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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outcomes after valve-sparing anatomical aortic root
reconstruction in acute dissection involving the root
Vadim Irimie, MD, Alaa Atieh, MD,
Gjoko Kucinoski, MD, Atanas Jankulovski, MD, Michael
Zacher, MD, Paul P. Urbanski, MD, PhD
sinus repair is a very suitable surgical option for
anatomical repair of dissected aortic root.
Aortic root reconstruction in acute dissection: What is
Alan M. Speir, MD
Surgeons without expertise in
anatomic restoration of the dissected root with the
patch technique may be better served with
traditional root replacement.
Can partial sinus replacement replace standard
Kim, MD, Joon Bum Kim, MD, PhD
We discuss performing a modified
aortic root remodeling technique in patients with
acute type A aortic dissection.
AORTIC FEATURED VIDEO
VSRR in type A dissection
important steps of the technique are presented in a
female patient with acute type A aortic dissection
extending through out the thoraco-abdominal aorta and
into the supra-aortic branches.
trunk does not increase incidence of paraplegia in
patients with acute type A aortic dissection
Shi Sum Poon, MBChB, MRCS (Eng),
David H. Tian, MD, PhD, Tristan Yan, MD, PhD, FRACS,
Deborah Harrington, FRCS (C-Th), Omar Nawaytou, FRCS
(C-Th), Manoj Kuduvalli, FRCS (C-Th), Axel Haverich,
MD, PhD, Marek Ehrlich, MD, Wei-Guo Ma, MD, Li-Zhong
Sun, MD, Anthony L. Estrera, MD, FACS, Mark Field,
DPhil (Oxon), FRCS (C-Th)
of TAR with FET in patients with acute type A aortic
dissection does not appear to increase the incidence of
Frozen elephant trunk in type A aortic dissection—Is it
time to play the long game?
W. Barlow, FRCS (CTh), DPhil (Oxon), Abe DeAnda Jr.,
The routine use of the frozen
elephant trunk technique in the setting of an acute
type A dissection may not have a demonstrable downside,
including neurologic complications.
Spinal cord injury after the frozen elephant trunk
procedure: Are we really safe now?
J. Liakopoulos, MD
This retrospective ARCH registry
analysis reports comparable incidences of SCI in
patients undergoing aortic arch replacement with or
without the FET technique.
intrasite variability of mortality and stroke for sites
performing both surgical and transcatheter aortic valve
replacement for aortic valve stenosis in
Kevin L. Greason, MD, Eugene H.
Blackstone, MD, Jeevanantham Rajeswaran, PhD, Ashley M.
Lowry, MS, Lars G. Svensson, MD, PhD, John G. Webb, MD,
E. Murat Tuzcu, MD, Craig R. Smith, MD, Raj R. Makkar,
MD, Michael J. Mack, MD, Vinod H. Thourani, MD, Susheel
K. Kodali, MD, Martin B. Leon, MD, D. Craig Miller, MD
variability in mortality was present and similar for
SAVR and TAVR in the PARTNER-2A trial, but greater for
stroke in the SAVR group. Intrasite occurrence of these
events was similar.
Variability matters—lessons for quality and health
B. Hawkins, MD, MSc, J. Hunter Mehaffey, MD, MSc
Considerable variability in
mortality after TAVR is in part driven by the
inverse volume−mortality relationship. Health
policy should address this issue using clinical
data to improve quality.
Atkins, MD, Michael J. Reardon, MD
Variability is constant in medicine.
Understanding the sources and levels of variability
is important to understanding and interpreting
reoperative valve surgery for endocarditis associated
with drug use
Makoto Mori, MD, Syed Usman Bin
Mahmood, MBBS, Asher J. Schranz, MD, Ibrahim Sultan,
MD, Andrea L. Axtell, MD, Nadeen Sarsour, MD, William
Hiesinger, MD, Marko T. Boskovski, MD, MPH, Sameer
Hirji, MD, Tsuyoshi Kaneko, MD, Joseph Woo, MD, Paul
Tang, MD, Arminder S. Jassar, MBBS, Pavan Atluri, MD,
Bryan A. Whitson, MD, PhD, Thomas Gleason, MD, Arnar
with first-time valve surgery, redo valve surgery in
patients with drug-associated endocarditis has twice
the risk of mortality, despite these patients being
young and relatively healthy.
How many times are enough? Infective endocarditis in
Mohammadi, MD, FRCSC, Dimitri Kalavrouziotis, MD,
Reoperations can be performed safely
for drug-related endocarditis. Prognosis in these
young patients may be influenced more by concerted
rehabilitation programs than by progress in
When is repeated cardiac valve surgery justified during
drug-associated infective endocarditis?
Mennander, MD, PhD
Repeated cardiac valve surgery for
drug-associated infective endocarditis adheres to
persistent follow-up and adjuvant treatment.
ventricular dysfunction in potential heart donors and its
influence on recipient outcomes
Jonatan Oras, MD, PhD, Rana Doueh,
MD, Erik Norberg, MD, Björn Redfors, MD, PhD, Elmir
Omerovic, MD, PhD, Göran Dellgren, MD, PhD
hearts with left ventricular dysfunction were safely
transplanted in this study. Systematic use of such
hearts have the potential to significantly increase
Fixing broken hearts—A supply-side proposition
C. Cleveland Jr., MD
Donor hearts with transient,
reversible left ventricular dysfunction can be
transplanted with acceptable outcomes.
To use or not to use? This is the question
D. Barac, MD, PhD
Left ventricular dysfunction in
cardiac donors may be transient, and these organs
should therefore be considered for transplantation.
predictors of new-onset prolonged atrial fibrillation
after surgical aortic valve replacement
Andrea L. Axtell, MD, MPH,
Philicia Moonsamy, MD, Serguei Melnitchouk, MD, MPH,
George Tolis, MD, Arminder S. Jassar, MD, David A.
D'Alessandro, MD, Mauricio A. Villavicencio, MD, MBA,
Duke E. Cameron, MD, Thoralf M. Sundt III, MD
age and left atrial enlargement identify a stratum of
patients at high risk of developing prolonged
postoperative atrial fibrillation after SAVR.
Atrial fibrillation after aortic valve replacement:
Predict, prevent, protect
Gillinov, MD, Edward G. Soltesz, MD, MPH
Prolonged postoperative atrial
fibrillation can be predicted after surgical aortic
valve replacement. This can be used to inform
patient selection for trials of preventive
Postoperative atrial fibrillation can last years? Oh
Yanagawa, MD, PhD, Niv Ad, MD, Mario F. Gaudino, MD
Postoperative atrial fibrillation
may beget long-term risk of atrial fibrillation.