12,354 results match your criteria European Journal of Cardio-Thoracic Surgery[Journal]


The role of thoracic endovascular repair in elective, symptomatic and ruptured thoracic aortic diseases.

Eur J Cardiothorac Surg 2019 Feb 14. Epub 2019 Feb 14.

Department of Vascular Surgery, University Aortic Center of the Ludwig-Maximilian University Munich, Munich, Germany.

Objectives: Thoracic endovascular aortic repair (TEVAR) has emerged as a safe procedure in the treatment of a wide spectrum of descending thoracic aortic pathologies, with satisfactory results both in elective and urgent settings. We investigated the results of our elective, urgent and emergency TEVAR interventions.

Methods: A single-centre retrospective analysis of all consecutive patients undergoing TEVAR from 2010 to 2016 was performed. Read More

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http://dx.doi.org/10.1093/ejcts/ezy482DOI Listing
February 2019

Comparison of early patency rate and long-term outcomes of various techniques for reconstruction of segmental arteries during thoracoabdominal aortic aneurysm repair.

Eur J Cardiothorac Surg 2019 Feb 12. Epub 2019 Feb 12.

Division of Cardiovascular Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.

Objectives: This study aimed to analyse the early patency rate and long-term outcomes of reattached segmental intercostal arteries using graft interposition, single-cuff anastomosis or island reconstruction.

Methods: We selected 172 consecutive patients who underwent open surgery for the thoracoabdominal aorta with reattachment of segmental arteries between October 1999 and March 2018. The early patency of segmental arteries was analysed using enhanced computed tomography. Read More

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http://dx.doi.org/10.1093/ejcts/ezz015DOI Listing
February 2019

Tetralogy of Fallot and abnormal coronary artery: use of a prosthetic conduit is outdated.

Eur J Cardiothorac Surg 2019 Feb 11. Epub 2019 Feb 11.

Department of Pediatric Cardiac Surgery, Necker Sick Children Hospital-M3C, University Paris Descartes, Paris, France.

Objectives: Repair of tetralogy of Fallot (ToF) can be challenging in the presence of an abnormal coronary artery (CA) in 5-12% of cases. The aim of this study was to report our experience with ToF repair without the systematic use of a right ventricle-to-pulmonary artery (RV-PA) conduit.

Methods: We conducted a monocentric retrospective study from 2000 to 2016, including 943 patients with ToF who underwent biventricular repair, of whom 8% (n = 76) presented with an abnormal CA. Read More

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http://dx.doi.org/10.1093/ejcts/ezz030DOI Listing
February 2019
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Efficacy of chest computed tomography prediction of the pathological TNM stage of thymic epithelial tumours.

Eur J Cardiothorac Surg 2019 Feb 11. Epub 2019 Feb 11.

Department of Laboratory Medicine and Pathology, Mayo Clinic Rochester, Rochester, MN, USA.

Objectives: The aim of this study is to evaluate the efficacy of chest computed tomography (CT) to predict the pathological stage of thymic epithelial tumours (TET) using the recently introduced tumour, node and metastasis (TNM) staging with comparison to the modified Masaoka staging.

Methods: Preoperative chest CT examinations in cases of resected TET with sampled lymph nodes (2006-2016) were retrospectively reviewed by 2 thoracic radiologists and radiologically (r) staged using both staging systems. A thoracic pathologist reviewed all cases for the pathological (p) stage. Read More

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http://dx.doi.org/10.1093/ejcts/ezz013DOI Listing
February 2019

Re: Persistent reduction of patient's mitral regurgitation by implantation of transannular mitral bridge: durability and effectiveness of the repair at 2 years-results of a prospective trial.

Eur J Cardiothorac Surg 2019 Feb 6. Epub 2019 Feb 6.

Department of Cardiothoracic Surgery, University Hospital of Wales, Cardiff, UK.

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http://dx.doi.org/10.1093/ejcts/ezz024DOI Listing
February 2019

Biventricular repair after the hybrid Norwood procedure.

Eur J Cardiothorac Surg 2019 Feb 8. Epub 2019 Feb 8.

Department of Thoracic Surgery, Leiden University Medical Center, Leiden, Netherlands.

Objectives: We analysed the outcomes of patients undergoing biventricular repair (BVR) after an initial hybrid Norwood approach as a salvage procedure in extremely sick infants; or as the initial palliation in patients with uncertain feasibility of single-stage BVR due to severe left ventricular outflow tract obstruction; or as part of a left ventricle (LV) recruitment strategy in patients with borderline LVs.

Methods: Between September 2010 and July 2018, 26 patients underwent BVR after initial hybrid palliation at a median age of 13 days. The rationale for the hybrid approach was to promote the growth of the LV in 10 patients and that of the left ventricular outflow tract and/or aortic valve in 12 patients and to be a salvage procedure in 4 patients. Read More

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http://dx.doi.org/10.1093/ejcts/ezz028DOI Listing
February 2019

Early- and long-term results of thoracic endovascular aortic repair for blunt traumatic thoracic aortic injury: a single-centre experience.

Eur J Cardiothorac Surg 2019 Feb 7. Epub 2019 Feb 7.

Division of Cardiovascular Surgery, Saitama Medical University International Medical Center, Hidaka-shi, Japan.

Objectives: Endovascular repair has been proposed as an alternative to classical surgical repair for the management of blunt traumatic thoracic aortic injury. However, the long-term outcomes of endovascular repair and the risks of left subclavian coverage remain unclear.

Methods: From April 2001 to August 2018, 33 patients with blunt traumatic thoracic aortic injury underwent endovascular repair in our institution. Read More

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http://dx.doi.org/10.1093/ejcts/ezz023DOI Listing
February 2019

Quantification of epicardial adipose tissue in patients undergoing hybrid ablation for atrial fibrillation.

Eur J Cardiothorac Surg 2019 Feb 11. Epub 2019 Feb 11.

Department of Cardiology, Maastricht University Medical Center, Maastricht, Netherlands.

Objectives: Epicardial adipose tissue volume (EAT-V) has been linked to atrial fibrillation (AF) recurrences after catheter ablation. We retrospectively studied the association between atrial EAT-V and outcome after hybrid AF ablation (epicardial surgical and endocardial catheter ablation).

Methods: On preoperative cardiac computed tomography angiography scans, the left atrium and right atrium were manually delineated using the open source ImageJ. Read More

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http://dx.doi.org/10.1093/ejcts/ezy472DOI Listing
February 2019

Tricuspid valve relocation with endomyocardial fibrosis removal for Löeffler's endocarditis.

Eur J Cardiothorac Surg 2019 Feb 8. Epub 2019 Feb 8.

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

Löffler endocarditis with hypereosinophilic syndrome is rare but can cause critical ventricular obliteration by endomyocardial fibrosis. A 52-year-old woman experienced severe right heart failure with extreme shrinkage of her right ventricle, severe tricuspid regurgitation and marked right atrial enlargement. Preoperative tests showed identical pressures in the right atrium and pulmonary artery. Read More

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http://dx.doi.org/10.1093/ejcts/ezy487DOI Listing
February 2019
1 Read

Preoperative serum lactate dehydrogenase level as a predictor of major complications following thoracoscopic lobectomy: a propensity-adjusted analysis.

Eur J Cardiothorac Surg 2019 Feb 11. Epub 2019 Feb 11.

Department of Thoracic Surgery, Chest Hospital Schillerhoehe, Robert-Bosch-Krankenhaus, Teaching Hospital of the University of Tuebingen, Stuttgart, Germany.

Objectives: Despite the positive effects of a thoracoscopic approach on improving postoperative outcomes, the risk of major complications following thoracoscopic lobectomy is not negligible. We sought to assess the usefulness of the preoperative determination of serum biomarkers to refine risk stratification in this patient population.

Methods: From 2009 to 2017, 626 patients (285 women, 341 men; median age: 67 years) underwent thoracoscopic lobectomy or anatomical segmentectomy for confirmed or suspected early-stage lung cancer or metastasis at our institution. Read More

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http://dx.doi.org/10.1093/ejcts/ezz027DOI Listing
February 2019

Can complex mitral valve repair be performed with robotics? An institution's experience utilizing a dedicated team approach in 500 patients.

Eur J Cardiothorac Surg 2019 Feb 11. Epub 2019 Feb 11.

Department of Cardiothoracic Surgery, Division of Cardiac Surgery, NYU Langone Health, New York, NY, USA.

Objectives: The full potential of robotics has not been achieved in terms of addressing the most challenging mitral valve (MV) cases. We outline our technique and report our early results with totally endoscopic robotic MV repair in a wide range of pathologies.

Methods: From May 2011 to August 2017, a dedicated team attempted totally endoscopic robotic MV repair in 500 MV regurgitation patients. Read More

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http://dx.doi.org/10.1093/ejcts/ezz029DOI Listing
February 2019
1 Read

Homografts versus stentless bioprosthetic valves in the pulmonary position: a multicentre propensity-matched comparison in patients younger than 20 years.

Eur J Cardiothorac Surg 2019 Feb 7. Epub 2019 Feb 7.

Queensland Paediatric Cardiac Services, Queensland Children's Hospital, Brisbane, Australia.

Objectives: The aim of this study was to compare the performance of pulmonary homografts with stentless bioprosthetic valves [Medtronic Freestyle™ (Medtronic, Minneapolis, MN, USA)] in the pulmonary position in patients with congenital heart disease (CHD) younger than 20 years.

Methods: Between January 2000 and December 2017, 215 patients were retrospectively identified from hospital databases in 3 congenital heart centres in Australia. Valve performance was evaluated using standard criteria. Read More

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http://dx.doi.org/10.1093/ejcts/ezz021DOI Listing
February 2019

Early exercise pulmonary diffusing capacity of carbon monoxide after anatomical lung resection: a word of caution for fast-track programmes.

Eur J Cardiothorac Surg 2019 Feb 4. Epub 2019 Feb 4.

Thoracic Surgery Service, Institute of Biomedical Research of Salamanca (IBSAL), University Hospital of Salamanca, Salamanca, Spain.

Objectives: In healthy individuals, increasing pulmonary blood flow during exercise also increases the % of the diffusing capacity of the lungs for carbon monoxide (DLCO%), but its evolution after lung resection is unknown. In this study, our goal was to measure changes in exercise DLCO% during the first 3 days after anatomical lung resection.

Methods: We performed a prospective observational study on consecutive patients with non-small-cell lung cancer scheduled for anatomical resection, except pneumonectomy, during a 6-month period. Read More

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http://dx.doi.org/10.1093/ejcts/ezz007DOI Listing
February 2019
1 Read

Reconstructive surgery for Ebstein anomaly: three decades of experience.

Eur J Cardiothorac Surg 2019 Feb 5. Epub 2019 Feb 5.

Department of Cardiothoracic Surgery, Erasmus MC, Rotterdam, Netherlands.

Objectives: Since 1988, our centre employs vertical plication repair with deattachment and reattachment of the tricuspid valve for Ebstein anomaly. This study describes the characteristics and long-term outcomes of our single-centre cohort.

Methods: Data from all patients operated on between 1988 and 2016 were retrospectively collected. Read More

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http://dx.doi.org/10.1093/ejcts/ezz022DOI Listing
February 2019
2 Reads

Primary tumour resection in non-small-cell lung cancer patients with ipsilateral pleural dissemination (M1a): a population-based study.

Eur J Cardiothorac Surg 2019 Feb 4. Epub 2019 Feb 4.

Department of Thoracic Surgery, Centre of Thoracic Minimally Invasive Surgery, Peking University People's Hospital, Beijing, China.

Objectives: Non-small-cell lung cancer (NSCLC) patients with ipsilateral pleural dissemination (M1a) are generally contraindicated for surgery. However, several small-sample studies have demonstrated that they might benefit from surgery. We investigated the effects of primary tumour resection on survival in these patients. Read More

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http://dx.doi.org/10.1093/ejcts/ezy439DOI Listing
February 2019
1 Read

Transthoracic clamp versus endoaortic balloon occlusion in minimally invasive mitral valve surgery: a systematic review and meta-analysis.

Eur J Cardiothorac Surg 2019 Feb 2. Epub 2019 Feb 2.

Department of Cardiac Surgery, Bristol Heart Institute, Bristol, UK.

This systematic review and meta-analysis aims to determine outcomes following aortic occlusion with the transthoracic clamp (TTC) versus endoaortic balloon occlusion (EABO) in patients undergoing minimally invasive mitral valve surgery. A subgroup analysis compares TTC to EABO with femoral cannulation separately from EABO with aortic cannulation. We searched Medline and Embase up to December 2018. Read More

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http://dx.doi.org/10.1093/ejcts/ezy489DOI Listing
February 2019
1 Read

Should we really ignore the EuroSCORE II to assess the in-hospital mortality in coronary artery bypass grafting surgery?

Authors:
Dusko Nezic

Eur J Cardiothorac Surg 2019 Jan 31. Epub 2019 Jan 31.

"Department of Cardiac Surgery, Dedinje" Cardiovascular Institute, Belgrade, Serbia.

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http://dx.doi.org/10.1093/ejcts/ezz003DOI Listing
January 2019

Long-term outcomes of surgery for pulmonary artery sling in children.

Eur J Cardiothorac Surg 2019 Jan 31. Epub 2019 Jan 31.

Department of Cardiac Surgery, Royal Children's Hospital, Melbourne, Australia.

Objectives: Pulmonary artery (PA) sling is a rare vascular anomaly often associated with congenital tracheal stenosis. We describe the long-term outcomes with repair of this condition.

Methods: A retrospective study was conducted at 2 institutions. Read More

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http://dx.doi.org/10.1093/ejcts/ezz012DOI Listing
January 2019

Institutional volume affects long-term survival following lung transplantation in the USA.

Eur J Cardiothorac Surg 2019 Feb 2. Epub 2019 Feb 2.

Division of Cardiac Surgery, University of Pittsburgh and the Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Objectives: The aim of this study was to evaluate the impact of institutional volume on long-term outcomes following lung transplantation (LTx) in the USA.

Methods: Adults undergoing LTx were identified in the United Network for Organ Sharing registry. Patients were divided into equal size tertiles according to the institutional volume. Read More

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https://academic.oup.com/ejcts/advance-article/doi/10.1093/e
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http://dx.doi.org/10.1093/ejcts/ezz014DOI Listing
February 2019
2 Reads

Intraoperative flow profiles of arterial and venous bypass grafts to the left coronary territory.

Eur J Cardiothorac Surg 2019 Jan 31. Epub 2019 Jan 31.

University of Oxford, Oxford, UK.

Objectives: The different mechanical and vasodilatory properties of arteries and veins may influence their flow profiles when used for coronary artery bypass grafting (CABG). This may be of significance when assessing the cut-off values for adequate flow. However, conduit-related flow differences are less examined. Read More

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http://dx.doi.org/10.1093/ejcts/ezy473DOI Listing
January 2019

Optimal timing to discontinue ticagrelor before cardiac surgery: do we need additional evidence?

Eur J Cardiothorac Surg 2019 Jan 31. Epub 2019 Jan 31.

Department of Biomedical and Preclinical Sciences, University of Liège, Liège, Belgium.

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http://dx.doi.org/10.1093/ejcts/ezy420DOI Listing
January 2019

Reply to Nezic.

Eur J Cardiothorac Surg 2019 Jan 31. Epub 2019 Jan 31.

Department of Thoracic Surgery, Erasmus Medical Centre, Rotterdam, Netherlands.

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http://dx.doi.org/10.1093/ejcts/ezz005DOI Listing
January 2019

Recombinant activated factor VII in neonatal cardiac surgery.

Eur J Cardiothorac Surg 2019 Jan 31. Epub 2019 Jan 31.

Paediatric Intensive Care Unit, The Children's Hospital at Westmead, Sydney, Australia.

Objectives: The aim of this study is to determine whether recombinant activated factor VII (rVIIa) was associated with thrombus formation in neonates undergoing cardiac surgery.

Methods: This is a retrospective study of neonates undergoing surgical repair of congenital cardiac lesions during a 9-year period.

Results: In our study, 416 cardiac operations requiring cardiopulmonary bypass (CPB) were performed on 414 neonates. Read More

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http://dx.doi.org/10.1093/ejcts/ezy483DOI Listing
January 2019
1 Read

Amylase level in cervical drain fluid and anastomotic leakage after cervical oesophagogastrostomy.

Eur J Cardiothorac Surg 2019 Jan 31. Epub 2019 Jan 31.

Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul, Korea.

Objectives: Anastomotic leakage after oesophageal cancer surgery is a serious complication. The purpose of this study was to evaluate the possibility of anastomotic leakage by repeatedly measuring amylase levels in the fluid obtained from the drainage tube inserted at the cervical anastomotic site.

Methods: Ninety-nine patients who underwent oesophagectomy and cervical oesophagogastrostomy between April 2014 and March 2017 were retrospectively reviewed. Read More

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http://dx.doi.org/10.1093/ejcts/ezz008DOI Listing
January 2019
1 Read

A comparison of pump-controlled retrograde trial off to arterio-venous bridging for weaning from venoarterial extracorporeal membrane oxygenation.

Eur J Cardiothorac Surg 2019 Jan 29. Epub 2019 Jan 29.

Department of Cardiac Surgery, Lady Cilento Children's Hospital, Brisbane, Australia.

Objectives: The aim of the study is to compare a technique of pump-controlled retrograde trial off (PCRTO) to insertion of an arterio-venous (AV) bridge to conduct a trial from venoarterial extracorporeal membrane oxygenation (VA ECMO).

Methods: We studied all patients who were weaned from VA ECMO using either PCRTO or AV bridging from November 2014 to April 2018. Demographic data, indications for ECMO, duration of ECMO, duration of trial period off ECMO and survival were compared between the 2 groups. Read More

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http://dx.doi.org/10.1093/ejcts/ezy485DOI Listing
January 2019
1 Read

Residual left ventricular hypertrophy with adverse clinical outcomes in patients with severe aortic stenosis and asymmetric septal hypertrophy after aortic valve replacement.

Eur J Cardiothorac Surg 2019 Jan 28. Epub 2019 Jan 28.

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

Objectives: The aim of this study is to describe the temporal pattern of left atrial (LA) and left ventricular (LV) reverse remodelling and to evaluate the impact of residual LV hypertrophy on the prognosis of patients with severe aortic stenosis and asymmetric septal hypertrophy undergoing aortic valve replacement (AVR).

Methods: We retrospectively reviewed 59 consecutive patients who underwent AVR for severe aortic stenosis and asymmetric septal hypertrophy. They were divided into the normal LV mass group and the residual LV hypertrophy group according to the LV mass index (LVMI) 2 years after AVR. Read More

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http://dx.doi.org/10.1093/ejcts/ezy486DOI Listing
January 2019
1 Read

Corrigendum to "Indications for and results of axillary arterio-venous fistula in patients with a functionally single ventricle after cavopulmonary anastomosis" [Eur J Cardiothorac Surg 2018;00:1-7]†.

Eur J Cardiothorac Surg 2019 Jan 28. Epub 2019 Jan 28.

Department of Radiation Diagnostics, Bakulev National Medical Research Center for Cardiovascular Surgery, Ministry of Health of the Russian Federation, Moscow, Russia.

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http://dx.doi.org/10.1093/ejcts/ezz006DOI Listing
January 2019

Hybrid versus catheter ablation in patients with persistent and longstanding persistent atrial fibrillation: a systematic review and meta-analysis.

Eur J Cardiothorac Surg 2019 Jan 28. Epub 2019 Jan 28.

Department of Cardiothoracic Surgery, Maastricht University Medical Centre, Maastricht, Netherlands.

As the mechanisms underlying persistent atrial fibrillation (AF) are still incompletely understood, a 'gold standard' strategy for ablation is lacking. The results of catheter ablation, independent of the ablation strategy applied, are disappointing. Hybrid ablation, combining a thoracoscopic epicardial and transvenous endocardial approach, has shown more favourable outcomes. Read More

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http://dx.doi.org/10.1093/ejcts/ezy475DOI Listing
January 2019
1 Read

Infective endocarditis in right ventricular outflow tract conduits: a register-based comparison of homografts, Contegra grafts and Melody transcatheter valves.

Eur J Cardiothorac Surg 2019 Jan 29. Epub 2019 Jan 29.

Department of Cardiothoracic Surgery, Rigshospitalet, Copenhagen, Denmark.

Objectives: The aim was to investigate the incidence of infective endocarditis (IE) in right ventricle-to-pulmonary artery conduits implanted at a Danish tertiary centre.

Methods: Cases of IE in patients with homografts, Contegra grafts and Melody transcatheter valves were evaluated retrospectively with regard to the likeliness of the diagnosis using the modified Duke criteria and the likeliness of conduit involvement. Incidence rates for IE were calculated 1 and 5 years after valve implantation for all 3 conduits, and separately for Melody subgroups depending on which conduit served as landing zone. Read More

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http://dx.doi.org/10.1093/ejcts/ezy478DOI Listing
January 2019
1 Read

Corrigendum to 'Surgical smoke: still an underestimated health hazard in the operating theatre' [Eur J Cardiothorac Surg 2018; doi: 10.1093/ejcts/ezy356].

Eur J Cardiothorac Surg 2019 Jan 29. Epub 2019 Jan 29.

Division of General Thoracic Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

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http://dx.doi.org/10.1093/ejcts/ezz017DOI Listing
January 2019

Impact of tricuspid annular size reduction on right ventricular function, geometry and strain.

Eur J Cardiothorac Surg 2019 Jan 29. Epub 2019 Jan 29.

Division of Cardiothoracic Surgery, Spectrum Health, Grand Rapids, MI, USA.

Objectives: Restrictive tricuspid annuloplasty is a clinically accepted approach to treat functional tricuspid regurgitation. We set out to investigate the effect of varying degrees of tricuspid annular reduction on the right ventricular (RV) function, geometry and strain.

Methods: Eight, healthy sheep (45 ± 4 kg) had 6 sonomicrometry crystals implanted around the tricuspid annulus and 20 onto the epicardium of the right ventricle defining 3 free wall regions: basal, mid and lower. Read More

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http://dx.doi.org/10.1093/ejcts/ezy484DOI Listing
January 2019
2 Reads

Defective NOTCH signalling drives smooth muscle cell death and differentiation in bicuspid aortic valve aortopathy.

Eur J Cardiothorac Surg 2019 Jan 25. Epub 2019 Jan 25.

Institute of Developmental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.

Objectives: Bicuspid aortic valve disease is common and is associated with ascending aortic aneurysms. Vascular smooth muscle cell (VSMC) apoptosis is characteristic of the ascending aorta of bicuspid patients, and NOTCH1 gene mutations have also been linked to the disease. NOTCH signalling is a fundamental cell signalling pathway, which dictates cell fate decisions including apoptosis. Read More

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http://dx.doi.org/10.1093/ejcts/ezy464DOI Listing
January 2019

The hospital results and 1-year outcomes of transcatheter aortic valve-in-valve procedures and transcatheter aortic valve implantations in the native valves: the results from the Swiss-TAVI Registry.

Eur J Cardiothorac Surg 2019 Jan 27. Epub 2019 Jan 27.

Heart Clinic Hirslanden, Zurich, Switzerland.

Objectives: The SwissTAVI Registry includes all consecutive patients undergoing transcatheter aortic valve implantation (TAVI) and valve-in-valve (VinV) procedures for a failed bioprosthesis in Switzerland. We report the real world, all-comers, 30-day and 1-year outcomes of patients undergoing VinV and standard TAVI procedures.

Methods: Prospectively collected data from the 2 groups (VinV and standard TAVI patients) were retrospectively analysed. Read More

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http://dx.doi.org/10.1093/ejcts/ezy471DOI Listing
January 2019

Euclid, Da Vinci and the aortic root.

Eur J Cardiothorac Surg 2019 Jan 25. Epub 2019 Jan 25.

Cardiac Surgery, Department of Biomedical Engineering, University of Delaware, Newark, DE, USA.

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http://dx.doi.org/10.1093/ejcts/ezz002DOI Listing
January 2019
1 Read

Reply to Evora and Albuquerque.

Eur J Cardiothorac Surg 2019 Jan 25. Epub 2019 Jan 25.

Department of Cardiac Surgery, Karolinska Institute, Stockholm, Schweden.

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http://dx.doi.org/10.1093/ejcts/ezz011DOI Listing
January 2019
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Operative outcome of patients at low, intermediate, high and 'very high' surgical risk undergoing isolated aortic valve replacement with sutureless and rapid deployment prostheses: results of the SURD-IR registry.

Eur J Cardiothorac Surg 2019 Jan 25. Epub 2019 Jan 25.

The Collaborative Research (CORE) Group.

Objectives: The ideal strategy for the treatment of severe aortic valve stenosis in patients of varying risk categories has become a debated topic in the last years: should the transcatheter or surgical approach be adopted? The aim of this study was to evaluate the outcomes of low-, intermediate-, high- and very high-risk patients undergoing sutureless, rapid deployment aortic valve replacement.

Methods: From 2007 to 2017, data on a total of 3651 patients were collected from the Sutureless and Rapid Deployment Aortic Valve Replacement International Registry (SURD-IR). Of these, 2057 patients who underwent primary isolated aortic valve replacement were considered for this analysis and classified as being at low (EuroSCORE <5; n = 500), intermediate (EuroSCORE 5-10; n = 901), high (EuroSCORE 11-20; n = 500) and very high (EuroSCORE >20; n = 156) preoperative risk. Read More

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http://dx.doi.org/10.1093/ejcts/ezy477DOI Listing
January 2019
7 Reads

Reply to Sherif.

Eur J Cardiothorac Surg 2019 Jan 25. Epub 2019 Jan 25.

Department of Cardiovascular Surgery, University Heart Center Hamburg, Hamburg, Germany.

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http://dx.doi.org/10.1093/ejcts/ezz004DOI Listing
January 2019

Open descending aortic replacement after Thoraflex™ hybrid graft implantation.

Eur J Cardiothorac Surg 2019 Jan 25. Epub 2019 Jan 25.

Division of Cardiothoracic Surgery, Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong.

The Thoraflex™ device is a composite 4-branched graft with a distal endovascular stent that allows either a one-stage treatment or an endovascular second-stage treatment of multisegment aortic pathologies. Reports on open second-stage treatment after the Thoraflex™ device implantation are sparse especially regarding the technical aspects. We described our surgical procedure of open second-stage descending thoracic aortic replacement after Thoraflex™ implantation with a special focus on the anastomosis technique to a stent graft. Read More

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http://dx.doi.org/10.1093/ejcts/ezy481DOI Listing
January 2019
1 Read

The 2018 ESC/EACTS guidelines on myocardial revascularization still does not address the issue of disease-free saphenous vein grafts at the time of redo coronary artery bypass grafting.

Eur J Cardiothorac Surg 2019 Jan 25. Epub 2019 Jan 25.

Department of Surgery and Anatomy, Ribeirão Preto Faculty of Medicine, University of São Paulo, São Paulo, Brazil.

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https://academic.oup.com/ejcts/advance-article/doi/10.1093/e
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http://dx.doi.org/10.1093/ejcts/ezz009DOI Listing
January 2019
3 Reads

Extracorporeal membrane oxygenation for right ventricular failure following pericardiectomy.

Eur J Cardiothorac Surg 2019 Jan 25. Epub 2019 Jan 25.

Department of Cardiac Surgery, Glenfield Hospital, University Hospitals of Leicester, Leicester, UK.

We report the case of a 61-year-old gentleman who underwent pericardiectomy for constrictive pericarditis. Constrictive pericarditis was diagnosed through echocardiogram, computed tomography chest and cardiac magnetic resonance imaging. An elective decision was made for commencing venoarterial extracorporeal membrane oxygenation (ECMO) immediately postoperatively to prevent significant right ventricular failure (RVF). Read More

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http://dx.doi.org/10.1093/ejcts/ezy491DOI Listing
January 2019
1 Read

A giant aneurysm of the left sinus of Valsalva.

Eur J Cardiothorac Surg 2019 Jan 25. Epub 2019 Jan 25.

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

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https://academic.oup.com/ejcts/advance-article/doi/10.1093/e
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http://dx.doi.org/10.1093/ejcts/ezz010DOI Listing
January 2019
3 Reads

Trimodality therapy for superior sulcus tumour: experience of a single institution over 19 years.

Eur J Cardiothorac Surg 2019 Jan 25. Epub 2019 Jan 25.

Department of Thoracic Surgery, National Cancer Center Hospital, Tokyo, Japan.

Objectives: Induction chemoradiotherapy followed by surgery is the standard treatment for superior sulcus tumours (SSTs). However, the protocols, chemotherapy agents and cycles used as well as the mode and intensity of radiotherapy vary between institutions. Thus, the objective of the study was to investigate the effects of trimodality therapy on the outcomes of patients with SSTs. Read More

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https://academic.oup.com/ejcts/advance-article/doi/10.1093/e
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http://dx.doi.org/10.1093/ejcts/ezy480DOI Listing
January 2019
3 Reads

Juxta-annular right atrial anchoring of prosthetic mitral valves in endocarditis with anterior annulus destruction.

Eur J Cardiothorac Surg 2019 Jan 25. Epub 2019 Jan 25.

Department of Cardiothoracic and Vascular Surgery, Universitätsmedizin Mainz, Mainz, Germany.

Destruction of the mitral annulus is associated with poor outcomes. We present the treatment of endocarditis using a technique that enables secure anchoring of prosthetic valves where the anterior part of the mitral annulus is severely disrupted. It was used in 5 patients. Read More

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https://academic.oup.com/ejcts/advance-article/doi/10.1093/e
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http://dx.doi.org/10.1093/ejcts/ezy490DOI Listing
January 2019
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Results of surgical management of infective endocarditis associated with Staphylococcus aureus.

Eur J Cardiothorac Surg 2019 Jan 23. Epub 2019 Jan 23.

Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.

Objectives: Staphylococcus aureus (SA) is a leading cause of infective endocarditis (IE), and such cases are on the rise. Our objective was to evaluate the clinical outcomes of surgical intervention in patients with SA-associated IE and to identify the factors associated with outcomes.

Methods: Between 2009 and 2017, 585 patients underwent valve surgery for definitive left-sided IE at 14 affiliated hospitals. Read More

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http://dx.doi.org/10.1093/ejcts/ezy470DOI Listing
January 2019
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Quantitative evaluation of blood flow in each cerebral branch associated with zone 1-2 thoracic endovascular aortic repair.

Eur J Cardiothorac Surg 2019 Jan 23. Epub 2019 Jan 23.

Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.

Objectives: Optimal methods to quantitatively evaluate the blood flow in each cerebral artery after zone 1-2 thoracic endovascular aortic repair (TEVAR) remain unknown. Our objective was to evaluate the differences between preoperative and postoperative cerebral artery blood flows after zone 1-2 debranching TEVAR (dTEVAR).

Methods: Between January 2016 and August 2018, a prospective analysis of the blood flow in both the internal carotid artery and the vertebral artery in 16 patients before and after zone 1-2 dTEVAR was conducted. Read More

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http://dx.doi.org/10.1093/ejcts/ezy450DOI Listing
January 2019
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Optimal occlusion pattern for minimally invasive staged segmental artery coil embolization in a chronic porcine model.

Eur J Cardiothorac Surg 2019 Jan 21. Epub 2019 Jan 21.

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

Objectives: Minimally invasive staged segmental artery coil- and plug embolization (MIS2ACE) has been introduced for spinal cord injury prevention prior to open or endovascular thoraco-abdominal aortic aneurysm repair. To date, no optimal pattern has been developed. The aim of this study was to identify the optimal MIS2ACE occlusion pattern. Read More

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http://dx.doi.org/10.1093/ejcts/ezy463DOI Listing
January 2019
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A novel parameter for pulmonary blood flow during palliative procedures: velocity time integral of the pulmonary vein.

Eur J Cardiothorac Surg 2019 Jan 18. Epub 2019 Jan 18.

Division of Thoracic and Cardiovascular Surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.

Objectives: The main goal of palliative procedures for congenital heart defects is adequate pulmonary blood flow (PBF), but precise intraoperative PBF evaluation is sometimes difficult. The purpose of this preliminary study was to investigate the usefulness of velocity time integral of the pulmonary vein (PV-VTI) measured by transoesophageal echocardiography (TOE) at the time of palliative procedure as a parameter for PBF.

Methods: Case histories of 63 patients who underwent palliative procedures (bilateral pulmonary artery banding in 18 patients, main pulmonary artery banding in 22 patients and systemic-to-pulmonary artery shunt in 23 patients) and whose intraoperative PV-VTI was measured by TOE from 2011 to 2017 at our centre were retrospectively reviewed. Read More

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http://dx.doi.org/10.1093/ejcts/ezy465DOI Listing
January 2019
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The incidence and distribution of mediastinal lymph node metastasis and its impact on survival in patients with non-small-cell lung cancers 3 cm or less: data from 2292 cases.

Eur J Cardiothorac Surg 2019 Jan 18. Epub 2019 Jan 18.

Department of Thoracic Surgery, Sun Yat-sen University Cancer Center, Guangzhou 510060, PR China.

Objectives: Our goal was to investigate the incidence and distribution of mediastinal lymph node metastases (MLNM) in non-small-cell lung cancers (NSCLC) 3 cm or less, with the purpose of guiding mediastinal lymph node dissection.

Methods: A total of 2292 cases seen between January 2001 and December 2014 were included. These patients were grouped according to the lobes with the primary tumours. Read More

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http://dx.doi.org/10.1093/ejcts/ezy479DOI Listing
January 2019
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One-stage aortic replacement for type A aortic dissection: using a Vasoring and a conventional elephant trunk graft.

Eur J Cardiothorac Surg 2019 Jan 18. Epub 2019 Jan 18.

Cardiovascular Surgery, Tung's Taichung Metro Harbour Hospital, Taichung, Taiwan.

Objectives: We used a vascular ring connector (Vasoring) and a conventional elephant trunk graft for complete repair in open surgery for type A aortic dissection. This report described the immediate and mid-term results of this new technique.

Methods: We used a rigid titanic ring as a stent in the vascular graft for rapid sutureless anastomosis in the reconstruction of type A aortic dissection. Read More

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http://dx.doi.org/10.1093/ejcts/ezy455DOI Listing
January 2019
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Surgical aortic valve replacement and patient-prosthesis mismatch: a meta-analysis of 108 182 patients.

Eur J Cardiothorac Surg 2019 Jan 16. Epub 2019 Jan 16.

Division of Cardiovascular Surgery of Pronto Socorro Cardiológico de Pernambuco-PROCAPE, Recife, Brazil.

Objectives: This study sought to evaluate the impact of patient-prosthesis mismatch (PPM) on the risk of perioperative, early-, mid- and long-term mortality rates after surgical aortic valve replacement.

Methods: Databases were searched for studies published until March 2018. The main outcomes of interest were perioperative mortality, 1-year mortality, 5-year mortality and 10-year mortality. Read More

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http://dx.doi.org/10.1093/ejcts/ezy466DOI Listing
January 2019