Article
Cardiac & Cardiovascular Systems
Jan Gofus, Petr Fila, Martin Vobornik, Jiri Ondrasek, Petr Nemec, Jan Sterba, Eva Cermakova, Martin Tuna, Jan Vojacek
Summary: This study compared the prevalence and outcomes of unicuspid aortic valve (UAV) with bicuspid (BAV) and tricuspid valve (TAV) in patients undergoing the Ross procedure. The results showed that the risks of midterm autograft reoperation and the onset of aortic regurgitation were similar among the groups, indicating that UAV patients can still be considered for the Ross procedure.
ANNALS OF THORACIC SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Amine Mazine, Tirone E. David, Klaudiusz Stoklosa, Jennifer Chung, Myriam Lafreniere-Roula, Maral Ouzounian
Summary: This study compares the long-term outcomes of the Ross procedure and bioprosthetic AVR in young and middle-aged adult patients. The results showed that the Ross procedure had better survival rates and lower rates of adverse valve-related events compared to bioprosthetic AVR. The Ross procedure should be considered as the primary option for young and middle-aged adults undergoing AVR in specialized centers with sufficient expertise.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2022)
Article
Cardiac & Cardiovascular Systems
Lars G. Svensson, Brad F. Rosinski, Kyle Miletic, Kevin Hodges, Jeevanantham Rajeswaran, Brian Griffin, Milind Y. Desai, Vidyasagar Kalahasti, Zackary Goff, Douglas R. Johnston, Patrick R. Vargo, Eric E. Roselli, Eugene H. Blackstone
Summary: The objective of this study was to investigate the impact of sinutubular junction stabilization on the long-term outcomes of bicuspid aortic valve repair. The results showed that adding ascending aorta replacement to bicuspid aortic valve repair had minimal effects on severe aortic regurgitation and aortic valve gradient after 10 years.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Vaughn A. Starnes, Ramsey S. Elsayed, Robbin G. Cohen, Anna P. Olds, Markian M. Bojko, Wendy J. Mack, Raffaello M. Cutri, Hans C. Baertsch, Craig J. Baker, S. Ram Kumar, Michael E. Bowdish
Summary: This study compared outcomes of wrapped versus unwrapped techniques in adults with bicuspid aortic valves undergoing the Ross procedure. It found that in adults with bicuspid aortic valves, including pulmonary autografts in the Ross procedure stabilizes the aortic root and reduces the need for reoperation.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
T. Generali, K. Jansen, R. Steedman, F. De Rita, G. Vigano, D. McParlin, A. Hermuzi, D. Crossland, J. O'Sullivan, L. Coats, A. Hasan, M. S. Nassar
Summary: This study presents 20 years of experience with the Ross procedure and its sequential modifications in a single-center setting. The results demonstrate that the contemporary modified Ross procedure continues to deliver excellent outcomes, making it a suitable strategy for children and young adults requiring aortic valve replacement.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Paul Stelzer, Javier Mejia, Elbert Eugene Williams
Summary: Reoperations after a Ross procedure can be challenging but can be done with a high degree of safety and long-term benefit in experienced hands, with a survival rate of 82.3% at ten years and 77.5% at fifteen years.
ANNALS OF CARDIOTHORACIC SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Flavien Vincent, Julien Ternacle, Tom Denimal, Mylene Shen, Bjorn Redfors, Cedric Delhaye, Matheus Simonato, Nicolas Debry, Basile Verdier, Bahira Shahim, Thibault Pamart, Hugues Spillemaeker, Guillaume Schurtz, Francois Pontana, Vinod H. Thourani, Philippe Pibarot, Eric Van Belle
Summary: TAVR is rapidly expanding its indications, but faces technical challenges and knowledge gaps when dealing with patients with bicuspid aortic valve (BAV). Physicians need to understand the BAV anatomy and TAVR procedure planning comprehensively to guide treatment decisions.
Article
Cardiac & Cardiovascular Systems
Paul Stelzer, Javier Mejia, Robin Varghese
Summary: The risk of the Ross procedure is still under debate. However, this study suggests that excellent results can be achieved with the Ross procedure despite broader indications that include patients with previous sternotomy and with the need for concomitant procedures.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Alexandru C. Visan, Tommaso Generali, Iain McPherson, Katrijn Jansen, Justyna Rybicka, Fabrizio De Rita, Antony Hermuzi, David S. Crossland, Mahmoud Salem, Louise Coats, Asif Hasan, Mohamed S. Nassar
Summary: This study aimed to evaluate whether Ross procedure as a second or subsequent intervention for aortic valve disease carries similar risk and long-term benefit compared to Ross procedure for the first-time aortic valve replacement. The results showed a lower incidence of pulmonary autograft failure in secondary Ross, with no difference in survival between primary and secondary Ross. This indicates the superiority of Ross procedure in the adult population.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Iuliana Coti, Paul Werner, Alexandra Kaider, Markus Mach, Alfred Kocher, Guenther Laufer, Martin Andreas
Summary: This study analyzed the outcomes of surgical aortic valve replacement with a rapid-deployment bioprosthesis in patients with a bicuspid aortic valve. While the long-term survival rate was good, there was a risk of moderate-to-severe paravalvular regurgitation, and a different surgical approach is recommended.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Ismail El-Hamamsy, Nana Toyoda, Shinobu Itagaki, Paul Stelzer, Robin Varghese, Elbert E. Williams, Natalia Egorova, David H. Adams
Summary: In young adults, the Ross procedure is associated with better long-term survival and lower risk of valve-related complications compared to prosthetic valve replacement.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2022)
Article
Cardiac & Cardiovascular Systems
Amine Mazine, Ismail El-Hamamsy
Summary: The Ross procedure is considered the best surgical option for treating aortic regurgitation in young patients, although there is debate surrounding its effectiveness. With proper technical refinements and postoperative blood pressure control, excellent results can be achieved in this challenging patient population.
ANNALS OF CARDIOTHORACIC SURGERY
(2021)
Review
Cardiac & Cardiovascular Systems
Yujiro Yokoyama, Toshiki Kuno, Nana Toyoda, Tomohiro Fujisaki, Hisato Takagi, Shinobu Itagaki, Michael Ibrahim, Maral Ouzounian, Ismail El-Hamamsy, Shinichi Fukuhara
Summary: This study compared the outcomes of the Ross operation with mechanical and bioprosthetic aortic valve replacement. The Ross procedure showed better long-term outcomes in terms of all-cause mortality, reintervention rate, major bleeding rate, long-term stroke rate, and endocarditis rate compared with mechanical and bioprosthetic aortic valve replacement. These results emphasize the need to increase awareness of the Ross procedure and reconsider current guidelines for valve substitutes in young and middle-aged patients.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2023)
Article
Cardiac & Cardiovascular Systems
Jack C. Luxford, Julian G. Ayer, Kim Betts, Gananjay G. Salve, Yishay Orr, Richard B. Chard, Philip Roberts, Gary F. Sholler, David S. Winlaw
Summary: The objective of this study was to evaluate the early and midterm outcomes of the Ross/Ross-Konno procedure in infants with severe aortic valve disease. The results showed that the procedure had a low mortality rate and achieved a stable left ventricular outflow tract. However, early morbidity was influenced by the preoperative condition of the patients. This surgery can be considered as an effective treatment approach for infants with aortic valve disease.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Alison M. Pouch, Prakash A. Patel, Nimesh D. Desai, Natalie Yushkevich, Michael Goodwin, Eric K. Lai, Albert T. Cheung, Patrick Moeller, Stuart J. Weiss, Joseph H. Gorman, Joseph E. Bavaria, Robert C. Gorman
Summary: This study presents an image analysis method for assessing dynamic 3-dimensional changes in the aortic root of patients with minimally calcified bicuspid aortic valves (BAVs), with and without moderate to severe aortic regurgitation. The results indicate significant differences in the dynamics of aortic root between BAVs with regurgitation and physiologically normal tricuspid aortic valves (TAVs), which may have implications for future risks such as dilatation, dissection, or rupture.
ANNALS OF THORACIC SURGERY
(2021)
Letter
Cardiac & Cardiovascular Systems
Rochelle Wynne, Caleb Ferguson
Article
Critical Care Medicine
Annabel Levido, Paul Fulbrook, Michelle Barakat-Johnson, Jill Campbell, Lori Delaney, Sharon Latimer, Rachel M. Walker, Rochelle Wynne, Anna Doubrovsky, Fiona Coyer
Summary: This study aimed to explore the nature and extent of pressure injury (PI) prevention practices in Australian adult intensive care units (ICUs). A multicentre, cross-sectional study was conducted via telephone interviews and a structured survey instrument. The results showed that PI was considered problematic in most ICUs, and a variety of prevention strategies were used across different ICUs, with some variations based on geographical location.
AUSTRALIAN CRITICAL CARE
(2023)
Article
Critical Care Medicine
Simone Fitzgerald, Lauren McTier, Christina Whitehead, Kristy Masters, Rochelle Wynne
Summary: The study aimed to determine whether modified Reaper Oral Mucosa Pressure Injury Scale (ROMPIS) descriptors improved the reliability of mucosal PI assessment. Results showed that the modified descriptors had better agreement compared to the original descriptors. The study also found that nurses have common knowledge and attitudes towards mucosal PI but need to strengthen their capacity for risk assessment.
AUSTRALIAN CRITICAL CARE
(2023)
Article
Cardiac & Cardiovascular Systems
Damien M. Wu, Edward Buratto, Antonia Schulz, Michael Z. L. Zhu, Yaroslav Ivanov, Shuta Ishigami, Christian P. Brizard, Igor E. Konstantinov
SEMINARS IN THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Editorial Material
Cardiac & Cardiovascular Systems
Edward Buratto, Igor E. Konstantinov
Summary: This study found that repairing bicuspid valves by opening only the well-formed commissures and debulking is different from the experiences in Melbourne. Opening the raphe is likely to cause aortic regurgitation or require the use of patch material, which may reduce the long-term durability of the repair.
ANNALS OF THORACIC SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Yaroslav Ivanov, Edward Buratto, Shuta Ishigami, Kuntal Roy Chowdhuri, Antonia Schulz, Christian P. Brizard, Igor E. Konstantinov
Summary: This study retrospectively analyzed the outcomes of patients who underwent the Kawashima operation from 1990 to 2020, with a focus on the impact of age. The results showed that the Kawashima operation has low operative risk and acceptable long-term outcomes. Performing the Kawashima operation on patients younger than 6 months does not affect survival but is associated with increased morbidity. Patients requiring atrioventricular valve repair have a significant risk of mortality, and more effective repair techniques are needed.
ANNALS OF THORACIC SURGERY
(2023)
Article
Critical Care Medicine
Rochelle Wynne, Georgia Rendell, Julie Sorrell, Lauren McTier
Summary: This study aims to explore the health literacy of critical care patients in remote areas. The results showed that patients had good support from healthcare providers and were able to manage their health, but faced challenges in self-advocacy, information appraisal, and healthcare system navigation. The findings provide guidance for addressing health disparities in this population.
AUSTRALIAN CRITICAL CARE
(2023)
Article
Cardiac & Cardiovascular Systems
Sally C. Inglis, Caleb Ferguson, Rebecca Eddington, Julee McDonagh, Chris J. Aldridge, Kimberley Bardsley, Dion Candelaria, Y. Y. Chen, Robyn A. Clark, Elizabeth Halcomb, Jeroen M. Hendriks, Louise D. Hickman, Rochelle Wynne
Summary: This Call to Action aims to provide key considerations for cardiovascular nursing in relation to climate and environmental impacts. Strategies to optimize nursing preparation, immediate response, and adaptation to climate emergencies are crucial to protect those at highest risk, including First Nations people, from potential avoidable harm.
HEART LUNG AND CIRCULATION
(2023)
Article
Nursing
Kim Usher Am, Debra Jackson, Debbie Massey, Dianne Wynaden, Julian Grant, Caryn West, Shirley McGough, Martin Hopkins, Amanda Muller, Carey Mather, Zac Byfield, Zaneta Smith, Irene Ngune, Rochelle Wynne
Summary: The study aimed to measure and describe the mental health impact of COVID-19 on Australian pre-registration nursing students. It found that more than half of the students reported mental health concerns and close to half exhibited signs of post-traumatic stress disorder. Mental health impact was influenced by students' year level and history of mental health issues.
JOURNAL OF ADVANCED NURSING
(2023)
Review
Cardiac & Cardiovascular Systems
Suzanne Fredericks, Tammy Bae, Mark Sochaniwskyj, Julie Sanders, Geraldine Martorella, Rochelle Wynne
Summary: This study aims to examine the use of social media, specifically Twitter, as a platform to promote the cardiac research initiatives for the CONNECT network. The findings suggest that Twitter is the most commonly used social media platform for promoting cardiac initiatives, with daily posts being the most frequent type of engagement.
EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING
(2023)
Review
Cardiac & Cardiovascular Systems
Stacey Matthews, Samantha Cook, Tim Clayton, Sarah Murray, Rochelle Wynne, Julie Sanders
Summary: This study aims to explore the representation of women in cardiovascular research and the factors affecting their participation. A total of 10 papers were included, which revealed that women were underrepresented in trials for heart failure, coronary disease, myocardial infarction, and arrhythmia compared to men. Barriers to participation included lack of information, trial-related procedures, perceived health status, and patient-specific factors such as travel, childcare, and cost. Patient educational intervention was found to significantly increase women's likelihood of research participation.
EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING
(2023)
Article
Cardiac & Cardiovascular Systems
Edward Buratto, Fraser Wallace, Antonia Schulz, Michael Zhu, Shuta Ishigami, Christian P. Brizard, Igor E. Konstantinov
Summary: A study found that delaying the Ross procedure until later in childhood can improve outcomes. The results showed that infants who underwent the procedure had a higher early mortality rate, while children over 10 years old had fewer reoperations after the surgery.
HEART LUNG AND CIRCULATION
(2023)
Article
Cardiac & Cardiovascular Systems
Yaroslav Ivanov, Edward Buratto, Igor E. Konstantinov, Michel Clifford, Christian P. Brizard, Stephen Horton
Summary: This case report describes a patient with peripheral cervical VA-ECMO complicated by evolving right cerebral ischemia, which was successfully rescued by rapid conversion to central VA-ECMO support. Notably, the patient had a complete circle of Willis. Following conversion, complete resolution of neurological symptoms and full functional recovery were observed.
Article
Pharmacology & Pharmacy
Fahad Shaikh, Rochelle Wynne, Ronald L. Castelino, Sally C. Inglis, Patricia M. Davidson, Caleb Ferguson
Summary: This study aimed to explore clinician practices, beliefs, and attitudes towards the use of DOACs in obese adults with AF. The findings showed that clinicians face multiple factors in decision-making, including health system factors, condition-related factors, and decision-making in the context of uncertainty. Therefore, there is an urgent need for contemporary research to improve evidence quality and guide informed shared decision-making.
INTERNATIONAL JOURNAL OF CLINICAL PHARMACY
(2023)
Article
Cardiac & Cardiovascular Systems
Vignesh Ratnaraj, Asen Ivanov, Edward Buratto, Peter Skillington
Summary: Cardio-cutaneous fistula is a rare complication of cardiac surgery, and the optimal management strategy is unclear. We present a case where a patient underwent successful surgical repair of a right ventricle-to-pulmonary artery conduit forming a cutaneous fistula. This case highlights the challenges and considerations in diagnosing and treating cardio-cutaneous fistulas.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2023)