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Dimagli A, Malas J, Chen S, Sandner S, Schwann T, Tatoulis J, Puskas J, Bowdish ME, Gaudino M. Coronary Artery Aneurysms, Arteriovenous Malformations, and Spontaneous Dissections-A Review of the Evidence. Ann Thorac Surg 2024; 117:887-896. [PMID: 38081498 DOI: 10.1016/j.athoracsur.2023.11.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Revised: 11/01/2023] [Accepted: 11/14/2023] [Indexed: 12/25/2023]
Abstract
BACKGROUND Coronary artery aneurysms (CAAs), coronary arteriovenous malformations (CAVMs), and spontaneous coronary artery dissections (SCADs) are rare clinical entities, and much is unknown about their natural history, prognosis, and management. METHODS A systematic search of MEDLINE, Embase, and Cochrane Library databases was performed in March 2023 to identify published papers related to CAAs, CAVMs, and SCADs. RESULTS CAAs are found in 0.3% to 12% of patients undergoing angiography and are often associated with coronary atherosclerosis. They are usually asymptomatic but can be complicated by thrombosis in up to 4.8% of patients and rarely by rupture (0.2%). CAAs can be managed medically, percutaneously with stents or coil embolization, and surgically. The most common surgical procedure is ligation of the aneurysm, followed by coronary artery bypass grafting. The incidence of CAVMs is 0.1% to 0.2% in patients undergoing angiography, and they are most likely associated with congenital abnormal development of the coronary vessels. The diagnosis of CAVMs is usually incidental. Surgical or percutaneous intervention is indicated for patients with large CAVMs, which carry a potential risk of myocardial infarction. SCADs represent 1% to 4% of all acute coronary syndromes and typically affect young women. SCADs are strongly correlated with pregnancy, suggesting the role of sex hormones in their pathogenesis. Conservative management of SCAD is preferred for stable patients without signs of ischemia as spontaneous resolution is frequently reported. Unstable patients should undergo revascularization either percutaneously or with coronary artery bypass grafting. CONCLUSIONS Further evidence regarding the management of these rare diseases is needed and can ideally be derived from multicenter collaborations.
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Affiliation(s)
- Arnaldo Dimagli
- Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York
| | - Jad Malas
- Department of Cardiac Surgery, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California
| | - Sarah Chen
- Division of Cardiac Surgery, University of California Davis Health, Sacramento, California
| | - Sigrid Sandner
- Department of Cardiac Surgery, Medical University of Vienna, Vienna, Austria
| | - Thomas Schwann
- Department of Surgery, University of Massachusetts-Baystate, Springfield, Massachusetts
| | - James Tatoulis
- The Royal Melbourne Hospital, University of Melbourne, Melbourne, Victoria, Australia
| | - John Puskas
- Department of Cardiovascular Surgery, Mount Sinai Morningside, New York, New York
| | - Michael E Bowdish
- Department of Cardiac Surgery, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California
| | - Mario Gaudino
- Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York.
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Sabik JF, Mehaffey JH, Badhwar V, Ruel M, Myers PO, Sandner S, Bakaeen F, Puskas J, Taggart D, Schwann T, Chikwe J, MacGillivray TE, Kho A, Habib RH. Multiarterial vs Single-Arterial Coronary Surgery: 10-Year Follow-up of 1 Million Patients. Ann Thorac Surg 2024; 117:780-788. [PMID: 38286204 DOI: 10.1016/j.athoracsur.2024.01.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/02/2023] [Revised: 01/08/2024] [Accepted: 01/13/2024] [Indexed: 01/31/2024]
Abstract
BACKGROUND Although many options exist for multivessel coronary revascularization, controversy persists over whether multiarterial grafting (MAG) confers a survival advantage over single-arterial grafting (SAG) with saphenous vein in coronary artery bypass grafting (CABG). This study sought to compare longitudinal survival between patients undergoing MAG and those undergoing SAG. METHODS All patients undergoing isolated CABG with ≥2 bypass grafts in The Society of Thoracic Surgeons Adult Cardiac Surgery Database (2008-2019) were linked to the National Death Index. Risk adjustment was performed using inverse probability weighting and multivariable modeling. The primary end point was longitudinal survival. Subpopulation analyses were performed and volume thresholds were analyzed to determine optimal benefit. RESULTS A total of 1,021,632 patients underwent isolated CABG at 1108 programs (100,419 MAG [9.83%]; 920,943 SAG [90.17%]). Median follow-up was 5.30 years (range, 0-12 years). After risk adjustment, all characteristics were well balanced. At 10 years, MAG was associated with improved unadjusted (hazard ratio, 0.59; 95% CI 0.58-0.61) and adjusted (hazard ratio, 0.86; 95% CI, 0.85-0.88) 10-year survival. Center volume of ≥10 MAG cases/year was associated with benefit. MAG was associated with an overall survival advantage over SAG in all subgroups, including stable coronary disease, acute coronary syndrome, and acute infarction. Survival was equivalent to that with SAG for patients age ≥80 years and those with severe heart failure, renal failure, peripheral vascular disease, or obesity. Only patients with a body mass index ≥40 kg/m2 had superior survival with SAG. CONCLUSIONS Multiarterial CABG is associated with superior long-term survival and should be the surgical multivessel revascularization strategy of choice for patients with a body mass index of less than 40 kg/m2.
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Affiliation(s)
- Joseph F Sabik
- Division of Cardiac Surgery, Department of Surgery, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio.
| | - J Hunter Mehaffey
- Department of Cardiovascular and Thoracic Surgery, West Virginia University, Morgantown, West Virginia
| | - Vinay Badhwar
- Department of Cardiovascular and Thoracic Surgery, West Virginia University, Morgantown, West Virginia
| | - Marc Ruel
- Division of Cardiac Surgery, Department of Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
| | | | - Sigrid Sandner
- Department of Cardiac Surgery, Medical University of Vienna, Vienna, Austria
| | - Faisal Bakaeen
- Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation, Cleveland, Ohio
| | - John Puskas
- Department of Cardiovascular Surgery, Icahn School of Medicine at Mount Sinai, New York, New York
| | - David Taggart
- Department of Cardiac Surgery, Oxford University, Oxford, United Kingdom
| | - Thomas Schwann
- Department of Cardiovascular Surgery, University of Massachusetts - Bay State, Springfield, Massachusetts
| | - Joanna Chikwe
- Department of Cardiac Surgery, Cedars-Sinai Hospital, Los Angeles, California
| | | | - Abel Kho
- Department of Medicine, Northwestern University, Chicago, Illinois
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Chikwe J, O'Gara P, Fremes S, Sundt TM, Habib RH, Gammie J, Gaudino M, Badhwar V, Gillinov M, Acker M, Rowe G, Gill G, Goldstone AB, Schwann T, Gelijns A, Trento A, Mack M, Adams DH. Mitral Surgery After Transcatheter Edge-to-Edge Repair: Society of Thoracic Surgeons Database Analysis. J Am Coll Cardiol 2021; 78:1-9. [PMID: 33945832 DOI: 10.1016/j.jacc.2021.04.062] [Citation(s) in RCA: 29] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Revised: 04/21/2021] [Accepted: 04/23/2021] [Indexed: 11/25/2022]
Abstract
BACKGROUND Transcatheter edge-to-edge (TEER) mitral repair may be complicated by residual or recurrent mitral regurgitation. An increasing need for surgical reintervention has been reported, but operative outcomes are ill defined. OBJECTIVES This study evaluated national outcomes of mitral surgery after TEER. METHODS The Society of Thoracic Surgeons (STS) Adult Cardiac Surgery Database was used to identify 524 adults who underwent mitral surgery after TEER between July 2014 and June 2020. Emergencies (5.0%; n = 26), previous mitral surgery (5.3%; n = 28), or open implantation of transcatheter prostheses (1.5%; n = 8) were excluded. The primary outcome was 30-day or in-hospital mortality. RESULTS In the study cohort of 463 patients, the median age was 76 years (interquartile range [IQR]: 67 to 81 years), median left ventricular ejection fraction was 57% (IQR: 48% to 62%), and 177 (38.2%) patients had degenerative disease. Major concomitant cardiac surgery was performed in 137 (29.4%) patients: in patients undergoing isolated mitral surgery, the median STS-predicted mortality was 6.5% (IQR: 3.9% to 10.5%), the observed mortality was 10.2% (n = 23 of 225), and the ratio of observed to expected mortality was 1.2 (95% confidence interval [CI]: 0.8 to 1.9). Predictors of mortality included urgent surgery (odds ratio [OR]: 2.4; 95% CI: 1.3 to 4.6), nondegenerative/unknown etiology (OR: 2.2; 95% CI: 1.1 to 4.5), creatinine of >2.0 mg/dl (OR: 3.8; 95% CI: 1.9 to 7.9) and age of >80 years (OR: 2.1; 95% CI: 1.1 to 4.4). In a volume outcomes analysis in an expanded cohort of 591 patients at 227 hospitals, operative mortality was 2.6% (n = 2 of 76) in 4 centers that performed >10 cases versus 12.4% (n = 64 of 515) in centers performing fewer (p = 0.01). The surgical repair rate after failed TEER was 4.8% (n = 22) and was 6.8% (n = 12) in degenerative disease. CONCLUSIONS This study indicates that mitral repair is infrequently achieved after failed TEER, which may have implications for treatment choice in lower-risk and younger patients with degenerative disease. These findings should inform patient consent for TEER, clinical trial design, and clinical performance measures.
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Affiliation(s)
- Joanna Chikwe
- Department of Cardiac Surgery, Cedars-Sinai, Los Angeles, California, USA.
| | - Patrick O'Gara
- Division of Cardiology, Brigham and Women's Hospital, Boston, Massachusetts, USA
| | - Stephen Fremes
- Sunnybrook Health Sciences Center, University of Toronto, Toronto, Ontario, Canada
| | - Thoralf M Sundt
- Division of Cardiac Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA
| | - Robert H Habib
- The Society of Thoracic Surgeons Research Center, Chicago, Illinois, USA
| | - James Gammie
- Division of Cardiac Surgery, University of Maryland, Baltimore, Maryland, USA
| | - Mario Gaudino
- Division of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York, USA
| | - Vinay Badhwar
- Department of Cardiovascular and Thoracic Surgery, West Virginia University School of Medicine, Morgantown, West Virginia, USA
| | - Marc Gillinov
- Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio, USA
| | - Michael Acker
- Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Georgina Rowe
- Department of Cardiac Surgery, Cedars-Sinai, Los Angeles, California, USA
| | - George Gill
- Department of Cardiac Surgery, Cedars-Sinai, Los Angeles, California, USA
| | - Andrew B Goldstone
- Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Thomas Schwann
- Division of Cardiac Surgery, Baystate Health, Springfield, Massachusetts, USA
| | - Annetine Gelijns
- Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, New York, USA
| | - Alfredo Trento
- Department of Cardiac Surgery, Cedars-Sinai, Los Angeles, California, USA
| | | | - David H Adams
- Department of Cardiovascular Surgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA
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Gaudino M, Schwann T, Puskas J, Kolh P. Analyse the evidence, generate new evidence and apply the evidence: cardiac surgery is not only about cutting and sewing. Eur J Cardiothorac Surg 2020; 57:28-29. [PMID: 31435673 DOI: 10.1093/ejcts/ezz230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Mario Gaudino
- Department of Cardiothoracic Surgery, Cornell University, New York, NY, USA
| | - Thomas Schwann
- Department of Cardiothoracic Surgery, University of Massachusetts-Baystate, Springfield, MA, USA
| | - John Puskas
- Department of Cardiovascular Surgery, Mount Sinai Saint Luke's, New York, NY, USA
| | - Philippe Kolh
- Department of Biomedical and Preclinical Sciences, University of Liège, Liège, Belgium
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Sousa-Uva M, Gaudino M, Schwann T, Acar C, Nappi F, Benedeto U, Ruel M. Corrigendum to 'Radial artery as a conduit for coronary artery bypass grafting: a state-of-the-art primer' [Eur J Cardiothorac Surg 2018; 54:971-976]. Eur J Cardiothorac Surg 2018; 55:382. [PMID: 30596985 DOI: 10.1093/ejcts/ezy456] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Miguel Sousa-Uva
- Department of Cardiac Surgery, Hospital Santa Cruz, Carnaxide, Portugal.,Department of Surgery and Physiology, Cardiovascular Research Centre, Faculty of Medicine, Porto University, Porto, Portugal
| | - Mario Gaudino
- Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, NY, USA
| | - Thomas Schwann
- Department of Cardiothoracic Surgery, University of Toledo, Toledo, OH, USA.,Department of Cardiothoracic Surgery, University of Massachusetts - Baystate, Springfield, MA, USA
| | - Christophe Acar
- Department of Cardiac Surgery, Hôpital La Pitié-Salpêtrière, Paris, France
| | - Francesco Nappi
- Department of Cardiac Surgery, Centre Cardiologique du Nord de Saint-Denis, Paris, France
| | - Umberto Benedeto
- Department of Cardiac Surgery, Bristol Heart Institute, University of Bristol, Bristol, UK
| | - Marc Ruel
- Division of Cardiac Surgery, University of Ottawa Heart Institute, University of Ottawa, Ottawa, ON, Canada
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Sousa-Uva M, Gaudino M, Schwann T, Acar C, Nappi F, Benedeto U, Ruel M. Radial artery as a conduit for coronary artery bypass grafting: a state-of-the-art primer. Eur J Cardiothorac Surg 2018; 54:971-976. [PMID: 30376067 DOI: 10.1093/ejcts/ezy335] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Miguel Sousa-Uva
- Department of Cardiac Surgery, Hospital Santa Cruz, Carnaxide, Portugal
- Department of Surgery and Physiology, Cardiovascular Research Centre, Faculty of Medicine, Porto University, Porto, Portugal
| | - Mario Gaudino
- Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, NY, USA
| | - Thomas Schwann
- Department of Cardiothoracic Surgery, University of Toledo, Toledo, OH, USA
- Department of Cardiothoracic Surgery, University of Massachusetts - Baystate, Springfield, MA, USA
| | - Christophe Acar
- Department of Cardiac Surgery, Hôpital La Pitié-Salpêtrière, Paris, France
| | - Francesco Nappi
- Department of Cardiac Surgery, Centre Cardiologique du Nord de Saint-Denis, Paris, France
| | - Umberto Benedeto
- Department of Cardiac Surgery, Bristol Heart Institute, University of Bristol, Bristol, UK
| | - Marc Ruel
- Division of Cardiac Surgery, University of Ottawa Heart Institute, University of Ottawa, Ottawa, ON, Canada
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Gaudino M, Alexander JH, Bakaeen FG, Ballman K, Barili F, Calafiore AM, Davierwala P, Goldman S, Kappetein P, Lorusso R, Mylotte D, Pagano D, Ruel M, Schwann T, Suma H, Taggart DP, Tranbaugh RF, Fremes S. Randomized comparison of the clinical outcome of single versus multiple arterial grafts: the ROMA trial—rationale and study protocol†. Eur J Cardiothorac Surg 2017; 52:1031-1040. [DOI: 10.1093/ejcts/ezx358] [Citation(s) in RCA: 100] [Impact Index Per Article: 14.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/11/2017] [Accepted: 09/13/2017] [Indexed: 01/07/2023] Open
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Chowdhury MA, Cook J, Assiri S, Sabbagh E, Moukarbel GV, Bonnell M, Schwann T, Khouri S. Right Ventricular Dysfunction Parameters are Predictive in Patients with Normal Ejection Fraction Undergoing CABG of Increased Post-Operative Adverse Events. J Card Fail 2017. [DOI: 10.1016/j.cardfail.2017.07.136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Ruzieh M, Moza A, Siddegowda Bangalore B, Schwann T, Tinkel JL. Effect of Transradial Catheterisation on Patency Rates of Radial Arteries Used as a Conduit for Coronary Bypass. Heart Lung Circ 2017; 26:296-300. [DOI: 10.1016/j.hlc.2016.07.012] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2016] [Accepted: 07/27/2016] [Indexed: 10/21/2022]
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10
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Freundlich RE, Maile MD, Hajjar MM, Habib JR, Jewell ES, Schwann T, Habib RH, Engoren M. Years of Life Lost After Complications of Coronary Artery Bypass Operations. Ann Thorac Surg 2016; 103:1893-1899. [PMID: 27938887 DOI: 10.1016/j.athoracsur.2016.09.048] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/29/2016] [Revised: 08/08/2016] [Accepted: 09/12/2016] [Indexed: 11/25/2022]
Abstract
BACKGROUND We currently have an incomplete understanding of which postoperative complications after coronary artery bypass grafting (CABG) are associated with long-term death. The purpose of this study was to find the associations between complications and attributable death. METHODS Prospectively collected data on patient characteristics, risk factors, and complications of patients undergoing isolated CABG with 20-year follow-up were analyzed with a Cox regression model to calculate the overall hazard of dying associated with each postoperative complication. An individual's age and hazard of dying from each complication were then used to calculate years of life lost to each complication. RESULTS The postoperative mortality rate was 0.79% (69 of 8,773) at 30 days, 2.85% (250 of 8,773) at 180 days, and 6.38% (560 of 8,773) at 2 years. At a median follow-up of 9.8 years, 1,891 patients (21.6%) had died. Postoperative complications occurred in 3,438 patients (39.2%). Cardiac arrest (hazard ratio, 2.153), reoperation (hazard ratio, 1.679), and new dialysis (hazard ratio, 1.64) were the complications with the greatest hazard of death. After adjusting for complication incidence and patient age, cardiac arrest (703 years), reoperation (544 years), atrial fibrillation (470 years), and prolonged mechanical ventilation (371 years) were associated with the greatest number of years of life lost. CONCLUSIONS Acute cardiac arrest, reoperation for other cardiac reasons, new dialysis, atrial fibrillation, and prolonged mechanical ventilation are associated with the largest increase in attributable deaths. Prevention and treatment of these complications may improve mortality rates after cardiac operations.
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Affiliation(s)
- Robert E Freundlich
- Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee.
| | - Michael D Maile
- Department of Anesthesiology, University of Michigan, Ann Arbor, Michigan
| | - Mark M Hajjar
- Department of Internal Medicine and Outcomes Research Unit, American University Beirut, Beirut, Lebanon
| | - Joseph R Habib
- Department of Internal Medicine and Outcomes Research Unit, American University Beirut, Beirut, Lebanon
| | - Elizabeth S Jewell
- Department of Anesthesiology, University of Michigan, Ann Arbor, Michigan
| | - Thomas Schwann
- Department of Surgery, University of Toledo, Toledo, Ohio
| | - Robert H Habib
- Department of Internal Medicine and Outcomes Research Unit, American University Beirut, Beirut, Lebanon
| | - Milo Engoren
- Department of Anesthesiology, University of Michigan, Ann Arbor, Michigan; Department of Anesthesiology, Mercy St. Vincent Medical Center, Toledo, Ohio
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Chowdhury MA, Moukarbel GV, Bonnell M, Schwann T, Khouri S. Pre-Operative Right Ventricular Dysfunction Predicts Adverse Outcomes after Coronary Artery Bypass Graft. J Card Fail 2016. [DOI: 10.1016/j.cardfail.2016.06.291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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12
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Bonnell MR, Steed D, Schwann T, Moukarbel G, Khoury S, Hudson M, Meyers-Fabian A, Haines M. Cognitive Improvement Post-Placement of Left Ventricular Assist Device. J Card Fail 2016. [DOI: 10.1016/j.cardfail.2016.06.347] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Badour S, Kanei Y, Dimitrova K, Habib J, Fox J, Tranbaugh R, Schwann T, Alam S, Habib R. EIGHT-YEAR TARGET LESION REVASCULARIZATION RATES IN BARE METAL VERSUS FIRST AND SECOND GENERATION DRUG ELUTING STENTS: ANALYSIS OF 22,957 STENTED LESIONS. J Am Coll Cardiol 2015. [DOI: 10.1016/s0735-1097(15)61764-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Yammine MB, El-Hage-Sleiman AKM, Schwann T, Engoren M, Habib RH. ROLE OF COMPLETENESS OF REVASCULARIZATION IN INTERMEDIATE AND LATE SURVIVAL AFTER MULTIVESSEL CORONARY ARTERY BYPASS GRAFTING SURGERY. J Am Coll Cardiol 2014. [DOI: 10.1016/s0735-1097(14)61513-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Schwann T, El-Hage-Sleiman AKM, Yammine MB, Tranbaugh R, Dimitrova K, Hoffman D, Engoren M, Habib RH. INCREMENTAL SURVIVAL BENEFIT OF ONE, TWO AND THREE ARTERIAL BYPASS GRAFTING IN MULTIVESSEL CORONARY ARTERY DISEASE: THE EFFECT OF DIABETES. J Am Coll Cardiol 2014. [DOI: 10.1016/s0735-1097(14)61514-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Tranbaugh R, Schwann T, Swistel D, Dimitrova K, Al-Shaar L, Hoffman D, Geller C, Balaram S, Ko W, Engoren M, Habib R. OPTIMAL GRAFTING STRATEGY FOR MULTIVESSEL CORONARY ARTERY BYPASS SURGERY. J Am Coll Cardiol 2013. [DOI: 10.1016/s0735-1097(13)61130-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Sheikh M, Hasan S, Kanjwal Y, Schwann T, Grubb BP. Syncope as an Initial Manifestation of Atypical Lipomatous Hypertrophy of the Interatrial Septum. J Card Surg 2012; 27:454-7. [DOI: 10.1111/j.1540-8191.2012.01465.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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