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

Isolated Mitral Valve Repair in Patients with Reduced Left Ventricular Ejection Fraction.
This study aims to analyze the clinical outcomes after isolated mitral valve (MV) repair in patients with reduced left ventricular ejection fraction (LVEF
Source: Annals of Thoracic and Cardiovascular Surgery - October 4, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Noack T, Cuartas MM, Kiefer P, Garbade J, Pfannmueller B, Seeburger J, Borger MA Tags: Ann Thorac Cardiovasc Surg Source Type: research

In-Hospital Postoperative Atrial Fibrillation Indicates a Poorer Clinical Outcome after Myectomy for Obstructive Hypertrophic Cardiomyopathy.
This study aims to investigate the risk factors of in-hospital postoperative atrial fibrillation (POAF) and the impact of POAF on the clinical outcome in hypertrophic cardiomyopathy (HCM) patients who underwent myectomy. METHODS: Data from a total of 494 obstructive HCM patients, who had undergone preoperative cardiac magnetic resonance (CMR) testing and who underwent myectomy at Fuwai Hospital from June 2011 to June 2016, were collected. RESULTS: Multivariate logistic regression analysis showed that old age (odds ratio [OR], 4.326; 95% confidence interval [CI], 2.248-8.325; p
Source: Annals of Thoracic and Cardiovascular Surgery - October 4, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Tang B, Song Y, Cheng S, Cui H, Ji K, Zhao S, Wang S Tags: Ann Thorac Cardiovasc Surg Source Type: research

Solitary Splenic Metastasis of Lung Cancer Presenting as Benign Cystic Disease.
Abstract Solitary splenic metastasis from primary lung cancer is extremely rare. Here, we demonstrated a solitary splenic metastasis of primary lung cancer that was difficult to distinguish from benign cystic disease. A 69-year-old-female was diagnosed as middle lobe lung cancer. Although preoperative abdominal computed tomography (CT) demonstrated a low-density splenic nodule, fluorodeoxyglucose-positron emission tomography (FDG-PET) revealed no fluorodeoxyglucose uptake in the splenic nodule. Therefore, the nodule was diagnosed as benign cystic disease and middle lobe lobectomy was performed. Postoperative patho...
Source: Annals of Thoracic and Cardiovascular Surgery - September 26, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Matsuoka K, Yamada T, Matsuoka T, Nagai S, Ueda M, Miyamoto Y Tags: Ann Thorac Cardiovasc Surg Source Type: research

Simple Redo Proximal Thoracic Aortic Surgery with Peripheral Cardiopulmonary Bypass and Minimal Dissection.
Abstract Reoperations on the proximal thoracic aorta are increasingly observed after previous aortic or cardiac operations. Redo proximal aortic surgery remains challenging with an increased mortality compared to first-time operations. For a successful redo proximal aortic surgery in a patient with complex pathological conditions, the surgical procedure and cardiopulmonary bypass (CPB) should be simplified as much as possible. Herein, we report our experience of proximal aortic reoperations in which the strategy consisted of an axillo-axillary (jugular) and a femoro-femoral CPB in combination with minimal dissecti...
Source: Annals of Thoracic and Cardiovascular Surgery - September 26, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Uchida T, Hamasaki A, Kuroda Y, Yamashita A, Sadahiro M Tags: Ann Thorac Cardiovasc Surg Source Type: research

Mediastinal Ancient Schwannoma Causing Intrathoracic Bleeding.
Abstract Spontaneous hemothorax caused by the rupture of a benign schwannoma has rarely been reported. Herein, we present the successful excision of an extremely rare case of mediastinal ancient schwannoma causing intrathoracic bleeding. A 27-year-old man was admitted to our emergency department because of back pain and dyspnea. Computed tomography revealed massive pleural effusion with a posterior mediastinal tumor. We performed a resection of the tumor which had ruptured, and the tumor was diagnosed as an ancient schwannoma. PMID: 31548444 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and ...
Source: Annals of Thoracic and Cardiovascular Surgery - September 20, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Nakashima C, Harada H, Shibata S Tags: Ann Thorac Cardiovasc Surg Source Type: research

Comparison of Mitral Valve Repair versus Replacement for the Progression of Functional Tricuspid Regurgitation.
This study included 193 patients with degenerative mitral valve disease who underwent either MVr or MVR. Detailed preoperative materials, follow-up information, and echocardiographic data were collected and statistically analyzed. RESULTS: At 6 and 12 months postoperatively, MVR patients were more likely to have New York Heart Association (NYHA) class III or IV symptoms than MVr patients (6 mo: 15.2% vs 5.0%, 12 mo: 13.0% vs 4.0%, both P
Source: Annals of Thoracic and Cardiovascular Surgery - September 6, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Gao Y, Li S, Zhuang X, Gao F, Shi L, Meng X Tags: Ann Thorac Cardiovasc Surg Source Type: research

Short and Intermediate Term Outcomes of the Convergent Procedure: Initial Experience in a Tertiary Referral Center.
CONCLUSIONS: The Convergent procedure is safe and has good short- and intermediate-term clinical success rates. This unique hybrid approach combines strengths of surgical and catheter ablation and should be part of any comprehensive AF treatment program. PMID: 31495813 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - September 6, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Tonks R, Lantz G, Mahlow J, Hirsh J, Lee LS Tags: Ann Thorac Cardiovasc Surg Source Type: research

Long-Term Clinical Outcomes of Cardiac Surgery for Kidney Transplant Patients.
CONCLUSIONS: This retrospective review suggests that cardiac surgery in kidney transplant patients can result in good survival rates. Thanks to dedicated postoperative and long-term management, approximately 80% of the renal grafts still maintained their function 5 years after cardiac surgery. PMID: 31447456 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - August 26, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Komagamine M, Nishinaka T, Ichihara Y, Saito S, Niinami H Tags: Ann Thorac Cardiovasc Surg Source Type: research

Intrapericardial Ectopic Goiter: A Very Unusual Presentation.
We present an extremely rare case of a 63-year-old woman with an intrapericardial ectopic goiter and review the pertinent literature. PMID: 31447477 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - August 23, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Sato D, Hayashi S, Sakata S, Kawachi R, Shimamura M, Sakurai H Tags: Ann Thorac Cardiovasc Surg Source Type: research

Impact of Mitral Surgery for Mitral Regurgitation on Coexisting Aortic Regurgitation.
CONCLUSION: Left atrial diameter may be an important prognostic factor for continued AR after mitral surgery for MR. MR with mild AR should be treated as soon as before the left atrium expands. PMID: 31391382 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - August 7, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Hachiro K, Kinoshita T, Asai T, Suzuki T Tags: Ann Thorac Cardiovasc Surg Source Type: research

The Heterogeneous Phenotype of Bicuspid Aortopathy Attribute to Different Dominant Pathogenesis.
CONCLUSIONS: Different dominant pathogenetic theory determined the phenotype of BAV aortopathy. In patients of Type-1 LR with AR, inherent disposition is mainly responsible for the higher frequency of AoR dilation. Valve-related hemodynamics determined greater prevalence of the dilation of AAo and PArc in patients of Type-0 LAT with AS. PMID: 31378750 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - August 2, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Li F, Huang Z, Wang Y, Ren X, Tong M, Zhang J, Wang W Tags: Ann Thorac Cardiovasc Surg Source Type: research

Effect of Autotransfusion Using Intraoperative Predonated Autologous Blood on Coagulopathy during Thoracic Aortic Surgery: A Randomized Controlled Trial.
CONCLUSIONS: Intraoperative predonated autotransfusion significantly improved coagulopathy, with reduced allogeneic blood transfusion volume during thoracic aortic surgery. Furthermore, reduction of allogeneic blood transfusion may reduce the adverse effects on renal function. PMID: 31341133 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - July 24, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Suzuki R, Mikamo A, Matsuno Y, Fujita A, Kurazumi H, Yamashita A, Hamano K Tags: Ann Thorac Cardiovasc Surg Source Type: research

A Double-Blind Randomized Controlled Trial to Determine the Preventive Effect of Hangekobokuto on Aspiration Pneumonia in Patients Undergoing Cardiovascular Surgery.
CONCLUSIONS: HKT can prevent aspiration pneumonia in patients undergoing cardiovascular surgery. In high-risk patients for aspiration pneumonia, HKT can prevent aspiration pneumonia and improve swallowing disorders. PMID: 31316037 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - July 18, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kawago K, Nishibe T, Shindo S, Inoue H, Motohashi S, Akasaka J, Ogino H Tags: Ann Thorac Cardiovasc Surg Source Type: research

The Relationship between the Use of Cold and Isothermic Blood Cardioplegia Solution for Myocardial Protection during Cardiopulmonary Bypass and the Ischemia-Reperfusion Injury.
In this study, we aimed to assess myocardial protection and ischemia-reperfusion injury in patients undergoing open heart surgery with isothermic blood cardioplegia (IBC) or hypothermic blood cardioplegia (HBC). MATERIALS AND METHODS: A total of 48 patients who underwent isolated coronary artery bypass grafting or isolated mitral valve surgery between March 2017 and October 2017 were evaluated as randomized prospective study. Study groups (HBC: Group 1, IBC: Group 2) were compared in terms of interleukin 6 (IL-6), IL-8, IL-10, and complement factor 3a (C3a) levels, metabolic parameters, creatine kinase-muscle/brain (C...
Source: Annals of Thoracic and Cardiovascular Surgery - July 12, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Saclı H, Kara I, Diler MS, Percin B, Turan AI, Kırali K Tags: Ann Thorac Cardiovasc Surg Source Type: research

Cone Type Repair Has Become Our First Option in the Treatment of Adult Ebstein Anomaly.
CONCLUSION: Cone type repair can safely be performed in the repair of Ebstein anomaly with acceptable results. Our results are encouraging to prefer this technique as one of the first-line treatment of Ebstein anomaly. However, further randomized controlled studies are recommended to evaluate the efficacy of this surgical procedure. PMID: 31308306 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - July 12, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Ozbek B, Tanrikulu N Tags: Ann Thorac Cardiovasc Surg Source Type: research

Medical Thoracoscopy-Assisted Argon Plasma Coagulation Combined with Electrosurgical Unit for the Treatment of Refractory Pneumothorax in Elderly Patients.
This study aims to compare the effects and prognosis of medical thoracoscopy-assisted argon plasma coagulation (APC) combined with electrosurgical unit (ESU) surgery, video-assisted thoracic surgery (VATS), and pleurodesis surgery, in providing appropriate treatment for elderly refractory pneumothorax patients. METHODS: Patients with refractory pneumothorax aged over 65 years were divided into three groups: APC combined with ESU (N = 20), VATS (N = 26), and pleurodesis (N = 24). Data on demographic characteristics, lung function evaluation, and short- and long-term prognoses were collected. RESULTS: Following sur...
Source: Annals of Thoracic and Cardiovascular Surgery - July 4, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Guo HY, Pan XQ, Hu M, Liang YF, Qiu XC, Chen ZH Tags: Ann Thorac Cardiovasc Surg Source Type: research

Preoperative Smoking Cessation Period Is Not Related to Postoperative Respiratory Complications in Patients Undergoing Lung Cancer Surgery.
CONCLUSION: The risk of postoperative complications does not increase even if smoking is continued within 2 weeks before surgery. It seems unnecessary to delay the timing of surgery to allow patients to cease smoking, especially those scheduled for thoracoscopic surgery. PMID: 31270298 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - July 4, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Matsuoka K, Yamada T, Matsuoka T, Nagai S, Ueda M, Miyamoto Y Tags: Ann Thorac Cardiovasc Surg Source Type: research

Glomus Tumor in a Segmental Bronchus: A Case Report.
Abstract Glomus tumors originate from a neuroarterial structure called the glomus body, and grow mostly in soft tissue. It is rare for glomus tumors to develop in the respiratory system. The patient of the present case had an abnormal shadow in the right lung on chest X-ray, and computed tomography (CT) findings displayed a lung tumor in the right S6. Bronchoscopy was performed for the diagnosis of the lung tumor, and a polypoid bronchial tumor was unexpectedly found to occupy the right B3. The bronchial tumor was diagnosed as a glomus tumor, and the lung tumor was diagnosed as an adenocarcinoma. The bronchial glo...
Source: Annals of Thoracic and Cardiovascular Surgery - June 12, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Nakajima E, Takashi H, Taira O, Fukuda K, Furukawa K, Hirano H, Ikeda N Tags: Ann Thorac Cardiovasc Surg Source Type: research

Despite the Effects of Tension and Intraluminal Pressure, Which Suture Technique Is the Most Appropriate for Prevention of Air Leakage or Anastomotic Dehiscence in Tracheal Anastomoses in the Short Term? An Experimental Research on Ex Vivo Model.
Abstract PURPOSE: We performed an experimental study comparing different suture techniques in trachea anastomoses using the ex vivo sheep model, which deals with the parameters that suture tension, air leakage, intraluminal pressure, and tension at which the anastomosis will rupture. We aimed to find an answer to "Which suture technique should be used in tracheal anastomoses?" METHODS: In all, 45 sheep tracheas were randomly divided into three groups (each n = 15) differing in suture technique for anastomoses: single stitches, mixed, and continuous suture. The anastomoses were evaluated for air leak...
Source: Annals of Thoracic and Cardiovascular Surgery - June 12, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Ersoz H Tags: Ann Thorac Cardiovasc Surg Source Type: research

Impact of Perioperative Chemotherapy on Prognosis of Patients with Esophageal Carcinoma Undergoing Pulmonary Metastasectomy.
Abstract PURPOSE: To evaluate prognosis of patients with esophageal carcinoma undergoing pulmonary metastasectomy, and help determine appropriate therapeutic strategies. METHODS: We retrospectively studied 16 patients (15 men and one woman; median age 66.5 years) with esophageal carcinoma, who underwent curative resection of pulmonary metastases. Clinical characteristics and surgical outcomes were analyzed. RESULTS: In all, 11 patients underwent wedge resection, three segmentectomy, and two lobectomies. The average operating time and blood loss were 147 min and 103 mL, respectively. There were no periope...
Source: Annals of Thoracic and Cardiovascular Surgery - June 12, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Komatsu H, Izumi N, Tsukioka T, Inoue H, Miyamoto H, Nishiyama N Tags: Ann Thorac Cardiovasc Surg Source Type: research

Prognostic Significance of Phosphorylated Fyn in Patients with Lung Adenocarcinoma after Lung Resection.
Abstract PURPOSE: Src family tyrosine kinases, including Fyn, are non-receptor tyrosine kinases that drive malignancy in various kinds of cancers. Fyn has also been suggested to be an effector of epidermal growth factor receptor (EGFR) signaling, and is recognized as a potential therapeutic target. However, little is known about the clinical importance of phosphorylated Fyn (pFyn) in lung adenocarcinoma. The purpose of this study is to examine the prognostic significance of pFyn in this disease. METHODS: A total of 282 lung adenocarcinoma specimens were collected from patients who underwent surgery at our ins...
Source: Annals of Thoracic and Cardiovascular Surgery - June 12, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Nishikawa S, Menju T, Takahashi K, Miyata R, Sonobe M, Yoshizawa A, Date H Tags: Ann Thorac Cardiovasc Surg Source Type: research

Coronary Artery Surgery in Japan in 2017.
PMID: 31167994 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - June 5, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Miyairi T, Orime Y, Matsumiya G, Shimizu H, Watanabe Y, Arai H, Sezai Y Tags: Ann Thorac Cardiovasc Surg Source Type: research

Superdrainage Using the Cephalic Vein Due to Unsuitable Internal Thoracic Vein for Microvascular Anastomosis in Esophageal Reconstruction Using Pedicled Jejunum.
Abstract The progress and popularization of microvascular surgical techniques may improve the outcomes of esophageal reconstruction using non-gastric tube (GT) grafts. A pedicled jejunum (PJ) with microvascular anastomoses is frequently selected as a reconstructed conduit for esophageal reconstruction when the GT is unavailable, and the internal thoracic (IT) vein is frequently selected as a recipient blood vessel for microvascular anastomosis. However, the IT vein may be inadequate for microvascular anastomosis because of its absence or underdevelopment. Since it is difficult to preoperatively predict such rare c...
Source: Annals of Thoracic and Cardiovascular Surgery - May 14, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Miyawaki Y, Sato H, Yokogawa H, Sakuramoto S, Okamoto K, Yamaguchi S, Koyama I Tags: Ann Thorac Cardiovasc Surg Source Type: research

True Aneurysm of the Left Main Trunk in a Marfan Syndrome Patient at Remote Period after Bentall Operation and Total Arch Replacement: A Case Report.
Abstract In 2002, a 37-year-old male with Marfan syndrome underwent the Bentall operation, total arch replacement, and aortobifemoral bypass for DeBakey type IIIb chronic aortic dissection, annuloaortic ectasia, and aortic regurgitation. In 2007, mild mitral regurgitation (MR) caused by mitral valve prolapse was identified. In April 2017, echocardiography revealed the worsening of MR and moderate tricuspid regurgitation (TR). Moreover, coronary angiography (CAG) revealed a coronary artery aneurysm in the left main trunk (LMT). In August 2017, the patient underwent mitral valve replacement (MVR), tricuspid annulopl...
Source: Annals of Thoracic and Cardiovascular Surgery - May 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Yoshimura K, Tanaka H, Wada T, Shuto T, Kawano M, Anai H, Miyamoto S Tags: Ann Thorac Cardiovasc Surg Source Type: research

Safety Pericardiocentesis with Fluoroscopy Following Cardiac Surgery.
CONCLUSION: In the treatment of postoperative pericardial effusion, fluoroscopy is an alternative method to locate the catheter accurately in challenging situations following cardiac surgery. Thus, procedural risk minimizes and drainage of pericardial fluid is performed safely. PMID: 31068506 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - May 8, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Alp I, Ugur M, Selcuk I, Ulucan AE, Temizkan V, Yilmaz AT Tags: Ann Thorac Cardiovasc Surg Source Type: research

Comparison of the Effectiveness of Surgical Versus Nonsurgical Treatment for Multiple Rib Fractures Accompanied with Pulmonary Contusion.
Abstract OBJECTIVE: To compare the effectiveness of surgical versus nonsurgical treatment for multiple rib fractures accompanied with pulmonary contusion. METHODS: The clinical records of consecutive 167 patients with multiple rib fractures accompanied with pulmonary contusion, who were treated from June 2014 to June 2017, were retrospectively analyzed. Of them, 75 and 92 underwent surgery (surgery group) and non-surgical treatment (non-surgery group), respectively. Patient pain score, complications, length of hospital stay, cost of hospitalization, and post-treatment 3-month follow-up results were compared. ...
Source: Annals of Thoracic and Cardiovascular Surgery - May 8, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Jiang Y, Wang X, Teng L, Liu Y, Wang J, Zheng Z Tags: Ann Thorac Cardiovasc Surg Source Type: research

The Past, Present and Future of Pulmonary Metastasectomy: A Review Article.
Abstract Pulmonary metastases are a sign of advanced malignancy and an omen of poor prognosis. Once primary tumors metastasize, they become notoriously difficult to treat and interdisciplinary management often involves a combination of chemotherapy, radiotherapy, and surgery. Over the last 25 years, the emerging body of evidence has recognized the curative potential of pulmonary metastasectomy. Surgical resection of pulmonary metastases is now commonly considered for patients with controlled primary disease, absence of widely disseminated extrapulmonary disease, completely resectable lung metastases, sufficient ca...
Source: Annals of Thoracic and Cardiovascular Surgery - April 10, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Cheung FP, Alam NZ, Wright GM Tags: Ann Thorac Cardiovasc Surg Source Type: research

A Novel Sizing Technique for Mitral Annuloplasty.
Abstract Although sizing for mitral annuloplasty (MAP) is a critical part of mitral valve repair, no consistent method is used, and precise size adjustment is done somewhat by intuition. We developed a new original ring size tester and have been applying it to our mitral valve repair procedure. The concept is that the tester shapes the annulus into exactly the same size and form as the target annuloplasty while confirming a good leaflet coaptation with a saline test to simulate annuloplasty. This original tester provides the best ring size for MAP that is neither too large nor too small. In this paper, we introduc...
Source: Annals of Thoracic and Cardiovascular Surgery - March 19, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Ohno N, Maeda T, Kato O, Ueno G, Yoshizawa K, Fujiwara K Tags: Ann Thorac Cardiovasc Surg Source Type: research

Atrial Hemangioma: A Case Report and Review of the Literature.
Abstract A primary cardiac tumor is a rare clinical entity which was reported an incidence of 0.03% in previous autopsy series. 75% cardiac tumors are cardiac myxoma and cardiac hemangiomas constitute only 1-2% of primary cardiac tumors. With the development of modern medical imaging technology and the enhancement of people's health awareness, more and more asymptomatic cardiac hemangiomas were found and confirmed eventually. Here, we described a case of a 71-year-old man, who was hospitalized with intermittent palpitation for 1 year and a large mass of the heart was removed successfully via sternotomy which was c...
Source: Annals of Thoracic and Cardiovascular Surgery - March 19, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Miao H, Yang W, Zhou M, Zhu Q, Jiang Z Tags: Ann Thorac Cardiovasc Surg Source Type: research

Nineteen Years of Single Institute Experiences with Sorin Bicarbon Prosthesis.
CONCLUSIONS: SBP had shown very good results in long term and still have a reliable mechanical valve. PMID: 30867384 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - March 12, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Van HD Tags: Ann Thorac Cardiovasc Surg Source Type: research

Comparison of Fast-Track and Conventional Anesthesia for Transthoracic Closure of Ventricular Septal Defects in Pediatric Patients.
Abstract BACKGROUND: To compare and analyze the safety and efficacy of fast-track and conventional anesthesia for transthoracic closure of ventricular septal defects (VSDs) in pediatric patients. METHODS: A total of 82 pediatric patients undergoing transthoracic closure of VSDs between September and December 2017 were retrospectively analyzed. The patients were divided into two groups, including 42 patients in group F (fast-track anesthesia) and 40 patients in group C (conventional anesthesia). The perioperative clinical data of both groups were collected and statistically analyzed. RESULTS: There were n...
Source: Annals of Thoracic and Cardiovascular Surgery - March 12, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Yu LS, Chen Q, Wang ZC, Cao H, Chen LW, Zhang GC Tags: Ann Thorac Cardiovasc Surg Source Type: research

Thoracoscopic Bronchial Artery Resection for Multiple Bronchial Artery Aneurysms.
We describe a 36-year-old asymptomatic female with multiple bronchial artery aneurysms (BAAs) and a bronchial artery (BA) to pulmonary artery (PA) fistula. She was treated with thoracoscopic BA resection without lobectomy in lieu of catheter embolization as first-line treatment. The configuration of the BA and the location of the BAAs were clearly visualized using three-dimensional computed tomography (3DCT); therefore, the segment of the BA to resect was assessed preoperatively and complete resection of all BAAs was performed. Preoperative BA angiography delineated the BA to PA fistula, and guided surgical decision-making...
Source: Annals of Thoracic and Cardiovascular Surgery - March 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Shiiya H, Suzuki Y, Yamazaki S, Kaga K Tags: Ann Thorac Cardiovasc Surg Source Type: research

Intravascular Stapling Technique for Interlobar Fissure Division in the Left Lower Lobectomy.
CONCLUSION: Interlobar fissure division inserting a jaw of stapler into pulmonary artery is easy and useful option for left lower lobectomy. This technique is especially useful for a patient with an interlobar lymphadenopathy. PMID: 30853693 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - March 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Tsunezuka H, Nishimura T, Inoue M Tags: Ann Thorac Cardiovasc Surg Source Type: research

The Utility of a 3D Endoscope and Robot-Assisted System for MIDCAB.
CONCLUSION: The midterm results of MIDCAB with 3D endoscope-assisted LITA harvesting were satisfactory. MIDCAB, including HCR, is a good alternative for selected high-risk patients. PMID: 30842359 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - March 7, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Endo Y, Nakamura Y, Kuroda M, Ito Y, Hori T Tags: Ann Thorac Cardiovasc Surg Source Type: research

Erratum.
Authors: PMID: 30568050 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - December 22, 2018 Category: Cardiovascular & Thoracic Surgery Tags: Ann Thorac Cardiovasc Surg Source Type: research

Does Epicardial Adipose Tissue Influence Postoperative Atrial Fibrillation?
CONCLUSION: The use of loop diuretics showed the strongest association with POAF. Logistic regression analysis suggested that a high LA EAT/Total EAT ratio had the second strongest association with POAF. PMID: 30568066 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - December 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Kogo H, Sezai A, Osaka S, Shiono M, Tanaka M Tags: Ann Thorac Cardiovasc Surg Source Type: research

First Transcatheter Aortic Valve Implantation via Carotid Artery Performed in Japan.
We describe here the first successful case of TAVI through the carotid artery in Japan. The patient was an 83-year-old woman with severe aortic stenosis (AS). Preoperative computed tomography (CT) revealed a shaggy distal aortic arch and left subclavian artery ostium, along with severely calcified bilateral iliofemoral arteries. Trans-apical and direct aortic approaches were abandoned because of frailty. Following the thorough cerebrovascular assessment, the left common carotid artery was selected for arterial access and a CoreValve transcatheter aortic valve was successfully implanted without neurologic complications. ...
Source: Annals of Thoracic and Cardiovascular Surgery - December 18, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Misumi Y, Kuratani T, Maeda K, Toda K, Miyagawa S, Ueno T, Sawa Y Tags: Ann Thorac Cardiovasc Surg Source Type: research

Factors Associated with Low Admission Platelet Count in Adults with Acute Aortic Dissection.
CONCLUSIONS: We found that increasing age, male patients, patients with lower serum levels of TFPI and higher serum levels of FDP, and patients with a shorter attack time were significantly associated with lower PLC at admission. Moreover, the turning point of attack time is 3 days after the onset of dissection. PMID: 30568075 [PubMed - as supplied by publisher] (Source: Annals of Thoracic and Cardiovascular Surgery)
Source: Annals of Thoracic and Cardiovascular Surgery - December 18, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Li S, Lu J, Cheng W, Zhu J, Jin M Tags: Ann Thorac Cardiovasc Surg Source Type: research