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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

Clinical outcome of intraoperative hemodialysis using a hemoconcentrator during cardiopulmonary bypass for dialysis-dependent patients
ConclusionsGHDF removed both potassium and uremic toxins more efficiently than DUF in dialysis-dependent patients. Less catecholamine was needed to wean CPB using GHDF. It improved the immediate postoperative respiratory function and enabled earlier extubation. GHDF is a novel and effective option for intraoperative RRT in dialysis-dependent patients undergoing open-heart surgery. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - March 13, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Minimally invasive surgery for anterior flail chest injury in the acute phase: series of 10 cases
ConclusionThis method is simple and effective for fixed anterior dominant frail segment. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - March 11, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Alternative position of cannulae in veno-venous extracorporeal membrane oxygenation for maintaining sufficient flow support
We report an alternative position of cannulae of VV-ECMO which can maintain blood flow. The recirculation rate could be controlled by adjusting a position of return cannula using dilutional ultrasound monitoring. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - March 10, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Perioperative transfusion and long-term mortality after cardiac surgery: a meta-analysis
ConclusionsPerioperative red blood transfusion appears to be associated with a significant reduction in long-term survival for patients after cardiac surgery. Strategies such as preoperative optimisation, intraoperative blood conservation, judicious use of postoperative transfusions, and professional development into minimally invasive techniques should be utilised where appropriate to minimise the need for perioperative transfusions. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - March 8, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

A series of experiences with TissuePatch ™ for alveolar air leak after pulmonary resection
ConclusionsResults from the use of TissuePatch ™ were almost similar to those associated with the use of combination covering method in preventing prolonged postoperative air leak after pulmonary resection. Randomized, double-arm studies are required to confirm the efficacy of TissuePatch™ observed during this study. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - March 5, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Radial artery versus right mammary artery: the fight is always open, and statistics rule
(Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - February 28, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Outcomes of del Nido cardioplegia after surgical aortic valve replacement and coronary artery bypass grafting
ConclusionsThe use of DNC cardioplegia in our cohort of adult patients who underwent SAVR  ± CABG was safe and associated with improved postoperative outcomes. However, the use of DNC may be associated with higher degrees of myocardial injury. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - February 27, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Residual middle lobectomy after right upper or lower lobectomy: indications and outcome
ConclusionsResidual middle lobectomy for second lung cancer after upper lobectomy is difficult because of severe hilar adhesions. Simultaneous resection of hilar structures or pulmonary artery and parenchyma might be an option. Residual middle lobectomy could be a treatment option for bronchopleural fistula or stenosis after lower lobectomy. (Source: General Thoracic and Cardiovascular Surgery)
Source: General Thoracic and Cardiovascular Surgery - February 25, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research