Evaluation of Left Ventricular Myocardial Work Performance in Patients Undergoing On-Pump and Off-Pump Coronary Artery Bypass Surgery.
Abstract PURPOSE: Benefits of off-pump coronary bypass (OPCAB) over on-pump (ONCAB) remain controversial. We aimed to evaluate the early impacts of OPCAB vs ONCAB for varying left ventricular (LV) function baselines by applying the non-invasive myocardial work (MW) analysis, which enables further insights in cardiac mechanics, contractility, and efficacy. METHODS: We retrospectively analyzed 98 patients (55 ONCAB vs 43 OPCAB). Transthoracic echocardiography (TTE) and concurrent arterial blood pressure measurements taken at rest, prior to, and early after surgery were performed. Global myocardial work index (G...
Source: Annals of Thoracic and Cardiovascular Surgery - September 7, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Spetsotaki K, Zayat R, Donuru S, Autschbach R, Schnoering H, Hatam N Tags: Ann Thorac Cardiovasc Surg Source Type: research

Health-Related Quality of Life in Children and Adolescents with Simple Congenital Heart Defects before and after Transcatheter Intervention Therapy: A Single-Center Study.
CONCLUSIONS: The results showed that the quality of life of children and adolescents with simple congenital heart defects can be positively affected by the transcatheter intervention. Moreover, this improvement is not transient and seems to increase over time. PMID: 32893225 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - September 7, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Sun KP, Xu N, Huang ST, Cao H, Chen Q Tags: Ann Thorac Cardiovasc Surg Source Type: research

Esophagectomy for Esophageal Cancer in a Patient with Protein C Deficiency: A Case Report.
Abstract A 63-year-old man with protein C deficiency underwent thoracoscopic esophagectomy and digestive reconstruction using a gastric tube for thoracic esophageal cancer. On postoperative day 3, the gastric tube was removed because of anastomotic leakage and gastric tube necrosis. Digestive reconstruction using a free jejunal graft was attempted 140 days after the first surgery. However, thrombus formation in the artery and vein of the jejunal graft resulted in a failed reconstruction. Ten days after this surgery, digestive reconstruction using the colon was performed with intraoperative heparin administered for...
Source: Annals of Thoracic and Cardiovascular Surgery - August 19, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Ujiie N, Taniyama Y, Okamoto H, Sato C, Takaya K, Fukutomi T, Kamei T Tags: Ann Thorac Cardiovasc Surg Source Type: research

The Effect of Minimally Invasive Thoracoscopic Left Atrial Appendage Excision on Cardiac Dynamic and Endocrine Function.
CONCLUSIONS: There are no significant differences in left atrial dynamics and natriuretic peptide secretion in AF patients after minimally invasive surgery with LAA excision. PMID: 32814727 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - August 19, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Zhang Z, Yang H, Li Y, Han J, Li Y, Meng X, Zhang H Tags: Ann Thorac Cardiovasc Surg Source Type: research

Minimally Invasive Surgery for Esophageal Cancer in Japan.
PMID: 32741882 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - August 1, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Ozawa S Tags: Ann Thorac Cardiovasc Surg Source Type: research

Aortobifemoral Bypass Grafting with Reversed L-Shaped Technique for Endograft Infection.
Abstract Endograft infection after abdominal endovascular aortic repair is a rare but catastrophic complication associated with high perioperative mortality and postoperative recurrent infection. The optimal surgical treatment is still controversial, particularly regarding in situ or extra-anatomical revascularization. Herein, we describe a successful surgically treated case of a patient with an endograft infection complicated with abscess formation in the retroperitoneal space around the right common iliac artery. We performed an aortobifemoral bypass grafting using the reversed L-shaped technique by rerouting th...
Source: Annals of Thoracic and Cardiovascular Surgery - August 1, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Kobayashi K, Uchida T, Kuroda Y, Yamashita A, Ohba E, Ochiai T, Sadahiro M Tags: Ann Thorac Cardiovasc Surg Source Type: research

A Novel Insertion Technique for the Extra-Long Montgomery T-Tube in Patients with a Large Mediastinal Tumor.
We report herein the case of a patient with a large mediastinal tumor caused by neurofibromatosis type 1 in which airway obstruction was avoided through the use of a novel extra-long T-tube placement technique. PMID: 32741884 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - August 1, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Kato T, Fujiwara-Kuroda A, Shiina N, Aragaki M, Ujiie H, Hida Y, Kaga K Tags: Ann Thorac Cardiovasc Surg Source Type: research

Prevention of Sternal Wound Infections in Women Using an External Sternum Fixation Corset.
CONCLUSION: Using an external supportive sternal corset (Stern-E-Fix) yields a significantly better and effective prevention against development of sternal dehiscence, DSWI, and mediastinitis in high-risk poststernotomy female patients. PMID: 32611929 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - July 2, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Selten K, Schnoering H, Zayat R, Aljalloud A, Moza A, Autschbach R, Tewarie L Tags: Ann Thorac Cardiovasc Surg Source Type: research

Respiratory Failure after Open Descending Aortic Aneurysm Repair: Risk Factors and Outcomes.
CONCLUSION: Lower FEV1% and longer operation time were risk factors of postoperative respiratory failure after open repair of DTAA, which in turn is associated with significantly reduced long-term survival. PMID: 32611930 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - July 2, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Miyashita F, Kinoshita T, Suzuki T, Asai T Tags: Ann Thorac Cardiovasc Surg Source Type: research

Chylothorax after Lung Cancer Surgery: A Key Factor Influencing Prognosis and Quality of Life.
This article reviews the anatomy of the thoracic duct, risk factors of postoperative chylothorax, diagnoses and management with chylothorax, and intraoperative prevention of chylothorax. With the development of researches on postoperative chylothorax, more effective treatment and prevention measures need to be proposed to better solve this clinical problem. PMID: 32611931 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - July 2, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Chen C, Wang Z, Hao J, Hao X, Zhou J, Chen N, Liu L, Pu Q Tags: Ann Thorac Cardiovasc Surg Source Type: research

Photodynamic Diagnosis for Pleural Disseminated Lesions of Lung Cancer Using a Combination of 5-Aminolevulinic Acid and Autofluorescence Observation System.
CONCLUSION: This method may facilitate the detection of minute disseminated lesions that are difficult to detect by usual inspection. In addition, the degree of pleural invasion may be diagnosed to evaluate the need for limited resection such as segmentectomy. PMID: 32522900 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - June 10, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Kitada M, Ohsaki Y, Yasuda S, Abe M, Yoshida N, Okazaki S, Ishibashi K Tags: Ann Thorac Cardiovasc Surg Source Type: research

Clinical Outcomes of a Customized Mitral Valve Plasty for Functional Mitral Regurgitation with a Low Ejection Fraction and Implications for Preoperative Right Ventricular Function.
Abstract PURPOSE: To evaluate clinical outcomes of customized mitral valve plasty (MVP) for the treatment of functional mitral regurgitation (FMR) with a low ejection fraction (EF) and to determine which preoperative factors affected the clinical outcome. METHODS AND RESULTS: MVP was adjusted according to the degree of left ventricle (LV) remodeling. We performed mitral annuloplasty (MAP) alone in 14 patients and added subvalvular procedures (SVPs) in 22 patients at a high risk of recurrent MR. During follow-up, reverse LV remodeling was obtained and the 3-year and 5-year non-recurrence rates of MR grade ≥...
Source: Annals of Thoracic and Cardiovascular Surgery - June 10, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Furukawa K, Yano M, Ishii H, Sakaguchi S, Mori K, Nishimura M, Nakamura K Tags: Ann Thorac Cardiovasc Surg Source Type: research

Effect of Treprostinil on the Early Postoperative Prognosis of Patients with Severe Left Heart Valvular Disease Combined with Severe Pulmonary Hypertension.
CONCLUSIONS: Treprostinil can improve the early postoperative prognosis of patients with severe left heart valvular disease combined with severe PAH undergoing prosthetic valve replacement. PMID: 32493870 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - June 3, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Huang ST, Xu N, Sun KP, Chen Q, Cao H Tags: Ann Thorac Cardiovasc Surg Source Type: research

Clinicopathological Analysis of 17 Surgically Resected Pulmonary Pleomorphic Carcinoma Cases.
Abstract OBJECTIVES: To determine the outcomes and prognostic factors associated with pulmonary resection of pulmonary pleomorphic carcinoma (PPC). METHODS: During 2008-2017, 17 patients underwent pulmonary resection for primary PPC at the Saitama Cancer Center, Japan. We investigated clinicopathological characteristics and outcomes of these cases. Overall survival (OS) and disease-free survival (DFS) rates were determined using Kaplan-Meier method and compared using log-rank test. Univariate analysis was performed to identify prognostic factors. RESULTS: The 5-year OS and DFS rates were 27.2% and 51.0%,...
Source: Annals of Thoracic and Cardiovascular Surgery - June 3, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Iijima Y, Nakajima Y, Kinoshita H, Nishimura Y, Iizuka T, Akiyama H, Hirata T Tags: Ann Thorac Cardiovasc Surg Source Type: research

Effect of Music Therapy on the Chronic Pain and Midterm Quality of Life of Patients after Mechanical Valve Replacement.
CONCLUSION: This study preliminarily showed that music therapy can effectively reduce chronic pain and improve midterm quality of life after surgery. PMID: 32493872 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - June 3, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Lin ZW, Huang ST, Xu N, Cao H, Chen LW, Chen Q Tags: Ann Thorac Cardiovasc Surg Source Type: research

Tracheal Reconstruction Surgery Supported by Extracorporeal Membrane Oxygenation for Patients with Traumatic Post-tracheotomy Tracheal Stenosis.
CONCLUSIONS: ECMO is a safe and feasible method to support oxygenation for patients with critical traumatic PTTS during tracheal reconstruction surgery. PMID: 32475889 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - May 29, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Pu H, Lei Y, Yuan D, Zhou Y Tags: Ann Thorac Cardiovasc Surg Source Type: research

Current Status of Off-Pump Coronary Artery Bypass.
CONCLUSION: CABG is a delicate procedure, the outcomes of which vary in accordance with the patient's condition as well as the level of expertise of the associated institution and surgeon. In the future, we hope that reports will emerge with excellent results, including long-term results, from Japanese institutions experienced in performing OPCAB. PMID: 32475890 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - May 29, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Kuwahara G, Tashiro T Tags: Ann Thorac Cardiovasc Surg Source Type: research

A Surgical Case of Bronchial Artery Aneurysm Connecting to a Pulmonary Artery and Vein Complicated by Racemose Hemangioma.
We report a surgical case of bronchial artery aneurysm (BAA) that directly connected to a pulmonary artery and a pulmonary vein through an abnormal vessel. It was complicated by racemose hemangioma. This is a rare vascular malformation. An 82-year-old female had a large BAA that was found incidentally. First, we consider treating the BAA with embolization by interventional radiology (IVR). However, because of strong meandering of the bronchial artery, we could not advance a microcatheter into the BAA. Therefore, a surgical operation was performed through a standard posterior lateral thoracotomy. The BAA was located between...
Source: Annals of Thoracic and Cardiovascular Surgery - May 18, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Nishida T, Isogai N, Shimoyama R, Kawachi J, Tsukiyama T, Noguchi KI, Fukai R Tags: Ann Thorac Cardiovasc Surg Source Type: research

Secondary Carina and Lobar Bronchi Stenting in Patients with Advanced Lung Cancer: Is It Worth the Effort? A Clinical Experience.
Abstract BACKGROUND: The lobar airway stenting remains an endoscopic procedure not well standardized in patients with locally advanced lung cancer disease. The goal of this study was to evaluate technical feasibility, clinical outcome, and complications of different stents in patients with malignant lesions involving lobar bronchi, primary and secondary carina. METHODS: Between November 2008 and October 2013, we retrospectively analyzed 146 patients with benign and malignant tracheobronchial stenosis who underwent airway stent insertion below main carina and main bronchi. RESULTS: In all, 170 airway sten...
Source: Annals of Thoracic and Cardiovascular Surgery - May 18, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Marchese R, Poidomani G, Palumbo VD, Lo Nigro C, Caterino U, Lo Monte AI, Cajozzo M Tags: Ann Thorac Cardiovasc Surg Source Type: research

Gender Differences in Predictors and Long-Term Mortality of New-Onset Postoperative Atrial Fibrillation Following Isolated Aortic Valve Replacement Surgery.
CONCLUSION: In severe aortic stenosis, factors associated with POAF and its impact on mortality differed between genders, with an increased risk of death observed only in men. PMID: 32350163 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - April 28, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Fragão-Marques M, Mancio J, Oliveira J, Falcão-Pires I, Leite-Moreira A Tags: Ann Thorac Cardiovasc Surg Source Type: research

The Comparison of Long-term Results between Aortofemoral and Axillofemoral Bypass for Patients with Aortoiliac Occlusive Disease.
CONCLUSIONS: Even though the patency rates with AxFB grafting were inferior to those with AoFB grafting, AxFB was able to achieve equivalent limb salvage rates and should thus be considered as an alternative treatment method, especially when limb salvage is a goal. PMID: 32321900 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - April 22, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Igari K, Kudo T, Katsui S, Nishizawa M, Uetake H Tags: Ann Thorac Cardiovasc Surg Source Type: research

Bilateral Trans-Septal Approach to Right Lung Cancer Invading the Left Atrium.
We describe a 69-year-old woman with primary lung cancer in the right lower lobe invasive to the left atrium (LA) via the pulmonary vein (PV). The tumor in the LA measured 30 × 26 mm, and to avoid critical embolism preoperative induction therapy was not performed. The patient underwent right thoracotomy under cardiopulmonary bypass (CPB), and the atrial septum was incised via the right atrium. The tumor was placed out of the LA, followed by lobectomy. For right lung tumors invading the LA, the bilateral trans-septal approach is useful for confirming the surgical margin. PMID: 32281578 [PubMed - as supplied by pu...
Source: Annals of Thoracic and Cardiovascular Surgery - April 10, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Terada Y, Tamari S, Gomyoda T, Takahashi M, Sowa T, Azuma S, Morita M Tags: Ann Thorac Cardiovasc Surg Source Type: research

Structural Valve Deterioration after Transcatheter Aortic Valve Implantation Using J-Valve: A Long-Term Follow-Up.
Abstract PURPOSE: Our study aimed to investigate the structural valve deterioration (SVD) after transcatheter aortic valve implantation (TAVI) using J-Valve. METHODS: In all, 14 patients with aortic stenosis (AS) and 4 patients with pure aortic regurgitation (PAR) were available in the study. Four-year follow-up was performed in all patients, and the clinical data and echocardiographic findings were recorded and analyzed. RESULTS: All patients survived at the 4-year follow-up. There was no evidence of morphological SVD or prosthetic valve thrombosis in enrolled patients. None of the hemodynamic SVD occur...
Source: Annals of Thoracic and Cardiovascular Surgery - April 3, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Li F, Wang X, Wang Y, Xu F, Wang X, Li X, Wang W Tags: Ann Thorac Cardiovasc Surg Source Type: research

Analysis of Risk Factors for Bronchopleural Fistula after Surgical Treatment of Lung Cancer.
We examined the following risk factors for BPF: surgical procedure, medical history, preoperative treatment, and surgical management. RESULTS: In all, 10 patients (1.6%) had developed postoperative BPFs. Univariate logistic regression analysis showed that surgical procedure, medical history (arteriosclerosis obliterans [ASO]), and bronchial stump reinforcement were significant risk factors. Multivariate analysis showed that only surgical procedure (right lower lobectomy, p = 0.011, odds ratio = 17.4; right middle lower lobectomy, p = 0.003, odds ratio = 59.4; right pneumonectomy, p
Source: Annals of Thoracic and Cardiovascular Surgery - March 27, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Tokunaga Y, Kita Y, Okamoto T Tags: Ann Thorac Cardiovasc Surg Source Type: research

Application of Aortic Balloon Occlusion in Total Aortic Arch Replacement with Frozen Elephant Trunk on Clinical Endpoints for Aortic Dissection Patients.
CONCLUSIONS: The aortic balloon occlusion technique, as a perfusion strategy during operation, could alleviate postoperative complication. This method deserves further attention in future clinical practice for its value in treating patients with higher operative risks. PMID: 32161208 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - March 11, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Li Y, Guo H, Wang L, Liang S, Sun X Tags: Ann Thorac Cardiovasc Surg Source Type: research

Surgical Outcomes of Stent-Related Type A Dissection Compared with Spontaneous Type A Dissection.
In this study, we compared the surgical outcomes of stent-related type A dissection (SRTAD) compared with spontaneous type A dissection (STAD). METHODS: From July 2011 to July 2014, we identified 17 SRTAD patients received surgical repair in our institution. Propensity score-matching was used to identify 34 STAD patients as controls. RESULTS: Preoperative data of SRTAD group and STAD group had no statistical difference. Selective cerebral perfusion (SCP) time was longer in SRTAD group than in STAD group (P
Source: Annals of Thoracic and Cardiovascular Surgery - March 10, 2020 Category: Cardiovascular & Thoracic Surgery Authors: An Z, Tan MW, Yu SY, Ma Y, Lu FL, Xu ZY Tags: Ann Thorac Cardiovasc Surg Source Type: research

Quality of Life Following Peroral Endoscopic Myotomy for Esophageal Achalasia: A Systematic Review and Meta-Analysis.
g X Abstract BACKGROUND: Peroral endoscopic myotomy (POEM) is a novel minimally invasive intervention for treating esophageal achalasia. Previous publications have proved its excellent efficacy and safety, and even shown it could improve patients' quality of life (QoL). So, we conducted this study to explore the changes of QoL following POEM. METHODS: A comprehensive literature search was conducted on PubMed, EMBASE, and Cochrane Library covering the period from January 2009 to April 2019. The statistical analysis was carried out using Review Manager 5.3. RESULTS: A total of 12 studies including 549 pati...
Source: Annals of Thoracic and Cardiovascular Surgery - March 4, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Zhong C, Tan S, Ren Y, Lü M, Peng Y, Fu X, Tang X Tags: Ann Thorac Cardiovasc Surg Source Type: research

IgG4-Related Lung Disease Exhibiting the Invasion into the Diaphragm: A Case Report.
Abstract Immunoglobulin G4-related disease (IgG4-RD) is a fibroinflammatory condition which involves various organs. This is a very rare case of IgG4-related lung disease (IgG4-RLD) with the invasion into diaphragm. The patient was a 71-year-old man with a long-term exposure to asbestos who had a mass shadow in the left lower lung lobe, which was suspected to invade the left diaphragm on computed tomography (CT). Positron emission tomography (PET)/CT also presented an avid intake of fluorodeoxyglucose in the mass, which suspected lung cancer. Although bronchoscopic biopsy could not lead to the definite diagnosis, ...
Source: Annals of Thoracic and Cardiovascular Surgery - February 27, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Ono Y, Toyokawa G, Tagawa T, Ijichi K, Oda Y, Mori M Tags: Ann Thorac Cardiovasc Surg Source Type: research

Conventional Multi-Planar Reconstruction Imaging Is Insufficient to Determine the Indication for Segmentectomy.
CONCLUSION: Conventional MPR image-based assessment frequently resulted in the overestimation of the anatomical margin. We recommend using software-based assessment preoperatively in patients with tumors in the risky segments, particularly in cases involving indistinct tumors. PMID: 32074539 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - February 19, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Nagata T, Ueda K, Suzuki S, Tokuda Y, Yunoki K, Imamura S, Sato M Tags: Ann Thorac Cardiovasc Surg Source Type: research

Complete Blood Cell Count-Derived Inflammatory Biomarkers in Early-Stage Non-Small-Cell Lung Cancer.
CONCLUSIONS: The preoperative MLR level is the optimal predictor of recurrence in patients with pathological stage IA NSCLC. PMID: 32074540 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - February 19, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Shoji F, Kozuma Y, Toyokawa G, Yamazaki K, Takeo S Tags: Ann Thorac Cardiovasc Surg Source Type: research

Symptomatic Aberrant Right Subclavian Artery: Advantages of a Less Invasive Surgical Approach.
We present the case of a 33-year-old woman with a non-aneurysmal, symptomatic aberrant right subclavian artery (ARSA) traveling posterior to the esophagus, as demonstrated on chest computed tomography (CT) scans. She was treated with a less invasive surgical approach: closure of the anomalous vessel close to its origin from the aortic arch, through a left thoracoscopic procedure, followed by right common carotid-subclavian artery transposition via an open right supraclavicular approach. This method avoids the postoperative morbidity associated with open thoracic surgery and allows a clear identification of the anatomic str...
Source: Annals of Thoracic and Cardiovascular Surgery - February 4, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Amore D, Casazza D, Casalino A, Valente T, De Rosa RC, Sangiuolo P, Curcio C Tags: Ann Thorac Cardiovasc Surg Source Type: research

Tracheoplasty for Congenital Tracheal Stenosis with Bilateral Tracheal Bronchus.
CONCLUSION: The patient had unique anatomic considerations that made reconstruction challenging. Our technique of covering a stenotic section by normal trachea is a modification of the slide tracheoplasty technique and is useful for CTS with a unilateral and a bilateral TB. PMID: 31996506 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - January 29, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Yamoto M, Fukumoto K, Urushihara N Tags: Ann Thorac Cardiovasc Surg Source Type: research

The Association of Vacuum-Assisted Closure Therapy with Dynamic Volume Change of a Muscle Flap Transposed in an Empyema Cavity for Chronic Empyema: A Case Report.
Abstract A 62-year-old woman with a history of lung resection for lung cancer was admitted to our hospital due to cough, which became progressively more severe. She was diagnosed with chronic empyema with bronchopleural fistula (BPF) of the right upper bronchial stump. Although a pedicled muscle flap was transposed to the empyema cavity, the fistula remained. We used a vacuum-assisted closure system after open-window thoracotomy and observed the cavity reduction with expansion of the transposed muscle flap. We quantitatively evaluated the dynamics of the cavity change using a three-dimensional image analysis syste...
Source: Annals of Thoracic and Cardiovascular Surgery - January 29, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Kojima K, Sakamoto T, Sakurai T, Yagi Y, Utsumi T, Yoon H Tags: Ann Thorac Cardiovasc Surg Source Type: research

Preoperative Immune-Nutritional Abnormality Predicts Poor Outcome in Elderly Non-Small-Cell Lung Cancer Patients with Comorbidities.
CONCLUSION: Preoperative abnormal CONUT score is a poor prognostic factor for the elderly NSCLC patients with preoperative comorbidities and might predict poor postoperative outcome caused by not primary lung cancer but other diseases. PMID: 31996508 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - January 29, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Miura N, Shoji F, Kozuma Y, Toyokawa G, Yamazaki K, Takeo S Tags: Ann Thorac Cardiovasc Surg Source Type: research

Trunk Muscle Cross-Sectional Area as a Predictive Factor for Length of Postoperative Hospitalization after Surgical Aortic Valve Replacement.
Abstract PURPOSE: We investigated the utility of trunk muscle cross-sectional area to predict length of hospitalization after surgical aortic valve replacement (AVR) for aortic stenosis (AS). METHODS: Adult AS patients who underwent isolated AVR at a single institution were studied. The cross-sectional area of the erector spinae muscles (ESM) at the first and second lumbar vertebrae and that of the psoas muscle (PM) at the third and fourth lumbar vertebrae were measured on preoperative computed tomography (CT). Each was indexed to body surface area. Risk factors for prolonged postoperative hospitalization (&g...
Source: Annals of Thoracic and Cardiovascular Surgery - January 29, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Taniguchi N, Hosono M, Kuwauchi S, Yasumoto H, Kawazoe K Tags: Ann Thorac Cardiovasc Surg Source Type: research

Total Arterial Revascularization with Radial Artery and Internal Thoracic Artery T-Grafts Is Associated with Superior Long-Term Survival in Patients Undergoing Coronary Artery Bypass Grafting.
CONCLUSIONS: Using the RA and the left ITA as T-graft is associated with a significant long-term survival benefit in patients undergoing CABG. It may display a promising alternative to conventional use of a single ITA supplemented by saphenous veins. PMID: 31956169 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - January 18, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Obed D, Fleissner F, Martens A, Cebotari S, Haverich A, Warnecke G, Ismail I Tags: Ann Thorac Cardiovasc Surg Source Type: research

Effects of the Sounds of Different Mechanical Mitral Valves on Quality of Life at Different Follow-Up Times: A Single-Center Study.
CONCLUSION: The overall postoperative QoL improved for patients who underwent mechanical mitral valve replacement. In the comparative study, the impact of the ATS valve was better than those of the Sorin and SJM valves, but this difference gradually disappeared over time. PMID: 31932542 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - January 10, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Huang JS, Sun KP, Xu N, Chen Q, Chen LW, Kuo YR Tags: Ann Thorac Cardiovasc Surg Source Type: research

Corrugated Sheet of Unsintered Hydroxyapatite Poly-L-Lactide for Sternal Fixation: A Preclinical Study.
CONCLUSION: The corrugated sheet might provide a stronger fixation effect in the fragile bone marrow. The device width was modified to 18 mm to be applicable for most Japanese patients. PMID: 31827020 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - December 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kuroki H, Arai H, Srisont S, Oi K, Tomita M, Mizuno T Tags: Ann Thorac Cardiovasc Surg Source Type: research

Neutrophil Elastase Inhibitor Sivelestat Attenuates Myocardial Injury after Cardioplegic Arrest in Rat Hearts.
Abstract PURPOSE: Sivelestat, a neutrophil elastase inhibitor, attenuates global ischemia-induced myocardial damage and coronary endothelial dysfunction. Here, we investigated whether sivelestat exerts the cardioprotective effects against cardioplegic arrest in rat hearts. METHODS: Isolated Langendorff-perfused rat hearts were randomly allocated to three groups and subjected to 2-min infusions with St. Thomas' Hospital cardioplegic solution No. 2 (STH2) and 30-min global ischemia followed by 60-min reperfusion as follows: (i) control (STH2 treatment only), (ii) sivelestat (19 μmol/L) infusion for the first...
Source: Annals of Thoracic and Cardiovascular Surgery - December 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Fujii M, Bessho R Tags: Ann Thorac Cardiovasc Surg Source Type: research

Retroperitoneal Aortobifemoral Bypass by a Combination of Horseshoe Kidney and Aortoiliac Occlusive Disease with Stent Thrombosis.
Abstract Bilateral aorto-profunda femoris bypass with Dacron bifurcation graft was performed by a patient with aortoiliac occlusive disease (AIOD) and horseshoe kidney (HSK) who had undergone stenting of the right common iliac artery and of the left superficial femoral artery with subsequent stent thrombosis as well as significant subrenal aortic stenosis. As endovascular treatment was not feasible and surgical treatment by means of transperitoneal incision would be associated with high risk of damage to the HSK, the operation was successfully accomplished through left pararectal retroperitoneal approach. PMI...
Source: Annals of Thoracic and Cardiovascular Surgery - December 6, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Govedarski V, Dimitrova E, Hadzhiev E, Denchev B, Vassileva Z Tags: Ann Thorac Cardiovasc Surg Source Type: research

The Necessity of Anti-Tuberculosis Therapy after Resection of Pulmonary Tuberculous Nodules: A Single Center Retrospective Study.
CONCLUSIONS: Postoperative recurrence of tuberculosis is rare, anti-tuberculosis treatment seems unnecessary for asymptomatic pulmonary tuberculous nodules. Adverse drug reactions should not be ignored. PMID: 31776302 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - November 27, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Wang C, Liu Y, Lin H, Yang L, Yan D, Gong C, Liu S Tags: Ann Thorac Cardiovasc Surg Source Type: research

Changeover Trial of Febuxostat and Topiroxostat for Hyperuricemia with Cardiovascular Disease: Sub-Analysis for Chronic Kidney Disease (TROFEO CKD Trial).
CONCLUSION: Febuxostat had stronger renoprotective and antioxidant effects than topiroxostat in patients with hyperuricemia and CKD. PMID: 31748427 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - November 21, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Sezai A, Unosawa S, Taoka M, Osaka S, Sekino H, Tanaka M Tags: Ann Thorac Cardiovasc Surg Source Type: research

MiR-26b Suppresses the Development of Stanford Type A Aortic Dissection by Regulating HMGA2 and TGF- β/Smad3 Signaling Pathway.
CONCLUSION: miR-26b impeded TAAD development by regulating HMGA2 and TGF-β/Smad3 signaling pathway, which provided a potential biomarker for TAAD treatment. PMID: 31723084 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - November 14, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Yang P, Wu P, Liu X, Feng J, Zheng S, Wang Y, Fan Z Tags: Ann Thorac Cardiovasc Surg Source Type: research

Pulmonary Metastasectomy for Germ Cell Tumors.
This article reviews the existing data on current management of pulmonary metastases in GCT, with attention paid to timing of surgery, surgical approaches, and complications. PMID: 31723083 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - November 13, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Farazdaghi A, Vaughn DJ, Singhal S Tags: Ann Thorac Cardiovasc Surg Source Type: research

Does Preoperative Low HbA1c Predict Esophageal Cancer Outcomes?
CONCLUSION: Although low level of pretreatment HbA1c might be associated with poor prognosis for patients with esophageal cancer, low HbA1c was not an independent risk factor. PMID: 31666442 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - October 30, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kochi R, Suzuki T, Yajima S, Oshima Y, Ito M, Funahashi K, Shimada H Tags: Ann Thorac Cardiovasc Surg Source Type: research

Erratum.
Authors: PMID: 31631121 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - October 23, 2019 Category: Cardiovascular & Thoracic Surgery Tags: Ann Thorac Cardiovasc Surg Source Type: research

Administration of Corticosteroids, Ascorbic Acid, and Thiamine Improves Oxygenation after Thoracoscopic Esophagectomy.
This study was undertaken to investigate the effect of this combined therapy on lung dysfunction following esophagectomy. METHODS: In this retrospective before-after study, we compared the clinical course of consecutive patients undergoing thoracoscopic esophagectomy treated with the combination of corticosteroids, ascorbic acid, and thiamine between June and December 2018 with a control group treated with corticosteroids alone between January 2016 and May 2018. Outcomes included oxygenation (arterial partial pressure of oxygen (PaO2)/fractional concentration of inspired oxygen (FiO2) ratios), duration of mechanical v...
Source: Annals of Thoracic and Cardiovascular Surgery - October 18, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Matsuoka T, Shinozaki H, Ozawa S, Izawa Y, Koyanagi K, Kawarai Lefor A, Kobayashi K Tags: Ann Thorac Cardiovasc Surg Source Type: research

Stable Hemodynamics within "No-Touch" Saphenous Vein Graft.
Stable Hemodynamics within "No-Touch" Saphenous Vein Graft. Ann Thorac Cardiovasc Surg. 2019 Oct 11;: Authors: Jiang Q, Yang Y, Sun H, Tang Y, Lv F, Hu S Abstract PURPOSE: To investigate the hemodynamics characteristics of the "no-touch" saphenous vein graft (SVG) conduits by nicardipine intraluminal administration in vivo experiment. METHODS: A total of 59 consecutive patients were enrolled and underwent a sequential SVG to three non-left anterior descending (LAD) targets with the average runoff ≤2 mm, 30 with "no-touch" harvest technique (group A) and 29 with co...
Source: Annals of Thoracic and Cardiovascular Surgery - October 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Jiang Q, Yang Y, Sun H, Tang Y, Lv F, Hu S Tags: Ann Thorac Cardiovasc Surg Source Type: research

Current Management of Acute Pulmonary Embolism.
CONCLUSIONS: Acute PE presents with varying degrees of clinical stability. Patients should be evaluated in the context of various available treatment options including medical, catheter-based, and surgical interventions. SPE is a safe and appropriate treatment option for appropriate patients. PMID: 31588070 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - October 5, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Licha CRM, McCurdy CM, Maldonado SM, Lee LS Tags: Ann Thorac Cardiovasc Surg Source Type: research

The Effect of Diabetes Mellitus on Prognosis of Patients with Non-Small-Cell Lung Cancer: A Systematic Review and Meta-Analysis.
CONCLUSION: Preexisting DM has a negative impact on diabetic NSCLC patients' prognosis. PMID: 31588071 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - October 5, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Bi G, Yao G, Bian Y, Xue L, Zhang Y, Lu T, Fan H Tags: Ann Thorac Cardiovasc Surg Source Type: research