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The superiority of transcatheter aortic valve replacement (TAVR) compared with medical therapy for patients with aortic stenosis (AS) who are not suitable candidates for surgery had been proven. Cardiopulmonary bypass (CPB) is rarely used in TAVR. Reports of early use of extracorporeal membranous oxygenator (ECMO) have promising outcomes. ECMO offers the option of cardiac support rescue in case of intraoperative hemodynamic instability and can be instituted in advance when hemodynamic instability is expected. Here we review the English literature about the use of ECMO in TAVR procedures, and discuss the indications and rationale for its use as well as its advantages.

Endometrial cancer is a common gynecologic malignancy in the United States and the recurrence rate depends on stage disease at diagnosis. The spread of the disease at recurrence can occur in several areas and follow different patterns. The role of surgery at the time of recurrence is not clearly defined. The aim of this review is to fully describe the current evidence available on this topic. In particular, we will describe that surgical treatment might be recommended for 1) vaginal or pelvic recurrences; 2) retroperitoneal or localized intra-abdominal recurrence, where a maximal cytoreductive effort is more likely to be successful; or 3) isolated distant recurrences when microscopically tumor-free margins can be achieved. Cases should be evaluated individually, considering factors such as comorbidities, risks of intervention, and impact of treatment on quality of life.

How to establish a successful destination therapy ventricular assist device program. J Thorac Dis 2017;9(4):932-935.

No abstract