Alternative Surgical Repair: Anomalous Left Coronary From the Pulmonary Artery Syndrome in Adulthood.

Late presentation of an anomalous left coronary artery from the pulmonary artery (ALCAPA) syndrome is uncommon because of the low survival rates past infancy. Different operative procedures have been described, often combined with coronary bypass grafting. However, none of these approaches address the difficulty in dissecting out the aortic root and infundibulum because of collateral circulation, often dense in the elderly.

Multivalvular Endocarditis: A Different Approach.

Active infective endocarditis (IE) with multivalvular involvement, the most severe form of IE, requires a demanding clinical and surgical management. Clinical guidelines describe the operative approach to multivalvular involvement as challenging with subpar postoperative outcomes. Quadruple valvular IE remains a rare clinical phenomenon, with high mortality rates and poor surgical outcomes.

The pandemic effect: The outlook of lung transplantation.

Lung transplant (LT) is a life-saving treatment for patients with end-stage lung disease. In the setting of COVID-19-associated acute respiratory distress syndrome (ARDS), LT emerged as a therapeutic option for select cases. It is challenging to determine the extent of the knowledge and interest the United States (US) general population has on LT as salvage therapy during and following the COVID-19 pandemic.

Bariatric surgery is associated with reduced admission for aortic dissection: a nationwide case-control analysis.

Background: Aortic dissection (AD) is an uncommon but life-threatening condition associated with high morbidity and mortality. Hypertension (HTN) and hyperlipidemia (HLD) are common modifiable risk factors.

Objectives: Since bariatric surgery is associated with remission of obesity-related co-morbidities, we hypothesize that surgical weight loss might be protective against this feared aortic pathology.