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Annals of Thoracic and Cardiovascular Surgery

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https://www.readbyqxmd.com/read/28539544/postoperative-outcome-of-high-risk-octogenarians-undergoing-cardiac-surgery-a-multicenter-observational-retrospective-study
#1
Michal Porizka, Jan Kunstyr, Tomas Vanek, Michal Nejedly, Jana Buckova, Jiri Mokrejs, Frantisek Mosna
PURPOSE: Cardiac surgery in octogenarians with severely deteriorated functional status is increasingly common, but outcome data are still limited. The aim of this study was to compare postoperative outcome, survival, and quality of life of low-, medium-, and high-risk octogenarians undergoing cardiac surgery. METHODS: In all, 285 Czech octogenarians who underwent any cardiac surgical procedure between January 2011 and December 2012 were included in the study. Five out of all twelve national adult cardiac surgical centers participated in the study, representing almost half of all octogenarians operated in our country in that period...
May 24, 2017: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28539543/sling-pulmonary-artery-with-bridging-bronchus-and-narrowing-airway-a-case-report
#2
Dongxu Li, Yuan Feng, Yasutaka Hirata, Qi An
We present a case of a 10-month-old girl baby with pulmonary artery sling and bridging bronchus demonstrated using multidetector computed tomography with a three-dimensional volume-rendering display and minimum intensity projections. To the best of our knowledge, this method has been helpful not only in the diagnosis and surgical planning for this rare abnormality but also in the evaluation of prognosis. After pulmonary artery reimplantation, the patient was well and discharged.
May 24, 2017: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28539542/clinicopathological-characteristics-of-lung-adenocarcinoma-with-unexpected-lymph-node-metastasis
#3
Tomohiro Haruki, Makoto Wakahara, Yuki Matsuoka, Ken Miwa, Kunio Araki, Yuji Taniguchi, Hiroshige Nakamura
PURPOSE: The objective is to demonstrate the clinicopathological characteristics of patients with unexpected node-positive lung adenocarcinoma and to analyze predictive factors of unexpected disease. METHODS: We reviewed 225 patients with lung adenocarcinoma who underwent curative-intent operation between January 2008 and December 2014. Unexpected node-positive diseases were defined as cases with hilar or mediastinal lymph nodes metastasis in spite of both negative significant enlargement of lymph nodes on preoperative chest computed tomography (CT) and negative fluorodeoxyglucose (FDG) uptake in lymph nodes on preoperative positron emission tomography (PET)/CT...
May 23, 2017: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28496017/comparison-of-the-incidence-of-complications-and-secondary-surgical-interventions-necessary-in-patients-with-chronic-lower-limb-ischemia-treated-by-both-open-and-endovascular-surgeries
#4
Dariusz Janczak, Maciej Malinowski, Wojciech Bąkowski, Katarzyna Krakowska, Karol Marschollek, Paweł Marschollek, Mariusz Chabowski
BACKGROUND: Peripheral arterial disease (PAD) affects 3%-10% of the population before the age of 70 years and 15%-20% after that age.The aim of the study was to compare the incidence of complications and secondary interventions in patients who underwent each type of treatment. METHODS: We analyzed 734 medical records of the Department of Surgery at the 4th Military Teaching Hospital in Wroclaw, In total, 394 were operated on with open surgery; an endarterectomy (59...
May 11, 2017: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28484151/surgical-treatment-for-pulmonary-metastasis-of-head-and-neck-cancer-study-of-58-cases
#5
Yuki Nakajima, Yoshihito Iijima, Hiroyasu Kinoshita, Hirohiko Akiyama, Takeshi Beppu, Hidetaka Uramoto, Tomomi Hirata
PURPOSE: Although the number of surgeries performed for pulmonary metastasis of head and neck cancer has been increasing, there have been few reports of the surgical effectiveness. We collected the data of surgeries performed in our facility in order to discuss the surgical performance and indication. METHODS: We retrospectively examined the prognosis and predictors for 58 patients with pulmonary metastasis of head and neck cancer who underwent a surgery in our facility during the 15-year period, from January 2000 to December 2015...
May 9, 2017: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28484150/less-invasive-approach-to-pancoast-tumor-in-a-partitioned-incision
#6
Norikazu Kawai, Takeshi Kawaguchi, Motoaki Yasukawa, Takashi Watanabe, Takashi Tojo
We describe our approach to resect a Pancoast tumor with thoracoscopic assistance in a partitioned incision. We used the LigaSure vessel-sealing system under thoracoscopy in chest wall resection for Pancoast tumor. This approach is of great utility: easy-to use and less invasive for Pancoast tumor resection.
May 9, 2017: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28458302/clinicopathological-features-of-thymoma-with-ring-calcification-case-reports
#7
Takeo Nakada, Tadashi Akiba, Mitsuo Yabe, Keiichiro Tanaka, Masataka Nakano, Masafumi Suzuki, Toshiaki Morikawa
Thymomas with ring calcifications are very rare and quaint style. Herein, we presented our three cases of thymomas with ring calcifications and reviewed totally 10 cases including 7 cases of previous English literatures. The median age was 53 years. Myasthenia gravis was a complication in 40%. The median maximal diameter was 50 mm. They were diagnosed as pathological type B or had type B component. Based on World Health Organization (WHO) classification, 20%, 60%, and 20% cases were stage I, stage II, and stage III, respectively...
May 1, 2017: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28450683/coil-intrabronchial-migration-in-an-arteriovenous-malformation-patient-treated-10-years-ago
#8
Tadashi Umehara, Masaya Aoki, Go Kamimura, Kazuhiro Wakida, Toshiyuki Nagata, Tsunayuki Otsuka, Masami Sato
A 56-year-old male who had received transcatheter coil deposition 10 years ago for an arteriovenous malformation (AVM) was admitted to our hospital because of persistent hemosputum. Chest radiograph and bronchoscopy revealed straightened coil bundles in his air way. Recently, less invasive transcatheter intervention has been performed more frequently for treatment of AVM than surgical resection. In our case, however, chest radiography and bronchoscopy showed that the coils might migrate from the deposited site to the airway...
April 28, 2017: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28428447/comparison-of-mid-term-graft-patency-between-on-pump-and-off-pump-coronary-artery-bypass-grafting
#9
Tatsuya Seki, Toshihito Yoshida
BACKGROUND: Multiple studies have compared on-pump coronary artery bypass (ONCAB) grafting with off-pump coronary artery bypass (OPCAB) grafting, but the optimal surgical strategy has yet to be established. Furthermore, there is limited evidence regarding mid-term graft patency rates. METHODS: Between April 2001 and March 2014, 365 consecutive patients underwent isolated coronary artery bypass grafting (CABG; male: 75%; mean age: 69 ± 10 years). After propensity-score-matched analysis, we assessed the results of 67 patients in each group (ONCAB: group A, OPCAB: group B)...
April 19, 2017: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28367855/early-antithrombotic-therapy-after-bioprosthetic-aortic-valve-replacement-in-elderly-patients-a-single-center-experience
#10
Seok In Lee, Kyo Seon Lee, Joon Bum Kim, Suk Jung Choo, Cheol Hyun Chung, Jae Won Lee, Sung-Ho Jung
PURPOSE: Early antithrombotic therapy after bioprosthetic aortic valve replacement (AVR) is controversial. This study aimed to retrospectively compare between warfarin and aspirin treatment in the 3 months after bioprosthetic AVR for elderly patients more than 60 years old, and to determine the optimal antithrombotic therapy. METHODS: This retrospective study included 479 patients in single center from January 1994 to June 2014. Patients were divided into two groups (Wa group, warfarin; As group, aspirin)...
March 29, 2017: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28367854/development-of-allograft-cancer-after-lung-transplantation-a-case-report
#11
Esther I Schwarz, Bart Vrugt, Lars C Huber, Christian Murer, Mace M Schuurmans, Ilhan Inci, Christian Benden
INTRODUCTION: In contrast to skin cancer and lymphoproliferative disorders, de-novo lung allograft cancer is seldom reported after lung transplantation. CASE REPORT: A 19-year-old patient with severe pulmonary hypertension listed urgently for lung transplantation underwent successful bilateral lung transplant procedure receiving lungs from a 55-year-old donor with a smoking history of 30 pack years. After 3.5 years of lung transplantation, a locally advanced squamous cell carcinoma in the left lung allograft was diagnosed...
March 29, 2017: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28367853/familial-atrial-myxoma-three-related-cases-at-an-australian-tertiary-institution
#12
Campbell Schmidt, Atsuo Doi, Masashi Ura, Chris Cole, Julie Mundy
Carney complex accounts for up to two-thirds of familial cardiac myxoma. It is a rare autosomal dominant syndrome, which is also characterized by multiple mucocutaneous lesions and endocrine tumors. We report on three first-degree relatives who underwent surgical resection at the same Australian tertiary institution. One patient re-presented with a recurrent tumor at an interval of 6 years. In this context, the role of interval surveillance, family screening, and genetic testing is explored. We recommend interval echocardiographic surveillance for affected individuals and first-degree relatives given the high risk of recurrence and the morbidity and mortality associated with cardiac tumors in any location...
March 29, 2017: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28302949/isolated-and-combined-valve-surgery-in-elderly-patients-a-comparison-of-mid-term-results
#13
Fumiya Yoneyama, Chiho Tokunaga, Yoshiharu Enomoto, Kisato Mitomi, Hiroaki Sakamoto, Yuji Hiramatsu
BACKGROUND: This study examined mid-term outcomes of valve surgery in the elderly, and focused on the difference in outcomes between isolated and combined valve surgery. METHODS: From January 2012 to June 2016, 113 consecutive patients aged 75 years and older underwent valve surgery. In all, 60 underwent isolated valve surgery (Group I), and 53 underwent combined valve surgery (Group C) involving the combination of any valve procedures or valve surgery with concurrent other procedure...
March 9, 2017: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28331160/kilt-technique-as-an-angle-modification-method-for-endovascular-repair-of-abdominal-aortic-aneurysm-with-severe-neck-angle
#14
Tae-Hoon Kim, Ho-Jun Jang, Young Jin Choi, Chang Keun Lee, Sung Woo Kwon, Won-Heum Shim
PURPOSE: Kilt technique can be useful for overcoming the severe angle in endovascular abdominal aortic repair. Thus, we investigate the utility of the Kilt technique as an angle modification method. METHODS: This study included 16 patients with abdominal aortic aneurysm having severe neck angle (over 60°). Of these, eight were treated using Kilt technique, whereas the remaining eight were by the conventional endovascular method. We investigated the pre- and post-procedural differences in neck angle between the two groups using aortic computed tomography (CT) angiography...
April 20, 2017: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28302931/the-comparison-of-the-effects-of-nebivolol-and-metoprolol-on-erectile-dysfunction-in-the-cases-with-coronary-artery-bypass-surgery
#15
Özcan Gür, Selami Gurkan, Gunduz Yumun, Polat Turker
PURPOSE: Beta-blocker use is common in the cases with coronary artery bypass surgery. According to the literature, beta-blockers have positive effects but may cause erectile dysfunction (ED). The most commonly used beta-blockers in ischemic cardiac disease are nebivolol and metoprolol. In our clinic, we aimed to compare the effects of nebivolol and metoprolol succinate on ED in the sexually active cases with coronary artery bypass surgery. METHODS: In our clinic, a total of 119 patients with coronary artery bypass surgery were included in the study...
April 20, 2017: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28228614/current-solutions-for-long-segment-tracheal-reconstruction
#16
Ahmed A Abouarab, Hany H Elsayed, Hussein Elkhayat, Ahmed Mostafa, David C Cleveland, Ahmed El Nori
This article is a continuation of previous reviews about the appropriate method for long-segment tracheal reconstruction. We attempted to cover the most recent, successful and promising results of the different solutions for reconstruction that are rather innovative and suitable for imminent clinical application. Latest efforts to minimize the limitations associated with each method have been covered as well. In summary, autologous and allogenic tissue reconstruction of the trachea have been successful methods for reconstruction experimentally and clinically...
April 20, 2017: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28202895/conduits-used-in-coronary-artery-bypass-grafting-a-review-of-morphological-studies
#17
Brenda Martínez-González, Cynthia Guadalupe Reyes-Hernández, Alejandro Quiroga-Garza, Víctor E Rodríguez-Rodríguez, Claudia N Esparza-Hernández, Rodrigo E Elizondo-Omaña, Santos Guzmán-López
There is a significant variety of vascular conduits options for coronary bypass surgery. Adequate graft selection is the most important factor for the success of the intervention. To ensure durability, permeability, and bypass function, there must be a morphological similarity between the graft and the coronary artery. The objective of this review was to analyze the morphological characteristics of the grafts that are most commonly used in coronary bypass surgery and the coronary arteries that are most frequently occluded...
April 20, 2017: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28179605/the-effects-of-different-bmi-on-blood-loss-and-transfusions-in-chinese-patients-undergoing-coronary-artery-bypass-grafting
#18
Mingya Wang, Ming Chen, Hushan Ao, Sipeng Chen, Zhifa Wang
OBJECTIVE: Blood loss is a predictor of outcomes after coronary artery bypass grafting (CABG). This study investigated the effects of body mass index (BMI) on blood loss, blood transfusion rate, and the variations in coagulation parameters of Chinese patients undergoing CABG. METHODS: A total of 1007 Chinese patients who consecutively underwent isolated, primary CABG at Fuwai Hospital from January 1, 2013 to December 31, 2013 were included in this study. They were categorized by BMI into <24 kg/m(2) (low and normal weight group), 24≤ BMI <28 kg/m(2) (overweight group), and BMI ≥28 kg/m(2) (obese group)...
April 20, 2017: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28163297/deep-sternal-wound-infection-after-open-heart-surgery-a-13-year-single-institution-analysis
#19
Alexander Andersen Juhl, Sofie Hody, Tina Senholt Videbaek, Tine Engberg Damsgaard, Per Hostrup Nielsen
PURPOSE: The present study aimed to compare the clinical outcome for patients with or without muscle flap reconstruction after deep sternal wound infection due to open-heart surgery. METHODS: The study was a retrospective cohort study, including patients who developed deep sternal wound infection after open-heart surgery in the Western Denmark Region from 1999 to 2011. Journals of included patients were reviewed for clinical data regarding the treatment of their sternal defect...
April 20, 2017: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27507105/left-sided-catamenial-pneumothorax-with-thoracic-endometriosis-and-bullae-in-the-alveolar-wall
#20
Ryo Takahashi, Masatoshi Kurihara, Teruaki Mizobuchi, Hiroki Ebana, Sumitaka Yamanaka
Catamenial pneumothorax (CP) is generally caused by intraperitoneal air leaking from the uterus into the thoracic cavity via a defect in the endometrial tissue of the diaphragm and is usually detected in the right thorax. We report a case of left-sided CP caused by endometriosis in the visceral pleura and with no abnormal findings in the diaphragm. A 33-year-old female patient presented at the end of a course of low-dose contraceptive pills for pelvic endometriosis, with spontaneous pneumothorax in the left chest...
April 20, 2017: Annals of Thoracic and Cardiovascular Surgery
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