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Annals of Thoracic Surgery

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https://www.readbyqxmd.com/read/29339196/coronary-arteriovenous-fistula-in-continuity-with-the-aortic-arch
#1
Takashi Yamauchi, Shigeyoshi Gon, Masahito Saito, Naoki Asano, Kazunori Ota, Kazuho Niimi, Hiroshi Takano
Coronary arteriovenous fistula in continuity with the aortic arch by abnormal vessels running along the surface of the pulmonary artery is rare. We describe two cases of this rare and unique arteriovenous network and discuss the issue of diagnosis and treatment with a review of the literature.
January 12, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29337126/rigid-plate-fixation-vs-wire-cerclage-patient-reported-and-economic-outcomes-from-a-randomized-trial
#2
Keith B Allen, Vinod H Thourani, Yoshifumi Naka, Kendra J Grubb, John Grehan, Nirav Patel, T Sloane Guy, Kevin Landolfo, Marc Gerdisch, Mark Bonnell, David J Cohen
BACKGROUND: In a multicenter randomized trial, sternal closure following cardiac surgery using rigid plate fixation (RPF) compared with wire cerclage (WC) resulted in improved sternal healing, reduced sternal complications and was cost neutral at 6 months. Additional secondary endpoints are presented from this trial. METHODS: Twelve US centers randomized 236 patients to RPF (n=116) or WC (n=120). Patient reported outcomes measures (PROMs) including pain, function, and quality-of-life (QOL) scores were assessed through 6-months and correlated to computed tomographic derived sternal healing scores using logistic regression...
January 11, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29337125/facilitating-hemostasis-after-proximal-aortic-surgery-results-of-the-protect-trial
#3
Ali Khoynezhad, Jacob DelaRosa, Marc R Moon, William T Brinkman, Richard B Thompson, Nimesh D Desai, S Chris Malaisrie, Leonard N Girardi, Joseph E Bavaria, T Brett Reece
BACKGROUND: This study intended to evaluate the safety and hemostatic efficacy of a novel vascular sealant (Tridyne™ , Neomend, Inc., Irvine, CA) compared to an accepted adjunctive hemostatic agent applied to aortotomy and sutures lines in cardiovascular surgery. METHODS: Subjects undergoing aortic valve replacement, ascending aortic replacement and/or aortic root replacement were randomized 2:1 to Tridyne™ (n =107) or Gelfoam®+ (Gelfoam®+, Baxter Healthcare Corp...
January 11, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29337124/evaluation-of-prophylactic-antibiotic-use-for-delayed-sternal-closure-post-cardiothoracic-surgery
#4
Jamie L Eckardt, Matthew R Wanek, Chiedozie I Udeh, Elizabeth A Neuner, Thomas G Fraser, Tamer Attia, Eric E Roselli
BACKGROUND: Clinical practice guidelines provide recommendations for surgical prophylaxis in patients undergoing cardiothoracic procedures. However, there are currently no recommendations guiding the management of antibiotic prophylaxis in patients requiring delayed sternal closure following cardiothoracic surgery. METHODS: This is a single-center, retrospective analysis. Data was extracted from the Society of Thoracic Surgery (STS) Database and electronic medical record for the time period of July 2011 - January 2016...
January 11, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29337123/mesenchymal-stem-cell-based-therapy-improves-lower-limb-movement-after-spinal-cord-ischemia-in-rats
#5
Shinya Takahashi, Kei Nakagawa, Mayumi Tomiyasu, Ayumu Nakashima, Keijiro Katayama, Takeshi Imura, Bagus Herlambang, Fumie Okubo, Koji Arihiro, Yumi Kawahara, Louis Yuge, Taijiro Sueda
BACKGROUND: Spinal cord ischemia is a devastating complication following thoracic and thoracoabdominal aortic surgery. In this study, we aimed to investigate the effects of mesenchymal stem cells (MSCs), which have regenerative capability and exert paracrine actions on damaged tissues, injected into rat models of spinal cord ischemia-reperfusion injury. METHODS: Forty-five Sprague-Dawley rats were divided into sham, phosphate-buffered saline (PBS), and MSC groups...
January 11, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29337122/lung-focused-resuscitation-at-a-specialized-donor-care-facility-improves-lung-procurement-rates
#6
Stephanie H Chang, Daniel Kreisel, Gary F Marklin, Lindsey Cook, Ramsey Hachem, Benjamin D Kozower, Keki R Balsara, Jennifer M Bell, Christine Frederiksen, Bryan F Meyers, G Alexander Patterson, Varun Puri
BACKGROUND: Lung procurement for transplantation occurs in about 20% of brain dead donors and is a major impediment to wider application of lung transplantation. We investigated the impact of lung protective management at a specialized donor care facility on lung procurement rates from brain dead donors. METHODS: Our local organ procurement organization instituted a protocol of lung protective management at a freestanding specialized donor care facility in 2008...
January 11, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29337121/the-society-of-thoracic-surgeons-congenital-heart-surgery-database-2018-update-on-outcomes-and-quality
#7
Jeffrey P Jacobs, John E Mayer, Sara K Pasquali, Kevin D Hill, David M Overman, James D St Louis, S Ram Kumar, Carl L Backer, Charles D Fraser, James S Tweddell, Marshall L Jacobs
The Society of Thoracic Surgeons Congenital Heart Surgery Database is a comprehensive clinical outcomes registry which captures almost all pediatric cardiac surgical operations in the United States. It is the platform for all activities of The Society of Thoracic Surgeons related to the analysis of outcomes and the improvement of quality in this subspecialty. This article summarizes current aggregate national outcomes in congenital and pediatric cardiac surgery and reviews related activities in the areas of quality measurement, performance improvement, and transparency...
January 11, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29331648/lung-ultrasound-to-detect-residual-pneumothorax-after-chest-drain-removal-in-lung-resections
#8
Miriam Patella, Andrea Saporito, Carla Puligheddu, Francesco Mongelli, Davide La Regina, Ramon Pini, Rolf Inderbitzi, Stefano Cafarotti
BACKGROUND: Indication for post-drain removal imaging after lung resection is debated. Chest x-ray (CXR) is widely used to confirm lung expansion but not evidence-based. We propose to introduce lung ultrasound (LUS) as alternative to exclude significant pneumothorax (PTx) in this setting. METHODS: Fifty patients undergoing lung resections were enrolled. Inclusion criteria were: complete expansion of the lung at post-operative CXR, pleural effusion <300ml/24h, air leak 10-20ml/min for 6 hours...
January 10, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29329990/transcatheter-aortic-valve-implantation-in-morphologically-complex-root-aneurysms
#9
Markus Mach, Bernhard Winkler, David Santer, Harald Pisarik, Sandra Folkmann, Marieluise Harrer, Gabriel Weiss, Franz Veit, Christoph Adlbrecht, Andreas Strouhal, Georg Delle-Karth, Martin Grabenwöger
Performing transcatheter aortic valve implantation in the presence of aneurysmatic aortopathy is widely contraindicated; however, it needs to be taken into account as bailout strategy in selected patients. Deliberate preoperative assessing measurements become the crucial key element in this context. After meticulous valve selection, retrograde access is obtained via the right subclavian artery additionally serving as backup arterial cannulation site in case of conversion. TAVI is then performed via the transapical route...
January 9, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29329989/reassessment-of-right-middle-lobe-lung-cancer-comparison-of-segments-4-and-5-tumors
#10
Yoshinori Handa, Yasuhiro Tsutani, Takuhiro Ikeda, Hideaki Hanaki, Yoshihiro Miyata, Hidenori Mukaida, Morihito Okada
BACKGROUND: The purpose of this study is to elucidate the clinical behavior of right middle lobe lung cancer, with focus on the tumor location. METHODS: We reviewed retrospectively 711 patients who underwent lobectomy or bilobectomy for clinical stage I non-small cell lung cancer (upper lobe, 346; middle lobe, 82; lower lobe, 283). Factors affecting survival were assessed by log-rank tests and Cox regression analyses. RESULTS: The prognosis of patients with segment 5 tumors (n = 39) was significantly worse than that of patients with segment 4 tumors (n = 43; 5-year overall survival [OS] rates, 69...
January 9, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29325984/minimally-invasive-repair-of-pectus-carinatum
#11
Mustafa Yuksel, Tunc Lacin, Nezih Onur Ermerak, Esra Yamansavci Sirzai, Bihter Sayan
BACKGROUND: The second most common deformity of the anterior chest wall, pectus carinatum, is a diverse deformity that has been largely managed using open techniques. This study reviews clinical experience with a newly designed bar for minimally invasive repair of pectus carinatum. METHODS: We reviewed the records of all patients recorded in our Chest Wall Deformities Clinical Database. Between January 2006 and November 2016, minimally invasive repair of pectus carinatum was performed in 172 patients...
January 9, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29325697/early-stable-sinus-rhythm-associated-with-greater-success-five-years-following-surgical-ablation
#12
Niv Ad, Sari D Holmes
BACKGROUND: An important challenge in surgical ablation for atrial fibrillation (AF) is the scarcity of publications on credible predictors of long-term success in procedures performed with ablation tools that produce consistently reliable transmural lesions. We examined factors associated with 1-year success and no atrial arrhythmia (AA) recurrence during 1-5 years after surgical ablation for AF. METHODS: Surgical ablation patients with complete rhythm follow-up at 12 months after surgery were followed prospectively (N=743)...
January 8, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29307775/ischemic-mitral-regurgitation-treatments-after-mitral-annuloplasty
#13
LETTER
Mehmet Senel Bademci, Mustafa Aldag, Cemal Kocaaslan, Ahmet Oztekin, Ebuzer Aydin, Mert Kestelli
No abstract text is available yet for this article.
January 4, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29307456/the-impact-of-annular-size-on-outcomes-after-surgical-or-transcatheter-aortic-valve-replacement
#14
G Michael Deeb, Stanley J Chetcuti, Steven J Yakubov, Himanshu J Patel, P Michael Grossman, Neal S Kleiman, John Heiser, William Merhi, George L Zorn, Peter N Tadros, George Petrossian, Newell Robinson, Mubashir Mumtaz, Thomas G Gleason, Jian Huang, John V Conte, Jeffrey J Popma, Michael J Reardon
BACKGROUND: This analysis evaluates the relationship of annular size to hemodynamics and the incidence of prosthesis-patient mismatch (PPM) in surgical aortic valve replacement (SAVR) and transcatheter aortic valve replacement (TAVR) patients. METHODS: The CoreValve US Pivotal High Risk Trial, described previously, compared TAVR using a self-expanding valve with SAVR. Multislice computed tomography was used to categorize TAVR and SAVR subjects according to annular perimeter-derived diameter: large (≥26 mm), medium (23 to <26 mm), and small (<23 mm)...
January 4, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29307455/decellularized-versus-standard-pulmonary-allografts-in-the-ross-procedure-propensity-matched-analysis
#15
Francisco D A da Costa, Jonathan R G Etnel, Efstratios I Charitos, Hans-Hinrich Sievers, Ulrich Stierle, Daniele Fornazari, Johanna J M Takkenberg, Ad J J C Bogers, M Mostafa Mokhles
BACKGROUND: It is hypothesized that decellularization of allografts used for right ventricular outflow tract reconstruction may result in decreased valve deterioration. This study compared the durability of fresh decellularized pulmonary allografts with standard cryopreserved pulmonary allografts in patients undergoing the Ross procedure. METHODS: The Ross procedure was performed in 144 patients with decellularized allografts (DA) from 2005 to 2014 and in 619 with standard cryopreserved allografts (SCA) from 1990 to 2014...
January 4, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29307454/increased-variance-in-oral-and-gastric-microbiome-correlates-with-esophagectomy-anastomotic-leak
#16
Rishindra M Reddy, William B Weir, Shari Barnett, Brendan T Heiden, Mark B Orringer, Jules Lin, Andrew C Chang, Philip W Carrott, William R Lynch, David G Beer, J Christopher Fenno, Yvonne Kapila
BACKGROUND: Anastomotic leak after esophagectomy remains a significant source of morbidity and mortality. The gastrointestinal (GI) microbiome has been found to play a significant role in tumor oncogenesis and postoperative bowel anastomotic leak. We hypothesized that the GI microbiome could differentiate between esophageal cancer histologies and predict postoperative anastomotic leak. METHODS: A prospective study of esophagectomy patients was performed from May 2013 to August 2014, with the collection of oral saliva, intraoperative esophageal and gastric mucosa, and samples of postoperative infections (neck swab or sputum)...
January 4, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29305853/abciximab-heparin-during-acute-heparin-induced-thrombocytopenia-a-word-of-caution
#17
LETTER
Andreas Koster, Michiel Morshuis, Ingvild Birschmann
No abstract text is available yet for this article.
January 3, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29305852/non-bacterial-thrombotic-endocarditis-associated-with-crohn-s-disease
#18
Wataru Uchida, Masato Mutsuga, Hideki Ito, Hideki Oshima, Akihiko Usui
This report describes an atypical case of non-bacterial thrombotic endocarditis in a mitral valve. The patient suffered repeated embolism after achieving remission of Crohn's disease in the acute phase. Echocardiography revealed mitral valve leaflet and subvalvular thickening. Initially, this was considered indicative of infective endocarditis or a cardiac tumor; however, pathology and laboratory examinations showed non-bacterial thrombotic endocarditis without antiphospholipid syndrome or a malignant tumor...
January 3, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29305851/quantitative-assessment-of-inflow-malposition-in-two-continuous-flow-left-ventricular-assist-devices
#19
Erik N Sorensen, Zachary N Kon, Erika D Feller, Si M Pham, Bartley P Griffith
BACKGROUND: We previously investigated preoperative variables associated with qualitative inflow cannula (IFC) malposition in the Heartmate II continuous-flow left ventricular assist device. In this report, we assess IFC malposition quantitatively in recipients of both the Heartmate II and the Heartware and examine its association with device thrombosis. METHODS: Malposition was quantified based on angular deviation from a hypothetical ideal IFC position in two orthogonal computed tomography (CT) imaging planes...
January 3, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29305850/using-biomarkers-serum-prognostic-factors-for-non-small-cell-lung-cancer-a-surgical-perspective
#20
LETTER
Alessandro Baisi, Federico Raveglia, Alessandro Rizzi, Ugo Cioffi
No abstract text is available yet for this article.
January 3, 2018: Annals of Thoracic Surgery
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