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Interactive Cardiovascular and Thoracic Surgery

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https://www.readbyqxmd.com/read/30325425/male-patients-with-diabetes-undergoing-coronary-artery-bypass-grafting-have-increased-major-adverse-cerebral-and-cardiovascular-events
#1
Xiaojie Liu, Wenyuan Zhang, Lijuan Wang, Sudena Wang, Yang Yu, Sipeng Chen, Hushan Ao
OBJECTIVES: The role of body mass index (BMI) in the prognosis of patients with diabetes undergoing coronary artery bypass grafting (CABG) has been of great interest for a long time. However, the precise relationship between BMI and major adverse cerebral and cardiovascular events (MACCEs) in these patients is still unclear. The goal of this study was to investigate the outcome of patients with diabetes with different BMIs undergoing CABG and the results from the 5-year follow-up. METHODS: This study included 771 patients with diabetes undergoing CABG from 1 January 2003 to 31 December 2009...
October 15, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/30325417/do-patients-who-require-re-exploration-for-bleeding-have-inferior-outcomes-following-cardiac-surgery
#2
Jason M Ali, Kate Wallwork, Narain Moorjani
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was: Do patients who require return to theatre (RTT) for bleeding have inferior outcomes following cardiac surgery? Altogether, 598 papers were found using the reported search, of which 8 represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated...
October 15, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/30321367/blunt-abdominal-aortic-injury-may-accompany-bowel-transection
#3
Chih-Chen Kao, Tzu-Hao Huang, Chien-Wei Chen, Yao-Kuang Huang
Blunt abdominal aortic injury is an extremely rare condition. In the past, when blunt abdominal aortic injury was managed with open surgery, intra-abdominal injury was identified more easily, while in the era of endovascular surgery, intra-abdominal injury might potentially be found after vascular reconstruction. We present a case of blunt abdominal aortic injury treated using a parallel graft-stent and simultaneous laparoscopy which revealed an occult bowel perforation.
October 13, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/30312393/transcatheter-atrioventricular-valve-in-valve-implantation-for-fontan-circulation-and-dextrocardia
#4
Chia-Cheng Kuo, Jhih-Yuan Shih, Nan-Chun Wu, Bor-Chih Cheng
Transcatheter heart valve-in-valve implantation in failed surgical bioprosthetic valves has shown promising outcomes, prompting the stepwise expansion of their applications in different clinical scenarios. Recently, there is increased interest in valve-in-valve techniques for the treatment of patients with complex congenital heart disease. Herein, we report a case of successful transapical transcatheter atrioventricular valve-in-valve implantation in a patient with Fontan circulation and dextrocardia. The patient was previously treated with total cavopulmonary connection and atrioventricular valve replacement with recurrent prosthesis dysfunction...
October 11, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/30307497/preoperative-thoracic-muscle-area-on-computed-tomography-predicts-long-term-survival-following-pneumonectomy-for-lung-cancer
#5
Fabian M Troschel, Martin W Kuklinski, Sheila J Knoll, Till D Best, Ashok Muniappan, Henning A Gaissert, Florian J Fintelmann
OBJECTIVES: To assess the prognostic role of thoracic muscle as quantified on preoperative computed tomography (CT) for the estimation of overall survival (OS) following pneumonectomy. METHODS: Muscle cross-sectional area (CSA) at the level of the fifth (T5) and eighth (T8) thoracic vertebra was measured on CT scans of consecutive patients with lung cancer prior to pneumonectomy. We stratified patients into high and low muscle groups using the gender-specific median of muscle CSA as separator and estimated associations of muscle CSA and OS using the Kaplan-Meier analysis...
October 10, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/30304450/what-s-new-in-heart-failure-therapy-2018
#6
Julian G Westphal, Tarek Bekfani, Paul Christian Schulze
Even though significant progress has been made over the past 3 decades, heart failure remains one of the leading causes of mortality and morbidity in developed countries and contributes significantly to the economic burden of modern health care systems. Especially in patients with preserved ejection fraction, valid therapeutic options are missing due to a lack of evidence. In face of a very heterogeneous condition with an ongoing debate over aetiology and pathophysiology, clinicians face a challenge in providing optimal care for these patients...
October 9, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/30295795/new-sternal-closure-methods-versus-the-standard-closure-method-systematic-review-and-meta-analysis
#7
Daniele C Cataneo, Tarcisio A Dos Reis, Gilmar Felisberto, Olavo R Rodrigues, Antônio J M Cataneo
OBJECTIVES: This study aimed to evaluate, by means of a systematic review, the efficiency of new methods for sternal closure in order to prevent sternal wound complications after sternotomy. METHODS: The method of study was a systematic review of randomized clinical trials. We included studies that used rigid plates, thermoreactive clips, cables and flat wires, in comparison with the standard closure method. Patients included adults, regardless of gender and race...
October 8, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/30295799/igg4-related-disease-a-new-challenging-diagnosis-mimicking-lung-cancer
#8
Pietro Bertoglio, Andrea Viti, Simona Paiano, Luca Rosario Assante, Giuseppe Salvatore Bogina, Carlo Pomari, Giuseppe Zamboni, Alberto Claudio Terzi
IgG4-related disease (IgG4-RD) is a progressive inflammatory disease that might rarely involve only the lungs. We retrospectively reviewed the preoperative, clinical and surgical features of patients with a pathology highly suggestive or probable diagnosis of IgG4-RD without extra-thoracic involvement. Five patients were selected, 2 were operated on the right side. Positron emission tomography-computed tomography (PET-CT) showed an uptake in all the patients (median 5.5), and 2 patients had an uptake at the thoracic lymph nodes...
October 5, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/30289458/postinfarction-right-ventricular-wall-dissection-with-left-to-right-shunting
#9
Homare Okamura, Mamoru Arakawa, Taro Takeuchi, Hideo Adachi
Ventricular septal rupture is an uncommon fatal complication of acute myocardial infarction. In rare cases, the rupture can extend into the right ventricular free wall and cause intramyocardial dissection. We describe the case of a patient who developed postinfarction right ventricular free wall dissection with left-to-right shunting and successfully underwent patch repair.
October 4, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/30256969/uniportal-video-assisted-thoracoscopic-surgery-in-the-treatment-of-traumatic-diaphragmatic-hernia-with-an-aortic-arch-pseudoaneurysm
#10
Man Zhang, Huijing Ge, Keng Ang, Zhanlin Guo
We present an unusual case of a 72-year-old patient with a concurrent aortic arch pseudoaneurysm and right diaphragmatic hernia, who was successfully treated using an aortic endovascular stent and diaphragmatic repair via uniportal video-assisted thoracoscopic surgery.
September 26, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/30256950/heartmate-3-left-ventricular-assist-system-implantation-technique-the-devil-is-in-the-detail
#11
Ivan Netuka
Surgical nuances of the implantation procedure of the HeartMate 3 left ventricular assist system (Abbott Corp., IL, USA) are discussed in this study. Particular attention is devoted to surgical details, preventative actions and considerations related to alternative implantation strategies. Dedicated surgical implantation tools may ease the implantation experience.
September 26, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/30256947/type-a-intramural-haematoma-secondary-to-penetrating-atherosclerotic-ulcer-of-the-ascending-aorta
#12
Erik Beckmann, Adam A Dalia, Christina A Jelly, Serguei Melnitchouk
Intramural haematoma and penetrating atherosclerotic ulcer belong to the group of acute aortic syndromes. The combined presentation of both intramural haematoma and a penetrating atherosclerotic ulcer in the ascending aorta is a very rare finding. Here, we present the case of a 72-year-old female, who was admitted to our centre with acute chest and back pain. She was diagnosed with type A intramural haematoma secondary to a penetrating atherosclerotic ulcer of the ascending aorta, and she underwent subsequent emergent surgical management...
September 26, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/30256943/long-term-outcomes-of-advanced-thymoma-in-patients-undergoing-preoperative-chemotherapy-or-chemoradiotherapy-followed-by-surgery-a-20-year-experience
#13
Ryu Kanzaki, Takashi Kanou, Naoko Ose, Soichiro Funaki, Yasushi Shintani, Masato Minami, Hiroshi Kida, Kazuhiko Ogawa, Atsushi Kumanogoh, Meinoshin Okumura
OBJECTIVES: The results of preoperative chemotherapy or chemoradiotherapy followed by surgery for locally advanced thymoma were analysed. METHODS: Between 1997 and 2016, 29 patients with a thymoma underwent preoperative chemotherapy or chemoradiotherapy followed by surgery. These cases were retrospectively reviewed. RESULTS: The study population included 9 men and 20 women, with a mean age of 48.8 years (range 31-68 years). The preoperative Masaoka stage was III in 12, IVa in 13 and IVb in 4 patients, whereas histological type was B3 in 11, B2 in 9 and others in 5 patients...
September 26, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/30247604/computed-tomography-guided-cyanoacrylate-localization-of-small-pulmonary-nodules-feasibility-and-initial-experience
#14
Fei Yao, Ju Yao, Lei Xu, Jian Wang, Libing Gao, Jian Wang
OBJECTIVES: We report our initial technical experience with computed tomography (CT)-guided cyanoacrylate localization for resection of small pulmonary nodules (SPNs) and evaluate the feasibility of this technique. METHODS: Between June 2016 and December 2017, the diagnostic results of 55 consecutive patients (69 SPNs) who underwent preoperative CT-guided cyanoacrylate localization and consequent video-assisted thoracoscopic surgery (VATS) resection were retrospectively evaluated...
September 20, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/30239823/transcatheter-and-minimally-invasive-surgical-left-ventricular-reconstruction-for-the-treatment-of-ischaemic-cardiomyopathy-preliminary-results
#15
Patrick Klein, Pierfranceso Agostoni, Wim-Jan van Boven, Rob J de Winter, Martin J Swaans
OBJECTIVES: Adverse remodelling of the left ventricle (LV) after myocardial infarction (MI) results in a pathological increase in LV volume and reduction in LV ejection fraction (EF). We describe the preliminary results of a novel, multicentre, combined transcatheter and minimally invasive technique to reconstruct the remodelled LV by plication and exclusion of the scar, and to reduce the excess volume, resulting in decreased wall stress and increased EF. METHODS: A novel hybrid transcatheter technique that relies on microanchoring technology (Revivent TC™ System, BioVentrix Inc...
September 17, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/30239771/four-dimensional-flow-magnetic-resonance-imaging-analysis-before-and-after-thoracic-endovascular-aortic-repair-of-chronic-type-b-aortic-dissection
#16
Yusuke Takei, Keiichi Itatani, Shohei Miyazaki, Ikuko Shibasaki, Hirotsugu Fukuda
OBJECTIVES: The purpose of this study was to calculate the changes in the blood flow direction and volume in the aortic lumen and at the entry and re-entry sites using 4-dimensional (4D) phase-contrast magnetic resonance imaging (MRI) after performing entry closure with thoracic endovascular aortic repair for chronic DeBakey IIIb aortic dissection. METHODS: Aortic blood flow was analysed at 3 phases with 4D phase-contrast MRI in a single therapeutic DeBakey IIIb aortic dissection case...
September 17, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/30239891/simplified-less-invasive-left-ventricular-assist-device-implantation-in-patients-with-post-coronary-artery-bypass-grafting
#17
Michael O Zembala, Remigiusz Antonczyk, Tomasz Niklewski, Jacek Waszak, Jerzy Pacholewicz, Izabela Copik, Marian Zembala
Less-invasive left ventricular assist device implantation is becoming the technique of choice for implementation of new-generation heart pumps. The less-invasive technique is particularly useful for patients with a history of cardiac surgical procedures, such as coronary artery bypass grafting. Yet, in redo cases, severe pericardial adhesions may force experienced operators to opt for alternative outflow graft placement, such as in the descending aorta. We propose a surgical technique in which the left ventricular device is implanted through a limited thoracic incision, with the outflow graft anastomosed to the ascending aorta, avoiding collision with coronary bypass grafts...
September 14, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/30239715/is-the-modified-single-patch-repair-superior-to-the-double-patch-repair-of-complete-atrioventricular-septal-defects
#18
Laura S Fong, David S Winlaw, Yishay Orr
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was, 'Is the modified single-patch repair superior to the double-patch repair of complete atrioventricular septal defects?'. A total of 634 papers were found using the reported search, of which 9 represented the best evidence to answer the clinical question, which included 1 meta-analysis and 8 cohort studies. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers were tabulated...
September 14, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/30212874/perioperative-outcomes-of-thoracoscopic-lung-resection-requiring-a-long-operative-time
#19
Shohei Mori, Yuki Noda, Yo Tsukamoto, Takamasa Shibazaki, Hisatoshi Asano, Hideki Matsudaira, Makoto Yamashita, Makoto Odaka, Toshiaki Morikawa
OBJECTIVES: Difficult thoracoscopic surgery sometimes requires a long operative time. It is unclear whether patients benefit from such thoracoscopic surgeries. We investigated whether thoracoscopic surgery for difficult cases contributed to improvements in perioperative outcomes. METHODS: We retrospectively reviewed cases of anatomical lung resection with thoracoscopic surgery, including conversion to thoracotomy, between January 2006 and December 2016 and compared patient demographics and perioperative outcomes of the long (≥360 min) and the normal operative time groups (<360 min)...
September 12, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/30204877/abdominal-aortic-aneurysm-with-occlusion-of-three-primary-mesenteric-vessels-treated-by-surgery-with-perfusion-of-the-left-iliac-artery
#20
Masazumi Watanabe, Shinya Takahashi, Keijiro Katayama, Taijiro Sueda
A 64-year-old woman who underwent thoraco-abdominal aortic replacement for a Crawford type II aneurysm 11 years ago was referred to our hospital because of a residual juxtarenal abdominal aortic aneurysm. The coeliac, superior mesenteric and inferior mesenteric arteries were occluded. Collateral vessels from the left internal iliac artery to these 3 mesenteric arteries had developed. We performed open aneurysm repair using an extracorporeal circuit to maintain collateral flow to these mesenteric arteries.
September 10, 2018: Interactive Cardiovascular and Thoracic Surgery
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