Spotlight on recently published ICVTS articles [SPOTLIGHT - ICVTS RECENT ARTICLES]
(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Tags: SPOTLIGHT - ICVTS RECENT ARTICLES Source Type: research

Non-intubated video-assisted thoracic surgery: breaking down paradigms [LETTERS TO THE EDITOR]
(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Armenta-Flores, R., Sanchez-Quiroz, J., Castillo-Delgado, S., Camarena-Arredondo, V. Tags: Anesthesia, Pleura LETTERS TO THE EDITOR Source Type: research

Reply to Armenta-Flores et al. [LETTERS TO THE EDITOR]
(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Gonzalez-Rivas, D., Bonome, C., Yang, Y., Sihoe, A. Tags: Anesthesia, Mediastinum, Pleura LETTERS TO THE EDITOR Source Type: research

Paravertebral continuous block analgesia: from theory to routine [LETTERS TO THE EDITOR]
(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Raveglia, F., Baisi, A., De Simone, M., Cioffi, U. Tags: Anesthesia, Mediastinum, Chest wall LETTERS TO THE EDITOR Source Type: research

Reply to Riquet et al. [LETTERS TO THE EDITOR]
(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Renaud, S., Garelli, E., Falcoz, P.-E., Massard, G. Tags: Lung - other, Lung - transplantation, History LETTERS TO THE EDITOR Source Type: research

Reply to Chiappetta et al. [LETTERS TO THE EDITOR]
(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Shafiek, H., Torrecilla, J. A., Cosio, B. G. Tags: Mediastinum, History LETTERS TO THE EDITOR Source Type: research

Microscopic pN2 in lung cancer: a better prognosis? [LETTERS TO THE EDITOR]
(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Riquet, M., Legras, A., Pricopi, C., Le-Pimpec-Barthes, F. Tags: Lung - other, Lung - transplantation, History LETTERS TO THE EDITOR Source Type: research

What determines the complication rate in high-risk chronic obstructive pulmonary disease patients: surgery or pulmonary function? [LETTERS TO THE EDITOR]
(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Chiappetta, M., Forcella, D., Alessandrini, G., Facciolo, F. Tags: Mediastinum, History LETTERS TO THE EDITOR Source Type: research

Reply to Yang [LETTERS TO THE EDITOR]
(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Pilarczyk, K., Markewitz, A., Haake, N., Heringlake, M. Tags: Electrophysiology - arrhythmias, Molecular biology, History LETTERS TO THE EDITOR Source Type: research

Re: Preoperative intra-aortic counterpulsation in high-risk patients undergoing cardiac surgery: a meta-analysis of randomized controlled trials [LETTERS TO THE EDITOR]
(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Yang, S. S. Tags: Cardiac - other, Minimally invasive surgery, History, Peripheral vascular LETTERS TO THE EDITOR Source Type: research

Removing the bicuspid source of aortopathy prevents further dilatation [LETTERS TO THE EDITOR]
(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Youssefi, P., Jahangiri, M. Tags: Basic research vascular LETTERS TO THE EDITOR Source Type: research

Re: 'Two minds with but a single thought ... [LETTERS TO THE EDITOR]
(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Stamm, C., Kempfert, J., Falk, V. Tags: LETTERS TO THE EDITOR Source Type: research

Reply to Stamm et al. [LETTERS TO THE EDITOR]
(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Heinemann, M. K., Beyersdorf, F. Tags: LETTERS TO THE EDITOR Source Type: research

Acute ascending aorta dissection in a bicuspid aortic valve cardiac allograft 11 years after orthotopic cardiac transplantation [IMAGES IN CARDIO-THORACIC SURGERY]
(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: van der Merwe, J., Casselman, F., Verstreken, S., Stockman, B. Tags: Education, History, Pericardium, Aorto-iliac disease, Basic research vascular IMAGES IN CARDIO-THORACIC SURGERY Source Type: research

Successful graft treatment of severe stenosis of the left subclavian artery in a patient with double aortic arch [IMAGES IN CARDIO-THORACIC SURGERY]
(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Zhong, H., Xu, Z., Shao, G. Tags: Pericardium, Transplantation - heart IMAGES IN CARDIO-THORACIC SURGERY Source Type: research

Mitral valve laceration: an unusual complication during transcatheter aortic valve replacement [IMAGES IN CARDIO-THORACIC SURGERY]
(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Nakamura, T., Mikamo, A., Okamura, T., Hamano, K. Tags: IMAGES IN CARDIO-THORACIC SURGERY Source Type: research

Right ventricular and chest wall perforation caused by a permanent pacemaker lead after implantation [IMAGES IN CARDIO-THORACIC SURGERY]
(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Nicolardi, S., Floris, G. P., Rocco, D., Casali, G. Tags: Electrophysiology - arrhythmias, History, Myocardial infarction, Chest wall IMAGES IN CARDIO-THORACIC SURGERY Source Type: research

Cold atmospheric plasma: a new tool for the treatment of superficial driveline infections [CASE REPORT]
We describe the first use of CAP to treat a superficial DI. CAP was applied with the kinPen® MED plasma jet device (neoplas tools GmbH, Greifswald, Germany), in the treatment of a DI in a 66-year-old VAD patient in Klinikum Karlsburg, Germany. The patient received a daily application of CAP of 1 min for 12 days. One CAP application was administered each week for 4 weeks in our outpatient clinic after patient discharge. Laboratory tests were conducted and photographs of the driveline exit site were taken. After CAP treatment, the local infection was completely regressed without any signs of exudation or recurrence of th...
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Hilker, L., von Woedtke, T., Weltmann, K. D., Wollert, H.-G. Tags: Peripheral vascular CASE REPORT Source Type: research

Fungal native pulmonary valve endocarditis: facing both medical and surgical challenges [CASE REPORT]
We report herein a rare case of isolated pulmonary valve endocarditis caused by Candida albicans. The patient did not display prior heart disease. Medical management was unsuccessful. Pulmonary valve replacement allowed rapid improvement. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Bouabdallaoui, N., Demondion, P., Lebreton, G., Leprince, P. Tags: Basic research vascular CASE REPORT Source Type: research

Right ventricular centripetal plication: an aggressive right ventricular exclusion technique [SURGICAL TECHNIQUE]
In patients with a functional single ventricle such as neonatal Ebstein's anomaly or pulmonary atresia with intact ventricular septum, the right ventricle can compress the left ventricle and decrease its performance due to the volume or pressure overload of the right ventricle. We have performed right ventricular centripetal plication from the inside to exclude the right ventricle and to minimize the adverse effect on the left ventricle and the results have been satisfactory. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Sugiura, J., Murayama, H., Okada, N. Tags: Mechanical Circulatory Assistance SURGICAL TECHNIQUE Source Type: research

Significance of R1-resection at the bronchial margin after surgery for non-small-cell lung cancer [THORACIC]
CONCLUSIONS R1-BRM comprises a higher rate of stump recurrence, compared with that of R0-BRM. Herein, R1-EMD was associated with poor overall survival in Stage IB/II disease. In Stage IIIA disease, R1-BRM showed similar overall survival rate to that for R0-BRM, although the number of patients was too small to draw definitive conclusions thereon. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Lee, G. D., Kim, D. K., Jang, S. J., Choi, S. H., Kim, H. R., Kim, Y.-H., Park, S.-I. Tags: Mediastinum THORACIC Source Type: research

Video-assisted thoracoscopic surgery versus open lobectomy for lung cancer: time for a randomized trial [THORACIC]
(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Allen, M. S. Tags: THORACIC Source Type: research

The differential impact of preoperative comorbidity on perioperative outcomes following thoracoscopic and open lobectomies [THORACIC]
CONCLUSIONS The expected postoperative length of stay for a patient treated by OPEN lobectomy is approximately equal to that of a VATS lobectomy patient with an additional 2–3 comorbidities. The VATS approach remains advantageous with respect to PO-LOS, regardless of the number of comorbidities. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Jawitz, O. K., Wang, Z., Boffa, D. J., Detterbeck, F. C., Blasberg, J. D., Kim, A. W. Tags: Mediastinum, History THORACIC Source Type: research

Pharyngo-oesophageal perforation following anterior cervical discectomy and fusion: management and results{dagger} [THORACIC]
CONCLUSIONS: Patients with minimal leaks in the absence of systemic infection can be managed conservatively. For cases of large fistulas with systemic infection, we recommend partial or total removal of the fixation devices, direct suture of the oesophageal defect and coverage with tissue flaps. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Perrone, O., Tassi, V., Mattioli, B., Daddi, N., Uneddu, M., Borghesi, I., Mattioli, S. Tags: THORACIC Source Type: research

Factors associated with survival in patients with oesophageal cancer who achieve pathological complete response after chemoradiotherapy: a nationwide population-based study [THORACIC]
OBJECTIVES Few data are currently available on the factors associated with survival in oesophageal cancer patients who achieve pathological complete response (pCR) after chemoradiotherapy (CRT). Using a nationwide database, we investigated the predictors of survival in this patient group. METHODS Data were retrieved from the Taiwan Cancer Registry to identify patients with oesophageal squamous cell carcinoma (OSCC) who achieved pCR after CRT followed by oesophagectomy between 2008 and 2013. The median number of dissected nodes (20) was used as the cut-off to classify the extent of lymph node dissection (LND). Tumour locat...
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Chao, Y.-K., Chen, H.-S., Wang, B.-Y., Hsu, P.-K., Liu, C.-C., Wu, S.-C. Tags: Esophagus - cancer THORACIC Source Type: research

Pretreatment quality-of-life score is a better discriminator of oesophageal cancer survival than performance status [THORACIC]
OBJECTIVES Performance status [Eastern Cooperative Oncology Group (ECOG)] is a physician-assigned score indicating a patient's fitness for treatment. Functional assessment of cancer therapy-esophagus (FACT-E) is a patient-reported, health-related quality-of-life (HRQOL) instrument containing an oesophageal cancer subscale (ECS). Our objective was to assess the discriminative ability of pretreatment FACT-E and ECS when compared with performance status in predicting survival in patients with Stage II–III oesophageal cancer. METHODS Patient data from four prospective studies were pooled together. These four studies inc...
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Kidane, B., Sulman, J., Xu, W., Kong, Q., Wong, R., Knox, J. J., Darling, G. E. Tags: Cardiac - other, Esophagus - cancer THORACIC Source Type: research

Influence of history of cannabis smoking in selected donors on the outcomes of lung transplantation [TX & MCS]
CONCLUSIONS The history of donor cannabis smoking does not appear to affect early and mid-term outcomes after LTx and potentially improve the donor pool. As it does not seem to negatively affect the outcomes after LTx, it should not be per se considered a contraindication for lung donation. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Mohite, P. N., Zeriouh, M., Saez, D. G., Popov, A.-F., Sabashnikov, A., Zych, B., Padukone, A., Fazekas, L., Ananiadou, O., De Robertis, F., Soresi, S., Reed, A., Carby, M., Simon, A. R. Tags: Trachea and bronchi TX & amp; MCS Source Type: research

Impact of mode of failure and end-organ dysfunction on the survival of adult Fontan patients undergoing cardiac transplantation [TX & MCS]
CONCLUSIONS Favourable cardiac transplantation outcomes can be achieved in adults with failing Fontan circulation. Patients with PVF may represent a distinct subset with more perturbed failing Fontan physiology and higher cardiac transplant mortality. We continue, however, to evolve and refine our strategies and are optimistic concerning future improvement in outcomes even in those with PVF. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Murtuza, B., Hermuzi, A., Crossland, D. S., Parry, G., Lord, S., Hudson, M., Chaudhari, M. P., Haynes, S., O'Sullivan, J. J., Hasan, A. Tags: Mechanical Circulatory Assistance, Minimally invasive surgery, History, Aorto-iliac disease TX & amp; MCS Source Type: research

Mid-term mechanical circulatory support: comparison of single-centre data with the EUROMACS registry [TX & MCS]
CONCLUSIONS MCS is a valuable therapeutic option with excellent survival rates; nevertheless, it is associated with clinically significant complication rates. International registries are important tools that allow, as an example, internal quality control of mortality, complication and morbidity rates from a single centre compared with the EUROMACS database. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Zuk, K., Gahl, B., Susac, M., Vierecke, J., de By, T. M. M. H., Windecker, S., Englberger, L., Carrel, T., Hetzer, R., Gummert, J., Mohacsi, P. Tags: Peripheral vascular TX & amp; MCS Source Type: research

Zonal organ allocation system and its impact on long-term outcomes after lung transplantation: a propensity score matched analysis{dagger} [TX & MCS]
CONCLUSION: Despite excellent early outcomes the zonal allocation system might be associated with significantly poorer long-term outcomes in terms of freedom from BOS after bilateral LTx. Further research is needed to find the underlying factors leading to these results. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Zeriouh, M., Sabashnikov, A., Mohite, P. N., Zych, B., Patil, N. P., Garcia-Saez, D., Koch, A., Weymann, A., Soresi, S., Wippermann, J., Wahlers, T., De Robertis, F., Popov, A.-F., Simon, A. R. Tags: TX & amp; MCS Source Type: research

Off-pump mitral valved stent implantation: comparison of apical and subannular fixation techniques [EXPERIMENTAL]
CONCLUSIONS The proof-of-principle for the subannular fixation was shown with haemodynamic stability, low gradients and physiological longitudinal function. A decreased ejection fraction, survival time and fractures identify potential areas for improvement. With regard to the long-term outcome, the group with subannular fixation did not reach the results of the group with apical fixation in this study. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Pokorny, S., Huenges, K., Hansen, J. H., Schadow, Y., Fischer, G., Morlock, M. M., Cremer, J., Lutter, G. Tags: History EXPERIMENTAL Source Type: research

Fibrillin 2 is upregulated in the ascending aorta of patients with bicuspid aortic valve [CONVENTIONAL AORTIC SURGERY]
CONCLUSIONS: BAV patients have an increased FBN (especially FBN2) gene expression level in the ascending aorta, irrespective of dilatation, whereas MMP expression does not change significantly. These results add a new piece of information to the pathophysiology of BAV disease and point to FBN2 as a new molecular player. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Rueda-Martinez, C., Lamas, O., Mataro, M. J., Robledo-Carmona, J., Sanchez-Espin, G., Moreno-Santos, I., Carrasco-Chinchilla, F., Gallego, P., Such-Martinez, M., de Teresa, E., Jimenez-Navarro, M., Fernandez, B. Tags: CONVENTIONAL AORTIC SURGERY Source Type: research

Fifteen years of surgery for acute type A aortic dissection in moderate-to-mild systemic hypothermia{dagger} [CONVENTIONAL AORTIC SURGERY]
CONCLUSIONS: Our data suggest that selective antegrade cerebral perfusion in combination with moderate-to-mild systemic hypothermia (≥28 °C) can be safely and reproducibly applied to surgery for acute type A aortic dissection and offers sufficient neurological and visceral organ protection. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Zierer, A., El-Sayed Ahmad, A., Papadopoulos, N., Detho, F., Risteski, P., Moritz, A., Diegeler, A., Urbanski, P. P. Tags: CONVENTIONAL AORTIC SURGERY Source Type: research

Subannular perforation of left ventricular outflow tract associated with transcatheter valve implantation: pathophysiological background and clinical implications [CATHETER-BASED VALVE OPERATIONS]
CONCLUSIONS Subannular calcification in close proximity of the anatomically unprotected muscular LVOT might represent an important risk factor for the occurrence of subannular LVOT injury. Precise CT-based analysis of patient-specific aortic root anatomy/subannular calcification patterns may be helpful to predict this TAVI-associated complication preoperatively and hence to avoid it in future patients. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Girdauskas, E., Owais, T., Fey, B., Kuntze, F., Lauer, B., Borger, M. A., Conradi, L., Reichenspurner, H., Kuntze, T. Tags: History, Basic research vascular CATHETER-BASED VALVE OPERATIONS Source Type: research

Re: The impact of the development of transcatheter aortic valve implantation on the management of severe aortic stenosis in high-risk patients: treatment strategies and outcome [CATHETER-BASED VALVE OPERATIONS]
(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Svensson, L. G. Tags: Basic research vascular CATHETER-BASED VALVE OPERATIONS Source Type: research

The impact of the development of transcatheter aortic valve implantation on the management of severe aortic stenosis in high-risk patients: treatment strategies and outcome [CATHETER-BASED VALVE OPERATIONS]
We report patients' characteristics, early and 6-year survival rates after the three therapeutic strategies, and the evolution over time. We also analysed predictive factors of mortality after TAVI or surgical AVR. METHODS Between October 2006 and December 2010, 478 high-risk consecutive patients were referred for severe symptomatic AS. After Heart Team evaluation, 253 underwent a TAVI, 102 a surgical AVR and 123 medical treatment including 33 compassionate percutaneous balloon aortic valvuloplasties (PBAVs). Follow-up was complete in 98% of patients. RESULTS Medically treated patients had higher risk scores than the oth...
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Bouleti, C., Chauvet, M., Franchineau, G., Himbert, D., Iung, B., Alos, B., Brochet, E., Urena, M., Ghodbane, W., Ou, P., Provenchere, S., Nataf, P., Vahanian, A. Tags: History, Basic research vascular CATHETER-BASED VALVE OPERATIONS Source Type: research

MicroRNAs and post-operative atrial fibrillation: a step in the understanding of the mechanism and identifying reliable biomarkers [MYOCARDIAL REVASCULARIZATION]
(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Ad, N. Tags: MYOCARDIAL REVASCULARIZATION Source Type: research

Elevated serum microRNA 483-5p levels may predict patients at risk of post-operative atrial fibrillation [MYOCARDIAL REVASCULARIZATION]
CONCLUSIONS This study provides the first description of atrial myocardial and circulating plasma microRNA in POAF patients. Our findings suggest POAF may be associated with pre-existing atrial substrate differences predisposing to arrhythmogenesis. Moreover, this study highlights the potential for miR-483-5p in biomarker development. Further work must now perform prospective, targeted validation of these results in a larger patient cohort. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Harling, L., Lambert, J., Ashrafian, H., Darzi, A., Gooderham, N. J., Athanasiou, T. Tags: History, Myocardial infarction MYOCARDIAL REVASCULARIZATION Source Type: research

Prevention of surgical site sternal infections in cardiac surgery: a two-centre prospective randomized controlled study [GENERAL ADULT CARDIAC]
OBJECTIVES Surgical site infection (SSI) of the sternum is a devastating complication in cardiac surgery. The aim of this prospective randomized controlled two-centre clinical study was to compare the use of a gentamicin-collagen sponge (Genta-Coll® resorb) and of a cyanoacrylate-based microbial skin sealant (InteguSeal®) on the SSI rate of the sternum. METHODS We analysed data from 996 consecutive patients following isolated coronary artery bypass grafting between 2012 and 2014. The patients were randomized into three groups: standard group (S-group), Genta-Coll group (G-group) and InteguSeal group (I-group). The...
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Schimmer, C., Gross, J., Ramm, E., Morfeld, B.-C., Hoffmann, G., Panholzer, B., Hedderich, J., Leyh, R., Cremer, J., Petzina, R. Tags: Electrophysiology - arrhythmias, History GENERAL ADULT CARDIAC Source Type: research

Early, dedicated follow-up and treatment of pleural effusions enhance the recovery rate after open cardiac surgery: results from a randomized, clinical trial [GENERAL ADULT CARDIAC]
OBJECTIVES Recent studies conclude that cardiac surgery patients are prone to both mortality and morbidity in the weeks after discharge. Complications such as pleural and pericardial effusions may influence physical recovery due to symptoms such as dyspnoea, chest pain and fatigue. Dedicated follow-up and timely treatment of postoperative complications are suggested. METHODS A randomized, controlled intervention trial including 76 patients, in the ratio of 1 : 1. Patients scheduled for elective on-pump coronary artery bypass grafting and/or aortic valve replacement were eligible for inclusion. Patients were randomized to ...
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Hansen, L. S., Hjortdal, V. E., Jakobsen, C.-J., Heiberg, J., Maagaard, M., Sloth, E. Tags: Congenital - acyanotic, Molecular biology, History, Basic research vascular GENERAL ADULT CARDIAC Source Type: research

Right ventricular morphology and function following stage I palliation with a modified Blalock-Taussig shunt versus a right ventricle-to-pulmonary artery conduit [CONGENITAL]
OBJECTIVES The Norwood procedure for hypoplastic left heart syndrome (HLHS) is performed either via a right ventricle-to-pulmonary artery (RVPA) conduit or a modified Blalock–Taussig (MBT) shunt. Cardiac magnetic resonance (CMR) data was used to assess the effects of the RVPA conduit on ventricular shape and function through a computational analysis of anatomy and assessment of indices of strain. METHODS A retrospective analysis of 93 CMR scans of subjects with HLHS was performed (59 with MBT shunt, 34 with RVPA conduit), incorporating data at varying stages of surgery from two congenital centres. Longitudinal and s...
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Wong, J., Lamata, P., Rathod, R. H., Bertaud, S., Dedieu, N., Bellsham-Revell, H., Pushparajah, K., Razavi, R., Hussain, T., Schaeffter, T., Powell, A. J., Geva, T., Greil, G. F. Tags: Mechanical Circulatory Assistance CONGENITAL Source Type: research

Aortic valve repair in the paediatric population: insights from a 38-year single-centre experience [CONGENITAL]
CONCLUSIONS In our experience, AV repair in the paediatric population provides excellent results in terms of both overall survival and valve-related reoperation. It obviates the need for chronic anticoagulation and in most cases delays the time at which more complex surgery such as the Ross procedure should be undertaken. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Poncelet, A. J., El Khoury, G., De Kerchove, L., Sluysmans, T., Moniotte, S., Momeni, M., Detaille, T., Rubay, J. E. Tags: Basic research vascular CONGENITAL Source Type: research

Reoperations and catheter interventions in patients with transposition of the great arteries after the arterial switch operation [CONGENITAL]
OBJECTIVES: Reoperations and catheter interventions after the arterial switch operation (ASO) are relatively rare, but their frequency varies among different centres. They significantly impact the postoperative course of children with transposition of the great arteries (TGA). The aim of this study was to assess the frequency of reoperations and catheter interventions in patients with TGA after the ASO and to identify the potential risk factors. METHODS: For this retrospective case review study we included all consecutive 715 patients with TGA who underwent the ASO in the Department of Cardiac Surgery between the years 199...
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Michalak, K. W., Moll, J. A., Sobczak-Budlewska, K., Moll, M., Dryzek, P., Moszura, T., Szymczyk, K., Moll, J. J. Tags: CONGENITAL Source Type: research

Techniques and standards in intraoperative graft verification by transit time flow measurement after coronary artery bypass graft surgery: a critical review [REVIEW]
Transit time flow measurement (TTFM) is a quality control tool for intraoperative graft evaluation in coronary artery bypass graft (CABG) surgery. A critical review of the literature available using TTFM in CABG surgery is the focus of this article. The main objectives will be to detail precise parameters for flow evaluation, to show limitations of TTFM and to prove its predictive impact on postoperative graft failure rate. Publications listed in the PubMed database were reviewed, searching for intraoperative graft verification in coronary surgery by TTFM, with postoperative imaging follow-up (FU) modality and with a speci...
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Niclauss, L. Tags: Education, Molecular biology, History REVIEW Source Type: research

European Association for Cardio-Thoracic Surgery expert consensus statement on the prevention and management of mediastinitis [POSITION STATEMENT]
Mediastinitis continues to be an important and life-threatening complication after median sternotomy despite advances in prevention and treatment strategies, with an incidence of 0.25–5%. It can also occur as extension of infection from adjacent structures such as the oesophagus, airways and lungs, or as descending necrotizing infection from the head and neck. In addition, there is a chronic form of ‘chronic fibrosing mediastinitis’ usually caused by granulomatous infections. In this expert consensus, the evidence for strategies for treatment and prevention of mediatinitis is reviewed in detail aiming at ...
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Abu-Omar, Y., Kocher, G. J., Bosco, P., Barbero, C., Waller, D., Gudbjartsson, T., Sousa-Uva, M., Licht, P. B., Dunning, J., Schmid, R. A., Cardillo, G. Tags: POSITION STATEMENT Source Type: research

Cannulation of an arch artery for hostile aorta [GREAT DEBATE]
(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Urbanski, P. P., Sabik, J. F., Bachet, J. E. Tags: GREAT DEBATE Source Type: research

Clinical guidelines for the management of patients with transposition of the great arteries with intact ventricular septum [GUILDELINES]
(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Sarris, G. E., Balmer, C., Bonou, P., Comas, J. V., da Cruz, E., Chiara, L. D., Di Donato, R. M., Fragata, J., Jokinen, T. E., Kirvassilis, G., Lytrivi, I., Milojevic, M., Sharland, G., Siepe, M., Stein, J., Büchel, E. V., Vouhe, P. R. Tags: GUILDELINES Source Type: research

Guidelines for transposition surgery and why we need them [EDITORIAL]
(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - January 10, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Karl, T. R. Tags: EDITORIAL Source Type: research

Spotlight on recently published ICVTS articles [SPOTLIGHT - ICVTS RECENT ARTICLES]
(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - December 19, 2016 Category: Cardiovascular & Thoracic Surgery Tags: SPOTLIGHT - ICVTS RECENT ARTICLES Source Type: research

Racemose haemangioma secondary to coronary artery fistula [IMAGES IN CARDIO-THORACIC SURGERY]
(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - December 19, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Feng, C., Liu, L., Lu, X., Cao, D. Tags: Cerebral protection, Education, Pericardium IMAGES IN CARDIO-THORACIC SURGERY Source Type: research