Valentin Fuster, MD, of the Mount Sinai Health System, was this year’s AATS Honored Guest Lecturer, addressing the issue of undertreatment of cardiovascular disease in global health. In his introduction, AATS President David H. Adams, MD, described Dr. Fuster as an “icon of cardiology,” the Past President of the American Heart Association, and the current editor of the Journal of the American College of Cardiology.
Sunday’s Plenary theme of Undertreatment encompassed challenges that are being addressed by innovation and research to widen the scope of surgical possibilities.
Mickey S. Ising, MD, reported on a multi-institution database study performed to examine early outcomes of lung transplantation using ex-vivo lung perfusion (EVLP). EVLP has been adopted as a means to augment the donor pool and decrease waitlist mortality in patients awaiting lung transplantation.
More than 1,200 cardiac surgeons and other professionals from 66 countries arrived in New York Thursday for the fifth biennial American Association for Thoracic Surgery (AATS) Mitral Conclave.
“In the next two days, we’re going to explore every topic in mitral valve disease in our most ambitious program yet,” program director and AATS President David H. Adams, MD, of Mount Sinai Health System in New York, said while opening the program. He noted that 66 countries of origin for attendees was a new record for the Conclave, reflecting that the mitral world was really together in the Plenary hall. The Conclave kicked off AATS Week 2019 with eight plenary sessions, three video sessions, 22 breakout sessions, and 10 lunch sessions.
Although Enhanced Recovery After Surgery (ERAS) programs are successful in many adult surgical specialties with improvement in outcomes, such innovations in perioperative care have not been widely examined for congenital heart surgery. Nathalie Roy, MD, and her colleagues at Boston Children’s Hospital performed a study to determine if the new ERAS program at the hospital accelerated functional recovery after congenital heart surgery, including reducing the length of stay and complications.
Esophagectomy is considered the standard treatment in patients with a high risk of lymph node metastases, and endoscopic resection alone is controversial beyond the deep intramucosal layer (M3), according to Jay (Jie) Zhang, MD, and his colleagues.
Dr. Zhang, assistant professor of surgery at the University of Pittsburgh Medical Center (UPMC), presented a study evaluating the outcomes following a strategy of addition of chemoradiotherapy to endoscopic R0 resection for esophageal cancer in T1aM3-T1b stage. In a propensity matched analysis, they compared these results to patients who underwent esophagectomy.
The AATS Foundation honored many awardees, mentors, donors, and partners at the AATS Foundation Reception Sunday in Toronto. Each year, the Foundation honors incoming awardees and welcomes back a number of former recipients whose careers have been positively impacted by the funding they received from the AATS Foundation.
Long-term outcomes of anterior leaflet mitral valve repair remain poorly defined, as compared to posterior leaflet repair, according to Alexander A. Brescia, MD, and his colleagues. This lack of information may contribute to a bias that anterior repairs have inferior outcomes compared to posterior repairs, potentially due to technical difficulties of anterior leaflet repair or historical studies during which residual mitral regurgitation was tolerated, they added.
Thirty-day myocardial infarction (MI) rates after coronary artery bypass grafting (CABG) in EXCEL were significantly different based on geographic region, according to a study presented by Sajjad Raza, MD, of the University Hospitals Cleveland Medical Center.
Dr. Raza and his colleagues examined geographic, patient-related, and surgical factors associated with 30-day MI after CABG from the randomized EXCEL trial. EXCEL followed patients with low/intermediate SYNTAX scores undergoing left main revascularization and showed that the 30-day composite rate of death, stroke, or MI was higher after CABG compared with PCI, driven by more periprocedural MIs.