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Annals of Thoracic Surgery

Harold G Roberts, Lawrence M Wei, Vinay Badhwar
No abstract text is available yet for this article.
November 10, 2018: Annals of Thoracic Surgery
Tania Giovannetti, Catherine C Price, Molly Fanning, Steven Messé, Sarah J Ratcliffe, Abigail Lyon, Scott E Kasner, Gregory Seidel, Joseph E Bavaria, Wilson Y Szeto, W Clarke Hargrove, Michael A Acker, Thomas F Floyd
BACKGROUND: Aortic valve replacement (AVR) for calcific aortic stenosis is associated with high rates of perioperative stroke and "silent" cerebral infarcts on diffusion-weighted magnetic resonance imaging (MRI), but cognitive outcomes in elderly AVR patients compared with individuals with cardiac disease who do not undergo surgery are uncertain. METHODS: One hundred ninety AVR patients (mean age=76±6y) and 198 non-surgical participants with cardiovascular disease (mean age=74±6y) completed comprehensive cognitive testing at baseline (pre-surgery), and 4-6 weeks and 1-year postoperatively...
November 10, 2018: Annals of Thoracic Surgery
Richard S D'Agostino, Jeffrey P Jacobs, Vinay Badhwar, Felix G Fernandez, Gaetano Paone, David W Wormuth, David M Shahian
The Society of Thoracic Surgeons Adult Cardiac Surgery Database is one of the most mature, comprehensive and respected clinical data registries in health care. Through nearly three decades of growth and refinement, it is widely recognized for accurately benchmarking risk-adjusted outcomes in cardiac surgery and serves as the foundation for all quality measurement and improvement activities of the Society of Thoracic Surgeons. This is the fourth in a series of annual reports that provides updated national outcomes, volume trends and database-related developments in quality measurement and performance improvement...
November 10, 2018: Annals of Thoracic Surgery
Siva Raja, Dean P Schraufnagel, Eugene H Blackstone, Sudish C Murthy, Prashanthi N Thota, Lucy Thuita, Rocio Lopez, Scott L Gabbard, Monica N Ray, Neha Wadhwa, Madhu Sanaka, Andrea Zanoni, Thomas W Rice
BACKGROUND: Few studies of reintervention after Heller myotomy for achalasia set patients' expectations, assist therapeutic decision-making, and direct follow-up. Therefore, we investigated the frequency and type of symptoms and reinterventions post-myotomy based on achalasia type. METHODS: From 1/2006-3/2013, 248 patients who had preoperative high-resolution manometry and a timed barium esophagram (TBE) underwent Heller myotomy, 62 (25%) for type I, 162 (65%) type II, and 24 (10%) type III achalasia...
November 10, 2018: Annals of Thoracic Surgery
Jennifer C Romano
No abstract text is available yet for this article.
November 10, 2018: Annals of Thoracic Surgery
James M Hammel
No abstract text is available yet for this article.
November 10, 2018: Annals of Thoracic Surgery
Niv Ad
No abstract text is available yet for this article.
November 10, 2018: Annals of Thoracic Surgery
Dachaun Gu, Xue Zhang, Xiaolin Diao, Wei Zhao, Zhe Zheng
BACKGROUND: We developed a multidimensional quality monitoring system using an electronic healthcare records-derived database, and mobile-based reports for individual cardiovascular surgeons. METHODS: This study included surgeons who performed coronary artery bypass grafting (CABG) at a single center in China from January to December 2015. Patient data were automatically derived from structured electronic health records. Surgeon-specific quality measures included in-hospital mortality and morbidity, transfusion-free procedure, use of internal mammary artery, postoperative length of stay, and hospitalization cost...
November 9, 2018: Annals of Thoracic Surgery
J M Chung, E Simmerman, R Sadek, S Wojtowicz, T Dillard, D Albo, N Thomson, C Schroeder
BACKGROUND: Lung cancer screening with low-dose CT (LDCT) chest scans in high-risk populations has been established as an effective measure of preventive medicine by the National Lung Screening Trial (NLST). However, the sustainability of funding a program is still controversial. We present a 2.5 year profitability analysis of our screening program using the broader National Comprehensive Cancer Network (NCCN) criteria. METHODS: Retrospective chart review was performed on the initial 2...
November 9, 2018: Annals of Thoracic Surgery
Matthew A Wagner, Hanghang Wang, Ehsan Benrashid, Jeffrey E Keenan, Asvin M Ganapathi, Brian R Englum, G Chad Hughes
BACKGROUND: Proximal thoracic aortic surgery utilizing hypothermic circulatory arrest (HCA) carries risks of mortality and major morbidity; however, these risks are not the same for every patient. The goal of the current study was to establish a risk prediction model for risk-stratifying patients undergoing proximal thoracic aortic surgery with HCA for degenerative pathology, so as to facilitate preoperative physician-patient counseling. METHODS: A retrospective analysis was conducted on 489 patients who underwent proximal thoracic aortic surgery with HCA for degenerative pathology between 07/2005 - 08/2014 at a single referral institution; patients with acute dissection (n=139) were excluded...
November 8, 2018: Annals of Thoracic Surgery
Ssebuufu Robinson
No abstract text is available yet for this article.
November 8, 2018: Annals of Thoracic Surgery
Joseph J Martinez, Amit J Verma, Poonam P Thankavel, Robert D Jaquiss
Perventricular ventricular septal defect closure has become an accepted method for treatment of some muscular and perimembranous ventricular septal defects. We report the case of a child who developed left ventricular pseudoaneurysms after perventricular closure of a ventricular septal defect performed at 3 months of age. At 18 months, the ventricular pseudoaneurysms were closed surgically. Ventricular trauma from guide wire use during device placement was thought to be the etiology. The potential for injury to the left ventricular free wall should be borne in mind and sought with serial imaging during and after perventricular septal defect closure...
November 8, 2018: Annals of Thoracic Surgery
Meghana R Helder, Hartzell V Schaff, Kristine T Hanson, Cornelius A Thiels, Joseph A Dearani, Richard C Daly, Simon Maltais, Elizabeth B Habermann
BACKGROUND: Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a publicly reported survey of patient experience with in-hospital care. We reviewed institutional HCAHPS survey data to assess our patients' experience after cardiac surgery and identify targets for practice improvement. METHODS: We reviewed data from patients undergoing the most common cardiac operations, with dismissal from October 1, 2012, through September 30, 2015. We used top-box methodology to combine survey results into 9 domains, including the global (composite) hospital rating, dichotomized as high vs low...
November 8, 2018: Annals of Thoracic Surgery
Juan-Miguel Gil-Jaurena, Ramón Pérez-Caballero, Ana Pita, Carlos Pardo
Pulmonary valve repair in an adolescent via upper mini-sternotomy is reported. Several tips to enhance proper display of the valve in the surgical field are depicted.
November 8, 2018: Annals of Thoracic Surgery
Stephanie S Handler, Matthew Buelow, Charles Bergstrom, Peter C Frommelt, Viktor Hraska
Optimal management- balloon dilation versus surgical valvotomy- of neonatal critical aortic stenosis (AS) remains controversial. We describe a term neonate with critical AS and coarctation, severe left ventricular (LV) dysfunction with endocardial fibro-elastosis palliated with surgical valvotomy and hybrid as a bridge to early biventricular repair. Initial repair consisted of commissurotomy to create bicuspid morphology with placement of bilateral pulmonary artery bands and maintenance of ductal patency with prostaglandin...
November 8, 2018: Annals of Thoracic Surgery
Qing Li, Wei-Guo Ma, Jun Zheng, Yu Chen, Shang-Dong Xu, Yong-Min Liu, Jun-Ming Zhu, Lian-Jun Huang, Li-Zhong Sun
BACKGROUND: Experience is limited with distal stent graft-induced new entry (SINE) after endovascular thoracic aortic repair (TEVAR) of type B dissection (TBAD). We report the management strategy and outcomes in such patients. METHODS: Clinical data were analyzed for 95 patients (age 53.2±10.9 years; 82 males) developing distal SINE after TEVAR for TBAD. RESULTS: Follow-up was 100% (95/95) for 7.2±3 years after primary TEVAR. Distal SINE occurred at mean 2...
November 4, 2018: Annals of Thoracic Surgery
Hideki Tatewaki, Yuichiro Hirata, Yoshihisa Tanoue, Akira Shiose
An eight-year-old girl presenting with fulminant myocarditis and cardiogenic shock was placed on peripheral extracorporeal membrane oxygenation (ECMO). Patient was switched to central ECMO due to inadequate venous drainage and echocardiogram showed left ventricular (LV) thrombus. She underwent removal of LV thrombus with LV venting. Echocardiogram showed LV thrombus again two day later. The LV thrombus was again removed and biventricular ventricular assist device was initiated to avoid further thrombus formation...
November 4, 2018: Annals of Thoracic Surgery
V Rao Parachuri, Amit Kumar Tripathy, N M Gaikwad, Akshaya Pratap Singh, Vineet Mahajan, S Niranjan
Repair of ventricular septal rupture post acute myocardial infarction remains a surgical challenge. Several techniques for the closure of these defects have been described. We modified the infarct exclusion technique as described by Tirone David. In this technique two separate pericardial patches are used. The first patch excludes the rupture. The second patch is sutured to the margins of the first patch which provides strength to the margins of the first patch. It is simple, durable and has reduced incidence of residual ventricular septal defects and patch dehiscence...
November 4, 2018: Annals of Thoracic Surgery
Jessica G Y Luc, Thomas K Varghese, Mara B Antonoff
The Thoracic Surgery Social Media Network (TSSMN) was formed as a collaborative effort by leading journals in the field of cardiothoracic surgery, The Annals of Thoracic Surgery and The Journal of Thoracic and Cardiovascular Surgery. The primary goals of the initiative are to bring social media attention to key publications from both journals and to highlight major accomplishments in the specialty. The aim of this article is to describe in a step-by-step fashion how to effectively participate in a TSSMN TweetChat, provide an overview of the various tweeting platforms available and best practices on the use of social media...
November 4, 2018: Annals of Thoracic Surgery
Lei Wang, Lijun Huang, Xiaofei Li, Daixing Zhong, Dichen Li, Tisheng Cao, Sanhu Yang, Xiaolong Yan, Jinbo Zhao, Jiankang He, Yi Cao, Ling Wang
BACKGROUND: The purpose of this study is to use three-dimensional printing (3DP) polyether-ether-ketone (PEEK) implants for skeletal reconstructions after wide excision of chest wall. 3DP PEEK implants were expected to provide a better physiological simulation than traditional ones due to a closer elastic modulus to cortical bone and similar biomechanical properties. METHODS: 18 patients (mean age, 44.5 years), comprising 6 males and 12 females, underwent adequate radical wide excision for tumors and chest wall reconstruction using 3DP PEEK implants...
November 4, 2018: Annals of Thoracic Surgery
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