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European Journal of Cardio-thoracic Surgery

Marco Moscarelli, Francesca Fiorentino, M-Saadeh Suleiman, Costanza Emanueli, Barnaby C Reeves, Prakash P Punjabi, Gianni D Angelini
OBJECTIVES: This trial was designed and patients were recruited at a time when the benefits of remote ischaemic preconditioning during open-heart surgery were still controversial. We focused on a homogeneous patient population undergoing either isolated aortic valve replacement or coronary artery bypass grafting (CABG) surgery by investigating cardiac injury, metabolic stress and inflammatory response. METHODS: A 2-centre randomized controlled trial recruited a total of 124 patients between February 2013 and April 2015...
December 12, 2018: European Journal of Cardio-thoracic Surgery
Delfien Coevoet, Elke Van Daele, Wouter Willaert, Wouter Huvenne, Dirk Van de Putte, Wim Ceelen, Philippe Deron, Piet Pattyn, Yves Van Nieuwenhove
OBJECTIVES: After oesophagectomy, stomach grafts are most frequently used to restore intestinal continuity. Less frequently, a colonic graft is used. There is quite a large body of literature addressing the functional outcome after gastric pull-up, but little is known about the functional results of colonic interposition (CI). The aim of this study was to assess the short-term outcomes and the long-term quality of life and function of the CI postoesophagectomy. METHODS: Between 2002 and 2016, we retrospectively collected data on 80 patients with CI from personal health records at the Ghent University hospital...
December 12, 2018: European Journal of Cardio-thoracic Surgery
Yuki Ikeno, Shunsuke Sakakibara, Koki Yokawa, Keitaro Kitani, Hidekazu Nakai, Katsuhiro Yamanaka, Takeshi Inoue, Hiroshi Tanaka, Hiroto Terashi, Yutaka Okita
OBJECTIVES: The aim of this study was to evaluate the early and long-term outcomes of our multidisciplinary strategy for treating deep sternal wound infection after aortic grafting, which consisted of debridement by a plastic surgeon, negative pressure wound therapy with continuous irrigation and chest wall reconstruction. METHODS: We performed a retrospective analysis of 18 patients who had a deep sternal wound infection following aortic grafting through a median sternotomy between January 2009 and December 2017...
December 12, 2018: European Journal of Cardio-thoracic Surgery
Elham Bidar, Thierry Folliguet, Jolanda Kluin, Claudio Muneretto, Alessandro Parolari, Fabio Barili, Piotr Suwalski, Nikolaos Bonaros, Prakash Punjabi, Rafa Sadaba, Michele De Bonis, Nawwar Al-Attar, Jean Francois Obadia, Martin Czerny, Malakh Shrestha, Rachid Zegdi, Ehsan Natour, Roberto Lorusso
Surgical aortic valve replacement (SAVR) is highly effective and can be achieved with relatively low risk in patients with severe aortic stenosis. Bioprostheses have been used most frequently during the past 60 years. However, the function of biological valves usually declines after 10-15 years from implant when structural valve degeneration occurs often mandating a reoperation once valve dysfunction becomes haemodynamically significant. Known for many years by surgeons and cardiologists taking care of patients with SAVR, the issue of postimplant structural valve degeneration has been recently highlighted also in patients with transcatheter aortic valve implant (TAVI)...
December 11, 2018: European Journal of Cardio-thoracic Surgery
Lisa Füreder, Georg A Böhmig, Anne-Kristin Schaefer, Barbara Steinlechner
Exposure to heparin and protamine during cardiac surgery on cardiopulmonary bypass (CPB) may trigger heparin-induced thrombocytopaenia and/or protamine-induced thrombocytopaenia. Further surgery on CPB with heparin and protamine in the presence of these antibodies implies increased thromboembolic risk. We present the successful application of extracorporeal immunoadsorption to deplete antibodies causing heparin-induced and protamine-induced thrombocytopaenia preoperatively.
December 11, 2018: European Journal of Cardio-thoracic Surgery
Salla Jäämaa-Holmberg, Birgitta Salmela, Raili Suojaranta, Janne J Jokinen, Karl B Lemström, Jyri Lommi
OBJECTIVES: Our goal was to study the outcome of patients with cardiogenic shock who were treated with venoarterial extracorporeal membrane oxygenation (VA ECMO), including the subsequent long-term health-related quality of life (HRQoL). METHODS: We conducted a retrospective study of 133 consecutive patients treated in a single centre from 2007 to 2016. The HRQoL was studied using the EuroQuol-5 dimensions-3 level questionnaire and the RAND 36-Item Short Form Health Survey at a minimum of 1 year after VA ECMO...
December 10, 2018: European Journal of Cardio-thoracic Surgery
Giovanni Spinella, Alice Finotello, Michele Conti, Elena Faggiano, Valerio Gazzola, Ferdinando Auricchio, Nabil Chakfé, Domenico Palombo, Bianca Pane
OBJECTIVES: The aim of this study was to measure the morphological remodelling of the ascending aorta, aortic arch and thoracic aorta after aortic arch hybrid treatment including debranching and stent graft implantation. METHODS: Preoperative, 1-month and 1-year follow-up of computed tomography angiography scans of 22 patients were analysed to compute the lumen centreline from the aortic root to the coeliac trunk, and the following measurements were derived: the total centreline length, distance from the aortic root to the left subclavian artery, distance from the left subclavian artery to the distal landing zone...
December 7, 2018: European Journal of Cardio-thoracic Surgery
Yoshiyuki Yamashita, Yasuhisa Oishi, Yuma Motomatsu, Kazuto Hirayama, Takeaki Harada, Tomoki Ushijima, Satoshi Fujita, Satoshi Kimura, Hiromichi Sonoda, Hideki Tatewaki, Yoshihisa Tanoue, Genya Sunagawa, Takuya Nishikawa, Keita Saku, Akira Shiose
OBJECTIVES: Aortic endografting can cause aortic stiffening. We aimed to determine the chronic effect of thoracic endografting on cardiac afterload, function and remodelling. METHODS: Eleven dogs were included, and all except 1 was successfully assessed [endograft, n = 5; sham operation (control), n = 5]. We deployed a stent graft in the descending aorta. The ascending aortic pressure and flow were measured, and aortic input impedance was obtained by frequency analysis to determine characteristic impedance and arterial compliance...
December 7, 2018: European Journal of Cardio-thoracic Surgery
Massimiliano M Marrocco-Trischitta, Rodrigo M Romarowski, Hector W de Beaufort, Michele Conti, Renato Vitale, Francesco Secchi, Ferdinando Auricchio, Santi Trimarchi
OBJECTIVES: Our goal was to confirm whether the Modified Arch Landing Areas Nomenclature (MALAN) for thoracic endovascular aortic repair, in which each landing area is described by indicating both the proximal landing zone (PLZ) and the type of arch (e.g. 0/I), identifies unfavourable landing zones for endograft deployment in diseased aortas. METHODS: Preoperative computed tomography angiography scans of 10 patients scheduled for thoracic endovascular aortic repair for aneurysm or penetrating ulcer of the arch and with a potential hostile PLZ were reviewed...
December 7, 2018: European Journal of Cardio-thoracic Surgery
Derrick Y Tam, Harindra C Wijeysundera, Maral Ouzounian, Stephen E Fremes
OBJECTIVES: Our goal was to determine the range of perioperative mortality rates associated with the Ross procedure that results in a life expectancy similar to that seen with mechanical aortic valve replacement (mAVR) in young patients with aortic valve disease. METHODS: A fully probabilistic Markov microsimulation model with 1000 outer loops and 10 000 inner loops was constructed to compare gain in life expectancy and quality-adjusted life years between the index treatment with the Ross procedure versus mAVR for a theoretical cohort of young patients with aortic valve disease...
December 7, 2018: European Journal of Cardio-thoracic Surgery
Jorge Nuche, Jose Manuel Montero Cabezas, Sergio Alonso Charterina, Pilar Escribano Subías
Pulmonary artery dissection is a rare entity, usually discovered post-mortem. In recent years, reported cases of living patients with a pulmonary artery dissection are growing and represent a challenging situation for clinicians.
December 7, 2018: European Journal of Cardio-thoracic Surgery
Anna Elisabeth Frick, Kristiaan Nackaerts, Johnny Moons, Yolande Lievens, Eric Verbeken, Maarten Lambrecht, Johan Coolen, Christophe Dooms, Johan Vansteenkiste, Paul De Leyn, Philippe Nafteux
OBJECTIVES: Combined modality treatment (CMT) for malignant pleural mesothelioma (MPM) remains a matter of debate regarding the choice of surgical procedure: extrapleural pneumonectomy (EPP) or pleurectomy/decortication. METHODS: We performed a prospective interventional cohort study between 2003 and 2014. All consecutive patients with any histological MPM subtype, ≤70 years old, World Health Organization performance status ≤1, medically fit for pneumonectomy and stage cT1-2cN0-2cM0 (TNM7) or lower were included...
December 6, 2018: European Journal of Cardio-thoracic Surgery
Theodorus M J van Bakel, Christopher J Arthurs, Foeke J H Nauta, Kim A Eagle, Joost A van Herwaarden, Frans L Moll, Santi Trimarchi, Himanshu J Patel, C Alberto Figueroa
OBJECTIVES: Current endografts for thoracic endovascular aortic repair (TEVAR) are much stiffer than the aorta and have been shown to induce acute stiffening. In this study, we aimed to estimate the impact of TEVAR on left ventricular (LV) stroke work (SW) and mass using a non-invasive image-based workflow. METHODS: The University of Michigan database was searched for patients treated with TEVAR for descending aortic pathologies (2013-2016). Patients with available pre-TEVAR and post-TEVAR computed tomography angiography and echocardiography data were selected...
December 6, 2018: European Journal of Cardio-thoracic Surgery
Jamie A Mawhinney, Craig A Mounsey, David P Taggart
No abstract text is available yet for this article.
December 6, 2018: European Journal of Cardio-thoracic Surgery
Michael R Dashwood
No abstract text is available yet for this article.
December 6, 2018: European Journal of Cardio-thoracic Surgery
Yi Zhu, Songyuan Luo, Huanyu Ding, Yuan Liu, Wenhui Huang, Nianjin Xie, Jie Li, Ling Xue, Jianfang Luo
OBJECTIVES: The aim of this study was to identify patients who are at high risk of developing postimplantation syndrome (PIS) after thoracic endovascular aortic repair (TEVAR) for type B aortic dissection. METHODS: This retrospective study included 646 patients who underwent TEVAR for type B aortic dissection between January 2010 and December 2015 at the Guangdong General Hospital. PIS was defined as fever (>38°C) and leucocytosis (>12 000 μl-1) without evidence of infection...
December 5, 2018: European Journal of Cardio-thoracic Surgery
Filip W N Haenen, Tim Smith, Edgar Daeter
No abstract text is available yet for this article.
December 5, 2018: European Journal of Cardio-thoracic Surgery
Matteo Pettinari, Laurent De Kerchove, Siham Lazam, Agnes Pasquet, Bernard Gerber, Jean-Louis Vanoverschelde, Gebrine El-Khoury
OBJECTIVES: The optimal management of functional tricuspid regurgitation (FTR) in the setting of mitral valve operations remains controversial. The current practice is both centre specific and surgeon specific with guidelines based on non-randomized data. A prospective randomized trial was performed to evaluate the worth of less-than-severe FTR repair during mitral valve procedures. METHODS: A single-centre randomized study was designed to allocate patients with less-than-severe FTR undergoing mitral valve surgery to be prophylactically treated with or without tricuspid valve annuloplasty (TVP- or TVP+)...
December 4, 2018: European Journal of Cardio-thoracic Surgery
Kevin M Veen, Mostafa M Mokhles, Jerry Braun, Michel I M Versteegh, Ad J J C Bogers, Johanna J M Takkenberg
OBJECTIVES: This study aims to explore male-female differences in baseline and procedural characteristics, and outcomes of patients undergoing isolated or concomitant tricuspid valve (TV) surgery. METHODS: All TV procedures registered between 2007 and 2016 in the database of the Netherlands Association for Cardio-Thoracic Surgery were analysed. Logistic regression analyses with interaction terms were used to determine whether sex was associated with hospital mortality...
December 4, 2018: European Journal of Cardio-thoracic Surgery
Stéphane Renaud, Joseph Seitlinger, David St-Pierre, Richard Garfinkle, Yaseen Al Lawati, Francesco Guerrera, Enrico Ruffini, Pierre-Emmanuel Falcoz, Gilbert Massard, Lorenzo Ferri, Jonathan Spicer
OBJECTIVES: Neutrophil to lymphocyte ratio (NLR) has been shown to be a promising biomarker in several cancers. Prognostic biomarkers are still needed to define good candidates for lung metastasectomy for colorectal cancer. We aimed to evaluate the role of NLR. METHODS: Data from 574 patients who underwent lung metastasectomy for colorectal cancer in 3 departments of thoracic surgery from 2004 to 2014 were retrospectively reviewed. Overall survival (OS) and the time to pulmonary recurrence (TTPR) were the main end points...
December 1, 2018: European Journal of Cardio-thoracic Surgery
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