The Society of Thoracic Surgeons Adult Cardiac Surgery Database: 2023 Update on Procedure Data and Research

Wyler von Ballmoos, Moritz C.; Kaneko, Tsuyoshi; Iribarne, Alexander; Kim, Karen M.; Arghami, Arman; Fiedler, Amy; Habib, Robert; Parsons, Niharika; Elhalabi, Zouheir; Krohn, Carole; Bowdish, Michael E.

doi:10.1016/j.athoracsur.2023.11.016

The Annals of Thoracic Surgery

2024

DOI: 10.1016/j.athoracsur.2023.11.016

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The Society of Thoracic Surgeons Adult Cardiac Surgery Database: 2023 Update on Procedure Data and Research

Moritz C. Wyler von Ballmoos,

Tsuyoshi Kaneko,

Alexander Iribarne

et al.

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2024

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Cited by 20 publications

(1 citation statement)

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“…Other risk factors include obesity (body mass index ≥30 kg/m 2 ), peripheral vascular disease, renal dysfunction, and insulin-dependent diabetes mellitus. From a surgical standpoint, utilization of the bilateral internal mammary arteries, the prevalence of which has been increasing [ 6 ], appears to increase the risk of deep sternal wound infections [ 7 ]. Additionally, a prolonged operative time, exceeding 300 minutes, is an independent risk factor [ 1 ].…”

mentioning

confidence: 99%

Deep Sternal Wound Infection Caused by Rhizopus Species After Coronary Artery Bypass Graft

Cunningham,

Grys,

Downey

et al. 2024

Open Forum Infectious Diseases

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Deep sternal wound infection is a rare complication of cardiac surgery that is typically caused by skin resident flora such as species of Staphylococcus and Streptococcus. Infections caused by fungi are less common and are generally caused by Candida species. Regardless of etiology, these infections are associated with significant morbidity and mortality. We present a case of post-operative mediastinitis that occurred following a 5-vessel coronary artery bypass graft and caused by a filamentous fungus of the Rhizopus genus. The patient was treated with serial debridement, liposomal amphotericin B, and isavuconazonium and was discharged from the hospital in stable condition. Fungal mediastinitis is a rare entity and clinicians must maintain a high level of suspicion to make the diagnosis. A fungal cause of post-operative mediastinitis should be considered in patients with negative bacterial cultures, uncontrolled diabetes, current immunosuppression, or those who present weeks after surgery with a subacute onset of symptoms.

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mentioning

confidence: 99%

Deep Sternal Wound Infection Caused by Rhizopus Species After Coronary Artery Bypass Graft

Cunningham,

Grys,

Downey

et al. 2024

Open Forum Infectious Diseases

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Zugangswege zum minimalinvasiven Aortenklappenersatz

Krapf,

Semsroth,

Gollmann-Tepeköylü

et al. 2024

Z Herz- Thorax- Gefäßchir

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ZusammenfassungNeben dem klassischen herzchirurgischen Zugang über eine volle Sternotomie haben sich in den letzten Jahren reduzierte und minimalinvasive chirurgische Zugänge etabliert, die in einigen Zentren den konventionellen Zugang zur Aortenklappenchirurgie fast vollständig verdrängt haben. Während sich bei der partiellen Sternotomie zeigt, dass dieser Zugang der klassischen Sternotomie auch mit konventionellen Techniken nicht nachsteht, haben v. a. bei den thorakalen Zugängen technische Entwicklungen bei Aortenklappenprothesen, automatisierten Näh- und Fixationssystemen sowie peripheren Kanülierungstechniken für die Herz-Lungen-Maschine einen beträchtlichen Einfluss auf die Durchführbarkeit des Zugangsweges. Im direkten Vergleich der oberen Hemisternotomie mit dem anterolateralen Zugang zeigt sich an unserem Zentrum, dass Erstere eine geringere Mortalität, eine geringere Komplikationsrate und kürzere Perfusionszeiten aufweist. Auch sind die Durchdringung und Akzeptanz dieses Verfahrens größer. Am ehesten scheint die Weiterentwicklung des Thorakotomiezugangs im Sinne einer endoskopischen Port-Access-Operation wesentliche Vorteile für die dafür geeigneten PatientInnen zu bieten. Die PatientInnen profitieren durch minimalinvasive Verfahren v. a. von der geringeren Invasivität am knöchernen Thorax und Weichteilmantel sowie durch kleinere Narben. Dies führt nicht nur zu kosmetischen Vorteilen, sondern auch zu einer verbesserten Stabilität des Thorax und somit zu einer schnelleren Mobilisation und Rehabilitation.

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Cost-effectiveness of TAVI in the United Kingdom: a long-term analysis based on 4-year data from the Evolut Low Risk Trial

Blackman,

Ryschon,

Barnett

et al. 2024

Eur J Health Econ

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The Society of Thoracic Surgeons Adult Cardiac Surgery Database: 2023 Update on Procedure Data and Research

Cited by 20 publications

References 42 publications

Deep Sternal Wound Infection Caused by Rhizopus Species After Coronary Artery Bypass Graft

Deep Sternal Wound Infection Caused by Rhizopus Species After Coronary Artery Bypass Graft

Zugangswege zum minimalinvasiven Aortenklappenersatz

Cost-effectiveness of TAVI in the United Kingdom: a long-term analysis based on 4-year data from the Evolut Low Risk Trial

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