New european guidelines on valvular heart disease 2025: the most relevant changes for surgical practice
The 2025 ESC/EACTS update redefines the boundaries between surgery and transcatheter therapy. It advocates earlier intervention in severe aortic stenosis, lowers the age threshold for TAVI to 70 years, expands the use of MitraClip to lower-risk scenarios, promotes percutaneous tricuspid treatment, and grants a new central role to advanced imaging in decision-making.
Can we afford innovation? cost-effectiveness of robotic mitral surgery in the United States
This national study compares the efficiency of robotic-assisted versus conventional mitral valve repair in the United States, stratifying centers by surgical volume and experience.
AMDS: simplifying the surgical management of complicated type a dissection
Early results of the PRESERVERE trial with the hybrid AMDS prosthesis to improve perfusion
Percutaneous versus surgical revascularization in unprotected left main coronary artery disease: does age matter?
A meta-analysis including 14 studies with a total of 24.767 patients assessed the outcomes of percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) according to age in patients with unprotected left main coronary artery (LMCA) disease.
Prophylactic left atrial appendage occlusion during coronary surgery in patients without prior atrial fibrillation: how far should we go?
This historical cohort observational study from the University of Virginia analyzed short-term outcomes in patients without preoperative atrial fibrillation who underwent concomitant prophylactic left atrial appendage closure during coronary artery bypass grafting.
The ruler or the scalpel: rethinking surgical indication in ascending aortic aneurysm dilation
A multicenter North American study assessed the utility of considering a threshold lower than 5.5 cm for surgical repair of ascending aortic aneurysms.
Hemofilter and acute kidney injury in type a dissection: better early than late
This study evaluated the role of initiating renal replacement therapy either early or at a later stage in patients who developed acute kidney injury after surgery for type A aortic dissection, focusing on mortality and postoperative complications.
Beyond the scalpel: balancing surgery and conservative management in infected thoracic vascular grafts
Prospective observational study (VASGRA) with retrospective analysis reporting the experience of a Swiss tertiary center in the management of thoracic vascular graft infections.
