Cardiac surgery 2015 reviewed

Clin Res Cardiol. 2016 Oct;105(10):801-14. doi: 10.1007/s00392-016-1013-x. Epub 2016 Jun 29.

Abstract

For the year 2015, almost 19,000 published references can be found in PubMed when entering the search term "cardiac surgery". The last year has been again characterized by lively discussions in the fields where classic cardiac surgery and modern interventional techniques overlap. Lacking evidence in the field of coronary revascularization with either percutaneous coronary intervention or bypass surgery has been added. As in the years before, CABG remains the gold standard for the revascularization of complex stable triple-vessel disease. Plenty of new information has been presented comparing the conventional to transcatheter aortic valve implantation (TAVI) demonstrating similar short- and mid-term outcomes at high and low risk, but even a survival advantage with transfemoral TAVI at intermediate risk. In addition, there were many relevant and interesting other contributions from the purely operative arena. This review article will summarize the most pertinent publications in the fields of coronary revascularization, surgical treatment of valve disease, heart failure (i.e., transplantation and ventricular assist devices), and aortic surgery. While the article does not have the expectation of being complete and cannot be free of individual interpretation, it provides a condensed summary that is intended to give the reader "solid ground" for up-to-date decision-making in cardiac surgery.

Keywords: Aortic surgery; Aortic valve surgery; Coronary revascularization; Heart transplantation; Left ventricular assist devices; Mitral valve surgery; Tricuspid valve surgery.

Publication types

  • Review

MeSH terms

  • Cardiac Catheterization
  • Cardiac Surgical Procedures* / adverse effects
  • Cardiac Surgical Procedures* / mortality
  • Cardiac Surgical Procedures* / trends
  • Clinical Trials as Topic
  • Diffusion of Innovation
  • Evidence-Based Medicine
  • Heart Diseases / diagnosis
  • Heart Diseases / mortality
  • Heart Diseases / surgery*
  • Heart Transplantation
  • Heart Valve Prosthesis Implantation
  • Humans
  • Myocardial Revascularization
  • Risk Factors
  • Treatment Outcome
  • Vascular Surgical Procedures