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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

Hybrid robotic lobectomy with thoracic wall resection for superior sulcus tumor
AbstractA major challenge in treating superior sulcus tumors is achieving complete surgical resection because of technical difficulties associated with the anatomical structures and approaches to the thorax. Our technique combines posterior minimally invasive thoracotomy with robot-assisted right upper lobectomy, thereby reducing the invasiveness of the surgical approach and postoperative complications, including wound pain. In the presented case, the tumor was located on the apical right upper lobe, directly invading the apical thoracic wall structures. Hybrid robotic and minimally invasive thoracotomy with thoracic wall ...
Source: General Thoracic and Cardiovascular Surgery - June 6, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

VATS-assisted surgical stabilization of rib fractures in flail chest: 1-year follow-up of 105 cases
ConclusionsAddition of VATS to SSRF for flail chest seems helpful to diagnose and manage intrathoracic injuries and adequately evacuate hemothorax. The majority of complications are low grade and occur during admission. Further prospective research needs to be conducted to identify potential risk factors for complications and better selection for addition of VATS to improve care in the future. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - June 3, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Temporary epicardial pacing wires post-cardiac surgery: a literature review
ConclusionsAlthough temporary epicardial pacing wires have a crucial role to play in the post-operative recovery period, the current literature suggests that they should be considered on an individual basis in all high-risk patients including increased age, low ejection fraction, diabetes mellitus, elevated pulmonary artery pressures, prolonged cross clamp time, pacing required to wean from bypass, pre-operative arrhythmia, and multiple valvular and transplant operations. Although complications from pacing wires are low, this figure is likely underreported and further studies are required to focus on the risks and benefits...
Source: General Thoracic and Cardiovascular Surgery - June 2, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Single direct right axillary artery cannulation using a modified Seldinger technique in minimally invasive cardiac surgery
ConclusionsThere were no complications of postoperative symptomatic cerebral infarction following minimally invasive cardiac surgery with single direct right axillary artery cannulation using a modified Seldinger technique, even though patients had significant atherosclerotic vascular disease. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - May 31, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Transcatheter tricuspid valve-in-valve implantation with bioprosthetic balloon expandable valve
ConclusionsIn high-risk patients, transcatheter valve-in-valve implantation seems to be a safe and minimally invasive alternative to reoperations for degenerated tricuspid bioprosthetic valves. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - May 27, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Postoperative outcomes of valve reoperation are associated with the number of previous cardiac operations
ConclusionThe number of previous cardiac operations is associated with postoperative outcomes in patients undergoing valve reoperations. Considering the risk of repeat cardiac surgery, we recommend careful selection of operative procedures to avoid reoperation in patients requiring primary valve surgery. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - May 22, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Lobe-specific nodal dissection with intraoperative frozen section analysis for clinical stage-I non-small cell lung cancer: a validation study by propensity score matching
ConclusionsLND with intraoperative FSA is a valid modality that could serve as a standard surgical procedure for c-stage-I NSCLC. Intraoperative FSA may lower the residual lymph-node metastasis risk in LND. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - May 11, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

U-shaped association between elapsed time after surgery and the intensity of chronic postsurgical pain following cardiac surgery via thoracotomy: an observational cohort study
ConclusionsThere was a significant U-shaped association between the elapsed time after surgery and intensity of CPSP. The adjusted log odds of each NRS response was lowest at 33  months after cardiac surgery via thoracotomy. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - May 10, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Ground glass opacity: can we correlate radiological and histological features to plan clinical decision making?
ConclusionOur study concludes pure GGOs, though lacking solid component have a high propensity to be malignant. The role of repeated CT surveillance in this context without offering curative surgery may be questionable. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - May 7, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Isolated OPCABG in moderate chronic ischemic mitral regurgitation: is it a justifiable alternative approach ?
ConclusionOPCABG is associated with significantly reduced mortality and MASE with comparable improvement in LVEDVI% and MR grade. CABG  + MV Rep results in significant improvement in LVEDVI% and MR grade in patients with bad eccentric MR. The recommended procedures in the"Good Central" and"Bad Eccentric" subsets are CABG and CABG  + Mvrepair, respectively. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - May 6, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Multicenter randomized study evaluating the outcome of ganglionated plexi ablation in maze procedure
ConclusionThe addition of ganglionated plexi ablation to the maze procedure does not improve early outcome when treating atrial fibrillation associated with structural heart disease. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - April 27, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Radial artery vs saphenous vein grafts for sequential coronary bypass grafting as a second conduit for the left coronary territory
ConclusionsAlthough intraoperative flow rate of the radial artery graft is lower, it has sufficient flow reserve for sequential bypass grafting, and its early patency is high enough. Radial artery is suitable for sequential bypass grafting to the left coronary territories as a second arterial conduit. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - April 25, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research