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Thoralf M. Sundt
Harvard University
785Publications
92H-index
35.6kCitations
Publications 785
Newest
Published on Apr 1, 2019in The Annals of Thoracic Surgery 3.92
Joseph Anaya1
Estimated H-index: 1
(Harvard University),
Philicia Moonsamy (Harvard University)+ 5 AuthorsThoralf M. Sundt92
Estimated H-index: 92
(Harvard University)
Abstract Background Objective superiority of tissue versus mechanical prostheses in surgical aortic valve replacement (SAVR) remains controversial, placing a greater emphasis on patients to consider personal lifestyle and risk preferences including the burden of lifelong anticoagulation and the possible need for reoperation. A shared-decision making tool may therefore be of value in making this important choice. Methods A Patient Decision Aid (PtDA) was developed using the International Patient ...
Published on May 1, 2019in Journal of the American College of Cardiology 18.64
Andrea L. Axtell2
Estimated H-index: 2
,
Vijeta Bhambhani4
Estimated H-index: 4
(Harvard University)
+ 4 AuthorsJason H. Wasfy13
Estimated H-index: 13
(Harvard University)
Abstract Background Patients with isolated tricuspid regurgitation (TR) in the absence of left-sided valvular dysfunction are historically managed nonoperatively. Objectives To assess the impact of surgery for isolated TR, we compared survival for isolated severe TR patients who underwent surgery to those who did not. Methods A longitudinal echocardiography database was used to perform a retrospective analysis on 3,276 adult patients with isolated severe TR from November 2001-March 2016. All-cau...
Andrea L. Axtell2
Estimated H-index: 2
(Harvard University),
Masaki Funamoto3
Estimated H-index: 3
(Harvard University)
+ -3 AuthorsGaston A. Cudemus (Harvard University)
Objective The use of Extracorporeal Membrane Oxygenation as a rescue strategy during cardiopulmonary resuscitation (ECPR) is increasingly being used for non-responders to conventional CPR. To identify patients most likely to benefit from ECPR, we investigated predictors of hospital discharge with good neurologic function. Design Retrospective cohort analysis Setting Single institution academic medical center Participants Patients Interventions Venoarterial-ECMO initiation for refractory witnesse...
Published on Jul 1, 2019in BMJ Open 2.38
Francesco Marrazzo1
Estimated H-index: 1
(Harvard University),
Stefano Spina (Harvard University)+ 20 AuthorsEdward A. Bittner23
Estimated H-index: 23
(Harvard University)
Introduction Postoperative acute kidney injury (AKI) is a common complication in cardiac surgery. Levels of intravascular haemolysis are strongly associated with postoperative AKI and with prolonged (>90 min) use of cardiopulmonary bypass (CPB). Ferrous plasma haemoglobin released into the circulation acts as a scavenger of nitric oxide (NO) produced by endothelial cells. Consequently, the vascular bioavailability of NO is reduced, leading to vasoconstriction and impaired renal function. In pati...
David M. Shahian64
Estimated H-index: 64
(Harvard University),
David F. Torchiana35
Estimated H-index: 35
(Partners HealthCare)
+ 8 AuthorsRobert H. Habib6
Estimated H-index: 6
(Society of Thoracic Surgeons)
Abstract Objectives Beginning in 2002, all 14 Massachusetts nonfederal cardiac surgery programs submitted Society of Thoracic Surgeons (STS) National Database data to the Massachusetts Data Analysis Center for mandatory state-based analysis and reporting, and to STS for nationally benchmarked analyses. We sought to determine whether longitudinal prevalences and trends in risk factors and observed and expected mortality differed between Massachusetts and the nation. Methods We analyzed 2003 to 20...
Published on Mar 1, 2019in The Annals of Thoracic Surgery 3.92
Jordan P. Bloom4
Estimated H-index: 4
(Harvard University),
Elbert E. Heng2
Estimated H-index: 2
(Brown University)
+ 5 AuthorsGeorge Tolis6
Estimated H-index: 6
(Harvard University)
Background We have previously demonstrated that cardiac surgery trainees can safely perform operations “skin-to-skin” with adequate attending surgeon supervision. Methods We used 100 consecutive cases (82 coronary artery bypass grafts, 9 aortic valve replacements, 7 coronary artery bypass grafts plus aortic valve replacements, 2 others) performed by residents (group R) to match 1:1 by procedure to nonconsecutive cases done by a single attending surgeon (group A) from July 2014 to October 2016. P...
Mehrdad Ghoreishi8
Estimated H-index: 8
(UMB: University of Maryland, Baltimore),
Thoralf M. Sundt92
Estimated H-index: 92
(Harvard University)
+ 8 AuthorsLars G. Svensson75
Estimated H-index: 75
(Cleveland Clinic)
Abstract Objectives The Society of Thoracic Surgeons Adult Cardiac Surgery Database (STS ACSD) was used to examine the incidence and factors associated with acute stroke following type A repair. Methods Acute type A aortic dissection repairs performed from 2014 to 2017 were identified from the STS ACSD. The impact of cannulation strategy (axillary, femoral, direct, innominant), lowest temperature, cerebral protection techniques [antegrade (ACP), retrograde (RCP), both, none), repair technique, a...
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