>n</i> = 2,362)) was performed more often than repair. High- (4) and low-volume (15) centers performed 1,180 (46.1%) and 1,380 (53.9%) mitral surgeries, respectively. Charlson Comorbidity Indices did not differ by center volume, including in subgroup analyses. Low-volume centers had higher rates of Hispanic patients, low-income patients, and readmission rates. High-volume centers had more transfers, urgent/emergent admissions, higher rates of in-hospital mortality, and longer LOS. Postoperative complications did not differ by volume. The MV replacement cohort reflected many of the differences seen in the total population, in addition to seeing higher rates of heart failure at high-volume centers and stroke at low-volume centers. Within MV repairs, significantly more Hispanic patients presented to low-volume centers and high-volume centers had longer LOS. Multivariable analysis indicated that hospital volume was not correlated to in-hospital mortality for the total population and within each procedure. <i>Conclusions</i>. MV replacement is performed more frequently than repair. Hospital volume is not correlated with MV surgical quality, and more representative quality measures are needed.</p>\u0000 </div>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"2023 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2023/6983270","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44832517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Risk Factors and Outcomes of Isolated Tricuspid Valve Replacement with a Conventional Surgical Approach: A Retrospective Cohort Study","authors":"Elnaz Shahmohamadi,&nbsp;Alireza Hadizadeh,&nbsp;Aryan Ayati,&nbsp;Amirhossein Tayebi,&nbsp;Seyed Hossein Ahmadi Tafti,&nbsp;Kyomars Abbasi,&nbsp;Namvar Movahedi,&nbsp;Jamshid Bagheri,&nbsp;Saeed Davoodi","doi":"10.1155/2023/5777125","DOIUrl":"10.1155/2023/5777125","url":null,"abstract":"<div>\u0000 <p><i>Introduction</i>. Tricuspid valve (TV) disease is substantially less common than mitral or aortic valve disease, and it is commonly missed due to the tolerability of stenosis or regurgitation. Adults seldom have primary tricuspid valve regurgitation, which is linked to rheumatic heart disease, infectious endocarditis, myxomatous valve disease, congenital heart disease, carcinoid syndrome, and/or infiltrative valvopathy. <i>Materials and Methods</i>. The authors examined the Valve Surgery Data Bank retrospectively to identify all patients who underwent TV replacement without concomitant surgeries between 2004 and 2014. In addition, the exclusion criteria suggested that all instances involving solitary valve repair were eliminated. Through visits or phone interviews, long-term follow-up was collected through the end of June 2022 in order to gather information on postoperative occurrences among the patients. The average follow-up time was 10.7 + 2.1 (5–15) years. <i>Results</i>. The overall survival rate was 90.9%. Survival rate was not significantly different between bioprostheses and mechanical ones (log rank <i>p</i> = 0.05). The incidence of endocarditis and valvar thrombosis in short-term was higher in the mechanical group than in the biological group, but the frequency of valve malfunction and redo surgery was higher in the replacement group. We found a higher incidence of valvular thrombosis, GI bleeding, and myocardial infarction rate in mechanical valve complications compared to the bioprosthetic group regarding late complications.</p>\u0000 </div>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"2023 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2023/5777125","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46123686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Female Sex Is Not an Independent Risk Factor for Poor Prognosis of Patients with Acute Type A Aortic Dissection Undergoing Surgery","authors":"Chenyu Zhou,&nbsp;Jinlin Wu,&nbsp;Enzehua Xie,&nbsp;Lu Dai,&nbsp;Jian Song,&nbsp;Rui Zhao,&nbsp;Shiqi Gao,&nbsp;Juntao Qiu,&nbsp;Cuntao Yu","doi":"10.1155/2023/8889261","DOIUrl":"10.1155/2023/8889261","url":null,"abstract":"<div>\u0000 <p><i>Background and Aim of the Study</i>. The effects of sex on the prognosis of patients with acute type A aortic dissection (ATAAD) have still remained controversial. This study aimed to explore the sex differences in outcomes of ATAAD patients undergoing surgery. <i>Methods</i>. Data of patients with ATAAD who were operated in our center from 2010 to 2018 were retrospectively collected. Data on pre-, intra-, and postoperative courses were analyzed. Propensity score weighting was performed to balance the baseline characteristics. Multivariable logistic regression was used to assess predictors of early mortality in overall female and male patients. <i>Results</i>. A total of 1448 patients were enrolled, including 352 (24.3%) female patients and 1096 (75.7%) male patients. Females were significantly older than males (56.0 vs. 47.8 years, <i>P</i> &lt; 0.001). Dissection was less extensive (Fuwai Ct: 85.8% vs. 91.3%, <i>P</i> = 0.003) and malperfusion syndrome was less frequently diagnosed (Penn Ab: 19.3% vs. 29.7%, <i>P</i> &lt; 0.001) in females. Males experienced more aortic root replacement (Bentall: 14.2% vs. 24.9%, <i>P</i> &lt; 0.001) and total arch replacement combined with frozen elephant trunk (56.8% vs. 75.8%, <i>P</i> &lt; 0.001) with the prolonged operation time (6.1 vs. 6.4 hours, <i>P</i> = 0.001). In contrast, early mortality was higher in females (9.4% vs. 6.1%, <i>P</i> = 0.036). No differences were found in long-term survival and reoperation rates. After propensity score weighting, sex suggested no influence on both early and long-term outcomes. Cardiopulmonary bypass time was an independent risk factor for early mortality in both overall and sex-related populations according to the multivariable logistic regression. <i>Conclusions</i>. In ATAAD, different presentations and surgical strategies were noted in male and female patients. However, there were no significant differences in early and long-term outcomes between sexes after propensity score weighting.</p>\u0000 </div>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"2023 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2023/8889261","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48824844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mortality and Survival after Norwood Procedure Comparison between Shunt Type in Patients with Hypoplastic Left Heart Syndrome or Its Variants: A Systematic Review and Meta-Analysis Study","authors":"Ahmad Yamen Arnaout,&nbsp;Yaman Nerabani,&nbsp;Hassan Alhaj Ali,&nbsp;Mohamad Zaher Shahrour,&nbsp;Mohamad Yahia Fallaha,&nbsp;Ibrahim Arnaout,&nbsp;Ahmad Sajee,&nbsp;Mohamad Morjan,&nbsp;Hussein Al-Kanj","doi":"10.1155/2023/8534205","DOIUrl":"10.1155/2023/8534205","url":null,"abstract":"<div>\u0000 <p><i>Background</i>. In the Norwood procedure, a conduit is performed either from the subclavian artery to the pulmonary artery, Blalock–Taussig shunt (mBTs), or from the right ventricle to the pulmonary artery (RV-PA shunt). There are some concerns regarding the two shunts and which one is better according to morbidity and mortality in patients with hypoplastic left heart syndrome or its variants. <i>Methods</i>. We systematically searched PubMed, Web of Science, Scopus, Embase, and Cochrane Library databases from inception to 04/June/2021 to collect articles reporting a comparison of RV-PA shunt and mBTs. <i>Results</i>. Our meta-analysis showed that the mortality rate after 6 months, 1, 2, 3, 4, 5, and 6 years for the mBTS group was 16.3%, 28.6%, 34.8%, 42.4%, 44.6%, 45.1%, and 39.6%, respectively, and for the RV-PAS, 14.8%, 26.6%, 31%, 40.1%, 36.1%, 37.5%, and 34.0%, respectively. The mortality rate was significantly higher in the mBTs group at 1 and 2 years; otherwise, there is no significance differences. Overall complications rate was higher in the mBTs group than in the RV-PAs group (17.8% vs. 8.5%). In contrast, the rate of cardiac complications was higher in the RV-PAS group. <i>Conclusions.</i> The RV-PA shunt had lower mortality and overall complications rate than mBT shunt at the short-term outcome within the first two years, but at the long term, there was no difference between the two shunts. On the other hand, the mBT shunt had a lower incidence of cardiac complications at the early stage after the operations. However, some studies are poor due to the difficulties in conducting original research in this field. Therefore, we recommend conducting systematic reviews and original studies to compare these and other therapeutic procedures for these patients.</p>\u0000 </div>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"2023 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2023/8534205","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42976913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association of the Cerebral Protection Strategy with Early Mortality and Postoperative Stroke in Acute Type A Aortic Dissection: A Systematic Review and Meta-Analysis","authors":"Caius Mustonen,&nbsp;Mikko Uimonen","doi":"10.1155/2023/3975367","DOIUrl":"10.1155/2023/3975367","url":null,"abstract":"<div>\u0000 <p><i>Objective</i>. The optimal cerebral protection strategy in acute type A aortic dissection (ATAAD) is still without a clear consensus. The purpose of this meta-analysis was to compare the outcome of different cerebral protection strategies on ATAAD patients. <i>Materials and Methods</i>. We conducted a systematic review including all studies concerning surgically managed ATAAD patients between 1.1.2010 and 28.2.2022 and reporting the use of cerebral protection strategies in three large databases (Pubmed, Cochrane library, and Scopus). The main outcome events were 30-day mortality and a postoperative stroke rate. The pooled event rates adjusted by age, gender, CPB duration, circulatory arrest duration, and total arch reconstruction rate were calculated. <i>Results</i>. Overall, 39 articles were included covering a total of 16, 876 ATAAD patients. The estimated adjusted pooled early mortality rate was 10.1% (95% confidence interval [CI] 9.1–11.3%) in the ACP group, 15.9% (13.3–18.9%) in the RCP group, and 11.6% (9.2–14.5%) in the HCA group. Compared to the RCP group, ACP and HCA demonstrated lower early mortality (RCP vs. ACP odds-ratio 1.66 [1.28–2.15], <i>p</i> &lt; 0.001; RCP vs. HCA odds-ratio 1.45 [1.02–2.07], <i>p</i> = 0.039). The adjusted pooled stroke rate was 9.0% (8.3–9.8%) in the ACP group, 10.5% (9.3–11.7%) in the RCP group, and 9.1% (8.1–10.2%) in the HCA group. <i>Conclusion</i>. Early mortality might be more common in ATAAD patients treated with RCP compared to ACP and HCA. With regards to postoperative stroke, the results were inconclusive despite the trending inferiority of RCP compared to the other strategies.</p>\u0000 </div>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"2023 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2023/3975367","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135643222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Left Ventricular Recovery after Transapical Transcatheter Aortic Valve Implantation Compared with Conventional Aortic Valve Replacement in Patients with Aortic Regurgitation and Reduced Ejection Fraction","authors":"Zhiqin Lin,&nbsp;Zheng Xu,&nbsp;Xiaofu Dai,&nbsp;Liangwan Chen","doi":"10.1155/2023/3691715","DOIUrl":"10.1155/2023/3691715","url":null,"abstract":"<div>\u0000 <p><i>Background and Aim of the Study</i>. To evaluate differences in left ventricular recovery after transapical transcatheter aortic valve implantation and conventional aortic valve replacement in patients with aortic regurgitation and reduced left ventricular ejection fraction. <i>Methods</i>. All patients with reduced left ventricular ejection fraction who underwent aortic valve surgery for AR at our institution between January 2015 and November 2021 were retrospectively reviewed. Generalized estimating equations were used to compare left ventricular recovery and remodeling outcomes between the patient groups. <i>Results</i>. A total of 87 cases were included in this study, 36 patients for TA-TAVI and 51 patients for C-AVR. Transapical transcatheter aortic valve implantation was associated with better and faster recovery of left ventricular ejection fraction and left ventricular end-diastolic dimension (adjusted <i>β</i> = 0.002, 95% CI: 0.000 to 0.003, and <i>p</i> = 0.046; adjusted <i>β</i> = 0.330, 95% CI: 0.185 to 0.474, and <i>p</i> &lt; 0.001, respectively) within the first 3 months postoperatively compared with left ventricular ejection fraction, with the same improvement in New York Heart Association function class (adjusted <i>β</i> = 0.381, 95% CI: −0.349 to 1.111, and <i>p</i> = 0.306). <i>Conclusions</i>. This study highlights patients who underwent transapical transcatheter aortic valve implantation for aortic regurgitation with reduced left ventricular ejection fraction. However, future randomized controlled prospective clinical trials with longer follow-up durations are required.</p>\u0000 </div>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"2023 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2023-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2023/3691715","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135831769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}