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Annals of Thoracic and Cardiovascular Surgery

Lachmandath Tewarie, Ajay K Moza, Mohammad Amen Khattab, Rüdiger Autschbach, Rashad Zayat
PURPOSE: Timing and ideal reconstructive approach in deep sternal wound infection (DSWI) and mediastinitis still remain controversially debated. We present our own combined surgical strategy of bilateral pectoralis major muscle flap (BPMMF) or omental flap (OF) transposition. METHODS: Between July 2010 and July 2016, poststernotomy patients with DSWI and mediastinitis underwent a secondary wound closure with modified BPMMF (Group A, center for disease control class (CDC)-II, n = 21; Group B, CDC-III, n = 20) or with OF (Group C, CDC-III, n = 19) following vacuum-assisted closure (VAC)...
November 7, 2018: Annals of Thoracic and Cardiovascular Surgery
Jiaqi Zhang, Lei Liu, Guige Wang, Wenliang Bai, Shanqing Li
No abstract text is available yet for this article.
October 31, 2018: Annals of Thoracic and Cardiovascular Surgery
Satoru Kobayashi, Yoko Karube, Takashi Inoue, Osamu Araki, Sumiko Maeda, Yuji Matsumura, Masayuki Chida
PURPOSE: The correlation of advanced cancer with inflammation and/or nutrition factors is well known. Recently, the advanced lung cancer inflammation index (ALI) was developed as a new prognostic tool for patients with advanced lung cancer. In this study, we examined whether ALI results are correlated with prognosis of patients with early stage lung adenocarcinoma who undergo lung resection. METHODS: From January 2009 to December 2014, 544 patients underwent lung resection due to primary lung cancer at Dokkyo Medical University Hospital, of whom 166 with pathological stage IA lung adenocarcinoma were retrospectively investigated in this study...
October 17, 2018: Annals of Thoracic and Cardiovascular Surgery
Wei Zhou, Wanjiang Yu, Yunying Wang, Ying Li, Wei Sheng, Qingjiang Wang, Wenjian Xu
PURPOSE: This study analyzed the different levels of aortic remodeling in patients with DeBakey IIIb aortic dissection (AD) after thoracic endovascular aortic repair (TEVAR) at a single center. METHODS: In all, 66 patients with DeBakey IIIb AD who underwent TEVAR in the acute (Group A) or subacute phase (Group SA) from January 2012 to October 2016 were included in the study. The change in aortic lumen (A), true lumen (TL), false lumen (FL), and true lumen index (TLi) at different levels were analyzed...
October 10, 2018: Annals of Thoracic and Cardiovascular Surgery
Tomoyuki Miyazawa, Hideki Marushima, Hisashi Saji, Koji Kojima, Masahiro Hoshikawa, Masayuki Takagi, Haruhiko Nakamura
PURPOSE: Knowledge regarding programmed death-ligand 1 (PD-L1) expression in lung cancer is limited. We aim to clarify PD-L1-positive expression in non-small-cell lung cancer (NSCLC), including adenocarcinoma subtypes. METHODS: In all, 90 NSCLC specimens containing various adenocarcinoma subtypes, in addition to squamous cell carcinoma and large-cell carcinoma were selected. PD-L1 was immunohistochemically stained by murine monoclonal antibody clone 22C3. RESULTS: When PD-L1-positive expression was defined by tumor proportion score (TPS) ≥1%, the positive cases were 0/11 in adenocarcinoma in situ, 0/12 in minimally invasive adenocarcinoma, 1/10 in lepidic predominant adenocarcinoma, 1/13 in papillary predominant adenocarcinoma, 8/14 in acinar predominant adenocarcinoma, 6/11 in solid predominant adenocarcinoma, 0/3 in micropapillary predominant adenocarcinoma, 0/4 in invasive mucinous adenocarcinoma, 4/9 in squamous cell carcinoma, and 2/3 in large-cell carcinoma...
October 3, 2018: Annals of Thoracic and Cardiovascular Surgery
Marek Pojar, Jan Vojacek, Mikita Karalko, Zdenek Turek
BACKGROUND: To report single-institution experience with minimally invasive mitral valve operations through the right minithoracotomy over a 5-year period. METHODS: Patients who underwent minimally invasive mitral valve surgery (MIMVS) between January 2012 and December 2016 were included. Clinical follow-up data were collected in a prospective database and analyzed retrospectively. RESULTS: Data from 151 patients were assessed (mean age, 63...
September 20, 2018: Annals of Thoracic and Cardiovascular Surgery
Shi-Min Yuan, Hong Lin
Patients with aortitis often present with nonspecific constitutional symptoms. Due to the fact that aortitis is associated with inflammatory or infectious courses, patients may manifest fever or fever of unknown origin. Such clinical characteristics of aortitis are unavoidably brought about diagnostic dilemmas and might lead to a series of unnecessary work-ups and maltreatment. Therefore, it is important for the clinical physicians and surgeons to understand aortitis presenting with fever of unknown origin to avoid delayed diagnosis and treatment...
August 29, 2018: Annals of Thoracic and Cardiovascular Surgery
Halim Ulugol, Ugur Aksu, Muharrem Kocyigit, Meltem Kilercik, Gulsum Karduz, Murat Okten, Fevzi Toraman
PURPOSE: The purpose of this study was to evaluate the effect of different cardioplegic solutions on endothelial integrity and oxidative stress in cardiovascular surgery. METHODS: In this randomized prospective study, after ethics approval and informed consent, 60 surgical patients were included. Patients undergoing coronary bypass surgery were randomized into two groups as warm blood cardioplegia (n = 30) and cold crystalloid cardioplegia (n = 30) following the cross-clamping...
August 28, 2018: Annals of Thoracic and Cardiovascular Surgery
Andre Critsinelis, Chitaru Kurihara, Masashi Kawabori, Tadahisa Sugiura, Andrew B Civitello, Jeffrey A Morgan
Mechanical circulatory support may result in sufficient myocardial recovery to allow for explantation of the left ventricular assist device (LVAD). The duration of support associated with left ventricular recovery has generally been 6-12 months. In this report, we present a patient in whom the left ventricle recovered after 5 years of support with a LVAD. Our report demonstrates that long-term monitoring for left ventricular recovery is prudent and may allow for late device explantation.
August 28, 2018: Annals of Thoracic and Cardiovascular Surgery
Carina Benstoem, Bleilevens Christian, Borchardt Ralf, Stoppe Christian, Goetzenich Andreas, Autschbach Ruedriger, Breuer Thomas
PURPOSE: Cardiac surgery with the use of extracorporeal circulation is associated with a significant risk for gaseous microemboli (GME) despite excellent surgical techniques and highest operative standards. GME are associated with postoperative neurocognitive dysfunction and negative clinical outcome. This study determines whether oxygenator design has influence on perioperative outcome after cardiac surgery. METHODS: Three different oxygenator models with integrated arterial filter (HiliteAF 7000, Fusion Affinity, and Synthesis) were retrospectively evaluated in 55 patients undergoing elective cardiac surgery with the use of extracorporeal circulation...
October 19, 2018: Annals of Thoracic and Cardiovascular Surgery
Gen Ohara, Kesato Iguchi, Hiroaki Satoh
No abstract text is available yet for this article.
October 19, 2018: Annals of Thoracic and Cardiovascular Surgery
Hirotoshi Kikuchi, Hiroya Takeuchi
Esophageal cancer is one of the leading causes of cancer-related death worldwide. Surgery plays an important role in the treatment strategies for esophageal cancer. Recent advances in surgical techniques and perioperative management have dramatically improved the mortality rate; however, esophagectomy remains a highly invasive procedure that can lead to severe postoperative complications. Future advances in thoracoscopic surgery with the development of surgical endoscopy systems such as three-dimensional (3D) imaging systems with a 4K ultra high-definition camera or two-dimensional (2D) imaging systems with an 8K camera, which is expected to provide 3D-like visual sensation, will enable us to further understand the microscopic anatomy of the thoracic cavity and mediastinum, and to perform delicate surgical procedures that enable minimally invasive esophagectomy with mediastinal lymphadenectomy...
October 19, 2018: Annals of Thoracic and Cardiovascular Surgery
Maciej Malinowski, Tadeusz Dorobisz, Kornel Pormanćczuk, Michał Lesćniak, Mariusz Chabowski, Dariusz Janczak
A deep femoral artery (DFA) aneurysm is a very rare pathology of the vascular system. Peripheral arterial aneurysms constitute 4.6% of all aneurysms, of which 0.13% are DFA aneurysms. In the literature, there are still few reports on this vascular system pathology. As a result, its diagnosis and treatment remain a serious clinical problem. This case study is of a 95-year-old patient admitted to our Department with anemia, swelling, and lower left leg pain. Generally, open surgery seems to be the treatment of choice for DFA aneurysms although the possibilities of intravascular therapy require further investigation...
October 19, 2018: Annals of Thoracic and Cardiovascular Surgery
Henning Johann Steffen, Sebastian Kalverkamp, Rashad Zayat, Rüdiger Autschbach, Jan-Wilhelm Spillner, Andreas Hagendorff, Nima Hatam
PURPOSE: To assess whether thoracic non-cardiac surgery has an influence on right ventricular function (RVF) compared to known impaired postoperative RV function after cardiac surgery. METHODS: In all, 50 patients (mean age: 61 years), who underwent thoracic non-cardiac surgery were included and matched using propensity score to 50 patients, receiving coronary artery bypass graft surgery (CABG) (CABGmatched ). All patients had transthoracic echocardiography (TTE) including two-dimensional speckle tracking (2D-STE) and tissue Doppler imaging (TDI) pre- and 1 week postoperatively...
October 19, 2018: Annals of Thoracic and Cardiovascular Surgery
Liming Wang, Masaki Anraku, Masaaki Sato, Jun-Ichi Nitadori, Kazuhiro Nagayama, Kentaro Kitano, Jun Nakajima
PURPOSE: Early lung adenocarcinoma has been more frequently found recently. The 8th edition of the Union for International Cancer Control (UICC)-Tumor Node Metastasis (TNM) classification for lung cancer has been effective since January 2017. This study aims to elucidate advantages of the current classification for patients with clinical stage 0-IA lung adenocarcinoma, in comparison with the older one. METHODS: We retrospectively reviewed the data of clinical stage IA (7th edition) lung adenocarcinoma patients who underwent surgery at our institute from 2001 to 2012, and reclassified them by the 8th edition...
October 19, 2018: Annals of Thoracic and Cardiovascular Surgery
Hirotoshi Kubokura, Junichi Okamoto, Jitsuo Usuda
INTRODUCTION: Hydrothorax due to pleuroperitoneal communication (PPC) can occur in patients undergoing continuous ambulatory peritoneal dialysis (CAPD). We report our experiences of the safety and efficacy of the treatment of four patients with a novel video-assisted thoracoscopy method. METHODS: Single-port video-assisted thoracoscopic surgery (VATS) was performed with a mini-thoracotomy of 5 cm in length. The PPC site was identified on the diaphragm and ligated using an endoscopic loop...
October 19, 2018: Annals of Thoracic and Cardiovascular Surgery
Naohiro Taira, Hidenori Kawasaki, Eriko Atsumi, Takaharu Ichi, Tsutomu Kawabata, Masanao Saio, Naoki Yoshimi
INTRODUCTION: Bronchogenic cysts may rupture or become infected, and malignant degeneration may occur. Although various types of malignant degeneration have been described, only a few reports of mucoepidermoid carcinoma arising from a bronchogenic cyst have been published. We report such a case. CASE: A 77-year-old female was referred to our institution for evaluation of left chest pain. A computed tomography scan showed an enhancing 65 × 70 mm mass of the left diaphragm...
October 19, 2018: Annals of Thoracic and Cardiovascular Surgery
Kayo Sugiyama, Nobusato Koizumi, Hitoshi Ogino
Extrinsic compression of the left main coronary artery (LMCA) can occur in patients with an enlarged pulmonary artery trunk secondary to severe pulmonary hypertension (PH). This phenomenon rarely occurs in PH; moreover, few reports have shown that chronic thromboembolic PH can be a triggering factor for this syndrome. Herein, we describe a patient with extrinsic compression of the LMCA with chronic thromboembolic PH who underwent pulmonary endarterectomy and coronary artery bypass grafting successfully. Intravenous ultrasonography (IVUS) was effective for detecting and assessing the compression...
October 19, 2018: Annals of Thoracic and Cardiovascular Surgery
Victoria Khoronenko, Danil Baskakov, Marc Leone, Anna Malanova, Andrey Ryabov, Oleg Pikin, Maksim Golovashchenko
PURPOSE: Our study aimed to assess whether the type of regional anesthesia influenced the incidence of chronic postthoracotomy pain syndrome (CPTPS). METHODS: This was a prospective, randomized study that included 300 patients undergoing lung cancer resection using thoracotomy. They were randomized into three groups: paravertebral nerve block (PVB), thoracic epidural anesthesia (TEA), and intercostal nerve block (INB). General anesthesia was similar in the groups...
August 20, 2018: Annals of Thoracic and Cardiovascular Surgery
Sasha Still, Marissa Mencio, Estrellita Ontiveros, James Burdick, Steven G Leeds
BACKGROUND: To investigate the efficacy of primary and rescue endoluminal vacuum (EVAC) therapy in the treatment of esophageal perforations and leaks. METHODS: We conducted a retrospective review of a prospectively gathered, Institutional Review Board (IRB) approved database of EVAC therapy patients at our center from July 2013 to September 2016. RESULTS: In all, 13 patients were treated for esophageal perforations or leaks. Etiologies included iatrogenic injury (n = 8), anastomotic leak (n = 2), Boerhaave syndrome (n = 1), and bronchoesophageal fistula (n = 2)...
August 20, 2018: Annals of Thoracic and Cardiovascular Surgery
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