1,842 results match your criteria General thoracic and cardiovascular surgery[Journal]


If post-thoracotomy pain is the target, Integrated Thoracotomy is the choice.

Gen Thorac Cardiovasc Surg 2019 Apr 16. Epub 2019 Apr 16.

Public Health and Community Medicine, Faculty of Medicine, Menoufia University, Shebin El-Kom, Egypt.

Objectives: Despite the overgrowth of procedures done by VATS, there are still needs for thoracotomy. Post-thoracotomy pain plays an important role in many post-operative morbidities. Surgeons should make efforts to evolve new techniques to reduce post-thoracotomy pain with its associated morbidities. Read More

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http://link.springer.com/10.1007/s11748-019-01126-2
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http://dx.doi.org/10.1007/s11748-019-01126-2DOI Listing
April 2019
1 Read

Prediction of prolonged air leak after lung resection using continuous log data of flow by digital drainage system.

Gen Thorac Cardiovasc Surg 2019 Apr 15. Epub 2019 Apr 15.

Department of Thoracic Surgery, National Cancer Center Hospital East, Kashiwa, Japan.

Purpose: The aim of this study was to extract predictive factors of prolonged air leak (PAL) including air flow data as objective parameter by digital drainage system (DDS).

Methods: The 372 patients who underwent lung resection and had continuous log data of air flow by DDS were reviewed. PAL was defined as the air leak which was exceeding 20 ml/min and lasting 5 days or more. Read More

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http://dx.doi.org/10.1007/s11748-019-01073-yDOI Listing

Radiological findings and surgical outcomes of pulmonary metastases originating from biliary tract carcinoma.

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

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

Purpose: Metastasis to the lungs arising from biliary tract carcinoma (BTC) is extremely rare, and the patient characteristics and prognosis are not well known. We aimed to identify the imaging findings of pulmonary metastases originating from BTC and the eligible indications for surgical treatment.

Methods: Fifteen patients who underwent pulmonary resection for metastases originating from BTC were retrospectively analyzed. Read More

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http://dx.doi.org/10.1007/s11748-019-01122-6DOI Listing

Significance of preoperative right ventricular function on mid-term outcomes after surgical ventricular restoration for ischemic cardiomyopathy.

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

Department of Cardiovascular Surgery, Faculty of Medicine, University of Miyazaki, 5200 Kiyotakecho Kihara, Miyazaki-city, Miyazaki, 889-1692, Japan.

Objectives: To analyze our surgical experiences with surgical ventricular restoration (SVR) for dilated ischemic cardiomyopathy (ICM) and to determine the significance of preoperative right ventricular (RV) function on outcomes.

Methods And Results: This study retrospectively analyzed 19 patients who underwent SVR between April 2010 and May 2016. Their mean age and New York Heart Association functional class were 62 ± 11 years and 2. Read More

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http://link.springer.com/10.1007/s11748-019-01123-5
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http://dx.doi.org/10.1007/s11748-019-01123-5DOI Listing
April 2019
2 Reads

Sarcopenia predicts poor postoperative outcome in elderly patients with lung cancer.

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

Division of General Thoracic Surgery, Department of Surgery, Shiga University of Medical Science, Tsukinowacho, Seta, Otsu, 502-2192, Shiga, Japan.

Purpose: Sarcopenia gradually progress with age; hence, it is necessary to define sarcopenia to predict postoperative outcomes in elderly patients with lung cancer. The purpose of this study is to propose a definition of sarcopenia in elderly patients with lung cancer, and to demonstrate the post operative outcomes.

Methods: Using computed tomography scans, the cross-sectional area (cm) of the psoas muscle at the third lumbar vertebral level was measured. Read More

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http://dx.doi.org/10.1007/s11748-019-01125-3DOI Listing

Neovascularization in pericarditis: a possible etiology of hemopericardium.

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

Department of General and Cardiothoracic Surgery, Graduate School of Medicine, Gifu University, 1-1 Yanagido, Gifu, Gifu, 501-1194, Japan.

Hemorrhagic pericardial effusion is life-threatening and mostly occurs during pericarditis; however, its underlying mechanism is unclear. We report a case of pericardial hematoma with obvious hemorrhage. A 56-year-old man without prior chest trauma presenting with exertional dyspnea and abdominal fullness was treated for idiopathic pericarditis. Read More

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http://dx.doi.org/10.1007/s11748-019-01124-4DOI Listing
April 2019
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Folding procedure to diminish type 3 endoleakage after open stent graft surgery with TEVAR extension.

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

Department of Cardiovascular Surgery, Kyushu University Hospital, Fukuoka, Japan.

We herein report a new procedure to prevent type 3 endoleakage (EL3) after open stent graft (OSG) surgery with thoracic endovascular aortic repair (TEVAR) extension. The OSG Dacron graft portion is reversed and folded inside the OSG stent graft portion intraoperatively, filling the crack between the OSG and TEVAR device. We applied this procedure in two patients with no postoperative complications. Read More

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http://dx.doi.org/10.1007/s11748-019-01115-5DOI Listing

External suture annuloplasty for mild to moderate and moderate aortic regurgitation due to an isolated type Ic lesion.

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

Department of Cardiac Surgery, The Jikei University School of Medicine, Tokyo, Japan.

Objective: Whether mild to moderate and moderate aortic regurgitation should be corrected surgically during other cardiovascular surgeries remains controversial. We evaluated the effectiveness of external suture annuloplasty in such cases.

Methods: Among 95 patients undergoing aortic valve repair between December 2013 and March 2018, five patients with mild to moderate and moderate aortic regurgitation due to aortic annulus dilatation (type Ic lesion) underwent surgery for mitral regurgitation and/or thoracic aortic aneurysm. Read More

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http://dx.doi.org/10.1007/s11748-019-01119-1DOI Listing
April 2019
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Surgical embolectomy for paradoxical cerebral embolism with massive pulmonary embolism.

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

Department of Thoracic and Cardiovascular Surgery, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori, 036-8562, Japan.

The patient was a 68-year-old woman with a history of multiple cerebral emboli. The patient presented with dysarthria, dysphagia, and left facial paralysis. Emergent MRI demonstrated multiple emboli in the brain stem and left occipital lobe. Read More

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http://dx.doi.org/10.1007/s11748-019-01087-6DOI Listing
April 2019
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Correction to: New insight into tricuspid valve anatomy from 100 hearts to reappraise annuloplasty methodology.

Gen Thorac Cardiovasc Surg 2019 Apr 5. Epub 2019 Apr 5.

Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine, 1-4-3 Asahimachi Abeno-ku, Osaka, 545-8585, Japan.

The article New insight into tricuspid valve anatomy from 100 hearts to reappraise annuloplasty methodology. Read More

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http://dx.doi.org/10.1007/s11748-019-01114-6DOI Listing

Preoperative frailty is associated with progression of postoperative cardiac rehabilitation in patients undergoing cardiovascular surgery.

Gen Thorac Cardiovasc Surg 2019 Apr 5. Epub 2019 Apr 5.

Department of Cardiovascular Surgery, Nerima Hikarigaoka Hospital, 2-11-1 Hikarigaoka, Nerima-Ku, Tokyo, Japan.

Objective: Preoperative frailty affects the progression of cardiac rehabilitation (CR) after cardiovascular surgery. Different frailty assessment measures are available. However, it remains unclear which tool most likely predicts the progress of CR. Read More

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http://dx.doi.org/10.1007/s11748-019-01121-7DOI Listing

Mitral valve replacement and trans-mitral myectomy for a child with Noonan syndrome accompanied by hypertrophic obstructive cardiomyopathy.

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

Department of Cardiovascular Surgery, Nippon Medical School Hospital, 1-1-5, Sendagi, Bunkyo-ku, Tokyo, 113-8603, Japan.

A 4-year-old boy with Noonan syndrome accompanied by hypertrophic obstructive cardiomyopathy presented with refractory heart failure owing to severe left ventricular outflow obstruction and mitral regurgitation. He underwent mitral valve replacement and trans-mitral myectomy. The pathology of the resected myocardium was consistent with hypertrophic cardiomyopathy, and the mitral valve leaflets were severely degenerated. Read More

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http://dx.doi.org/10.1007/s11748-019-01084-9DOI Listing
February 2019

Influx of air into the left atrium during lung resection.

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

Faculty of Medicine, Second Department of Surgery, Yamagata University, 2-2-2 Iida-Nishi, Yamagata, 990-9585, Japan.

Objectives: In this study, we aimed to determine conditions associated with the development of air bubbles in the pulmonary veins during lung resection.

Methods: A total of 28 patients who underwent lung resection at our institution between October 2016 and March 2018 were included in the study. An intraoperative transesophageal echocardiography was conducted, and the influx of air bubbles in the orifice of the pulmonary vein leading to the left atrium was observed during lung resection. Read More

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http://dx.doi.org/10.1007/s11748-019-01112-8DOI Listing
April 2019
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Surgical treatment of multiple coronary-to-pulmonary artery fistulas with severe coronary artery stenosis.

Gen Thorac Cardiovasc Surg 2019 Apr 1. Epub 2019 Apr 1.

Department of Cardiac Surgery, Asahikawa Medical University, Asahikawa, Japan.

A coronary artery fistula (CAF) is an abnormal connection between a coronary artery and a cardiac chamber or a great vessel. CAF draining into the main pulmonary artery, called coronary-to-pulmonary artery fistula (CPAF), is one of the common variations of CAF. Although there is no definitive surgical indication of CPAF, it is treated concomitantly during other cardiac surgeries. Read More

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http://dx.doi.org/10.1007/s11748-019-01118-2DOI Listing

Medial-basal segment (S)-sparing right basal segmentectomy.

Gen Thorac Cardiovasc Surg 2019 Apr 1. Epub 2019 Apr 1.

Division of General Thoracic Surgery, Integrative Center of General Surgery, Gunma University Hospital, 3-39-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan.

The technique of medial-basal segment (S)-sparing basal segmentectomy has not previously been reported. Herein we report the technical details of thoracoscopic anatomical basal segmentectomy preserving S in patients with Bab branching pattern. Read More

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http://dx.doi.org/10.1007/s11748-019-01116-4DOI Listing

Impact of enhanced recovery after surgery on outcomes of elderly patients undergoing open thoracic surgery.

Gen Thorac Cardiovasc Surg 2019 Mar 30. Epub 2019 Mar 30.

Department of Thoracic Surgery, Yamagata Prefectural Central Hospital, 1800, Oazaaoyagi, Yamagata, 990-2292, Japan.

Objective: An enhanced recovery after surgery (ERAS) program might be effective for postoperative recovery in elderly patients undergoing thoracic surgery. This study aimed to clarify the impact of ERAS on the post-operative recovery of elderly patients, with regard to shortening hospital stay and reducing complications after open thoracic surgery.

Methods: We used a prospectively collected database and retrospectively accessed the data of patients who underwent lobectomies or segmentectomies for pulmonary malignancies from April 2013 to March 2018 and evaluated outcomes after implementation of ERAS. Read More

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http://dx.doi.org/10.1007/s11748-019-01099-2DOI Listing

Thoracoscopic diaphragm repair using abdominal insufflation in a patient with hepatic hydrothorax.

Gen Thorac Cardiovasc Surg 2019 Mar 29. Epub 2019 Mar 29.

Department of General Thoracic Surgery, Osaka University Graduate School of Medicine, 2-2 (L5), Yamadaoka, Suita-shi, 565-0871, Osaka, Japan.

Hepatic hydrothorax refers to significant serous pleural effusion induced by liver cirrhosis, and some reports have suggested that this entity is ascites transferred to the thoracic cavity via a small hole in the diaphragm. There have been a few reports describing radical diaphragmatic repair by suturing the defect. We performed thoracoscopic diaphragmatic repair under abdominal insufflation to clarify the defect points. Read More

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http://dx.doi.org/10.1007/s11748-019-01117-3DOI Listing

Predictive importance of galectin-3 for recurrence of non-small cell lung cancer.

Gen Thorac Cardiovasc Surg 2019 Mar 22. Epub 2019 Mar 22.

Department of Surgery, Shiga University of Medical Science, Seta- Tsukinowa, Otsu, Shiga, 520-2192, Japan.

Objective: The predictive importance of galectin-3 in non-small cell lung cancer (NSCLC) has not been elucidated. We examined whether galectin-3 could serve as a predictor for tumor recurrence in NSCLC.

Methods: In 42 consecutive patients with NSCLC who underwent radical resection, galectin-3 expression in tumor cells was examined by immunohistochemistry. Read More

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http://dx.doi.org/10.1007/s11748-019-01074-xDOI Listing
March 2019
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Pulmonary resection in a prone position for lung cancer invading the spine.

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

Departments of General Thoracic, Breast, and Endocrinological Surgery, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan.

The prone position is usually not selected for pulmonary resection. The intraoperative body position is an important issue in surgery for non-small cell lung cancer invading the spine because the standard intraoperative body position for a vertebrectomy is a prone position, while that for a pulmonary resection is a lateral decubitus position. Intraoperative changes in body position can cause several complications. Read More

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http://dx.doi.org/10.1007/s11748-019-01113-7DOI Listing
March 2019
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A risk scoring system for predicting visceral pleural invasion in non-small lung cancer patients.

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

First Department of Surgery, Hamamatsu University School of Medicine, 1-20-1, Handayama, Higashi-ku, Hamamatsu, Shizuoka, 431-3192, Japan.

Objective: This study aimed to construct a simple scoring system for predicting visceral pleural invasion of non-small cell lung cancer (NSCLC) from computed tomography (CT) findings and clinicopathological factors in lesions directly under the pleural membrane.

Methods: Among 376 cases of surgically treated NSCLC, cases in which the tumor was ≤ 7 cm in diameter and in contact with the pleura on the CT image were retrospectively extracted and examined. The CT findings and clinicopathological factors associated with the presence of pathological pleural invasion in each case were examined by Fisher's exact test. Read More

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http://dx.doi.org/10.1007/s11748-019-01101-xDOI Listing
March 2019
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Treatment outcomes for acute type A aortic dissection with patent false lumen in patients over the age of 80.

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

Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, 2-5-1, Nakai-cho, Kita-Ku, Okayama, 700-0804, Japan.

Objectives: While reports which focus on the outcomes of conservative treatments for acute type A aortic dissection in patients over the age of 80 are worth considering, recently many studies have reported improved outcomes of surgical treatment. Accordingly, we analyzed the outcomes of surgical and conservative treatments for acute type A aortic dissection with patent false lumen in patients over the age of 80.

Methods: We retrospectively investigated 70 patients over 80 years in age out of 248 consecutive patients with acute type A aortic dissection between January, 2010, and May, 2015. Read More

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http://dx.doi.org/10.1007/s11748-019-01111-9DOI Listing

Enhanced outcomes for coronary artery disease obtained by a multidisciplinary heart team approach.

Gen Thorac Cardiovasc Surg 2019 Mar 15. Epub 2019 Mar 15.

Department of Cardiovascular Medicine, St. Luke's International Hospital, Tokyo, Japan.

Background: We implemented our multidisciplinary heart team (MHT) approach since 2012 for patients with coronary artery disease (CAD) and assessed the effectiveness of it by comparing outcomes in patients treated before and after the introduction of the MHT approach.

Methods: Percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) for CAD were performed in 802 and 57 patients from 2009 to 2011 in Group NH, and were performed in 867 and 160 patients from 2012 to 2014 in Group H, respectively. The primary outcome was major adverse cardiovascular and cerebrovascular events (MACCE), defined as the composite of all-cause death, myocardial infarction, stroke, cardiac-related readmission and target vessel repeat revascularisation (TVR) for PCI or revascularisation on grafted vessels for CABG. Read More

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http://dx.doi.org/10.1007/s11748-019-01108-4DOI Listing
March 2019
2 Reads

Usefulness of intraoperative nerve monitoring in esophageal cancer surgery in predicting recurrent laryngeal nerve palsy and its severity.

Gen Thorac Cardiovasc Surg 2019 Mar 15. Epub 2019 Mar 15.

Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.

Background: Recurrent laryngeal nerve (RLN) palsy is a critical postoperative complication in esophageal cancer surgery. However, intraoperative prediction of its occurrence and severity is difficult. In this prospective study, we evaluated the usefulness of intraoperative nerve monitoring (IONM) in predicting RLN palsy and its severity. Read More

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http://dx.doi.org/10.1007/s11748-019-01107-5DOI Listing
March 2019
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Risk factors for residual mitral regurgitation after aortic valve replacement in patients with severe aortic valve stenosis and moderate mitral regurgitation.

Gen Thorac Cardiovasc Surg 2019 Mar 15. Epub 2019 Mar 15.

Department of Cardiovascular and Thoracic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Kita-15, Nishi-7, Kita-Ku, Sapporo, 060-8638, Japan.

Objectives: While it was reported that patients with residual moderate mitral regurgitation (MR) after surgical aortic valve replacement (SAVR) had a poorer prognosis than those without it, the risk factors for residual MR have not been fully elucidated. The aim of the study was to evaluate risk factors for residual MR after SAVR.

Methods: Of the 222 patients who underwent isolated SAVR from 2001 to 2018, 33 (11 men; age: 74 ± 7 years) had functional moderate MR before surgery. Read More

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http://dx.doi.org/10.1007/s11748-019-01110-wDOI Listing
March 2019
2 Reads

Thrombectomy and reconstruction of the left vertebral artery after total arch replacement: never give up on postoperative stroke.

Gen Thorac Cardiovasc Surg 2019 Mar 14. Epub 2019 Mar 14.

Department of Thoracic and Cardiovascular Surgery, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori, 036-8562, Japan.

The patient was a 64-year-old man who had aortic regurgitation, ischemic heart disease, a transverse aortic aneurysm, and an abdominal-common iliac aneurysm. Concomitant operations including aortic valve replacement, coronary artery bypass grafting, and total aortic arch replacement with elephant trunk technique were performed successfully. The patient developed postoperative cardiac tamponade on the 5th postoperative day, resulting in bulbar palsy due to occlusion of the dominant left vertebral artery. Read More

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http://dx.doi.org/10.1007/s11748-019-01106-6DOI Listing
March 2019
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Complete repair with unifocalization of the only unilateral lung.

Gen Thorac Cardiovasc Surg 2019 Mar 14. Epub 2019 Mar 14.

Department of Cardiovascular Surgery, Mt. Fuji Shizuoka Children's Hospital, Urushiyama 860, Aoi-ku, Shizuoka, Shizuoka, 420-8660, Japan.

A boy with 22q11.2 deletion was diagnosed with pulmonary atresia with ventricular septal defect (PAVSD) and major aortopulmonary collateral arteries (MAPCAs). At 8 months, unifocalization of left MAPCAs and BT shunt was performed at another hospital. Read More

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http://dx.doi.org/10.1007/s11748-019-01109-3DOI Listing
March 2019
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Infarction of torsed extralobar pulmonary sequestration in adolescence.

Gen Thorac Cardiovasc Surg 2019 Mar 14. Epub 2019 Mar 14.

Department of Thoracic and Cardiovascular Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, 130 Dongdeok-ro, Jung-gu, Daegu, South Korea.

Torsion of pulmonary extralobar sequestration is extremely rare in childhood and adolescence, and as it presents with a variety of symptoms ranging from intermittent pain to fever from infarction, differential diagnosis is necessary. Herein, we report a rare case of 13-year-old girl who presented with abdominal pain and fever was diagnosed as infarction of torsed extralobar pulmonary sequestration. Torsed extralobar pulmonary sequestration was removed by thoracoscopic surgery, and the patient remained in good clinical condition. Read More

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http://link.springer.com/10.1007/s11748-019-01105-7
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http://dx.doi.org/10.1007/s11748-019-01105-7DOI Listing
March 2019
4 Reads

Root repair in patient with huge sinus Valsalva aneurysm and severe aortic regurgitation.

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

Department of Cardiovascular Surgery, Cardiovascular Clinic Bad Neustadt, Cardiovascular Clinic Bad Neustadt, Salzburger Leite 1, 97616, Bad Neustadt, Germany.

Anatomical aortic root restoration in a patient with a giant aneurysm of the right Sinus of Valsalva accompanied by severe AI and compression of the right-ventricular outflow is described and the entire case series (5) is reported. Read More

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http://dx.doi.org/10.1007/s11748-019-01104-8DOI Listing
March 2019
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Complete resection of a giant calcifying fibrous tumor of myocardial origin.

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

Department of Cardiac Surgery, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan.

A calcifying fibrous tumor (CFT) is a rare, benign tumor that commonly develops in the internal viscera. It is histologically characterized by hyalinized collagenous tissue with calcifications and lymphoplasmacytic infiltrates. There have been few reports of CFTs occurring in the heart. Read More

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http://dx.doi.org/10.1007/s11748-019-01103-9DOI Listing

The preoperative assessment of subpleural lung cancer movement to distinguish thoracic wall adhesion or invasion using four-dimensional computed-tomography.

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

Second Department of Surgery, Yamagata University Faculty of Medicine, Iida-Nishi 2-2-2, Yamagata, Yamagata, Japan.

Four-dimensional computed tomography (4DCT) is a relatively new technology. A review of the relevant medical literature reveals only very limited previous investigations of the utility of this technique. We report two cases of lung cancer located adjacent to the pleura in which 4DCT was used to assess parietal pleural invasion or adhesion based on the differential movements of tumors. Read More

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http://link.springer.com/10.1007/s11748-019-01090-x
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http://dx.doi.org/10.1007/s11748-019-01090-xDOI Listing
March 2019
5 Reads

Variant scimitar syndrome with intralobar pulmonary sequestration containing adenocarcinoma.

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

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

Scimitar syndrome is a rare congenital anomaly in which the right lung is hypoplastic and a scimitar vein is draining into the inferior vena cava. It is known to be sometimes complicated with pulmonary sequestration. However, a right single pulmonary vein draining normally into the left atrium is rare. Read More

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http://dx.doi.org/10.1007/s11748-019-01098-3DOI Listing
March 2019
4 Reads

Letter regarding: Clinical and pathological characteristics of spontaneous pneumothorax in women: a 25-year single-institutional experience [2018;66,9:516-522].

Authors:
Paola Ciriaco

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

Department of Thoracic Surgery, Ospedale San Raffaele, Scientific Institute and University Vita-Salute San Raffaele, Via Olgettina 60, 20132, Milan, Italy.

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http://dx.doi.org/10.1007/s11748-019-01100-yDOI Listing

Three risk factors for pulmonary metastasectomy in patients with hepatocellular carcinoma.

Gen Thorac Cardiovasc Surg 2019 Feb 28. Epub 2019 Feb 28.

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

Objective: The outcomes of surgically treating pulmonary metastases from hepatocellular carcinoma remain unclear. Therefore, we aimed to evaluate patients with hepatocellular carcinoma who underwent pulmonary metastasectomy to assess their survival outcome and prognostic factors.

Methods: This retrospective single-center study included 30 patients who underwent pulmonary metastasectomy for hepatocellular carcinoma between January 1980 and December 2016 at the National Cancer Center Hospital. Read More

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http://dx.doi.org/10.1007/s11748-019-01082-xDOI Listing
February 2019
2 Reads

Novel harvesting technique of no-touch saphenous vein graft using THUNDERBEAT.

Gen Thorac Cardiovasc Surg 2019 Feb 28. Epub 2019 Feb 28.

Second Department of Surgery, Yamagata University Faculty of Medicine, 2-2-2 Iida-Nishi, Yamagata, 990-9585, Japan.

The no-touch technique of saphenous vein involves harvesting the vein as a pedicled graft and avoidance of direct contact with the vein or excessive high-pressure expansion. This technique provides long-term graft patency as that of internal mammary artery; however, the wound complications could be greater than conventional skeletonized technique. To solve the problem of leg wound trouble and to harvest the vein simpler, we have developed a novel harvesting technique using a newly developed energy device, THUNDERBEAT. Read More

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http://dx.doi.org/10.1007/s11748-019-01097-4DOI Listing
February 2019

Lymphatic invasion is a cause of local recurrence after wedge resection of primary lung cancer.

Gen Thorac Cardiovasc Surg 2019 Feb 28. Epub 2019 Feb 28.

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

Objective: After securing a sufficient surgical margin at wedge resection and finding no pathologic evidence of residual tumor at the surgical margin, a considerable number of patients develop local recurrence. We investigated the correlation between sub-pleural lymphatic flow and local recurrence.

Methods: We retrospectively reviewed the medical records of 144 non-small cell lung cancer patients who underwent wedge resection between January 2006 and December 2014 at our institution. Read More

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http://dx.doi.org/10.1007/s11748-019-01095-6DOI Listing
February 2019

Minimally invasive treatment for isolated internal iliac artery aneurysms preserving superior gluteal artery flow.

Gen Thorac Cardiovasc Surg 2019 Feb 27. Epub 2019 Feb 27.

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

Objectives: To prevent buttock claudication, we performed endovascular aortic aneurysm repair (EVAR) for isolated internal iliac aneurysms (IIAAs) with selective preservation of the superior gluteal artery (SGA) flow. This study evaluates early clinical outcomes of this treatment.

Methods And Results: We retrospectively evaluated 6 patients with isolated IIAA who underwent EVAR under local anesthesia between October 2017 and July 2018 at Tokyo Women's Medical University Hospital. Read More

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http://link.springer.com/10.1007/s11748-019-01096-5
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http://dx.doi.org/10.1007/s11748-019-01096-5DOI Listing
February 2019
8 Reads

Solitary peribronchiolar metaplasia showing a sub-solid nodule on computed tomography.

Gen Thorac Cardiovasc Surg 2019 Feb 26. Epub 2019 Feb 26.

Division of Diagnostic Pathology, Shizuoka Cancer Center Hospital, 1007 Shimonagakubo, Nagaizumi-cho, Sunto-gun, Shizuoka, Japan.

Recent advances in radiographic imaging and thoracic surgery have facilitated surgery for small lung tumors by eliminating the need for pathological diagnosis. To date, we have experienced two cases of small lung tumors that were surgically resected without pathological diagnosis as malignant. Computed tomography (CT) revealed sub-solid nodules in the peripheral lung. Read More

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http://dx.doi.org/10.1007/s11748-019-01089-4DOI Listing
February 2019

A rare resected case of pulmonary rhabdomyosarcoma.

Gen Thorac Cardiovasc Surg 2019 Feb 26. Epub 2019 Feb 26.

Division of Chest Surgery, Hyogo Cancer Center, 13-70, Kitaoji-cho, Akashi, Japan.

Rhabdomyosarcoma is a well-known neoplasm in children that frequently occurs in the extremities, the head and neck region, and the genitourinary tract. To the best of our knowledge, pulmonary primary rhabdomyosarcoma in adults is exceedingly rare, and few resected cases have been reported. We report a case of pulmonary primary rhabdomyosarcoma that was surgically resected then treated with adjuvant chemotherapy (vincristine, actinomycin-D and cyclophosphamide). Read More

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http://link.springer.com/10.1007/s11748-019-01086-7
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http://dx.doi.org/10.1007/s11748-019-01086-7DOI Listing
February 2019
3 Reads

New insight into tricuspid valve anatomy from 100 hearts to reappraise annuloplasty methodology.

Gen Thorac Cardiovasc Surg 2019 Feb 25. Epub 2019 Feb 25.

Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine, 1-4-3 Asahimachi Abeno-ku, Osaka, 545-8585, Japan.

Objective: Prosthetic ring annuloplasty plays an important role in tricuspid valve repair. However, discussions regarding the appropriate suturing technique for rigid annuloplasty rings in patients with tricuspid valve anatomical variations are lacking. We aimed to clarify the diversity and pattern of tricuspid valve morphology. Read More

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http://dx.doi.org/10.1007/s11748-019-01092-9DOI Listing
February 2019
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Priming and replenishment in cardiopulmonary bypass with hydroxyethyl starch 130/0.4 decreases fluid overbalance without renal dysfunction or bleeding in adult valve surgery.

Gen Thorac Cardiovasc Surg 2019 Feb 25. Epub 2019 Feb 25.

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

The best priming and replenishment solution in cardiopulmonary bypass remains unknown, and the efficacy and drawbacks of artificial colloid are controversial. We retrospectively compared consecutive patients undergoing elective adult valve surgery in cases wherein cardiopulmonary bypass was primed and replenished with hydroxyethyl starch 130/0.4 (n = 12) or crystalloid solution (n = 11). Read More

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http://dx.doi.org/10.1007/s11748-019-01091-wDOI Listing
February 2019
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Behavior of primary tracheal glomus tumor, uncertain malignant potential subtype.

Gen Thorac Cardiovasc Surg 2019 Feb 25. Epub 2019 Feb 25.

Department of Anesthesia, Shanghai Pulmonary Hospital, Shanghai, China.

The behavior of the pathological subtypes of tracheal glomus tumor (benign, uncertain malignant potential UMP, malignant) is vague. In a 51-year-old gentleman, suffering from cough for 4 months, computed tomography scan showed a mass at lower third of the trachea and the bronchoscope revealed exophytic mass at the tracheal lumen. Segmental tracheal resection was done using special modified endotracheal tube for the distal lung ventilation. Read More

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http://dx.doi.org/10.1007/s11748-019-01085-8DOI Listing
February 2019
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Early chest tube removal after surgery for primary spontaneous pneumothorax.

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

Department of Thoracic Surgery, Otsu City Hospital, 2-9-9 Motomiya, Otsu, Shiga, 520-0804, Japan.

Objective: The purpose of this study was to analyze the safety and validity of early chest tube removal after bullectomy for primary spontaneous pneumothorax (PSP).

Methods: Between January 2005 and July 2018, 123 cases of thoracoscopic surgery for PSP were reviewed. The principle procedure was bullectomy accompanied by mechanical and chemical pleurodesis. Read More

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http://dx.doi.org/10.1007/s11748-019-01094-7DOI Listing
February 2019

Quantitative computed tomography for predicting cardiopulmonary complications after lobectomy for lung cancer in patients with chronic obstructive pulmonary disease.

Gen Thorac Cardiovasc Surg 2019 Feb 22. Epub 2019 Feb 22.

Division of Thoracic Surgery, Shizuoka Cancer Center, 1007 Shimonagakubo, Nagaizumi-cho, Sunto-gun, Shizuoka, Japan.

Objectives: In lung cancer resection, chronic obstructive pulmonary disease is a risk factor for post-operative complications. Few studies on post-operative complications of lung cancer resection have considered radiographic emphysematous change as an index. Here, we have examined the relationship between the regional ratio of the emphysematous area in pre-operative computed tomography images and cardiopulmonary complications in patients with chronic obstructive pulmonary disease who underwent lung cancer resection. Read More

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http://dx.doi.org/10.1007/s11748-019-01080-zDOI Listing
February 2019
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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
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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
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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