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Interactive Cardiovascular and Thoracic Surgery

journal
https://www.readbyqxmd.com/read/29672751/a-bicenter-study-on-adjuvant-surgery-following-treatment-with-tyrosine-kinase-inhibitors-in-patients-with-advanced-lung-adenocarcinoma
#1
Ludovic Fournel, Pierre-Emmanuel Falcoz, Audrey Mansuet-Lupo, Elena Garelli, Filippo Lococo, Marco Alifano
OBJECTIVES: A small number of patients with advanced pulmonary adenocarcinomas treated with tyrosine kinase inhibitors (TKIs) was subsequently considered eligible for surgery. Our goal was to report the clinical characteristics, pathological features and prognosis of these patients with the aim of exploring the feasibility of this strategy of care. METHODS: We retrospectively reviewed the medical files of 19 patients in whom systemic treatment, including TKIs, resulted in a possible stabilization of the disease such that they were considered eligible for surgery (adjuvant surgery)...
April 16, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29672730/the-importance-of-costoclavicular-space-on-possible-compression-of-the-subclavian-artery-in-the-thoracic-outlet-region-a-radio-anatomical-study
#2
Tevfik Kaplan, Ayhan Comert, Ali Firat Esmer, Gökçe Kaan Ataç, Halil Ibrahim Acar, Bulent Ozkurt, Ibrahim Tekdemir, Serdar Han
OBJECTIVES: The purposes of this study were to identify possible compression points along the transit route of the subclavian artery and to provide a detailed anatomical analysis of areas that are involved in the surgical management of the thoracic outlet syndrome (TOS). The results of the current study are based on measurements from cadavers, computed tomography (CT) scans and dry adult first ribs. METHODS: The width and length of the interscalene space and the width of the costoclavicular passage were measured on 18 cervical dissections in 9 cadavers, on 50 dry first ribs and on CT angiography sections from 15 patients whose conditions were not related to TOS...
April 16, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29672726/a-new-surgical-strategy-for-medically-uncontrolled-protein-losing-enteropathy-after-fontan-surgery
#3
Seul Gi Cha, Gi Beom Kim, Chung Noh, Woong Han Kim
Managing protein-losing enteropathy after Fontan surgery is challenging. We report a case of protein-losing enteropathy associated with Fontan circulation in a 14-year-old boy. He was treated medically for 2 years, without improvement until Fontan takedown and pulsatile bidirectional cavopulmonary shunting were performed.
April 16, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29672694/successful-surgical-ablation-of-atrial-fibrillation-does-not-disturb-long-term-sinus-rhythm-variability
#4
Grzegorz Suwalski, Piotr Suwalski
OBJECTIVES: Surgical ablation of atrial fibrillation (AF) aims to restore normal sinus rhythm while protecting the sinus node from surgical damage. Surgical lesions may affect autonomic neural structures and influence physiological heart rate variability (HRV). The primary aim of this study was to describe long-term dynamics of HRV after successful surgical ablation of AF. The secondary aim was to compare sinus node function after successful ablation of AF with either left atrial modified Maze procedure or epicardial pulmonary vein isolation after long-term follow-up...
April 16, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29672688/distal-aortic-arch-aneurysm-in-an-adult-case-of-phace-syndrome
#5
Chiharu Tanaka, Shinichiro Shimura, Yasunori Cho, Toshihiko Ueda
A rare case of adult PHACE syndrome with a distal aortic arch aneurysm was treated surgically. The patient had several anomalies including uneven cerebral blood flow, a small left common carotid artery and a narrowed transverse aorta. Under deep hypothermic circulatory arrest, aortic replacement with reconstruction of the left subclavian artery was performed uneventfully. Cystic degeneration of the tunica media was observed in the aneurysm wall.
April 16, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29672686/are-we-losing-future-talent-a-national-survey-of-uk-medical-student-interest-and-perceptions-of-cardiothoracic-surgery
#6
Ryan Preece, Eyal Ben-David, Shahmeen Rasul, Swetha Yatham
OBJECTIVES: Cardiothoracic surgery appears to have become a significantly less popular career option among UK medical graduates. This study aimed to elucidate the current levels of interest in pursuing a career in cardiothoracic surgery among surgically orientated UK medical students and to determine the factors underlying this decision. METHODS: An online cross-sectional survey generated using the LimeSurvey was distributed to the surgical societies of all 32 UK medical schools...
April 16, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29659844/surgery-for-acute-infective-endocarditis-epidemiological-data-from-a-spanish-nationwide-hospital-based-registry
#7
Juan Bustamante-Munguira, Carlos-A Mestres, Pablo Alvarez, Angels Figuerola-Tejerina, Rocio Eiros Bachiller, Esther Gómez-Sánchez, Francisco Javier Alvarez, Salvador Resino, Javier Castrodeza, Eduardo Tamayo
OBJECTIVES: Infective endocarditis (IE) is a serious and eventually lethal disease with rising incidence in the past couple of decades. The aim of this study was to evaluate the contemporary epidemiological trends of surgical endocarditis patients, to analyse the clinical outcomes and to study their profile, associated prognostic factors and costs. METHODS: This is a retrospective study of all patients admitted for IE in Spanish hospitals and discharged between 1 January 1997 and 31 December 2014...
April 12, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29659843/a-computed-tomography-based-planning-tool-for-predicting-difficulty-of-minimally-invasive-aortic-valve-replacement
#8
Mustafa A Elattar, Abdullah Kaya, Nils R Planken, Jan Baan, Ed T Vanbavel, Bas A J M de Mol, Henk A Marquering
OBJECTIVES: Minimally invasive aortic valve replacement has proven its value over the last decade by its significant advancement and reduction in mortality, morbidity and admission time. However, minimally invasive aortic valve replacement is associated with some on-site difficulties such as limited aortic annulus exposure. Currently, computed tomography scans are used to evaluate the anatomical relationship among the intercostal spaces, ascending aorta and aortic valve prior to surgery...
April 12, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29659818/surgical-treatment-of-huge-left-ventricular-outflow-tract-pseudoaneurysm
#9
Yuan Li, Long Deng, Yunhu Song
Pseudoaneurysms arising from the left ventricular outflow tract are rarely reported. We report a 26-year-old man who was admitted with paroxysmal chest pain and dyspnoea on exertion. Computed tomography revealed the presence of a pseudoaneurysm (93 × 77 mm), and the communication was below the aortic annulus. Through median sternotomy, a huge pulsatile pseudoaneurysm was exposed, and an 8-mm-diameter communication of the pseudoaneurysm in the left ventricular outflow tract wall was visualized. The defect was successfully repaired, and the postoperative course was uneventful...
April 12, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29635322/atrial-approaches-to-the-mitral-valve-is-there-a-difference-in-postoperative-rhythm-disturbance-and-permanent-pacemaker-implantation
#10
Anas Boulemden, Dharsicka Nadarajah, Adam Szafranek, David Richens
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether there was a difference in postoperative outcomes [namely permanent pacemaker (PPM) insertion, rhythm disturbance, reoperation for bleeding, hospital stay and in-hospital mortality] between trans-septal or superior (extended) trans-septal (STS) approaches in comparison with the conventional left atriotomy (LA) used in mitral valve surgery. Using the reported search strategy, 353 papers were found of which 11 represented the best evidence to answer the clinical question...
April 7, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29635442/systemic-to-pulmonary-artery-shunting-using-heparin-bonded-grafts
#11
Yuletta Adny Ambarsari, Ariawan Purbojo, Robert Blumauer, Martin Glöckler, Okan Toka, Robert A Cesnjevar, André Rüffer
OBJECTIVES: Systemic-to-pulmonary artery shunting remains an important palliative procedure in the staged management of complex congenital heart defects. The use of heparin-bonded polytetrafluoroethylene shunts (HBPSs) should enhance graft patency. This study aimed to review the single-centre experience using HBPS in the context of congenital cardiac surgery. METHODS: The records of 51 patients treated using HBPS between 2010 and 2016 were retrospectively reviewed...
April 6, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29635435/axillo-iliac-artery-bypass-for-recurrent-aortic-coarctation-to-reduce-cardiac-afterload
#12
Yoshiyuki Yamashita, Hideki Tatewaki, Takashi Matsumoto, Akira Shiose
A 13-year-old girl, who had undergone interrupted aortic arch repair with an 8-mm graft as a neonate and Fontan completion in childhood, developed ventricular fibrillation due to long-QT syndrome. Cardioverter defibrillator implantation was planned. Preoperative catheterization showed a 45-mmHg aortic pressure gradient and ventricular end-diastolic pressure of 11 mmHg. This indicated that recurrent coarctation had adversely affected ventricular function. After consideration of the patient's age, symptoms and anatomical/surgical complexities, axillo-iliac bypass with cardioverter defibrillator implantation was performed...
April 6, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29659846/is-administration-of-dual-antiplatelet-therapy-beneficial-for-patients-following-off-pump-coronary-artery-bypass-grafting
#13
Maciej Peksa, Sleiman Sebastian Aboul-Hassan, Jakub Marczak, Romuald Cichon
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether administration of dual-antiplatelet therapy (DAPT) following off-pump coronary artery bypass grafting (OPCAB) would improve postoperative clinical outcomes or minimize the incidence of postoperative graft failure. In total, 101 papers were found using the reported search, 14 of which 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...
April 5, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29659840/what-is-the-optimal-target-for-the-second-arterial-graft-in-patients-undergoing-coronary-bypass-surgery
#14
Dimos Karangelis, Amine Mazine, Apostolos Roubelakis, George Stavridis
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether the anterolateral or the inferior wall served as a better location for the 2nd arterial graft in a 3-system coronary artery bypass grafting procedure. In total, more than 1800 papers were found, of which 6 represented the best evidence to answer the clinical question. All papers demonstrated equivalent early postoperative mortality and morbidity. The 3 largest studies comparing bilateral internal thoracic arteries showed no difference in perioperative mortality and morbidity regardless of whether the 2nd internal thoracic artery was used to graft the left or right system...
April 5, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29618005/the-sub-coronary-ross-konno-procedure-in-children-a-word-of-caution-for-use-in-infants
#15
David James Barron
No abstract text is available yet for this article.
April 3, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29618075/thoracoscopic-rebiopsy-to-detect-the-t790m-mutation-after-postoperative-recurrence
#16
Masatsugu Hamaji, Hideki Motoyama, Toshi Menju, Toyofumi-Fengshi Chen-Yoshikawa, Makoto Sonobe, Young Hak Kim, Hiroshi Date
After pulmonary resection for non-small-cell lung cancer, some patients with postoperative recurrence and mutated epidermal growth factor receptor (EGFR) subsequently receive EGFR-tyrosine kinase inhibitors (EGFR-TKIs). Osimertinib may be efficacious if those patients become resistant to the 1st-line EGFR-TKI because of the T790M mutation. We recently performed thoracoscopic rebiopsy to detect the T790M mutation in 4 patients who became resistant to the 1st-line EGFR-TKI treatment for postoperative recurrence...
April 2, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29618072/surgical-cut-down-for-vascular-access-with-conscious-sedation-for-transcatheter-aortic-valve-replacement-the-best-of-both-worlds
#17
Arturo Cardounel, Thomas G Gleason, Joon S Lee, John T Schindler, Dustin Kliner, Forozan Navid, Valentino Bianco, Ibrahim Sultan
OBJECTIVES: Despite the established efficacy of transcatheter aortic valve replacement for aortic valve replacement, vascular complications remain a major cause of procedural morbidity and mortality. In this study, we evaluate the use of femoral artery cut down with conscious sedation and report outcomes and complications associated with this approach. METHODS: Our study included 282 patients undergoing transcatheter aortic valve replacement with conscious sedation and surgical cut down for femoral access between 2015 and 2017...
April 2, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29618066/pulmonary-vein-obstruction-after-primary-sutureless-pericardial-repair-of-a-total-anomalous-pulmonary-venous-connection
#18
Kota Agematsu, Toru Okamura, Yoji Takiguchi, Yorikazu Harada
Total anomalous pulmonary venous connection is a rare congenital heart disease. The development of pulmonary venous obstruction is one of the major risk factors for poor outcomes after surgical repair. Sutureless pericardial repair for a total anomalous pulmonary venous connection was introduced to decrease the risk of pulmonary venous obstruction after surgical repair, and favourable outcomes have been reported. Herein, we report the case of an infant with a total anomalous pulmonary venous connection who developed pulmonary venous obstruction after primary sutureless pericardial repair...
April 2, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29618063/endoscopic-port-access-surgery-for-isolated-atrioventricular-valve-endocarditis
#19
Johan van der Merwe, Filip Casselman, Bernard Stockman, Apostolos Roubelakis, Yvette Vermeulen, Ivan Degrieck, Frank Van Praet
OBJECTIVES: Our goal was to report the clinical and echocardiographic outcomes of endoscopic port access surgery for isolated active and convalescent atrioventricular valve endocarditis (AVVE). METHODS: Our current surgical team performed endoscopic port access surgery in 66 consecutive patients with isolated AVVE (mean age, 65.5 ± 12.7 years, 37.9% women, mean EuroSCORE II 31.2 ± 24.9%, 45.5% prosthetic AVVE, Staphylococcus aureus 22.2%), between 1 May 2004 and 31 July 2015...
April 2, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29617802/tetralogy-of-fallot-with-critical-biventricular-dysfunction-is-surgical-correction-achievable
#20
Grégoire Cousin, Miarisoa Ratsimandresy, Bertrand Leobon, Fabio Cuttone
We describe the case of a 32-month-old patient from a developing country with tetralogy of Fallot associated with a severe biventricular dysfunction. This association is rare but makes the surgical strategy complex and potentially contraindicated. An acute severe hypoxic episode led us to perform palliative rescue intervention involving the placement of an undersized systemic-to-pulmonary shunt. This surgery was well tolerated and allowed a fast and impressive recovery of the ventricular function, making complete repair possible...
April 2, 2018: Interactive Cardiovascular and Thoracic Surgery
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