1,798 results match your criteria General thoracic and cardiovascular surgery[Journal]


Chest wall/parietal pleural invasions worsen prognosis in T4 non-small cell lung cancer patients after resection.

Gen Thorac Cardiovasc Surg 2019 Feb 21. Epub 2019 Feb 21.

Department of Thoracic Surgery, Institute of Development, Aging, and Cancer, Tohoku University, Sendai, 980-8575, Japan.

Objectives: Appropriate selection for surgery is particularly important in T4 non-small cell lung cancer patients. In clinical settings, patients those who are positive for T4 criteria occasionally are also positive for T3 factors which are independently defined from original T4 or even have multiple T4 factors. Significance of these factors on prognosis is still unknown. Read More

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http://dx.doi.org/10.1007/s11748-019-01093-8DOI Listing
February 2019

Desmoid-type fibromatosis arising in a bifid rib chest wall.

Gen Thorac Cardiovasc Surg 2019 Feb 21. Epub 2019 Feb 21.

Division of Thoracic Surgery, Department of Surgery, The Jikei University School of Medicine, 3-25-8 Nishishinbashi, Minatoku, Tokyo, 105-0003, Japan.

Desmoid-type fibromatosis is a rare soft tissue tumor and the chest wall is one of the common sites of its extra-abdominal occurrence. A bifid rib is one of the congenital rib abnormalities. We report a case of desmoid-type fibromatosis arising in a chest wall's bifid rib. Read More

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http://dx.doi.org/10.1007/s11748-019-01088-5DOI Listing
February 2019

Intimal regeneration after coronary endarterectomy and onlay grafting in coronary artery bypass grafting.

Gen Thorac Cardiovasc Surg 2019 Feb 21. Epub 2019 Feb 21.

Department of Stem Cell Pathology, Kansai Medical University, Osaka, Japan.

Objectives: Coronary onlay grafting, with or without endarterectomy, has been widely used for the treatment of diffuse lesions. Recent studies have demonstrated excellent long-term patency and favorable remodeling of onlay anastomosis; however, the underlying mechanisms remain unknown. Here, we describe the mechanism of intimal regeneration based on postmortem pathological evaluation of a patient who had undergone onlay grafting with coronary endarterectomy. Read More

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http://dx.doi.org/10.1007/s11748-019-01083-wDOI Listing
February 2019

Neutrophil-lymphocyte ratio as a mortality predictor for Norwood stage I operations.

Gen Thorac Cardiovasc Surg 2019 Feb 21. Epub 2019 Feb 21.

Kartal Kosuyolu High Education and Training Hospital, Denizer Str., Cevizli, Kartal, 34865, Istanbul, Turkey.

Background: Hypoplastic left heart syndrome is a lethal congenital heart malformation when untreated resulting in a 95% mortality in the first month of life. In this study, we aimed to investigate the newly introduced inflammatory biomarker, neutrophil-lymphocyte ratio, as a mortality predictor in postoperative hypoplastic left heart syndrome patients.

Methods: Patients were divided into two groups; Group 1 consisted of 33 patients who were discharged and Group 2 including 20 patients who were deceased following surgery. Read More

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http://dx.doi.org/10.1007/s11748-019-01081-yDOI Listing
February 2019

Optimal sublobar resection for c-stage I non-small cell lung cancer: significance of margin distance to tumor size ratio and margin cytology (Supplementary analysis of KLSG-0801): complete republication.

Gen Thorac Cardiovasc Surg 2019 Feb 19. Epub 2019 Feb 19.

Department of Thoracic Surgery, Saitama Cardiovascular and Respiratory Center, 1696 Itai, Kumagaya, Saitama, 360-0197, Japan.

Background: Sublobar resection for lung cancer is associated with a higher risk of recurrence than that of lobectomy; we evaluated the factors considered to be predictors of recurrence.

Methods: By analyzing multicenter prospective studies of sublobar resection for patients with c-stage I non-small lung cancer who were unable to undergo lobectomy (KLSG-0801), we investigated the relationship between (1) tumor location (TL) and margin distance from the stump (MD), (2) the MD/tumor size (TS) ratio and prognosis, (3) and the margin cytology (MC) and prognosis.

Results: The correlation between TS and MD was statistically significant in cases of easily resectable regions defined by Lewis' classification (n = 18). Read More

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http://link.springer.com/10.1007/s11748-019-01069-8
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http://dx.doi.org/10.1007/s11748-019-01069-8DOI Listing
February 2019
1 Read

Efficacy of preserving the residual stomach in esophageal cancer patients with previous gastrectomy.

Gen Thorac Cardiovasc Surg 2019 Feb 18. Epub 2019 Feb 18.

Department of Esophageal Surgery, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo, 104-0045, Japan.

Objective: There is no consensus concerning whether the residual stomach should be preserved after esophagectomy for thoracic esophageal cancer patients with previous distal or segmental gastrectomy. The purpose of this retrospective study was to assess the efficacy of preserving the residual stomach after esophagectomy in patients with previous gastrectomy.

Methods: Between 2000 and 2015, 45 consecutive thoracic esophageal cancer patients with previous distal or segmental gastrectomy underwent esophagectomy followed by colon reconstruction. Read More

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http://dx.doi.org/10.1007/s11748-019-01070-1DOI Listing
February 2019

Anomalous right upper lobe pulmonary veins draining posterior to the pulmonary artery.

Gen Thorac Cardiovasc Surg 2019 Feb 13. Epub 2019 Feb 13.

Department of General Thoracic, Breast and Endocrine Surgery, Faculty of Medicine, Kagawa University, 1750-1 Ikenobe, Miki-cho, Kita-gun, Kagawa, 761-0793, Japan.

The anatomy of pulmonary vessels varies. The right upper pulmonary vein usually drains in front of the pulmonary artery to the left atrium. We herein describe a case of the right upper lobe pulmonary vein draining posterior to the pulmonary artery and absent right upper lobe pulmonary vein in the ventral hilum. Read More

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http://dx.doi.org/10.1007/s11748-019-01078-7DOI Listing
February 2019

Current mechanisms of low graft flow and conduit choice for the right coronary artery based on the severity of native coronary stenosis and myocardial flow demand.

Gen Thorac Cardiovasc Surg 2019 Feb 8. Epub 2019 Feb 8.

Department of Cardiovascular Surgery, International Medical Centre, Saitama Medical University, 1397-1, Yamane Hidaka, Saitama, 350-1298, Japan.

Objectives: We investigated current mechanisms causing low graft flow (LGF) following coronary artery bypass grafting, particularly for the right coronary artery (RCA).

Methods: We retrospectively assessed 230 individual bypass grafts as the sole bypass graft for the RCA using preoperative and postoperative quantitative angiography. Overall, 155 in-situ gastroepiploic arteries (GEAs) and 75 saphenous vein grafts (SVGs) were included. Read More

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http://dx.doi.org/10.1007/s11748-019-01077-8DOI Listing
February 2019

Predicted Risk of Mortality Score predicts 30-day readmission after coronary artery bypass grafting.

Gen Thorac Cardiovasc Surg 2019 Feb 8. Epub 2019 Feb 8.

Division of Cardiac Surgery, Department of Surgery, The Emory Clinic, Emory University School of Medicine, 1365 Clifton Rd, Suite A2202, Atlanta, GA, 30322, USA.

Objective: Quality metrics and reimbursement models focus on 30-day readmission rates after coronary artery bypass grafting (CABG). Certain preoperative variables are associated with higher rates of readmission. The purpose of this study was to determine whether STS Predicted Risk of Mortality (PROM) scores predict 30-day readmission following CABG. Read More

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http://dx.doi.org/10.1007/s11748-019-01079-6DOI Listing
February 2019

Malperfusion in type A aortic dissection: results of emergency central aortic repair.

Gen Thorac Cardiovasc Surg 2019 Feb 7. Epub 2019 Feb 7.

Department of Cardiovascular Surgery, Jichi Medical University School of Medicine, 3311-1 Yakushiji, Shimotsuke, Tochigi, 3290498, Japan.

Background: Although outcomes of acute type A aortic dissection (ATAAD) have improved, malperfusion remains associated with high morbidity and mortality rates, and its optimal therapeutic treatment is unknown. Emergency central repair has been performed as our first-line approach for malperfusion. Here, we analyzed outcomes of ATAAD with malperfusion and reassessed emergency central repair. Read More

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http://dx.doi.org/10.1007/s11748-019-01072-zDOI Listing
February 2019
1 Read

Multimodality therapy for thymoma patients with pleural dissemination.

Gen Thorac Cardiovasc Surg 2019 Feb 6. Epub 2019 Feb 6.

Department of Thoracic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan.

Background: Although multidisciplinary treatment is recommended for patients with advanced stage and recurrent thymoma, a detailed treatment strategy remains controversial. We have performed a multimodality therapy of induction chemotherapy (CAMP therapy: cisplatin, doxorubicin, and methylprednisolone) combined with surgery for those patients. We now conducted a retrospective study for investigating the results of this multimodality therapy for thymoma patients with pleural dissemination. Read More

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http://link.springer.com/10.1007/s11748-018-01054-7
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http://dx.doi.org/10.1007/s11748-018-01054-7DOI Listing
February 2019
3 Reads

Non-small cell lung cancer with pathological complete response: predictive factors and surgical outcomes.

Gen Thorac Cardiovasc Surg 2019 Feb 6. Epub 2019 Feb 6.

Department of Thoracic Surgery, Kurashiki Central Hospital, 1-1-1, Miwa, Kurashiki-City, Okayama, 710-8602, Japan.

Objectives: When induction therapy followed by surgery for locally advanced non-small cell lung cancer results in pathological complete response, the prognosis is excellent; however, relapses can occur. We analyzed the predictive factors for achieving pathological complete response and reviewed the clinicopathological features and surgical outcomes of locally advanced non-small cell lung cancer with pathological complete response.

Methods: Between March 2005 and January 2015, 145 resections after induction therapy for locally advanced non-small cell lung cancer were performed; 38 cases achieved pathological complete response. Read More

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http://dx.doi.org/10.1007/s11748-019-01076-9DOI Listing
February 2019

Conservative treatment of type A aortic dissection following hybrid arch repair.

Gen Thorac Cardiovasc Surg 2019 Jan 31. Epub 2019 Jan 31.

Department of Cardiac Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai, Showa-ku, Nagoya, Aichi, 466-8550, Japan.

Objective: Type A aortic dissection (TAAD) following hybrid arch repair (HAR) is a lethal complication. Open surgical repair is the ideal treatment, but this can be difficult, as most candidates have complications and are unsuitable for the conventional open aortic repair. We herein report three cases of TAAD after HAR and assess the treatment options. Read More

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http://link.springer.com/10.1007/s11748-019-01075-w
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http://dx.doi.org/10.1007/s11748-019-01075-wDOI Listing
January 2019
7 Reads

Etiology of aortic dissection.

Authors:
Koichi Akutsu

Gen Thorac Cardiovasc Surg 2019 Mar 28;67(3):271-276. Epub 2019 Jan 28.

Division of Vascular Medicine, Department of Cardiovascular Surgery, Kawasaki Aortic Center, Kawasaki Saiwai Hospital, 31-21, Ohmiya-cho, Saiwaiku, Kawasaki, Kanagawa, 212-0014, Japan.

We discuss the etiology of aortic dissection (AD) from various points of view. The development of AD requires two pathological conditions: medial degeneration and mechanical wall stress. First, histopathological findings of medial degeneration are hypothesized to be due to a loss of elastic fibers and interconnecting elastic fibers. Read More

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http://dx.doi.org/10.1007/s11748-019-01066-xDOI Listing
March 2019
1 Read

Concurrent chemoradiotherapy using cisplatin and S-1, followed by surgery for stage II/IIIA non-small cell lung cancer.

Gen Thorac Cardiovasc Surg 2019 Jan 23. Epub 2019 Jan 23.

Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.

Objectives: Because chemoradiotherapy using cisplatin and S-1, an oral fluoropyrimidine, is effective for unresectable non-small cell lung cancer (NSCLC), an induction setting was used in a multicenter phase II study (Clinical trial number: UMIN000008205). The correlations of relapse and clinicopathological factors were analyzed.

Methods: We defined locally advanced NSCLC as pathologically proven chest wall invasion or hilar and/or mediastinal lymph node metastases by endobronchial ultrasound-guided transbronchial needle aspiration. Read More

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http://dx.doi.org/10.1007/s11748-018-01058-3DOI Listing
January 2019
1 Read

Mitral valve repair in infective endocarditis is not inferior to valve replacement: results from a Spanish nationwide prospective registry.

Gen Thorac Cardiovasc Surg 2019 Jan 21. Epub 2019 Jan 21.

Servicio de Microbiología Clínica y Enfermedades Infecciosas, Hospital General Universitario Gregorio Marañón, Madrid, Spain.

Introduction: Infective endocarditis (IE) still carries high morbidity and mortality and frequently requires surgery. The benefit of mitral valve repair (MVr) in the setting of IE is yet to be proven. The goal of this study was to assess the results of MVr in patients with IE after a minimum follow-up of 1 year. Read More

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http://link.springer.com/10.1007/s11748-019-01063-0
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http://dx.doi.org/10.1007/s11748-019-01063-0DOI Listing
January 2019
5 Reads

Preoperative biopsy does not affect postoperative outcomes of resectable non-small cell lung cancer.

Gen Thorac Cardiovasc Surg 2019 Jan 18. Epub 2019 Jan 18.

Department of Thoracic Surgery, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka, 573-1010, Japan.

Objectives: Preoperative diagnostic interventions such as transbronchial biopsy and/or computed tomography-guided biopsy inevitably disrupt the lung structures and may disseminate tumour cells into the airway, vessels, or pleural cavity. Therefore, these procedures may affect the postoperative outcomes. Thus, we aimed to compare the survival outcomes in patients diagnosed by transbronchial biopsy vs computed tomography-guided biopsy vs lung resection. Read More

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http://dx.doi.org/10.1007/s11748-019-01062-1DOI Listing
January 2019
2 Reads

Transfer of a minimally invasive mitral valve repair program from a high-volume center to a very low volume center: how many cases are necessary to maintain acceptable results?

Gen Thorac Cardiovasc Surg 2019 Jan 18. Epub 2019 Jan 18.

Department of Cardiovascular Surgery, Duesseldorf University, Moorenstrasse 5, 40225, Duesseldorf, Germany.

Objective: To investigate whether minimally invasive mitral valve repair (MIMVR) can be transferred from a high-volume center into a very small volume center and to clarify how many cases are necessary for maintenance of this program, early outcomes of MIMVR in Asahikawa Medical University were compared with those results in patients operated by a single surgeon in Duesseldorf University Hospital.

Methods: Sixty-five patients who underwent MIMVR in Asahikawa Medical University (group A) between May 2014 and July 2018 and 134 patients who underwent MIMVR in Duesseldorf University Hospital (group D) between September 2009 and January 2014 by a surgeon who started MIMVS later in Asahikawa were retrospectively analyzed.

Results: In group D, there were more patients with ischemic mitral valve regurgitation and with annular calcification than in group A. Read More

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http://dx.doi.org/10.1007/s11748-019-01065-yDOI Listing
January 2019
2 Reads

Lung transplantation via cardiopulmonary bypass: excellent survival outcomes from extended criteria donors.

Gen Thorac Cardiovasc Surg 2019 Jan 18. Epub 2019 Jan 18.

Department of Thoracic Surgery/Organ Transplant Center, Okayama University Hospital, Okayama, Japan.

Objectives: The role of intraoperative cardiopulmonary bypass (CPB) in lung transplant (LTx) surgery is controversial. CPB enables slow pulmonary reperfusion and initial ventilation with low oxygen concentrations, both theoretically protective of transplanted lungs. In this study, we explored clinical outcomes following extended criteria donor LTx surgery implementing a thoroughly protective allograft reperfusion strategy using CPB. Read More

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http://dx.doi.org/10.1007/s11748-019-01067-wDOI Listing
January 2019
3 Reads

Reoperation for postoperative bleeding following pulmonary resection: a report of a single-center experience.

Gen Thorac Cardiovasc Surg 2019 Jan 17. Epub 2019 Jan 17.

Division of Chest Surgery, Department of Surgery, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, 480-1195, Japan.

Objective: The variety and incidence of postoperative complications seem to have changed with recent progress in thoracic surgery. This study attempted to improve our recognition of postoperative bleeding.

Methods: Among 1143 patients undergoing pulmonary resection for pulmonary nodules, ten underwent surgical treatment for postoperative bleeding. Read More

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http://dx.doi.org/10.1007/s11748-018-01060-9DOI Listing
January 2019
1 Read

Return to work after surgical treatment for malignant pleural mesothelioma: report of a case.

Gen Thorac Cardiovasc Surg 2019 Jan 12. Epub 2019 Jan 12.

Second Department of Surgery, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka Yahatanishi-ku, Kitakyushu, 807-8555, Japan.

We report the case of a 56-year-old woman who underwent pleural biopsy to identify the cause of the right pleural effusion. The pathological diagnosis was epithelial malignant pleural mesothelioma. The patient worked as a junior high school teacher and strongly hoped for continuing work. Read More

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http://dx.doi.org/10.1007/s11748-019-01064-zDOI Listing
January 2019
5 Reads

Total surgical repair for secondary aortoesophageal fistula: two case reports.

Gen Thorac Cardiovasc Surg 2019 Jan 10. Epub 2019 Jan 10.

Department of Cardiovascular Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan.

We present two consecutive patients with secondary aortoesophageal fistula (AEF) who successfully underwent total repair including partial esophagectomy, removal of infected vascular prosthesis, graft replacement, and esophageal reconstruction using gastric tube concomitant to omental wrapping for staged operation in short phase. One 81-year-old male who had undergone thoracic endovascular aortic repair and another 69-year-old male who had undergone graft replacement of the descending thoracic aorta were referred to our hospital for treatment of AEF. In the first operation, partial esophagectomy, removal of infected vascular prosthesis, and graft replacement were performed via left rib-cross thoracotomy. Read More

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http://dx.doi.org/10.1007/s11748-018-1045-4DOI Listing
January 2019
1 Read

Outcomes and predictive factors for pathological node-positive in radiographically pure-solid, small-sized lung adenocarcinoma.

Gen Thorac Cardiovasc Surg 2019 Jan 9. Epub 2019 Jan 9.

Division of General Thoracic Surgery, Shizuoka Cancer Center, Nagaizumicho Shimonagakubo 1007, Shizuoka, 411-8777, Japan.

Objectives: The indication of limited resection for radiographically pure-solid, small-sized lung adenocarcinoma is controversial. This study aimed to reveal the long-term outcome of standard surgical treatment and determine the predictive factors for pathological lymph node metastasis in optimal candidates undergoing limited surgical resection for pure-solid, small-sized lung adenocarcinoma.

Methods: The medical records of 107 consecutive patients were retrospectively reviewed at our hospital between December 2002 and December 2013. Read More

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http://dx.doi.org/10.1007/s11748-018-01059-2DOI Listing
January 2019
1 Read

Correction to: Positive correlation between sarcopenia and elevation of neutrophil/lymphocyte ratio in pathological stage IIIA (N2-positive) non-small cell lung cancer patients.

Gen Thorac Cardiovasc Surg 2019 Mar;67(3):348

Department of Thoracic Surgery, Osaka City University Hospital, 1-4-3 Asahimachi, Abeno-ku, Osaka, 545-8585, Japan.

In the original publication of the article, the title was incorrectly published as "Positive correlation between sarcopenia and elevation of neutrophil/lymphocyte ratio in pathological stage. Read More

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http://dx.doi.org/10.1007/s11748-018-01056-5DOI Listing
March 2019
1 Read

Our tips for bronchoplasty using suture holder and tourniquet.

Gen Thorac Cardiovasc Surg 2019 Jan 4. Epub 2019 Jan 4.

Department of Cardiovascular and Thoracic Surgery, Gifu Prefectural General Medical Center, 4 -6 -1 Noishiki, Gifu city, Gifu, 500-8717, Japan.

Bronchial anastomosis is an important part of successful bronchoplasty, but it takes time to achieve stable results because of few opportunities to do it. To ensure a stable outcome, we have applied some tips for bronchial anastomosis. One of the tips is the use of a suture holder to obtain appropriate suture pitches, adjusting the discrepancy of the bronchial diameter, and another one is the use of a tourniquet to obtain an adequate tension upon tying the knots, ensuring good operative view. Read More

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http://dx.doi.org/10.1007/s11748-018-01061-8DOI Listing
January 2019
1 Read

Clinical analysis of pneumonectomy for destroyed lung: a retrospective study of 32 patients.

Gen Thorac Cardiovasc Surg 2019 Jan 2. Epub 2019 Jan 2.

Departmant of Thoracic Surgery, Yuzuncu Yil University, Van, Turkey.

Objective: Destroyed lung is whole lung destruction secondary to chronic or recurrent lung infections. This clinical condition can result in irreversible changes in the lung parenchyma. In this study, we aimed to evaluate patients undergoing pneumonectomy with a diagnosis of lung destruction in terms of surgical technique, post-operative morbidity and mortality, and long-term outcomes. Read More

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http://link.springer.com/10.1007/s11748-018-01055-6
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http://dx.doi.org/10.1007/s11748-018-01055-6DOI Listing
January 2019
6 Reads

Pulmonary artery reconstruction using an autologous pulmonary vein patch in pulmonary resection.

Gen Thorac Cardiovasc Surg 2019 Jan 2. Epub 2019 Jan 2.

Division of Thoracic Surgery, Department of Surgery, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto, 602-8566, Japan.

Pulmonary artery (PA) reconstruction has been accepted to avoid pneumonectomy in locally advanced lung cancer surgery because of its satisfactory outcomes with regard to long-term survival and its low postoperative morbidity and mortality rates. Several techniques of PA reconstruction have been documented. However, the availability of PA reconstruction using an autologous pulmonary vein (PV) patch is unclear. Read More

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http://dx.doi.org/10.1007/s11748-018-1028-5DOI Listing
January 2019
1 Read

Two cases of air leak syndrome after bone marrow transplantation successfully treated by the pleural covering technique.

Gen Thorac Cardiovasc Surg 2019 Jan 2. Epub 2019 Jan 2.

Department of General Thoracic Surgery, Osaka University Graduate School of Medicine, 2-2-L5 Yamadaoka, Suita, Osaka, Japan.

Air leak syndrome (ALS) is a rare complication after bone marrow transplantation (BMT) and usually has a fatal outcome because of the high recurrence rate and treatment-refractory nature. A 32-year-old man with a history of BMT for acute lymphoblastic leukemia suffered from metachronous bilateral ALS. Bullectomy and the pleural covering procedure (PLC) were successfully performed for each side of the thorax. Read More

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http://link.springer.com/10.1007/s11748-018-01057-4
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http://dx.doi.org/10.1007/s11748-018-01057-4DOI Listing
January 2019
3 Reads

Initiation and modification of minimally invasive coronary artery bypass grafting.

Gen Thorac Cardiovasc Surg 2018 Dec 19. Epub 2018 Dec 19.

Department of Cardiovascular Surgery, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya, Hyogo, 663-8501, Japan.

Minimally invasive coronary artery bypass grafting (MICS CABG) via a small left thoracotomy has been proposed as an alternative to standard coronary artery bypass grafting. However, this technique is still limited to skillful surgeons. Off-pump multi-vessel bypass grafting and the use of bilateral internal thoracic arteries are particularly challenging via a small thoracotomy, while they are widely performed via a full median sternotomy. Read More

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http://dx.doi.org/10.1007/s11748-018-1050-7DOI Listing
December 2018
1 Read

Z-plasty as an alternative choice for the treatment of recurrent local sternal wound infections.

Gen Thorac Cardiovasc Surg 2018 Dec 19. Epub 2018 Dec 19.

Department of Cardiovascular Surgery, Karabük Training and Research Hospital, Karabük, Turkey.

Objective: Sternal wound infections after sternotomy are associated with high morbidity, high mortality, and prolonged hospital stay. The recurrence rate of sternal wound infections after single-stage closure is greater than expected. The aim of the study is to present our results of a consecutive series of Z-plasty for the treatment of recurrent sternal wound infections. Read More

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http://link.springer.com/10.1007/s11748-018-1052-5
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http://dx.doi.org/10.1007/s11748-018-1052-5DOI Listing
December 2018
15 Reads

A successful report of mitral valve repair for parachute-like mitral valve in adult.

Gen Thorac Cardiovasc Surg 2018 Dec 19. Epub 2018 Dec 19.

Division of Cardiovascular Surgery, Department of Surgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho Chuo-ku, 650-0017, Kobe, Japan.

A 65 year-old man was diagnosed with congestive heart failure secondary to severe mitral regurgitation resulting from a parachute-like asymmetrical mitral valve. We performed mitral annuloplasty and triangular resection of the thick tissue. The postoperative course was uneventful with no recurrence of mitral regurgitation. Read More

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http://dx.doi.org/10.1007/s11748-018-1047-2DOI Listing
December 2018
1 Read

Resection of left atrial appendage aneurysm and full maze procedure as curative management for stroke recurrence.

Gen Thorac Cardiovasc Surg 2018 Dec 18. Epub 2018 Dec 18.

Department of Thoracic and Cardiovascular Surgery, Hirosaki University School of Medicine, 5 Zaifucyo, Hirosaki, Aomori, Japan.

Left atrial appendage aneurysm (LAAA) is a rare congenital heart anomaly that frequently becomes apparent after middle age. We report a case of LAAA in a 63-year-old woman with stroke. After stabilization of ischemic cerebral stroke, the patient underwent left atrial appendectomy with full maze procedure and tricuspid annuloplasty under cardiac arrest with cardiopulmonary bypasss. Read More

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http://dx.doi.org/10.1007/s11748-018-1048-1DOI Listing
December 2018
1 Read

Outcomes after aortic valve replacement for aortic valve stenosis, with or without concomitant coronary artery bypass grafting.

Gen Thorac Cardiovasc Surg 2018 Dec 17. Epub 2018 Dec 17.

Division of Cardiovascular Surgery, Shiga University of Medical Science, Seta Tsukinowacho, Otsu, Shiga, 520-2192, Japan.

Objectives: To assess the effects of concomitant coronary artery bypass grafting (CABG), we analyzed the outcomes after aortic valve replacement (AVR) for aortic stenosis (AS) with and without coronary artery bypass grafting (CABG) at our institution.

Methods: Between 2002 and 2014, 605 consecutive patients underwent AVR for AS. Of these, the 275 who received isolated AVR (Group A) and the 122 who received both AVR and CABG (Group AC) patients were enrolled, after the exclusion of 8 patients who underwent reoperation and 200 who received other concomitant surgery. Read More

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http://dx.doi.org/10.1007/s11748-018-1053-4DOI Listing
December 2018
2 Reads

Surgical outcomes of acute type A aortic dissection in dialysis patients.

Gen Thorac Cardiovasc Surg 2018 Dec 14. Epub 2018 Dec 14.

Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, 1-847 Amanumacho, Omiya-ku, Saitama, 330-8503, Japan.

Background: Acute type A aortic dissection (ATAAD) is relatively uncommon in dialysis patients, and characteristics and repair outcomes are not fully understood.

Patients And Methods: Patients with ATAAD (n = 960) were divided into a dialysis group (n = 19) and non-dialysis group (n = 941), depending on whether they required dialysis for preoperative end-stage renal disease (ESRD). Hospital charts and imaging data were reviewed, and characteristics and outcomes were compared between the groups. Read More

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http://dx.doi.org/10.1007/s11748-018-1051-6DOI Listing
December 2018
2 Reads

Feasibility of transcatheter prosthetic paravalvular leakage closure: a single-center, exploratory safety evaluation study of transcatheter closure of prosthetic paravalvular regurgitation in Japan (STOP PARA study).

Gen Thorac Cardiovasc Surg 2018 Dec 14. Epub 2018 Dec 14.

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

Objective: The standard treatment of prosthetic paravalvular leakage (PVL) accompanied by heart failure or hemolytic anemia is repeat open surgery. Although favorable outcomes for transcatheter prosthetic PVL closure in patients with a high surgical risk for repeat open surgery have been reported, procedural feasibility has not been examined in Japan.

Methods: From March 2015 to November 2015, transcatheter PVL closure in mitral position was performed in four patients (age range 41-78, three females) with high surgical risk due to history of repeated surgeries, chest radiation and reconstruction of the mitral annulus after debridement of abscess owing to infective endocarditis. Read More

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http://dx.doi.org/10.1007/s11748-018-1049-0DOI Listing
December 2018
15 Reads

De-airing an open stent graft to potentially reduce spinal cord injury.

Gen Thorac Cardiovasc Surg 2018 Dec 6. Epub 2018 Dec 6.

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

We have occasionally observed a bubble leaving the suture line of an open stent graft; hence, we hypothesized that de-airing an open stent graft could potentially reduce spinal cord injury. Postoperative computed tomography often showed residual air in thoracic aortic aneurysms, confirmed by the presence of a certain amount of air in an open stent graft in a dry lab. We filled CO in the sterilized package of an open stent graft and subsequently filled it with saline, which absorbed the CO and entered into the gap of the graft. Read More

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http://dx.doi.org/10.1007/s11748-018-1044-5DOI Listing
December 2018
1 Read

Natural history of bulla neogenesis for primary spontaneous pneumothorax: a propensity score analysis.

Gen Thorac Cardiovasc Surg 2018 Dec 6. Epub 2018 Dec 6.

Division of Thoracic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.

Objective: For patients with recurrent primary spontaneous pneumothorax, surgery has been thought to be an acceptable treatment. However, even if bulla is completely resected, postoperative recurrence is relatively common due to bulla neogenesis. Bulla neogenesis seems to develop naturally in younger patients compared with the elderly, as theorized till date. Read More

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http://dx.doi.org/10.1007/s11748-018-1046-3DOI Listing
December 2018
1 Read

Hypertrophic obstructive cardiomyopathy and mitral regurgitation in Libman-Sacks endocarditis.

Gen Thorac Cardiovasc Surg 2018 Dec 5. Epub 2018 Dec 5.

Department of Cardiovascular Surgery, Mitsubishi Kyoto Hospital, 1 Goshomachi, Nishikyo-ku, Kyoto, 615-8087, Japan.

Hypertrophic obstructive cardiomyopathy in Libman-Sacks endocarditis is quite rare and the correct etiological relationship between them is unknown. Some changes may cause a secondary disorganization of the ordinary muscle structure, making a disarray pattern with irregular interwoven myocyte fibers. This case report describes one of the first cases of ventricular septal myectomy and mitral valve replacement for hypertrophic obstructive cardiomyopathy and mitral valve regurgitation associated with Libman-Sacks endocarditis. Read More

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http://dx.doi.org/10.1007/s11748-018-1042-7DOI Listing
December 2018
2 Reads

A case of pulmonary sclerosing pneumocytoma in the hilar lesion.

Gen Thorac Cardiovasc Surg 2018 Nov 28. Epub 2018 Nov 28.

Department of Thoracic Surgery, Nagara Medical Center, Nagara 1300-7, Gifu, 502-8558, Japan.

Pulmonary sclerosing pneumocytoma (PSP) arising from the hilar lesion is extremely rare. We report an asymptomatic 70-year-old female with a thoracic tumor of unknown origin. Contrast-enhanced chest tomography showed a poorly and heterogeneously enhanced 40-mm tumor compressing the left upper lobe, bronchus, and pulmonary arteries. Read More

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http://link.springer.com/10.1007/s11748-018-1043-6
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http://dx.doi.org/10.1007/s11748-018-1043-6DOI Listing
November 2018
10 Reads

Early surgery with aggressive surgical approach to improve 6-month outcomes in patients with active infective endocarditis: contribution of cerebral preoperative magnetic resonance imaging.

Gen Thorac Cardiovasc Surg 2018 Nov 27. Epub 2018 Nov 27.

Departments of Cardiology, Sapporo City General Hospital, Sapporo, Japan.

Objectives: We investigated the hypothesis that early surgery for infective endocarditis (IE) attenuates the rate of death or embolic events and does not increase the rate of relapse or postoperative valvular dysfunction (PVD) at 6 months.

Methods: 21 consecutive patients who underwent surgical treatment of IE were prospectively included. We assessed 6-month postoperative clinical outcomes by comparing early surgery (Group E, surgery within 72 h) and conventional treatment (Group C). Read More

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http://dx.doi.org/10.1007/s11748-018-1040-9DOI Listing
November 2018
2 Reads

Angiographic appearance of patent saphenous vein grafts more than 25 years after coronary artery bypass grafting.

Gen Thorac Cardiovasc Surg 2018 Nov 23. Epub 2018 Nov 23.

Department of Cardiovascular Surgery, Kawasaki Medical School, 577 Matsushima, Kurashiki, Okayama, 701-0192, Japan.

Nine patients with ten angiographical patent saphenous vein grafts (SVG) more than 25 years after coronary artery bypass grafting (CABG) at Kawasaki Medical School Hospital between 1976 and 1992 were reviewed. Patent SVG disease was assessed using the FitzGibbon classification, and clinical characteristics which might affect the longevity of SVG were retrospectively evaluated. The mean duration between surgery and current coronary angiography was approximately 30 years (25-35 years). Read More

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http://dx.doi.org/10.1007/s11748-018-1041-8DOI Listing
November 2018
1 Read

Mitral valve repair versus replacement with preservation of the entire subvalvular apparatus.

Gen Thorac Cardiovasc Surg 2018 Nov 23. Epub 2018 Nov 23.

Department of Cardiovascular Surgery, National Hospital Organization Iwakuni Clinical Center, 1-1-1 Atagocho, Iwakuni, Yamaguchi, 740-8510, Japan.

Objective: This study aimed to evaluate the outcomes of mitral valve (MV) repair versus MV replacement with preservation of the entire subvalvular apparatus.

Methods: We retrospectively searched our dedicated in-hospital database for patients who underwent MV surgery between 2012 and 2017.

Results: A total of 82 patients were divided into a group that underwent MV replacement (n = 35) and a group that underwent MV repair (n = 47). Read More

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http://dx.doi.org/10.1007/s11748-018-1039-2DOI Listing
November 2018
18 Reads

Long agonal period deteriorates cardiac death donor lung function in a rat EVLP model.

Gen Thorac Cardiovasc Surg 2018 Nov 23. Epub 2018 Nov 23.

Department of Thoracic Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoin, Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.

Purpose: We investigated the impact of the duration of agonal period on donor lung function after reperfusion in an ex vivo rat lung perfusion model.

Methods: Three mechanical hypoventilation conditions were used for three agonal periods, which were defined as the interval between the start of hypoventilation and the time when systolic arterial blood pressure reached < 50 mmHg, i.e. Read More

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http://dx.doi.org/10.1007/s11748-018-1038-3DOI Listing
November 2018
12 Reads

Acute medical management of aortic dissection.

Authors:
Shuichiro Kaji

Gen Thorac Cardiovasc Surg 2019 Feb 19;67(2):203-207. Epub 2018 Nov 19.

Department of Cardiovascular Medicine, Kobe City Medical Center General Hospital, 2-1-1, Minatojima-minamimachi, Chuo-ku, Kobe, Japan.

Acute aortic dissection is a life-threatening disease. Current therapeutic guidelines recommend medical therapy with aggressive blood pressure lowering for patients with acute aortic dissection, when they are not indicated for emergency surgery. In particular, patients with aortic dissection without ascending aorta involvement (Stanford type B) are treated medically, unless they have fatal complications. Read More

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http://dx.doi.org/10.1007/s11748-018-1030-yDOI Listing
February 2019
10 Reads

Successful surgical repair for common arterial trunk with anterior crisscross pulmonary arteries and right aortic arch causing right bronchial compression.

Gen Thorac Cardiovasc Surg 2018 Nov 19. Epub 2018 Nov 19.

Department of Pediatric Cardiovascular Surgery, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka, 565-8565, Japan.

A 1-month-old girl with common arterial trunk, anteriorly originated crisscross pulmonary arteries, unusual running right aortic arch and severe pulmonary hypertension was initially palliated by bilateral pulmonary artery banding. She developed sudden respiratory failure at 80 days old; and computed tomography revealed that the right main bronchus was severely compressed by the proximal aortic arch. When common arterial trunk repair was performed, the dominant aortic component of the common trunk incorporating both branch pulmonary arteries was cylindrically resected. Read More

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http://link.springer.com/10.1007/s11748-018-1036-5
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http://dx.doi.org/10.1007/s11748-018-1036-5DOI Listing
November 2018
6 Reads

Extended pleurectomy decortication for thymoma with pleural dissemination.

Gen Thorac Cardiovasc Surg 2018 Nov 17. Epub 2018 Nov 17.

Second Department of Surgery (Chest Surgery), University of Occupational and Environmental Health, Iseigaoka 1-1, Kitakyusyu, 807-8555, Japan.

Complete resection is the mainstay of treatment for thymoma. Even for advanced-stage thymoma with pleural dissemination, complete resection with extrapleural pneumonectomy may provide a favorable prognosis. Pleurectomy decortication, a lung-sparing surgery, has been preferably employed in recent years as an alternative surgical procedure for malignant pleural mesothelioma. Read More

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http://link.springer.com/10.1007/s11748-018-1037-4
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http://dx.doi.org/10.1007/s11748-018-1037-4DOI Listing
November 2018
11 Reads

Concomitant carotid endarterectomy and aortic valve replacement in a patient with high risk of perioperative stroke.

Gen Thorac Cardiovasc Surg 2018 Nov 15. Epub 2018 Nov 15.

Department of Cardiac Surgery, International University of Health and Welfare, Mita Hospital, 1-4-3, Mita, Minato-ku, Tokyo, 108-8329, Japan.

Surgical strategy for significant carotid artery stenosis complicated with severe aortic valve stenosis is still controversial. Herein, we report a case of 80-year-old female in whom 78% stenosis by the NASCET criteria in left internal carotid artery was pointed out during preoperative checkup for symptomatic severe aortic stenosis. Carotid endarterectomy was done concomitantly with aortic valve replacement. Read More

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http://dx.doi.org/10.1007/s11748-018-1035-6DOI Listing
November 2018
1 Read

Long-term outcomes of Ross and Ross-Konno operations in patients under 15 years of age.

Gen Thorac Cardiovasc Surg 2018 Nov 13. Epub 2018 Nov 13.

Department of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjyuku-ku, Tokyo, 162-8666, Japan.

Objective: The Ross operation is an excellent surgical option for young children, regardless of aortic pathology type. However, failure rates are concerning during the second postoperative decade. We sought to determine the predictors of long-term outcomes after Ross and Ross-Konno operation performed in childhood. Read More

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http://dx.doi.org/10.1007/s11748-018-1034-7DOI Listing
November 2018
3 Reads

Risk factors for postoperative complications and long-term survival in elderly lung cancer patients: a single institutional experience in Turkey.

Gen Thorac Cardiovasc Surg 2018 Nov 12. Epub 2018 Nov 12.

Department of Thoracic Surgery, Gazi University Faculty of Medicine, Istanbul, Turkey.

Background: Lung cancer is a typical disease of elderly patients. While there are many publications in the literature on factors affecting survival, there is still no consensus on the survival impact of lymph node dissection. Our objective in this study was to evaluate prognostic factors influencing rates of complications, mortality, and survival in geriatric patients who underwent surgery for non-small cell lung cancer. Read More

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http://link.springer.com/10.1007/s11748-018-1031-x
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http://dx.doi.org/10.1007/s11748-018-1031-xDOI Listing
November 2018
11 Reads

Ligating the pulmonary vein at the pericardial reflection is useful for preventing thrombus formation in the pulmonary vein stump after left upper lobectomy.

Gen Thorac Cardiovasc Surg 2018 Nov 11. Epub 2018 Nov 11.

Department of Thoracic Surgery, Kansai Medical University, Hirakatashi, Japan.

Objectives: Thrombus formation in the pulmonary vein stump after left upper lobectomy is supposedly a risk factor for systemic thrombosis, resulting in a critical course for the patient. The purpose of this study was to assess the efficacy of the proximal ligation method preventing thrombus formation and thrombosis comparing the two groups of patients (those who did and those who did not undergo pulmonary vein ligation).

Methods: We performed a surgical procedure to shorten the pulmonary vein stump in the left upper lobectomy. Read More

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http://dx.doi.org/10.1007/s11748-018-1032-9DOI Listing
November 2018
1 Read