Cardiac surgery 2015 reviewed.

Clin Res Cardiol

Department of Cardiothoracic Surgery, Friedrich-Schiller-University of Jena, Erlanger Allee 101, 07747, Jena, Germany.

Published: October 2016

AI Article Synopsis

  • In 2015, nearly 19,000 references on "cardiac surgery" were found in PubMed, indicating a rich ongoing dialogue in the field, especially regarding the intersection of traditional and modern techniques.
  • Coronary artery bypass grafting (CABG) continues to be the standard for treating complex triple-vessel disease, while new studies reveal that transcatheter aortic valve implantation (TAVI) offers similar to better outcomes compared to conventional methods at varying risk levels.
  • The article reviews key findings in coronary revascularization, valve disease treatment, heart failure interventions, and aortic surgery, aiming to provide a concise and useful summary for informed decision-making in cardiac surgery.

Article Abstract

For the year 2015, almost 19,000 published references can be found in PubMed when entering the search term "cardiac surgery". The last year has been again characterized by lively discussions in the fields where classic cardiac surgery and modern interventional techniques overlap. Lacking evidence in the field of coronary revascularization with either percutaneous coronary intervention or bypass surgery has been added. As in the years before, CABG remains the gold standard for the revascularization of complex stable triple-vessel disease. Plenty of new information has been presented comparing the conventional to transcatheter aortic valve implantation (TAVI) demonstrating similar short- and mid-term outcomes at high and low risk, but even a survival advantage with transfemoral TAVI at intermediate risk. In addition, there were many relevant and interesting other contributions from the purely operative arena. This review article will summarize the most pertinent publications in the fields of coronary revascularization, surgical treatment of valve disease, heart failure (i.e., transplantation and ventricular assist devices), and aortic surgery. While the article does not have the expectation of being complete and cannot be free of individual interpretation, it provides a condensed summary that is intended to give the reader "solid ground" for up-to-date decision-making in cardiac surgery.

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Source
http://dx.doi.org/10.1007/s00392-016-1013-xDOI Listing

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