Cardiac Surgery

Cardiothoracic surgery includes coronary artery bypass surgery (CABG), heart valve repair or replacement, left ventricular assist device (LVAD) placement, heart transplant, assisting in minimally invasive transcatheter valve structural heart procedures such as TAVR, left atrial appendage (LAA) occlusion, septal myectomy, surgical ablation for arrhythmias, and reconstruction of the heart in congenial heart disease cases. 

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With advances and increased experience in the percutaneous coronary intervention (PCI), same-day discharge (SDD) has become increasingly commonplace, but patient selection is key. Antithrombotic therapy may not be necessary for certain transcatheter aortic valve replacement (TAVR) patients, according to a new analysis published in JACC: Cardiovascular Interventions.

Surgery still more common than TMVR among AMI patients, but the gap is shrinking

The study's authors emphasized how important it is for clinicians to work together to determine the best treatment strategy. 

June 10, 2021
New research presented at the 103rd Annual Meeting of the American Association for Thoracic Surgery examined the lack of diversity seen among this important specialty. 

LAAO during cardiac surgery helps AFib patients reduce stroke risk

AFib patients undergoing cardiac surgery may benefit from concomitant LAAO, according to a new study in the New England Journal of Medicine.

June 3, 2021
Large peridevice leaks after left atrial appendage occlusion (LAAO) are incredibly rare and not associated with a greater risk of adverse outcomes, according to new research published in JACC: Clinical Electrophysiology.[1] Smaller residual links are more common, however, and associated with a risk of thromboembolic and bleeding events.

TAVR or surgery? Cardiologists say better communication would boost care for patients with structural heart disease

“This survey gives the cardiology community clearer insights into how to enhance the conversations we are already having and align on patient priorities," one specialist said. 

May 20, 2021
While a vast majority of heart transplants in the United States are successful, unplanned hospitalizations after the procedures are still incredibly common. Top 10 reasons for readmission after heart transplant.

LAAO significantly lowers the risk of stroke after surgery among heart rhythm patients

“This is a procedure that’s done once, and it keeps giving a benefit over time,” one researcher said. “This is going to prevent thousands of strokes.”

May 17, 2021
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Children face long-term hypertension risk after surgery for congenital heart disease

Researchers emphasized the importance of these findings, noting that hypertension can lead to significant cardiovascular complications.

May 5, 2021

Skip the catheterization? AI uses imaging data to ID coronary plaque blockages that require surgery

The team's AI-based fractional flow reserve calculations achieved a strong area under the curve, sensitivity and specificity. 

April 21, 2021

TAVR comparable to surgery for patients with rheumatic aortic stenosis

The new analysis, published in the Journal of the American College of Cardiology, included findings from more than 1,000 Medicare patients with rheumatic aortic stenosis.

April 7, 2021
The American College of Cardiology and American Heart Association have collaborated on a new update to the much-discussed 2021 chest pain guidelines. The American College of Emergency Physicians and Society for Cardiac Angiography and Interventions also contributed to the document.

TAVR outperforms surgery for low-risk patients after 2 years—but the gap may be shrinking

After two years, TAVR was still linked to a reduction in the study’s primary endpoint, but it was also associated with a greater risk of valve thrombosis.

March 2, 2021
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