Early results of geometric ring annuloplasty for bicuspid aortic valve repair during aortic aneurysm surgery.

Objectives: Geometric ring annuloplasty has shown promise during bicuspid aortic valve repair for aortic insufficiency. This study examined early outcomes of bicuspid aortic valve repair associated with proximal aortic aneurysm replacement.

Methods: From September 2017 to November, 2021, 127 patients underwent bicuspid aortic valve repair with concomitant proximal aneurysm reconstruction.

Predictors of Discharge Home Without Opioids After Cardiac Surgery: A Multicenter Analysis.

Background: Whether all patients will require an opioid prescription after cardiac surgery is unknown. We performed a multicenter analysis to identify patient predictors of not receiving an opioid prescription at the time of discharge home after cardiac surgery.

Methods: Opioid-naïve patients undergoing coronary artery bypass grafting and/or valve surgery through a sternotomy at 10 centers from January to December 2019 were identified retrospectively from a prospectively maintained data set.

Multiple-valve Repair Facilitated by Aortic Ring Annuloplasty.

Early and late outcomes of patients undergoing multiple-valve procedures are better if all valves are repaired. Aortic/mitral multiple-valve repair has been limited by an inability to repair the more complex forms of aortic valve insufficiency. With the development of aortic ring annuloplasty 90% to 95% of aortic valve insufficiency pathologies now can be repaired, which opens most aortic/mitral multiple-valve procedures to the better repair outcomes.

Establishment and Implementation of Evidence-Based Opioid Prescribing Guidelines in Cardiac Surgery.

Background: Despite the risk of new persistent opioid use after cardiac surgery, postdischarge opioid use has not been quantified and evidence-based prescribing guidelines have not been established.

Methods: Opioid-naive patients undergoing primary cardiac surgery via median sternotomy between January and December 2019 at 10 hospitals participating in a statewide collaborative were selected. Clinical data were linked to patient-reported outcomes collected at 30-day follow-up.

Rheumatic Double Valve Repair Using Two Remodeling Annuloplasty Rings.

Mitral valve repair is well developed, and it allows for successful reconstruction of selected rheumatic valve pathologies. Rheumatic aortic valve repair also has been successful, using techniques such as Nodular unfolding. Aortic ring annuloplasty is currently available, and when used in conjunction with appropriate leaflet procedures, it could promote rheumatic repair by restoring annular geometry and facilitating leaflet reconstruction.