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Modification of the Nuss procedure: the crossed bar technique for new subtypes of pectus excavatum
ConclusionsCross bar technique yields satisfactory results for these new subtypes and can be performed safely with good results in these selected group of patients. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - May 14, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Thromboelastographic evaluation after cardiac surgery optimizes transfusion requirements in the intensive care unit: a single-center retrospective cohort study using an inverse probability weighting method
ConclusionsThe thromboelastography algorithm optimized transfusion requirements at 24  h after admission to the ICU following cardiac surgery. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - May 12, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

The role of cardiac surgery in radiation-associated heart disease: a scoping review
ConclusionIrradiated patients have heightened peri-operative risk, but other than redo surgery, these operations are not as treacherous as once thought. Involvement of all layers of the heart, especially the myocardium, is such that long-term mortality suffers despite optimal surgical correction. The goal of surgery in this cohort should be for a quick and safe operation, rather than a technically difficult procedure aimed at longevity. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - May 11, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

A novel approach to the lung apex avoiding dissection of severe pleural adhesions
AbstractA 70-year-old man was incidentally diagnosed with left pneumothorax. Primary surgery via the caudal thoracic cavity found severe pleural adhesions causing narrowing of the tunnel leading to the lung apex. The point of air leakage was located at the lung apex beyond the tunnel. To stop the air leakage, fibrin glue was injected to the apex via the tunnel; however, leakage reoccurred postoperatively. Considering the lung injury, a novel approach for lung apex without adhesion dissection was chosen for secondary surgery. An axillary skin incision was made at the 2nd intercostal space, and extrapleural dissection procee...
Source: General Thoracic and Cardiovascular Surgery - May 10, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Therapeutic strategy aiming at R0 resection for borderline-resectable esophageal squamous cell carcinoma using induction chemotherapy with docetaxel, cisplatin, and 5-fluorouracil
ConclusionDCF induction therapy and subsequent CS or definitive CRT are promising treatment strategies for cT3br esophageal SCC. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - April 15, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

The role and timing of cardiopulmonary bypass in the surgical repair of traumatic cardiac injury
ConclusionsTCI is associated with a high mortality rate, and survival depends on efficient diagnosis and the rapid mobilization of the operating room. Preparations for CPB or establishing a canular access route should be made before surgical procedures in cases in which the hemodynamics are unstable. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - April 3, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

An independent prognostic factor in surgical cases of pleural empyema caused by common bacteria is the presence of a fistula
ConclusionFistula was a significant independent prognostic factor for pneumonia-associated pleural effusions and empyema caused by common bacteria. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - March 31, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Blood flow characteristics of the bilateral internal thoracic artery: implications of optimal graft configuration for coronary artery bypass grafting to maximize blood supply
ConclusionRITA provides significantly higher free flow than LITA but similar blood flow to the LAD. Full skeletonization with intraluminal papaverine injection maximizes both free flow and ITA-LAD flow. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - March 30, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Impact of sarcopenia on early and mid-term outcomes of surgery for acute type A aortic dissection in octogenarians
ConclusionsAll-cause mortality after emergency surgery for acute type A aortic dissection was significantly higher in octogenarians with sarcopenia than in those without, especially in patients aged 85  years or older. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - March 30, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Late outcome of coronary artery bypass grafting with or without mitral repair for moderate or moderate –severe ischemic mitral regurgitation
ConclusionsIn patients with moderate ischemic MR, additional mitral repair to CABG did not improve long-term survival, freedom from heart failure, or cerebrovascular event. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - March 28, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

A prospective randomized controlled study to assess the effectiveness of super FIXSORB WAVE ® for sternal stabilization after sternotomy
ConclusionsUsing Super FIXSORB WAVE®, sternal displacement was significantly suppressed in both the anteroposterior and lateral directions. The use of this device results in safe and easy sternal reinforcement without any adverse events, and sternal healing can be accelerated.Clinical trial registry numberThis study was registered in the Japan Registry of Clinical Trials (February 21, 2019; jRCTs032180146). (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - March 25, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Uniportal left S1  + 2 segmentectomy
AbstractThe left upper lobe is one of the largest lobes of the lung; left upper segmentectomy is well established among thoracic surgeons. In uniportal left S1  + 2 segmentectomy, dissection of the vasculature, bronchus, and intersegmental plane can be performed anteriorly. Given that the fissureless technique is commonly used in uniportal video-assisted thoracoscopic surgery, S1 + 2 segmentectomy exhibits high affinity with the unidirectional appr oach. We have frequently performed left S1 + 2 segmentectomy for early non-small cell lung cancer located in the apical segment, since this procedure has the potenti...
Source: General Thoracic and Cardiovascular Surgery - March 22, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Stagnating blood flow related to thrombus formation in pulmonary vein stump after left upper lobectomy
ConclusionsThe area of blood flow stagnation in the stump calculated by CFD method was significantly larger in patients with than in those without thrombus. This result elucidates that stagnation of blood flow promotes thrombus formation in the pulmonary vein stump in patients who undergo left upper lobectomy. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - March 20, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Correction: Preemptive fenestrated endovascular repair aimed at perfusion of cervical branches in acute type B aortic dissection
(Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - March 15, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

A sealant with a hemostatic mechanism independent of the blood coagulation function was effective in both elective and emergency surgery for thoracic aorta
ConclusionGiven that the hemostatic rate in emergency surgery with the sealant seemed to be better than that in elective surgery without the sealant (determined from the clinical trial), we concluded that the sealant was effective in both emergency and elective thoracic surgery of the aorta. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - March 14, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research