Posts by Andrea L. Axtell, MD, MPH
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TCS–VAD Better Than ECMO for Acute Support Before Heart Transplantation
In a nationwide study, patients bridged to transplant with temporary circulatory support–ventricular assist devices had post-transplant survival superior to those bridged with extracorporeal membrane oxygenation and similar to those bridged with left-ventricular assist devices.
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Case Reports: Frozen Elephant Trunk Procedure for Acute Type B Aortic Dissection
Three patients with acute complicated type B aortic dissection with retrograde extension into the aortic arch were successfully treated at Massachusetts General Hospital with a total aortic arch replacement and frozen elephant trunk technique.
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Outcomes of Elective Cardiac Surgery at Mass General Not Affected by Start Time
Intrigued by the debate over the effects of surgical start time, cardiac surgeons at Massachusetts General Hospital reviewed their results and found that starting elective cardiac surgery after 3 pm does not adversely affect patient outcomes or hospital costs.
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Risk Factors Identified for Prolonged AF After Surgical Aortic Valve Replacement
Patients scheduled for surgical aortic valve replacement who are older than 65 and have moderate to severe left atrial enlargement are at high risk of prolonged atrial fibrillation and should be considered for prophylactic surgical interventions.
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Surgery for Isolated Severe Regurgitation Does Not Improve Survival
In patients with isolated severe tricuspid regurgitation, there is no difference in long-term survival for patients who undergo surgical intervention and those who have medical management alone.