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Editorial - April 2021

Dear Members,

We are happy to be able to share with you this time several interesting aspects of our speciality regarding coronary revascularization, aortic dissection as well as structural heart valve disease .

Our working group has, together with the European Association of Percutaneous Cardiovascular Interventions (EAPCI), prepared a position paper on hybrid coronary revascularization which is currently under review.

The recommended readings in this newsletter are a review from Gaudino et al on the association of coronary graft patency and the clinical status of patients with coronary artery disease. The second publication is on the outcome of patients undergoing surgery for an acute type A dissection undergoing cardiopulmonary resuscitation. In this study it could be shown that CPR duration beyond 15 minutes may be a contraindication for AAAD repair. Moreover, surgery should be reconsidered for patients who cannot achieve return of spontaneous circulation after pericardiotomy. The third recommended reading presents current trends and outcome in the utilization of limited access techniques for isolated aortic valve replacement from the STS database and shows that there is an increase in the number of patients undergoing isolated AVR via limited access approaches without compromising surgical results. The authors of this paper propose that Less-invasive AVRs should serve as a benchmark for comparison between transcatheter aortic valve replacement and surgical AVR in low-risk patients.

On behalf of the Working Group nucleus,

Martin Czerny, Chairperson 2020-2022 and Roman Gottardi, Communication Coordinator 2020-2022