12,427 results match your criteria European Journal of Cardio-Thoracic Surgery[Journal]


Simplified frozen elephant trunk technique for combined open and endovascular treatment of extensive aortic diseases.

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

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

Objectives: This study aims to analyse the impact of a simplified frozen elephant trunk (FET) technique on early outcome.

Methods: Between October 2010 and August 2018, 92 consecutive patients (mean age 64.4 ± 12. Read More

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http://dx.doi.org/10.1093/ejcts/ezz082DOI Listing
April 2019
4 Reads

Are two internal thoracic grafts better than one? An analysis of 5301 cases.

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

Department of Cardiothoracic Surgery, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Objectives: Although bilateral internal thoracic artery (BITA) grafting is associated with improved survival, many surgeons are reluctant to use this technique due to its greater complexity and the potentially increased risk of sternal infection. This observational study examined if BITA grafting provides improved outcomes compared with single internal thoracic artery (SITA) grafting in patients with multivessel coronary disease.

Methods: Patients in our institution who underwent BITA grafting during 1996-2011 were compared to those who underwent SITA grafting during the same period. 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/ezz094DOI Listing
April 2019
1 Read

Comparison of outcomes of pulmonary valve replacement in adult versus paediatric hospitals: institutional influence†.

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

Division of Cardiology, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Objectives: Controversy exists in ascertaining the ideal location for adults with congenital heart disease requiring surgical intervention. In this study, we sought to compare the perioperative management between our paediatric and adult hospitals and to determine how clinical factors and the location affect the length of stay after pulmonary valve replacement.

Methods: A retrospective analysis of patients, ≥18 years of age, undergoing pulmonary valve replacement was conducted at our paediatric and adult hospitals between 1 January 2000 and 30 October 2014. Read More

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http://dx.doi.org/10.1093/ejcts/ezz102DOI Listing
April 2019
2 Reads

Sutured and sutureless repair of postinfarction left ventricular free-wall rupture: a systematic review.

Eur J Cardiothorac Surg 2019 Apr 1. Epub 2019 Apr 1.

Department of Cardiothoracic Surgery, Heart and Vascular Centre, Maastricht University Medical Centre, Maastricht, Netherlands.

Postinfarction left ventricular free-wall rupture is a potentially catastrophic event. Emergency surgical intervention is almost invariably required, but the most appropriate surgical procedure remains controversial. A systematic review, from 1993 onwards, of all available reports in the literature about patients undergoing sutured or sutureless repair of postinfarction left ventricular free-wall rupture was performed. Read More

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http://dx.doi.org/10.1093/ejcts/ezz101DOI Listing
April 2019
3 Reads

Impact of a tailored surgical approach on autograft root dimensions in patients undergoing the Ross procedure for aortic regurgitation†.

Eur J Cardiothorac Surg 2019 Apr 1. Epub 2019 Apr 1.

Department of Cardiac Surgery, Montreal Heart Institute, Université de Montréal, Montreal, Canada.

Objectives: The Ross procedure in patients with aortic regurgitation (AR) has been associated with increased autograft dilatation and late reintervention. The aim of this study was to evaluate the impact of a tailored approach aimed at mitigating that risk on early changes in autograft root dimensions following the Ross procedure in patients with AR.

Methods: From 2011 to 2018, 241 consecutive patients underwent a Ross procedure with >1 year of follow-up [46 (7) years]. Read More

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http://dx.doi.org/10.1093/ejcts/ezz105DOI Listing
April 2019
2 Reads
3.304 Impact Factor

Bilateral internal thoracic artery versus radial artery multi-arterial bypass grafting: a report from the STS database†.

Eur J Cardiothorac Surg 2019 Apr 1. Epub 2019 Apr 1.

Department of Surgery, Johns Hopkins University, Baltimore, MD, USA.

Objectives: Multi-arterial bypass grafting with bilateral internal thoracic (BITA-MABG) or radial (RA-MABG) arteries improves long-term survival, but its increased complexity raises perioperative safety concerns. We compared perioperative outcomes of RA-MABG and BITA-MABG using the Society of Thoracic Surgeons Adult Cardiac Surgery Database (STS-ACSD).

Methods: We analysed the 2004-2015 BITA-MABG and RA-MABG experience in STS-ACSD. Read More

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http://dx.doi.org/10.1093/ejcts/ezz106DOI Listing

Dynamic mitral valve geometry in patients with primary and secondary mitral regurgitation: implications for mitral valve repair†.

Eur J Cardiothorac Surg 2019 04 1. Epub 2019 Apr 1.

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

Objectives: The goal of this study was to quantify the mitral valve (MV) annulus, the MV shape and the anatomical MV orifice area throughout the cardiac cycle using 4-dimensional MV analysis software in patients with primary mitral regurgitation (PMR) and secondary mitral regurgitation (SMR) in comparison to a healthy control group.

Methods: Three-dimensional transoesophageal echocardiograms of the MV were acquired for 29 patients with PMR, for 28 patients with SMR and for 18 healthy control subjects. The MV was quantified with regards to anterior-posterior and lateromedial diameter, annular area and circumference, intertrigonal (IT) distance, annular sphericity index, annular height to commissural width ration, and anatomical MV orifice area throughout the cardiac cycle using 3-dimensional transoesophageal echocardiography-based 4-dimensional MV advanced analysis software. Read More

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http://dx.doi.org/10.1093/ejcts/ezz096DOI Listing
April 2019
1 Read

Long-term results of ventricular septation for double-inlet left ventricle†.

Eur J Cardiothorac Surg 2019 Apr 1. Epub 2019 Apr 1.

Department of Pediatric Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.

Objectives: To review the long-term surgical outcomes of ventricular septation for double-inlet left ventricle and reconsider the possibility of ventricular septation as an option of surgical treatments.

Methods: Between 1978 and 1994, 22 patients with double-inlet left ventricle underwent ventricular septation. The mean age at operation was 5. Read More

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http://dx.doi.org/10.1093/ejcts/ezz097DOI Listing
April 2019
3.304 Impact Factor

Surgery-first treatment improves clinical results in infective endocarditis complicated with disseminated intravascular coagulation†.

Eur J Cardiothorac Surg 2019 Apr 1. Epub 2019 Apr 1.

Department of Cardiovascular Surgery, Osaka University Hospital, Osaka, Japan.

Objectives: Infective endocarditis (IE) is a critical infection with a high mortality rate, and it usually causes sepsis. Though disseminated intravascular coagulation (DIC) sometimes occurs in IE patients, no definitive treatment strategy for IE patients with DIC as a complication exists. Therefore, we evaluated the prevalence, surgical results and treatment strategy for IE complicated with DIC. Read More

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http://dx.doi.org/10.1093/ejcts/ezz068DOI Listing
April 2019
1 Read

Open distal anastomosis in the frozen elephant trunk technique: initial experiences and preliminary results of arch zone 2 versus arch zone 3†.

Eur J Cardiothorac Surg 2019 Apr 1. Epub 2019 Apr 1.

Cardiac Surgery Unit, Cardio-Thoracic-Vascular Department, S. Orsola Hospital, Alma Mater Studiorum - University of Bologna, Bologna, Italy.

Objectives: We compared the results of 2 groups of patients who underwent aortic arch replacement with the frozen elephant trunk technique. In the first group, the distal anastomosis was performed in arch zone 2; in the second control group, the distal anastomosis was performed in arch zone 3.

Methods: Between January 2007 and April 2018, the frozen elephant trunk technique was used in 282 patients. Read More

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http://dx.doi.org/10.1093/ejcts/ezz103DOI Listing
April 2019
1 Read

Clinical outcomes of paediatric patients supported by the Berlin Heart EXCOR: a systematic review.

Eur J Cardiothorac Surg 2019 Apr 1. Epub 2019 Apr 1.

Department of Cardiothoracic Surgery, Erasmus University Medical Centre, Rotterdam, Netherlands.

Ventricular assist devices (VADs) are widely accepted as therapy to bridge children to heart transplantation. We provide a systematic review of the current state of clinical outcomes in children after paediatric VAD support by the Berlin Heart EXCOR (BH EXCOR) device. A systematic literature search was performed in April 2018. Read More

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http://dx.doi.org/10.1093/ejcts/ezz092DOI Listing
April 2019
1 Read

High-risk Fontan completion patients achieve low perioperative risk and benefit from cavopulmonary connection 7 years out†.

Eur J Cardiothorac Surg 2019 Apr 1. Epub 2019 Apr 1.

Department of Paediatric Cardiothoracic Surgery, Our Lady's Children's Hospital Crumlin, Dublin, Ireland.

Objectives: Our unit has pursued Fontan completion in all patients except those with immobility or combined poor ventricular function and high pulmonary artery pressures. We assessed retrospectively whether conventional high-risk criteria would predict patients with a poorer outcome.

Methods: One hundred and thirty-three consecutive children who underwent extracardiac Fontan completion (2004-2012) had their outcomes recorded (mean follow-up of 7 years). Read More

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http://dx.doi.org/10.1093/ejcts/ezz069DOI Listing

Aprotinin versus tranexamic acid in children undergoing cardiac study: an observational study.

Eur J Cardiothorac Surg 2019 Mar 30. Epub 2019 Mar 30.

Department of Anaesthesiology, University Hospital Brugmann, Queen Fabiola University Children's Hospital, Brussels, Belgium.

Objectives: The upcoming release of aprotinin in paediatric cardiac surgery prompted a re-evaluation of its use in comparison to tranexamic acid (TXA) focusing on their effect on exposure to blood transfusions as well as severe postoperative morbidity or mortality.

Methods: This retrospective study was conducted in a tertiary children hospital from 2002 to 2015. Patients receiving aprotinin (Aprotinin group: 2002-2007) were compared with those receiving TXA group (2008-2015) using propensity score analysis. Read More

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http://dx.doi.org/10.1093/ejcts/ezz088DOI Listing

Do individual surgeon volumes affect outcomes in thoracic surgery?

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

Department of Health Policy and Research, Weill Cornell Medicine, New York Presbyterian Hospital, New York, NY, USA.

Objectives: Minimum volume standards for thoracic surgical procedures have been advocated to improve outcomes. However, such standards are controversial within the thoracic surgery literature, and the methodology to determine cut points between high- and low-volume hospitals has been criticized. Furthermore, while multiple studies have examined hospital volume and its relationship with outcomes, there have been very few attempts to study this issue from the perspective of the individual thoracic surgeon. Read More

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http://dx.doi.org/10.1093/ejcts/ezz095DOI Listing

Results for tricuspid valve surgery in adults with congenital heart disease other than Ebstein's anomaly†.

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

Department of Congenital Cardiac Surgery, IRCCS Policlinico San Donato, San Donato Milanese, Italy.

Objectives: Tricuspid valve (TV) surgery in the adult with congenital heart disease (ACHD) is a frequently performed procedure. The aim of this study was to analyse postoperative and medium-term outcomes.

Methods: We conducted a single-centre retrospective study of patients with ACHD who underwent TV surgery (January 2000-December 2016); patients with Ebstein's anomalies were excluded. Read More

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http://dx.doi.org/10.1093/ejcts/ezz093DOI Listing
March 2019
2 Reads

Long-term outcomes of patients undergoing tricuspid valve surgery†.

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

Department of Cardiovascular Surgery, Mayo Clinic, Rochester, MN, USA.

Objectives: Limited literature is available on the best management strategy for tricuspid valve (TV) disease in adults. We sought to review our long-term outcomes of TV surgery with regard to survival and reoperation.

Methods: A retrospective analysis of all patients ≥18 years of age [n = 2541, aged 67 ± 13years, 1433 (56%) females] who underwent first-time TV surgery between January 1993 and December 2013 was done. Read More

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http://dx.doi.org/10.1093/ejcts/ezz081DOI Listing
March 2019
3 Reads

Improving coronary artery bypass grafting: a systematic review and meta-analysis on the impact of adopting transit-time flow measurement.

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

Department of Cardiothoracic Surgery, Erasmus MC, University Medical Centre, Rotterdam, Netherlands.

Despite there being numerous studies of intraoperative graft flow assessment by transit-time flow measurement (TTFM) on outcomes after coronary artery bypass grafting (CABG), the adoption of contemporary TTFM is low. Therefore, on 31 January 2018, a systematic literature search was performed to identify articles that reported (i) the amount of grafts classified as abnormal or which were revised or (ii) an association between TTFM and outcomes during follow-up. Random-effects models were used to create pooled estimates with 95% confidence intervals (CI) of (i) the rate of graft revision per patient, (ii) the rate of graft revision per graft and (iii) the rate of graft revision among grafts deemed abnormal based on TTFM parameters. Read More

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http://dx.doi.org/10.1093/ejcts/ezz075DOI Listing

Routine intraoperative jejunostomy placement and minimally invasive oesophagectomy: an unnecessary step?

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

Division of Thoracic Surgery, Department of Surgery, Massachusetts General Hospital, Boston, MA, USA.

Objectives: Adequate nutrition is challenging after oesophagectomy. A jejunostomy is commonly placed during oesophagectomy for nutritional support. However, some patients develop jejunostomy-related complications and the benefit over oral nutrition alone is unclear. Read More

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http://dx.doi.org/10.1093/ejcts/ezz063DOI Listing

Patient-prosthesis mismatch in mitral annuloplasty for degenerative mitral regurgitation: an ignored issue.

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

Department of Cardiovascular Surgery, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, China.

Objectives: Elevated postoperative transmitral gradient (TMG), partially induced by a small annuloplasty ring, is associated with late atrial fibrillation (AF) after mitral valve repair. Here, we aimed to provide the optimal cut-off of prosthetic ring size to reduce patient-prosthesis mismatch (PPM) after mitral annuloplasty.

Methods: From 2006 to 2017, 262 patients who underwent mitral valve repair for degenerative pathologies were retrospectively studied. 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/ezz086DOI Listing
March 2019
4 Reads

Impact of preservation of the latissimus dorsi muscle through a left anteroaxillary thoracotomy on spinal cord protection in descending thoracic and thoraco-abdominal aortic operations†.

Eur J Cardiothorac Surg 2019 Mar 20. Epub 2019 Mar 20.

Department of Cardiovascular Surgery, Tokyo Medical University, Tokyo, Japan.

Objectives: The presence of collateral network circulation to the spinal cord, which is reflected in the repair of a descending thoracic aortic aneurysm (dAo) and a thoraco-abdominal aortic aneurysm (TAAo), has been demonstrated in clinical and animal experimental data. The latissimus dorsi muscle (LDM) including the thoracodorsal artery might be one of the major sources of this collateral network. The objective of this study was to evaluate the impact on spinal cord safety of a left anteroaxillary thoracotomy with minimal muscle division including preservation of the LDM in surgery for dAo and TAAo. Read More

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http://dx.doi.org/10.1093/ejcts/ezz087DOI Listing
March 2019
2 Reads

Double orifice and atrioventricular septal defect: dealing with the zone of apposition†.

Eur J Cardiothorac Surg 2019 Mar 20. Epub 2019 Mar 20.

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

Objectives: A double orifice of the left atrioventricular valve (LAVV) associated with atrioventricular septal defects (AVSD) can significantly complicate surgical repair. This study reports our experience of AVSD repair over 3 decades, with special attention to the zone of apposition (ZoA) of the main orifice, and presents a technique of hemivalve pericardial extension in specific situations.

Methods: We performed a retrospective study from 1987 to 2016 on 1067 patients with AVSD of whom 43 (4%) had a double orifice, plus 2 additional patients who required LAVV pericardial enlargement. Read More

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http://dx.doi.org/10.1093/ejcts/ezz085DOI Listing
March 2019
4 Reads

Surgery for anomalous aortic origin of coronary arteries: a multicentre study from the European Congenital Heart Surgeons Association†.

Eur J Cardiothorac Surg 2019 Mar 20. Epub 2019 Mar 20.

Section of Pediatric and Congenital Cardiac Surgery, Department of Cardiac, Thoracic and Vascular Sciences, University of Padova, Medical School, Padova, Italy.

Objectives: We sought to describe early and late outcomes in a large surgical series of patients with anomalous aortic origin of coronary arteries.

Methods: We performed a retrospective multicentre study including surgical patients with anomalous aortic origin of coronary arteries since 1991. Patients with isolated high coronary takeoff and associated major congenital heart disease were excluded. Read More

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http://dx.doi.org/10.1093/ejcts/ezz080DOI Listing

Retraction to 'The influence of acute preoperative plasmapheresis on coagulation tests, fibrinolysis, blood loss and transfusion requirements in cardiac surgery' [Eur J Cardiothorac Surg 1997;11:557-563].

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

Department of Anaesthesiology and Intensive Care Medicine, Justus-Liebig-University, Rudolf-Buchheim-Strasse 7, 35385 Giessen, Germany.

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http://dx.doi.org/10.1093/ejcts/ezz079DOI Listing

Unifocalization cannot rely exclusively on native pulmonary arteries: the importance of recruitment of major aortopulmonary collaterals in 249 cases†.

Eur J Cardiothorac Surg 2019 Mar 19. Epub 2019 Mar 19.

Department of Cardiac Surgery, Birmingham Children's Hospital, Birmingham, UK.

Objectives: We sought to define the early and late outcomes of unifocalization based on a classification of the native pulmonary artery (nPA) system and major aortopulmonary collateral arteries (MAPCAs) with a policy of combined recruitment and rehabilitation and to analyse the role of unifocalization by leaving the ventricular septal defect (VSD) open with a limiting right ventricle-pulmonary artery (RV-PA) conduit in borderline cases.

Methods: An analysis of 271 consecutive patients assessed for unifocalization at a single institution between 1988 and 2016 was performed. Patients were classified according to the pulmonary blood supply: group A, unifocalization based on nPA only; group B, based on nPA and MAPCAs; group C, MAPCAs only (absent nPAs). Read More

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http://dx.doi.org/10.1093/ejcts/ezz070DOI Listing
March 2019
1 Read

Haemadsorption improves intraoperative haemodynamics and metabolic changes during aortic surgery with hypothermic circulatory arrest†.

Eur J Cardiothorac Surg 2019 Mar 19. Epub 2019 Mar 19.

Department of Cardiac Surgery, University Hospital, LMU Munich, Munich, Germany.

Objectives: Aortic surgery involving hypothermic circulatory arrest (HCA) results in a systemic inflammatory response that may negatively influence outcome. An extracorporeal haemadsorption (HA) device (CytoSorb®) that removes inflammatory triggers may improve haemodynamic and metabolic reactions due to excessive inflammation and, ultimately, outcome.

Methods: As a single-centre experience, the data of 336 patients who had undergone aortic surgery with HCA between 2013 and 2017 were retrospectively analysed. Read More

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http://dx.doi.org/10.1093/ejcts/ezz074DOI Listing
March 2019
2 Reads

Extended-arch repair for acute type-A aortic dissection: perioperative and mid-term results.

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

Calgary Thoracic Aorta Program, Division of Cardiac Surgery, Calgary, AB, Canada.

Objectives: Extended-arch techniques offer the potential to comprehensively treat acute type-A aortic dissection (ATAAD), but add surgical complexity compared to the standard hemiarch technique. This study describes both perioperative and mid-term outcomes following the introduction of an extended-arch technique for ATAAD.

Methods: Ours is a retrospective single-centre observational study of 95 consecutive patients with ATAAD from 2011 to 2016. Read More

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http://dx.doi.org/10.1093/ejcts/ezz071DOI Listing
March 2019
1 Read

Changing the stent-graft design by yourself: does it work?

Authors:
Bartosz Rylski

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

Department of Cardiovascular Surgery, Heart Centre Freiburg University, University of Freiburg, Freiburg, Germany.

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http://dx.doi.org/10.1093/ejcts/ezz077DOI Listing

First report of a hybrid robotic beating-heart quadruple totally endoscopic coronary artery bypass: toward complete revascularization.

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

Department of Surgery, Section of Cardiac and Thoracic Surgery, University of Chicago, Chicago, IL, USA.

To the best of our knowledge, this is the first report describing robotic beating-heart quadruple all-arterial totally endoscopic coronary artery bypass combined with percutaneous coronary intervention attempting complete revascularization (residual SYNTAX score 0). A 66-year-old male with severe triple-vessel coronary artery disease underwent percutaneous coronary intervention for a sub-total occlusion of the right coronary artery as the initial component of a hybrid revascularization strategy. Subsequently, the left coronary system was revascularized via robotic beating-heart totally endoscopic coronary artery bypass with bilateral internal mammary artery grafts. Read More

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http://dx.doi.org/10.1093/ejcts/ezz076DOI Listing

Quality of life after coronary bypass: a multicentre study of routinely collected health data in the Netherlands†.

Eur J Cardiothorac Surg 2019 Mar 15. Epub 2019 Mar 15.

Department of Cardiothoracic Surgery, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.

Objectives: In this study, our aim was to explore how coronary artery bypass grafting affects quality of life, and how this varies with age, particularly with patients at risk of deterioration.

Methods: In a retrospective, multicentre cohort study, patients with isolated coronary artery bypass grafting and electively operated between January 2011 and January 2015 with pre- and postoperative quality-of-life data were included. Patients were classified into 3 age groups: <65, 65-79 and ≥80 years. Read More

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http://dx.doi.org/10.1093/ejcts/ezz051DOI Listing
March 2019
1 Read

A European study on decellularized homografts for pulmonary valve replacement: initial results from the prospective ESPOIR Trial and ESPOIR Registry data†.

Eur J Cardiothorac Surg 2019 Mar 15. Epub 2019 Mar 15.

Department of Cardiac, Thoracic, Transplantation, and Vascular Surgery, Hannover Medical School, Hannover, Germany.

Objectives: Decellularized pulmonary homografts (DPH) have shown excellent results for pulmonary valve replacement. However, controlled multicentre studies are lacking to date.

Methods: Prospective European multicentre trial evaluating DPH for pulmonary valve replacement. Read More

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http://dx.doi.org/10.1093/ejcts/ezz054DOI Listing
March 2019
4 Reads

Reply to Puehler et al.

Authors:
Tadashi Kitamura

Eur J Cardiothorac Surg 2019 Mar 15. Epub 2019 Mar 15.

Department of Cardiovascular Surgery, Kitasato University School of Medicine, Kanagawa, Japan.

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http://dx.doi.org/10.1093/ejcts/ezz084DOI Listing
March 2019
1 Read

Long-term survival and frequency of reinterventions after proximal aortic surgery: a retrospective study†.

Eur J Cardiothorac Surg 2019 Mar 15. Epub 2019 Mar 15.

Department of Thoracic Surgery, Institution of Surgical Sciences, Uppsala University Hospital, Uppsala, Sweden.

Objectives: We sought to analyse perioperative outcome, long-term mortality, frequency and causes of reintervention, and survival benefit in a contemporary cohort of patients undergoing proximal thoracic aortic surgery.

Methods: Participants comprised all patients undergoing open surgery for proximal thoracic aortic aneurysm (TAA) (n = 319) and thoracic aortic dissection type A (TAD) (n = 229) during 2005-2014 at the Department of Thoracic Surgery, Uppsala University Hospital. Long-term survival was compared to age- and sex-matched controls. Read More

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http://dx.doi.org/10.1093/ejcts/ezz073DOI Listing
March 2019
2 Reads

Rahimi or Samurai? Smooth cannulation and effective antegrade perfusion is the best perfusion strategy in the treatment of acute Stanford type A dissections.

Eur J Cardiothorac Surg 2019 Mar 15. Epub 2019 Mar 15.

Department of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.

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http://dx.doi.org/10.1093/ejcts/ezz083DOI Listing
March 2019
1 Read

Is the diameter of tricuspid annulus or functional tricuspid regurgitation the key parameter for performing 'prophylactic annuloplasty'?

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

Cardiothoracic Panorama, St Luke's Hospital, Thessaloniki, Greece.

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http://dx.doi.org/10.1093/ejcts/ezz066DOI Listing

Reply to Tourmousoglou.

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

Cardiac Surgery Department, Universitair Clinique St. Luc, Brussel, Belgium.

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http://dx.doi.org/10.1093/ejcts/ezz067DOI Listing
March 2019
1 Read

Morphological modification of the aortic annulus in tricuspid and bicuspid valves after aortic valve reimplantation: an electrocardiography-gated computed tomography study†.

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

Department of Cardiac Surgery, European Hospital, Rome, Italy.

Objectives: Aortic valve-sparing operations have been shown to produce fewer valve-related complications than valve replacement. The aortic root is a morphological and functional unit in which the annulus plays an important role on dynamism, shape and geometry of the valve with different results in bicuspid aortic valves (BAVs) or tricuspid aortic valves (TAVs). The aim is to evaluate the differences in the size and shape of the aortic annulus between native BAVs and TAVs using ECG-gated computed tomography (CT) after a reimplantation procedure. Read More

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http://dx.doi.org/10.1093/ejcts/ezz065DOI Listing

Multicentre experience with two frozen elephant trunk prostheses in the treatment of acute aortic dissection†.

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

Department of Cardiovascular Surgery, Landeskrankenhaus Salzburg, Paracelsus Medical University, Salzburg, Austria.

Objectives: The aim of this study was to evaluate early- and mid-term outcome and aortic remodelling in patients undergoing implantation of 2 different frozen elephant trunk prostheses, either the Thoraflex™ hybrid (Vascutek, Inchinnan, UK) and the E-vita Open (Jotec Inc., Hechingen, Germany) for acute aortic dissection.

Methods: All consecutive patients [n = 88; median age 59 (49-67) years; 69% male] undergoing surgery with a frozen elephant trunk prosthesis for acute aortic dissection from August 2005 until March 2018 were included in this study. Read More

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http://dx.doi.org/10.1093/ejcts/ezz037DOI Listing
March 2019
4 Reads

Applying a clampless haemostatic device for left ventricular assist device outflow graft anastomosis.

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

Clinic for Cardiovascular Surgery, Heinrich-Heine University of Düsseldorf, Düsseldorf, Germany.

Performing a left ventricular assist device outflow graft anastomosis in redo cases with a short ascending aorta and open vein grafts requires side clamping of the aorta and may necessitate temporary clamping of the vein grafts to optimize the surgical field. We aim to describe the technique and report our experience with applying the HeartString® device for the anastomosis of the left ventricular assist device outflow graft in 2 male patients with ischaemic cardiomyopathy following coronary artery bypass surgery. The feasibility of using the HeartString device has been shown and no procedure-related complication was documented. Read More

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http://dx.doi.org/10.1093/ejcts/ezz060DOI Listing

Reply to Athanasiou et al.

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

Department of Surgery, Paracelsus Medical University, Nuremberg, Germany.

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http://dx.doi.org/10.1093/ejcts/ezz062DOI Listing
March 2019
1 Read

Management of oesophageal perforation based on the Pittsburgh Perforation Severity Score: still a matter of debate.

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

Department of Upper Gastrointestinal Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.

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http://dx.doi.org/10.1093/ejcts/ezz061DOI Listing
March 2019
1 Read

A single sequential snake saphenous vein graft versus separate left and right vein grafts in coronary artery bypass surgery: a population-based cohort study from the SWEDEHEART registry†.

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

Department of Cardiothoracic Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden.

Objectives: Our goal was to compare short- and midterm outcomes after coronary artery bypass grafting (CABG) using 2 different revascularization strategies.

Methods: A total of 6895 patients were included who had CABG in Sweden from 2009 to 2015 using the left internal mammary artery to the left anterior descending artery and either a single sequential saphenous vein graft connecting the left and right coronary territories to the aorta (snake graft, n = 2122) or separate vein grafts to both territories (n = 4773). Data were obtained from the Swedish Web System for Enhancement of Evidence-Based Care in Heart Disease Evaluated According to Recommended Therapies (SWEDEHEART) and the Swedish Patient Registry. Read More

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http://dx.doi.org/10.1093/ejcts/ezz057DOI Listing
March 2019
2 Reads

Cost-utility analysis of minimally invasive surgery for lung cancer: a randomized controlled trial.

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

Department of Cardiothoracic and Vascular Surgery, Odense University Hospital., Odense, Denmark.

Objectives: Minimally invasive video-assisted thoracic surgery (VATS) was first introduced in the early 1990s. For decades, numerous non-randomized studies demonstrated advantages of VATS over thoracotomy with lower morbidity and shorter hospital stay, but only recently did a randomized trial document that VATS results in lower pain scores and better quality of life. Opposing arguments for VATS have always been increased costs and concerns about oncological adequacy. Read More

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http://dx.doi.org/10.1093/ejcts/ezz064DOI Listing

Is small cusp size a limitation for aortic valve repair?†.

Eur J Cardiothorac Surg 2019 Mar 1. Epub 2019 Mar 1.

Department of Cardiovascular Surgery, Kurashiki Central Hospital, Okayama, Japan.

Objectives: We sought to investigate cusp size limitations for valve repair in patients with aortic regurgitation (AR).

Methods: Preoperative computed tomography was performed in 105 patients. Cusp geometric height (GH) and annulus size were measured. Read More

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http://dx.doi.org/10.1093/ejcts/ezz053DOI Listing
March 2019
4 Reads

Behavioural disorders in children with pectus excavatum in China: a retrospective cohort study with propensity score matching and risk prediction model.

Eur J Cardiothorac Surg 2019 Mar 1. Epub 2019 Mar 1.

Department of Cardiothoracic Surgery, Children's Hospital of Chongqing Medical University, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China.

Objectives: Surgical repair of pectus excavatum is typically carried out immediately prior to puberty. However, at the time of surgery, some psychosocial issues, such as behavioural disorders may already have developed and the likelihood of these psychosocial disorders resolving after surgery is unclear. For this reason, some surgeons choose to perform surgical repair at an earlier age in some children. Read More

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http://dx.doi.org/10.1093/ejcts/ezz038DOI Listing
March 2019
3 Reads

Pulmonary artery pressure telemonitoring by CardioMEMS in a patient pre- and post-left ventricular assist device implantation.

Eur J Cardiothorac Surg 2019 Mar 1. Epub 2019 Mar 1.

Department of Cardiology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands.

We present a case to demonstrate the feasibility of pulmonary artery monitoring with the CardioMEMS sensor for the preoperative optimization of patients with end-stage heart failure undergoing LVAD surgery. Additionally, we demonstrate the feasibility of combining two state-of-the-art techniques by integrating haemodynamic feedback from CardioMEMS and static pump settings of an LVAD. CardioMEMS aids in the remote monitoring of LVAD patients with the potential of identifying complications, pump dysfunction or filling status alterations. 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/ezz041DOI Listing
March 2019
3 Reads

Minimally invasive aortic valve replacement with sutureless and rapid deployment valves: a report from an international registry (Sutureless and Rapid Deployment International Registry)†.

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

The Collaborative Research (CORE) Group.

Objectives: The impact of sutureless and rapid deployment (SURD) valves on the clinical outcomes of patients undergoing minimally invasive aortic valve replacement (MI-AVR) has still to be defined. The aim of this study was to assess clinical characteristics and in-hospital results of patients receiving SURD-AVR through less invasive approaches in the large population of the Sutureless and Rapid Deployment International Registry (SURD-IR).

Methods: Of the 1935 patients who received primary isolated SURD-AVR between 2009 and 2018, a total of 1418 (73. Read More

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http://dx.doi.org/10.1093/ejcts/ezz055DOI Listing
February 2019
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Acquired von Willebrand factor deficiency is reduced in HeartMate 3 patients†.

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

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

Objectives: The acquired von Willebrand syndrome (AvWS), which is associated with left ventricular assist device support, is caused by the loss of the von Willebrand factor (vWF) high molecular weight multimers (HMWMs). We investigated whether the implantation of the left ventricular assist device HeartMate 3 (HM 3) is superior to the HeartWare ventricular assist device (HVAD) in preserving the multimeric structure of vWF.

Methods: In total, 70 patients with implanted HM 3 (n = 35) or HVAD (n = 35) were retrospectively investigated. Read More

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http://dx.doi.org/10.1093/ejcts/ezz045DOI Listing
February 2019

Reply to Marrocco-Trischitta and Romarowski.

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

Department of Surgery, University of Michigan, Ann Arbor, MI, USA.

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http://dx.doi.org/10.1093/ejcts/ezz059DOI Listing
February 2019
4 Reads

A meta-analysis of the performance of small tissue versus mechanical aortic valve prostheses.

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

Department of Surgery and Cancer, Imperial College, Paddington, London, UK.

Objectives: Small aortic prosthetic valves have been associated with suboptimal performance due to patient-prosthesis mismatch (PPM). This meta-analysis compared the outcomes of patients with a small root who received tissue versus mechanical aortic valves.

Methods: A systematic literature review identified 7 candidate studies; of these, 5 met the meta-analysis criteria. Read More

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http://dx.doi.org/10.1093/ejcts/ezz056DOI Listing
February 2019
1 Read
3.304 Impact Factor