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Long-term outcomes after aortic valve surgery in patients with aortic regurgitation with preserved ejection fraction and left ventricular dilation
ConclusionsAVR can be performed with an acceptable outcome in patients with severe AR accompanied by LVEF  ≥ 55% and LVEDD >  65 mm. The LVESVi has the best predictive value for prognosis and the cut-off value is 59 ml/m2, and has the best predictive value for incomplete LV reverse remodeling and the cut-off value is 56  ml/m2. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - July 19, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Incidence and outcomes of surgical site infection after cardiovascular surgery (complete republication)
ConclusionsThe incidence of deep sternal wound infection was low, but it has not decreased. Postoperative outcomes in patients with surgical site infection were still bad. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - July 9, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Impacts of complications after esophageal cancer surgery on health-related quality of life and nutritional status
ConclusionPatients who developed post-operative complications, especially pulmonary complications, had long-lasting negative HRQoL outcomes and poor nutritional status after esophagectomy. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - July 4, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Novel technique in frozen elephant trunk positioning method using the ostium of the coronary artery on transesophageal echocardiography as an index
AbstractThe frozen elephant trunk (FET) technique is useful in the single-stage treatment of aortic arch aneurysms. Since there is no established implantation method for evaluating the distal end of the FET during surgery, we propose the FET positioning method using the ostium of the coronary artery on transesophageal echocardiography (TEE) as an index. We performed 11 total arch replacement operations using an FET for aortic arch aneurysm. The planned position of the FET was determined by computed tomography (CT), and the distance to the ostium of the coronary artery was measured. Intraoperatively, using TEE as a guide, t...
Source: General Thoracic and Cardiovascular Surgery - July 2, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Mitral valve repair with patch augmentation for atrial functional mitral regurgitation complicated with giant left atrium
ConclusionsPericardial patch augmentation in atrial functional mitral regurgitation leads to good survival and mitral regurgitation recurrence-free rates. Steady anticoagulation and the use of larger patches would be necessary to reduce thrombotic complications and recurrent MR. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - July 1, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Higher F-wave frequency associates with poor procedural success rate after Maze procedure
ConclusionsThe DF of the F-wave is a useful predictor of procedural success after the Maze procedure in addition to the voltage of F-wave. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - June 30, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Antibodies against complement component C5 prevent antibody-mediated rejection after lung transplantation in murine orthotopic models with skin-graft-induced pre-sensitization
ConclusionsMurine orthotopic allograft lung transplant models met the clinical diagnosis and pathogenesis classification criteria of AMR. In these models, anti-C5 antibodies suppressed AMR. Therefore, anti-C5 therapy may be effective against AMR after lung transplantation. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - June 29, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Successful bridge to transplantation with long-term support using Berlin heart EXCOR in a child with failing Fontan
AbstractA 2-year-old girl underwent the Fontan operation for aortic valve stenosis, mitral valve stenosis, a hypo-plastic left ventricle, and a non-compacted right ventricle. The patient ’s cardiac function reduced gradually thereafter, mainly due to systemic ventricular dysfunction. A Berlin Heart EXCOR (BHE) ventricular assist device with a 10-mL pump was implanted at 4 years of age. After 465 days, BHE support without major complications, the patient underwent heart transplan tation. A safe and long-term BHE support was achieved with proper case selection and repeated examinations. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - June 28, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Impacts of pleural adhesions on lobectomies for malignant lung tumors
ConclusionsThe impact of pleural adhesions on lobectomy would be greater if the pleural adhesion is dense, firm, or very-strong and has a coverage of 10% or more. Careful and patient pleural dissection is required, even if this entails a longer operative time, to minimize postoperative complications. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - June 23, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Study on the relationship among typhoon, climate change, and acute Stanford type A aortic dissection in southern of Zhejiang in China
ConclusionThere was a correlation between typhoon, climate change, and the occurrence of TAAD in southern Zhejiang Province. Wind speed, vapor pressure, and typhoon may be protective factors. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - June 20, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Prognostic nomogram and novel risk-scoring system for small  cell lung cancer with different patterns of metastases
ConclusionOur nomogram model that integrated significant factors can aid as an individualized clinical predictive tool in SCLC patients. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - June 18, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Fissure-last technique for left upper lobe lung cancer with interlobar invasion: how to do it?
AbstractThe fissure-last technique is used to minimize postoperative air leak after anatomical lung resection when the interlobar pulmonary artery is inaccessible through the fused fissure. After first dividing the hilar bronchovascular structures, the incomplete fissure is divided using staplers. This technique can be applied for lobectomy combined with segmentectomy in lung cancer with interlobar invasion. We performed this thoracoscopic fissure-last technique in a lung cancer patient in the left upper lobe with invasion to the superior segment (S6) in the left lower lobe. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - June 13, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Coronary ostial angioplasty for juvenile Takayasu arteritis involving the coronary artery using external iliac artery grafts
We present a case of juvenile Takayasu arteritis with bilateral subclavian artery occlusions treated with a novel coronary artery ostial angioplasty using the external iliac artery. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - June 12, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Left thoracoscopic sympathectomy for refractory ventricular arrhythmias
AbstractLeft cardiac sympathetic denervation is a procedure used to prevent ventricular arrhythmias that remain refractory despite medical treatments. This procedure usually involves the resection of the lower side of the stellate ganglion, which is an uncommon surgical technique due to the limited situations in which it can be applied. Here, we report a case of refractory ventricular arrhythmias and a description of its successful treatment with the method of left cardiac sympathetic denervation using video-assisted thoracotomy. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - June 7, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

The usefulness of nonabsorbable polymer clips for the closure of supra-aortic vessels ’ stump
AbstractWhen performing translocated total arch replacement using a frozen elephant trunk, the closure of supra-aortic vessels ’ stump may be necessary. Herein, we describe the application of a nonabsorbable polymer Hem-o-lok clip for the closure of the stump. The supra-aortic vessels were looped using cloth tapes and clipped using Hem-o-lok clips with gentle traction of cloth tapes. Then, the supra-aortic vessels were sh arply transected, leaving a 2-mm cuff of tissue. There were no incidents of clip failure during application or migration, and no significant intra-operative or post-operative bleeding occurred due to cl...
Source: General Thoracic and Cardiovascular Surgery - June 7, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research