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Annals of Thoracic Surgery

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https://www.readbyqxmd.com/read/30012346/repair-of-hemi-truncus-with-irreversible-pulmonary-hypertension
#1
Ji-Ming Sha, Yi Cao, Sheng-Song Xu
Anomalous origin of the pulmonary artery from the ascending aorta (AOPA) can lead to congestive heart failure in infancy and with advancing age many patients will develop severe pulmonary hypertension. Surgical intervention had high mortality/morbidity risk if this happens. Strategies to manage these patients seem only limited to heart-lung transplantation or lung transplantation. Here, we successfully carried out surgical intervention to in an adult patient who had anomalous origin of the right pulmonary artery from the ascending aorta with high pressures in the ascending aorta and normally originating pulmonary artery...
July 13, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/30009808/diffuse-alveolar-septal-amyloidosis-with-wild-type-transthyretin-with-spontaneous-lung-hematoma
#2
Emiko Tomita, Shohei Matsuo, Yoshitane Tsukamoto, Kenjiro Fukuhara, Akinori Akashi
We experienced a mass formation in the right lower lobe in a patient with cardiac amyloidosis and heart failure. Radiological findings of the chest showed no abnormality except a mass. The patient had non-valvular atrial fibrillation and taking edoxaban. Surgical resection of the mass revealed a hematoma. Further pathological evaluation revealed diffuse alveolar septal amyloidosis with transthyretin (ATTR). The genetic testing found no mutation in TTR gene. So, systemic wild-type TTR amyloidosis (ATTRwt) was confirmed...
July 13, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/30009807/contemporary-outcomes-after-repair-of-isolated-and-complex-complete-atrioventricular-septal-defect
#3
Carlos M Mery, Rodrigo Zea-Vera, Martin A Chacon-Portillo, Huirong Zhu, William B Kyle, Iki Adachi, Jeffrey S Heinle, Charles D Fraser
BACKGROUND: Contemporary outcomes of complete atrioventricular septal defect (CAVSD) repair, particularly for defects with associated abnormalities, is unclear. The goal of this study is to report an all-inclusive experience of CAVSD repair using a consistent surgical approach. METHODS: All patients undergoing CAVSD repair between 1995 and 2016 at our institution were included. Patients were divided into 2 groups: isolated and complex (tetralogy of Fallot (TOF), aortic arch repair, double outlet right ventricle (DORV), and total anomalous pulmonary venous return (TAPVR))...
July 13, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/30009806/patient-reported-outcomes-in-cardiothoracic-surgery
#4
REVIEW
Melanie Subramanian, Benjamin D Kozower, Lisa M Brown, Onkar V Khullar, Felix G Fernandez
BACKGROUND: Current studies in cardiothoracic clinical research frequently fail to use endpoints that are most meaningful to patients, including measures associated with quality of life. Patient- reported outcomes (PRO) represent an underutilized but important component of high quality patient-centered care. Our objective was to highlight important principles of PRO measurement, describe current use in cardiothoracic surgery, and discuss the potential for and challenges associated with integration of PROs into large clinical databases...
July 13, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/30009804/type-b-interrupted-right-aortic-arch-diagnostic-and-surgical-approaches
#5
Tarek Alsaied, Kevin Friedman, Marco Masci, David M Hoganson, Christopher W Baird, Tal Geva
Interrupted right aortic arch (IRAA) is a rare congenital cardiovascular anomaly typically associated with other forms of congenital heart disease. We report 2 cases of IRAA associated with isolated left pulmonary artery and bilateral ductus arteriosus in the first case and with truncus arteriosus (TA) in the second. Computed tomography was complimentary to echocardiography in delineating the anatomic details in both cases, informing surgical repair with reconstruction of a left aortic arch in first case and right arch in the second...
July 13, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/30009800/suprasternal-and-left-axillary-transcatheter-aortic-valve-replacement-in-morbidly-obese-patients
#6
Anna Olds, Kyle Eudailey, Tamim Nazif, Torsten Vahl, Omar Khalique, Clifton Lewis, Rebecca Hahn, Martin Leon, Vinayak Bapat, Mustafa Ahmed, Susheel Kodali, Isaac George
In morbidly obese patients who cannot undergo transfemoral, transaortic, or transapical transcatheter aortic valve replacement (TAVR) due to body habitus, suprasternal (SS) and left subclavian/axillary artery (LSCLA) approaches may provide safe TAVR access. Nine morbidly obese patients with a BMI ≥35 underwent SS-TAVR (7) or LSCLA-TAVR (2) at two institutions from 2015-2017. Mean age was 69.4±7.3 years, and mean BMI was 50.3±10.6. There were no deaths, valve reinterventions, or reoperations. Three patients required new pacemakers...
July 13, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/30009809/arterial-switch-operation-operative-approach-and-outcomes
#7
REVIEW
Tyson A Fricke, Igor E Konstantinov
The ASO has excellent early outcomes. While the majority of patients are growing into healthy adults, a small subset require reoperation for PS as well as neo-ARD and neo-AR especially as follow-up increases. Challenging subgroups include patients with anomalous coronary anatomy, concomitant AAO, TBA, VSD, low operative weight and patients with an intact IVS who present late.
July 12, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/30009805/giant-rhabdomyoma-requiring-emergency-resection-early-after-birth
#8
Murat Ugurlucan, Didem Melis Oztas, Erhan Aygun, Bahruz Aliyev, Ali Yılmaz Altay, Yasemin Ozluk, Rukiye Eker Omeroglu, Ufuk Alpagut
No abstract text is available yet for this article.
July 12, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/30009803/mid-term-echocardiographic-assessment-of-right-ventricular-function-after-midline-unifocalization
#9
Matteo Trezzi, Carolina D'Anna, Gabriele Rinelli, Gianluca Brancaccio, Enrico Cetrano, Sonia B Albanese, Adriano Carotti
BACKGROUND: Patients with an open VSD following repair of pulmonary atresia, ventricular septal defect and major aortopulmonary collaterals (PA/VSD/MAPCAs), are the most vulnerable subgroup. We analyzed the impact of concomitant versus delayed VSD closure on survival and intermediate-term right ventricular (RV) function. METHODS: Between October 1996 and February 2017, 96 patients underwent a pulmonary flow-study aided repair of PA/VSD/MAPCAs. Those who underwent either concomitant or delayed intracardiac repair, echocardiographic RV systolic function was retrospectively calculated assessing: (1) right ventricular fractional area change (RVFAC) and (2) 2D longitudinal strain of the free wall of the right ventricle (RVLS)...
July 12, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/30009802/multi-modal-treatment-for-post-pneumonectomy-bronchopleural-fistula-associated-with-empyema
#10
Claudio Andreetti, Cecilia Menna, Antonio D'Andrilli, Mohsen Ibrahim, Giulio Maurizi, Camilla Poggi, Erino Angelo Rendina, Federico Venuta, Mario Santini, Alfonso Fiorelli
Post-pneumonectomy bronchopleural fistula associated with empyema still remains a dreaded complication in thoracic surgery. A variety of surgical, and endoscopic procedures have been proposed over the years, but none of these has been suitable for all patients. Herein, we reported a new multi-modal approach including the insertion of tracheobronchial conical stent, the open pleural packing and the closure of bronchial stump with omentoplasty. This procedure was successfully applied in 11 patients with post-pneumonectomy bronchopleural fistula with empyema...
July 12, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/30009801/listing-low-weight-or-ill-infants-for-heart-transplantation-is-it-prudent
#11
Raheel Rizwan, Farhan Zafar, Clifford Chin, James Tweddell, Roosevelt Bryant, David Morales
BACKGROUND: Infants awaiting heart transplantation (HTx) have the highest waitlist mortality compared to other HTx patients. This study analyzed the impact of weight and other factors on waitlist and post-HTx outcomes in infants. METHODS: All infants on HTx waitlist in the United Network for Organ Sharing database from October 1987-June 2016 were divided into weight groups: <2.5Kg, 2.5-3.9Kg and >4Kg. Survival from listing regardless of transplant was compared using Kaplan-Meier analysis...
July 12, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29969620/perioperative-risk-profiles-and-volume-outcome-relationships-in-proximal-thoracic-aortic-surgeries
#12
Makoto Mori, Kayoko Shioda, Xiaofei Wang, Abeel A Mangi, James J Yun, Umer Darr, John A Elefteriades, Arnar Geirsson
BACKGROUND: Using the national STS Adult Cardiac Surgery Database (ACSD) data for thoracic aortic surgeries for aortic aneurysm, this study aimed to 1) characterize the patient risk profiles and outcomes, 2) evaluate center volume-outcome relationship across U.S. centers, and 3) identify risk factors for operative mortality. METHODS: Between 2011-2016, 53,559 operations for ascending aortic aneurysm performed across 1045 centers in the U.S were identified. Logistic regression related baseline characteristics and commorbidities to operative mortality...
June 30, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29969619/transcatheter-aortic-valve-replacement-comparing-transfemoral-transcarotid-and-transcaval-access-commentary
#13
Oz M Shapira
No abstract text is available yet for this article.
June 30, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29969618/recording-margin-distance-is-crucial-in-limited-pulmonary-resection-for-lung-cancer-reply
#14
LETTER
Jinlin Cao, Jian Hu
No abstract text is available yet for this article.
June 30, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29969617/tetralogy-of-fallot-repair-in-developing-countries-international-quality-improvement-collaborative
#15
Nestor Sandoval, Marisol Carreño, William M Novick, Ravi Agarwal, Iftikhar Ahmed, Rakhi Balachandran, Maria Balestrini, K M Cherian, Ulisses Croti, Xinwei Du, Kimberlee Gauvreau, Do Thi Cam Giang, Ramkinkar Shastri, Kathy J Jenkins
BACKGROUND: Isolated reports from low- and middle-income countries (LMIC) for surgical results in Tetralogy of Fallot (TOF) are available. The International Quality Improvement Collaborative for Congenital Heart Disease (IQIC) seeks to improve surgical results promoting reductions in infection and mortality in low and middle income countries. METHODS: All cases of TOF in the IQIC database performed between 2010 and 2014 at 32 centers in 20 LMIC were included. Excluded from the analysis were TOF with any associated lesions...
June 30, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29966596/mechanical-versus-bioprosthetic-aortic-valve-replacement-in-patients-aged-50-years-and-younger
#16
Sameer A Hirji, Ahmed Kolkailah, Fernando Ramirez-Del Val, Jiyae Lee, Siobhan McGurk, Marc Pelletier, Steve Singh, Hari Mallidi, Sary Aranki, Prem Shekar, Tsuyoshi Kaneko
BACKGROUND: The goal of this study was to evaluate outcomes in younger patients specifically aged 50 and younger after mechanical (mAVR) and bioprosthetic AVR (bAVR). METHODS: From 1994 to 2016, 643 patients underwent AVR (411 mAVR and 232 bAVR) at the age 50 or younger. Concomitant CABG and mitral valve (MV) procedures were also included. Propensity score matching methods resulted in 170 evenly matched-patient pairs. Primary endpoints were operative mortality and long-term survival...
June 29, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29966595/use-of-bilateral-mammary-artery-redefining-indications-after-a-quick-glance-at-the-coronary-status
#17
LETTER
Angelo M Dell'Aquila, Arash Motekallemi, Fausto Biancari
No abstract text is available yet for this article.
June 29, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29966594/pericardial-pleomorphic-mesothelioma-and-heart-failure-a-unique-case
#18
Gregorio Laguna, Miriam Blanco, Gerardo Martínez, Yolanda Carrascal
No abstract text is available yet for this article.
June 29, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29966593/adventitial-wrap-technique-for-acute-type-a-aortic-dissection
#19
Hiroshi Koshiyama, Shuhei Okubo, Hironobu Morimoto, Shogo Mukai, Daisuke Futagami
We describe a simple and reproducible technique to achieve complete and immediate hemostasis of the distal anastomosis in total arch replacement with the frozen elephant trunk technique. The adventitia was left seamlessly 1.0 cm longer than the level of the suture line. The adventitial remnant covered most of the distal anastomosis line tightly while the distal anastomosis was completed with continuous sutures. The adventitia was thin and tough, making it suitable to cover the suture line. This technique can contribute to eliminating bleeding from the distal anastomosis independent of unreliable blood coagulability during aortic surgery for acute aortic dissection...
June 29, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29966592/robotic-mitral-valve-repair-in-older-individuals-an-analysis-of-the-society-of-thoracic-surgeons-database
#20
Alice Wang, J Matthew Brennan, Shuaiqi Zhang, Sin-Ho Jung, Babatunde Yerokun, Morgan L Cox, Jeffrey P Jacobs, Vinay Badhwar, Rakesh M Suri, Vinod Thourani, Michael E Halkos, James S Gammie, A Marc Gillinov, Peter K Smith, Donald Glower
BACKGROUND: National outcomes of robotic mitral valve repair (rMVr) compared to sternotomy (sMVr) in older patients are currently unknown. METHODS: From 2011 to 2014, all patients aged ≥ 65 years undergoing MVr in the STS Adult Cardiac Surgery Database linked to Medicare claims data were identified. Patients who underwent rMVr were propensity matched to patients who underwent sMVr. Standard differences and falsification outcome of baseline characteristics were tested to ensure a balanced match...
June 29, 2018: Annals of Thoracic Surgery
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