Publications by authors named "Oz Shapira"

Background: We assessed volume-outcome relationships of resternotomy coronary artery bypass grafting (CABG).

Methods: We studied 1,362,218 first-time CABG and 93,985 resternotomy CABG patients reported to The Society of Thoracic Surgeons Adult Cardiac Surgery Database between 2010 and 2019. Primary outcomes were in-hospital mortality and mortality and morbidity (M&M) rates calculated per hospital and per surgeon.

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Article Synopsis
  • The 2016 MiECTiS position paper encouraged collaboration among cardiac surgeons, anesthesiologists, and perfusionists to establish a common language and framework for minimal invasive perfusion technologies.
  • Recent consensus updates confirm that modular minimal invasive extracorporeal circulation (MiECC) is a safe and effective technique for adult cardiac surgeries, enhancing biocompatibility and ensuring patient safety.
  • The MiECTiS supports MiECC as a multidisciplinary approach that significantly benefits patient care, urging its broader adoption to improve healthcare outcomes.
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Background: We sought to quantify the risk trend of resternotomy coronary artery bypass grafting (CABG) over the past 2 decades.

Methods: We compared the outcomes of 194 804 consecutive resternotomy CABG patients and 1 445 894 randomly selected first-time CABG patients (50% of total) reported to The Society of Thoracic Surgeons Adult Cardiac Surgery Database between 1999 and 2018. Primary outcomes were in-hospital mortality and overall morbidity.

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Article Synopsis
  • The study confirmed that the Society of Thoracic Surgeons predicted risk of mortality score (PROM) is effective in predicting long-term survival in Israeli cardiac surgery patients, building on prior findings for 30-day mortality.
  • Data from 1279 patients was analyzed over a follow-up period averaging 62 months, revealing that higher PROM scores were linked to significantly reduced survival rates.
  • Key factors influencing long-term mortality included advanced age, lower heart function (ejection fraction), need for reoperations, and health conditions like diabetes and kidney dialysis, indicating PROM's utility in surgical decision-making.
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Objective: Our multidisciplinary cardiac tumor team now has an experience of operating on 122 cases of primary cardiac sarcoma over a 23-year period. The purpose of this study is to present our short- and long-term outcomes for cardiac sarcoma.

Methods: We performed a retrospective review of a prospectively collected Institutional Review Board-approved cardiac tumor database for cardiac sarcoma.

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Background: The role of sub lobar resection (SLR; either segmentectomy or wedge resection) vs lobectomy (LBCT) for invasive clinical stage T1N0 non-small-cell-lung-cancer (NSCLC) has not been fully established yet.

Aim: We aimed to characterize the preoperative parameters leading to selecting SLR and compare the overall survival (OS) and disease-free survival (DFS) of these two surgical approaches.

Methods: Clinical data on 162 patients (LBCT-107; SLR-55) were prospectively entered in our departmental database.

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This report describes the case of a 43-year-old woman with a right-sided cardiac calcifying fibrous pseudotumor who presented with embolic stroke. This rare clinicopathologic entity should be included in the differential diagnosis of cardiac masses. Tissue diagnosis should be pursued.

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Objective: Various methods for cardiothoracic, cardiovascular, and cardiac surgical training exist across the globe, with the common goal of producing safe, independent surgeons. A comparative analysis of international training paradigms has not been undertaken, and our goal in doing so was to offer insights into how to best prepare future trainees and ensure the health of our specialty.

Methods: We performed a comparative analysis of available publications offering detailed descriptions of various cardiothoracic, cardiovascular, and cardiac surgical training paradigms.

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Purpose: Primary sarcoma of the heart is a rare but devastating tumor. Median survival with conventional treatment is 8-12 months. When resection is not feasible, patients often succumb to heart failure secondary to obstruction of blood flow, valve dysfunction, chamber compression or conduction abnormalities.

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Background: Recently, Israel established the first national-level adult cardiac surgery database, which was linked to the Society of Thoracic Surgeons (STS).

Objectives: To validate and compare the STS predicted risk of mortality (PROM) to logistic EuroSCORE I (LESI) and EuroSCORE II (ESII) in Israeli patients undergoing cardiac surgery.

Methods: We retrospectively studied 1279 consecutive patients who underwent cardiac surgeries with a calculable PROM.

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Background: The treatment of congenital heart disease patients in the West Bank and Gaza involves both medical and political challenges. Understanding the difficulties faced in treating the Palestinian population is an important step to improving surgical care, better allocating resources and overcoming the region's unique problems.

Methods: The Hadassah Medical Center congenital heart disease database over the 2011-2017 period was analyzed.

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Article Synopsis
  • This study assessed how well real-world practices align with guidelines for treating patients with multivessel coronary artery disease (CAD) in Israel using a national registry.
  • The registry included 1,064 patients, with 55% treated via percutaneous coronary intervention (PCI) and 45% via coronary artery bypass surgery (CABG), revealing important factors that influenced treatment choices.
  • Findings indicated that a higher SYNTAX score was strongly linked to CABG referral, and survival rates differed over time, with PCI patients initially faring better but CABG showing overall long-term survival benefits.
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Most surgeons will encounter only a handful of primary cardiac tumors outside of myxomas. Approximately 3 quarters of primary cardiac tumors are benign and 1 quarter is malignant. In most cases, cardiac tumors are silent but when symptoms do occur, they are primarily determined by tumor size and anatomical location, not by histopathology.

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Pericardial cyst is an uncommon clinical-pathological entity, most often a congenital condition. We describe a case of an acquired iatrogenic pericardial pseudocyst following permanent pacemaker implantation secondary to atrial myocardial perforation. Diagnosis was achieved by a plain chest film, echocardiography, and computed tomography and confirmed intraoperatively.

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