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Thoracic and Cardiovascular Surgeon

Zhengcheng Liu, Rusong Yang, Feng Shao
OBJECTIVE:  To investigate whether the single-port (SP) technique had more favorable postoperative outcomes than had the two-port (TP) technique. METHODS:  One hundred sixty-six single-port video-assisted thoracoscopic surgery (SP-VATS) lobectomy and 162 two-port video-assisted thoracoscopic surgery (TP-VATS) lobectomy had been successfully completed between August 2015 and September 2016. A single incision of ∼3 cm was made in an intercostal space along the anterior axillary line...
July 9, 2018: Thoracic and Cardiovascular Surgeon
Grischa Hoffmann, Selam Abraham-Westphal, Tim Attmann, Derk Frank, Georg Lutter, Jochen Cremer, Rainer Petzina
BACKGROUND:  The impact of patient-prosthesis mismatch (PPM) after aortic valve replacement (AVR) on long-term survival and quality of life (QoL) remains controversial. The objective of this study was to evaluate the impact of PPM on long-term survival and QoL in a large cohort of patients treated with isolated stented biological AVR in a single-center experience. METHODS:  We analyzed data of 632 consecutive patients following isolated stented biological AVR between 2007 and 2012 at our institution...
July 5, 2018: Thoracic and Cardiovascular Surgeon
Michael Schwarzer, Leonhard Alscher, Torsten Doenst
BACKGROUND:  Scientific publications are important for the advancement in medicine. Surgical disciplines including cardiac surgery are frequently considered not scientifically leading. However, a specific comparison between surgical and nonsurgical disciplines has not yet been performed. We thus compared scientific output of German departments of cardiac surgery with nonsurgical cardiology departments and surgical departments not addressing the heart (general surgery) of 34 universities in Germany...
June 28, 2018: Thoracic and Cardiovascular Surgeon
Bicheng Zhan, Jian Chen, Shaoming Du, Yanzheng Xiong, Jian Liu
BACKGROUND:  Minimally invasive Ivor Lewis esophagectomy (MIILE) is increasingly being used in the treatment of middle or lower esophageal cancer. Hand-sewn purse-string stapled anastomosis is a classic approach in open esophagectomy. However, this procedure is technically difficult under thoracoscopy. The hardest part is delivering the anvil into the esophageal stump. Herein, we report an approach to performing this step under thoracoscopy. METHODS:  A total of 257 consecutive patients who underwent MIILE between April 2013 and July 2017 were analyzed retrospectively...
June 28, 2018: Thoracic and Cardiovascular Surgeon
Qiang Chen, Ze-Wei Lin, Zhi-Nuan Hong, Hua Cao, Gui-Can Zhang, Liang-Wan Chen, Ling-Li Yu, Qi-Liang Zhang
BACKGROUND:  Transthoracic device closure (TTDC) and surgical repair with right infra-axillary thoracotomy (SRRIAT) or with right submammary thoracotomy (SRSMT) are all the primary alternative treatments for restrictive perimembranous ventricular septal defect (pmVSD). However, few studies have compared them in terms of effectiveness and complications. METHODS:  Patients with restrictive pmVSD undergoing TTDC, or SRRIAT, or SRSMT from March 2016 to February 2017 were retrospectively reviewed in our cardiac center...
June 28, 2018: Thoracic and Cardiovascular Surgeon
C Velasco Garcia de Sierra, F Estevez-Cid, J J Cuenca-Castillo
Filming surgeries for teaching purposes, publications, and patient records has become increasingly popular as the systems for digital recording have evolved, becoming high-quality systems, both smaller and lighter. Digital recording allows long-term storage, retrieval, and database organization. In addition, sharing digital contents has also become easier since video sharing sites and social networks make it possible to upload these contents onto the Internet. We describe a simple and economical system for surgeons to record surgeries in high definition under sterile conditions without any interference with the surgeon's line of vision...
June 28, 2018: Thoracic and Cardiovascular Surgeon
Takashi Kunihara, Olaf Wendler, Kerstin Heinrich, Ryota Nomura, Hans-Joachim Schäfers
BACKGROUND:  The optimal choice of conduit and configuration for coronary artery bypass grafting (CABG) in diabetic patients remains somewhat controversial, even though arterial grafts have been proposed as superior. We attempted to clarify the role of complete arterial revascularization using the left internal thoracic artery (LITA) and the radial artery (RA) alone in "T-Graft" configuration on long-term outcome. METHODS AND RESULTS:  From 1994 to 2001, 104 diabetic patients with triple vessel disease underwent CABG using LITA/RA "T-Grafts" (Group-A)...
June 20, 2018: Thoracic and Cardiovascular Surgeon
Jan Heimeshoff, Constanze Merz, Marcel Ricklefs, Felix Kirchhoff, Axel Haverich, Christoph Bara, Christian Kühn
BACKGROUND:  A wearable cardioverter-defibrillator (WCD) can terminate ventricular fibrillation and ventricular tachycardias via electrical shock and thus give transient protection from sudden cardiac death. We investigated its role after cardiac surgery. METHODS:  We retrospectively analyzed all patients who were discharged with a WCD from cardiac surgery department. The WCD was prescribed for patients with a left ventricular ejection fraction (LVEF) of ≤35% or an explanted implantable cardioverter-defibrillator (ICD)...
June 20, 2018: Thoracic and Cardiovascular Surgeon
Jan-Hendrik Egberts, Thorben Möller, Thomas Becker
Sleeve lobectomy (SL) makes it possible to resect centrally located lung carcinoma oncological correct while protecting healthy lung tissue. However, this procedure is often limited with conventional video-assisted thoracoscopic surgery, due to the limited mobility of the rigid and long instruments and the limited visualization. Therefore, these interventions are often still performed in the open conventional technique with the well-known disadvantages. Particularly in the reconstruction of the respiratory tract, precise sewing must be performed in a small space to avoid stenosis of the different diameter of the lumina...
June 16, 2018: Thoracic and Cardiovascular Surgeon
Alfonso Agnino, Alberto Maria Lanzone, Andrea Albertini, Amedeo Anselmi
The free margin running suture (FMRS) is a novel technique for nonresection correction of degenerative mitral regurgitation. It was employed in 37 minimally invasive mitral repair cases. We performed a retrospective collection of in-hospital data and a clinical/echocardiographic follow-up. All patients were discharged with none or mild mitral regurgitation, except one who had mild-to-moderate (2+) regurgitation. At follow-up (average: 2.1 years), all patients were alive; there were no instances of recurrent regurgitation, one case of 2+ regurgitation, and no valve-related complications...
June 13, 2018: Thoracic and Cardiovascular Surgeon
Julia Merkle, Anton Sabashnikov, Antje Christin Deppe, Saskia Weber, Navid Mader, Yeong-Hoon Choi, Oliver Liakopoulos, Ferdinand Kuhn-Régnier, Thorsten Wahlers
BACKGROUND:  Stanford A acute aortic dissection (AAD) is a life-threatening emergency. The aim of this study was to compare the impact of three different aortic entry tear sites on early outcomes and long-term survival of patients with Stanford A AAD. METHODS:  From January 2006 to April 2015, a total of 240 consecutive patients with diagnosed Stanford A AAD underwent emergent, isolated surgical aortic repair in our center. Patients were divided into three groups comprising isolated ascending aorta, proximal aortic arch, and distal aortic arch entry tear site and were followed up for up to 9 years...
June 13, 2018: Thoracic and Cardiovascular Surgeon
Hee Jung Kim, Jae Eun Chung, Jae Seung Jung, In Seup Kim, Ho Sung Son
BACKGROUND:  Despite advance in off-pump coronary artery bypass (OPCAB) grafting, there are large debating issues regarding survival benefit between OPCAB and on-pump coronary artery bypass grafting (CABG). The aim of this study is to address appropriateness of OPCAB approach in patients with ischemic heart disease having multiple vessels using South Korea national cohort data. METHODS:  To evaluate the safety and efficacy of OPCAB, we accessed all causes of death, late repeat revascularization, hospitalization for cerebrovascular accident (CVA), and new renal replacement therapy in patients who underwent isolated CABG with multiple grafting (≥2 grafts) and who were registered in the Korean Health Insurance Review and Assessment Service Database between April 2011 and September 2014...
May 31, 2018: Thoracic and Cardiovascular Surgeon
Keiji Yamanashi, Norihito Okumura, Yoshiharu Yamamoto, Ayuko Takahashi, Takashi Nakashima, Tomoaki Matsuoka
BACKGROUND:  In the eighth edition of the TNM classification, the lung tumors that have the same solid components are categorized either as part-solid or pure-solid tumors. However, this is debatable since the tumors in the same T component categories were evaluated without considering this categorization, and was based on a more malignant behavior and a poorer prognosis of pure-solid tumors. The aim of this study was to investigate and compare the prognosis between part-solid and pure-solid tumors...
May 29, 2018: Thoracic and Cardiovascular Surgeon
Kamran Ali, Sukki Cho, Hyo Jun Jang, Kwhanmien Kim, Sanghoon Jheon
BACKGROUND:  The aim of this study was to identify the factors predicting thoracic lymph node (LN) metastases for pulmonary resection from colorectal cancer (CRC). METHODS:  The records of 160 patients who underwent pulmonary metastasectomy for CRC were retrospectively reviewed. Clinicopathologic factors were analyzed with chi-square test or t -test and logistic regression to identify predictable factors for LN metastases. RESULTS:  Sixty patients (37...
May 29, 2018: Thoracic and Cardiovascular Surgeon
Jun Ho Lee, Dong Seop Jeong, Kiick Sung, Wook Sung Kim, Pyo Won Park, Hyuck Kim, K C Carriere, Young Tak Lee
BACKGROUND:  Whether percutaneous coronary intervention (PCI) is superior to coronary artery bypass grafting (CABG) for the right coronary territory is unknown. The aim of this study was to compare the outcomes and patency in the right coronary territory after CABG or PCI. METHODS:  We studied 2,467 multivessel coronary artery disease patients from January 2001 to December 2011; 1,672 were off-pump CABG patients and 795 were PCI. The graft patency and the presence of major adverse cardiac and cerebrovascular events (MACCEs) including death, myocardial infarction, target vessel revascularization, and stroke were analyzed...
May 29, 2018: Thoracic and Cardiovascular Surgeon
D Reichart, C F Brand, A M Bernhardt, S Schmidt, A Schaefer, S Blankenberg, H Reichenspurner, F M Wagner, T Deuse, M J Barten
BACKGROUND:  Minimally invasive left ventricular assist device (LVAD) implantation may reduce peri-/postoperative complications and risks associated with resternotomies. In this study, we describe our first results using a minimally invasive LVAD implantation technique (lateral thoracotomy [LT] group). These results were compared with LVAD implantations done via full median sternotomy (STX group). METHODS:  HVAD (HeartWare, Framingham, Massachusetts, United States) implantations in 70 patients (LT group n  = 22, 52 ± 15 years old; STX group n  = 48, 59 ± 11 years old) were retrospectively analyzed...
May 27, 2018: Thoracic and Cardiovascular Surgeon
Eyal Nachum, Leonid Sternik, Yigal Kassif, Ehud Raanani, Ilan Hay, Amjad Shalabi, Jonathan Buber
BACKGROUND:  Although surgery is the sole therapeutic option for patients with constrictive pericarditis (CP), reports on high postoperative mortality rates have led to hesitant surgery referral. The aim of this study was to report the short- and long-term outcomes of surgical pericardiectomy (SP) from a large tertiary center. METHODS:  Between January 2005 and January 2017, 55 consecutive patients underwent SP after comprehensive echocardiography, computed tomography, and hemodynamic studies...
May 27, 2018: Thoracic and Cardiovascular Surgeon
Celalettin Ibrahim Kocaturk, Ozkan Saydam, Celal Bugra Sezen, Cem Emrah Kalafat, Levent Cansever, Ali Cevat Kutluk, Hasan Akin, Muzaffer Metin
OBJECTIVES:  The right sleeve lower lobectomy is the least used of the bronchial sleeve operations. There are only case-based studies in the literature. In this study, we compared this technique to those used in patients who underwent a right lower bilobectomy. METHODS:  We retrospectively reviewed the data of patients who had been operated on due to non-small cell lung cancer (NSCLC) from January 2005 to December 2015 from a dataset that was formed prospectively...
May 23, 2018: Thoracic and Cardiovascular Surgeon
Mario Lescan, Andreas Hornung, Michael Hofbeck, Christian Schlensak
BACKGROUND:  Post-coarctation of the aorta (CoA) pseudoaneurysms is a complication of open repair. Thoracic endovascular repair (TEVAR) is feasible but complicated by proximity to the supra-aortic trunks and severe arch angulation. METHODS:  We describe three cases of post-CoA pseudoaneurysms treated with custom-made Relay stent grafts (Vascutek, Scotland). RESULTS:  Technical and clinical success was achieved in all three cases with no mortality, morbidity, endoleaks, or complications...
May 17, 2018: Thoracic and Cardiovascular Surgeon
Oleg Kuhtin, Marina Veith, Mohammed Alghanem, Ivan Martel, Dmitrii Giller, Viktor Haas, Ludwig Lampl
Thoracoplasty was invented for removing cavities between thoracic wall and remnant lung or mediastinum. It was initially used in cases of tuberculosis or unspecific infections, while currently it is used mainly for space problems after lobectomy/pneumonectomy.This article presents an overview of the historical and current techniques of this surgical procedure.Nowadays, thoracoplasty is rarely performed due to the low incidence of diseases for which this method is necessary. Therefore, this method has even been discredited...
May 17, 2018: Thoracic and Cardiovascular Surgeon
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