Article
Cardiac & Cardiovascular Systems
Alexander P. Nissen, Julian A. Smith, Jan Dieter Schmitto, Silvia Mariani, Rui M. S. Almeida, Jonathan Afoke, Tohru Asai, Jessica G. Y. Luc, Oz M. Shapira, Ari Mennander, Akiko Tanaka, Vasily Kaleda, Song Wan, Alexander Wick, Hermann Reichenspurner, Benjamin M. Cohn, Tom C. Nguyen
Summary: This study conducted a comparative analysis of international cardiothoracic, cardiovascular, and cardiac surgical training paradigms, identifying strengths and weaknesses in training and certification across different countries. The results indicate that current and future trainees in the field face numerous challenges that require collaboration beyond national borders.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2021)
Article
Critical Care Medicine
Oana Joean, Tobias Welte, Jens Gottlieb
Summary: Despite progress in follow-up strategies, lung transplant recipients still face high morbidity and mortality due to infection risks and chronic lung allograft dysfunction. Quick diagnosis, early treatment, and follow-up are crucial but challenging due to a wide range of pathogens and compromised immune responses in transplant recipients.
Article
Oncology
Yaqi Wang, Yuquan Pei, Chao Lv, Yuzhao Wang, Jia Wang, Dachuan Zhao, Xiang Li, Yue Yang, Anthony W. Kim, Alper Toker, Shi Yan, Nan Wu
Summary: This study confirms the safety and effectiveness of chest tube clamping in reducing chest tube duration and drainage volume after lung cancer surgery. Furthermore, it shows that the clamping group had a significant improvement in plasma albumin declination at discharge.
TRANSLATIONAL LUNG CANCER RESEARCH
(2022)
Article
Medicine, General & Internal
Guan-Yi Chen, Lan-Yuen Guo, I-Chun Chuang, Ho-Chang Kuo, Yuh-Chyn Tsai, Shih-Feng Liu
Summary: This study found that music intervention with nature sounds can have a positive physiological impact and reduce postoperative pain and anxiety in cardiothoracic surgery patients.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Erin M. Schumer, Sahar A. Saddoughi, Philip J. Spencer, Alberto Pochettino, Richard C. Daly, Mauricio A. Villavicencio
Summary: Previous cardiac surgery prior to lung transplant results in worse survival related to cardiovascular death and malignancies. Previous thoracic surgery worsens perioperative outcomes but does not affect long-term survival.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Article
Pediatrics
Tammam Hasan, Simone Bonetti, Anna Gioachin, Ambra Bulgarelli, Ylenia Bartolacelli, Luca Ragni, Gaetano D. Gargiulo, Andrea Donti
Summary: The study found that lung ultrasound (LUS) has good agreement in diagnosing pneumothorax and moderate agreement for pleural effusion and pulmonary consolidation in children with congenital heart disease after surgery. LUS also showed higher relative sensitivity for pleural effusion and pulmonary consolidation compared to chest X-ray.
Article
Surgery
Grant Wagner, Ammar Asban, Rongbing Xie, Leah Schoel, Zachary Burns, James Donahue, Benjamin Wei
Summary: Changing the standardized chest tube management protocol by implementing water seal on postoperative day 1 after video-assisted thoracic surgery (VATS) pleurodesis is associated with reduced chest tube duration and length of stay (LOS). This change is also linked to a decreased risk of patients needing to return to the operating room and requiring postoperative extended ventilatory support.
JOURNAL OF SURGICAL RESEARCH
(2023)
Article
Surgery
Daniel T. DeArmond, Lucas M. Holt, Andrew P. Wang, Kristen N. Errico, Nitin A. Das
Summary: Chest tubes in patients with pleural air leak after pulmonary resection can be painful, affect ventilatory mechanics, and increase hospital length of stay and costs. Current protocols for chest tube management lack evidence-based support and there is a need for further research in this area.
SURGICAL INNOVATION
(2022)
Article
Cardiac & Cardiovascular Systems
Heidi J. Reich, Xiaoying Lou, Alexander A. Brescia, Matthew C. Henn, J. Hunter Mehaffey, Bridget Frommel, Jason Han, James Mirocha, Taryne Imai
Summary: The survey revealed that many cardiothoracic surgical trainees either lack mentors or have less effective mentorship, with a majority reporting not having received education on mentorship. Addressing these gaps in mentorship training and delivery should be prioritized to improve the overall mentorship experience for trainees.
ANNALS OF THORACIC SURGERY
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
Espen Asak Ruud, Knut Stavem, Jonn Terje Geitung, Arne Borthne, Vidar Soyseth, Haseem Ashraf
Summary: This study analyzed predictors of pneumothorax and chest drainage after CT-guided lung biopsy, finding significant factors such as emphysema, needle time, and insertion location. The study revealed a pneumothorax rate of 39% and a chest drainage rate of 10%, with lateral body position and insertion through interlobar fissure being important predictors.
EUROPEAN RADIOLOGY
(2021)
Article
Cardiac & Cardiovascular Systems
Aaron R. Dezube, Ashley Deeb, Luis E. De Leon, Suden Kucukak, M. Blair Marshall, Michael T. Jaklitsch, Matthew M. Rochefort
Summary: This study retrospectively reviewed 200 patients undergoing lung resection and found that wedge resections had lower rates of post-pull pneumothoraces compared to segmentectomies or lobectomies, with only a small number of patients requiring intervention. Multi-variable regression analysis showed that clamp trial was the only factor associated with post-pull pneumothorax development.
ANNALS OF THORACIC SURGERY
(2022)
Article
Surgery
Anil J. Trindade, Robert D. Lentz, Whitney B. Gannon, Otis Rickman, Samira Shojaee, Katherine Vandervest, Gary W. Schwartz, Gloria Li, Anupam S. Kumar, Puneet J. Garcha, Eric B. Seeley, Yaron Gesthalter, Stephanie P. Mueller, John J. Egan, Andrew B. DeMaio, Lonny S. Yarmus, Enambir K. Josan, Jasleen T. Pannu, Max L. Wayne, Jose D. DeCardenas, Matthew Bacchetta, Fabien Maldonado
Summary: This multicenter retrospective analysis evaluated the safety and efficacy of indwelling pleural catheters (IPCs) in lung transplant recipients. The results showed that IPCs can effectively manage recurrent pleural effusions post-lung transplantation, with an infection rate comparable to other populations. Additionally, a high rate of auto-pleurodesis was observed, leading to successful removal of the IPCs without the need for surgical decortication.
CLINICAL TRANSPLANTATION
(2023)
Review
Respiratory System
Yasushi Shintani, Soichiro Funaki, Takashi Kanou, Naoko Ose, Toru Kimura, Eriko Fukui, Masato Minami, Shigeru Miyagawa
Summary: The first lung transplant was performed in 1983, and in Japan it was first accomplished in 1998. Over the next 25 years, lung transplantation has become a viable treatment option for Japanese patients with end-stage lung diseases. Advanced clinical and surgical skill sets are required to complete a lung transplant procedure, including surgical knowledge and techniques, as well as management of cardiovascular surgery. Collaboration between thoracic and cardiac surgeons is crucial for successful lung transplantation.
JOURNAL OF THORACIC DISEASE
(2023)
Article
Cardiac & Cardiovascular Systems
Miguel A. Hernandez-Hernandez, Laura Sanchez-Moreno, Pedro Orizaola, David Iturbe, Carlos Alvarez, Sonia Fernandez-Rozas, Vanesa Gonzalez-Novoa, Javier Llorca, Jose L. Hernandez, Jose L. Fernandez, Jose A. Parra
Summary: Phrenic nerve injury (PNI) is a common complication after lung transplantation, associated with surgical factors, and the main risk factors include age, bilateral lung transplantation, female gender, and technical difficulties during surgery.
JOURNAL OF HEART AND LUNG TRANSPLANTATION
(2022)
Article
Cardiac & Cardiovascular Systems
John D. Vossler, Ayman Abdul-Ghani, Peter Tsai, Paul T. Morris
Summary: The study found that outcomes of anatomic lung resection (ALR) for lung cancer were superior for cardiothoracic surgeons (CTSs) compared to general surgeons (GSs), with higher rates of preoperative dyspnea and lower risk-adjusted odds of postoperative complications.
ANNALS OF THORACIC SURGERY
(2021)
Review
Cardiac & Cardiovascular Systems
Amin Daoulah, Mohammed Abozenah, Mohammed Alshehri, Ahmad S. Hersi, Nooraldaem Yousif, Turki Al Garni, Reda Abuelatta, Wael Almahmeed, Abdulaziz Alasmari, Badr Alzahrani, Mohamed Ajaz Ghani, Haitham Amin, Shahrukh Hashmani, Niranjan Hiremath, Ahmad W. Alharbi, Hameedullah M. Kazim, Wael Refaat, Ehab Selim, Ziad Dahdouh, Jairam Aithal, Ahmed M. Ibrahim, Abdelmaksoud Elganady, Mohammed A. Qutub, Mohamed N. Alama, Abdulwali Abohasan, Taher Hassan, Mohammed Balghith, Adnan Fathey Hussien, Ibrahim A. M. Abdulhabeeb, Osama Ahmad, Mohamed Ramadan, Abdulrahman H. Alqahtaniv, Fatima Ali Ahmed, Wael Qenawi, Ahmed Shawky, Ahmed A. Ghonim, Ahmed Jamjoom, Osama EI-Sayed, Ahmed Elmahrouk, Amr Elfarnawany, Nezar Essam Elsheikh-Mohamed, Bader K. Abumelha, Abeer M. Shawky, Amr A. Arafat, Maryam Jameel Naser, Youssef Elmahrouk, Sameer Alhamid, Amir Lotfi
Summary: This study analyzed the relationship between coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) in the revascularization of left main coronary artery (LMCA) disease, as well as the co-existing non-coronary atherosclerosis (NCA). The results showed that PCI had better clinical outcomes in terms of major adverse cardiovascular and cerebrovascular events (MACCE) and bleeding in patients with NCA compared to CABG. However, no significant difference was observed in patients without NCA.
CURRENT PROBLEMS IN CARDIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Amr A. Arafat, Mohammed AlBarrak, Musab Kiddo, Khaled Alotaibi, Huda H. Ismail, Adam Adam, Mohamed A. Aboughanima, Monirah A. Albabtain, Tarek M. Tantawy, Claudio Pragliola
Summary: This study compared the outcomes of ECMO support in patients with mechanical versus bioprosthetic valves after cardiac surgery. The results showed no significant differences between the two groups in terms of ECMO duration, inotropic support, intra-aortic balloon pump, stroke, duration of ICU and hospital stay. Thrombosis can occur in both valve types and is associated with high mortality. The long-term durability of bioprosthetic valves may be affected by ECMO.
Article
Cardiac & Cardiovascular Systems
Fausto Biancari, Alexander Kaserer, Andrea Perrotti, Vito G. Ruggieri, Sung-Min Cho, Jin Kook Kang, Magnus Dalen, Henryk Welp, Kristjan Jonsson, Sigurdur Ragnarsson, Francisco J. Hernandez Perez, Giuseppe Gatti, Khalid Alkhamees, Antonio Loforte, Andrea Lechiancole, Stefano Rosato, Cristiano Spadaccio, Matteo Pettinari, Giovanni Mariscalco, Timo Makikallio, Sebastian D. Sahli, Camilla L'Acqua, Amr A. Arafat, Monirah A. Albabtain, Mohammed M. AlBarak, Mohamed Laimoud, Ilija Djordjevic, Ihor Krasivskyi, Robertas Samalavicius, Lina Puodziukaite, Marta Alonso-Fernandez-Gatta, Donat R. Spahn, Antonio Fiore
Summary: This study evaluated the association between pre-V-A-ECMO arterial lactate level and in-hospital mortality in postcardiotomy patients. The results showed that increased arterial lactate level before V-A-ECMO initiation was associated with higher in-hospital mortality. Therefore, arterial lactate level may be useful in guiding the decision-making process and timing of initiation of postcardiotomy V-A-ECMO.
Article
Cardiac & Cardiovascular Systems
Hanan R. AbuHassan, Amr A. Arafat, Monirah A. Albabtain, Abdullah H. Alwadai, Khaled M. AlArwan, Amira A. Ali, Sadia Rasheed, Nida B. Babikr, Shawana F. Shaikh
Summary: This study compared the outcomes of postcardiotomy extracorporeal membrane oxygenation (ECMO) initiation in the operating room (OR) or the pediatric cardiac intensive care unit (PCICU). The results showed that ECMO insertion in the OR had a comparable mortality rate to insertion in the PCICU. Pre-ECMO low pH and high lactate during ECMO were associated with mortality.
Article
Radiology, Nuclear Medicine & Medical Imaging
Turki B. Albacker, Abdulaziz M. Alhothali, Majid Alhomeidan, Amr A. Arafat, Khaled D. Algarni, Ahmed Eldemerdash, Bakir Bakir
Summary: This retrospective case-control study analyzed 405 patients who underwent primary isolated coronary artery bypass grafting. The study found that the only significant predictor of postoperative stroke was a history of preoperative stroke or transient ischemic attack. However, further prospective studies are needed to investigate the role of computed tomography in preventing postoperative stroke.
QUANTITATIVE IMAGING IN MEDICINE AND SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Haneen Alghosoon, Amr A. Arafat, Monirah A. Albabtain, Faisal F. Alsubaie, Abdulaziz S. Alangari
Summary: This study evaluated the incidence, short-term and long-term outcomes of postoperative atrial fibrillation (PoAF) in patients who underwent mitral valve surgery. The overall incidence of PoAF was 16.8%, and it was associated with higher mortality, stroke, and dialysis rates. ICU and hospital stays were significantly longer in patients with PoAF. PoAF was also significantly associated with increased risk of mortality, heart failure rehospitalization, and stroke.
JOURNAL OF CARDIOVASCULAR DEVELOPMENT AND DISEASE
(2023)
Article
Cardiac & Cardiovascular Systems
Monirah Abdulrahman Albabtain, Zaid Dakheel Alanazi, Nawaf Hamoud Al-Mutairi, Ola Alyafi, Raneem Albanyan, Amr A. Arafat
Summary: This retrospective study compared the use of rivaroxaban and warfarin in atrial fibrillation patients with moderate and severe chronic kidney disease (CKD). The findings suggest that warfarin may be safer than rivaroxaban in patients with CKD, as it had fewer bleeding complications and similar stroke rates.
Article
Physiology
Amin Daoulah, Rasha Taha Baqais, Alwaleed Aljohar, Abdulkarim Alhassoun, Ahmad S. Hersi, Wael Almahmeed, Nooraldaem Yousif, Abdulaziz Alasmari, Mohammed Alshehri, Fakhreldein Eltaieb, Badr Alzahrani, Ahmed Elmahrouk, Amr A. Arafat, Ahmed Jamjoom, Khalid Z. Alshali, Reda Abuelatta, Waleed A. Ahmed, Abdulrahman H. Alqahtani, Turki Al Garni, Shahrukh Hashmani, Ziad Dahdouh, Wael Refaat, Hameedullah M. Kazim, Mohamed Ajaz Ghani, Haitham Amin, Niranjan Hiremath, Youssef Elmahrouk, Ehab Selim, Jairam Aithal, Mohammed A. Qutub, Mohamed N. Alama, Ahmed M. Ibrahim, Abdelmaksoud Elganady, Abdulwali Abohasan, Farhan M. Asrar, Tarek Farghali, Maryam Jameel Naser, Taher Hassan, Mohammed Balghith, Adnan Fathey Hussien, Ibrahim A. M. Abdulhabeeb, Osama Ahmad, Mohamed Ramadan, Ahmed A. Ghonim, Abeer M. Shawky, Husam A. Noor, Ejazul Haq, Abdulrahman M. Alqahtani, Faisal Al Samadi, Seraj Abualnaja, Mushira Khan, Sameer Alhamid, Amir Lotfi
Summary: This study compared the outcomes of PCI and CABG in patients with impaired and normal renal function. The results showed that PCI had a lower risk of in-hospital MACCE in patients with impaired renal function, but there were no significant differences in follow-up MACCE between PCI and CABG.
KIDNEY & BLOOD PRESSURE RESEARCH
(2023)
Article
Cardiac & Cardiovascular Systems
Amr A. Arafat, Sultan Alamro, Maha M. AlRasheed, Adam I. Adam, Huda Ismail, Claudio Pragliola, Monirah A. Albabtain
Summary: This study applied machine learning methods to predict operative mortality after tricuspid valve surgery and compared them to EuroSCORE. The results showed that the machine learning models had better predictive ability than the traditional risk-scoring method, suggesting the incorporation of machine learning in cardiac surgery risk scoring.
CARDIOTHORACIC SURGEON
(2023)
Article
Cardiac & Cardiovascular Systems
Monirah A. Albabtain, Zaid Alanazi, Nawaf Al Mutairi, Yahya Al Hebaishi, Ola Alya, Haneen Alghasoon, Amr A. Arafat
Summary: This study aimed to evaluate the effect of obesity on anticoagulation outcomes and survival in non-valvular atrial fibrillation (AF) patients. The results showed that obesity was not associated with anticoagulation treatment, stroke, or bleeding. However, predictors of mortality were age, heart failure, creatinine clearance, and the type of anticoagulation treatment. Larger randomized trials are recommended.
JOURNAL OF THE SAUDI HEART ASSOCIATION
(2023)
Article
Cardiac & Cardiovascular Systems
Turki B. Albacker, Amr A. Arafat, Abdulaziz M. Alotaibi, Haneen Alghosoon, Khalid D. Algarni
Summary: This study compared the composite outcome of tricuspid valve reintervention or heart failure readmission between patients who underwent tricuspid valve replacement with tissue valves and mechanical valves. The results showed that the composite outcome rate was higher in the mechanical valve group, mainly due to a higher rate of reintervention.
ANNALS OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Monirah A. Albabtain, Amr A. Arafat, Haneen Alghasoon, Wiam Abdelsalam, Abdulrahman Almoghairi, Mohammad Alotaiby
Summary: The study evaluated the predictive value of the HAS-BLED score for in-hospital bleeding and mortality after transcatheter aortic valve replacement (TAVR) in a retrospective analysis of 574 patients. The results showed that the HAS-BLED score could be a good predictor of in-hospital mortality after TAVR but had a poor predictive value for bleeding. However, the predictive value for bleeding improved when procedure-specific factors were added and when a creatinine clearance-based definition of renal impairment was used.
BRAZILIAN JOURNAL OF CARDIOVASCULAR SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Amr A. Arafat, Ashraf I. Zahra, Abdulaziz Alhossan, Haneen Alghosoon, Mohammad Alotaiby, Monirah A. Albabtain, Adam I. Adam, Khaled D. Algarni
Summary: This study compared the outcomes of repeat transcatheter mitral valve replacement (rTMVR) with surgical mitral valve replacement (rSMVR) in high-risk patients. The results showed that rTMVR resulted in shorter ICU and hospital stays but had a higher risk of reoperation. rTMVR can be considered as an option in selected high-risk patients.
BRAZILIAN JOURNAL OF CARDIOVASCULAR SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Abdulmalik A. A. Almedimigh, Monirah A. A. Albabtain, Latifa A. A. Alfayez, Faisal F. F. Alsubaie, Abdulrahman Almoghairi, Mohammad Alotaiby, Abdullah Alkhushail, Huda Ismail, Claudio Pragliola, Adam I. I. Adam, Amr A. A. Arafat
Summary: This study compared the hospital and long-term outcomes of transcatheter vs. surgical aortic valve replacement. TAVR patients were older and had higher risk scores and more comorbidities than SAVR patients. TAVR reduced postoperative atrial fibrillation and hospital stay, but SAVR had better long-term survival benefits.
CARDIOTHORACIC SURGEON
(2023)
Article
Medicine, Research & Experimental
Ahmed F. Elmahrouk, Mohammad S. Shihata, Osman O. AL-Radi, Amr A. Arafat, Musleh Altowaity, Bayan A. Alshaikh, Mohamed N. Galal, Abdulbadee A. Bogis, Haneen Y. Al Omar, Wesal J. Assiri, Ahmed A. Jamjoom
Summary: This study compares the effectiveness of Custadiol and blood-based cardioplegia in protecting myocardium in pediatric cardiac surgery, and finds no significant difference between the two in the primary outcome measures.
EUROPEAN JOURNAL OF MEDICAL RESEARCH
(2023)