Revascularization using three in situ arterial grafts. Is this a durable strategy in OPCAB?
This retrospective study evaluates long-term outcomes in patients undergoing off-pump coronary artery bypass grafting (OPCAB) using exclusively three in situ arterial conduits: bilateral internal thoracic arteries (BITA) and the right gastroepiploic artery (rGEA), all harvested using a skeletonization technique.
Should the left atrial appendage be closed during mitral repair in patients without atrial fibrillation?
This study analyzes a large US national registry to evaluate whether concomitant left atrial appendage (LAA) closure during isolated mitral valve repair in patients without atrial fibrillation (AF) is associated with better long-term outcomes, specifically thromboembolic events and mortality, comparing patients who underwent LAA closure with those who did not.
Atrial functional mitral regurgitation: surgical techniques and outcomes from the Mini Mitral International Registry
Multicentre observational registry providing descriptive data and exploratory analyses on surgical techniques and early outcomes in patients with atrial functional mitral regurgitation undergoing minimally invasive mitral surgery.
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.
