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Noninvasive Determination of Vortex Formation Time Using Transesophageal Echocardiography During Cardiac Surgery
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Cardiac surgery 2018 reviewed.

Torsten Doenst1, Steffen Bargenda2, Hristo Kirov2

  • 1Department of Cardiothoracic Surgery, Friedrich-Schiller-University of Jena, Am Klinikum 1, 07747, Jena, Germany. doenst@med.uni-jena.de.

Clinical Research in Cardiology : Official Journal of the German Cardiac Society
|April 1, 2019
PubMed
Summary
This summary is machine-generated.

This review summarizes 2018 cardiac surgery research, highlighting coronary bypass grafting as the standard for complex disease and confirming equipoise between TAVI and SAVR for aortic valve treatment. It also covers mitral/tricuspid valve surgery and advancements in ventricular assist devices.

Keywords:
Aortic surgeryAortic valve surgeryCoronary revascularizationHeart transplantationLeft ventricular assist devicesMitral valve surgeryTricuspid valve surgery

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Area of Science:

  • Cardiology
  • Cardiovascular Surgery
  • Medical Technology

Background:

  • Over 22,000 cardiac surgery publications exist annually.
  • Conventional cardiac surgery remains a focus, with interventional techniques considered in surgical contexts.
  • This review targets non-surgical colleagues, offering insights into recent advancements.

Purpose of the Study:

  • To summarize key 2018 publications in cardiac surgery.
  • To provide an update on coronary revascularization, valve surgery, aortic surgery, and heart failure surgery.
  • To offer decision-making guidance for clinicians.

Main Methods:

  • Review of conventional cardiac surgery publications from 2018.
  • Inclusion of interventional techniques within classic surgical contexts.
  • Focus on coronary artery disease, valve surgery, aortic surgery, and heart failure.

Main Results:

  • Coronary artery bypass grafting confirmed as gold standard for complex disease; CT angiography offers comparable decision-making to classic angiography.
  • Transcatheter aortic valve implantation (TAVI) vs. surgical aortic valve replacement (SAVR) show equipoise for high/medium-risk patients.
  • Significant under-treatment of mitral/tricuspid regurgitation noted; surgery demonstrates life-prolonging effects.
  • Ascending aorta elongation identified as a risk factor for aortic dissection.
  • Newest left ventricular assist devices show improved 2-year outcomes.

Conclusions:

  • Bypass grafting remains the gold standard for complex coronary artery disease.
  • TAVI and SAVR present comparable options for aortic valve treatment in specific patient groups.
  • Addressing mitral and tricuspid valve regurgitation is crucial, with surgery offering survival benefits.
  • Early identification of aortic dissection risk factors and advancements in VADs are critical.
  • This review provides a condensed summary for informed clinical decision-making in cardiac surgery.