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Your search keyword '"Ferraris, Victor A."' showing total 213 results
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213 results on '"Ferraris, Victor A."'

18. 2011 Update to The Society of Thoracic Surgeons and the Society of Cardiovascular Anesthesiologists Blood Conservation Clinical Practice Guidelines

Author

Ferraris, Victor A., Brown, Jeremiah R., Despotis, George J., Hammon, John W., Reece, T. Brett, Saha, Sibu P., Song, Howard K., Clough, Ellen R., Shore-Lesserson, Linda J., Goodnough, Lawrence T., Mazer, C. David, Shander, Aryeh, Stafford-Smith, Mark, Waters, Jonathan, Baker, Robert A., Dickinson, Timothy A., FitzGerald, Daniel J., Likosky, Donald S., and Shann, Kenneth G.

Published
2011
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38. Complete postsurgical left ventricular‐aortic discontinuity and pseudoaneurysm formation.

Author

Fu, Weibo, Davari, Paran, Issa, Mohamed, Alslaim, Hossam, Cortese, Nia, Bates, William B., Ferraris, Victor, and Winkler, Michael

Abstract

Background: Left ventricular outflow tract pseudoaneurysm is a rare but potentially fatal complication of aortic valve replacement, infective endocarditis (IE), and suture dehiscence. Left ventricular‐aortic discontinuity is a severe and uncommon manifestation of IE. For patients who have a long‐standing history of endocarditis, periannular lesions in the aortic valve may rupture, leading to the rare occurrence of complete, or total, left ventricular‐aortic discontinuity. Methods: We present a case of complete postoperative left ventricular‐aortic discontinuity and massive circumferential left ventricular outflow tract pseudoaneurysm discovered during a 3‐month follow‐up visit. Appropriate consent was obtained from all parties before submission of this case report. Results: Postoperative cardiac computed tomography of a patient demonstrated dehiscence of a recently placed surgical aortic valve from the left ventricular outflow tract, with massive circumferential pseudoaneurysm formation. Only a small remnant of the membranous interventricular septum connected the aortic root to the heart, informing the diagnosis of complete left ventricular‐aortic discontinuity. Conclusion: The clinical presentation of a left ventricular outflow tract pseudoaneurysm with concomitant left ventricular‐aortic discontinuity is commonly nonspecific or clinically silent; thus, it requires a high index of suspicion and use of multimodality imaging for diagnosis and management. [ABSTRACT FROM AUTHOR]

Published
2022
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39. Failure to Rescue: A New Society of Thoracic Surgeons Quality Metric for Cardiac Surgery.

Author

Kurlansky, Paul A., O'Brien, Sean M., Vassileva, Christina M., Lobdell, Kevin W., Edwards, Fred H., Jacobs, Jeffrey P., Wyler von Ballmoos, Moritz, Paone, Gaetano, Edgerton, James R., Thourani, Vinod H., Furnary, Anthony P., Ferraris, Victor A., Cleveland, Joseph C., Bowdish, Michael E., Likosky, Donald S., Badhwar, Vinay, and Shahian, David M.

Abstract

Failure to rescue (FTR) focuses on the ability to prevent death among patients who have postoperative complications. The Society of Thoracic Surgeons (STS) Quality Measurement Task Force has developed a new, risk-adjusted FTR quality metric for adult cardiac surgery. The study population was taken from 1118 STS Adult Cardiac Surgery Database participants including patients who underwent isolated CABG, aortic valve replacement with or without CABG, or mitral valve repair or replacement with or without CABG between January 2015 and June 2019. The FTR analysis was derived from patients who had one or more of the following complications: prolonged ventilation, stroke, reoperation, and renal failure. Data were randomly split into 70% training samples (n = 89,059) and 30% validation samples (n = 38,242). Risk variables included STS predicted risk of mortality, operative procedures, and intraoperative variables (cardiopulmonary bypass and cross-clamp times, unplanned procedures, need for circulatory support, and massive transfusion). Overall mortality for patients undergoing any of the index operations during the study period was 2.6% (27,045 of 1,058,138), with mortality of 0.9% (8316 of 930,837), 8% (7618 of 94,918), 30.6% (8247 of 26,934), 51.9% (2661 of 5123), and 62.3% (203 of 326), respectively, among patients having none, one, two, three, or four complications. The FTR risk model calibration was excellent, as were model discrimination (c-statistic 0.806) and the Brier score (0.102). Using 95% Bayesian credible intervals, 62 participants (5.6%) performed worse and 53 (4.7%) performed better than expected. A new risk-adjusted FTR metric has been developed that complements existing STS performance measures. The metric specifically assesses institutional effectiveness of postoperative care, allowing hospitals to target quality improvement efforts. [ABSTRACT FROM AUTHOR]

Published
2022
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