Pulmonary fibrosis on multidetector computed tomography and mortality in patients with radiation-associated cardiac disease undergoing cardiac surgery

Slides:

Advertisements

Similar presentations

Transcatheter aortic valve replacement in patients with severe aortic stenosis who are at high risk for surgical complications: Summary assessment of.

Advertisements

Max B. Mitchell, MD The Journal of Thoracic and Cardiovascular Surgery

Lost in translation The Journal of Thoracic and Cardiovascular Surgery

Stephen R. Broderick, MD, MPHS

Alan P. Kypson, MD, David W. Frazier, MD, Jon F. Moran, MD

Prognostic implications of pulmonary hypertension in patients with severe aortic stenosis Akin Cam, MD, Sachin S. Goel, MD, Shikhar Agarwal, MD, MPH,

Improving health care by embracing Systems Theory

Neel R. Sodha, MD, Frank W. Sellke, MD

Intrinsic cardiac stem cells are essential for regeneration

Centers for Disease Control “increased-risk” organ donor: Not so risky? Francis D. Pagani, MD, PhD The Journal of Thoracic and Cardiovascular Surgery

Abracadabra I, II…HeartMate 3?

Assessing surgical risk for adults with congenital heart disease: Are pediatric scoring systems appropriate? Brian Kogon, MD, Matthew Oster, MD, MPH

Form ever follows function

William M. DeCampli, MD, PhD

Increased Aorto-Mitral Curtain Thickness Independently Predicts Mortality in Patients With Radiation-Associated Cardiac Disease Undergoing Cardiac Surgery

Impact of long-axis function on cardiac surgical outcomes in patients with radiation- associated heart disease Srisakul Chirakarnjanakorn, MD, Zoran B.

How should we treat air leaks?

Risk-corrected impact of mechanical versus bioprosthetic valves on long-term mortality after aortic valve replacement Ole Lund, MD, PhD, Martin Bland,

The lord of the rings Antonio Miceli, MD, PhD

Tom Kai Ming Wang, MBCHB, David H. M

High-resolution computed tomography with three-dimensional reconstruction for assessment of chronic pulmonary thromboembolic disease Thoralf M. Sundt,

Prediction of sudden death risk in obstructive hypertrophic cardiomyopathy: Potential for refinement of current criteria Milind Y. Desai, MD, Nicholas.

Does the degree of preoperative mitral regurgitation predict survival or the need for mitral valve repair or replacement in patients with anomalous origin.

Aditya K. Kaza, MD The Journal of Thoracic and Cardiovascular Surgery

Performance of the European System for Cardiac Operative Risk Evaluation II: A meta- analysis of 22 studies involving 145,592 cardiac surgery procedures

Juan N. Pulido, MD The Journal of Thoracic and Cardiovascular Surgery

The assessment of cost effectiveness and the effectiveness of cost assessment in cardiothoracic surgery Vinay Badhwar, MD The Journal of Thoracic and.

It's not “just a shunt” but sometimes it should be…

Fixing the supply problem

Michele Gallo, MD, Gino Gerosa, MD

Military surgeons just want to have fun

Jules Lin, MD The Journal of Thoracic and Cardiovascular Surgery

Stephen R. Broderick, MD, MPHS

Get it right the first time

Do we increase the operative risk by adding the Cox Maze III procedure to aortic valve replacement and coronary artery bypass surgery? Niv Ad, MD, Linda.

Yoan Lamarche, MD, Mahsa Elmi-Sarabi, MSc, Lillian Ding, MSc, James G

Nonelective cardiac surgery in the elderly: Is it justified?

Fenton H. McCarthy, MD, MS, Nimesh D. Desai, MD, PhD

Niv Ad, MD, Lawrence M. Wei, MD

A fate worse than death Jennifer S. Lawton, MD

Cardiothoracic surgery: A specialty divided or as one

Cardiac surgery in patients with a porcelain aorta

Characteristics and long-term outcomes of contemporary patients with bicuspid aortic valves Ahmad Masri, MD, Vidyasagar Kalahasti, MD, Saqer Alkharabsheh,

Passing the torch The Journal of Thoracic and Cardiovascular Surgery

Chronic ischemic cerebral white matter disease is a risk factor for nonfocal neurologic injury after total aortic arch replacement Ridwan Lin, MD, PhD,

Sutureless valve implantation: Every detail counts

Patients with unbalanced atrioventricular canal defects can undergo the Fontan operation with good outcomes Sitaram M. Emani, MD The Journal of Thoracic.

Syphilitic aortitis: The bigger picture

The origins of open heart surgery at the University of Minnesota 1951 to 1956 Richard A. DeWall, MD The Journal of Thoracic and Cardiovascular Surgery

Early extubation after cardiac surgery: The evolution continues

Off-pump bilateral skeletonized internal thoracic artery grafting in patients with chronic kidney disease Takeshi Kinoshita, MD, PhD, Tohru Asai, MD,

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

The future of cardiac surgery training: A survival guide

Commentary: “Isn't cardiac surgery a team sport?”

Ventricular assistant in restrictive cardiomyopathy: Making the right connection Robert D.B. Jaquiss, MD The Journal of Thoracic and Cardiovascular Surgery

Symptom assessment and exercise impairment in surgical decision making in hypertrophic obstructive cardiomyopathy: Relationship to outcomes Milind Y.

Reliability of risk algorithms in predicting early and late operative outcomes in high-risk patients undergoing aortic valve replacement Todd M. Dewey,

Ralph E. Delius, MD The Journal of Thoracic and Cardiovascular Surgery

The Robin Hood principle in the treatment of congenital heart disease: Taking technologic developments intended for adults and using it in kids Paul.

Should it stay or should it go?

After neoadjuvant chemoradiation therapy, predicted pulmonary function may be reduced by 10% Benny Weksler, MD, MBA The Journal of Thoracic and Cardiovascular.

“The more things change…”: The challenges ahead

Appropriate Use Criteria for coronary revascularization in patients with stable ischemic heart disease: What the surgeon needs to know Harold L. Lazar,

Ryan R. Davies, MD The Journal of Thoracic and Cardiovascular Surgery

Apples remain apples NO matter what

Respect the aorta The Journal of Thoracic and Cardiovascular Surgery

Preoperative PFTs: The answer is blowing in the wind

Journal changes and initiatives

Lessons learned from Melody valve retrieved at transplantation

Presentation transcript:

Pulmonary fibrosis on multidetector computed tomography and mortality in patients with radiation-associated cardiac disease undergoing cardiac surgery Milind Y. Desai, MD, Karuppasamy Karunakaravel, MD, Willis Wu, MD, Shikhar Agarwal, MD, Nicholas G. Smedira, MD, Bruce W. Lytle, MD, Brian P. Griffin, MD The Journal of Thoracic and Cardiovascular Surgery Volume 148, Issue 2, Pages 475-481.e3 (August 2014) DOI: 10.1016/j.jtcvs.2013.08.087 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 HRs for long-term mortality in patients with RACD plotted against mean PF score divided into 5 equal quintiles. All comparisons have been derived using Cox proportional hazard regression model using the first decile as the reference category. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 475-481.e3DOI: (10.1016/j.jtcvs.2013.08.087) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Kaplan–Meier curve analysis demonstrating significant differences in long-term mortality in patients with RACD, divided into 4 subgroups, based on medians of euroSCORE and PF score (see text for details). euroSCORE, European System for Cardiac Operative Risk Evaluation; PF, pulmonary fibrosis. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 475-481.e3DOI: (10.1016/j.jtcvs.2013.08.087) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure E1 MDCT scans in patients with varying degrees of PF: none-minimal (A), moderate (B), and severe (C) (see text for details). The Journal of Thoracic and Cardiovascular Surgery 2014 148, 475-481.e3DOI: (10.1016/j.jtcvs.2013.08.087) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure E2 Kaplan–Meier curve analysis demonstrating significant differences in long-term mortality in patients with RACD who underwent cardiac surgery, separated on the basis of median euroSCORE (median = 8). euroSCORE, European System for Cardiac Operative Risk Evaluation. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 475-481.e3DOI: (10.1016/j.jtcvs.2013.08.087) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure E3 Kaplan–Meier curve analysis demonstrating significant differences in long-term mortality in patients with RACD who underwent cardiac surgery, separated on the basis of the median of PF score (median = 3). The Journal of Thoracic and Cardiovascular Surgery 2014 148, 475-481.e3DOI: (10.1016/j.jtcvs.2013.08.087) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions