November 2025

Open thoracoabdominal aortic replacement in a low-resource setting

Thoracoabdominal aortic aneurysms present a unique challenge to cardiovascular surgery and anesthesia teams. Techniques to manage extensive blood loss, end-organ ischemia, and prevent spinal cord ischemia have been well described but may not be available in all hospitals. Centralization of thoracoabdominal aortic surgery is a well-accepted and recommended practice; however, it may not be feasible in all regions. This...

Author(s): Omondi Sadia, Khalif Hussein, Kinyua and Jason Faulds

November 2025

Comparison of operative mortality of REV repair versus Rastelli repair for right ventricular outflow tract construction in truncus arteriosus: A meta-analysis

The Rastelli (RAST) procedure is the gold standard for repair of truncus arteriosus (TA). The RAST procedure is associated with a concerning frequency of conduit obstruction. The réparation à l'étage ventriculaire (REV) was developed to address conduit obstruction in patients with discordant ventricular arterial connections and pulmonary stenosis; the REV can also be used for TA repair. Despite...

Author(s): Mark Nelson Awori, Jonathan Alan Awori, Aparna Ghose, Isaiah Nelson Awori and Faizal Auka Ogwell