The following is a collection of
featured adult cardiac articles in press from the Journal of Thoracic and Cardiovascular
Surgery (JTCVS). To read the latest issue,
browse the feature video library and other journal
highlights please visit www.jtcvs.org
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significance of bicuspid aortic valve after surgery for
acute type A aortic dissection
Ari Mennander, MD, PhD, Christian
Olsson, MD, PhD, Anders Jeppsson, MD, PhD, Arnar
Geirsson, MD, Vibeke Hjortdal, MD, PhD, Emma C.
Hansson, MD, PhD, Kati Jarvela, MD, PhD, Shahab
Nozohoor, MD, PhD, Jarmo Gunn, MD, PhD, Anders Ahlsson,
MD, PhD, Tomas Gudbjartsson, MD, PhD
is comparable in patients with or without BAV after
surgery for acute type A aortic dissection despite
aortic regurgitation and complex aortic root surgery.
In surgery for acute type A aortic dissection, follow
the principles and do what you need to do
Preventza, MD, Kim I. de la Cruz, MD, Joseph S.
Whether patients who need surgery
for acute type A aortic dissection have a BAV or
TAV is irrelevant. The surgical procedure should be
tailored to the individual patient.
When is a simple tube graft a disservice in type-A
Registry data may help determine the
role for aggressive resection in acute aortic
cannulation reduces early embolic stroke and mortality
after open arch repair with circulatory arrest
Jung-Hwan Kim, MD, Seung Hyun Lee,
MD, PhD, Sak Lee, MD, PhD, Young-Nam Youn, MD, PhD,
Kyung-Jong Yoo, MD, PhD, Hyun-Chel Joo, MD, PhD
patients undergoing open aortic arch repair with
circulatory arrest using antegrade cerebral perfusion,
axillary artery cannulation could reduce the early
embolic stroke and early mortality.
Always do right
The right axillary artery showed
positive results in open aortic arch repair.
However, this cannulation is only one of several
options, and not a final solution, to completely
Does right axillary artery cannulation prevent
aorto-cerebral embolic phenomena?
G. Gleason, MD
Right axillary artery cannulation
for arch reconstruction is safe and effective, but
large randomized, controlled trials are needed to
prove whether it is superior to other cannulation
3-dimensional magnetic resonance phase contrast imaging
(4D Flow MRI) reveals altered blood flow patterns in the
ascending aorta of patients with valve-sparing aortic
Thekla H. Oechtering, MD, Malte M.
Sieren, MD, Peter Hunold, MD, Anja Hennemuth, PhD,
Markus Huellebrand, MS, Michael Scharfschwerdt, PhD,
Doreen Richardt, MD, Hans-Hinrich Sievers, MD, Jörg
Barkhausen, MD, Alex Frydrychowicz, MD
MRI reveals altered hemodynamics distal to prostheses
in patients after VSARR, whereas in the ascending aorta
of healthy volunteers, 2 counter-rotating helices
More valuable data on aortic blood flow patterns in
valve-sparing aortic root replacements
Asai, MD, PhD
Four-dimensional flow magnetic resonance
imaging study revealed disturbed flow patterns
distal to the aortic root prosthesis in most
patients undergoing patients undergoing
valve-sparing aortic root replacement.
AORTIC FEATURED VIDEO
aortic cannulation by the Seldinger technique for type A
dissection with cerebral malperfusion
Video Legend: Echo-guided central
MECHANICAL CIRCULATORY SUPPORT
ventricular function and residual mitral regurgitation
after left ventricular assist device implantation
determines the incidence of right heart failure
Paul C. Tang, MD, PhD, Jonathan W.
Haft, MD, Matthew A. Romano, MD, Abbas Bitar, MD, Reema
Hasan, MD, Maryse Palardy, MD, Xiaoting Wu, PhD, Keith
D. Aaronson, MD, Francis D. Pagani, MD, PhD
LVAD implantation, significant mitral regurgitation
accompanied by poor RV function is associated with
worse outcomes. Concurrent surgery to improve
competency warrants further investigation.
When suction alone is not enough
Matthias Bechtel, MD
A significant proportion of patients
with preoperative severe mitral regurgitation will
have it after LVAD implantation. How to identify
these patients before LVAD implantation needs
A tale of two valves
Valve surgery at the time of left
ventricular assist device implantation: it was the
best of times, it was the worst of times.
urinary ionomic profiles and acute kidney injury and
mortality in patients after cardiac surgery
Ziyan Shen, MD, Jie Lin, PhD, Jie
Teng, MD, Yamin Zhuang, MD, Han Zhang, MD, Chunsheng
Wang, MD, Yan Zhang, PhD, Xiaoqiang Ding, MD, PhD,
Xiaoyan Zhang, MD
with urinary ion concentrations at 2 hours after
cardiac surgery based on ion profiling was associated
with cardiac surgery-associated acute kidney injury
incidence and short-term outcomes.
Acute kidney injury after cardiac surgery—Is the
“-omics” way the right way?
Barberini, PhD, Andrea Montisci, MD, Ambra Cerri, MD,
Antonio Miceli, MD, PhD
The application of “-omics” could
open new horizons in the fight against acute kidney
injury after cardiac surgery.
Keep your ion the urine: A new way to predict
postoperative acute kidney injury?
Zarbock, MD, Daniel T. Engelman, MD
Profiling ions in the urine
immediately after cardiac surgery may be a new
method to predict the development of
cardiac-surgery associated AKI, need for renal
replacement therapy, and mortality.
The impact of
obesity on early postoperative atrial fibrillation burden
Corina Serban, DVM, Johnmary T.
Arinze, MBBS, Roeliene Starreveld, MSc, Eva A.H.
Lanters, MD, Ameeta Yaksh, MD, Charles Kik, MD, Yalin
Acardag, BS, Paul Knops, BS, Ad J.J.C. Bogers, MD, PhD,
Natasja M.S. de Groot, MD, PhD
patients have a higher incidence of particularly
long-lasting episodes of early PoAF and a higher burden
for early PoAF compared with nonobese patients.
Obesity and cardiac surgery: Double trouble for the
surgeon and arrhythmologist
Ali, MD, FESC, FEHRA, FAIAC, Riccardo Cappato, MD,
Obesity is associated with a higher
AF burden after cardiac surgery, requiring a
multidisciplinary approach, and the potential
preventive role of weight-reduction strategies
needs future studies.
Obesity and atrial fibrillation after cardiac surgery:
The weight continues
A. Holst, MD
This robust series of PoAF after
cardiac surgery in obese and nonobese patients
leaves us wondering about the contributions of
other clinical factors and possible correlative
difference in outcomes.