C l t d a s a m l F w g b t L a p T T d 1 2 m t is a great challenge to take over the responsibility of roviding readers of the JACC with this annual review that ighlights key contributions in the cardiovascular surgery iterature. This task has been handled with remarkable and nviable efficiency by Robert H. Jones, MD, over the past 5 ears. During the series, Dr. Jones altered the format from i...

IN CARDIOVASCULAR ANAESTHESIA in recent years, two techniques, fentanyl and droperidol "Neuroleptanaesthesia," and one using morphine as the primary agent, have shared popularity. 1-8 Knowledge of the undesirable side effects associated with these techniques, led us to postulate that another tranquillizer-analgesic combination might have some advantages and fewer side-effects. A review of the p...

The following articles are being highlighted as part of Circulation’s Topic Review series. This series will summarize the most important manuscripts, as selected by the editors, published in Circulation and the Circulation subspecialty journals. The studies included in this article represent the most read manuscripts published on the topic of cardiovascular surgery and transplantation in 2009 a...

Background: Obesity in children and adolescents has increased exponentially around the world. Furthermore, COVID-19 pandemic led to a higher pediatric obesity rate. The excess adipose tissue generates dysregulation of adiponectin, ghrelin, leptin, among others. Metabolic alterations can develop cardiovascular disease, dyslipidemias, arterial hypertension, type 2 diabetes mellitus, nonalcoholic ...

Background While recommendations for the optimal distribution of surgical services in high-income countries (HICs) exist, it is unclear how these translate to resource-limited settings. Given the significant shortage and maldistribution of surgical workforce and infrastructure in many low- and middle-income countries (LMICs), the optimal role of decentralization versus regionalization (ce...

Over 230 million surgeries are performed annually worldwide, cardiac complications being the most common causes of postoperative morbidity and mortality. As life expectancy has extended worldwide, a growing number of patients with multiple comorbidities have undergone noncardiac surgeries. Consequently, cardiovascular complications associated with those procedures are expected to increase, and ...

The concept of a hybrid operating room represents the union of a high-complexity surgical apparatus with state-of-the-art radiological tools (ultrasound, CT, fluoroscopy, or magnetic resonance imaging), in order to perform highly effective, minimally invasive procedures. Although the use of a hybrid operating room is well established in specialties such as neurosurgery and cardiovascular surger...

UNLABELLED We identified predictors for prolonged postoperative stay after ambulatory surgery using multiple logistic regression models. We collected perioperative data for 16,411 ambulatory surgical patients. A log-transformed time to discharge variable was modeled by multiple linear regression, including patient-, anesthesia-, and surgery-specific variables. The impact of hypothetical elimina...

The expected future number of cardiovascular operations is estimated based on the predicted Japanese population and the rate of cardiovascular surgery performance calculated from 16845 cases treated by the Nagoya University group of hospitals between 2001 and 2013. The population of <20-year-old individuals has decreased since 1990, while that of 20-64-year-old individuals has also decreased si...