6,539 results match your criteria Interactive CardioVascular and Thoracic Surgery[Journal]


Does the site of coronary endarterectomy have an impact on the clinical outcomes and graft patency?

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

Department of Cardiac Surgery, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Objectives: To explore whether coronary endarterectomy (CE) sites have obvious impacts on the clinical outcomes and graft patency in off-pump coronary artery bypass (OPCAB).

Methods: The patients who underwent OPCAB with CE in our unit between January 2009 and December 2016 were included. The patients and the grafts were grouped according to the CE sites. Read More

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http://dx.doi.org/10.1093/icvts/ivz099DOI Listing

DynaCT-guided thoracic endovascular aortic repair in a patient with para-aortic malignant lymphoma.

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

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

Para-aortic malignant lymphoma invading the thoracic aorta can cause aortic rupture. Thoracic endovascular aortic repair (TEVAR) is a good option to treat aortic rupture associated with para-aortic malignancies. It is essential to detect the exact tumour location during TEVAR; however, it is often difficult to confirm the location with conventional 2-dimensional fluoroscopic or angiographic images. Read More

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http://dx.doi.org/10.1093/icvts/ivz104DOI Listing

Impact of risk factors and surgical techniques in coronary endarterectomy: a network meta-analysis.

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

Department of Cardiac Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.

The goal of this network meta-analysis was to compare the early mortality rate of patients who underwent coronary endarterectomy (CE) combined with coronary artery bypass grafting (CABG) with different techniques and with isolated CABG. This analysis also evaluated potential risk factors in patients who undergo CE. Eighteen studies were included, covering 21 752 different patients, among whom 3352 underwent CE + CABG with either open or closed techniques and 18 400 underwent isolated CABG. Read More

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http://dx.doi.org/10.1093/icvts/ivz090DOI Listing
April 2019
1 Read

Moderate and deep hypothermic circulatory arrest has a comparable effect on acute kidney injury after total arch replacement with frozen elephant trunk procedure in type A aortic dissection.

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

Department of Cardiovascular Surgery, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.

Objectives: The goal was to investigate the prevalence of acute kidney injury (AKI) after total arch replacement with frozen elephant trunk procedure, which was achieved by antegrade cerebral perfusion and moderate hypothermic circulatory arrest (MHCA) or deep hypothermic circulatory arrest (DHCA) among patients with type A aortic dissection.

Methods: Overall, 627 adult type A aortic dissection patients who underwent total arch replacement with frozen elephant trunk from January 2013 until December 2016 at Fuwai Hospital were divided into the DHCA (14.1-20. Read More

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http://dx.doi.org/10.1093/icvts/ivz092DOI Listing
April 2019
1 Read

A truly non-occlusive stent-graft moulding balloon for thoracic endovascular aortic repair†.

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

Strait Access Technologies, Cape Town, South Africa.

Endovascular treatment of thoracic aortic pathologies has recently progressed towards more proximal pathologies, including those of the aortic arch and ascending aorta where there is a higher risk for stent-graft migration during the deployment or the moulding procedure due to the beating and ejecting heart. Typical measures to prevent dislodgement of the balloon or the stent-graft during the procedure are rapid pacing or pharmacologically induced hypotension. We present a circular and fully non-occlusive stent-graft moulding balloon that does not require any reduction of cardiac output or hypotension during inflation, moulding and deflation of the balloon. Read More

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http://dx.doi.org/10.1093/icvts/ivz098DOI Listing

Postoperative atrial fibrillation after aortic valve replacement is a risk factor for long-term atrial fibrillation.

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

Department of Cardiology, Odense University Hospital, Odense, Denmark.

Objectives: Postoperative atrial fibrillation (POAF) is a common complication following cardiac surgery. However, knowledge on the rate of long-term atrial fibrillation (LTAF) after POAF remains unclear. We investigated predictors of POAF in patients with aortic stenosis undergoing surgical aortic valve replacement, and assessed the rate of LTAF during follow-up. Read More

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http://dx.doi.org/10.1093/icvts/ivz094DOI Listing
April 2019
1 Read

In-hospital and mid-term outcomes in patients reoperated on due to bleeding following coronary artery surgery (from the KROK Registry).

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

Department of Cardiac, Vascular and Endovascular Surgery and Transplantology, Silesian Centre for Heart Diseases, Medical University of Silesia, Zabrze, Poland.

Objectives: Surgical re-exploration due to postoperative bleeding that follows coronary artery surgery is associated with significant morbidity and mortality. The aim of this study was to assess a relationship between re-exploration, major postoperative complications, in-hospital mortality and mid-term outcomes in patients following coronary surgery, on the basis of nationwide registry data.

Methods: We identified all consecutive patients enrolled in Polish National Registry of Cardiac Surgical Procedures (KROK Registry) who underwent isolated coronary surgery between January 2012 and December 2014. Read More

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http://dx.doi.org/10.1093/icvts/ivz089DOI Listing
April 2019
2 Reads

Ketoacidosis related to sodium glucose cotransporter 2 inhibitors after emergency coronary surgery.

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

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

Sodium glucose cotransporter 2 inhibitors are currently widely used antihyperglycaemic medications that are considered to be associated with euglycaemic diabetic ketoacidosis. We report 2 cases of patients who received sodium glucose cotransporter 2 inhibitors until emergency coronary artery bypass grafting (CABG) and developed euglycaemic ketoacidosis after surgery; they were treated with sugar replenishment and insulin infusion. In one case, coronary angiography revealed a spastic change of the bypass graft possibly due to severe acidosis. Read More

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http://dx.doi.org/10.1093/icvts/ivz091DOI Listing
April 2019
1 Read

Staged total cavopulmonary connection: serial comparison of intra-atrial lateral tunnel and extracardiac conduit taking account of current surgical adaptations.

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

Division of Paediatric Cardiology, Department of Paediatrics, Erasmus University Medical Center, Rotterdam, Netherlands.

Objectives: Our goals were to compare the outcome of the intra-atrial lateral tunnel (ILT) and the extracardiac conduit (ECC) techniques for staged total cavopulmonary connection (TCPC) and to compare the current modifications of the TCPC technique, i.e. the prosthetic ILT technique with the current ECC technique with a ≥18-mm conduit. Read More

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http://dx.doi.org/10.1093/icvts/ivz081DOI Listing

Is microwave ablation more effective than radiofrequency ablation in achieving local control for primary pulmonary malignancy?

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

Department of Radiology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.

A best evidence topic in thoracic surgery was written according to a structured protocol. The question addressed was 'Is microwave ablation (MWA) more effective than radiofrequency ablation (RFA) in achieving local control for primary lung cancer?'. Altogether, 439 papers were found, of which 7 represented the best evidence to answer the clinical question. Read More

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http://dx.doi.org/10.1093/icvts/ivz044DOI Listing
March 2019
2 Reads

High-pressure artificial pneumothorax promotes invasion and metastasis of oesophageal cancer cells.

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

Department of Thoracic Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.

Objectives: This study aimed to investigate the viability, apoptosis, invasion and metastasis of oesophageal cancer cells in a simulated artificial pneumothorax model and to explore its potential mechanism of action.

Methods: Oesophageal cancer cells were subjected to a simulated thoracoscopic CO2 pneumothorax environment with different pressures and exposure times (low-pressure group: 8 mmHg 1 h or 8 mmHg 4 h; high-pressure group: 12 mmHg 1 h). Cell viability, apoptosis, invasive capacity and mRNA expression of adhesion- and metastasis-related molecules in each group were detected. Read More

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http://dx.doi.org/10.1093/icvts/ivz085DOI Listing

Perioperative ischaemic reperfusion injury and allograft function in the early post-transplantation period.

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

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

Objectives: Ischaemic reperfusion injury (IRI) is an inevitable complication of heart transplantation (HTX) and is observed as a pathological finding in biopsies from transplanted allografts. The aim of this study was to evaluate the severity of IRI and determine the clinical outcomes of HTX in patients with severe IRI.

Methods: We enrolled 74 consecutive patients who had undergone HTX since 2007. Read More

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http://dx.doi.org/10.1093/icvts/ivz086DOI Listing
March 2019
1 Read

Is vacuum bell therapy effective in the correction of pectus excavatum?

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

Department of Thoracic Surgery, St. George's Hospital, London, UK.

A best evidence topic in thoracic surgery was written in accordance to a structured protocol. The question addressed was: 'In patients with a pectus excavatum deformity, is vacuum bell therapy (VBT) an effective treatment?' Altogether, 19 papers were found using the reported search of which 7 represented the best evidence to answer the clinical questions. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. Read More

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http://dx.doi.org/10.1093/icvts/ivz082DOI Listing

Italian survey on cardiac surgery for adults with congenital heart disease: which surgery, where and by whom?

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

Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, Division of Cardiac Surgery, University of Verona, Verona, Italy.

Objectives: The population of ageing adults with congenital heart disease (ACHD) is increasing; surgery in these patients presents major difficulties in management. A great debate has developed about whether these patients should be cared for at an adult or paediatric hospital and by an acquired or congenital cardiac surgeon. We analysed data of the surgical treatment of ACHD from the Italian cardiac surgery centres in 2016, focusing on the type of surgery performed, where these patients were operated on and by whom. Read More

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http://dx.doi.org/10.1093/icvts/ivz045DOI Listing
March 2019
4 Reads

Total arterial myocardial revascularization using bilateral internal mammary arteries and the role of postoperative sternal stabilization to reduce wound infections in a large cohort study.

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

Department of Cardiovascular Surgery, Robert-Bosch-Hospital, Stuttgart, Germany.

Objectives: Total arterial myocardial revascularization using bilateral internal mammary arteries shows improved results for mortality, long-term survival and superior graft patency. It has become the standard technique according to recent guidelines. However, these patients may have an increased risk of developing sternal wound infections, especially obese patients or those with diabetes. Read More

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http://dx.doi.org/10.1093/icvts/ivz088DOI Listing

One-year cost-effectiveness and safety of simultaneous hybrid coronary revascularization versus conventional coronary artery bypass grafting.

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

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

Objectives: To evaluate the cost-effectiveness and safety of simultaneous hybrid coronary revascularization (sHCR) compared to conventional coronary artery bypass grafting (CABG) in elective patients with multivessel coronary artery disease.

Methods: Cost-utility analysis of a prospective cohort follow-up study comparing per protocol 50 sHCR patients to 50 contemporaneous matched patients undergoing CABG. Resource utilization data and health-related quality of life were collected prospectively, and the cumulative 1-year costs were assessed from the Danish health sector perspective. Read More

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http://dx.doi.org/10.1093/icvts/ivz083DOI Listing
March 2019
1 Read

Management of cervical aortic arch complicated by multiple aneurysms.

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

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

Objectives: Cervical aortic arch with aneurysm formation is considered an extremely rare condition. Here, we summarize our experience in treating 8 patients. We validated extra-anatomic ascending-to-infrarenal abdominal aorta bypass through the retroperitoneal cavity without circulatory arrest as an alternative treatment for patients with a tortuous arch that was unsuitable for endovascular repair. Read More

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http://dx.doi.org/10.1093/icvts/ivz087DOI Listing
March 2019
2 Reads

Is low serum albumin associated with postoperative bronchopleural fistula in patients undergoing pulmonary resections?

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

Lung Cancer Center, West China Hospital, Sichuan University, Chengdu, China.

A best evidence topic in thoracic surgery was written according to a structured protocol. The question addressed was whether low serum albumin (sAlb) was associated with postoperative bronchopleural fistula (BPF) in patients undergoing pulmonary resections. Altogether 660 papers were found using the reported search, of which 5 retrospective cohort studies represented the best evidence to answer the clinical question. Read More

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http://dx.doi.org/10.1093/icvts/ivz084DOI Listing
March 2019
1 Read

Ten years of experience in lung cancer screening in Gdańsk, Poland: a comparative study of the evaluation and surgical treatment of 14 200 participants of 2 lung cancer screening programmes†.

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

Department of Thoracic Surgery, Medical University of Gdańsk, Gdańsk, Poland.

Objectives: The European Society of Thoracic Surgeons' recommendations confirm the implementation of lung cancer screening in Europe. We compared 2 screening programmes, the Pilot Pomeranian Lung Cancer Screening Programme (pilot study) and the Moltest Bis programme, completed in a single centre.

Methods: A total of 8649 healthy volunteers (aged 50-75 years, smoking history ≥20 pack-years) were enrolled in a pilot study between 2009 and 2011, and a total of 5534 healthy volunteers (aged 50-79, smoking history ≥30 pack-years) were enrolled in the Moltest Bis programme between 2016 and 2017. Read More

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http://dx.doi.org/10.1093/icvts/ivz079DOI Listing
March 2019
3 Reads

To jump or not to jump? A multicentre propensity-matched study of sequential vein grafting of the heart†.

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

Department of Anaesthesiology and Intensive Care, Aarhus University Hospital, Aarhus, Denmark.

Objectives: In this propensity-matched study we investigated the outcome after grafting with either a single vein or a sequential vein grafting strategy. Outcomes were primarily risk of reintervention and death in the short, intermediate and long term (10 years).

Materials: In the period from 2000 to 2016, data from 24 742 patients undergoing coronary artery bypass grafting were extracted from the Western Denmark Heart Registry, where data are registered perioperatively. Read More

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http://dx.doi.org/10.1093/icvts/ivz042DOI Listing
March 2019
1 Read

Single-port video-assisted thoracoscopic oesophagectomy under hybrid position.

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

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

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http://dx.doi.org/10.1093/icvts/ivz031DOI Listing

Feasibility of planning coronary artery bypass grafting based only on coronary computed tomography angiography and CT-derived fractional flow reserve: a pilot survey of the surgeons involved in the randomized SYNTAX III Revolution trial.

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

Centro Cardiologico Monzino, IRCCS, Milan, Italy.

Objectives: Invasive coronary angiography has been the preferred diagnostic method to guide the decision-making process between coronary artery bypass grafting (CABG) and percutaneous coronary intervention and plan a surgical revascularization procedure. Guidelines recommend a heart team approach and assessment of coronary artery disease (CAD) complexity, objectively quantified by the anatomical SYNTAX score. Coronary computed tomography angiography (CCTA) and CT-derived fractional flow reserve (FFRCT) are emerging technologies in the diagnosis of stable CAD. Read More

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http://dx.doi.org/10.1093/icvts/ivz046DOI Listing
March 2019
1 Read

Early outcomes and computational fluid dynamic analyses of chimney reconstruction in the Norwood procedure†.

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

Division of Cardiovascular Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.

Objectives: The ideal configuration of a reconstructed aortic arch in the Norwood procedure for hypoplastic left heart syndrome is still a matter of debate. Chimney reconstruction was developed to avoid postoperative complications and turbulent flow in the aortic arch. This study sought to clarify early outcomes of the procedure and verify its haemodynamic advantages using computational fluid dynamics (CFD). Read More

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http://dx.doi.org/10.1093/icvts/ivz040DOI Listing

Cannula position and Bernoulli effect contribute to leg malperfusion during extracorporeal life support with femoral arterial cannulation-an in silico simulation study†.

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

Department of Adult and Pediatric Cardiovascular Surgery, Giessen University Hospital, Giessen, Germany.

Objectives: Limb ischaemia during extracorporeal life support (ECLS) using femoral artery cannulation is frequently observed even in patients with regular vessel diameters and without peripheral arterial occlusive disease. We investigated underlying pathomechanisms using a virtual fluid-mechanical simulation of the human circulation.

Methods: A life-sized model of the human aorta and major vascular branches was virtualized using 3-dimensional segmentation software (Mimics, Materialise). Read More

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http://dx.doi.org/10.1093/icvts/ivz048DOI Listing
March 2019
2 Reads

Endocarditis after percutaneous edge-to-edge in a heart transplant recipient: management through the HeartPort technique.

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

Division of Thoracic and Cardiovascular Surgery, Pontchaillou University Hospital, Rennes, France.

In the case illustrated in this study, a heart transplant recipient received percutaneous mitral edge-to-edge for secondary mitral regurgitation on the basis of increased reoperative risk. After development of mitral endocarditis, reoperation and mitral valve replacement were successfully performed through the HeartPort technique. We discuss the technical aspects, including the positioning of the Intraclude® device and the access to the mitral valve in this context. 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/ivz052DOI Listing
March 2019
3 Reads

Medical student exposure to cardiothoracic surgery in the United Kingdom.

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

Department of Cardiothoracic Surgery, James Cook University Hospital, Middlesbrough, UK.

Objectives: There has been declining interest in cardiothoracic surgery amongst medical graduates. This survey examines the exposure of British medical students to cardiothoracic surgery in various settings and its relationship with students' interest in the speciality.

Methods: A questionnaire composed of 14 quantitative and qualitative items was distributed amongst 162 medical students. Read More

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http://dx.doi.org/10.1093/icvts/ivz038DOI Listing

Preoperative pulmonary function in all comers for cardiac surgery predicts mortality†.

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

Department of Cardiothoracic Anesthesiology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.

Objectives: Although reduced lung function and chronic obstructive pulmonary disease (COPD) is associated with higher risk of death following cardiac surgery, preoperative spirometry is not performed routinely. The aim of this study was to investigate the relationship between preoperative lung function and postoperative complications in all comers for cardiac surgery irrespective of smoking or COPD history.

Methods: Preoperative spirometry was performed in elective adult cardiac surgery patients. Read More

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http://dx.doi.org/10.1093/icvts/ivz049DOI Listing

How do surgeons decide? Conduit choice in coronary artery bypass graft surgery in the UK†.

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

School of Clinical Medicine, Cambridge University, Cambridge, UK.

Objectives: Conduits used in coronary artery bypass grafting may have significant impact on outcomes, but evidence is mixed and there is large variation in practice. This study provides insights into the opinions of the UK surgeons on conduit use and their decision-making processes.

Methods: A questionnaire was created using the Ottawa Decision Support Framework to elicit the importance that surgeons placed on bilateral internal mammary artery grafting, skeletonization, total arterial revascularization and sequential anastomoses on a scale of 1-10. Read More

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http://dx.doi.org/10.1093/icvts/ivz047DOI Listing

Isolated atrial amyloid: a potential contributor to morbidity and mortality following cardiac surgery.

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

Department of Cardiothoracic Surgery, Papworth Hospital, Cambridge, UK.

Objectives: Diffuse cardiac amyloidosis is a significant diagnosis with a poor prognosis. Isolated atrial amyloidosis (IAA) is the most common form of cardiac amyloidosis caused by accumulation of alpha-atrial natriuretic peptide. IAA has been associated with dysrhythmia, but otherwise remains a poorly characterized condition. Read More

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http://dx.doi.org/10.1093/icvts/ivz051DOI Listing
March 2019
1 Read

Championing a unified approach to lung cancer screening in Europe.

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

Department of Surgery, University of Washington, Seattle, WA, USA.

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http://dx.doi.org/10.1093/icvts/ivz043DOI Listing

Successful percutaneous treatment of an anomalous left circumflex coronary artery occlusion after tricuspid valve repair.

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

Department of Cardiac Surgery, Expert Valve Center, Henri Mondor Hospital, Assistance Publique-Hôpitaux de Paris, Créteil, France.

The risk of coronary artery injury during valve surgery is higher in case of anomalous coronary artery origin and trajectory. Unlike previous reports on coronary obstruction related to aortic or mitral surgery, we report the first case, to the best of our knowledge, of an anomalous left circumflex artery occlusion after tricuspid valve repair, and its successful percutaneous treatment. Read More

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http://dx.doi.org/10.1093/icvts/ivz050DOI Listing
March 2019
1 Read

The Reamer-Irrigator-Aspirator technique for manubriosternal non-union repair†.

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

Department of Cardiothoracic Surgery, James Cook University Hospital, Middlesbrough, UK.

Autologous bone graft is used in the treatment of fracture non-unions. A novel approach to treat painful manubriosternal non-unions is described with bone graft harvested from the femur and plating. Read More

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http://dx.doi.org/10.1093/icvts/ivz001DOI Listing

Decellularization as a method to reduce calcification in bovine pericardium bioprosthetic valves.

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

Department of Cardiac Surgery, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba, Brazil.

Objectives: Decellularization is an alternative method for processing biological tissues with decreased antigenicity and resistance to calcification. The aim of this study was to characterize the properties of decellularized (dCell) bovine pericardium fixed with 0.1% glutaraldehyde (GA) and to evaluate outcomes of bioprosthetic valves constructed with this tissue when implanted in the mitral position of juvenile sheep. Read More

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http://dx.doi.org/10.1093/icvts/ivz041DOI Listing
March 2019
2 Reads

Bilateral internal thoracic artery versus single internal thoracic artery: a meta-analysis of propensity score-matched observational studies.

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

Cardiac Surgery Department, Hospital Universitario Dr. Negrín, Las Palmas de Gran Canaria, Spain.

The lack of benefit in terms of mid-term survival and the increase in the risk of sternal wound complications published in a recent randomized controlled trial have raised concerns about the use of bilateral internal thoracic artery (BITA) in myocardial revascularization surgery. For this reason, we decided to explore the current evidence available on the subject by carrying out a meta-analysis of propensity score-matched studies comparing BITA versus single internal thoracic artery (SITA). PubMed, EMBASE and Google Scholar were searched for propensity score-matched studies comparing BITA versus SITA. Read More

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http://dx.doi.org/10.1093/icvts/ivz037DOI Listing
March 2019
1 Read

Tricuspid valve intervention at the time of mitral valve surgery: a meta-analysis.

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

Division of Cardiac Surgery, Department of Surgery, Schulich Heart Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.

Objectives: The surgical management of tricuspid regurgitation (TR) at the time of mitral valve surgery remains controversial. Our objectives were to determine the safety and efficacy of tricuspid valve (TV) repair during mitral valve surgery in a meta-analysis.

Methods: MEDLINE and EMBASE were searched from 1946 to 2017 for all studies comparing TV repair to no intervention at the time of mitral valve surgery on early and late mortality and late TR. Read More

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http://dx.doi.org/10.1093/icvts/ivz036DOI Listing
March 2019
4 Reads

Impact of postoperative acute kidney failure in long-term survival after heart valve surgery.

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

Department of Cardiac Surgery, Instituto Cardiovascular, Hospital Clínico San Carlos, Madrid, Spain.

Objectives: We investigated the impact of acute kidney failure after a heart valve procedure among patients with or without chronic kidney disease (CKD).

Methods: All patients who had undergone a surgical valve procedure between 2005 and 2017 at our institution were divided into 2 groups depending on whether they had previous history of CKD (estimated glomerular filtration rate <60 ml/min/1.73 m2) or not. Read More

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http://dx.doi.org/10.1093/icvts/ivz035DOI Listing
March 2019
3 Reads

Manifestation of congenital pulmonary airway malformation in a 26-year-old adult, requiring surgery.

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

Department of Thoracic Surgery, Kyoto University Hospital, Kyoto, Japan.

This is a case of type 1 congenital pulmonary airway malformation in the left lower lobe of a 26-year-old male. At the age of 1 year, he developed a pulmonary cystic lesion, which was considered to be bronchopulmonary sequestration. He grew up healthy and showed no impairment during exercise; however, giant bullous lesion development along with compressed left upper lobe and mediastinum was recently noted; consequently, the patient was referred to our hospital for further examination. Read More

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http://dx.doi.org/10.1093/icvts/ivz032DOI Listing
March 2019
2 Reads

Does sarcopenia have any impact on survival of patients with surgically treated non-small-cell lung cancer?

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

Lung Cancer Center, West China Hospital, Sichuan University, Chengdu, China.

A best evidence topic in thoracic surgery was written according to a structured protocol. The question addressed was 'Does sarcopenia have any impact on survival of patients with surgically treated non-small-cell lung cancer (NSCLC)?'. Altogether, 342 papers were found using the reported search, of which 9 cohort studies represented the best evidence to answer the clinical question. Read More

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http://dx.doi.org/10.1093/icvts/ivz039DOI Listing
March 2019
1 Read

Modelling of predissection aortic size in acute descending aortic dissection†.

Interact Cardiovasc Thorac Surg 2019 Mar 1. Epub 2019 Mar 1.

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

Objectives: Large aortic diameter is considered the most frequent cause of aortic dissection. However, this assumption relies on postdissection imaging of the aorta. We recently showed that acute dissection leads to a 23% increase in the descending aortic diameter. Read More

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http://dx.doi.org/10.1093/icvts/ivz028DOI Listing
March 2019
1 Read

Distal aortic remodelling after the standard and the elongated frozen elephant trunk procedure†.

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

Cardiovascular Surgery Department, Cardiology Research Institute, Tomsk National Research Medical Center, Tomsk, Russia.

Objectives: The aim of this study was to evaluate abdominal aortic remodelling after the standard compared with the elongated frozen elephant trunk (FET) technique in patients with aortic dissection.

Methods: Twenty-six patients underwent surgery and were randomized into 2 groups. Fifteen patients were treated with the standard FET technique. Read More

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http://dx.doi.org/10.1093/icvts/ivz026DOI Listing
February 2019
7 Reads

Contemporary outcomes of the concomitant CryoMaze procedure†.

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

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

Objectives: As an institutional strategy, the CryoMaze procedure has been established for treating atrial fibrillation (AF) since 2001. In this study, we aimed to analyse the contemporary outcomes of the CryoMaze procedure and to examine the predictive factors of successful sinus rhythm conversion.

Methods: Between January 2009 and March 2018, we performed 352 CryoMaze procedures. Read More

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http://dx.doi.org/10.1093/icvts/ivz029DOI Listing
February 2019
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A tale of two bleeds-an uncommon manifestation in neurofibromatosis-1.

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

Department of CTVS, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India.

Neurofibromatosis type 1 vasculopathy is a well-documented entity in the literature, but a rupture of the thyrocervical artery aneurysm is very rare and only 2 cases have been reported to date. Our patient presented with a right-sided hemiparesis and deviation of the angle of the mouth to the left. He was diagnosed to have hypertensive bleed in the left capsulo-ganglionic area. Read More

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http://dx.doi.org/10.1093/icvts/ivz033DOI Listing
February 2019
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Is debranching thoracic endovascular aortic repair acceptable as the first choice for arch aneurysm in the elderly?†.

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

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

Objectives: This study aimed to assess differences in midterm outcomes between total arch replacement (TAR) and debranching thoracic endovascular aortic repair (d-TEVAR) and to evaluate the validity of d-TEVAR as the preferred treatment choice for aortic arch aneurysm in the elderly.

Methods: We reviewed the case histories of 86 patients who had undergone TAR (64 men; mean age 78 ± 2.9 years) and 121 patients who had undergone d-TEVAR (90 men; mean age 82 ± 4. 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/ivz027DOI Listing
February 2019
14 Reads

Effect of stent crimping on calcification of transcatheter aortic valves.

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

The Edwards Lifesciences Center for Advanced Cardiovascular Technology, University of California Irvine, Irvine, CA, USA.

Objectives: Although many challenges related to the acute implantation of transcatheter aortic valves have been resolved, durability and early degeneration are currently the main concerns. Recent reports indicate the potential for early valve degeneration and calcification. However, only little is known about the underlying mechanisms behind the early degeneration of these valves. 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/ivz024DOI Listing
February 2019
10 Reads

Effect of covering with cross-linked gelatin glue on tissue regeneration in a rat lung injury model.

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

Department of Thoracic and Cardiovascular Surgery, Nara Medical University, Nara, Japan.

Objectives: Thoracic reintervention is a common treatment; however, preventing adhesion of the lung to the thoracic cavity wall remains a problem. This study aimed to investigate the effect on pleural adhesion of covering the postoperative pleural injury site with cross-linked gelatin glue (gelatin plus glutaraldehyde, hereafter 'gelatin glue') and to evaluate the proliferation of healing cells on gelatin glue.

Methods: We created a rat incisional lung-wound model and compared the effects of sealing the wound with gelatin glue (group A, n = 5), fibrin glue (group B, n = 5) or fibrin glue with a polyglycolic acid sheet (group C, n = 5). Read More

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http://dx.doi.org/10.1093/icvts/ivy297DOI Listing
February 2019
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Video-assisted thoracoscopic resection of lung nodules localized with a hydrogel plug†.

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

Center for Thoracic Surgery, Department of Medicine and Surgery, University of Insubria, Varese, Italy.

Objectives: Computed tomography (CT)-guided hydrogel plug deployment was recently proposed for lung nodule preoperative localization and simultaneous prevention of pneumothorax. We analysed our initial experience with CT-guided hydrogel plug localization of lung nodules in patients undergoing video-assisted thoracoscopic (VATS) resection.

Methods: We retrospectively evaluated the medical notes from 27 consecutive patients (mean age 68 ± 11 SD years; men 74%) undergoing VATS lung wedge resection for biopsy or definitive treatment of 28 small pulmonary nodules (malignant 82%) at a single institution between October 2017 and July 2018. Read More

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http://dx.doi.org/10.1093/icvts/ivz030DOI Listing
February 2019
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Creation of the Fontan circulation in sheep: a survival model†.

Interact Cardiovasc Thorac Surg 2019 Feb 20. Epub 2019 Feb 20.

Department of Cardiac Surgery, University Hospitals Leuven, Leuven, Belgium.

Objectives: Patients with a single ventricle survive thanks to the Fontan palliation. Nevertheless, there is a growing number of Fontan patients with progressive heart failure. To validate therapeutic options in these patients, we developed a chronic Fontan large animal model. Read More

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http://dx.doi.org/10.1093/icvts/ivz022DOI Listing
February 2019
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Complete brain protection during debranching thoracic endovascular aortic repair.

Interact Cardiovasc Thorac Surg 2019 Feb 20. Epub 2019 Feb 20.

Department of Cardiovascular Surgery, Akane-Foundation Tsuchiya General Hospital, Hiroshima, Japan.

We describe the case of a 71-year-old man with an asymptomatic saccular-type thoracic aortic aneurysm and severe atheroma in the distal arch. As he had previously undergone coronary artery bypass grafting, we decided to perform thoracic endovascular aortic repair rather than open repair to avoid injury to the bypass grafts. Owing to severe atheroma, we completely blocked the native forward flow before deploying the endograft using percutaneous cardiopulmonary support, thus preventing perioperative stroke. 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/ivz021DOI Listing
February 2019
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The impact of institutional case volume on the prognosis of ruptured aortic aneurysms: a Japanese nationwide study.

Interact Cardiovasc Thorac Surg 2019 Feb 20. Epub 2019 Feb 20.

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

Objectives: To improve outcome for ruptured aortic aneurysms (rAAs), centralization of treatment is potentially effective. However, there is no nationwide survey for the current managements and outcomes of rAA in Japan. The aim of this study was to assess the volume-outcome relationship for rAA treatment using the nationwide claim-based database. Read More

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http://dx.doi.org/10.1093/icvts/ivz023DOI Listing
February 2019
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Replicated mitral valve models from real patients offer training opportunities for minimally invasive mitral valve repair.

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

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

Objectives: Minimally invasive mitral valve repair is considered a challenging procedure. Mastering the necessary skills takes years of training and clinical experience. To date, reconstructive surgery is performed mainly by a few surgeons with a strong track record, whereas trainees have only limited opportunities to practise. Read More

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http://dx.doi.org/10.1093/icvts/ivz008DOI Listing
February 2019