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| The Monthly Pulse |
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| The Ross procedure leads to improved survival in adults undergoing aortic valve surgery |
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| The Story |
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| A new study from The Mount Sinai Hospital in New York City shows the Ross procedure results in improved survival and better overall outcomes for younger adults compared to biological or mechanical aortic valve replacement. The study followed patients aged 18-50 who underwent the procedure, as well as others who received a biological or mechanical aortic valve replacement, for a period of 15 years. Mortality was more than twofold higher for patients who did not receive the Ross procedure, and the survival rate of those who did receive it was identical to that of the same age group who did not have any of the three procedures. |
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| What You Should Know |
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| The study findings highlight the importance of valve choice based on patient-specific factors. While the benefits of the Ross procedure for younger patients are clear, there is also a higher risk for reoperation. Moreover, the surgery is more complex than other methods. Nonetheless, researchers are hopeful that the durability of the Ross procedure will improve with further advancements.
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| Pneumoperitoneum After a Redo Cardiac Surgery: Patience Can Lead to Victory |
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| The Story |
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| Pneumoperitoneum, or air in the abdominal cavity, is uncommon after cardiac surgery. In a case presentation, a team of surgeons examine how one patient presented the symptom on two separate occasions, but was treated conservatively based on their past history. Instead of immediately pursuing a laparotomy, the surgeons pursued a non-surgical approach of diuretic therapy, which improved the patient’s condition. |
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| What You Should Know |
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| While pneumoperitoneum can develop shortly after an operation, its presence later on may indicate a serious issue, such as bowel injury. Yet, since pneumoperitoneum isn’t always caused by bowel injury, it doesn’t always require surgical treatment. Determining the appropriate course of treatment can be challenging, but clinical and radiological data can be analyzed to inform appropriate decisions.
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| PAD Significantly Ups Morbidity and Mortality in AMICS |
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| The Story |
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| A recent study highlights the importance of peripheral artery disease (PAD) as a comorbidity requiring more attention when treating acute MI complicated by cardiogenic shock (AMICS). The results indicate that patients with AMICS and PAD are more likely to die than those without PAD, and complications were also higher among the group with PAD. |
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| What You Should Know |
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| Although the findings may be unsurprising, the study’s senior author encourages the medical community to use the results as a driver to think differently about patients with PAD. For instance, he calls for a multidisciplinary approach to treating patients with PAD, in hopes of improving outcomes by making more thoughtful decisions with their unique risk factors in mind.
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| Leadership Reflections |
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Relationships
On a recent trip to the AmSECT Conference, it was fascinating to watch our team reunite after not being together for over two years. While there are many things to do in the Phoenix area, what they wanted to do most was spend time together. As I reflect back on this, I am reminded that being face to face can have such a significant impact on building relationships. |
As leaders, arranging periodic in-person gatherings helps you keep everyone in the loop, reduces misunderstandings, facilitates more efficient communication, boosts engagement, builds trust, and allows you to provide more clarity around priorities.
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CT Assist identifies relationships as one of our core values. One of the ways we prioritize relationship building with our providers and clients is visiting in person. Travel restrictions limited these opportunities over the past two years, and we’re grateful to be able to start doing this again. If you have interest in an in-person visit to discuss partnership opportunities, please reach out!
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| STS/EACTS/ESTS Latin America Surgery Symposium: Thoracic Emergencies |
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| 2022 STS Coronary Conference |
| Sat., June 4 - Sun., June 5 |
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| 2022 AANP National Conference |
| Tues., June 21 to Sun., June 26 |
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| CREF 2022 41st Cardiothoracic Surgery Symposium |
| Wed., Oct. 19 - Sat., Oct. 22 |
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