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Racial Disparities in Atrial Fibrillation After Coronary Artery Bypass: Impact of Left Atrial Volume.
Ann Thorac Surg Short Rep
December 2023
Department of Cardiac Surgery, Hartford HealthCare Heart and Vascular Institute, Hartford, Connecticut.
Background: Prior studies have demonstrated a lower prevalence of postoperative atrial fibrillation (POAF) in Black, Hispanic, Asian, and Native American patients compared with White cohorts after coronary artery bypass grafting. We hypothesized that preoperative differences in left atrial size may explain this disparity.
Methods: We assessed the incidence of new POAF in 1218 patients (215 minority patients and 1003 White patients) undergoing isolated, first-time coronary artery bypass grafting from January 2017 through September 2022.
Prothrombin Complex Concentrate vs Factor VII for Refractory Bleeding in Cardiac Surgery.
Ann Thorac Surg Short Rep
December 2023
Department of Cardiothoracic Surgery, OhioHealth Grant Medical Center, Columbus, Ohio.
Background: Perioperative bleeding remains an important complication of cardiac surgery. Current guidelines support goal-directed use of coagulation factor concentrates in refractory bleeding, but the optimal strategy is unclear. Four-factor prothrombin complex concentrate (4F-PCC) has theoretical advantages over recombinant activated factor VII (rFVIIa) because of expanded mechanistic targets and lower rates of adverse events, but comparative data are limited.
View Article and Find Full Text PDFResults of a Multimodal Approach for the Launch of a Ross Program.
Ann Thorac Surg Short Rep
March 2023
Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
Background: There has been renewed interest in the Ross procedure in young patients with aortic valve disease. We describe the details and results of a systematic strategy to launch a new Ross program.
Methods: Our department developed a multidisciplinary educational program that involved all practitioners involved in the care of potential Ross patients.
The Risk of Pretransplant Blood Transfusion for Primary Graft Dysfunction After Lung Transplant.
Ann Thorac Surg Short Rep
September 2024
Division of Thoracic Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Background: Primary graft dysfunction (PGD) is the leading cause of short- and long-term mortality associated with lung transplantation. The impact of pretransplantation blood transfusions for recipients is not fully elucidated.
Methods: This is a retrospective review of 206 consecutive lung transplantations performed at a single academic center (Northwestern University Feinberg School of Medicine, Chicago, IL) from January 2018 to July 2022.
Efficacy of Thromboelastography-Guided Blood Transfusion Management in Thoracic Aortic Surgery.
Ann Thorac Surg Short Rep
June 2023
Department of Cardiovascular Surgery, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University, Tokyo, Japan.
Background: In thoracic aortic surgery, a large amount of blood transfusion is required because of preoperative coagulopathy and long cardiopulmonary bypass (CPB) time. This study aimed to investigate the efficacy of intraoperative thromboelastography (TEG)-guided blood transfusion management in thoracic aortic surgery.
Methods: Between 2015 and 2017 at our institution, 53 patients who underwent elective thoracic aortic surgery with hypothermic circulatory arrest through median sternotomy were divided into 2 groups: group C, conventional management (25 patients); and group T, TEG-guided management (28 patients).
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