Inflammatory myofibroblastic tumor arising from the ascending aorta mimicking a thymoma
AbstractAn inflammatory myofibroblastic tumor originating from the aorta is extremely rare. Here, we report a case involving a 41-year-old female patient with an aortic inflammatory myofibroblastic tumor. Although preoperative imaging showed a mediastinal mass indicative of invasive thymoma, surgical findings revealed that this mass originated from the aorta. The patient underwent partial resection of the aorta, including the mass with patch angioplasty. Based on the postoperative histological findings, the patient was diagnosed with an aortic inflammatory myofibroblastic tumor and is currently under outpatient follow-up. ...
Source: General Thoracic and Cardiovascular Surgery - October 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Surgical treatment of single and multiple thymoma recurrences
ConclusionsLong-term survival was observed following surgical treatment of thymoma recurrences. These results were observed even after multiple recurrences when surgical treatment was performed within a multimodality oncological approach. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - October 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Multiple atypical thymic carcinoids with paraneoplastic giant cell arteritis
We report herein a patient with multiple atypical thymic carcinoids and asymptomatic paraneoplastic GCA. All the thymic carcinoids were diagnosed histopathologically as atypical thymic carcinoids with an intrathymic metastasis. Treatment consisted of a complete tumor resection followed by observation of the GCA without any adjuvant therapy. Subsequent positron emission tomography revealed a decrease in F-fludeoxyglucose accumulation in the systemic arteries. Based on these findings, paraneoplastic GCA was diagnosed. Thymic carcinoids rarely involve intrathymic metastasis or cause neopleonastic GCA. However, when they do, a...
Source: General Thoracic and Cardiovascular Surgery - October 17, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Subclavian artery pseudoaneurysm long after the division of modified Blalock –Taussig shunt
AbstractA massive but asymptomatic left subclavian artery pseudoaneurysm was diagnosed in a 30-year-old female patient with transposition of the great arteries, ventricular septal defect, and pulmonary atresia. After undergoing bilateral modified Blalock –Taussig shunts at the age of 4 months and 3 years, respectively, she underwent the Rastelli operation and division of both shunts at the age of 6 years of age. The pseudoaneurysm was not discovered at the follow-up investigation at age 14. During the time period from age 18 to 30 years, she w as lost to follow-up, she was confirmed to be free fro...
Source: General Thoracic and Cardiovascular Surgery - October 17, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Successful recovery from transcatheter aortic valve embolization by thoracic endovascular stent-graft repair
We report a case of an 84-year-old Japanese female patient with transcatheter valve embolization treated with thoracic endovascular stenting. She was diagnosed with severe aortic stenosis and referred to our hospital. Transapical transcatheter aortic valve implantation (TA-TAVI) was selected because she had multiple comorbidities and peripheral vascular disease. During TA-TAVI, the transcatheter valve (TV) came loose and lodged in the distal aortic arch. The TV was floating and unstable, thereby affecting her hemodynamics. After a second TV was placed in the appropriate position with no trouble, we tried fixing the TV usin...
Source: General Thoracic and Cardiovascular Surgery - October 17, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Uniportal VATS for non-small cell lung cancer
AbstractThe video-assisted thoracic surgery (VATS) technique has evolved from its multiport origins to even less invasive approaches grounded in its proven benefits over open surgery for  the treatment of early stage lung cancer. In this evolution process, the Uniportal VATS (UniVATS) strategy emerged. This technique is giving some evidence of benefits when compared to the multiport VATS and has been embraced by the surgical community spreading its geographical and surgical boundar ies. Moreover, UniVATS has proven its feasibility for numerous and more complex procedures for lung cancer diagnosis and treatment, w...
Source: General Thoracic and Cardiovascular Surgery - October 15, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Novel quantitative and objective structured assessment of technical skill for slip knotting
ConclusionsThis novel quantitative and objective assessment tool for technical skill in slip knotting was found to be valid to examine the skill for slip knotting. In this study, current board certification discriminated the level of basic surgical skill. However, it could not distinguish extremely low scorers perfectly. Some board-certified surgeons showed poor technical competency, especially those without off-the-job training. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - October 15, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Total pleural coverage followed by lung transplantation in patient with lymphangioleiomyomatosis
AbstractTuberous sclerosis complex lymphangioleiomyomatosis (TSC-LAM) is a rare disease, which may develop an intractable pneumothorax. Chemical or mechanical pleurodesis is a general management to prevent recurrence of pneumothorax, rendering it difficult to later dissect the pleura and control intraoperative bleeding. Since total pleural coverage (TPC) alternative to pleurodesis has been firstly reported by Kurihara et al. (Jpn J Thorac Cardiovasc Surg 54:274,2006), TPC was performed in case of a 46-year-old female with a secondary spontaneous pneumothorax caused by TSC-LAM and followed by lung transplantation. Final pat...
Source: General Thoracic and Cardiovascular Surgery - October 14, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Nonintubated thoracoscopic surgery for early-stage non-small cell lung cancer
ConclusionsNonintubated thoracoscopic surgery is a safe and feasible minimally invasive alternative surgery for early non-small cell lung cancer. Faster recovery and less short-term complication are potential benefits of this approach. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - October 11, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Acknowledgment to reviewers
(Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - October 8, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Potential benefit of non-cardiac arrested thromboembolectomy of acute pulmonary embolism for the impaired right ventricular function
ConclusionsPulmonary thromboembolectomy on a beating heart for acute pulmonary thromboembolism may be beneficial for minimizing right ventricular damage and improving clinical outcomes. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - October 8, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Intrapericardial goiter
We present a 53-year-old woman who was operated for 8-cm anterior mediastinal mass located completely intrapericardial and histopathological examination revealed an ectopic goiter. It may be difficult to distinguish between mediastinal masses within or outside the pericardium. Thoracoscopy may be needed in such cases. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - October 3, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Early postoperative inflammatory response by procedure types: stapler-based segmentectomy versus lobectomy
ConclusionIn our cohort, stapler-based thoracoscopic segmentectomy was associated with an increase in acute inflammatory response despite favorable perioperative outcome compared to lobectomy. Local surgical stress and damage in the remaining segments might play a key role and warrants further investigation. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - September 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Effects of high-dose vitamin D supplementation on the occurrence of post-operative atrial fibrillation after coronary artery bypass grafting: randomized controlled trial
ConclusionIn this study with sufficient sample size, preoperative short-term high-dose vitamin D supplementation was found to be significantly preventive to the occurrence of POAF in patients with vitamin D insufficiency and deficiency who underwent CABG surgery. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - September 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Right pericardial window opening: a method of preventing pericardial effusion
In this study, we aimed to investigate the superiority of right pericardial window (RPW) versus posterior pericardial drain placing for the parameters of pericardial effusion and the postoperative complications at the patients who has undergone cardiac surgery.Materials and methodsBetween July and September 2018, 120 adult patients (mean age 50.30  ± 14.61) who underwent cardiac surgery without the necessity of opening the pleura were included in the study. In Group 1, the RPW was opened (n = 60), and Group 2 posterior pericardial drainage tube was placed without RPW (n = 60...
Source: General Thoracic and Cardiovascular Surgery - September 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Robotic minimally invasive direct coronary artery bypass for Kawasaki disease
AbstractCase 1: 17-year-old boy developed severe stenosis at the proximal site of the coronary aneurysm in the left anterior descending artery (LAD). Case 2: 16-year-old boy developed severe stenosis at the proximal site of the coronary aneurysm in the LAD. Case 3: 30-year-old woman developed severe stenosis of the distal portion of the coronary aneurysm in the LAD. Minimally invasive direct coronary artery bypass (MIDCAB) with robot-assisted left internal thoracic artery harvest was successfully performed without cardiopulmonary bypass in these three young patients with Kawasaki disease. This is the first case report of r...
Source: General Thoracic and Cardiovascular Surgery - September 25, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Moderate ischemic mitral incompetence: does it worth more ischemic time?
ConclusionsMVr can be performed safely and concomitantly with CABG in patients having moderate IMR, and its addition to CABG have significant short-term impact on clinical or echocardiographic outcome of patients. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - September 24, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Is there any relationship between quality of life and the level of sympathectomy in primary palmar hyperhidrosis? Single-center experience
AbstractBackgroundThe discussions at the surgical levels (sympathectomy levels) about endoscopic thoracic sympathectomy (ETS) method, which is applied in hyperhidrosis treatment in the present day and acknowledged as the golden treatment method, continue. Mainly, most of the studies evaluates postoperative early period results. Our aim in this study is to compare the long-term quality of life depending on the different surgical levels (sympathectomy levels) and evaluate the postoperative complications.Methods165 patients operated due to palmar hyperhidrosis between January 2012 and July 2017 were evaluated. Sympathectomy w...
Source: General Thoracic and Cardiovascular Surgery - September 21, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Reduction of air leakage using linear staple device with bioabsorbable polyglycolic acid felt for pulmonary lobectomy
ConclusionsUsing the stapler with PGA to divide the incomplete interlobular fissure in pulmonary lobectomy reduced postoperative air leakage, and decreased the need for additional intraoperative management using fibrin glue. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - September 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Surgical management of large undifferentiated cardiac sarcoma involving the right ventricle to pulmonary trunk
AbstractA large intra-cardiac tumor from the right ventricle to pulmonary trunk was detected by contrast-enhanced computed tomography and transthoracic echocardiography in a 59-year-old woman with progressive dyspnea on effort and acute congestive right-sided heart failure. Emergent surgical management was performed with cardiopulmonary bypass under cardiac arrest, however, tumor resection was incomplete, because it originated from the interventricular septum. Concomitant tricuspid valve replacement using a bioprosthesis was required due to the involvement of the septal leaflet of the tricuspid valve. Although large pulmon...
Source: General Thoracic and Cardiovascular Surgery - September 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Endoscopic-assisted aortic replacement of the descending aorta through the 8th intercostal space to preserve collateral vessels: a case report
We present the case of a 75-year-old man with repeated lower limb hematoma caused by consumptive coagulopathy from a type B chronic aortic dissection. His abdominal aorta was replaced with a Y-shaped graft 30  years prior to admission. As his previous aortic stent graft treatment failed, he underwent open surgical prosthetic graft replacement of the descending aorta under deep hypothermia. To reduce intra- and postoperative bleeding, we avoided cutting the ribs and intercostal arteries. The aneurysm was approached only through the 8th intercostal space; however, as the proximal descending aorta was inaccessible from t...
Source: General Thoracic and Cardiovascular Surgery - September 19, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Prognostic factor and treatment strategy for clinical N1 non-small cell lung cancer
AbstractObjectivesThe aim of this study is to evaluate the surgical results of clinical N1 disease and to clarify the high-risk clinical N1 subgroup.MethodsBetween 1990 and 2012, 137 patients who were clinically diagnosed as having N1 disease were enrolled. Their medical records were reviewed to assess clinical characteristics, radiologic findings, pathologic results, postoperative outcomes, recurrence patterns, and survival. Logistic regression analysis was used to identify independent predictive factors for pathologic N2 upstaging. To determine which factors were significantly associated with survival, a multivariate ana...
Source: General Thoracic and Cardiovascular Surgery - September 18, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Sternal wound closure in the current era: the need of a tailored approach
ConclusionThe choice among the sternal closure techniques should be mainly inspired and tailored on the patient ’s characteristics, and correct judgement and experience play a pivotal role. A decisional algorithm has been proposed as an attempt to overcome the absence of specific guidelines and to guide the operative approach. This operative approach might be used also in non-cardiac procedure in which medi an sternotomy is required, such as in case of thoracic surgery. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - September 17, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

The incidence and risk factors of hypofibrinogenemia in cardiovascular surgery
AbstractObjectiveCardiovascular surgery often causes massive bleeding due to coagulopathy, with hypofibrinogenemia being a major causative factor. We assessed the intraoperative incidence of hypofibrinogenemia and explored predictors of hypofibrinogenemia.MethodsThe intraoperative serum fibrinogen level (SFL) was routinely measured in 872 consecutive patients [mean age: 66.9  ± 13.3 years; 598 men (68.6%)] undergoing cardiovascular surgery from July 2013 to November 2016 at Nagoya University Hospital. There were 275 aortic surgeries, 200 cases of coronary artery bypass grafting (CABG), 334 valvula...
Source: General Thoracic and Cardiovascular Surgery - September 17, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Pulmonary artery “conduit” reconstruction using bovine pericardium following long-segment sleeve resection: a unique “in situ tailor-made” sewing method
We describe a unique technique for pulmonary artery reconstruction using a bovine pericardial conduit after long-segment sleeve resection of the pulmonary artery. In this technique, the conduit tube was not created in advance but was sewn in situ from a bovine pericardial “sheet” step-by-step to form a desirable diameter, length and curve to fit the vascular defect. This is a safe and secure method to create desirable conduit for long and complex pulmonary artery replacement. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - September 17, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Mid-term results of valve repairs for atrial functional mitral and tricuspid regurgitations
This study aimed to determine the mid-term outcomes of surgical valve repairs for atrial functional mitral regurgitation and tricuspid regurgitation in patients with atrial fibrillation.MethodsFrom October 2008 to August 2016, we performed mitral and tricuspid valve repairs in 45 patients with permanent atrial fibrillation, chronic heart failure, preserved left ventricular ejection fraction, and at least moderate functional mitral regurgitation and mild functional tricuspid regurgitation. The follow-up period ranged from 56 to 3283  days (2–109 months; median 932 days).ResultsAll patients underwent bot...
Source: General Thoracic and Cardiovascular Surgery - September 16, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

High mean platelet volume to platelet count ratio as a predictor on poor outcomes after CABG
ConclusionsA high MPV/PC ratio is associated with early vein-graft occlusion and poor postoperative outcomes in the early period after CABG. Furthermore, it has a negative effect on late survival. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - September 12, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Left superior pulmonary vein stump thrombosis and right renal infarction after left upper lobectomy: case report and literature review
AbstractLeft upper lobectomy (LUL) has been considered to have a higher risk of thrombus formation in the pulmonary vein stump (PVS) than other lobectomies. A case of thrombus formation in the PVS and right renal infarction detected by contrast-enhanced computed tomography (CECT) 12  days after LUL is presented. The thrombus in the PVS was considered to be related to the renal infarction because of the lack of other potential explanations. After intravenous heparin treatment for 1 week and continuous oral anticoagulation, the thrombus in the PVS became smaller 3 months after the operation, and it basically d...
Source: General Thoracic and Cardiovascular Surgery - September 9, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Correction to: Risk assessments for broncho-pleural fistula and respiratory failure after lung cancer surgery by National Clinical Database Japan
In the original publication of this article, Tables  1 and 2 were published incorrectly. The correct tables are given in this correction. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - September 5, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Impact of age on the recovery of six-minute walking distance after lung cancer surgery: a retrospective cohort study
AbstractPurposeThe aim was to investigate the relationship of age for recovery of six-minute walking distance (6MWD), pulmonary function, and health-related quality of life (HRQOL) after lung cancer surgery.MethodsPrimary outcome was the 6MWD recovery until 6  months after surgery. Secondary outcome was the recoveries of forced expiratory volume in 1 s (FEV1) and HRQOL until 6  months after surgery. Linear mixed-effects model was used to estimate the association of age to the outcomes.ResultsA total of 311 lung cancer patients were included. All the 6MWD, FEV1, and HRQOL decreased after surgery ( −&nbs...
Source: General Thoracic and Cardiovascular Surgery - September 4, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Intraoperative computed tomography-guided localization of nonpalpable rib tumor for tumor excision
AbstractA nonpalpable rib tumor is very difficult to localize accurately, so a skin incision is also difficult to design. Many methods have been discussed but most of them have some disadvantages such as inaccurate localization, the need to create another incision and not being generally useful for most patients. We offer one method of intraoperative localization in the hybrid operative room (OR). In our experience, it took a short time and had great accuracy, thus we could minimize the skin incision. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - September 4, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Intercostal block vs. epidural analgesia in thoracoscopic lung cancer surgery: a randomized trial
ConclusionAlthough our limited sample size compromised our ability to draw definitive conclusions, intercostal nerve block followed by high-dose oral celecoxib seems to be an option for patients undergoing thoracoscopic lobectomy for lung cancer. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - August 31, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Transposition of pulmonary veins for mobilization of residual right middle and lower lobes after carinal right upper lobectomy: a unique pulmonary hilar mobilization technique for safe tension-free airway anastomosis
AbstractUnique right hilar mobilization was performed by pulmonary venous transposition of the right middle and lower lobe veins to the opening of the right upper pulmonary vein to achieve tension-free airway anastomosis after carinal right upper lobectomy for a patient with adenoid cystic carcinoma. The right middle and lower lobes were reconstructed safely thereafter by side-to-end anastomosis between the side of the lower trachea and intermediate bronchus with acceptable suturing tension. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - August 30, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Hydrogen water alleviates obliterative airway disease in mice
ConclusionsHydrogen water suppressed the development of mid-term obliterative airway disease in a mouse tracheal allograft model via anti-oxidant and -inflammatory mechanisms and through the activation of Tregs. Thus, hydrogen water is a potential treatment strategy for BOS that can improve the outcome of lung transplant patients. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - August 29, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Risk factors for spinal cord injury in patients undergoing frozen elephant trunk technique for acute aortic dissection
AbstractBackgroundThe purpose of this study was to evaluate the risk factors for spinal cord injury (SCI) in patients with acute aortic dissection undergoing surgery with frozen elephant trunk technique (FET).MethodsFrom December 2014 to February 2018, 17 patients with acute aortic dissection underwent surgical treatment of the aortic arch with FET. SCI occurred in 3 patients. Risk factors for SCI were evaluated.ResultsMean age of the patients was 56  years and 88.2% were male. The ratio of true lumen to total aortic diameter at the level of carina (before: 0.48 vs. after: 0.75,P 
Source: General Thoracic and Cardiovascular Surgery - August 29, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Aortic valve replacement for infective endocarditis in an adult with uncorrected tetralogy of Fallot and pulmonary atresia
AbstractInfective endocarditis is one of the complications encountered in patients with uncorrected tetralogy of Fallot; however, there have been only limited reports on surgical treatment of this condition. A 38-year-old man with uncorrected tetralogy of Fallot  with pulmonary atresia previously palliated with modified Blalock–Taussig shunt was diagnosed with aortic valve infective endocarditis and developed severe aortic regurgitation. He underwent urgent aortic valve replacement, during which intermittent hypothermic circulatory arrest was necessary to achieve adequate myocardial protection and bloodless...
Source: General Thoracic and Cardiovascular Surgery - August 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Factors defining occurrence of ischemic and hemorrhagic strokes during continuous flow left ventricular assist device support
ConclusionsIn addition to LVAD-related thrombogenicity, the subsequent need for anticoagulation, and an acquired von Willebrand syndrome, several clinical factors, such as deviation from the anticoagulation regimen, hypertension, COPD, device infections, and aortic cross clamping, appear to have an influence on the extremely high rate of postoperative ischemic and hemorrhagic strokes. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - August 21, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Outcomes of combination therapy including rituximab for antibody-mediated rejection after lung transplantation
ConclusionsOur experience suggests that multimodality therapy that includes rituximab is feasible and may prevent progression of antibody-mediated rejection after lung transplantation in selected patients. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - August 21, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Left ventricular mass regression in patients without patient –prosthesis mismatch after aortic valve replacement for aortic stenosis
ConclusionsThere was no relationship between the degree of postoperative effective orifice area and temporal regression of the left ventricular mass in patients without patient –prosthesis mismatch. The independent predictors of left ventricular mass regression were male gender and preoperative left ventricular mass index. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - August 14, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Basic fibroblast growth factor attenuates left-ventricular remodeling following surgical ventricular restoration in a rat ischemic cardiomyopathy model
ConclusionsBFGF induced angiogenesis and  attenuated remodeling after SVR which secured the efficacy of SVR in a rat ischemic cardiomyopathy model. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - August 13, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Correction to: Current status of cardiovascular surgery in Japan, 2015 and 2016, a report based on the Japan Cardiovascular Surgery Database. 3 —Valvular heart surgery
In the original publication of this article, the title was published incorrectly. The correct article title is given in this correction. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - August 5, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

No-touch saphenous vein graft harvesting technique for coronary artery bypass grafting
ConclusionsEarly results of CABG with NT-SVGs were good. Some precautions must be taken during harvesting and anastomosis. Taking precautions described in this study may help reduce the risk of perioperative complications and make the no-touch technique the standard procedure for harvesting SVGs for CABG. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - August 2, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Urgent lung transplantation in acute fibrinous and organizing pneumonia: a sliding door or a new perspective?
ConclusionsIn the absence of clear guidelines, our approach showed, in these patients, the possible benefits of lung transplantation regarding survival in AFOP. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - August 1, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Temporary ventricular assist device implantation by sternotomy-avoiding technique for bridge-to-decision therapy: a comparison with conventional implantation
ConclusionsThe sternotomy-avoiding and conventional techniques resulted in comparable short-term hemodynamic support. The sternotomy-avoiding technique was associated with a potential reduction in risk of re-exploration for bleeding. These results support the usefulness of the sternotomy-avoiding procedure for selected patients. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - August 1, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Heterologous sarcomatoid pleural mesothelioma with osteosarcomatous differentiation: a report of autopsy case that accomplished trimodality therapy and review of the literature
We present here a case of heterologous osteosarcomatous pleural mesothelioma that followed a unique clinical course after trimodality therapy. In addition, literature of 54 cases of the similar heterologous mesothelioma was reviewed. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - August 1, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Thoracic endometriosis-related non-catamenial pneumothorax with peculiar histological findings
AbstractThoracic endometriosis-related non-catamenial pneumothorax is a rare entity whose pathogenesis is still less unclear than catamenial pneumothorax one. Hormonal therapy and/or talc pleurodesis are not sufficient for successful management. Surgical videothoracoscopic resection has a central role in the treatment. We displace a case of thoracic endometriosis-related non-catamenial pneumothorax presenting with recurrent right pneumothorax, surgically treated three times and misdiagnosed at first two interventions. At third operation, unusual histological findings on diaphragmatic and pulmonary specimens were disclosed....
Source: General Thoracic and Cardiovascular Surgery - August 1, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Prolonged warm ischemia exacerbated acute rejection after lung transplantation from donation after cardiac death in a mouse
AbstractObjectiveIn lung transplantation (LTx) from donation after cardiac death (DCD), the donor lungs are inevitably exposed to warm ischemic time (WIT) between the cardiac arrest and the initiation of cold preservation. We conducted this study to examine the effect of prolonged WIT on lung allograft rejection in a murine model of LTx from DCD.MethodsAllogeneic BALB/c  → B6 LTx from DCD was performed with a WIT of 15 min (WIT15 group,n = 5) or 60 min (WIT60 group,n = 5). Recipients were immunosuppressed by perioperative costimulatory blockade. The lung allografts w...
Source: General Thoracic and Cardiovascular Surgery - July 31, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

A different technique in the treatment of intraparenchymally located needle aspiration: turn it around –see–move out
AbstractAlthough foreign body aspiration is common in children and the elderly, it is very rare in young people. However, headscarf needle aspiration is common in Muslim societies, especially in young people. In needle aspirations that cannot be removed by bronchoscopic methods, thoracotomy is frequently essential method due to the sliding of the needle to the distal part of the lung. A 21-year-old female patient was referred from our emergency department to our clinic with the preliminary diagnosis of needle aspiration. Needle was not visualized by fiberoptic bronchoscopy. Video-assisted thoracoscopic surgery (VATS) was p...
Source: General Thoracic and Cardiovascular Surgery - July 30, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

The usefulness of a bilateral trans-cervical pneumomediastinal approach for mediastinoscopic radical esophagectomy: a right transcervical approach is an available option
ConclusionsAlthough the rate of recurrent nerve palsy should still be reduced, a bilateral (especially right-sided) trans-cervical pneumomediastinal approach is an available option for achieving sufficient upper mediastinal lymph node dissection and esophagectomy. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - July 25, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Current status of cardiovascular surgery in Japan, 2015 and 2016: a report based on the Japan Cardiovascular Surgery Database. 1 —congenital heart surgery
ConclusionUsing the data from JCVSD, the national data of congenital heart surgery, including postoperative complications, were analyzed.  Neonatal surgery still has considerable complication rates and further improvement is desired. In addition, it was shown that complicated operations tended to be performed at large volume institutions. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - July 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research