Chunnel debranching for hybrid repair of thoracoabdominal aortic aneurysm
AbstractHybrid repair of a thoracoabdominal aortic aneurysm comprising thoracic endovascular aortic repair and total renovisceral debranching is a feasible alternative to open repair, especially for high-risk patients. However, transperitoneal debranching is a relatively complicated procedure that requires deep dissection around vital abdominal organs. Therefore, we developed a new debranching technique called Chunnel debranching, which was characterized by transaortic tunneling using a covered stent between the target artery and the prosthetic graft anastomosed on the aneurysmal wall using an inclusion technique. This pro...
Source: General Thoracic and Cardiovascular Surgery - March 21, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Helpfulness of the liver disease scores in cardiac surgery for cirrhotic patients
ConclusionsThe ESII did not predict hospital mortality after a cardiac surgery in cirrhotic patients and the MELD score should be considered for decision of cardiac intervention in cirrhotic patients. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - March 20, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Safety of salvage lung resection after immunotherapy for unresectable non-small cell lung cancer
ConclusionsSalvage lung resection was tolerated after ICI therapy in these patients. Lymph node metastasis at the time of initial diagnosis might make salvage surgery difficult. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - March 19, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Usefulness of a temporary shunt by cannulation during superior vena cava combined resection
AbstractSuperior vena cava invasive thoracic malignancy requires combined resection of the superior vena cava to achieve en bloc resection of the involved structures with negative margins. The superior vena cava combined resection requires the creation of collateral circulation from the head to the heart before performing the combined resection. Even for a short time, total superior vena cava clamping without a procedure is unsafe and should be avoided. We will present a surgical resection with superior vena cava reconstruction, involving a temporary extrathoracic shunt from the left brachiocephalic vein to the right auric...
Source: General Thoracic and Cardiovascular Surgery - March 19, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Japanese society for cardiovascular surgery, the Japanese association for thoracic surgery and the Japanese association for coronary artery surgery do not endorse Chapter 7.1 in the 2021 ACC/AHA/SCAI Coronary Revascularization Guidelines
(Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - March 19, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Computed tomography radiomics-based distinction of invasive adenocarcinoma from minimally invasive adenocarcinoma manifesting as pure ground-glass nodules with bubble-like signs
ConclusionThe radiomics model showed excellent predictive performance in discriminating IAC from MIA presenting as B-pGGNs and may provide a necessary reference for extending clinical practice. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - March 18, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

The importance of diaphragmatic surgery, chemical pleurodesis and postoperative hormonal therapy in preventing recurrence in catamenial pneumothorax: a retrospective cohort study
ConclusionsIn our experience, diaphragmatic surgery and pleurodesis followed by hormonal therapy was an effective approach in preventing recurrence in patients with catamenial pneumothorax and diaphragmatic involvement. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - March 14, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

To cross or not to cross pectus bars: is this already a dilemma?
(Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - March 13, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Factors related to clinical outcomes in blunt thoracic injuries
ConclusionsThe most associated factor with poor clinical outcomes was injury severity. Prompt treatment of blunt chest trauma with timely chest tube thoracostomy or surgical treatment when necessary, optimal pain control, and chest physiotherapy will reduce mortality. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - March 12, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Removal of a frozen elephant trunk using a polyvinyl tube
We report on the outcomes for six patients. Our procedure is simple to perform and safe and caused no injury to the aorta in our case series. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - March 4, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Mitral valve surgery for atrial functional mitral regurgitation: predicting recurrent mitral regurgitation and mid-term outcome
ConclusionPatients who underwent MV repair for AFMR could have an acceptable mid-term outcome. However, MVR might not improve the mid-term outcome in patients with AFMR. The use of partial bands for mitral annuloplasty would not be recommended in terms of recurrent MR mid-term. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - March 3, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Immunocompetent cells in durable ventricular assist device-implanted non-ischaemic dilated cardiomyopathy
ConclusionsThe distribution of immunocompetent cells in the left ventricular myocardium might predict myocardial viability of this pathology after implantation. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - February 28, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Totally thoracoscopic versus standard VATS lobectomies: perioperative differences
ConclusionsIn our experience, a totally thoracoscopic approach may improve acute postoperative pain without compromising the oncological results of the procedure and the safety of the patients. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - February 28, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Validation of the simplified cough symptom score in non-small cell lung cancer patients after surgery
ConclusionThe sCSS is a reliable, valid instrument for assessing postoperative cough in NSCLC patients. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - February 28, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Control of air leakage during pleurectomy/decortication by the ventilation and anchoring method
ConclusionsSignificant increases in TV were observed after coating with FG via the V/A method during P/D. Coating with FG using the V/A method can contribute to a reduction in air leakage during P/D. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - February 28, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research