Preserving the valve during reoperative aortic root surgery: unacceptable risk or opportunity in selected patients?
Valve-sparing root replacement in the reoperative setting remains a debated strategy. This study evaluates whether valve-sparing aortic root replacement can be performed safely and with acceptable durability in patients requiring resternotomy.
The future of minimally invasive aortic valve replacement: ministernotomy, minithoracotomy, or totally endoscopic approach?
This systematic review and network meta-analysis compares three minimally invasive techniques for surgical aortic valve replacement: ministernotomy (MS), minithoracotomy (MT), and a totally endoscopic approach (TT).
Repair more to live better: long-term outcomes after total arch replacement for acute type A aortic dissection
This single-center retrospective study including more than 1600 patients evaluates long-term outcomes after total arch replacement combined with frozen elephant trunk implantation in the setting of acute type A aortic dissection.
Intentional fracture of surgical bioprostheses in valve-in-valve TAVI: a real solution to prosthesis–patient mismatch?
Systematic review of the literature exploring the efficacy and safety of intentional fracture of bioprosthetic valves as a tool to improve hemodynamics during valve-in-valve implantation using TAVI.
Go with the flow: initial reperfusion strategy in acute type A aortic dissection with mesenteric malperfusion
Mesenteric malperfusion in the setting of acute type A aortic dissection remains one of the most formidable challenges in urgent and emergent aortic surgery. This article reviews an initial reperfusion strategy supported by recent clinical and radiological evidence, with direct implications for surgical decision-making.
Vasoplegic syndrome after cardiac surgery: what do we know?
A review published in the Journal of the American College of Cardiology (JACC) addresses vasoplegic syndrome associated with cardiac surgery performed with cardiopulmonary bypass (CPB).
TEVAR beyond instructions for use: how far can we stretch the limits without paying the price?
A multicentre retrospective study analysing long-term outcomes after endovascular treatment of thoracic aortic aneurysms, comparing procedures performed within and outside device instructions for use, with particular focus on survival and the need for reintervention.
Gait speed, albumin and strength: can we simplify frailty assessment in cardiac surgery?
Study conducted in Japan analyzing the development and validation of a simplified tool for frailty assessment in older patients undergoing cardiac surgery.
