Preoperative renal function affects outcomes of surgery for aortic arch aneurysm in the elderly
This study aimed to determine the optimal surgical procedure for arch aneurysm in the elderly based on preoperative comorbidities, especially focusing on renal function.MethodsThe medical records of 374 patients who experienced arch surgery between 2008 and 2019 were reviewed. Among the 374 patients, 92 who underwent total arch replacement (TAR) were assigned to the TAR group and the remaining 152 who underwent debranching thoracic endovascular aortic repair (DTEVAR) were assigned to the DTEVAR group.ResultsChronic kidney disease (CKD) was an independent risk factor of mortality (hazard ratio, 2.85;p = 0.029)...
Source: General Thoracic and Cardiovascular Surgery - June 14, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

The evaluation of the gastric tube blood flow by indocyanine green fluorescence angiography during esophagectomy: a multicenter prospective study
ConclusionsDetermining the anastomotic site using the 90-to 60-s rule with ICG imaging in gastric tube reconstruction helps reduce the rate of anastomotic leakage. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - June 14, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Insertion of Impella CP following postcardiotomy cardiogenic shock concomitant with veno-arterial extracorporeal membrane oxygenation
AbstractPostcardiotomy cardiogenic shock (PCCS) is associated with considerably high rates of mortality. In PCCS, veno-arterial extracorporeal membrane oxygenation has been used despite the high rates of complications and poor outcome. Since the introduction of Impella CP (Abiomed, Danvers, MA, USA), effective left-ventricular unloading and systemic perfusion could be maintained even in patients with severe PCCS. Herein, we describe the successful treatment of PCCS following combined heart surgery in a patient by Impella CP insertion. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - June 14, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Spontaneous hemopneumothorax with a ruptured aneurysm in the second intercostal artery: report of a case
AbstractRuptured intercostal aneurysm is a rare cause of spontaneous hemopneumothorax (SHP). A 29-year-old woman presented to our hospital with left neck pain and, in the emergency room, suddenly lost consciousness. Chest radiography showed massive pleural effusion and the moderate collapse of the left lung. A chest drain was placed and 800  mL of bloody pleural effusion was collected. Contrast-enhanced computed tomography showed a ruptured aneurysm near the left pulmonary apex. Emergency angiography further revealed the ruptured aneurysm in the second intercostal artery. Transcatheter angiographic embolization (TAE) ...
Source: General Thoracic and Cardiovascular Surgery - June 14, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Ascending aortic extension to enlarge the retroaortic space in children after the Norwood procedure
AbstractLeft pulmonary artery stenosis is a well-recognized complication following the Norwood procedure. We herein report two cases in which ascending aortic extension was performed to enlarge the retroaortic space in children with left pulmonary artery stenosis after the Norwood procedure. We used graft interposition in the ascending aorta to increase the retroaortic apace and concomitantly performed extended left pulmonary artery reconstruction. This procedure obtains a more balanced distribution of the pulmonary blood flow, which is crucial to achieve good Fontan circulation. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - June 14, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Successful transcatheter aortic valve in valve implantation for degenerated trifecta bioprosthesis in a patient with a coronary anomaly
We report a case of transcatheter aortic valve implantation in a 79-year-old woman with a coronary anomaly who underwent surgical aortic valve replacement with a 23-mm Abbott Trifecta bioprosthesis. The procedure was performed in response to severe aortic stenosis caused by a bicuspid aortic valve. Computed tomography showed an anomalous origin of the right coronary artery from the left coronary sinus, with an interarterial course. Although the virtual transcatheter valve to coronary ostium distance-right coronary artery was short, the right coronary artery ostium was just behind the stent post. The externally mounted leaf...
Source: General Thoracic and Cardiovascular Surgery - June 14, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Non-aneurysmal ascending aorta diameter changes after aortic valve replacement in patients with stenotic bicuspid and tricuspid aortic valve
We describe the changes in diameter of the non-aneurysmal ascending aorta after aortic valve replacement for bicuspid or tricuspid aortic valve stenosis.MethodsThis retrospective review included 189 patients who had undergone aortic valve replacement for severe stenotic aortic valve with a non-aneurysmal ascending aorta diameter of 45  mm or less between January 2008 and December 2018. A linear mixed-effect model was used to analyze and compare the enlargement rates of the non-aneurysmal ascending aorta at the tubular portion after aortic valve replacement in bicuspid and tricuspid aortic valve patients.ResultsThe enl...
Source: General Thoracic and Cardiovascular Surgery - June 11, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Can we predict mediastinal lymph nodes metastasis in esophagogastric junction cancer? Results of a systematic review and meta-analysis
AbstractPurposeThe aim of this systematic review and meta-analysis was to define clinical indicator that predicts mediastinal lymph nodes metastasis (MLNM) in patients with Esophagogastric junction cancer (EGJC) to select patient population requiring esophagectomy.MethodsA systematic and electronic search of several electronic databases was performed up to August 2020. Studies containing information on risk factors for MLNM in patients diagnosed with EJGC and who underwent curative surgery were included.ResultsTwo predictors, including undifferentiated type (OR  = 1.82, 95% CI = 1.07–3.10,...
Source: General Thoracic and Cardiovascular Surgery - June 9, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Hybrid treatment of a giant coronary artery aneurysm in a patient with immunoglobulin G4-related disease
AbstractA 62-year-old man was diagnosed with a giant coronary artery aneurysm associated with immunoglobulin G4 (IgG4)-related disease. He had previously undergone two thoracic operations with sternotomies and abdominal aortic aneurysm repair for IgG4-related aortopathy. We opted for hybrid open and endovascular repair to reduce risk and avoid complications of a resternotomy and extracorporeal circulation. This first successful case of hybrid repair of a giant coronary artery aneurysm shows that the procedure is safe and feasible in patients with IgG4-related vasculopathy. It is critical to carefully monitor these patients...
Source: General Thoracic and Cardiovascular Surgery - June 8, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Is surgery a risk factor for contralateral recurrence pneumothorax in adolescent with primary spontaneous pneumothorax?
AbstractObjectivesControversy exists regarding the justification of primary surgery in primary spontaneous pneumothorax, and surgery is not free from recurrence. We hypothesized that surgery is a risk factor for contralateral recurrence pneumothorax in adolescent.MethodsWe performed a retrospective cohort study of 163 adolescent with pneumothorax who were treated conservatively with chest tube (n = 100) or chest tube followed by video-assisted thoracoscopic surgery (n = 63) from January 2009 through December 2017.ResultsIpsilateral recurrence was significantly more common following conservative ...
Source: General Thoracic and Cardiovascular Surgery - June 7, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Near-infrared spectroscopy device selection affects intervention management for cerebral desaturation during cardiopulmonary bypass surgery
ConclusionsIt is inappropriate to use the same intervention criteria for different near-infrared spectroscopy oximetry devices. Moreover, brain atrophy influence rSO2 values depending on device selection. It is important to note that inappropriate device selection may misguide perfusionists into performing unnecessary or excessive intervention during CPB. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - June 6, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

A case of a giant pulmonary artery aneurysm due to an atrial septal defect with left main coronary artery occlusion
AbstractCases of coronary artery occlusion due to the exclusion of pulmonary artery aneurysm are extremely rare, and there are few reports of surgical treatment. A 60-year-old woman with pulmonary hypertension due to an atrial septal defect and obstruction of the left main coronary trunk due to the exclusion of a giant pulmonary artery aneurysm underwent surgery. The surgery included atrial septal defect closure, tricuspid annulus plasty, pulmonary artery aneurysmorrhaphy, and coronary artery bypass grafting. One and a half years after the surgery, no re-expansion of the pulmonary artery was observed, and the symptoms of h...
Source: General Thoracic and Cardiovascular Surgery - June 5, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Open anatomical repair for primary coarctation of the aorta in adults
ConclusionsCoA in adults could be anatomically repaired with graft replacement both through the median sternotomy, the left thoracotomy, and the combination of both approaches, according to the complicated aortic or intracardiac lesions. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - June 5, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Effectiveness of the taut-line hitch knot in accurately determining the length of artificial chordae during repair for degenerative mitral insufficiency
AbstractTaut-line hitch, a type of ropework used in outdoor activities, was adopted to tie the artificial chordae during mitral valve repair for degenerative mitral insufficiency. This knot-tying technique facilitated artificial chordae length determination during surgery. Nineteen patients with degenerative mitral insufficiency were successfully treated using this technique. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - June 5, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Early coronary reperfusion using only guidewires for acute type A aortic dissection
AbstractCoronary malperfusion with acute type A aortic dissection is a fatal complication. It is controversial whether to prioritize central repair or coronary reperfusion. Lifesaving becomes even more difficult if a patient has pericardial haemorrhage. Herein, we report a case of acute type A aortic dissection associated with left coronary malperfusion and pericardial haemorrhage, wherein reperfusion of the left coronary artery was performed using only guidewires, and central repair could be performed without major delay. Coronary reperfusion using only guidewires can be a revolutionary therapeutic strategy for this disea...
Source: General Thoracic and Cardiovascular Surgery - June 4, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Correction to: Myocardial ischemia due to radical resection of complex coronary fistulas with giant aneurysms: a case report
In the original publication of the article, a supplementary video has been published incorrectly and it was removed. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - June 4, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Limited upper mini-sternotomy approach for closed heart surgery in the newborns and infants
ConclusionLimited upper mini-sternotomy is a technically feasible, safe, and effective approach that providing an adequately surgical view in closed heart surgery to reduce the invasiveness of the closed heart surgical repair via median sternotomy or thoracotomy approach. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - June 2, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

STAT3 activation in thymic epithelial tumors: correlation with cyclin D1, JAK3, and clinical behavior
ConclusionsSTAT3 activation may promote cyclin D1 overexpression in thymic epithelial tumors, and intracellular signaling pathways other than JAK3 may be involved in STAT3 activation. STAT3 activation, cyclin D1 overexpression, and JAK3 activation are biomarker candidates that indicate clinically poor prognosis. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - June 1, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Combined surgical therapy for pulmonary sequestration and aberrant artery from the abdominal aorta
AbstractPulmonary sequestration with feeding vessels from the abdominal aorta is relatively rare. A 56-year-old woman with chronic left thoracic pain was referred to our hospital. Computed tomography showed multiple pulmonary cysts in the left lung and an aberrant artery from the abdominal aorta. She was diagnosed with pulmonary sequestration. She underwent embolization of the aberrant artery and wedge resection of the sequestrated lung under indocyanine green guidance. The surgical treatment combining preoperative embolization of the artery and intraoperative indocyanine green-guided lung resection might be safe and minim...
Source: General Thoracic and Cardiovascular Surgery - May 18, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Efficacy of pleural coverage with polyglycolic acid sheet after bullectomy for postoperative recurrence of spontaneous pneumothorax in young patients: a multi-institutional cohort study
ConclusionPleural coverage with a polyglycolic acid sheet is suggested to be effective in preventing postoperative recurrence of pneumothorax compared with non-coverage in relatively young patients. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - May 17, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Current status of inhaled nitric oxide therapy for lung transplantation in Japan: a nationwide survey
In this study, we evaluated the perioperative use and safety of inhaled NO therapy for lung transplantation.MethodsData regarding the duration of treatment and adverse events of inhaled NO therapy were collected for all lung transplantations performed from January 1, 2015, to December 31, 2019, at nine lung transplant facilities in Japan.ResultsDuring the study period, lung transplants were performed in 357 patients, among whom inhaled NO therapy was administered to 349 patients (98%). The median initial and median maximum inhaled NO doses were 10 and 20  ppm, respectively. Inhaled NO therapy was introduced during sur...
Source: General Thoracic and Cardiovascular Surgery - May 17, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Optimal timing of video-assisted thoracic surgery for acute pyothorax: a retrospective study
ConclusionsThoracoscopic surgery for acute pyothorax is safe and curative, and should be performed within 21  days of disease onset to avoid postoperative complications. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - May 15, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

An aorto-right-atrial fistula caused by infective endocarditis in a patient with an anomalous coronary artery from the opposite sinus
AbstractA 35-year-old man presented with an anomalous right coronary artery from the opposite Valsalva sinus. He developed an aorto-right-atrial fistula due to destructive infective endocarditis undetected during preoperative computed tomography. Intraoperative retrograde cardioplegia and direct insertion of the coronary probe demonstrated that the right coronary ostium was in the left Valsalva sinus near the left coronary ostium. The right-sided aortic root and right atrium were severely damaged. This coronary anomaly allowed us to perform a unique aortic root reconstruction without touching or injuring the right coronary...
Source: General Thoracic and Cardiovascular Surgery - May 12, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Giant pseudoaneurysm that developed seven years after surgical repair of a postinfarction ventricular septal defect
AbstractLeft ventricular pseudoaneurysm is a rare complication after myocardial infarction or cardiac surgery. An 88-year-old woman who developed a left ventricular pseudoaneurysm 7  years after the repair of a postinfarction ventricular septal defect was admitted to our hospital with a complaint of a pulsatile epigastric mass, which had persisted for a month. Enhanced computed tomography revealed a large left ventricular pseudoaneurysm that extended to the subcutaneous epigas tric tissue through the supra-diaphragmatic space. Dehiscence of the patch on the lateral side, which was used during previous surgery, provide...
Source: General Thoracic and Cardiovascular Surgery - May 11, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Surgical considerations for atrial functional regurgitation of the mitral and tricuspid valves based on the etiological mechanism
AbstractAtrial functional mitral regurgitation is a hot research topic in the field of mitral valve disease. Atrial functional mitral regurgitation is distinctly different from ventricular functional mitral regurgitation. The surgical indications for atrial functional mitral regurgitation have not been well established because of the small amount of evidence gathered to date. Mitral annular plication with an artificial ring is an essential surgical procedure because dilatation of the mitral valve annulus is a main factor underlying this pathology. Most of these cases can be treated by mitral annuloplasty alone. However, ad...
Source: General Thoracic and Cardiovascular Surgery - May 10, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Fungus ball removal with video-cavernoscopy for complex aspergilloma
ConclusionsFungus ball removal with video-cavernoscopy is a simple technique for the prevention and control of massive hemoptysis that may be an alternative treatment for CA. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - May 9, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Talc pleurodesis in malignant pleural effusion: a systematic review and meta-analysis
ConclusionTalc pleurodesis is an effective MPE management approach presenting borderline statistically significant superiority compared to control methods especially compared to bleomycin as well as when pleurodesis success is evaluated later than 1  month postoperatively. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - April 20, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Computational fluid dynamics simulations of flow distribution and graft designs in apicoaortic bypass
ConclusionThe regional blood flow distribution was different, but the trend of the EL which increased inversely with the CO through the AsAo was similar between the LV-DsAo and LV-AsAo bypasses. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - April 20, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Impact of the collateral network on central-repair-first strategy in superior mesenteric artery occlusion with type A acute aortic dissection
ConclusionThe presence or absence of an enhancement of the peripheral superior mesenteric artery by the collateral network could be helpful for decision-making. The central-repair-first strategy may be permitted in patients with enhanced peripheral branches. Conversely, in patients with non-enhanced peripheral branches, a more invasive assessment should be considered before central aortic repair, and peripheral-reperfusion-first strategy may be required. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - April 20, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Transcatheter aortic valve implantation after branched thoracic endovascular aortic repair in zone 0
AbstractAn 83-year-old woman who underwent emergent hemi-arch replacement for acute aortic dissection (Stanford Type A) and staged branched thoracic endovascular aortic repair in zone 0 was admitted for severe aortic stenosis. We performed transfemoral transcatheter aortic-valve implantation with an SAPIEN 3 valve. The interference between the stent frames of the valve and the stent grafts in the aortic arch was concerning. However, using the SAPIEN 3 valve ’s flex system, the valve was successfully delivered through the complex structure in the aortic arch without any aggravation. The patient’s postoperative c...
Source: General Thoracic and Cardiovascular Surgery - April 20, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Early removal or avoiding the use of perioperative indwelling urinary catheters with spontaneous pneumothorax surgery
ConclusionsPostoperative and intraoperative avoidance of indwelling UC use is acceptable in spontaneous pneumothorax surgery that satisfies certain conditions. Avoiding UC use has the potential to improve the patient experience and facilitate postoperative management. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - April 20, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Idiopathic right ventricular pseudoaneurysm presenting with ventricular tachycardia: a case report
We present a case of 21-year-old male who presented to us with palpitations for 2  days and one episode of syncope and was diagnosed with monomorphic ventricular tachycardia (VT) and he was managed with electrical cardioversion during one of the episodes. Echocardiogram and CMR showed a larger right ventricular pseudoaneurysm at apex. Surgical excision was done uneventfully. The patient had no further VT episodes post-surgery. This case highlights the approach to diagnosis and management of RV pseudoaneurysm. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - April 18, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

SMARCA4-deficient thoracic sarcoma revealed by metastasis to the small intestine: a diagnostic dilemma
We present the case of a 44-year-old man who underwent a surgery for a perforated small intestine. Compued tomography scan revealed a tissular mediastino –pulmonary mass.Histopathological examination of the intestinal mass shown a malignant tumour with a typical epithelioid and rhabdoid cells, numerous mitoses and large necrosis. A large panel of immunohistochemistry revealed loss of SMARCA4 and SMARCA2 and allowed the diagnosis of SMARCA4-DTS. It is important to consider SMARCA4-deficient thoracic sarcoma in the differential diagnosis of tumours showing suggestive morphologic features in patients of all ages, especi...
Source: General Thoracic and Cardiovascular Surgery - April 17, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Anterior chest wall regression after Nuss bar removal in adult patients with pectus excavatum
ConclusionsIn spite of some degree of chest wall regression after bar removal, the Nuss procedure was effective for adult patients with pectus excavatum. The period of bar in situ and chest wall regression had little correlation. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - April 13, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Long-term survival of airway silicone stents in patients with central airway stenosis or obstruction due to thoracic malignancy
ConclusionsSilicone stents patients had significantly higher survival rates than metallic stents patients. Although stenting for airway stenosis or obstruction due to thoracic malignancy may be mainly palliative, additional treatments after stenting should be considered to improve the prognoses of patients with airway stenosis or obstruction due to thoracic malignancy. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - April 12, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Primary cardiac hydatic cyst with multiple locations: an unusual case of chest pain
AbstractCardiac echinococcosis is a rare manifestation ofEchinococcus infection, affecting 0.5 –2% of the patients. Since it may be a life-threatening condition, surgical treatment should be always considered. Herein, here we present a case of a 66-year-old male with chest pain. Subsequent exams confirmed the diagnosis of multiple cardiac hydatic cysts. The patient initiated treatment with albendazole and was submitted to a surgical resection with cardiopulmonary bypass. A complete surgical resection was achieved, and patient remains asymptomatic without disease signs of recurrence on imaging exams. We highlight the ...
Source: General Thoracic and Cardiovascular Surgery - April 12, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Lobectomy with pathological examination in lung cancer patients who recovered from COVID-19
We present two cases of lobectomy in lung cancer patients who recovered from COVID-19 before surgical treatment. In both cases, video-assisted thoracoscopic surgery was initiated and hilar fibrosis was detected; as a result, conversion was performed in one case. There were no postoperative complications and mortality. Also, we demonstrate the results of pathological examination in patients who have recovered from COVID-19. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - April 9, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Elective lung resection after treatment for COVID-19 pneumonia
AbstractA 65-year-old man with coronavirus disease 2019 (COVID-19) was admitted to our hospital. Computed tomography detected bilateral pneumonia with a lung nodule suspicious for lung cancer. Lobectomy was performed 3  months after the treatment for COVID-19 without any complications. The surgical specimen revealed fibrosis below the pleura with a small collection of lymphocytes and intravascular hemorrhagic thrombosis, and no residual RNA was detected. This is the first report describing a surgical specimen aft er recovery from COVID-19 pneumonia, and suggests that elective thoracic surgery can be performed safely, ...
Source: General Thoracic and Cardiovascular Surgery - April 3, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Correction to: Histological study of the thin membranous dense connective tissue around the middle and lower thoracic esophagus, caudal to the bifurcation of the trachea
A correction to this paper has been published: https://doi.org/10.1007/s11748-021-01625-1 (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - April 3, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Impact of direct carotid artery perfusion in acute type A aortic dissection involving the common carotid artery
ConclusionsDirect carotid artery perfusion may be useful in aortic dissection with brain ischemia because it does not aggravate neurological symptoms and is not associated with intraoperative cerebral infarction. However, it may be ineffective when cerebral infarction has already developed. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - April 2, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Status of pleural lavage cytology in cases of pulmonary metastasis: a single-institution retrospective study
AbstractObjectiveIn primary lung cancer surgery, intraoperative pleural lavage cytology (PLC) has been identified as a prognostic marker. However, there have been no reports on PLC for pulmonary metastasectomies. Therefore, the impact of PLC status for patients undergoing pulmonary metastasectomy remains unknown. We aimed to know the incidence and prognostic impact of positive PLC findings in pulmonary metastasectomies.MethodsWe retrospectively reviewed patients undergoing pulmonary metastasectomies between January 2013 and December 2018. One hundred and eighty-nine PLC procedures in 159 patients undergoing pulmonary metas...
Source: General Thoracic and Cardiovascular Surgery - March 21, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Non-heart transplant surgical approaches with mitral valve operation and surgical ventricular reconstruction for non-ischaemic dilated cardiomyopathy: a Japanese multicenter study
This study aims to assess mid-term outcomes of these non-heart transplant surgical approaches for DCM.MethodsWe reviewed retrospectively 106 patients (median age 64, 44 females) who underwent isolated mitral annular plasty (MAP;n = 34), mitral valve replacement (MVR;n = 29), and SVR associated with MAP (SVR + MAP;n = 43) for DCM, in 11 Japanese hospitals. We analysed mid-term outcomes, specifically freedom from cardiac death and cardiac event.ResultsHospital deaths occurred in 16 patients (15.1%) and cardiac deaths in 36 patients (34.0%) during the study period of 4.4...
Source: General Thoracic and Cardiovascular Surgery - March 21, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Left upper lobectomy for cancer of the left lung with a rare mediastinal left basal pulmonary artery
We report a rare case wherein a mediastinal left basal pulmonary artery was detected during surgery. Intraoperative findings revealed mediastinal left lingular and basal segments of the pulmonary artery (A4+5 + A8 −10) just dorsal to the superior pulmonary vein. The mediastinal left basal pulmonary artery is classified by its branching type, (1) complete type —wherein the entire that all basal pulmonary artery flow lies between the superior pulmonary vein and the left upper bronchus, as in like this case, (2) incomplete type—wherein that a part of the left basal pulmonary artery segment is o...
Source: General Thoracic and Cardiovascular Surgery - March 21, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Syphilitic aortitis: chronic left coronary ostial occlusion and aortic regurgitation with aortitis
We report a case of 69-year-old man who presented with sudden onset breathlessness that worsened insidiously for 2  months. Diagnosis of syphilitic aortitis was confirmed by laboratory findings, contrast computed tomography, echocardiography and coronary angiography. The patient underwent successful coronary artery bypass graft, aortic valve replacement and ascending aortic replacement. A high level of suspicio n and awareness is needed for the diagnosis of the now rare disease. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - March 21, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

A rare case of primary angiosarcoma of the anterior mediastinum
AbstractA 32-year-old male patient was initially diagnosed with fibrosing mediastinitis. The patient subsequently developed severe dyspnea and was further diagnosed with constrictive pericarditis due to the extent of fibrosing mediastinitis around the heart. Therefore, the patient underwent surgical resection of the fibrotic tissue in the anterior mediastinum including the pericardium and the pleura. Postoperative histological and immunohistochemical analyses revealed angiosarcoma. Seven years after the diagnosis, he is still alive. Herein, we report a case of atypical primary angiosarcoma of the anterior mediastinum causi...
Source: General Thoracic and Cardiovascular Surgery - March 21, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Veno-arterio-pulmonary-arterial extracorporeal membrane oxygenation in descending aortic surgery
AbstractHypoxia during one-lung ventilation is a significant problem in descending aortic surgery via left thoracotomy. Veno-arterio-pulmonary-arterial extracorporeal membrane oxygenation (VAPa-ECMO), which consists of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) and an additional arterial branch to perfuse a pulmonary artery (Pa), is useful. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - March 21, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Partial aortic root remodeling for chronic aortic dissection with coronary intimal tear
This report presents a case of a 69-year-old man incidentally diagnosed with aortic dissection during routine checkup. He had a history of percutaneous coronary intervention from the left main trunk to the left anterior descending artery and left circumflex artery. Computed tomography revealed a chronic type A aortic dissection with an aneurysmal aortic root. The false lumen of the Valsalva sinus originated from the left anterior descending artery and expanded largely to the non-coronary Valsalva sinus. We performed partial aortic root remodeling, resecting the dissected non-coronary Valsalva sinus. The postoperative cours...
Source: General Thoracic and Cardiovascular Surgery - March 21, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

A rare case of pseudoaneurysm at the site of untreated coarctation of the aorta in an adult patient
AbstractHere we report a rare case of pseudoaneurysm at the site of aortic coarctation. Aortic coarctation and a saccular aortic aneurysm protruding from the site of this coarctation were detected in a 50-year-old woman. Owing to the shape of the aneurysm and high risk of rupture, an open surgical repair was performed. The pathological findings of the removed aneurysm revealed a pseudoaneurysm consisting of only a thin adventitial wall. Adult uncorrected aortic coarctation has a poor prognosis. One of its causes may be the formation of such a pseudoaneurysm. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - March 21, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

A technique to resect the Edwards SAPIEN 3 Transcatheter Heart Valve 18  months after implantation in case of surgical aortic valve replacement
AbstractTranscatheter aortic valve implantation (TAVI) evolved to an established treatment for meanwhile moderate-risk surgical patients suffering from severe aortic stenosis. Due to its less invasiveness, avoiding the use of cardiopulmonary bypass, the procedure demonstrated to be an efficient and safe treatment option. However, long-term results regarding these new valve prostheses are still lacking. Potential prosthesis failure and/ or dysfunction would require either, if feasible, a transcatheter"valve in valve" procedure, or a conventional surgical valve replacement. In the literature, anecdotal reports are ...
Source: General Thoracic and Cardiovascular Surgery - March 21, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Detection of circulatory disturbance after pulmonary vein division during a living donor lobectomy
AbstractIndocyanine green (ICG) is widely used during thoracic surgery to enhance visualization, allowing assessment of the intersegmental plane based on intrapulmonary blood flow (Travis et al. in Ann Thorac Surg 108(2):363 –369, 2019; Seshiru et al. in Gen Thorac Cardiovasc Surg 66(2):81–90, 2018). Using ICG to detect blood flow disruption after lung resection, however, has not been addressed. We therefore report a case in which the left lingular pulmonary vein was incidentally divided during left lower lobectomy in a living-lung donor. Intraoperative ICG-enhanced near-infrared fluoroscopic imaging to assess ...
Source: General Thoracic and Cardiovascular Surgery - March 21, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research