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Seminars in Thoracic and Cardiovascular Surgery

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https://www.readbyqxmd.com/read/28917527/back-to-the-basics-making-the-bovine-pericardial-patch-great-again
#1
EDITORIAL
Farhan Zafar, David L S Morales
No abstract text is available yet for this article.
September 13, 2017: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28917526/who-makes-the-best-martini
#2
EDITORIAL
Jonathan M Chen
No abstract text is available yet for this article.
September 13, 2017: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28917525/-y-not
#3
EDITORIAL
Sudish Murthy
No abstract text is available yet for this article.
September 13, 2017: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28935507/surgery-is-in-the-eye-of-the-beholder
#4
EDITORIAL
Anthony L Estrera, Rana O Afifi
No abstract text is available yet for this article.
August 25, 2017: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28935511/pavia-experience-in-reoperative-pulmonary-endarterectomy
#5
Vera Nadia Merli, Nicola Vistarini, Valentina Grazioli, Antonio Sciortino, Maurizio Pin, Ilaria Parisi, Andrea Maria D'Armini
In our experience, we reperformed pulmonary endarterectomy (PEA) in 10 patients who previously underwent a first PEA. We analyzed this cohort of patients to investigate the main causes of recurrence of symptomatic pathology and the clinical and hemodynamic results of redo surgery. Between 1994 and April 2016, 10 of 716 patients were reoperated at our institution. Available postoperative data were analyzed, and a comparison between first and second PEA hemodynamic and clinical results was carried out. In-hospital mortality rate was also evaluated...
August 24, 2017: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28935510/intraoperative-computed-tomography-navigation-during-thoracoscopic-segmentectomy-for-small-sized-lung-tumors
#6
Sung Soo Chang, Taku Okamoto, Yoshimasa Tokunaga, Takayuki Nakano
Performance of thoracoscopic pulmonary segmentectomy for primary lung cancer or pulmonary metastases has recently increased. In patients with emphysema, identification of the intersegmental line is often difficult. For nonpalpable lesions, securing a sufficient surgical margin is more likely to be uncertain. The purpose of this study was to evaluate the efficacy of intraoperative computed tomography (CT) scan during video-assisted thoracoscopic surgery (VATS) pulmonary segmentectomy. This study included 12 patients who underwent intraoperative CT-assisted VATS segmentectomy between January 2015 and August 2016...
August 24, 2017: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28935512/analysis-of-short-and-long-term-outcomes-of-patients-with-surgically-treated-left-sided-infective-endocarditis-a-5-year-longitudinal-follow-up-study
#7
Oksana Marushchak, Holy Cole, Brett Hiebert, Evelyn Lo, Yoav Keynan, James Tam, Nasir Shaikh, Alan H Menkis, Rakesh C Arora, Pallav Shah
This study aims to analyze survival, repeat hospitalization, and risk factors for surgically treated left-sided endocarditis. Retrospective review of all 166 (114 native and 52 prosthetic) patients operated between January 2004 and March 2015 was performed. Long-term survival and repeat hospitalization data for 134 of 166 patients were obtained via linked clinical databases with the Manitoba Centre for Health Policy. Kaplan-Meier estimates of survival and hospital readmission and Cox multivariable regression analysis of factors influencing outcomes were performed...
August 23, 2017: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28935509/aortic-valve-replacement-are-we-spoiled-for-choice
#8
Mohamad Bashir, Amer Harky, David Bleetman, Benjamin Adams, Neil Roberts, Damian Balmforth, John Yap, Kulvinder Lall, Alex Shipolini, Aung Oo, Rakesh Uppal
Management of aortic valve disease and, in particular, aortic valve stenosis has evolved through the course of time from medical management and balloon valvuloplasty to the presumed gold-standard surgical intervention. However, with the advent of surgical innovation, intra- and postoperative patients monitoring, understanding of hemodynamic dysfunction, and choices of prosthesis, conventional surgical aortic valve replacements are currently being challenged in particular in moderate- and high-risk patients...
August 18, 2017: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28935508/mixed-total-veins-the-epitome-of-the-few-the-disparate-and-the-obscure
#9
EDITORIAL
Rodrigo Zea-Vera, Carlos M Mery
No abstract text is available yet for this article.
August 18, 2017: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28823342/near-death-thoracic-trauma-caused-by-a-stingray-in-the-indian-ocean
#10
Lilia Mahjoubi, André Joyeux, Jean-François Delambre, Alain Rind
Stingray injuries are frequent, and although mostly benign, some can be life-threatening. We present the case of a 24-year-old man who suffered from a stingray attack in the Indian Ocean with a thoracic penetrating trauma, and its management.
July 2017: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28823341/black-esophagus-white-esophagus-or-shades-of-gray
#11
EDITORIAL
Justin D Blasberg
Esophageal stricture following an ischemic event may present acutely or with delayed symptoms of dysphagia. The findings reported by Kim et al provide additional evidence that the phenomenon of "black" and "white" esophagus falls within a spectrum of disease that requires case-specific consideration to effectively manage these patients.
July 2017: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28823340/black-and-white-esophagus-rare-presentations-of-severe-esophageal-ischemia
#12
Daniel B Kim, Steven Bowers, Mathew Thomas
Benign esophageal strictures are typically the result of long-standing gastroesophageal reflux, and are usually treated with serial dilations and acid-suppressive therapy. Other causes of benign esophageal strictures include external beam radiation, caustic ingestions, prior surgery, and external compression from mediastinal fibrosis. We report 2 rare causes of ischemic esophageal structuring occurring after operations unrelated to the esophagus. The first is a patient who developed esophageal injury following radiofrequency ablation for atrial fibrillation...
July 2017: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28823338/minimally-invasive-esophagectomy-provides-equivalent-survival-to-open-esophagectomy-an-analysis-of-the-national-cancer-database
#13
COMPARATIVE STUDY
Brian Mitzman, Waseem Lutfi, Chi-Hsiung Wang, Seth Krantz, John A Howington, Ki-Wan Kim
The use of minimally invasive esophagectomy (MIE) is increasing despite limited evidence to support its efficacy. We compared overall survival and perioperative mortality for MIE vs open esophagectomy (OE). We queried the National Cancer Database for all patients having esophagectomy as the primary procedure for primary squamous cell cancer and adenocarcinoma from 2010 through 2012. A propensity score analysis was performed. Postoperative pathology and quality, as well as overall patient survival outcomes, were compared between OE and MIE...
July 2017: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28823336/salvage-surgery-after-definitive-chemoradiotherapy-for-non-small-cell-lung-cancer
#14
Monica Casiraghi, Patrick Maisonneuve, Gaia Piperno, Roberto Bellini, Daniela Brambilla, Francesco Petrella, Filippo De Marinis, Lorenzo Spaggiari
Following definitive chemoradiation therapy, 24%-35% of patients with locally advanced non-small cell lung cancer have recurrence. We aimed to evaluate the feasibility of salvage surgery after definitive chemoradiotherapy and perioperative morbidity and mortality rates to determine long-term survival. From June 2003 to June 2013, 35 patients were eligible for lung cancer resection owing to relapse after definitive chemoradiation therapy. All patients received cisplatin-based chemotherapy and definitive radiotherapy (mean Gy: 58) with curative intent and all underwent total body computed tomography scan and 18-fluoro-deoxyglucose positron emission tomography scan after the end of medical treatment and before surgery...
July 2017: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28823334/impact-of-surgeon-volume-on-outcomes-of-older-stage-i-lung-cancer-patients-treated-via-video-assisted-thoracoscopic-surgery
#15
Cardinale B Smith, Andrea Wolf, Grace Mhango, Juan P Wisnivesky
Surgeon procedure volume influences outcomes of patients undergoing cancer operations. Limited data are available, however, on the volume-outcome relationship for video-assisted thoracoscopic surgery (VATS) in the treatment of non-small cell lung cancer (NSCLC). In this study, we used population-based data to evaluate the extent to which surgeon volume is associated with postoperative and long-term oncological outcomes following VATS resection for older patients with early-stage NSCLC. Stage I NSCLC patients >65 years treated with VATS wedge, segmentectomy, or lobectomy between 2000 and 2010 were identified from the Surveillance, Epidemiology, and End Results registry linked to Medicare...
July 2017: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28823332/long-term-effect-of-enlargement-of-a-ventricular-septal-defect-in-the-rastelli-procedure
#16
Yasuyuki Toyoda, Takeshi Hiramatsu, Mitsugi Nagashima, Goki Matsumura, Kenji Yamazaki
We investigated the effect of ventricular septal defect (VSD) enlargement on long-term surgical results, late arrhythmia, and left ventricular (LV) function in the Rastelli procedure for D-transposition of the great arteries with LV outflow tract obstruction (LVOTO). From 1979 to 2001, 74 patients (D-transposition of the great arteries, n = 56; double outlet right ventricle, n = 18) underwent the Rastelli procedure. In group A, 46 patients underwent the Rastelli procedure with VSD enlargement, and in group B, 28 patients underwent the Rastelli procedure without enlargement...
July 2017: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28823330/neonatal-ebstein-anomaly-a-30-year-institutional-review
#17
Jack C Luxford, Nitin Arora, Julian G Ayer, Charlotte E Verrall, Andrew D Cole, Yishay Orr, Yves d'Udekem, Gary F Sholler, David S Winlaw
This study aimed to review our 30-year, single-center experience of neonates admitted with Ebstein anomaly. Between January 1985 and August 2015, 80 neonates with Ebstein anomaly were managed. The primary outcome measures were early and late survival, freedom from reoperation, and functional status. Pulmonary atresia or critical stenosis occurred in 18 neonates. Twenty-seven (34%) patients required intervention: 13 systemic-to-pulmonary shunts, 5 balloon pulmonary valvotomy, 3 relief of right ventricular outflow tract obstruction, 3 Starnes procedures, and 3 other procedures...
July 2017: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28823329/surgical-techniques-for-repair-of-peripheral-pulmonary-artery-stenosis
#18
Richard D Mainwaring, Frank L Hanley
Peripheral pulmonary artery stenosis is a rare form of congenital heart disease frequently associated with Williams and Alagille syndromes. Patients with this disease typically have systemic level right ventricular pressures secondary to obstruction at the lobar, segmental, and subsegmental branches. The current management of patients with peripheral pulmonary artery stenosis remains somewhat controversial. We have pioneered an entirely surgical approach to the reconstruction of peripheral pulmonary artery stenosis...
July 2017: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28823327/central-cannulation-as-a-viable-alternative-to-peripheral-cannulation-in-extracorporeal-membrane-oxygenation
#19
COMPARATIVE STUDY
David N Ranney, Ehsan Benrashid, James M Meza, Jeffrey E Keenan, Desiree K Bonadonna, Raquel Bartz, Carmelo A Milano, Matthew G Hartwig, John C Haney, Jacob N Schroder, Mani A Daneshmand
Arterial cannulation for veno-arterial (VA) extracorporeal membrane oxygenation (ECMO) is most commonly established via the aorta, axillary, or femoral vessels, yet their inherent complications are not well characterized. The purpose of this study was to compare the outcomes and complication rates of central vs peripheral cannulation. Adult patients undergoing VA ECMO between June 2009 and April 2015 were reviewed in this retrospective single-center study. Patient characteristics, clinical outcomes, and details related to deployment were extracted from the medical record...
July 2017: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28823326/to-know-acute-aortic-dissection-is-to-know-all-of-cardiovascular-surgery
#20
EDITORIAL
Curt Tribble
This thought-provoking review demonstrates that, although it may be true that knowing a lot about the treatment of type A aortic dissection is essential for all cardiovascular surgeons, there remains a lot to be learned about the best possible strategies for dealing with the malperfusion syndromes that often accompany them.
July 2017: Seminars in Thoracic and Cardiovascular Surgery
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