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Annals of Thoracic and Cardiovascular Surgery

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https://www.readbyqxmd.com/read/28228614/current-solutions-for-long-segment-tracheal-reconstruction
#1
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...
February 23, 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
#2
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...
February 14, 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
#3
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)...
February 8, 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
#4
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...
February 3, 2017: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27980283/pure-cusp-tear-of-trifecta-bioprosthesis-2-years-after-aortic-valve-replacement
#5
Masaki Hamamoto, Taira Kobayashi, Masamichi Ozawa, Kosuke Yoshimura
Trifecta is a stented bioprosthetic heart valve with a bovine pericardial sheet externally mounted on a titanium stent. This valve is applied only for aortic valve replacement (AVR), providing excellent hemodynamics and extremely low incidence of structural valve deterioration (SVD). A 76-year-old woman presented with dyspnea on effort 24 months after AVR with a 21-mm Trifecta valve. Echocardiography revealed severe aortic regurgitation with prolapse of a cusp of Trifecta valve, which suggested that she developed acute heart failure due to early SVD...
December 14, 2016: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28123154/the-usefulness-of-positron-emission-tomography-findings-in-the-management-of-anterior-mediastinal-tumors
#6
Akihiko Kitami, Fumitoshi Sano, Shinichi Ohashi, Kosuke Suzuki, Shugo Uematsu, Takashi Suzuki, Mitsutaka Kadokura
PURPOSE: We performed a retrospective analysis to evaluate the usefulness of positron-emission tomography/computed tomography (PET/CT) findings in the classification and management of anterior mediastinal tumors. METHODS: Between 2006 and 2015, 105 patients with anterior mediastinal tumor received PET/CT. (18)F-fluorodeoxyglucose ((18)F-FDG)-PET images were obtained 60 minutes after the injection of (18)F-FDG. RESULTS: The histological classifications were as follows: thymoma (n = 49), thymic carcinoma (TC) (n = 19), malignant lymphoma (ML) (n = 8), teratoma (n = 7), thymic cyst (n = 14), and others (n = 8)...
February 20, 2017: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28123153/efficacy-of-the-stonehenge-technique-for-minimally-invasive-aortic-valve-replacement-via-right-infraaxillary-thoracotomy
#7
Masataka Yamazaki, Hajime Kin, Shohei Kitamoto, Shota Yamanaka, Hidefumi Nishida, Kosaku Nishigawa, Shuichiro Takanashi
Minimally invasive cardiac surgeries for aortic valve replacement (AVR) are still a technical challenge for surgeons because these procedures are undertaken through small incisions and deep surgical fields. Although AVR via vertical infraaxillary thoracotomy can be a cosmetically superior option, a disadvantage of this approach is the distance between the thoracotomy incision and the ascending aorta. Therefore, we devised a technique to perform all manipulations using the fingertips without the aid of a knot pusher or long-shafted surgical instruments...
February 20, 2017: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28049955/solitary-fibrous-tumor-less-common-neoplasms-of-the-pleural-cavity
#8
Sarka Vejvodova, Vladimir Spidlen, Petr Mukensnabl, Gabriela Krakorova, Jiri Molacek, Josef Vodicka
PURPOSE: solitary fibrous tumors (SFT) represent a heterogeneous group of primary pleural neoplasms with a low incidence rate and of which the biological origin, which consists of mesenchymal cells, is uncertain. METHODS: The authors present herewith a retrospective analysis of 22 patients with SFTs who were diagnosed and surgically treated between the years 2000-2015. The preoperative tumors were successfully verified morphologically by transthoracic core needle biopsy under CT control in 27...
February 20, 2017: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28025447/platinum-based-adjuvant-chemotherapy-for-stage-ii-and-stage-iii-squamous-cell-carcinoma-of-the-lung
#9
Tetsuya Isaka, Haruhiko Nakayama, Tomoyuki Yokose, Hiroyuki Ito, Kayoko Katayama, Kouzo Yamada, Munetaka Masuda
INTRODUCTION: The efficacy of platinum-based adjuvant chemotherapy (PBAC) for pathological stage II and stage III squamous cell carcinoma (SCC) of the lung was analyzed retrospectively. MATERIALS AND METHODS: The prognoses of 94 patients with stage II and stage III SCC with or without PBAC (more than three courses of cisplatin-, carboplatin-, and nedaplatin-based adjuvant chemotherapy) were compared. RESULTS: The mean observation period was 46...
February 20, 2017: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28003586/current-status-and-future-prospects-for-esophageal-cancer-treatment
#10
Makoto Sohda, Hiroyuki Kuwano
The local control effect of esophagectomy with three-field lymph node dissection (3FLD) is reaching its limit pending technical advancement. Minimally invasive esophagectomy (MIE) by thoracotomy is slowly gaining acceptance due to advantages in short-term outcomes. Although the evidence is slowly increasing, MIE is still controversial. Also, the results of treatment by surgery alone are limiting, and multimodality therapy, which includes surgical and non-surgical treatment options including chemotherapy, radiotherapy, and endoscopic treatment, has become the mainstream therapy...
February 20, 2017: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27431923/a-case-of-successful-therapy-by-intrapleural-injection-of-fibrin-glue-for-chylothorax-after-lung-transplantation-for-lymphangioleiomyomatosis
#11
Hisashi Oishi, Yasushi Hoshikawa, Tetsu Sado, Tatsuaki Watanabe, Akira Sakurada, Takashi Kondo, Yoshinori Okada
A 37-year-old woman underwent bilateral lung transplantation for lymphangioleiomyomatosis. Dense pleural adhesions due to past pleurodesis for chylothorax were observed and dissected in both thoracic cavities. The patient developed chylothorax after transplant. Chylothorax in the right thoracic cavity was successfully treated by conventional pleurodesis; however, pleural effusion from the left thoracic cavity was not reduced. According to fluoroscopic images obtained by injecting a contrast medium through the chest tube, the remaining pleural space in the left thoracic cavity was small and localized in the lower region adjacent to the mediastinum...
February 20, 2017: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27349306/two-kinds-of-cystic-lung-lesions-with-pulmonary-lymphangioleiomyomatosis-in-a-male
#12
Sumitaka Yamanaka, Teruaki Mizobuchi, Masatoshi Kurihara
A 34-year-old male with frequent recurrence of right pneumothorax was admitted to our hospital. He was a current smoker and outwardly male without genital aplasia. He was diagnosed as tuberous sclerosis complex (TSC) at 2 year-old and underwent transcatheter arterial embolization for right renal hemorrhage due to renal tumor 2 years ago. Chest Computed Tomography showed that he had multiple tiny round cystic lesions with thin wall in both lungs. The recurrent pneumothorax was expected to be associated with TSC-Lymphangioleiomyomatosis (LAM)...
February 20, 2017: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27321230/partial-anomalous-pulmonary-venous-connection-coexisting-with-lung-cancer-a-case-report-and-review-of-relevant-cases-from-the-literature
#13
Hidenori Kawasaki, Yasuji Oshiro, Naohiro Taira, Tomonori Furugen, Takaharu Ichi, Tomofumi Yohena, Tsutomu Kawabata
A 45-year-old man had an abnormal shadow in the right lung field on an annual screening chest X-ray. He was diagnosed with Stage IA (cT1bN0M0) lung cancer. Initially, we did not notice an anomalous vein on non-contrast computed tomography. However, we found that the right upper lobe bronchus branched from the lateral wall of the right main bronchial orifice, above the level of the common right upper lobe bronchus. Therefore, the bronchus was thought to be a tracheal bronchus. We carefully reevaluated the patient using three-dimensional computed tomography angiography...
February 20, 2017: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27885215/clinical-evaluation-and-outcomes-of-digital-chest-drainage-after-lung-resection
#14
COMPARATIVE STUDY
Fumihiro Shoji, Shinkichi Takamori, Takaki Akamine, Gouji Toyokawa, Yosuke Morodomi, Tatsuro Okamoto, Yoshihiko Maehara
BACKGROUND: Analog chest drainage systems (ACS) are generally used to monitor postoperative alveolar air leakage (PAL) after lung resection. An electronic digital chest drainage system (DCS) has recently been developed that reportedly has several advantages over the traditional ACS. Here, we report a single institution's experience of PAL management with the DCS. We also sought to establish whether DCS had superior clinical benefits and outcomes compared with ACS. METHODS: We enrolled 112 consecutive patients who underwent lung resection and were subsequently managed with DCS...
December 20, 2016: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27840372/does-surgical-repair-still-have-a-role-for-iatrogenic-tracheobronchial-rupture-clinical-analysis-of-a-thoracic-surgeon-s-opinion
#15
Sung Kwang Lee, Do Hyung Kim, Sang Kwon Lee, Yeong-Dae Kim, Jeong Su Cho, Hoseok I
PURPOSE: The choice of surgical repair or conservative treatment for iatrogenic tracheobronchial rupture (ITBR) remains controversial. However, thoracic surgeons consider that surgical repair is an important treatment modality. The purpose of this study was to evaluate the clinical results from the perspective of the surgery-preferred group. METHODS: We treated 11 patients (8 women and 3 men; age: 52.6 ± 22.9 years) with ITBR from January 2011 to January 2016. A posterolateral thoracotomy or a trans-tracheal approach was performed according to the mechanism of injury...
December 20, 2016: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27725352/mid-term-outcomes-of-a-modification-of-extended-aortic-arch-anastomosis-with-pulmonary-artery-banding-in-single-ventricle-neonates-with-hypoplastic-transverse-arch
#16
Bui Quoc Thang, Tatsuya Furugaki, Motoo Osaka, Yutaka Watanabe, Shinya Kanemoto, Fuminaga Suetsugu, Yuji Hiramatsu
PURPOSE: There is less certainty regarding the best strategy for treating neonates with functional single ventricle (SV) and hypoplastic aortic arch. We have applied a modified extended aortic arch anastomosis (EAAA) and main pulmonary artery banding (PAB) as an initial palliation in neonates with transverse arch hypoplasia and assessed the mid-term outcomes. METHODS: In total, 10 neonates with functional SV and extensive hypoplasia or interruption of the arch underwent a modified EAAA (extended arch anastomosis with a subclavian flap) concomitant with main PAB through a thoracotomy without cardiopulmonary bypass...
December 20, 2016: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27629820/effect-of-the-nuss-procedure-on-the-physical-development-of-patients-with-pectus-excavatum
#17
Hyun Koo Kim, Jee Young Yoon, Kook Nam Han, Young Ho Choi
PURPOSE: This study assessed physical development of patients with pectus excavatum and evaluated the effect of the Nuss procedure on physical development. METHODS: A total of 146 patients underwent the Nuss procedure; of these, at the time of the study, the bar had been removed from 123 patients (84.9%; male 93, female 30) who were eligible for participation in this study. Heights and body weights of patients were measured prior to surgery and immediately before bar removal...
December 20, 2016: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27616041/choice-of-aortic-valve-prosthesis-in-a-rapidly-aging-and-long-living-society
#18
Yoshimasa Sakamoto, Michio Yoshitake, Yoko Matsumura, Hitomi Naruse, Ko Bando, Kazuhiro Hashimoto
PURPOSE: The aim of this study was to evaluate the long-term results of aortic valve replacement (AVR) with mechanical (M) and bioprosthetic (B) valves as recommended by the Japanese guidelines. METHODS: From April 1995 to March 2014, 366 adult patients underwent AVR. Of these, 127 (35%) patients received M and 239 patients (65%) received B valves. A retrospective analysis of the entire and the selected 124 patients aged 60 to 70 years was carried out. RESULTS: In patients aged 60 to 70 years, the 15-year survival and freedom from reoperation were 88% ± 7% and 100% for the M group and 34% ± 25% (p <0...
December 20, 2016: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27601265/modified-chest-wall-pulley-for-lung-excision-during-single-incision-thoracoscopic-surgery-for-primary-spontaneous-pneumothorax
#19
Kenji Tsuboshima, Machiko Nagata, Teppei Wakahara, Yasumi Matoba, Yoshimasa Maniwa
We reported the feasibility of single-incision thoracoscopic surgery bullectomy using a chest wall pulley for lung excision (PulLE) in patients with primary spontaneous pneumothorax (PSP). PulLE has many merits including comfort of manipulation, cosmetic advantages, etc., compared to other procedures. However, our method was utilized for relatively straightforward cases. The PulLE was contraindicated for PSPs with multiple or comprehensive bullae. Therefore, we developed the modified PulLE (mPulLE) to treat such cases in February 2015...
December 20, 2016: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27535107/neurodevelopmental-outcome-of-children-with-hypoplastic-left-heart-syndrome-at-one-and-four-years-of-age-comparing-hybrid-and-norwood-procedure
#20
COMPARATIVE STUDY
Walter Knirsch, Rabia Liamlahi, Hitendu Dave, Oliver Kretschmar, Beatrice Latal
No abstract text is available yet for this article.
December 20, 2016: Annals of Thoracic and Cardiovascular Surgery
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