35,250 results match your criteria Annals Of Thoracic Surgery[Journal]


Three-dimensionally printed template for percutaneous localization of multiple lung nodules.

Ann Thorac Surg 2019 Apr 19. Epub 2019 Apr 19.

Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China. Electronic address:

Background: When multiple target lung nodules exist, the CT-guided percutaneous localization procedure becomes complicated. In this study, we designed a three-dimensionally (3D) printed template which can guide hookwire localization of multiple lung nodules. And the pilot study aims to preliminarily validate the feasibility of template-guided localization for multiple lesions. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.060DOI Listing
April 2019
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Open Descending and Thoracoabdominal Aortic Repairs in Patients Younger than 50 Years Old.

Ann Thorac Surg 2019 Apr 19. Epub 2019 Apr 19.

Department of Cardiothoracic and Vascular Surgery, McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth) and Memorial Hermann Hospital, Houston, TX, USA. Electronic address:

Background: The purpose of this study was to redefine indications of open descending and thoracoabdominal aortic aneurysm (D/TAAA) repair in the younger population.

Methods: Between 1991 and 2017, 2012 patients undergoing D/TAAA at our institution were divided into two groups for comparison: younger (<50-year-old, N=276, 14%) and older (≥50-year-old, N=1736, 86%). Patient demographics and perioperative outcomes were retrospectively reviewed. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.058DOI Listing
April 2019
1 Read

Improved Mortality Associated with the Use of Extracorporeal Membrane Oxygenation.

Ann Thorac Surg 2019 Apr 19. Epub 2019 Apr 19.

Cardiothoracic Surgery, University of Colorado Denver, Aurora, CO, United States.

Background: Our objective was to evaluate the association of bridge to transplant (BTT) extracorporeal membrane oxygenation (ECMO) on survival after lung transplantation (LTx) and determine the degree to which transplant center volume affects this relationship.

Methods: Using the United Network for Organ Sharing database, we performed a retrospective cohort study evaluating the survival of patients undergoing LTx between 2005 and 2017. Based on previous literature, LTx centers were classified into 3 groups using their average annual LTx volume over the preceding 5 years; <25, 25-49, and >50. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.057DOI Listing

Development and Pilot Testing of an Assessment Tool for Performance of Invasive Mediastinal Staging.

Ann Thorac Surg 2019 Apr 19. Epub 2019 Apr 19.

Thoracic Surgery, University of Alberta.

Background: To develop and evaluate a surgical trainee competency assessment instrument for invasive mediastinal staging, including cervical mediastinoscopy and endobronchial ultrasound (EBUS), a comprehensive instrument was developed utilizing expert review and simulated and clinical pilot-testing: Thoracic Competency Assessment Tool-Invasive Staging (TCAT-IS).

Methods: Validity and reliability evidence was collected and item analysis was performed. Initially, a 27-item instrument was developed, which underwent expert review with members of the Canadian Association of Thoracic Surgeons (n=86) in 2014-2015 (response rate 57%). Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.050DOI Listing

Acute Lower Extremity Ischemia Following Thoracotomy due to Arterial Tumor Emboli.

Ann Thorac Surg 2019 Apr 19. Epub 2019 Apr 19.

New York Presbyterian Brooklyn Methodist Hospital, 506 6(th) Street, Brooklyn, NY 11215; New York Presbyterian, Weill Cornell Medicine, New York, NY.

Our patient is a 58 year old woman with metastatic uterine leiomysarcoma with prior resection found to have an isolated metastatic lesion in the upper lobe of the right lung. She underwent a thoracotomy with right upper and middle lobectomy. Following her procedure, she developed acute ischemia of her left lower extremity secondary to an embolized tumor. Read More

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April 2019
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Adjuvant Therapy for Patients with Early Large Cell Lung Neuroendocrine Cancer: A National Analysis.

Ann Thorac Surg 2019 Apr 17. Epub 2019 Apr 17.

Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Duke University Medical Center.

Background: Current guidelines do not routinely recommend adjuvant therapy for resected stage I large cell lung neuroendocrine cancer (LCNEC). However, data regarding the role of adjuvant therapy in early LCNEC are limited. This National Cancer Database (NCDB) analysis was performed to improve the evidence guiding adjuvant therapy for early LCNEC. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.053DOI Listing
April 2019
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Disparities in Compliance with National Guidelines for the Treatment of Malignant Pleural Mesothelioma.

Ann Thorac Surg 2019 Apr 17. Epub 2019 Apr 17.

Division of Thoracic Surgery, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA. Electronic address:

Background: Current guidelines support cancer-directed surgery, chemotherapy or active surveillance for clinical stages 1 to 3 of epithelial Malignant Pleural Mesothelioma (MPM). Definitive chemotherapy is recommended for sarcomatoid/biphasic histologies. Our objective is to assess compliance with recommendations, measuring their impact on overall survival (OS). Read More

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April 2019
1 Read

Eye of the Beholder: The Reinvention of Seeing.

Authors:
Richard L Prager

Ann Thorac Surg 2019 Apr 17. Epub 2019 Apr 17.

Department of Cardiac Surgery, University of Michigan. Electronic address:

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April 2019
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Robotic Assisted Lobectomy For Non-Small Cell Lung Cancer: A Comprehensive Institutional Experience.

Ann Thorac Surg 2019 Apr 17. Epub 2019 Apr 17.

Department of Thoracic and Cardiovascular Surgery, University of Texas MD Anderson Cancer Center, Houston, TX. Electronic address:

Background: It is unclear whether the enhanced dexterity and visualization of the surgical robot lessens morbidity and influences staging or survival. We compared outcomes of robotic-assisted lobectomy (RAL) with thoracoscopic (VAL) or open lobectomy (OL) of non-small cell lung cancer (NSCLC).

Methods: Using a prospective surgical database, perioperative and cancer related outcomes of patients who received a lobectomy for NSCLC from 2011-2017 were analyzed. Read More

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Off-pump bilateral lung transplantation via median sternotomy: a novel approach with potential benefits.

Ann Thorac Surg 2019 Apr 17. Epub 2019 Apr 17.

Cardiothoracic Services, Freeman Hospital, Newcastle upon Tyne, United Kingdom. Electronic address:

The clamshell incision is worldwide the standard approach for bilateral lung transplantation. There is very limited experience with bilateral lung transplantation via median sternotomy so far and the use of cardiopulmonary bypass seems to be mandatory in all these cases accepting the potential disadvantages of the extracorporeal circulation. We describe a novel approach for bilateral lung transplantation as off-pump technique via median sternotomy which has the potential to combine the advantages of median sternotomy with less postoperative pain and better chest wall function and off-pump technique with reduced risk of primary graft dysfunction and bleeding complications. Read More

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Papillary Fibroelastoma in left ventricular outflow tract: an unusual location.

Ann Thorac Surg 2019 Apr 16. Epub 2019 Apr 16.

Department of Thoracic and Cardiovascular Surgery, Saarland University Medical Center, Homburg/Saar, Germany.

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Pilot Study of a Patient Decision Aid for Valve Choices in Surgical Aortic Valve Replacement.

Ann Thorac Surg 2019 Apr 16. Epub 2019 Apr 16.

Division of Cardiac Surgery, Corrigan Minehan Heart Center, Massachusetts General Hospital. Electronic address:

Background: Objective superiority of tissue versus mechanical prostheses in surgical aortic valve replacement (SAVR) remains controversial, placing a greater emphasis on patients to consider personal lifestyle and risk preferences including the burden of lifelong anticoagulation and the possible need for reoperation. A shared-decision making tool may therefore be of value in making this important choice.

Methods: A Patient Decision Aid (PtDA) was developed using the International Patient Decision Aids Standards and used in a prospective pilot study. Read More

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April 2019
1 Read

Postoperative cognitive dysfunction: a forgotten part of the quality of life?

Ann Thorac Surg 2019 Apr 16. Epub 2019 Apr 16.

Department of Cardiac Surgery, Anthea Hospital, GVM Care&Research, Bari-Italy.

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Ductal stenting to retrain the involuted left ventricle in d-transposition of the great arteries.

Ann Thorac Surg 2019 Apr 15. Epub 2019 Apr 15.

Paediatric & Congenital Heart Centre, Institut Jantung Negara (National Heart Institute), Kuala Lumpur, Malaysia.

Background: Ductal stenting is performed to retrain involuted left ventricles (LV) in patients with d-transposition of the great arteries and intact ventricular septum (TGA-IVS). However, its efficacy is largely unknown. This study aimed to determine the safety and efficacy of ductal stenting in retraining of involuted LV in patients with TGA-IVS. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.045DOI Listing
April 2019
2 Reads

Rigid Primary Sternal Fixation Reduces Sternal Complications among Patients at Risk.

Ann Thorac Surg 2019 Apr 15. Epub 2019 Apr 15.

Department of Cardiac Surgery, Quebec Heart and Lung University Institute, Quebec City, Quebec, Canada. Electronic address:

Background: The optimal sternal closure technique in patients at elevated risk post-cardiac surgery has not been elucidated.

Methods: Between January 2006 and July 2015, 15,048 consecutive adult patients underwent cardiac surgery via median sternotomy using cardiopulmonary bypass. Rigid sternal fixation utilizing three separate techniques (peristernal poly-ether-ether-ketone (PEEK) banding, titanium plating, and stainless-steel multibraided cables with cannulated screws) was used in 1,111 patients (Group A); conventional peristernal/transsternal wiring was used in the remainder (Group B, n=13,937). Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.046DOI Listing

What got you here won't keep you there: Differences between cardiac- and thoracic-focused applicants (Reply).

Ann Thorac Surg 2019 Apr 12. Epub 2019 Apr 12.

The Johns Hopkins Medical Institutions, Division of Thoracic Surgery, 600 N. Wolfe St, Blalock 240 Baltimore, MD 21287. Electronic address:

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.044DOI Listing

Which window setting is best for estimating pathological invasive size and invasiveness?

Ann Thorac Surg 2019 Apr 12. Epub 2019 Apr 12.

Department of Surgery , Yokohama City University School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa 236-0004, Japan.

Background: In the 8th Edition of the Tumor Node Metastasis Classification System for Lung Cancer, the definitions of the clinical T and pathologic T descriptors have changed. Little has been reported on comparisons between the consolidation diameter in the lung window setting and the tumor diameter in the mediastinal window setting with respect to the correlations with pathological invasive size (IS) and invasiveness. The purpose of the present study was to clarify which window setting was better for preoperatively estimating IS and invasiveness. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.041DOI Listing
April 2019
2 Reads

One Hundred and Counting: Dr. Dwight C. McGoon's Enduring Legacy.

Ann Thorac Surg 2019 Apr 12. Epub 2019 Apr 12.

Department of Cardiovascular Surgery, Mayo Clinic, 200 First St SW, Rochester, Minnesota 55905.

Dr. Dwight C. McGoon, a prolific surgeon at the Mayo Clinic, achieved an amazing feat during the early days of cardiac surgery. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.02.073DOI Listing
April 2019
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Utility of core biopsy to identify histologic subtype and predict outcome for lung adenocarcinoma.

Ann Thorac Surg 2019 Apr 12. Epub 2019 Apr 12.

Interventional Radiology Service, Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, United States. Electronic address:

Background: Lung adenocarcinoma histologic subtype is an important indicator of patient outcomes so pre-operative knowledge of subtype may be helpful to guide surgical planning. Our aim was to evaluate the sensitivity and prognostic efficacy of CT guided core needle biopsies to predict histologic subtype and patient outcome after surgery.

Methods: We retrospectively identified 221 patients with lung adenocarcinoma who underwent CT guided lung biopsy and subsequent surgical resection. Read More

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April 2019
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Redo Valve-Sparing Root Replacement for Delayed Cusp Derangement from Ventricular Septal Defect.

Ann Thorac Surg 2019 Apr 12. Epub 2019 Apr 12.

Department of Cardiothoracic Surgery, Stanford University. Electronic address:

A 28-year-old gentleman with ventricular septal defect (VSD), double-chambered right ventricle (DCRV) with associated right ventricular outflow tract obstruction, and anomalous right coronary artery (RCA) underwent resection of the DCRV, trans-aortic VSD repair, and unroofing of anomalous RCA. Two years later, he returned with delayed presentation of VSD flow funnel related aortic cusp prolapse and symptomatic severe aortic regurgitation. He underwent reoperative valve-sparing aortic root replacement and aortic cusp repair with an excellent outcome. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.040DOI Listing
April 2019
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A Synthetic Cardiocel Tube for Minimally Invasive Superior Vena Cava Bypass.

Ann Thorac Surg 2019 Apr 12. Epub 2019 Apr 12.

Division of Cardiothoracic Surgery, Baylor College of Medicine; Department of Cardiovascular Surgery, Texas Heart Institute; Department of Cardiovascular Surgery, CHI St. Luke's Health-Baylor St. Luke's Medical Center, Houston, Texas. Electronic address:

Superior vena cava (SVC) occlusion is a condition in which the venous flow of blood to the right atrium is obstructed, requiring a recanalization or bypass procedure. These procedures are traditionally performed via an endovascular repair surgery or a sternotomy, typically with a covered stent or spiral vein graft. However, these conduits have several limitations. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.039DOI Listing

Interaction between ischemic time and donor age on adult heart transplant outcomes in the modern era.

Ann Thorac Surg 2019 Apr 12. Epub 2019 Apr 12.

Background: We examined the effect of cold ischemic interval (CII) on modern outcomes to determine whether advances in patient management have made an impact.

Methods: Using the UNOS database, we reviewed adult heart transplants between January 2000 and March 2016. We divided donor age (DA) into terciles: <18 years, 18-34 years, and >34 years. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.042DOI Listing
April 2019
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Whole Brain Leadership for Creating Resonant Multidisciplinary Healthcare Teams.

Ann Thorac Surg 2019 Apr 11. Epub 2019 Apr 11.

The culture of health care creates important challenges for health care professionals. In particular, we work in a culture that is 1) Hierarchical; 2) Competitive and 3) Perfectionistic. Unfortunately, the tendency of acquiescing to those demands is contrary to promoting resonant teamwork[1] and it is important for leaders of multidisciplinary teams to understand how to create environments that flatten the hierarchy (by encouraging all members of the team to contribute and to genuinely seek the wisdom and knowledge of their colleagues); that encourage collaboration and cooperation (emphasizing collective "wins" and "losses" both for the immediate team as well as for all of us, as a profession); and that invites excellence (which is a process) versus expectation of perfection (which is an unrealistic outcome). Read More

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"Melting Lymph Node Sign": The Endobronchial Ultrasound Pattern of Cystic Mediastinal Nodal Metastases.

Ann Thorac Surg 2019 Apr 11. Epub 2019 Apr 11.

Pathology Unit, Policlinico Sant'Orsola-Malpighi, Bologna, Italy.

Cystic change in metastatic lymph nodes occurs in certain types of tumors (i.e., papillary thyroid carcinoma, squamous cell carcinoma of the Waldeyer's ring) and it is usually observed in the head and neck region. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.038DOI Listing
April 2019
1 Read

Sensitivity of Lung Ultrasound for Postsurgical Pneumothorax (Reply).

Ann Thorac Surg 2019 Apr 11. Epub 2019 Apr 11.

Department of Thoracic Surgery, Ospedale Regionale di Bellinzona e Valli Via Ospedale, 6500 Bellinzona, Ticino CH.

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.036DOI Listing

The Buffalo Trunk Technique for Aortic Arch Reconstruction.

Ann Thorac Surg 2019 Apr 11. Epub 2019 Apr 11.

Cardiothoracic Surgery Division, Department of Surgery, University of Colorado School of Medicine.

Background: The frozen elephant trunk technique facilitates repair of aortic arch and proximal descending aortic pathologies. Commercially available hybrid grafts may simplify this approach by allowing for a single suture line, potentially streamlining the distal anastomosis and improving operative times. However, these devices are currently not readily available in United States. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.034DOI Listing
April 2019
4 Reads

Resection of a superior mediastinal mature teratoma using intraoperative neural monitoring.

Ann Thorac Surg 2019 Apr 11. Epub 2019 Apr 11.

Division of Chest Surgery, Department of Surgery, Toho University School of Medicine, 6-11-1 Omori-nishi, Ota-ku, Tokyo, 143-8541, Japan. Electronic address:

A 33-year-old female presented with a right cervical mass. Contrast computed tomography showed a multilocular tumor with a clear border and heterogeneous contents including fat and calcification. The tumor was located adjacent to the vagus and recurrent nerves. Read More

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April 2019
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Neurological Outcomes in Patients Who Undergo Extracorporeal Cardiopulmonary Resuscitation.

Ann Thorac Surg 2019 Apr 11. Epub 2019 Apr 11.

Department of Critical Care Medicine, Samsung Medical Center, Seoul, Korea; Division of Cardiology, Department of Medicine, Samsung Medical Center, Seoul, Korea. Electronic address:

Background: This study aimed to develop a risk prediction model for neurological outcomes in patients who underwent extracorporeal cardiopulmonary resuscitation (ECPR).

Methods: Between May 2004 and April 2016, a total of 274 patients who underwent ECPR were included in this analysis. The primary outcome was neurological status upon discharge from the hospital, as assessed by Cerebral Performance Categories (CPC) scale. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.033DOI Listing
April 2019
2 Reads

Hemolysis and Non-Hemorrhagic Stroke during Venoarterial Extracorporeal Membrane Oxygenation.

Ann Thorac Surg 2019 Apr 10. Epub 2019 Apr 10.

Department of Medicine, Division of Cardiology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx NY.

Background: Hemolysis, even at low levels, activates platelets to create a prothrombotic state and is common during mechanical circulatory support. We examined the association of low level hemolysis (LLH) and non-hemorrhagic stroke during venoarterial extracorporeal membrane oxygenation (VA ECMO) support.

Methods: A single center retrospective review of all adult patients placed on VA ECMO from January 2012 to September 2017 was conducted. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.030DOI Listing
April 2019
1 Read

Outcomes After Aortopulmonary Window for Hypoplastic Pulmonary Arteries and Dual-Supply Collaterals.

Ann Thorac Surg 2019 Apr 10. Epub 2019 Apr 10.

Cardiothoracic Surgery.

Background: Our institutional approach to tetralogy of Fallot (TOF) with major aortopulmonary collateral arteries (MAPCAs) emphasizes early unifocalization and complete repair (CR). In the small subset of patients with dual-supply MAPCAs and confluent but hypoplastic central pulmonary arteries (PAs), our surgical approach is early creation of an aortopulmonary window (APW) to promote PA growth. Factors associated with successful progression to CR, and mid-term outcomes have not been assessed. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.022DOI Listing
April 2019
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Long-term outcome of ischemic cardiomyopathy after autologous myoblast cell-sheet implantation.

Ann Thorac Surg 2019 Apr 10. Epub 2019 Apr 10.

Osaka University Graduate School of Medicine, Department of Cardiovascular Surgery, Suita, Osaka, Japan. Electronic address:

Heart failure is a refractory condition despite remarkable medical progress in therapeutic concepts. Recently, tissue-engineered cell-sheet implantation for end-stage heart failure has been explored experimentally and clinically. We present the case of a 22-year-old woman with ischemic cardiomyopathy (ICM) who underwent mitral valve replacement and coronary artery bypass graft for infective endocarditis. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.028DOI Listing
April 2019
3 Reads

Confounding factors on the evaluation of parasternal intercostal block for sternotomy.

Authors:
Tzonghuei Chen

Ann Thorac Surg 2019 Apr 10. Epub 2019 Apr 10.

Department of Anesthesiology, Warren Alpert Medical School of Brown University, 593 Eddy Street Providence, RI. 02903. Electronic address:

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April 2019
1 Read

Brain toxicity: a challenging research topic.

Ann Thorac Surg 2019 Apr 10. Epub 2019 Apr 10.

Department of Pathology, Modena University, Polyclinic Hospital, Modena, Italy.

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Technique, Outcomes with Navigational Bronchoscopy Using Indocyanine Green for Robotic Segmentectomy.

Ann Thorac Surg 2019 Apr 10. Epub 2019 Apr 10.

Department of Cardiothoracic Surgery, New York University Langone Health, New York, NY.

Background: Our objectives are to present our outcomes of robotic segmentectomy and our preferred technique for nodule localization using indocyanine green both bronchoscopically and intravenously.

Methods: This is a retrospective review of a consecutive series of patients scheduled for robotic segmentectomy from a single surgeon's prospectively collected database.

Results: Between January 2010 and October 2018, there were 245 consecutive patients who underwent planned robotic segmentectomy by one surgeon, of which 93 (38%) received indocyanine green via electromagnetic navigational bronchoscopy and all 245 received intravenous indocyanine green. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.032DOI Listing

The Addition of Root Procedures during Arch Surgery Does Not Confer Added Morbidity nor Mortality (Commentary).

Ann Thorac Surg 2019 Apr 10. Epub 2019 Apr 10.

Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104.

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.025DOI Listing

Survival Following Myectomy for Obstructive Hypertrophic Cardiomyopathy-What Causes Late Mortality?

Ann Thorac Surg 2019 Apr 9. Epub 2019 Apr 9.

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.

Background: Survival of patients with obstructive hypertrophic cardiomyopathy who undergo septal myectomy appears to be excellent, and in some series, is similar to that of matched populations. In this study, we investigated causes of late death in a large cohort of surgical patients.

Methods: Between January 1961 and October 2017, 2,956 patients underwent surgery for hypertrophic cardiomyopathy. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.026DOI Listing
April 2019
5 Reads

VATS Resection of Large Ectopic Posterior Mediastinal Cystic Parathyroid Adenoma.

Ann Thorac Surg 2019 Apr 9. Epub 2019 Apr 9.

Section of General Thoracic Surgery, Department of Surgery.

Ectopic parathyroids can often present a diagnostic and therapeutic conundrum for clinicians. Mediastinal parathyroid adenomas are usually small and located anteriorly within thymic tissue. To our knowledge, this is the first reported case of a large cystic parathyroid adenoma presenting as a 6 cm posterior mediastinal mass. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.029DOI Listing
April 2019
5 Reads
3.849 Impact Factor

Intrapleural Alteplase and Dornase in a Pregnant Woman with Complicated Parapneumonic Effusion.

Ann Thorac Surg 2019 Apr 9. Epub 2019 Apr 9.

Division of Pulmonary & Critical Care Medicine, University of Maryland School of Medicine, Baltimore, MD.

The use of intrapleural alteplase (t-PA) and dornase in pregnant patients remains an uncertain practice since bleeding complications in these cases could be devastating. We present a case in which we successfully used a modified protocol safely. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.023DOI Listing
April 2019
1 Read

A Retrospective Comparison of the Supported and Unsupported Bovine Jugular Vein Conduit in Children.

Ann Thorac Surg 2019 Apr 8. Epub 2019 Apr 8.

University of Colorado Anschutz Medical Campus, Children's Hospital Colorado, Department of Surgery, Section of Pediatric Cardiothoracic Surgery. Aurora, CO.

Background: Bovine Jugular Vein (BJV) conduits are commonly used for pulmonary valve replacement in pediatric patients. They are available in supported (sBJV) and unsupported (uBJV) versions. The purpose of this study was to compare outcomes of sBJV and uBJV conduits. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.021DOI Listing
April 2019
1 Read

The Stented Porcine Bioprosthesis: A 50-year journey through hopes and realities.

Ann Thorac Surg 2019 Apr 5. Epub 2019 Apr 5.

Department of Cardiovascular Pathology, University of Padova, Italy.

The year 2018 has marked the 50 anniversary of the first implant of a commercially manufactured stented porcine bioprosthesis. During the subsequent years considerable clinical and pathological research has been carried out to evaluate the overall performance of such devices and to identify the leading causes of failure. This brief review covers 5 decades summarizing the initial hopes and the realities faced by surgeons who have believed from the start in these cardiac valve substitutes. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.015DOI Listing

The optimal choice of local therapy for Stage IIIA-N2 NSCLC: is radiotherapy inferior to surgery? (Reply).

Ann Thorac Surg 2019 Apr 5. Epub 2019 Apr 5.

Department of Thoracic Surgery and Oncology, the First Affiliated Hospital of Guangzhou Medical University; Guangzhou Institute of Respiratory Disease & China State Key Laboratory of Respiratory Disease & National Clinical Research Center for Respiratory Disease, Guangzhou 510120, China. Electronic address:

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.016DOI Listing

Ex vivo biomechanical study of apical versus papillary neochord anchoring for mitral regurgitation (Commentary).

Authors:
Andrea Colli

Ann Thorac Surg 2019 Apr 5. Epub 2019 Apr 5.

Department of Cardiac, Thoracic vascular Sciences and Public Health, University of Padua, Via Giustiniani 2 35128, Padua, Italy. Electronic address:

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.017DOI Listing
April 2019
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No drain after thoracoscopic major lung resection for cancer helps preserve the physical function.

Ann Thorac Surg 2019 Apr 5. Epub 2019 Apr 5.

Department of Surgery and Clinical Science, Division of Chest Surgery, Yamaguchi University Graduate School of Medicine, 1-1-1 Minami-Kogushi, Ube, Yamaguchi 755-8505, Japan.

Background: We previously proved that omitting chest tube drainage in select patients undergoing thoracoscopic major lung resection for cancer was safe. The aim of the present study was to clarify the impact of omitting postoperative chest tube drainage on preserving the early-postoperative ventilatory capacity and exercise capacity.

Methods: The subjects of this retrospective study were 116 patients undergoing either thoracoscopic radical segmentectomy (n=18) or lobectomy (n=98). Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.018DOI Listing
April 2019
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Relationship of Aortic Stiffness to Exercise and Ventricular Volumes in Single Ventricles.

Ann Thorac Surg 2019 Apr 5. Epub 2019 Apr 5.

Cardiology; University of Pennsylvania School of Medicine.

Background: Single ventricle (SV) patients may often undergo aortic reconstruction which creates a stiff large vessel, increasing afterload and affecting exercise performance. The objective of this study was to determine the relationship of pulse wave velocity (PWV) and distensibility in reconstructed and normal aortic arches after Fontan with exercise parameters.

Methods: PWV and distensibility of the descending aorta at the level of the diaphragm (DAo) were calculated with real-time exercise cardiac magnetic resonance in 48 SV patients after Fontan (18 after aortic reconstruction; 30 without aortic reconstruction) and compared with metabolic exercise stress test parameters. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.019DOI Listing
April 2019
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The Use of QLCS in CABG: Validation, Reproduciblity and Quality of Life in one year of Follow-Up.

Ann Thorac Surg 2019 Apr 3. Epub 2019 Apr 3.

Dante Pazzanese Institute of Cardiology, São Paulo, Brazil.

Background: The objectives of this study are to validate the Quality of Life (QoL) in Cardiovascular Surgery (QLCS) questionnaire and to observe the evolution of QoL in the first year of postoperative follow-up of patients submitted to Coronary-Artery Bypass Grafting (CABG).

Methods: A prospective observational study with patients submitted to CABG from July 2016 to June 2017, who survived and answered the QLCS, with 1, 6, 12 months. For its validation it was evaluated internal consistency by Cronbach alpha, and test-retest reproducibility by correlation coefficient of concordance (CCC), accuracy (Cβ), inter-rater reliability by Kappa. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.012DOI Listing
April 2019
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Frailty in the Cardiac Surgical Patient - Comparison of Frailty Tools and Associated Outcomes.

Ann Thorac Surg 2019 Apr 3. Epub 2019 Apr 3.

Inova Heart and Vascular Institute, Falls Church, VA 22042, USA.

Background: Frailty measurement in cardiac surgery is poorly studied. The study purposes were to identify a simple but accurate frailty tool by comparing the simplified frailty index (SOF, Study of Osteoporotic Fractures) to a more complex Frailty Index (CHS, the Cardiovascular Health Study) and compare frail patient to non-frail patient outcomes.

Methods: Recruited patients ≥ 65 admitted for elective coronary artery bypass surgery (CABG), valvular surgery (valve) or a combination of CABG/Valve. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.009DOI Listing
April 2019
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Utilization of Ipsilateral Internal Mammary in Dialysis Patients with Arteriovenous Fistula.

Ann Thorac Surg 2019 Apr 3. Epub 2019 Apr 3.

Department of Vascular Surgery, Wayne State University.

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http://dx.doi.org/10.1016/j.athoracsur.2019.03.006DOI Listing
April 2019
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