35,063 results match your criteria The Annals of thoracic surgery[Journal]


Outcomes After Initial Unifocalization to a Shunt in Complex Tetralogy of Fallot with MAPCAs.

Ann Thorac Surg 2019 Feb 14. Epub 2019 Feb 14.

Background: Our approach to tetralogy of Fallot (TOF) with pulmonary atresia and major aortopulmonary collateral arteries (MAPCAs) emphasizes early single-stage unifocalization and intracardiac repair. However, a subset of patients with small native pulmonary arteries (PAs) and MAPCAs undergo unifocalization to a shunt rather than simultaneous intracardiac repair.

Methods: Patients with TOF/MAPCAs who underwent unifocalization to a systemic-to-PA shunt by a single surgeon were reviewed. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.030DOI Listing
February 2019

Immunoglobulin G4 Inflammatory Aortic Aneurysm Mimicking Acute Aortic Syndrome.

Ann Thorac Surg 2019 Feb 13. Epub 2019 Feb 13.

Department of Orthopedics and Trauma - Surgery, Division of Trauma - Surgery, General Hospital of Vienna, Austria.

Immunoglobulin-G4-related disease (IgG4RD) is a novel clinical entity characterized by lymphoplasmacytic infiltrates presenting as an excessive fibrosis such as retroperitoneal inflammatory pseudotumor but rarely affecting the heart or the aorta. We describe a case of IgG4RD with multifocal aortic involvement presenting as an acute aortic syndrome. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.029DOI Listing
February 2019

Randomized Trial of Miniaturized versus Standard Extracorporeal Circulation in Aortic Valve Surgery.

Ann Thorac Surg 2019 Feb 13. Epub 2019 Feb 13.

Dept. of Cardio-Thoracic Surgery, Thoraxcentrum Twente, Medisch Spectrum Twente Hospital, P.O. Box 50 000, 7500 KA Enschede, The Netherlands; Dept. of Cardio-Thoracic Surgery, University Medical Center Groningen, P.O. Box 30 001, 9700 RB Groningen, The Netherlands.

Background: Complications related to extracorporeal circulation remain serious. While a Minimal Invasive Extra Corporeal Circulation (MiECC) system was developed to cope with these complications, its effectivity on patient-related outcomes such as blood loss remain uncertain. Therefore, the aim of this study is to compare MiECC to an advanced standard system with respect to blood loss. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.019DOI Listing
February 2019

Severely Kinked Pseudocoarctation of the Aorta with Unicuspid Aortic Valve.

Ann Thorac Surg 2019 Feb 13. Epub 2019 Feb 13.

Department of Cardiovascular Surgery, Seirei Hamamatsu General Hospital, Shizuoka, Japan.

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.027DOI Listing
February 2019

Is SERCA2 sufficient as a molecular indicator of contractile function in ventricular hypertrophy?

Ann Thorac Surg 2019 Feb 13. Epub 2019 Feb 13.

Department of Cardiothoracic Surgery, Drum Tower Hospital Affiliated to Nanjing University Medical School, 321 Zhongshan Road, Nanjing, Jiangsu, People's Republic of China, 210008. Electronic address:

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.023DOI Listing
February 2019
3.849 Impact Factor

A pediatric case of Staphylococcus lugdunensis-induced infective endocarditis at bovine jugular vein.

Ann Thorac Surg 2019 Feb 13. Epub 2019 Feb 13.

Department of cardiovascular surgery, Mt. Fuji Shizuoka children's hospital, Shizuoka, Japan.

A 2-year-old boy underwent right ventricular outflow tract reconstruction (RVOTR) with a bovine jugular vein graft. He presented with high fever on postoperative day 6. Blood and drainage effusion cultures were all positive for S. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.028DOI Listing
February 2019

Randomized Trial of Miniaturized versus Standard Extracorporeal Circulation in Aortic Valve Surgery (Commentary).

Authors:
William L Holman

Ann Thorac Surg 2019 Feb 13. Epub 2019 Feb 13.

University of Alabama at Birmingham, Department of Surgery, 1530 3rd Avenue South - ZRB 719, Birmingham, AL. Electronic address:

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.026DOI Listing
February 2019

Complete Atrioventricular Septal Defect - Evolution of Results in a Single Center during 50 years.

Ann Thorac Surg 2019 Feb 13. Epub 2019 Feb 13.

Department of Pediatric Cardiac Surgery, Children's Hospital, Helsinki University Hospital, Helsinki University, Finland. Electronic address:

Background: Operative mortality after complete atrioventricular septal defect (cAVSD) repair has improved vastly. Less improvement has been demonstrated regarding late mortality and reoperation rates. There is evident lack of comprehensive population-based studies analyzing the history and progress of the ever-changing operative results. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.020DOI Listing
February 2019

Robotic Multi-vessel Endoscopic Coronary Bypass: Impact of a Beating Heart Approach with Connectors (Commentary).

Ann Thorac Surg 2019 Feb 13. Epub 2019 Feb 13.

Professor Cardiovascular Surgery, Indiana University Health, Surgery, Division of Cardiovascular Surgery, 1801 Senate Blvd. Indianapolis, IN 46202. Electronic address:

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.021DOI Listing
February 2019

Mitral Valve Repair vs Replacement in the STS Database: The Debate Continues.

Ann Thorac Surg 2019 Feb 13. Epub 2019 Feb 13.

Institut Cœur-Poumon, Centre Hospitalier et Universitaire de Lille, 2 Av Oscar Lambret, 59037, Lille, France.

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.025DOI Listing
February 2019

Will patients with resectable esophageal cancer be spared esophagectomy?

Authors:
Han-Yu Deng

Ann Thorac Surg 2019 Feb 13. Epub 2019 Feb 13.

Lung cancer center/Department of thoracic surgery, West China Hospital Sichuan University. No. 37 Guoxue Alley Chengdu 610041 China. Electronic address:

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.022DOI Listing
February 2019

Would the proposed pathophysiology of the "full blast" make sense here? (Reply).

Ann Thorac Surg 2019 Feb 13. Epub 2019 Feb 13.

Division of Cardiovascular Surgery, Chiba University Hospital, 1-8-1 Inohana, Chuo-ku, Chiba, 2608677, Japan.

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.024DOI Listing
February 2019

Catamenial Haemothorax - A Rare Case Of Thoracic Endometriosis.

Ann Thorac Surg 2019 Feb 13. Epub 2019 Feb 13.

Department of Thoracic Surgery, Royal Brompton Hospital.

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http://dx.doi.org/10.1016/j.athoracsur.2018.12.062DOI Listing
February 2019

Thrombelastography-Directed Transfusion in Cardiac Surgery: Impact on Postoperative Outcomes.

Ann Thorac Surg 2019 Feb 12. Epub 2019 Feb 12.

ProMedica Toledo Hospital, Department of Cardiothoracic Surgery. Electronic address:

Background: Transfusion of allogenic blood products is associated with significant morbidity and increased risk of mortality. Thrombelastography (TEG) to direct transfusion management during and immediately following cardiothoracic surgery reduced blood product usage in our institution. The goal of this study was to quantify the impact of TEG on postoperative outcomes. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.018DOI Listing
February 2019

Nonintubated Thoracoscopic Surgery for Lung Tumor: Seven Years' Experience with 1025 Cases.

Ann Thorac Surg 2019 Feb 11. Epub 2019 Feb 11.

Division of Thoracic Surgery, Department of Surgery, National Taiwan University Hospital.

Background: Nonintubated thoracoscopic surgery for lung tumor is not widely performed. This study assessed the safety, outcome, and risk factors for conversion to tracheal intubation of nonintubated thoracoscopic surgery for lung tumor resection.

Methods: We retrospectively reviewed the records of 1025 patients who underwent lung tumor resection by nonintubated thoracoscopic surgery from August 2009 to December 2016 at our institution. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.013DOI Listing
February 2019
1 Read

Postoperative Acute Kidney Injury in Young Adults with Congenital Heart Disease.

Ann Thorac Surg 2019 Feb 11. Epub 2019 Feb 11.

Department of Critical Care Medicine, The Center for Critical Care Nephrology, 3347 Forbes Avenue, Suite 220, Pittsburgh, PA 15213.

Background: There is an increasing number of young adults living with congenital heart disease (CHD). The goal of this study was to ascertain the frequency of acute kidney injury (AKI) as well as the risk factors and outcomes associated with AKI in young adults with CHD after a surgical procedure.

Methods: This was a single center retrospective cohort study including all patients 18-40 years of age with a diagnosis of CHD admitted to a quaternary care children's hospital cardiac intensive care unit postoperatively from 2004-2015. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.017DOI Listing
February 2019
1 Read

Reversal and Resumption of Antithrombotic Therapy in LVAD- Associated Intracranial Hemorrhage.

Ann Thorac Surg 2019 Feb 11. Epub 2019 Feb 11.

Cerebrovascular Center, Neurological Institute, Cleveland Clinic, Cleveland, Ohio; Department of Neurology, NYU School of Medicine, New York, NY. Electronic address:

Background: Little data exists regarding reversal and resumption of antithrombotics following left ventricular assist device (LVAD)-associated intracranial hemorrhage (ICH).

Methods: Prospectively collected data of LVAD patients with ICH was reviewed. Coagulopathy reversal agents, antithrombotic regimens and thrombotic (venous thromboembolism, ischemic stroke, myocardial infarction) and hemorrhagic (recurrent ICH, gastrointestinal bleed, anemia requiring transfusion) complications were recorded. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.016DOI Listing
February 2019

Size Mismatching Increases Mortality Following Lung Transplantation in Pre-Adolescent Patients.

Ann Thorac Surg 2019 Feb 11. Epub 2019 Feb 11.

Division of Pulmonary and Critical Care Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD. Electronic address:

Background: The impact of size mismatch between donor and recipient in pediatric lung transplantation (PLTx) is currently unknown. Previous studies in adults have suggested that oversized allografts are associated with improved outcomes following lung transplantation. We investigated this relationship in order to quantify its effect on post-transplant outcomes in children. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.015DOI Listing
February 2019

The importance of global surgical education (Reply).

Ann Thorac Surg 2019 Feb 11. Epub 2019 Feb 11.

146S. Church St., Apt 3, Macungie, PA 18062. Electronic address:

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.014DOI Listing
February 2019

Myocardial protection at aortic valve stenosis.

Ann Thorac Surg 2019 Feb 11. Epub 2019 Feb 11.

Department of Cardiovascular Surgery, zmir Katip Celebi University Ataturk Education and Training Hospital, Karabaglar, Izmir.

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.012DOI Listing
February 2019

Impending Paradoxical Embolism.

Ann Thorac Surg 2019 Feb 11. Epub 2019 Feb 11.

Department of Echocardiograph, Asia Heart Hospital, Wuhan, P.R. China. Electronic address:

Impending paradoxical embolism (IPDE) is the presence of a thrombus in the patent foramen ovale (PFO). Usually, IPDE is diagnosed by echocardiography or an Multislice computer tomography (MSCT) scan and is performed during the evaluation of a patient presenting with suspected pulmonary embolism (PE). We report two patients who presented with IPDE and were successfully treated with cardiac surgery and thrombolytic therapy. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.011DOI Listing
February 2019

Concomitant Valve-sparing Aortic Root Replacement with Repair of Tetralogy of Fallot.

Ann Thorac Surg 2019 Feb 8. Epub 2019 Feb 8.

Division of Cardiovascular Surgery. Electronic address:

Valve-sparing aortic root replacement is one of the effective repairs for aortic regurgitation resulting from progressive dilatation of the aortic root late after surgical correction of conotruncal anomaly. However, feasibility and effectiveness of this procedure are unknown for unrepaired physiology. A 32 year-old man presented with unrepaired Tetralogy of Fallot (TOF) and moderate aortic regurgitation with severe left ventricular dysfunction. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.010DOI Listing
February 2019
1 Read

Readmission Following Pediatric Cardiothoracic Surgery: An analysis of the Society of Thoracic Surgeons Database.

Ann Thorac Surg 2019 Feb 8. Epub 2019 Feb 8.

Division of Cardiac Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.

Background: Hospital readmission after pediatric cardiac surgery is incompletely understood. We analyzed data from the STS Congenital Heart Surgery database (STS-CHSD) to determine prevalence, to describe patient characteristics, and to evaluate risk factors for readmission.

Methods: Readmission was defined by the "readmission within 30 days after discharge" field. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.009DOI Listing
February 2019

Evaluation of novel imaging devices for nanoparticle-mediated fluorescence-guided lung tumor therapy.

Ann Thorac Surg 2019 Feb 8. Epub 2019 Feb 8.

Division of Thoracic Surgery, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada. Electronic address:

Background: Non-surgical and minimally-invasive approaches for early stage peripheral lung cancer are needed to avoid the known morbidity of surgery, particularly in high-risk patients. We have previously demonstrated the utility of multifunctional porphyrin-phospholipid nanoparticles (porphysomes) for fluorescence imaging and phototherapy following preferential accumulation into tumors. The objective of this study was to demonstrate the feasibility of porphysome-mediated imaging and photothermal therapy using a newly-developed fiberscope and thoracoscope. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.008DOI Listing
February 2019

Survival in aortic regurgitation and preoperative ejection fraction.

Ann Thorac Surg 2019 Feb 8. Epub 2019 Feb 8.

Department of Cardiovascular Surgery Izmir Katip Celebi University, Ataturk Education and Training Hospital, Karabaglar, Izmir.

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http://dx.doi.org/10.1016/j.athoracsur.2018.12.061DOI Listing
February 2019
1 Read

Registry Based Medical Research: Data Dredging or Value Building to Quality of Care?

Ann Thorac Surg 2019 Feb 8. Epub 2019 Feb 8.

Montreal General Hospital, McGill University Health Center.

Registry based medical research is an important tool in assessing health care interventions in the general population. They are observational studies used to establish effectiveness while randomized clinical trials assess efficacy in an experimental manner targeting a carefully selected population of patients. A medical registry may be office or hospital based, state/provincial, national or more recently global in nature. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2018.12.060DOI Listing
February 2019
1 Read

The influence of suction on chest drain duration after lobectomy using electronic chest drainage.

Ann Thorac Surg 2019 Feb 8. Epub 2019 Feb 8.

Department of Cardiothoracic Surgery, Odense University Hospital, Sdr. Boulevard 29, 5000 Odense, Denmark.

Background: Management of chest drains following thoracic surgery remains an area with little consensus. To optimize our chest drainage algorithms with electronic chest drainage systems we conducted a randomized controlled trial comparing low variable suction (-5 cm HO) versus high variable suction (-20 cm HO).

Methods: We did a prospective open label randomized trial in patients undergoing lobectomy. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2018.12.059DOI Listing
February 2019

An alternative method for airway management with combined tracheal intubation and rigid bronchoscope.

Ann Thorac Surg 2019 Feb 7. Epub 2019 Feb 7.

Department of Thoracic Surgery, University of Perugia Medical School, Loc. Sant'Andrea delle Fratte, 06134, Perugia, Italy. Electronic address:

An innovative technique for airway management, utilizing a small diameter, short-cuffed, orotracheal tube for assisting rigid bronchoscopy in critical airway obstruction is reported. The device, part of Translaryngeal Tracheostomy KIT, was placed beyond the stenosis and used in combination with the rigid bronchoscope. This procedure improves safety during the management of critical tracheal stenoses, because the airway is constantly under the anesthesiologist's control. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00034975193018
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http://dx.doi.org/10.1016/j.athoracsur.2018.12.058DOI Listing
February 2019
3 Reads

Patient experience after cardiac surgery: Beyond the transition care questions (Reply).

Ann Thorac Surg 2019 Feb 2. Epub 2019 Feb 2.

Department of Health Sciences Research and Robert D. and Patricia E. Kern Center for Science of Health Care Delivery, and Department of Cardiovascular Surgery, Mayo Clinic, 200 First St SW Rochester, MN 55905.

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http://dx.doi.org/10.1016/j.athoracsur.2018.12.056DOI Listing
February 2019

Left-sided complete revascularization with bilateral internal thoracic arteries in diabetic patients (Commentary).

Authors:
Paul A Kurlansky

Ann Thorac Surg 2019 Feb 2. Epub 2019 Feb 2.

Columbia University, Surgery, Black Building 210, 650 West 168th Sreet, New York, NY 10032. Electronic address:

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http://dx.doi.org/10.1016/j.athoracsur.2018.12.057DOI Listing
February 2019

Effect of sarcopenic overweight on lung transplant based on 3D reconstructed psoas muscle mass.

Ann Thorac Surg 2019 Feb 2. Epub 2019 Feb 2.

Thoracic Surgery, Yonsei University College of Medicine, Seoul, Republic of Korea. Electronic address:

Background: In lung transplantation, preoperative sarcopenia was reported to be associated with short-term outcomes based on cross-sectional image. This study aimed to investigate the influence of psoas muscle mass (PMM) on the operative outcome and survival using three-dimensional (3D) reconstruction of PMM and to evaluate the effect of preoperative sarcopenic overweight on postoperative outcomes and survival.

Methods: A total of 107 patients who underwent double lung transplantation in one institute from January 1, 2014, to June 30, 2017, were enrolled. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.007DOI Listing
February 2019
1 Read

Lymph node involvement and the surgical treatment of thymic epithelial and neuroendocrine carcinoma.

Ann Thorac Surg 2019 Feb 2. Epub 2019 Feb 2.

Department of Thoracic Surgery, University Medicine Essen - Ruhrlandklinik. Electronic address:

Background: Thymic epithelial and neuroendocrine carcinomas are rare malignancies and only few prognosticators are defined. Surgery is the mainstay of treatment and complete resection contributes to superior outcome. Systematic lymph node dissection is not routinely performed in thymic malignancies. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.006DOI Listing
February 2019

Randomized Trial of Concomitant Maze Procedure Using Nitrous Oxide Versus Argon-Based Cryoablation.

Ann Thorac Surg 2019 Feb 1. Epub 2019 Feb 1.

Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. Electronic address:

Background: Currently, two types of cryoprobes are available: NO-based and argon gas-based. However, few studies have compared the outcomes obtained with these two cryoprobe types. The aim of this study was to compare the early outcomes of a concomitant maze procedure using NO-based cryoablation (the NO group) versus argon gas-based cryoablation (the Argon group) in patients with persistent atrial fibrillation (AF). Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.005DOI Listing
February 2019

A successful case of external stenting for bronchomalacia lasting over 20 years.

Ann Thorac Surg 2019 Feb 1. Epub 2019 Feb 1.

Department of Cardiovascular Surgery.

The patient had a perimembranous ventricular septal defect and pulmonary hypertension. He underwent pulmonary artery banding followed by external stenting of the left bronchus because of secondary bronchomalacia. The external stent applied was a ringed expanded polytetrafluoroethylene graft, 10 mm in diameter and fixed at 8 points. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2018.12.055DOI Listing
February 2019

MitraClip and Surgery: annuloplasty makes the difference.

Authors:
Samer Kassem

Ann Thorac Surg 2019 Jan 30. Epub 2019 Jan 30.

Centro Cardiologico Monzino IRCCS, Via parea, 4 Milano 20138 Italy.

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http://dx.doi.org/10.1016/j.athoracsur.2018.12.053DOI Listing
January 2019

Truncus arteriosus with major aorto-pulmonary collateral arteries.

Ann Thorac Surg 2019 Jan 30. Epub 2019 Jan 30.

Department of Cardiovascular Surgery and Pediatric Cardiology, Hyogo Prefectural Amagasaki General Medical Center, Hyogo, Japan.

Truncus arteriosus with the absence of one branching pulmonary artery and presence of major aorto-pulmonary collateral arteries (MAPCAs) is rare. A small patient, with a birth weight of 2219g, was successfully repaired by a staged approach, following banding of the left pulmonary artery and unifocalization of MAPCAS. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2018.12.051DOI Listing
January 2019

Where Do We Begin: Building Blocks to Establish a Cardiothoracic Surgery Interest Group.

Ann Thorac Surg 2019 Jan 30. Epub 2019 Jan 30.

Division of Thoracic Surgery, Department of Surgery, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA. Electronic address:

Background: With the impending shortage of cardiothoracic surgeons, much focus has been on increasing trainee interest, particularly at the medical student level. We aimed to determine the impact of participation in our Cardiothoracic Surgery Interest Group (CTSIG) on medical student attitudes regarding surgery, and especially CT surgery.

Methods: An anonymous survey was administered at two time points to the current member list of our 2015-16 CTSIG, and repeated for the 2016-17 academic year. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00034975193011
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http://dx.doi.org/10.1016/j.athoracsur.2018.12.040DOI Listing
January 2019
4 Reads

Robotic Coronary Artery Bypass Grafting for Transplant Vasculopathy.

Ann Thorac Surg 2019 Jan 30. Epub 2019 Jan 30.

Mount Sinai St Luke's.

A 60 year old female developed Cardiac Allograft Vasculopathy (CAV) 9 years after heart transplantation and treated with drug-eluting stent (DES) in the LAD. Recurrence of in stent restenosis (ISR) was treated with another DES. Recurrent IRS was again observed and Robotic Mid-CABG surgery was successfully performed. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2018.12.054DOI Listing
January 2019
2 Reads

10-year outcomes after left ventricular reconstruction: rethinking the impact of mitral regurgitation.

Ann Thorac Surg 2019 Jan 30. Epub 2019 Jan 30.

Department of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, The Netherlands.

Background: Heart failure with reduced ejection fraction due to a post-infarction anteroseptal aneurysm carries a poor prognosis. Patients with refractory heart failure may be considered for advanced surgery, including left ventricular assist device implantation, heart transplantation and LV reconstruction. Aim of this study was to evaluate outcomes after an integrated approach of left ventricular reconstruction with concomitant procedures (mitral/tricuspid valve repair, coronary revascularization), and assess risk factors for event-free survival, focusing on left ventricular geometry/function and presence of functional mitral regurgitation(MR). Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.003DOI Listing
January 2019
1 Read

The importance of global surgical education.

Authors:
Jennifer Rickard

Ann Thorac Surg 2019 Jan 30. Epub 2019 Jan 30.

Department of Surgery, University of Minnesota, 420 Delaware St SE, MMC 195, Minneapolis, MN 55455.

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http://dx.doi.org/10.1016/j.athoracsur.2018.12.052DOI Listing
January 2019

Neurologic Deficit Following Aortic Arch Replacement: The Influence of the Aortic Atherosclerosis.

Ann Thorac Surg 2019 Jan 30. Epub 2019 Jan 30.

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

Background: Postoperative neurologic deficits are associated with significant morbidity in aortic arch replacement.

Methods: A group of 198 consecutive patients undergoing isolated total aortic arch replacement using antegrade cerebral perfusion were analyzed for the risk factors of neurologic deficit. Using computed tomography, atherothrombotic lesions (defined as extensive intimal thickening exceeding 4 mm) were identified in the proximal aorta (the ascending aorta or aortic arch) in 26. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00034975193012
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http://dx.doi.org/10.1016/j.athoracsur.2019.01.004DOI Listing
January 2019
3 Reads

A Prediction Model for Nodal Disease among Patients with Non-Small Cell Lung Cancer.

Ann Thorac Surg 2019 Jan 30. Epub 2019 Jan 30.

Department of Surgery, University of Washington School of Medicine, Seattle, WA. Electronic address:

Background: We characterized the performance characteristics of guideline-recommended invasive mediastinal staging for lung cancer and developed a prediction model for nodal disease as a potential alternative approach to staging.

Methods: We conducted a prospective cohort study of adults with suspected/ confirmed non-small cell lung cancer without evidence of distant metastatic disease (by computed tomography/positron emission tomography) who underwent nodal evaluation by invasive mediastinal staging and/or at the time of resection. The true-positive rate (TPR) was the proportion of patients with true nodal disease selected to undergo invasive mediastinal staging based on guideline recommendations, and the false-positive rate (FPR) was the proportion of patients without true nodal disease selected to undergo invasive mediastinal staging. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2018.12.041DOI Listing
January 2019

Predictors of Opioid Prescription After Early Stage Lung Cancer Surgery (Reply).

Ann Thorac Surg 2019 Jan 29. Epub 2019 Jan 29.

Department of Surgery, University of Michigan, Ann Arbor, Michigan, 2124 Taubman Center, 1500 East Medical Center Dr. SPC 5344 Ann Arbor, MI, 48109. Electronic address:

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http://dx.doi.org/10.1016/j.athoracsur.2018.12.050DOI Listing
January 2019

Thoraflex Graft in an inverted position for post-dissection thoraco-abdominal aneurysm.

Ann Thorac Surg 2019 Jan 28. Epub 2019 Jan 28.

Department of Cardiovascular Surgery, Grand Hôpital de Charleroi, Gilly, Belgium.

We present the off-label use of a Thoraflex Hybrid Plexus Prosthesis (Vascutek, Scotland, UK) to treat a post-dissection type IV thoraco-abdominal aortic aneurysm (TAA) in a high-risk patient previously treated with a thoracic stent-graft for a chronic type B aortic dissection. The Thoraflex graft was used in a "reversed frozen elephant trunk" fashion: the stent graft portion deployed in the previously placed thoracic stent, and the branched portion used to revascularize visceral arteries and lower limbs. Our off-label use of the Thoraflex graft was technically successful. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2018.12.048DOI Listing
January 2019
1 Read

Surgical repair of aortic rupture caused by retained neurointerventional guidewire.

Ann Thorac Surg 2019 Jan 28. Epub 2019 Jan 28.

Department of Vascular Surgery, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, China. Electronic address:

Retention of guidewire during a neurointervention procedure is extremely rare and potentially lethal. Here we report a successful operation on aortic rupture caused by a retained guidewire from a neurointervention procedure 2 years ago. During the surgery, we took out the guidewire from both the aortic arch and femoral artery. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2018.12.047DOI Listing
January 2019

Aortitis masquerading as intramural hematoma of the ascending aorta.

Ann Thorac Surg 2019 Jan 28. Epub 2019 Jan 28.

Division of Cardiac Surgery, University of Pittsburgh. Electronic address:

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http://dx.doi.org/10.1016/j.athoracsur.2018.12.049DOI Listing
January 2019
1 Read

Multicenter Analysis of Early Childhood Outcomes After Repair of Truncus Arteriosus.

Ann Thorac Surg 2019 Feb 26;107(2):553-559. Epub 2018 Oct 26.

Department of Pediatrics, Indiana University School of Medicine, Riley Hospital for Children, Indianapolis, Indiana.

Background: Literature describing morbidity and mortality after truncus arteriosus repair is predominated by single-center reports. We created and analyzed a multicenter dataset to identify risk factors for late mortality and right ventricle-to-pulmonary artery (RV-PA) conduit reintervention for this patient population.

Methods: We retrospectively collected data on children who underwent repair of truncus arteriosus without concomitant arch obstruction at 15 centers between 2009 and 2016. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00034975183152
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http://dx.doi.org/10.1016/j.athoracsur.2018.08.094DOI Listing
February 2019
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Invited Commentary.

Ann Thorac Surg 2019 Feb;107(2):354

Department of Cardiothoracic Surgery, New York University (NYU) Langone Health, 530 First Ave, Ste 9V, New York, NY 10016.

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http://dx.doi.org/10.1016/j.athoracsur.2018.11.012DOI Listing
February 2019

The Society of Thoracic Surgeons Intermacs Database Annual Report: Evolving Indications, Outcomes, and Scientific Partnerships.

Ann Thorac Surg 2019 Feb;107(2):341-353

Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama.

Background: The Interagency Registry for Mechanically Assisted Circulatory Support (Intermacs), a joint effort among the National Heart, Lung, and Blood Institute, the Food and Drug Administration, the Centers for Medicare and Medicaid Services, and others, was established in 2005 at the University of Alabama at Birmingham. The registry examined clinical outcomes and quality-of-life metrics of patients who received an Food and Drug Administration-approved durable mechanical circulatory support (MCS) device to treat advanced heart failure. On January 1, 2018, the Intermacs Database became part of The Society of Thoracic Surgeons National Database, providing additional resources for quality assessment and improvement and scientific advancement. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2018.11.011DOI Listing
February 2019
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