Spotlight on recently published EJCTS articles
(Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Tags: SPOTLIGHT - EJCTS RECENT ARTICLES Source Type: research

Aortic root and proximal aortic arch replacement (performed by a left-handed surgeon)
We present our standard technique of composite graft replacement performed by a left-handed surgeon. This procedure is performed with a 30-day mortality comparable to that of elective isolated aortic valve replacement. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Carrel, T. Tags: Education, Pericardium, Basic research vascular Adult Cardiac Source Type: research

Thoraco-abdominal aortic aneurysm rupture secondary to lymphocytic lymphoma
We present the case of a 60-year old woman with a ruptured thoraco-abdominal aortic aneurysm (TAAA). It was a Type IV TAAA in the Crawford Classification. A mycotic origin was suspected as she had a known history of lymphocytic lymphoma. She underwent thoraco-abdominal aortic replacement with a good surgical result. Histopathological examination revealed destruction of the aortic layers due to inflammatory lymphomatous aortic infiltration. The patient fully recovered. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Pontailler, M., Fabre, D., Hocquemiller-Khalife, T., Fadel, E. Tags: Vascular malformations Source Type: research

A pitfall of false lumen embolization in chronic aortic dissection: intimal injury caused by the embolization device edge
We report a case of intimal injury caused by the occluder device in the false lumen (FL) after treatment of refractory chronic aortic dissection with FL embolization. We speculate that the intimal injury was due to the disproportionate stress from the FL. We covered the new entry by an additional stent graft in the true lumen. The deployment of a stent device in both lumens at the level of embolization might be indispensable for FL embolization. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Furukawa, T., Uchida, N., Yamane, Y., Yamada, K. Tags: Vascular malformations Adult Cardiac Source Type: research

Superficial femoral artery access for transcatheter aortic valve replacement
We report the use of the superficial femoral artery (SFA) as the arterial site of puncture with surgical cut-down. It may be a reasonable access alternative to the other classical routes, especially in the setting of either obese patients with elevated body mass index or in the presence of high femoral artery bifurcation. This route seems to be feasible with a low-profile risk. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Gennari, M., Trabattoni, P., Roberto, M., Agrifoglio, M. Tags: History, Venous disease Adult Cardiac Source Type: research

Haemodynamic improvement of older, previously replaced mechanical mitral valves by removal of the subvalvular pannus in redo cardiac surgery
Patients requiring redo cardiac surgery for diseased heart valves other than mitral valves may show increased pressure gradients and reduced valve areas of previously placed mechanical mitral valves due to subvalvular pannus formation. We treated four women who had mechanical mitral valves inserted greater than or equal to 20 years earlier and who presented with circular pannus that protruded into the lower margin of the valve ring but did not impede leaflet motion. Pannus removal improved the haemodynamic function of the mitral valve. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Kim, J. H., Kim, T. Y., Choi, J. B., Kuh, J. H. Tags: Basic research vascular Adult Cardiac Source Type: research

Combined endoscopic and transcatheter treatment of native mitral stenosis
This report describes an approach for the treatment of high-risk native mitral valve stenosis. It incorporates the deployment of a transcatheter valve in the mitral position under full endoscopic vision, combined with endoscopic mitral repair techniques that secure valve positioning and reduce the risk of paravalvular leak. This approach could be used as a rescue procedure in centres with experience in transcatheter and endoscopic valve techniques. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Van Praet, F., Roubelakis, A., Coddens, J., Casselman, F. Tags: History, Transplantation - heart, Basic research vascular Adult Cardiac Source Type: research

A Loeys-Dietz patient with a transatlantic odyssey: repeated aortic root surgery ending with a huge left main coronary aneurysm
We present a patient who required several aortic root procedures. Finally, a huge aneurysm of the left main coronary artery required emergency surgery after a failed transcatheter procedure. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Carrel, T., Schoenhoff, F., Cameron, D. Tags: Molecular biology, Pericardium, Basic research vascular Adult Cardiac Source Type: research

Surgical rescue after left anterior descending catheter entrapment causing cardiogenic shock
We present the case of an entrapped balloon catheter in the left anterior descending coronary artery during an elective percutaneous coronary intervention. The patient developed acute myocardial ischaemia and cardiac arrest. Emergency surgical intervention with device retrieval and distal bypass grafting was life-saving. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Ventosa-Fernandez, G., Moscoso, B., Cartana, R., Pereda, D. Tags: Molecular biology Adult Cardiac Source Type: research

Surgical treatment of a giant left main aneurysm
We report the case of a 75-year old man with a clinical symptom of chest pain on exertion, worsening in the last 6 months, who was diagnosed with a giant left main aneurysm. Surgical ligation of the proximal left anterior descending artery and first diagonal and triple bypass, using saphenous vein graft to vascularize the proximal circumflex artery, left anterior descending artery and first diagonal, was performed. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Viola, L., Keita, L., Veerasingam, D. Tags: Electrophysiology - arrhythmias, Molecular biology Adult Cardiac Source Type: research

A successful staged Fontan operation for a right atrial isomerism neonate having major aortopulmonary collateral arteries and extracardiac total anomalous pulmonary venous connection
We describe a successful staged Fontan operation for a neonate with a single ventricle, right atrial isomerism, pulmonary atresia with major aortopulmonary collateral arteries, a small central pulmonary artery and a supracardiac TAPVC. Unifocalization of the pulmonary vasculature was achieved by ligating all dual-supply major aortopulmonary collateral arteries at their origins, concomitant with supracardiac TAPVC repair and modified Blalock–Taussig shunt placement at 15 days. The patient underwent patch augmentation of the small stenosed central pulmonary artery at 8 months and bilateral bidirectional Glenn shunt at ...
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Ide, Y., Murata, M., Ito, H., Sakamoto, K. Tags: Mechanical Circulatory Assistance Congenital Source Type: research

A novel procedure for reconstructing an extensive hypoplastic aortic arch in older children
We report a novel reconstruction technique involving aortapulmonary fusion that was used to treat THAA in a 9 year-old patient with IAA. In this procedure, the underside of the aortic arch and the upside of the main pulmonary artery were fused to reconstruct the aortic arch. The short-term outcome of the procedure has been promising. This procedure may represent an alternative for repairing extensive THAA in older children. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Wu, S., Yang, Y., Hu, S., Zhao, T. Tags: Congenital Source Type: research

Pulmonary root translocation for borderline complex coarctation of aorta and multiple ventricular septal defects
We describe a case of complex left ventricular outflow tract obstruction, multiple muscular ventricular septal defects, aortic coarctation and a hypoplastic aortic arch, where staged biventricular repair was performed successfully using pulmonary root translocation. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Sugimoto, A., Ota, N., Murata, M., Sakamoto, K. Tags: Congenital Source Type: research

Do novel anticoagulant agents increase the risk of perioperative complications during implantable cardiac rhythm device insertion?
A best evidence topic was written according to a structured protocol. The question addressed was ‘In patients requiring an implanted cardiac rhythm device, do novel oral anticoagulant agents lead to increased rates of peri-procedural complications?’ Altogether 1228 papers were found using the reported search, of which 5 represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. The novel oral anticoagulant agents (NOACs) assessed in the included studies were ...
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Davies, R. A., Perera, N. K., Orr, Y. Tags: History, Myocardial infarction Adult Cardiac Source Type: research

Is there significance in identification of non-predominant micropapillary or solid components in early-stage lung adenocarcinoma?
A best evidence topic in thoracic surgery was written according to a structured protocol. The question addressed was ‘in early-stage lung adenocarcinomas, does the presence of non-predominant micropapillary (MIP) or solid (SOL) growth component influence long-term survival and surgical strategy?’. Altogether, more than 600 papers were found using the reported search, of which 13 presented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group, study type, relevant outcomes and results of these papers were tabulated. The data collected showed that ...
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Zhao, Z.-R., To, K. F., Mok, T. S. K., Ng, C. S. H. Tags: Lung - other, Mediastinum, Lung - basic science Thoracic Source Type: research

eComment. Neoadjuvant chemoradiotherapy: where is the real controversy?
(Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Chen, L.-Q., Deng, H.-Y., Wang, Z.-Q. Tags: Thoracic Source Type: research

Does neoadjuvant chemoradiotherapy increase survival in patients with resectable oesophageal cancer?
A best evidence topic in cardiothoracic surgery was written according to a structured protocol. The question addressed was whether trimodal therapy [neoadjuvant chemoradiotherapy (nCRT) in addition to surgery] improves survival in patients with resectable oesophageal cancer. Altogether 565 studies were identified using the below-mentioned search. Eleven represented the best evidence to answer the clinical question. The author, journal, date and country of publication, patient group, relevant outcomes and weaknesses are tabulated. All 11 studies were randomized controlled trials comparing surgery with trimodal therapy, 5 of...
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Buderi, S. I., Shackcloth, M., Page, R. D. Tags: Esophagus - cancer Thoracic Source Type: research

Can mitomycin facilitate endoscopic dilatation treatment of benign oesophageal stricture?
A best evidence topic in cardiothoracic surgery was written according to a structured protocol. The question addressed was ‘Can mitomycin facilitate endoscopic dilatation treatment of benign esophageal stricture (mainly including caustic and anastomotic esophageal stricture)?’ Altogether, 115 papers were found using the reported search, of which 6 represented the best evidence to answer the clinical question, which included 1 randomized controlled trial, 1 systematic review and 4 cohort studies. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and resul...
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Deng, H.-Y., Wang, W.-P., Lin, Y.-D., Chen, L.-Q. Tags: Esophagus - other Thoracic Source Type: research

The totally thoracoscopic maze procedure for the treatment of atrial fibrillation
The purpose of this study was to update the current evidence regarding the efficacy and safety of the totally thoracoscopic maze (TT-maze) procedure for the treatment of atrial fibrillation (AF). Fourteen studies published between 2011 and 2016 and comprising 1171 patients were included as follows: 545 (46%) patients had paroxysmal AF (pAF), 268 (23%) persistent AF (persAF) and 358 (31%) longstanding persistent AF (LSPAF). Fixed- and random-effect models were used to calculate the pooled overall freedom from atrial arrhythmias. The 1- and 2-year pooled overall antiarrhythmic drug (AAD) free (off-AAD) success rates were 78%...
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: van Laar, C., Kelder, J., van Putte, B. P. Tags: Myocardial infarction, Transplantation - heart Adult Cardiac Source Type: research

Surgical revascularization for premature coronary artery disease in second and third decade of life
We report a case series of seven patients who underwent surgical revascularization in their second and third decade of life for significant multivessel coronary artery occlusive disease due to unusual causes. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Reddy, S. M., Byrapaneni, R. B., Rangappa, C., Gouni, U. K., Vakati, C., Suryavanshi, S., Kola, P. R. Tags: Molecular biology Adult Cardiac Source Type: research

CorMatrix valved conduit in a porcine model: long-term remodelling and biomechanical characterization
CONCLUSIONS CorMatrix is biodegradable; however, it failed to remodel in a structured and anatomical fashion in an arterial environment. Progressive mechanical and remodelling failure in this scenario might be explained by the complexity of the conduit design and the host's chronic inflammatory response, leading to early fibrosis and calcification. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Mosala Nezhad, Z., Poncelet, A., de Kerchove, L., Fervaille, C., Banse, X., Bollen, X., Dehoux, J.-P., El Khoury, G., Gianello, P. Tags: History ADULT CARDIAC Source Type: research

The extracellular matrix patch implanted in the right ventricle evaluated with cardiovascular magnetic resonance protocol to assess regional physio-mechanical properties
OBJECTIVES An extracellular matrix patch was implanted in the porcine right ventricle for in situ myocardial regeneration. A newly developed cardiovascular magnetic resonance protocol was utilized to investigate the regional physio-mechanical function of the patch. METHODS Cardiovascular magnetic resonance was performed at 60-day after the porcine right ventricular wall full thickness substitution with an extracellular matrix cardiac patch (n = 5). Dacron patches and remote normal right ventricle served as control (n = 5/each). Late gadolinium enhancement, strain encoding and rest perfusion were measured for scar/patch de...
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Tanaka, A., Kawaji, K., Patel, A. R., Ota, T. Tags: Electrophysiology - arrhythmias ADULT CARDIAC Source Type: research

Laser lead extraction allows for safe and effective removal of single- and dual-coil implantable cardioverter defibrillator leads: A single-centre experience over 12 years
CONCLUSIONS Laser lead extraction allows for safe and effective removal of ICD leads. Compared with single-coil leads, the extraction of dual-coil leads is associated with longer laser treatment times but without statistically significant differences in complications and procedural success rates. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Pecha, S., Yildirim, Y., Gosau, N., Aydin, M. A., Willems, S., Treede, H., Reichenspurner, H., Hakmi, S. Tags: Myocardial infarction ADULT CARDIAC Source Type: research

Trends in isolated coronary artery bypass grafting over the last decade
OBJECTIVES The purpose of this study was to assess the impact on hospital mortality and morbidity of extensive myocardial revascularization, using arterial grafts in patients undergoing isolated coronary artery bypass grafting (CABG). METHODS Our prospective perioperative database was used to define two groups of patients who underwent isolated CABG with cardiopulmonary bypass, based on the years in which the operation was performed: Group A (2000–2003; 898 patients) and Group B (2009–2012; 1249 patients). The baseline and operative characteristics and outcomes were compared. RESULTS Several significant chang...
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Kindo, M., Hoang Minh, T., Perrier, S., Bentz, J., Mommerot, A., Billaud, P., Mazzucotelli, J.-P. Tags: Molecular biology, History ADULT CARDIAC Source Type: research

Transcatheter valve-in-valve implantation versus redo surgical aortic valve replacement in patients with failed aortic bioprostheses
OBJECTIVES Transcatheter aortic valve-in-valve implantation (ViV) is a new treatment for failing bioprostheses (BP) in patients with high surgical risk. However, comparative data, using standard repeat surgical aortic valve replacement (redo-SAVR), are scarce. We compared outcomes after ViV with those after conventional redo-SAVR in two European centres with established interventional programmes. METHODS In-hospital databases were retrospectively screened for patients ≥60 years, treated for failing aortic BP. Cases of infective endocarditis or combined procedures were excluded. End-points were adjudicated according to ...
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Silaschi, M., Wendler, O., Seiffert, M., Castro, L., Lubos, E., Schirmer, J., Blankenberg, S., Reichenspurner, H., Schäfer, U., Treede, H., MacCarthy, P., Conradi, L. Tags: History, Basic research vascular ADULT CARDIAC Source Type: research

Transaortic transcatheter aortic valve implantation: experience from the Kiel study
OBJECTIVES To evaluate the efficacy and safety of Edwards SAPIEN-XT or SAPIEN-3 transcatheter heart valves via transaortic (TAo) access. METHODS A total of 100 consecutive patients with severe symptomatic aortic stenosis undergoing TAo-transcatheter aortic valve implantation (TAVI) were included in this observational registry (November 2012–December 2014). Periprocedural and post-procedural outcomes were assessed. RESULTS Of these 100 patients, 1 received a Medtronic CoreValve. Therefore, this patient was subsequently removed from the analysis. Ninety-nine consecutive TAo-TAVI patients received a balloon-expandable...
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Petzina, R., Lutter, G., Wolf, C., Kühl, C., Freitag-Wolf, S., Panholzer, B., Bramlage, P., Frey, N., Cremer, J., Frank, D. Tags: History, Transplantation - heart, Basic research vascular ADULT CARDIAC Source Type: research

Impact of prosthesis-patient mismatch on early haemodynamic status after aortic valve replacement
CONCLUSIONS PPM is not associated with early haemodynamic status impairment and end-organ perfusion after AVR. CLINICAL TRIAL NUMBER ClinicalTrials.gov number, NCT00699673. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Kindo, M., Minh, T. H., Perrier, S., Petit-Eisenmann, H., Bentz, J., Cristinar, M., Ajob, G., Collange, O., Mazzucotelli, J.-P. Tags: History, Basic research vascular ADULT CARDIAC Source Type: research

Is the Ross procedure a riskier operation? Perioperative outcome comparison with mechanical aortic valve replacement in a propensity-matched cohort
CONCLUSIONS There are no differences in mortality or major perioperative outcomes in adults undergoing an isolated Ross procedure or mechanical AVR. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Bouhout, I., Noly, P.-E., Ghoneim, A., Stevens, L.-M., Cartier, R., Poirier, N., Bouchard, D., Demers, P., El-Hamamsy, I. Tags: Basic research vascular ADULT CARDIAC Source Type: research

Meta-analysis of open surgical repair versus hybrid arch repair for aortic arch aneurysm
CONCLUSIONS We found no strong evidence indicating that hybrid arch repair is superior to open surgical repair. Furthermore, the hybrid arch repair resulted in more reinterventions despite the fact that it was a less invasive procedure; it also required fewer days in the hospital. Further studies with large numbers of participants and long-term follow-ups are necessary to confirm the effectiveness of hybrid arch repair. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Miao, L., Song, L., Sun, S.-K., Wang, Z.-G. Tags: Vascular malformations ADULT CARDIAC Source Type: research

Adaptive servo-ventilation suppresses elevation of C-reactive protein and sympathetic activity in acute uncomplicated type B aortic dissection
CONCLUSIONS In acute type B aortic dissection, ASV was considered to have suppressed the development of sympathetic nervous activity, pleural effusion and elevation of peak CRP. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Hiraoka, A., Suzuki, K., Chikazawa, G., Nogami, S., Sakaguchi, T., Yoshitaka, H. Tags: Vascular malformations Source Type: research

Characterization of serum matrix metalloproteinase 2/9 levels in patients with ascending aortic aneurysms
CONCLUSIONS The distinct correlation patterns in patients with and without hyperlipidaemia have to be considered when defining the potential of MMP2 as a biomarker in future studies. The relation between MMP9 and hyperlipidaemia has to be further investigated. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Meffert, P., Tscheuschler, A., Beyersdorf, F., Heilmann, C., Kocher, N., Uffelmann, X., Discher, P., Rylski, B., Siepe, M., Kari, F. A. Tags: History, Pericardium, Lymphatic disease, Vascular malformations Source Type: research

Prognostic value of preoperative total psoas muscle area on long-term outcome in surgically treated oesophageal cancer patients
CONCLUSIONS Decreased PMA was an adverse significant prognostic factor for OS in patients with oesophageal cancer. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Park, S. Y., Yoon, J.-K., Lee, S. J., Haam, S., Jung, J. Tags: Esophagus - cancer THORACIC Source Type: research

Efficacy of Ramelteon for delirium after lung cancer surgery
CONCLUSIONS Ramelteon is likely to reduce the incidence and intensity of delirium after surgery for lung cancer in elderly patients. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Miyata, R., Omasa, M., Fujimoto, R., Ishikawa, H., Aoki, M. Tags: Pleura THORACIC Source Type: research

eComment. Surgery for isolated adrenal metastasis from non-small-cell lung cancer: the role of preoperative PET/CT scan"
(Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Lococo, F., Patricelli, G., Galeone, C., Rapicetta, C. Tags: THORACIC Source Type: research

Pooled analysis for surgical treatment for isolated adrenal metastasis and non-small cell lung cancer
OBJECTIVES This systematic review and pooled analysis investigated outcomes and prognostic factors in Non-small-cell lung cancer (NSCLC) patients who underwent surgical treatment for an isolated adrenal metastasis and the primary NSCLC. METHODS A literature search of PubMed, Embase and Cochrane Library databases was conducted for relevant retrospective studies in patients with NSCLC and isolated adrenal metastatic lesions treated with lobectomy or pneumonectomy and adrenalectomy. Outcome measures were overall, 1-, 2- and 5-year survival rates stratified by synchronous versus metachronous adrenal metastasis and according t...
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Gao, X.-L., Zhang, K.-W., Tang, M.-B., Zhang, K.-J., Fang, L.-N., Liu, W. Tags: Mediastinum THORACIC Source Type: research

Spotlight on recently published EJCTS articles
(Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Tags: SPOTLIGHT - EJCTS RECENT ARTICLES Source Type: research

Pectus excavatum in mummies from ancient Egypt
Pectus excavatum is one of the common congenital anomalies, yet there seems to be a suspicious absence of any cases or descriptions of this deformity from antiquity. This could represent a real change in disease prevalence but is more likely just due to an inadequate reporting in medico-historical literature. The current study reviews reports of computed tomography (CT) scans of 217 ancient Egyptian mummies, revealing 3 presumed cases of this deformity. Therefore, pectus excavatum was in fact present already in ancient times, with prevalence roughly similar to the modern one. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Kwiecinski, J. Tags: History, Chest wall Thoracic Source Type: research

Aberrant origin of left subclavian artery from the pulmonary artery and right aortic arch in an aortopulmonary window
Aortopulmonary window (APW) is a rare congenital anomaly that occurs in 0.2–0.6% of congenital heart diseases. APW often coexists with other cardiac malformations. However, APW together with aberrant origin of the left subclavian artery (LSA) from the main pulmonary artery is rarely seen. Here, we report an infant with right aortic arch in APW, who was found to have aberrant origin of the LSA from the main pulmonary artery. We confirmed its origin in the anatomical settings and modified a repair technique according to his individual situation, which brought successful results to the patient. (Source: Interactive Card...
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Zhu, C., Wang, T., Zhu, Z., Liu, K. Tags: Congenital Source Type: research

HeartWare ventricular assist device as a bridge to heart transplantation in a patient with congenitally corrected transposition of the great arteries and dextrocardia
Congenitally corrected transposition of the great arteries (ccTGA) is a rare condition with prevalence of
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Soofi, M. A., Ignaszewski, A. P., Cheung, A. W., Bashir, J. G. Tags: Minimally invasive surgery, Peripheral vascular, Aorto-iliac disease Congenital Source Type: research

eComment: More with less: the role of minimally invasive surgery as a bridging procedure in the treatment of aorto-oesophageal fistula
(Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Karaolanis, G., Schizas, D., Moris, D. Tags: E-Comment Source Type: research

Surgical management without resection of the oesophagus for aorto-oesophageal fistula secondary to aortic arch aneurysm rupture
A 79-year-old moderately frail man with a history of graft replacement for descending thoracic aortic aneurysm and chronic kidney disease presented with the onset of haemoptysis. Computed tomography demonstrated aorto-oesophageal fistula secondary to aortic arch aneurysm rupture. Emergency surgery was performed through a median sternotomy. Cardiopulmonary bypass was established via femoral artery inflow and bicaval venous drainage. After establishing circulatory arrest, the aortic arch was excised. Resection of the aortic aneurysm and debridement were performed during antegrade cerebral perfusion and lower body perfusion f...
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Omura, A., Yoshida, M., Koda, Y., Mukohara, N. Tags: Vascular malformations Source Type: research

Azygos vein aneurysm resection concomitant with heart valve repair via right thoracotomy
We report a case of recurrent pleural effusion caused by an azygos vein aneurysm in a patient with moderate mitral valve regurgitation (MR) and tricuspid valve regurgitation (TR). Since valve disease is considered a significant precipitating factor for both dyspnoea and pleural effusion, we decided to study the aetiologies of these conditions concomitantly. Azygos vein aneurysm resection in combination with tricuspid and mitral valve repair using cardiopulmonary bypass was performed successfully through a right anterior thoracotomy. The postoperative course was uneventful, and the patient reported improved exercise capacit...
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Suzuki, Y., Kaji, M., Hirose, S., Ohtsubo, S. Tags: Basic research vascular Adult Cardiac Source Type: research

Left ventricular assist device implantation in patients after left ventricular reconstruction
Left ventricular assist device (LVAD) implantation can be challenging in patients with a prior surgical ventricular restoration (SVR). In this case series of heart failure patients with a history of SVR, we describe the surgical technique and outcome of a customized approach for inflow cannula orientation. Seven patients with a history of SVR with end-stage chronic heart failure were accepted for long-term LVAD support. In all patients, the Dacron patch was removed through left ventriculotomy and a Hegar 22 dilator was inserted at the estimated optimal position of the LVAD inflow cannula. The left ventricle was reconstruct...
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Palmen, M., Braun, J., Beeres, S. L. M. A., Klautz, R. J. M. Tags: Peripheral vascular Adult Cardiac Source Type: research

Applicability of cardiogoniometry as a non-invasive screening tool for the detection of graft vasculopathy in heart transplant recipients
Currently available diagnostic modalities for the detection of graft vasculopathy following orthotopic heart transplantation are subject to various restrictions. We hypothesized that cardiogoniometry, a novel non-invasive diagnostic tool for the detection of atherosclerotic coronary vessel disease, is applicable in the graft vasculopathy setting. Cardiogoniometric results were obtained during routine follow-up in 49 consecutive, unselected heart transplant recipients and then retrospectively correlated blindly by an independent reader to recent angiographic findings. Sensitivity of cardiogoniometry was 100%, specificity 62...
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Spiliopoulos, S., Hergesell, V., Fischer, D., Dapunt, O., Krueger, U., Koerfer, R., Tenderich, G. Tags: Aorto-iliac disease Adult Cardiac Source Type: research

When and how should we manage thoracic aortic injuries in the modern era?
A best evidence topic in cardiovascular surgery was written according to a structured protocol. The question addressed was what are the optimum treatment modality and timing of intervention for blunt thoracic aortic injury (BTAI) in the modern era? Of the 697 papers found using the reported search, 14 (5 meta-analyses, 2 prospective and 7 retrospective studies) represented the best evidence to answer the clinical question. The author, journal, country, date of publication, patient group studied, study type, relevant outcomes, results and weakness of these papers are tabulated. All five meta-analyses reported a reduction in...
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Bottet, B., Bouchard, F., Peillon, C., Baste, J.-M. Tags: History, Vascular malformations Source Type: research

Are there recognized prognostic factors for patients undergoing pulmonary metastasectomy for colorectal carcinoma?
A best evidence topic in thoracic surgery was written according to a structured protocol. The question addressed was whether there is a specific subgroup of patients that would benefit from pulmonary metastasectomy for colorectal carcinoma (CRC). A total of 524 papers were identified using the reported search, of which 1 meta-analysis, 1 systematic review and 17 retrospective studies represented the best evidence to answer the clinical question. The authors, date, journal, country, study type, population, outcomes and key results are tabulated. Single pulmonary metastasis (PM) was identified as an independent prognostic fa...
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Tsitsias, T., Toufektzian, L., Routledge, T., Pilling, J. Tags: Pleura Thoracic Source Type: research

Do external support devices reduce sternal wound complications after cardiac surgery?
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether external support devices reduce sternal wound complications after cardiac surgery with sternotomy. Altogether 116 papers were found using the reported search, of which six presented the best evidence to answer the clinical question. The author, year, journal, study type, patient group studied, relevant outcomes, results and study weaknesses are tabulated. Six randomized controlled trials investigating the effect of external chest support devices on sternal wound complications in adult patients undergo...
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Tsang, W., Modi, A., Ahmed, I., Ohri, S. K. Tags: Electrophysiology - arrhythmias, Chest wall Adult Cardiac Source Type: research

Atrio-oesophageal fistula: dismal outcome of a rare complication with no common solution
Atrio-oesophageal fistula caused by diffusion of ablative energy through the left atrial wall to the oesophagus is a lethal complication. A high level of suspicion, rapid diagnosis and early correction are of crucial importance. In this review, we highlight the key points that will aid in the thought processes and provide guidance in the prevention, early diagnosis and management to reduce complications and improve outcome when atrio-oesophageal fistula is suspected. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Al-Alao, B., Pickens, A., Lattouf, O. Tags: Electrophysiology - arrhythmias, Esophagus - other Adult Cardiac Source Type: research

How can cardiothoracic and vascular medical devices stay in the market?
Surgeons, as the consumers, must engage in commercial activity regarding medical devices since it directly has impacts on surgical practice and patient outcomes. Unique features defy traditional economic convention in this specific market partly because consumers do not usually pay directly. Greater involvement with commercial activity means better post-market surveillance of medical devices which leads to improved patient safety. The medical device industry has exhibited astonishing levels of growth and profitability reaching $398 billion on a global scale with new product development focusing on unmet clinical need. The ...
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Wong, K. A., Hodgson, L., Garas, G., Malietzis, G., Markar, S., Rao, C., von Segesser, L. K., Athanasiou, T. Tags: Electrophysiology - arrhythmias, Professional affairs Adult Cardiac Source Type: research

Performance of stented biological valves for right ventricular outflow tract reconstruction
OBJECTIVES This retrospective single-centre review presents mid- and long-term results of stented biological valves (SBVs) in the pulmonary position. METHODS Fifty-two SBVs (17 Carpentier-Edwards Supraannular; 13 Carpentier-Edwards Perimount; 12 St. Jude Medical Trifecta; 4 Sorin Mitroflow; 4 Sorin Soprano; 2 Sorin More) were implanted between 2000 and 2015. The median valve size, patient age and weight were 23 mm (range 19–27), 22.8 years (range 5–77) and 62.0 kg (range 14–110), respectively. The main cardiac diagnosis was tetralogy of Fallot in 26 patients (50%). Forty-four patients (85%) had previous ...
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Buchholz, C., Mayr, A., Purbojo, A., Glöckler, M., Toka, O., Cesnjevar, R. A., Rüffer, A. Tags: Basic research vascular Congenital Source Type: research