6,489 results match your criteria Interactive CardioVascular and Thoracic Surgery[Journal]


Successful treatment of hypoplastic aortic arch and pseudocoarctation of the aorta in an octogenarian.

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

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

Pseudocoarctation of the aorta is an uncommon congenital condition and cases in octogenarians are rare. The patient was an 83-year-old woman in whom the condition was accidentally detected. Computed tomography showed a hypoplastic aortic arch, pseudocoarctation and descending aortic aneurysm with severe atherosclerotic calcification. Read More

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http://dx.doi.org/10.1093/icvts/ivy366DOI Listing
February 2019

Destructive aortic root endocarditis involving pulmonary valve with aorto-right ventricular fistula.

Interact Cardiovasc Thorac Surg 2019 Feb 14. Epub 2019 Feb 14.

Department of Thoracic, Cardiovascular and General Surgery, Kanazawa University, Kanazawa, Japan.

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http://dx.doi.org/10.1093/icvts/ivz025DOI Listing
February 2019

A novel transcatheter aortic valve with a form-fitting anchor for self-alignment: feasibility in a chronic preclinical model.

Interact Cardiovasc Thorac Surg 2019 Feb 14. Epub 2019 Feb 14.

Department of Cardiovascular Surgery, German Heart Centre Munich, Munich, Germany.

Objectives: Our goal was to assess the viability of an alternative anchoring design for a transcatheter aortic valve based on a form-fitting principle with a self-expanding nitinol frame to reduce issues related to excess radial force.

Methods: A 26-mm outer diameter prototype of a self-expanding nitinol frame was developed to reduce the amount of necessary radial force by utilizing additional anchoring via protruding arms in each aortic sinus, thus allowing for a form-fitting principle as well as the coaxial self-alignment of the valve inside the native anatomy. The prototype valve was implanted via a transapical approach in the orthotopic position in 2 sheep. Read More

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http://dx.doi.org/10.1093/icvts/ivz005DOI Listing
February 2019

Single-centre 20-year experience with repair of truncus arteriosus†.

Interact Cardiovasc Thorac Surg 2019 Feb 14. Epub 2019 Feb 14.

Department of Cardiac Surgery, Ukrainian Children's Cardiac Center, Kiev, Ukraine.

Objectives: We analysed a large series of truncus arteriosus repairs with a focus on early and late outcomes.

Methods: Ninety-seven consecutive patients who underwent truncus arteriosus repair (1997-2017) were included retrospectively. Univariable analysis for mortality and reintervention was performed. Read More

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http://dx.doi.org/10.1093/icvts/ivz007DOI Listing
February 2019

Life-long clinical outcome after the first myocardial revascularization procedures: 40-year follow-up after coronary artery bypass grafting and percutaneous coronary intervention in Rotterdam.

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

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

Objectives: Our goal was to evaluate the outcomes of the first patients treated by venous coronary artery bypass grafting (CABG) or percutaneous coronary interventions (PCIs) with balloon angioplasty at a single centre who have reached up to 40 years of life-long follow-up.

Methods: We analysed the outcomes of the first consecutive patients who underwent (venous) CABG (n = 1041) from 1971 to 1980 and PCI (n = 856) with balloon angioplasty between 1980 and 1985. Follow-up was successfully achieved in 98% of patients (median 39 years, range 36-46) who underwent CABG and in 97% (median 33 years, range 32-36) of patients who had PCI. Read More

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http://dx.doi.org/10.1093/icvts/ivz006DOI Listing
February 2019
1 Read

Diagnostic performances of 68Ga-DOTATOC versus 18Fluorodeoxyglucose positron emission tomography in pulmonary carcinoid tumours and interrelationship with histological features.

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

Unit of Nuclear Medicine, Azienda Unità Sanitaria Locale-IRCCS, Reggio Emilia, Italy.

Few data are available about radio-receptorial positron emission tomography (PET) results by the use of 68Ga-DOTA-peptides in pulmonary carcinoid tumours. In this study, we retrospectively analysed 68Ga-DOTATOC/PET and 18Fluorodeoxyglucose (FDG) PET diagnostic performances in 62 pulmonary carcinoids (occurring in 57 patients) and interrelationship with histological features. All patients underwent at least 1 PET/computed tomography: 26 patients received 68Ga-DOTATOC, 52 patients had 18F-FDG and 20 patients received both techniques. Read More

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http://dx.doi.org/10.1093/icvts/ivz009DOI Listing
February 2019

B-type natriuretic peptide predicts deterioration in functional capacity following lung resection.

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

Academic Unit of Anaesthesia, Pain and Critical Care, University of Glasgow, Glasgow, UK.

Objectives: Following lung resection, there is a decrease in the functional capacity and quality of life, which is not fully explained by changes in pulmonary function. Previous work demonstrates that B-type natriuretic peptide (BNP) is associated with short- and long-term complications following lung resection, leading to the suggestion that cardiac dysfunction may contribute to functional deterioration. Our aim was to investigate any relationship between BNP and subjective and objective indices of functional deterioration following lung resection surgery. Read More

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http://dx.doi.org/10.1093/icvts/ivz016DOI Listing
February 2019

Preoperative atorvastatin reduces bleeding and blood transfusions in patients undergoing elective isolated aortic valve replacement.

Interact Cardiovasc Thorac Surg 2019 Feb 11. Epub 2019 Feb 11.

Department of Cardiovascular Surgery, Università Campus Bio-Medico di Roma, Rome, Italy.

Objectives: Minimization of bleeding to reduce the use of blood products is of utmost importance in cardiac surgery. Statins are known for their pleiotropic effects beyond lipid-lowering properties, and the use of atorvastatin preoperatively is associated with reduced risk of bleeding and blood product use after coronary surgery. However, no studies have investigated if this beneficial effect also extends to aortic valve surgery. Read More

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http://dx.doi.org/10.1093/icvts/ivz012DOI Listing
February 2019

Minimally invasive surgery for atrial septal defects: a 20-year experience at a single centre.

Interact Cardiovasc Thorac Surg 2019 Feb 4. Epub 2019 Feb 4.

Paediatric and Congenital Cardiac Surgery Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy.

Objectives: Our goal was to evaluate the results of our 20-year experience with minimally invasive surgical approaches for closing ostium secundum atrial septal defects, focusing on clinical results, patient satisfaction and cost-effectiveness.

Methods: We included 538 patients who underwent surgical ostium secundum atrial septal defects closure with minimally invasive approaches.

Results: The minimally invasive approaches included right anterior minithoracotomy (n = 335, 62%), midline lower ministernotomy (135, 25%) and right lateral minithoracotomy (n = 68, 13%). Read More

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http://dx.doi.org/10.1093/icvts/ivz017DOI Listing
February 2019

Does bilateral versus single thoracic artery grafting provide survival benefit in female patients?

Interact Cardiovasc Thorac Surg 2019 Feb 4. Epub 2019 Feb 4.

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

Objectives: Bilateral internal thoracic artery (BITA) grafting is associated with improved survival, but this technique is reluctantly used in women due to an increased risk of sternal wound infection. The aim of this study was to compare the long-term survival of women who underwent BITA grafting and single internal thoracic artery (SITA) grafting.

Methods: We performed a retrospective analysis of 556 consecutive female BITA patients and 685 female SITA patients. Read More

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http://dx.doi.org/10.1093/icvts/ivy367DOI Listing
February 2019
1 Read

How best to describe the coronary arteries?

Interact Cardiovasc Thorac Surg 2019 Feb 5. Epub 2019 Feb 5.

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

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http://dx.doi.org/10.1093/icvts/ivz019DOI Listing
February 2019
1 Read

Retrograde autologous priming in surgery of thoracic aortic aneurysm.

Interact Cardiovasc Thorac Surg 2019 Feb 4. Epub 2019 Feb 4.

Department of Cardiac Surgery, University of Bonn, Bonn, Germany.

Objectives: Surgery of thoracic aortic aneurysm (TAA) is associated with blood loss and coagulopathy and a high need for red blood cell (RBC) volume. Retrograde autologous priming (RAP) decreases haemodilution during cardiopulmonary bypass (CPB). The aim of this study was to show the effect of RAP during surgery of TAA repair on haemodilution, the need for RBC transfusion and the postoperative course compared to conventional CPB (cCPB). Read More

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https://academic.oup.com/icvts/advance-article/doi/10.1093/i
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http://dx.doi.org/10.1093/icvts/ivz014DOI Listing
February 2019
3 Reads

Outcome after extracorporeal membrane oxygenation-bridged lung retransplants: a single-centre experience.

Interact Cardiovasc Thorac Surg 2019 Feb 4. Epub 2019 Feb 4.

Division of Pneumology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.

Objectives: A lung retransplant has been shown to be a valid option in selected patients with chronic lung allograft dysfunction (CLAD). However, a subgroup of patients may require, in addition to invasive mechanical ventilation, extracorporeal membrane oxygenation (ECMO) as a bridge to a retransplant. Overall and CLAD-free survival after ECMO-bridged retransplants are compared to first transplants with and without bridging ECMO and to retransplants without bridging ECMO. Read More

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http://dx.doi.org/10.1093/icvts/ivz013DOI Listing
February 2019

Eculizumab therapy in paroxysmal nocturnal haemoglobinuria patient undergoing aortic valve surgery.

Interact Cardiovasc Thorac Surg 2019 Feb 2. Epub 2019 Feb 2.

Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.

Paroxysmal nocturnal haemoglobinuria is a rare disorder characterized by haemolytic anaemia and pancytopaenia. The use of cardiopulmonary bypass can lead to a haemolytic crisis in patients with paroxysmal nocturnal haemoglobinuria due to activation of complement-mediated haemolysis. We report the successful management of a 69-year-old man undergoing aortic valve replacement with standard heparin-protamine protocol by using eculizumab, a monoclonal antibody of complement factor C5. Read More

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https://academic.oup.com/icvts/advance-article/doi/10.1093/i
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http://dx.doi.org/10.1093/icvts/ivz020DOI Listing
February 2019
2 Reads

Unexpected intraoperative coronary malperfusion after primary repair of acute type A aortic dissection with surgical glue.

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

Department of Cardiovascular Surgery, Tsuchiura Kyodo General Hospital, Tsuchiura, Ibaraki, Japan.

In the surgical treatment of acute aortic dissection, the attachment of the dissected wall using surgical glue can be an effective procedure to stabilize the fragile dissected wall. A 42-year-old man underwent aortic root replacement for acute type A aortic dissection. However, after aortic declamping, he experienced severe myocardial impairment, which required an additional procedure of coronary artery bypass grafting. Read More

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http://dx.doi.org/10.1093/icvts/ivy349DOI Listing
January 2019
1 Read

Survival and reinterventions after isolated proximal aortic repair in acute type A aortic dissection.

Interact Cardiovasc Thorac Surg 2019 Feb 2. Epub 2019 Feb 2.

Department of Cardiothoracic and Vascular Surgery, University Medical Center, Johannes-Gutenberg University, Mainz, Germany.

Objectives: Conventional treatment for acute type A dissection is the replacement of the ascending aorta. This study demonstrates the results of a conventional approach with isolated proximal repair combined with concomitant endovascular procedures.

Methods: Replacement of the ascending aorta with or without an open distal anastomosis was defined as isolated proximal repair and was performed in 562/588 patients between January 2004 and June 2017. Read More

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http://dx.doi.org/10.1093/icvts/ivz011DOI Listing
February 2019
1 Read

Effectiveness of embolic protection filter devices in stroke prevention during endovascular aortic arch repair in significant aortic atheroma patients.

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

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

Objectives: The objective of this study was to evaluate the effectiveness of embolic protection filter device in stroke prevention during hybrid endovascular arch repair in patients with significant aortic atheroma.

Methods: Twenty-two patients (20 men, mean age 79.0 years, mean logistic EuroSCORE 23. Read More

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http://dx.doi.org/10.1093/icvts/ivz004DOI Listing
January 2019

Social media as a tool to rewrite the narrative for women in cardiothoracic surgery.

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

Department of Thoracic & Cardiovascular Surgery, UT MD Anderson Cancer Center, Houston, TX, USA.

To deliver the best possible care, the global surgical workforce should mirror the diverse society it is entrusted to serve. Cardiothoracic surgery remains amongst the most under-represented of the surgical specialties for women. Herein, we describe the role of social media in the cardiothoracic surgery community and its potential to rewrite the narrative for women in cardiothoracic surgery. Read More

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http://dx.doi.org/10.1093/icvts/ivy358DOI Listing
January 2019
1 Read

Long-term outcome after coronary endarterectomy adjunct to coronary artery bypass grafting.

Interact Cardiovasc Thorac Surg 2019 Jan 28. Epub 2019 Jan 28.

Department of Clinical Sciences, Lund, Department of Cardiothoracic Surgery, Lund, Lund University, Skåne University Hospital, Sweden.

Objectives: Coronary endarterectomy (CE) in coronary artery bypass grafting (CABG) is occasionally required to achieve revascularization in diffusely diseased vessels. Its beneficial effect has been questioned because of an increased risk of perioperative mortality and morbidity; however, its influence on the long-term outcome remains uncertain. The purpose of the study was to evaluate the impact of adjunct CE on the incidence of a first postoperative angiogram and the need for repeat intervention and on late deaths after CABG. Read More

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http://dx.doi.org/10.1093/icvts/ivy363DOI Listing
January 2019

Biostial iatrogenic coronary artery stenosis: a rare complication of aortic valve surgery successfully treated with percutaneous coronary stenting.

Interact Cardiovasc Thorac Surg 2019 Jan 28. Epub 2019 Jan 28.

Cardiac & Respiratory Department, University Hospitals of Coventry and Warwickshire NHS Trust, Coventry, UK.

A 66-year-old woman presented 4 months after conventional surgical aortic valve replacement with an acute coronary syndrome resulting from rare iatrogenic biostial left main and right coronary artery stenoses, which were successfully treated with percutaneous coronary stenting, optimized by intracoronary imaging. Read More

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http://dx.doi.org/10.1093/icvts/ivy359DOI Listing
January 2019
1 Read

Aortic atresia with the interrupted aortic arch and an pulmonary-coronary fistula: the unique constellation for survival.

Interact Cardiovasc Thorac Surg 2019 Jan 28. Epub 2019 Jan 28.

Division of Pediatric Cardiac Surgery, University Hospital Münster, Münster, Germany.

Aortic atresia with interrupted aortic arch is a rare anatomical and physiological combination. Survival is possible if there is blood flow in the ascending aorta supplying the coronary circulation from coexisting malformations. We present a newborn with aortic atresia, interrupted aortic arch type B, ventricular septal defect and a pulmonary artery to left coronary artery fistula as a source of blood flow to the coronary circulation, ascending aorta and proximal aortic arch, successfully treated with neonatal biventricular repair. Read More

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http://dx.doi.org/10.1093/icvts/ivz002DOI Listing
January 2019

Surgical revision of failed percutaneous edge-to-edge mitral valve repair: lessons learned.

Interact Cardiovasc Thorac Surg 2019 Jan 28. Epub 2019 Jan 28.

Department of Cardiovascular Surgery, Sana-Herzzentrum Cottbus, Cottbus, Germany.

Objectives: Although percutaneous edge-to-edge mitral valve repair with the MitraClip system is becoming widely adopted in clinical practice, surgical experience on how to correct failed MitraClip therapy is limited. We aimed to analyse the surgical and pathological outcomes after surgical revision of the failed MitraClip therapy.

Methods: Between January 2011 and January 2018, 25 patients (age 73 ± 9 years; men 48%; New York Heart Association class 3. Read More

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http://dx.doi.org/10.1093/icvts/ivy361DOI Listing
January 2019
2 Reads

Impact of surgical aortic root enlargement on the outcomes of aortic valve replacement: a meta-analysis of 13 174 patients.

Interact Cardiovasc Thorac Surg 2019 Jan 28. Epub 2019 Jan 28.

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

Objectives: This study sought to evaluate the impact of surgical aortic root enlargement (ARE) on the perioperative outcomes of aortic valve replacement (AVR).

Methods: Databases were searched for studies published until April 2018 to carry out a systematic review followed by meta-analysis of results.

Results: The search yielded 1468 studies for inclusion. Read More

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http://dx.doi.org/10.1093/icvts/ivy364DOI Listing
January 2019
1 Read

A technique to prevent recurrence after the repair of pacemaker lead-induced tricuspid regurgitation.

Interact Cardiovasc Thorac Surg 2019 Jan 25. Epub 2019 Jan 25.

Department of Cardiovascular Surgery, Nagoya Heart Center, Nagoya, Japan.

This article describes how to repair pacemaker lead-induced tricuspid regurgitation without removing the pacing leads. Our technique can eliminate the lead contact with the tricuspid leaflets and the tricuspid apparatus and is effective in preventing recurrence. Read More

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http://dx.doi.org/10.1093/icvts/ivy333DOI Listing
January 2019

A right coronary artery aneurysm 16 years after surgical repair of anomalous origin of the right coronary artery from the pulmonary artery.

Interact Cardiovasc Thorac Surg 2019 Jan 27. Epub 2019 Jan 27.

Department of Thoracic and Cardiovascular Surgery, Faculty of Medicine, Saga University, Saga, Japan.

Anomalous origin of the right coronary artery (RCA) from the pulmonary artery is a very rare congenital heart disease, and several reports have described long-term events after surgery. We report the case of a 46-year-old woman who underwent reimplantation of the RCA for anomalous origin of the right coronary artery from the pulmonary artery 16 years ago. An RCA aneurysm gradually developed and dilated over time, and we resected the aneurysm and also grafted the right gastroepiploic artery graft to the distal RCA. Read More

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http://dx.doi.org/10.1093/icvts/ivy356DOI Listing
January 2019
1 Read

Hybrid strategy-the future of cardiac therapies! A myth or galloping reality?

Interact Cardiovasc Thorac Surg 2019 Jan 25. Epub 2019 Jan 25.

Institut Cœur-Poumon, Service de Chirurgie Cardiovaculaire, Hôpital Cardiologique, CHRU de Lille, Lille, France.

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http://dx.doi.org/10.1093/icvts/ivy354DOI Listing
January 2019

Aneurysm mural thrombus fragmentation and cerebral embolism: a rare complication of femoro-femoral extracorporeal membrane oxygenation support.

Interact Cardiovasc Thorac Surg 2019 Jan 25. Epub 2019 Jan 25.

Vascular and Thoracic Surgery Department, Bichat University Hospital, Paris 7 University, Paris, France.

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http://dx.doi.org/10.1093/icvts/ivy365DOI Listing
January 2019
1 Read

Immature granulocytes as a sepsis predictor in patients undergoing cardiac surgery.

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

Department of Anaesthesiology, Resuscitation and Intensive Medicine, General University Hospital, First Faculty of Medicine, Charles University, Prague, Czech Republic.

Objectives: Usefulness of immature granulocyte percentage (IG%) to discriminate between postoperative non-infective systemic inflammatory response syndrome (SIRS) and sepsis was tested in cardiac surgical patients.

Methods: A retrospective analysis of 124 patients who developed non-infective SIRS and sepsis after elective cardiac surgery was performed. Predictive ability of IG% to predict sepsis was compared to procalcitonin (PCT), white blood cell count, temperature and different biomarker combinations using receiver operating characteristic and logistic regression analysis. Read More

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http://dx.doi.org/10.1093/icvts/ivy360DOI Listing
January 2019
1 Read

Early outcomes of transcatheter tricuspid valve-in-valve implantation: a case series.

Interact Cardiovasc Thorac Surg 2019 Jan 25. Epub 2019 Jan 25.

Cardiopneumology Department, InCor-Heart Institute of the University of São Paulo Clinic's Hospital, São Paulo, Brazil.

Objectives: In this study, we sought to evaluate early outcomes of transcatheter valve-in-valve implantation in patients with a degenerated bioprosthesis in the tricuspid position.

Methods: We used a prospective study, which included patients with a degenerated bioprosthesis in the tricuspid position who were considered high-risk by our heart team and who underwent a valve-in-valve implantation. The procedures were performed via transjugular venous access and were done with the patient under general anaesthesia with transoesophageal echocardiographic and fluoroscopic guidance. Read More

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https://academic.oup.com/icvts/advance-article/doi/10.1093/i
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http://dx.doi.org/10.1093/icvts/ivy362DOI Listing
January 2019
5 Reads

The morphologically right and left ventricles cannot be distinguished by their coronary arterial pattern.

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

Department of Cardiac Morphology, Royal Brompton Hospital, National Heart and Lung Institute, Imperial College, London, UK.

Objectives: The morphologically right and left ventricles are distinguished from each other based on their internal anatomical features, because their external (epicardial) surfaces do not appear to have any distinguishing mark for such ventricular identification. Nevertheless, ventricular identification based on epicardial characteristics, if these were possible, would be interesting to surgeons, because this would enable them to identify each ventricle rapidly upon opening the chest. This made us curious as to whether or not the two ventricles may be distinguished based on their epicardial coronary arterial patterns, because this is the most obvious epicardial ventricular feature. Read More

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http://dx.doi.org/10.1093/icvts/ivy357DOI Listing
January 2019

Custodiol-N™ cardioplegia lowers cerebral inflammation and activation of hypoxia-inducible factor-1α.

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

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

Objectives: Cardioplegic solutions induce cardiac arrest and protect cardiac tissue from ischaemia-reperfusion injury. However, the effects on the brain, which is vulnerable to cardiopulmonary bypass (CPB) surgery and ischaemia-reperfusion injury, mostly remain unknown. We investigated if cardioplegic solutions differ in their effects in altered oxygen conditions and in their ability to induce cerebral inflammation. Read More

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https://academic.oup.com/icvts/advance-article/doi/10.1093/i
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http://dx.doi.org/10.1093/icvts/ivy347DOI Listing
January 2019
10 Reads

Risk factors and clinical significance of acute kidney injury after on-pump or off-pump coronary artery bypass grafting: a propensity score-matched study.

Interact Cardiovasc Thorac Surg 2019 Jan 16. Epub 2019 Jan 16.

Department of Clinical Laboratory, TEDA International Cardiovascular Hospital, Cardiovascular Clinical College of Tianjin Medical University, Tianjin, China.

Objectives: Our goal was to investigate risk factors for acute kidney injury (AKI) after coronary artery bypass grafting (CABG) and the impact of AKI on short-term outcomes.

Methods: Data on 1395 patients (1261 who had isolated CABG and 134 with other operations) who underwent non-emergent CABG from January 2013 to March 2016 were retrospectively collected from a single centre. Logistic regression was performed to analyse risk factors. Read More

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http://dx.doi.org/10.1093/icvts/ivy353DOI Listing
January 2019
1 Read

Initial experience with cinematic rendering for the visualization of extracardiac anatomy in complex congenital heart defects.

Interact Cardiovasc Thorac Surg 2019 Jan 16. Epub 2019 Jan 16.

Department of Pediatric Cardiology, University Hospital Erlangen, Erlangen, Germany.

Objectives: Detailed anatomical information is essential for planning of surgical therapy in patients with congenital heart disease. We wanted to determine whether cinematic rendering, the novel 3-dimensional visualization technique, could help paediatric cardiac surgeons achieve better preoperative visualization of the extracardiac anatomy in patients with complex congenital heart defects. Therefore, cinematic rendering was compared to the traditional volume rendering technique by means of a questionnaire with predefined criteria. Read More

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http://dx.doi.org/10.1093/icvts/ivy348DOI Listing
January 2019

The long-term patency of a gastroepiploic artery bypass graft deployed in a semiskeletonized fashion: predictors of patency.

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

Department of Cardiac Surgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.

Objectives: Whether or not using the gastroepiploic artery (GEA) is associated with improved outcomes of coronary artery bypass grafting (CABG) remains unclear. Previous research has shown that the short-term function of the GEA was strongly associated with the degree of native vessel stenosis. We assessed the association between long-term GEA patency and the degree of stenosis of the coronary artery. Read More

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http://dx.doi.org/10.1093/icvts/ivy346DOI Listing
January 2019

Transcatheter aortic valve-in-ring implantation: feasibility in an acute, preclinical, pilot trial.

Interact Cardiovasc Thorac Surg 2019 Jan 16. Epub 2019 Jan 16.

Department of Cardiac Surgery, University Heart Center, Universitaetsspital Zurich, University of Zurich, Zurich, Switzerland.

Objectives: The HAART ring device has been introduced as a novel strategy to facilitate aortic valve repair. This rigid, elliptical device aims to restore normal leaflet configuration and to provide annular stabilization in the setting of aortic regurgitation. The goal of this preclinical study is to evaluate the in vivo feasibility of 'aortic valve-in-ring' transcatheter aortic valve replacement (TAVR). Read More

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http://dx.doi.org/10.1093/icvts/ivy341DOI Listing
January 2019
1 Read

Postoperative acute kidney injury in lung transplant recipients.

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

Respiratory Diseases and Lung Transplantation Unit, University Hospital of Siena (AOUS), Siena, Italy.

Objectives: Acute kidney injury (AKI) is a common postoperative complication after lung transplantation. The aim of the present study was to evaluate the incidence of AKI in lung transplant patients and its effect on patients and graft outcome in relation to degree of severity.

Methods: Data from 135 patients who underwent lung transplant in the same Italian institution were recorded retrospectively and analysed (69 unilateral and 66 bilateral lung transplants, age 51. Read More

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http://dx.doi.org/10.1093/icvts/ivy355DOI Listing
January 2019
2 Reads

Risk factors for vasoplegia after cardiac surgery: a meta-analysis.

Interact Cardiovasc Thorac Surg 2019 Jan 16. Epub 2019 Jan 16.

Instituto Nacional de Cirugía Cardiaca, Montevideo, Uruguay.

Objectives: Postoperative vasoplegia (PV) is a common haemodynamic disorder after cardiac surgery and is associated with high operative mortality. Preventive and potent therapeutic measures are critical to improve the outcome. Identification of risk factors for PV may increase awareness and prompt therapeutic action. Read More

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http://dx.doi.org/10.1093/icvts/ivy352DOI Listing
January 2019
1 Read

Is salvage surgery for patients with lung cancer after carbon ion radiotherapy easy or difficult?

Interact Cardiovasc Thorac Surg 2019 Jan 16. Epub 2019 Jan 16.

Department of General Surgical Science, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.

Carbon ion radiotherapy (CIRT) shows higher local control rates and minimal damage to normal lung parenchyma compared with conventional radiotherapy; however, some patients experience local recurrence. The efficacy and safety of salvage surgery after CIRT for non-small-cell lung cancer are unclear. We reviewed clinical, surgical, pathological and prognostic data of 6 patients who underwent salvage surgery after CIRT between 2010 and 2015. Read More

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http://dx.doi.org/10.1093/icvts/ivy350DOI Listing
January 2019
1 Read

Surgical treatment for rare isolated left innominate vein aneurysms.

Interact Cardiovasc Thorac Surg 2019 Jan 8. Epub 2019 Jan 8.

Department of Vascular Surgery, Peking Union Medical College Hospital, Beijing, China.

Thoracic venous aneurysms are rare, with the fusiform superior vena cava being the most commonly reported. Isolated innominate vein aneurysms are extremely rare. Herein, we report the case of a saccular left innominate vein aneurysm with an intraluminal thrombus treated with surgical excision and simple reconstruction of the innominate vein. Read More

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http://dx.doi.org/10.1093/icvts/ivy324DOI Listing
January 2019
2 Reads

Methods for updating a risk prediction model for cardiac surgery: a statistical primer.

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

Department of Cardio-thoracic Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, Netherlands.

Risk prediction models in cardiac surgery tend to lose their predictive performance over time. This statistical primer aims to provide an overview of updating methods with their strengths and weaknesses. This is important, as model updating may be an efficient and good alternative to the de novo development of risk models. Read More

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https://academic.oup.com/icvts/advance-article/doi/10.1093/i
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http://dx.doi.org/10.1093/icvts/ivy338DOI Listing
January 2019
8 Reads

Manual aspiration versus chest tube drainage in primary spontaneous pneumothorax without underlying lung diseases: a meta-analysis of randomized controlled trials.

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

Department of Cardio-Thoracic Surgery, Tianjin Hospital, Jiefang Nan Street, Hexi District, Tianjin, 300211, China.

Objectives: Although primary spontaneous pneumothorax (PSP) is an extremely frequent pathology, there is still no clear consensus on the treatment for these patients. We performed a strict meta-analysis on the effectiveness of manual aspiration (MA) compared to chest tube drainage (CTD) for the treatment of PSP.

Methods: A literature search was performed on PubMed, EMBASE and the Cochrane Library to identify randomized controlled trials comparing MA with CTD for the treatment of PSP. Read More

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http://dx.doi.org/10.1093/icvts/ivy342DOI Listing
January 2019
3 Reads

Effect of inferior pulmonary ligament division on residual lung volume and function after a right upper lobectomy.

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

Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Objectives: The requirement to divide an inferior pulmonary ligament (IPL) during an upper lobectomy has not been standardized. We evaluated the influence of the division of an IPL after a lobectomy of the right upper lobe.

Methods: We evaluated 52 patients with lung cancer who underwent a video-assisted thoracoscopic lobectomy of the right upper lobe at Asan Medical Center between January 2011 and April 2014. Read More

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http://dx.doi.org/10.1093/icvts/ivy344DOI Listing
January 2019
2 Reads

The prognostic impact of obstructive lung disease on survival of never smokers with resected non-small-cell lung cancer: a comparison with smokers.

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

Kyushu Center Hospital of the Mutual Aid Association of Public School Teachers, Fukuoka, Japan.

Objectives: The proportion of never smokers among non-small-cell lung cancer (NSCLC) patients has steadily increased in recent decades, suggesting an urgent need to identify the major underlying causes of disease in this cohort. Chronic obstructive pulmonary disease is a risk factor for lung cancer in both smokers and never smokers. The aim of this study was to investigate the association between obstructive lung disease and survival in never smokers and smokers with NSCLC after complete resection. Read More

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http://dx.doi.org/10.1093/icvts/ivy329DOI Listing
January 2019
2 Reads

Single-centre first experience with transapical transcatheter mitral valve replacement with an apical tether: factors influencing screening outcomes.

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

Department of Cardiothoracic Surgery, Oslo University, Oslo, Norway.

Objectives: Transcatheter mitral valve replacement has recently been introduced as an alternative treatment option for severe mitral regurgitation. We present our single-centre first experience with screening and implantation outcomes.

Methods: Twenty-five patients with mitral regurgitation grades 3 and 4 were screened based on study inclusion/exclusion criteria, echocardiography and computed tomography imaging. Read More

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http://dx.doi.org/10.1093/icvts/ivy343DOI Listing
January 2019
2 Reads

Mechanical stress alters the expression of calcification-related genes in vascular interstitial and endothelial cells.

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

Institute of Molecular Biology and Genetics, Almazov National Medical Research Centre, Saint Petersburg, Russia.

Objectives: Vascular wall calcification is a major pathophysiological component of atherosclerotic disease with many similarities to osteogenesis. Mechanical stress of the vascular wall may theoretically contribute to the proliferative processes by endothelial and interstitial cells. The aim of the study was to investigate the effect of mechanical stress on the expression of some calcification-related genes in primary human endothelial and interstitial cells, and how endothelial cells may stimulate the fibroblast and smooth muscle cells. Read More

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http://dx.doi.org/10.1093/icvts/ivy339DOI Listing
January 2019
2 Reads

Efficacy and safety of transvenous lead extraction in 108 consecutive patients: a single-centre experience.

Interact Cardiovasc Thorac Surg 2018 Dec 28. Epub 2018 Dec 28.

Division of Clinical Electrophysiology, Department of Cardiology, University Hospital Frankfurt, Goethe University, Frankfurt, Germany.

Objectives: The number of cardiac implantable electronic devices is growing worldwide because they play a relevant role in improving the survival rate in patients with specific heart diseases. Cardiac implantable electronic devices complications including infection, dysfunction or venous stenosis increase the need for the least traumatic way to explant leads. Our goal was to report the successes and procedural complication rates of transvenous lead extraction (TLE) in a consecutive series of patients. Read More

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http://dx.doi.org/10.1093/icvts/ivy351DOI Listing
December 2018
2 Reads

Visual analysis versus quantitative CT analysis of interlobar fissure integrity in selecting emphysematous patients for endobronchial valve treatment.

Interact Cardiovasc Thorac Surg 2018 Dec 28. Epub 2018 Dec 28.

Thoracic Surgery Unit, Università La Sapienza, Sant'Andrea Hospital, Rome, Italy.

Objectives: The aim of this study is to compare the accuracy of the standard visual scoring of computed tomography (CT) scans with a cloud-based quantitative CT analysis that uses the StratX software, to measure collateral ventilation and, thus, predict lobar atelectasis after valve treatment.

Methods: This is a retrospective, multicentre study of patients who had previously undergone valve treatment for severe heterogeneous emphysema and whose required fissure integrity ≥90% had been qualitatively scored by visual assessment of CT scans. For this study, all preprocedural CT scans were retrospectively analysed using the StratX software to provide quantitative scores of fissure integrity. Read More

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http://dx.doi.org/10.1093/icvts/ivy340DOI Listing
December 2018
2 Reads

A novel trileaflet mechanical heart valve: first in vitro results.

Interact Cardiovasc Thorac Surg 2018 Dec 24. Epub 2018 Dec 24.

Department of Cardiac and Thoracic Vascular Surgery, University of Luebeck, Luebeck, Germany.

Objectives: Heart valve prostheses are the therapy of choice for patients with severe heart valve diseases. Two types of prostheses that can be implanted in patients are available: biological and mechanical. Though mechanical heart valves have some disadvantages like necessity of life-long anticoagulation, biological heart valve prostheses often necessitate reinterventions due to limited durability. Read More

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http://dx.doi.org/10.1093/icvts/ivy337DOI Listing
December 2018
4 Reads

Accuracy of deployment of the Relay non-bare stent graft in the aortic arch.

Interact Cardiovasc Thorac Surg 2018 Dec 22. Epub 2018 Dec 22.

Department of Cardiovascular Surgery, Faculty of Medicine, Heart Center Freiburg University, University of Freiburg, Freiburg, Germany.

Objectives: To minimize the complications with thoracic endovascular aortic repair (TEVAR), a new stent graft with no bare ends was developed, namely the Relay non-bare stent (NBS). We hypothesized that the new features of the NBS graft would enable highly accurate deployment and fewer complications. The aim of this study was to analyse the quality of the Relay NBS with respect to its landing precision. Read More

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http://dx.doi.org/10.1093/icvts/ivy345DOI Listing
December 2018
2 Reads

Long-term results after surgical repair of atrioventricular septal defect.

Interact Cardiovasc Thorac Surg 2018 Dec 22. Epub 2018 Dec 22.

Department of Congenital Heart Disease/Pediatric Cardiology, German Heart Center Berlin, Berlin, Germany.

Objectives: We analysed our 29-year experience of surgical repair of atrioventricular septal defect (AVSD) to define risk factors for mortality and reoperation.

Methods: Between 1988 and 2017, 508 patients received AVSD repair in our institution; 359 patients underwent surgery for complete AVSD, 76 for intermediate AVSD and 73 for partial AVSD. The median age of the patients was 6. Read More

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http://dx.doi.org/10.1093/icvts/ivy334DOI Listing
December 2018
6 Reads