2,133 results match your criteria Annals Of Thoracic And Cardiovascular Surgery[Journal]


Effect of Music Therapy on the Chronic Pain and Midterm Quality of Life of Patients after Mechanical Valve Replacement.

Ann Thorac Cardiovasc Surg 2020 Jun 3. Epub 2020 Jun 3.

Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, the Affiliated Hospital of Fujian Medical University, Fuzhou, China.

Objective: To evaluate the effect of music therapy on the chronic pain and midterm quality of life of patients after mechanical valve replacement.

Methods: Patients were divided into two groups according to whether or not they received music therapy. The patients in the music group received 30 minutes of music therapy every day for 6 months after the operation. Read More

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http://dx.doi.org/10.5761/atcs.oa.20-00022DOI Listing

Clinicopathological Analysis of 17 Surgically Resected Pulmonary Pleomorphic Carcinoma Cases.

Ann Thorac Cardiovasc Surg 2020 Jun 3. Epub 2020 Jun 3.

Division of Thoracic Surgery, Saitama Cancer Center, Ina, Saitama, Japan.

Objectives: To determine the outcomes and prognostic factors associated with pulmonary resection of pulmonary pleomorphic carcinoma (PPC).

Methods: During 2008-2017, 17 patients underwent pulmonary resection for primary PPC at the Saitama Cancer Center, Japan. We investigated clinicopathological characteristics and outcomes of these cases. Read More

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http://dx.doi.org/10.5761/atcs.oa.20-00018DOI Listing

Effect of Treprostinil on the Early Postoperative Prognosis of Patients with Severe Left Heart Valvular Disease Combined with Severe Pulmonary Hypertension.

Ann Thorac Cardiovasc Surg 2020 Jun 3. Epub 2020 Jun 3.

Department of Cardiac Surgery, Fujian Maternity and Child Health Hospital, Affiliated Hospital of Fujian Medical University, Fuzhou, China.

Objective: To investigate the effect of treprostinil on the early postoperative prognosis of patients with severe left heart valvular disease combined with severe pulmonary hypertension (PAH).

Methods: A retrospective study including 55 patients with severe left heart valvular disease combined with severe PAH who underwent left heart valve replacement in our hospital between January 2019 and May 2019 was conducted. Patients were divided into two groups (treprostinil group and control group), and the clinical data of patients in the two groups were compared and analyzed. Read More

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http://dx.doi.org/10.5761/atcs.oa.20-00003DOI Listing

Current Status of Off-Pump Coronary Artery Bypass.

Ann Thorac Cardiovasc Surg 2020 May 29. Epub 2020 May 29.

Department of Cardiovascular Surgery, Saiseikai Fukuoka General Hospital, Fukuoka, Fukuoka, Japan.

Purpose: Off-pump coronary arterial bypass grafting (OPCAB) has become a common practice for coronary artery bypass grafting (CABG) in Japan, with approximately 65% CABG procedures currently being performed using OPCAB. However, it is unclear whether OPCAB is superior in terms of associated mortality, incidence of complications, graft patency rate, and long-term outcomes compared with conventional CABG (CCABG).

Methods: Literature consideration was performed, mainly based on observational studies involving large samples and randomized controlled trials (RCTs). Read More

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http://dx.doi.org/10.5761/atcs.ra.18-00286DOI Listing

Tracheal Reconstruction Surgery Supported by Extracorporeal Membrane Oxygenation for Patients with Traumatic Post-tracheotomy Tracheal Stenosis.

Ann Thorac Cardiovasc Surg 2020 May 29. Epub 2020 May 29.

Department of Critical Care Medicine, West China Hospital, West China Medical School, Sichuan University, Chengdu, China.

Purposes: Patients who require surgeries for traumatic post-tracheotomy tracheal stenosis (PTTS) often cannot be supported using conventional airway management approaches. This study documents the use of extracorporeal membrane oxygenation (ECMO) in patients with PTTS.

Methods: Patient characteristics, procedure, and outcome of patients who required tracheal reconstruction surgery for PTTS supported by ECMO were retrieved and analyzed. Read More

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http://dx.doi.org/10.5761/atcs.oa.20-00005DOI Listing

Secondary Carina and Lobar Bronchi Stenting in Patients with Advanced Lung Cancer: Is It Worth the Effort? A Clinical Experience.

Ann Thorac Cardiovasc Surg 2020 May 18. Epub 2020 May 18.

Department of Surgical, Oncological and Oral Sciences, University of Palermo, Palermo, Italy.

Background: The lobar airway stenting remains an endoscopic procedure not well standardized in patients with locally advanced lung cancer disease. The goal of this study was to evaluate technical feasibility, clinical outcome, and complications of different stents in patients with malignant lesions involving lobar bronchi, primary and secondary carina.

Methods: Between November 2008 and October 2013, we retrospectively analyzed 146 patients with benign and malignant tracheobronchial stenosis who underwent airway stent insertion below main carina and main bronchi. Read More

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http://dx.doi.org/10.5761/atcs.oa.19-00040DOI Listing

A Surgical Case of Bronchial Artery Aneurysm Connecting to a Pulmonary Artery and Vein Complicated by Racemose Hemangioma.

Ann Thorac Cardiovasc Surg 2020 May 18. Epub 2020 May 18.

Department of Thoracic Surgery, Shonan Kamakura General Hospital, Kamakura, Kanagawa, Japan.

We report a surgical case of bronchial artery aneurysm (BAA) that directly connected to a pulmonary artery and a pulmonary vein through an abnormal vessel. It was complicated by racemose hemangioma. This is a rare vascular malformation. Read More

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http://dx.doi.org/10.5761/atcs.cr.19-00302DOI Listing

Gender Differences in Predictors and Long-Term Mortality of New-Onset Postoperative Atrial Fibrillation Following Isolated Aortic Valve Replacement Surgery.

Ann Thorac Cardiovasc Surg 2020 Apr 28. Epub 2020 Apr 28.

Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Portugal.

Purpose: Postoperative atrial fibrillation (POAF) after coronary artery bypass grafting (CABG) has been associated with increased risk of death in women but not in men. We aimed to explore predictors and long-term mortality in POAF following isolated aortic valve replacement (AVR) surgery in men and women.

Methods: This study included 379 severe aortic stenosis patients with no prior atrial fibrillation (AF) who underwent isolated AVR surgery. Read More

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http://dx.doi.org/10.5761/atcs.oa.19-00314DOI Listing

The Comparison of Long-term Results between Aortofemoral and Axillofemoral Bypass for Patients with Aortoiliac Occlusive Disease.

Ann Thorac Cardiovasc Surg 2020 Apr 22. Epub 2020 Apr 22.

Department of Specialized Surgery, Tokyo Medical and Dental University, Tokyo, Japan.

Purpose: We evaluated the clinical outcomes of aortofemoral bypass (AoFB) and axillofemoral bypass (AxFB) surgeries for complex aortoiliac occlusive disease (AIOD) and compared them from the perspectives of safety and efficacy.

Methods: We retrospectively reviewed 21 patients with AoFB grafting and 9 patients with AxFB grafting. The demographic information of the patients was examined, and the intra-, peri-, and postoperative results as well as long-term outcomes were evaluated. Read More

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http://dx.doi.org/10.5761/atcs.oa.19-00300DOI Listing

Bilateral Trans-Septal Approach to Right Lung Cancer Invading the Left Atrium.

Ann Thorac Cardiovasc Surg 2020 Apr 10. Epub 2020 Apr 10.

Department of Surgery, Cardiovascular Center, Kyoto Katsura Hospital, Kyoto, Kyoto, Japan.

We describe a 69-year-old woman with primary lung cancer in the right lower lobe invasive to the left atrium (LA) via the pulmonary vein (PV). The tumor in the LA measured 30 × 26 mm, and to avoid critical embolism preoperative induction therapy was not performed. The patient underwent right thoracotomy under cardiopulmonary bypass (CPB), and the atrial septum was incised via the right atrium. Read More

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http://dx.doi.org/10.5761/atcs.cr.19-00311DOI Listing

Structural Valve Deterioration after Transcatheter Aortic Valve Implantation Using J-Valve: A Long-Term Follow-Up.

Ann Thorac Cardiovasc Surg 2020 Apr 3. Epub 2020 Apr 3.

Department of Structural Heart Disease, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, State Key Laboratory of Cardiovascular Disease, Beijing, China.

Purpose: Our study aimed to investigate the structural valve deterioration (SVD) after transcatheter aortic valve implantation (TAVI) using J-Valve.

Methods: In all, 14 patients with aortic stenosis (AS) and 4 patients with pure aortic regurgitation (PAR) were available in the study. Four-year follow-up was performed in all patients, and the clinical data and echocardiographic findings were recorded and analyzed. Read More

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http://dx.doi.org/10.5761/atcs.oa.19-00325DOI Listing
April 2020
0.687 Impact Factor

Analysis of Risk Factors for Bronchopleural Fistula after Surgical Treatment of Lung Cancer.

Ann Thorac Cardiovasc Surg 2020 Mar 27. Epub 2020 Mar 27.

Department of General Thoracic Surgery, Kochi Health Sciences Center, Kochi, Kochi, Japan.

Purpose: Bronchopleural fistula (BPF) is a potential serious complication of lobectomy or more radical surgery for non-small-cell lung cancer (NSCLC). We aimed to evaluate the risk factors for BPF.

Methods: The study cohort comprised 635 patients who had undergone lobectomy or more radical surgery for NSCLC from March 2005 to December 2017. Read More

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http://dx.doi.org/10.5761/atcs.oa.20-00010DOI Listing

Application of Aortic Balloon Occlusion in Total Aortic Arch Replacement with Frozen Elephant Trunk on Clinical Endpoints for Aortic Dissection Patients.

Ann Thorac Cardiovasc Surg 2020 Mar 11. Epub 2020 Mar 11.

Aortic and Vascular Surgery Center, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Purpose: Total aortic arch replacement (TAR) with frozen elephant trunk (FET) is the standard operation for treating aortic dissection (AD) patients involving aortic arch with high operative risk due to long circulatory arrest (CA). We used aortic balloon occlusion technique that safely reduced the CA time to 5 min in average and investigated whether it can improve the clinical endpoints.

Methods: All patients diagnosed with AD and underwent TAR with FET operation (123 with aortic balloon occlusion and 221 with conventional method) in Fuwai Hospital during August 2017 and February 2019 was reviewed in this retrospective observational study. Read More

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http://dx.doi.org/10.5761/atcs.oa.19-00288DOI Listing

Surgical Outcomes of Stent-Related Type A Dissection Compared with Spontaneous Type A Dissection.

Ann Thorac Cardiovasc Surg 2020 Mar 10. Epub 2020 Mar 10.

Department of Cardiovascular Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China.

Objective: Aortic endovascular stent implantation includes thoracic endovascular aortic repair (TEVAR), hybrid aortic repair (HAR), and ascending aorta stent implantation (AASI). In this study, we compared the surgical outcomes of stent-related type A dissection (SRTAD) compared with spontaneous type A dissection (STAD).

Methods: From July 2011 to July 2014, we identified 17 SRTAD patients received surgical repair in our institution. Read More

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http://dx.doi.org/10.5761/atcs.oa.19-00216DOI Listing

Quality of Life Following Peroral Endoscopic Myotomy for Esophageal Achalasia: A Systematic Review and Meta-Analysis.

Ann Thorac Cardiovasc Surg 2020 Mar 4. Epub 2020 Mar 4.

Department of Gastroenterology, Affiliated Hospital of Southwest Medical University, Luzhou, China.

Background: Peroral endoscopic myotomy (POEM) is a novel minimally invasive intervention for treating esophageal achalasia. Previous publications have proved its excellent efficacy and safety, and even shown it could improve patients' quality of life (QoL). So, we conducted this study to explore the changes of QoL following POEM. Read More

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http://dx.doi.org/10.5761/atcs.ra.19-00273DOI Listing

IgG4-Related Lung Disease Exhibiting the Invasion into the Diaphragm: A Case Report.

Ann Thorac Cardiovasc Surg 2020 Feb 27. Epub 2020 Feb 27.

Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Fukuoka, Japan.

Immunoglobulin G4-related disease (IgG4-RD) is a fibroinflammatory condition which involves various organs. This is a very rare case of IgG4-related lung disease (IgG4-RLD) with the invasion into diaphragm. The patient was a 71-year-old man with a long-term exposure to asbestos who had a mass shadow in the left lower lung lobe, which was suspected to invade the left diaphragm on computed tomography (CT). Read More

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http://dx.doi.org/10.5761/atcs.cr.19-00244DOI Listing
February 2020

Complete Blood Cell Count-Derived Inflammatory Biomarkers in Early-Stage Non-Small-Cell Lung Cancer.

Ann Thorac Cardiovasc Surg 2020 Feb 19. Epub 2020 Feb 19.

Department of Thoracic Surgery, Clinical Research Institute, National Hospital Organization, Kyushu Medical Center, Fukuoka, Fukuoka, Japan.

Background: Complete blood cell count (CBC)-derived inflammatory biomarkers are widely used as prognostic parameters for various malignancies, but the best predictive biomarker for early-stage non-small-cell lung cancer (NSCLC) is unclear. We retrospectively analyzed early-stage NSCLC patients to investigate predictive effects of preoperative CBC-derived inflammatory biomarkers.

Patients And Methods: We selected 311 consecutive patients with pathological stage IA NSCLC surgically resected from April 2006 to December 2012. Read More

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http://dx.doi.org/10.5761/atcs.oa.19-00315DOI Listing
February 2020

Conventional Multi-Planar Reconstruction Imaging Is Insufficient to Determine the Indication for Segmentectomy.

Ann Thorac Cardiovasc Surg 2020 Feb 19. Epub 2020 Feb 19.

Department of General Thoracic Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Kagoshima, Japan.

Purpose: The diagnostic potential of conventional multi-planar reconstruction (MPR) images, which consist of horizontal, frontal, and sagittal section, in approximating the anatomical distance between tumors and intersegmental planes remains unclear. The aim of the present study was to clarify the validity of decision-making for segmentectomy based on MPR imaging and identify a specific tumor location that is likely to result in the overestimation of the anatomical margin on MPR images.

Methods: The study population included 33 patients who were considered eligible for segmentectomy based on the observation of MPR images, and verified using a commercially available image-analysis software whether the decision-making based on MPR images was indeed correct or not. Read More

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http://dx.doi.org/10.5761/atcs.oa.19-00291DOI Listing
February 2020

Symptomatic Aberrant Right Subclavian Artery: Advantages of a Less Invasive Surgical Approach.

Ann Thorac Cardiovasc Surg 2020 Apr 4;26(2):104-107. Epub 2020 Feb 4.

Department of Thoracic Surgery, Monaldi Hospital, Naples, Italy.

We present the case of a 33-year-old woman with a non-aneurysmal, symptomatic aberrant right subclavian artery (ARSA) traveling posterior to the esophagus, as demonstrated on chest computed tomography (CT) scans. She was treated with a less invasive surgical approach: closure of the anomalous vessel close to its origin from the aortic arch, through a left thoracoscopic procedure, followed by right common carotid-subclavian artery transposition via an open right supraclavicular approach. This method avoids the postoperative morbidity associated with open thoracic surgery and allows a clear identification of the anatomic structures minimizing possible procedure-related complications as a long residual arterial stump. Read More

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http://dx.doi.org/10.5761/atcs.nm.19-00206DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7184030PMC

Trunk Muscle Cross-Sectional Area as a Predictive Factor for Length of Postoperative Hospitalization after Surgical Aortic Valve Replacement.

Ann Thorac Cardiovasc Surg 2020 Jan 29. Epub 2020 Jan 29.

Department of Cardiovascular Surgery, Kansai Medical University Medical Center, Osaka, Osaka, Japan.

Purpose: We investigated the utility of trunk muscle cross-sectional area to predict length of hospitalization after surgical aortic valve replacement (AVR) for aortic stenosis (AS).

Methods: Adult AS patients who underwent isolated AVR at a single institution were studied. The cross-sectional area of the erector spinae muscles (ESM) at the first and second lumbar vertebrae and that of the psoas muscle (PM) at the third and fourth lumbar vertebrae were measured on preoperative computed tomography (CT). Read More

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http://dx.doi.org/10.5761/atcs.oa.19-00261DOI Listing
January 2020

Preoperative Immune-Nutritional Abnormality Predicts Poor Outcome in Elderly Non-Small-Cell Lung Cancer Patients with Comorbidities.

Ann Thorac Cardiovasc Surg 2020 Jan 29. Epub 2020 Jan 29.

Department of Thoracic Surgery, Clinical Research Institute, National Hospital Organization, Kyushu Medical Center, Fukuoka, Fukuoka, Japan.

Background: Elderly non-small-cell lung cancer (NSCLC) patients are increasing. In general, elderly patients often have more comorbidities and worse immune-nutritional condition.

Patients And Methods: In total, 122 NSCLC patients aged 75 years or older, underwent thoracic surgery between January 2007 and December 2010. Read More

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http://dx.doi.org/10.5761/atcs.oa.19-00207DOI Listing
January 2020

The Association of Vacuum-Assisted Closure Therapy with Dynamic Volume Change of a Muscle Flap Transposed in an Empyema Cavity for Chronic Empyema: A Case Report.

Ann Thorac Cardiovasc Surg 2020 Jan 29. Epub 2020 Jan 29.

Department of General Thoracic Surgery, National Hospital Organization Kinki-Chuo Chest Medical Center, Sakai, Osaka, Japan.

A 62-year-old woman with a history of lung resection for lung cancer was admitted to our hospital due to cough, which became progressively more severe. She was diagnosed with chronic empyema with bronchopleural fistula (BPF) of the right upper bronchial stump. Although a pedicled muscle flap was transposed to the empyema cavity, the fistula remained. Read More

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http://dx.doi.org/10.5761/atcs.cr.19-00235DOI Listing
January 2020

Tracheoplasty for Congenital Tracheal Stenosis with Bilateral Tracheal Bronchus.

Ann Thorac Cardiovasc Surg 2020 Jan 29. Epub 2020 Jan 29.

Departments of Pediatric Surgery, Shizuoka Children's Hospital, Shizuoka, Shizuoka, Japan.

Introduction: Congenital tracheal stenosis (CTS) with a bilateral tracheal bronchus (TB) has not been reported as a subtype of CTS. A novel technique to manage CTS in patients with a bilateral TB is described.

Case Report: An infant with tetralogy of Fallot underwent repair of cardiac anomaly at age 1 month. Read More

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http://dx.doi.org/10.5761/atcs.cr.19-00198DOI Listing
January 2020

Total Arterial Revascularization with Radial Artery and Internal Thoracic Artery T-Grafts Is Associated with Superior Long-Term Survival in Patients Undergoing Coronary Artery Bypass Grafting.

Ann Thorac Cardiovasc Surg 2020 Feb 18;26(1):30-39. Epub 2020 Jan 18.

Department of Cardiothoracic, Transplant and Vascular Surgery, Hannover Medical School, Hannover, Germany.

Aims: Compelling evidence encourages the use of the radial artery (RA) as the second arterial graft in coronary artery bypass grafting (CABG). However, its long-term benefits remain disputed. We sought to evaluate long-term outcome and survival by comparing patients receiving RAs with those receiving venous grafts to a single internal thoracic artery (ITA). Read More

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http://dx.doi.org/10.5761/atcs.oa.19-00226DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7046926PMC
February 2020

Effects of the Sounds of Different Mechanical Mitral Valves on Quality of Life at Different Follow-Up Times: A Single-Center Study.

Ann Thorac Cardiovasc Surg 2020 Jan 10. Epub 2020 Jan 10.

Division of Plastic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.

Objective: To compare the effects of the sounds of different types of mechanical mitral valves on the quality of life (QoL) of patients at different follow-up times.

Methods: We collected data from 150 patients who underwent mechanical mitral valve replacement. Three time points were assessed, including at discharge, the third postoperative month (POM3), and the twelfth postoperative month (POM12). Read More

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http://dx.doi.org/10.5761/atcs.oa.19-00281DOI Listing
January 2020
0.687 Impact Factor

Corrugated Sheet of Unsintered Hydroxyapatite Poly-L-Lactide for Sternal Fixation: A Preclinical Study.

Ann Thorac Cardiovasc Surg 2020 Feb 11;26(1):40-46. Epub 2019 Dec 11.

Department of Cardiovascular Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

Purpose: To stabilize the sternum after median sternotomy, unsintered hydroxyapatite poly-L-lactide (u-HA/PLLA) sternal pins are frequently used in Japan. However, sternal pins are ineffective in the fragile bone marrow. Thus, a corrugated sheet made of u-HA/PLLA was developed as a new sternal fixation device. Read More

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http://dx.doi.org/10.5761/atcs.oa.19-00250DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7046929PMC
February 2020

Neutrophil Elastase Inhibitor Sivelestat Attenuates Myocardial Injury after Cardioplegic Arrest in Rat Hearts.

Ann Thorac Cardiovasc Surg 2019 Dec 9. Epub 2019 Dec 9.

Cardiovascular Surgery, Nippon Medical School Chiba Hokusoh Hospital, Inzai, Chiba, Japan.

Purpose: Sivelestat, a neutrophil elastase inhibitor, attenuates global ischemia-induced myocardial damage and coronary endothelial dysfunction. Here, we investigated whether sivelestat exerts the cardioprotective effects against cardioplegic arrest in rat hearts.

Methods: Isolated Langendorff-perfused rat hearts were randomly allocated to three groups and subjected to 2-min infusions with St. Read More

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http://dx.doi.org/10.5761/atcs.oa.19-00240DOI Listing
December 2019

Retroperitoneal Aortobifemoral Bypass by a Combination of Horseshoe Kidney and Aortoiliac Occlusive Disease with Stent Thrombosis.

Ann Thorac Cardiovasc Surg 2019 Dec 6. Epub 2019 Dec 6.

Department of Pediatric Cardiology, University National Heart Hospital, Sofia, Bulgaria.

Bilateral aorto-profunda femoris bypass with Dacron bifurcation graft was performed by a patient with aortoiliac occlusive disease (AIOD) and horseshoe kidney (HSK) who had undergone stenting of the right common iliac artery and of the left superficial femoral artery with subsequent stent thrombosis as well as significant subrenal aortic stenosis. As endovascular treatment was not feasible and surgical treatment by means of transperitoneal incision would be associated with high risk of damage to the HSK, the operation was successfully accomplished through left pararectal retroperitoneal approach. Read More

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http://dx.doi.org/10.5761/atcs.cr.19-00243DOI Listing
December 2019

The Necessity of Anti-Tuberculosis Therapy after Resection of Pulmonary Tuberculous Nodules: A Single Center Retrospective Study.

Ann Thorac Cardiovasc Surg 2019 Nov 27. Epub 2019 Nov 27.

Minimally Invasive Treatment Center, Beijing Chest Hospital, Beijing, China.

Purpose: To discuss the necessity of anti-tuberculosis therapy after resection of asymptomatic pulmonary tuberculous nodules: is postoperative anti-tuberculosis therapy is over-treatment?

Methods: This is a single-center retrospective study. Patients with solitary pulmonary nodule (SPN) and diagnosed as tuberculosis by pathology were included. Clinical features are collected. Read More

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http://dx.doi.org/10.5761/atcs.oa.19-00199DOI Listing
November 2019

Changeover Trial of Febuxostat and Topiroxostat for Hyperuricemia with Cardiovascular Disease: Sub-Analysis for Chronic Kidney Disease (TROFEO CKD Trial).

Ann Thorac Cardiovasc Surg 2019 Nov 21. Epub 2019 Nov 21.

Department of Cardiovascular Surgery, Nihon University School of Medicine, Tokyo, Japan.

Background: The TROFEO trial demonstrated that febuxostat causes greater and more rapid reduction of serum uric acid (s-UA) than topiroxostat. We compared these drugs in patients with chronic kidney disease (CKD) by sub-analysis of the TROFEO trial.

Methods: This sub-analysis targeted patients with an estimated glomerular filtration rate (eGFR) ≤60 mL/min/1. Read More

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http://dx.doi.org/10.5761/atcs.oa.19-00162DOI Listing
November 2019

MiR-26b Suppresses the Development of Stanford Type A Aortic Dissection by Regulating HMGA2 and TGF-β/Smad3 Signaling Pathway.

Ann Thorac Cardiovasc Surg 2019 Nov 14. Epub 2019 Nov 14.

Department of Vasculocardiology, the Affiliated Hospital of Southwest Medical University, Luzhou, China.

Purpose: Stanford type A aortic dissection (TAAD) is one of the most dangerous cardiovascular diseases. MicroRNAs (miRNAs) have been considered as potential therapeutic targets for TAAD. In this present study, we aimed to investigate the functional role and regulatory mechanism of miR-26b in TAAD development. Read More

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http://dx.doi.org/10.5761/atcs.oa.19-00184DOI Listing
November 2019

Pulmonary Metastasectomy for Germ Cell Tumors.

Ann Thorac Cardiovasc Surg 2019 Dec 13;25(6):289-295. Epub 2019 Nov 13.

Divison of Thoracic Surgery, Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Germ cell tumors (GCTs) are the most common malignancy among young men in the United States. Although prognosis is favorable and response to cisplatin-based chemotherapy regimens is good, 10%-20% of patients with thoracic metastases require surgical management following completion of chemotherapy. Pulmonary metastasectomy (PM) has been employed for GCT patients with lung metastases for several decades. Read More

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http://dx.doi.org/10.5761/atcs.ra.19-00070DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6923721PMC
December 2019

Does Preoperative Low HbA1c Predict Esophageal Cancer Outcomes?

Ann Thorac Cardiovasc Surg 2019 Oct 30. Epub 2019 Oct 30.

Department of Surgery, School of Medicine, Toho University, Tokyo, Japan.

Background: Although several reports have shown that diabetes is a poor prognostic factor for esophageal cancer, no reports assessed prognostic impact of hemoglobin A1c (HbA1c) in the patients with esophageal cancer. Therefore, we evaluated the prognostic significance of HbA1c in patients with esophageal cancer.

Methods: A total of 137 patients with esophageal carcinoma surgically treated at our institute between 2009 and 2017 were enrolled in this retrospective study. Read More

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http://dx.doi.org/10.5761/atcs.oa.19-00238DOI Listing
October 2019

Erratum.

Authors:

Ann Thorac Cardiovasc Surg 2019 ;25(5):283

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http://dx.doi.org/10.5761/atcs.err.19-01000DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6823176PMC
January 2019

Administration of Corticosteroids, Ascorbic Acid, and Thiamine Improves Oxygenation after Thoracoscopic Esophagectomy.

Ann Thorac Cardiovasc Surg 2019 Oct 18. Epub 2019 Oct 18.

Department of Surgery, Saiseikai Utsunomiya Hospital, Utsunomiya, Tochigi, Japan.

Purpose: The activity of corticosteroids, ascorbic acid, and thiamine against oxidative and inflammatory responses was evaluated in patients undergoing esophagectomy. This study was undertaken to investigate the effect of this combined therapy on lung dysfunction following esophagectomy.

Methods: In this retrospective before-after study, we compared the clinical course of consecutive patients undergoing thoracoscopic esophagectomy treated with the combination of corticosteroids, ascorbic acid, and thiamine between June and December 2018 with a control group treated with corticosteroids alone between January 2016 and May 2018. Read More

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http://dx.doi.org/10.5761/atcs.oa.19-00202DOI Listing
October 2019
1 Read

Stable Hemodynamics within "No-Touch" Saphenous Vein Graft.

Ann Thorac Cardiovasc Surg 2020 Apr 11;26(2):88-94. Epub 2019 Oct 11.

Department of Cardiac Surgery, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Purpose: To investigate the hemodynamics characteristics of the "no-touch" saphenous vein graft (SVG) conduits by nicardipine intraluminal administration in vivo experiment.

Methods: A total of 59 consecutive patients were enrolled and underwent a sequential SVG to three non-left anterior descending (LAD) targets with the average runoff ≤2 mm, 30 with "no-touch" harvest technique (group A) and 29 with conventional preparation (group B). The patients were subject to nicardipine intraluminal injection during off-pump coronary artery bypass grafting (CABG) procedure. Read More

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http://dx.doi.org/10.5761/atcs.oa.19-00156DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7184034PMC

In-Hospital Postoperative Atrial Fibrillation Indicates a Poorer Clinical Outcome after Myectomy for Obstructive Hypertrophic Cardiomyopathy.

Ann Thorac Cardiovasc Surg 2020 Feb 4;26(1):22-29. Epub 2019 Oct 4.

Department of Cardiovascular Surgery, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Objectives: This study aims to investigate the risk factors of in-hospital postoperative atrial fibrillation (POAF) and the impact of POAF on the clinical outcome in hypertrophic cardiomyopathy (HCM) patients who underwent myectomy.

Methods: Data from a total of 494 obstructive HCM patients, who had undergone preoperative cardiac magnetic resonance (CMR) testing and who underwent myectomy at Fuwai Hospital from June 2011 to June 2016, were collected.

Results: Multivariate logistic regression analysis showed that old age (odds ratio [OR], 4. Read More

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http://dx.doi.org/10.5761/atcs.oa.19-00108DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7046928PMC
February 2020
1 Read

Isolated Mitral Valve Repair in Patients with Reduced Left Ventricular Ejection Fraction.

Ann Thorac Cardiovasc Surg 2019 Dec 4;25(6):326-335. Epub 2019 Oct 4.

University Department of Cardiac Surgery, Heart Center Leipzig, Leipzig, Germany.

Purpose: This study aims to analyze the clinical outcomes after isolated mitral valve (MV) repair in patients with reduced left ventricular ejection fraction (LVEF <50%) with focus on perioperative characteristics, survival, and freedom from reoperations.

Methods: Between 1997 and 2015, 557 patients with reduced LVEF (age: 62.8 ± 11. Read More

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http://dx.doi.org/10.5761/atcs.oa.19-00093DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6923726PMC
December 2019
1 Read

The Effect of Diabetes Mellitus on Prognosis of Patients with Non-Small-Cell Lung Cancer: A Systematic Review and Meta-Analysis.

Ann Thorac Cardiovasc Surg 2020 Feb 5;26(1):1-12. Epub 2019 Oct 5.

Department of Thoracic Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.

Purpose: To quantitatively evaluate the effect of preexisting diabetes mellitus (DM) on the outcomes of patients with non-small-cell lung cancer (NSCLC).

Materials And Methods: Observational studies comparing the prognosis of NSCLC patients with and without diabetes were identified from PubMed, EMBASE, and The Cochrane Central Register of Controlled Trials (CENTRAL). We searched for studies that published in English from inception to March 30, 2019, using search terms related to diabetes and NSCLC. Read More

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http://dx.doi.org/10.5761/atcs.ra.19-00170DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7046927PMC
February 2020
0.687 Impact Factor

Current Management of Acute Pulmonary Embolism.

Ann Thorac Cardiovasc Surg 2020 Apr 5;26(2):65-71. Epub 2019 Oct 5.

Division of Cardiothoracic Surgery, Indiana University Health Methodist Hospital, Indiana University School of Medicine, Indianapolis, Indiana, USA.

Purpose: Acute pulmonary embolism (PE) remains a significant cause of morbidity and requires prompt diagnosis and management. While non-surgical approaches have supplanted surgery as primary treatment, surgical pulmonary embolectomy (SPE) remains a vital option for select patients. We review the current management of acute PE, with a focus on surgical therapy. Read More

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http://dx.doi.org/10.5761/atcs.ra.19-00158DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7184035PMC
April 2020
2 Reads

Simple Redo Proximal Thoracic Aortic Surgery with Peripheral Cardiopulmonary Bypass and Minimal Dissection.

Ann Thorac Cardiovasc Surg 2020 Feb 26;26(1):55-59. Epub 2019 Sep 26.

Second Department of Surgery, Faculty of Medicine, Yamagata University, Yamagata, Yamagata, Japan.

Reoperations on the proximal thoracic aorta are increasingly observed after previous aortic or cardiac operations. Redo proximal aortic surgery remains challenging with an increased mortality compared to first-time operations. For a successful redo proximal aortic surgery in a patient with complex pathological conditions, the surgical procedure and cardiopulmonary bypass (CPB) should be simplified as much as possible. Read More

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http://dx.doi.org/10.5761/atcs.nm.19-00187DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7046932PMC
February 2020
1 Read

Solitary Splenic Metastasis of Lung Cancer Presenting as Benign Cystic Disease.

Ann Thorac Cardiovasc Surg 2019 Sep 26. Epub 2019 Sep 26.

Department of Thoracic Surgery, National Hospital Organization Himeji Medical Center, Himeji, Hyogo, Japan.

Solitary splenic metastasis from primary lung cancer is extremely rare. Here, we demonstrated a solitary splenic metastasis of primary lung cancer that was difficult to distinguish from benign cystic disease. A 69-year-old-female was diagnosed as middle lobe lung cancer. Read More

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http://dx.doi.org/10.5761/atcs.cr.19-00116DOI Listing
September 2019
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Mediastinal Ancient Schwannoma Causing Intrathoracic Bleeding.

Ann Thorac Cardiovasc Surg 2019 Sep 20. Epub 2019 Sep 20.

Department of Respiratory Surgery, National Hospital Organization, Higashihiroshima Medical Center, Higashihiroshima, Hiroshima, Japan.

Spontaneous hemothorax caused by the rupture of a benign schwannoma has rarely been reported. Herein, we present the successful excision of an extremely rare case of mediastinal ancient schwannoma causing intrathoracic bleeding. A 27-year-old man was admitted to our emergency department because of back pain and dyspnea. Read More

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http://dx.doi.org/10.5761/atcs.cr.19-00145DOI Listing
September 2019
1 Read

Short and Intermediate Term Outcomes of the Convergent Procedure: Initial Experience in a Tertiary Referral Center.

Ann Thorac Cardiovasc Surg 2020 Feb 6;26(1):13-21. Epub 2019 Sep 6.

Division of Cardiothoracic Surgery, Indiana University Health Methodist Hospital, Indiana University School of Medicine, Indianapolis, Indiana, USA.

Purpose: The Convergent procedure is a hybrid, multidisciplinary treatment for symptomatic atrial fibrillation (AF) consisting of minimally invasive surgical epicardial ablation and percutaneous/catheter endocardial ablation. We investigated outcomes following introduction of the Convergent procedure at our institution.

Methods: Retrospective study examining single-center outcomes. Read More

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http://dx.doi.org/10.5761/atcs.oa.19-00164DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7046930PMC
February 2020
2 Reads

Comparison of Mitral Valve Repair versus Replacement for the Progression of Functional Tricuspid Regurgitation.

Ann Thorac Cardiovasc Surg 2020 Apr 6;26(2):72-78. Epub 2019 Sep 6.

Department of Cardiology Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.

Background: Function tricuspid regurgitation (TR) is frequently observed in patients undergoing mitral valve surgery. It is unclear that mitral valve repair (MVr) or mitral valve replacement (MVR) has influence on the likelihood of late TR progression.

Methods: This study included 193 patients with degenerative mitral valve disease who underwent either MVr or MVR. Read More

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http://dx.doi.org/10.5761/atcs.oa.19-00132DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7184033PMC
April 2020
1 Read

Intrapericardial Ectopic Goiter: A Very Unusual Presentation.

Ann Thorac Cardiovasc Surg 2019 Aug 23. Epub 2019 Aug 23.

Division of Respiratory Surgery, Nihon University School of Medicine, Tokyo, Japan.

Mediastinal ectopic goiter is a thyroid tumor that lies entirely below a plane extending from the superior surface of the first thoracic vertebra to the suprasternal notch, and commonly lies in the vicinity of the thymus. Intrapericardial ectopic goiter is extremely rare. We present an extremely rare case of a 63-year-old woman with an intrapericardial ectopic goiter and review the pertinent literature. Read More

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http://dx.doi.org/10.5761/atcs.cr.19-00154DOI Listing
August 2019
2 Reads

Long-Term Clinical Outcomes of Cardiac Surgery for Kidney Transplant Patients.

Ann Thorac Cardiovasc Surg 2020 Apr 26;26(2):84-87. Epub 2019 Aug 26.

Department of Cardiovascular Surgery, Tokyo Women's Medical University, Tokyo, Japan.

Purpose: Immunosuppressant and steroid are inevitable for graft survival after renal transplantation, and their usage is known to be a risk factor for mortality and morbidity after cardiac surgery. We evaluated the long-term clinical outcomes in patients who underwent cardiac surgery after renal transplantation.

Methods: We retrospectively reviewed 23 patients who underwent cardiac surgery after renal transplantation with maintained grafts at the time of the cardiac surgery in our institution between June 2000 and June 2018 (19 males, 4 females; mean age, 55 (38-81) years). Read More

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http://dx.doi.org/10.5761/atcs.oa.19-00192DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7184036PMC
April 2020
1 Read

Impact of Mitral Surgery for Mitral Regurgitation on Coexisting Aortic Regurgitation.

Ann Thorac Cardiovasc Surg 2020 Apr 7;26(2):79-83. Epub 2019 Aug 7.

Department of Cardiovascular Surgery, Shiga University of Medical Science, Otsu, Shiga, Japan.

Background: There is no clear finding on the course of coexisting aortic regurgitation (AR) after treatment of mitral regurgitation (MR). We investigated the effect of mitral surgery for MR on coexisting AR.

Methods: Between January 2008 and December 2016, 75 patients underwent mitral surgery for MR coexisting mild AR. Read More

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http://dx.doi.org/10.5761/atcs.oa.19-00141DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7184037PMC
April 2020
2 Reads

The Heterogeneous Phenotype of Bicuspid Aortopathy Attribute to Different Dominant Pathogenesis.

Ann Thorac Cardiovasc Surg 2019 Oct 2;25(5):265-273. Epub 2019 Aug 2.

Department of Structural Heart Disease, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, State Key Laboratory of Cardiovascular Disease, Beijing, China.

Purpose: Our study aimed to investigate the potential pathogenetic theories of different phenotype prevalence in bicuspid aortopathy.

Methods: A total of 407 bicuspid aortic valve (BAV) patients with aortic dilation were retrospectively reviewed. Association was determined between aortic valve lesion types and aortic configurations to confirm the homogeneous BAV subsets, and then, dominance analysis was used to evaluate the relative importance of two components of aortic valve lesion (BAV phenotype and valvular dysfunction) that associated with aortic configurations in each subgroup. Read More

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http://dx.doi.org/10.5761/atcs.oa.18-00287DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6823172PMC
October 2019
4 Reads
0.687 Impact Factor

Effect of Autotransfusion Using Intraoperative Predonated Autologous Blood on Coagulopathy during Thoracic Aortic Surgery: A Randomized Controlled Trial.

Ann Thorac Cardiovasc Surg 2019 Dec 24;25(6):311-317. Epub 2019 Jul 24.

Department of Surgery and Clinical Science, Division of Cardiac Surgery, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan.

Background: Intraoperative predonated autologous blood transfusion is thought to replenish platelets and coagulation factors and ameliorate coagulopathy. This study aimed to evaluate whether intraoperative predonated autotransfusion improves coagulopathy during thoracic aortic surgery.

Methods: Patients who underwent thoracic aortic surgery were randomized into two groups as follows: those who received intraoperative predonated blood (group A: n = 31) and those who did not receive (group N: n = 22). Read More

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http://dx.doi.org/10.5761/atcs.oa.19-00106DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6923723PMC
December 2019