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Bileaflet mechanical valve replacement: an assessment of outcomes with 30 years of follow-up
CONCLUSIONS Low late mortality and a low incidence of valve-related events can be achieved for at least 30 years using mechanical bileaflet valve replacement. Persistent atrial fibrillation is a significant risk factor for morbidity and mortality. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Saito, S., Tsukui, H., Iwasa, S., Umehara, N., Tomioka, H., Aomi, S., Yamazaki, K. Tags: Basic research vascular Adult Cardiac Source Type: research

Benefits and medium-term outcome of the Sorin Pericarbon Freedom stentless aortic prosthesis in cases of acute bacterial endocarditis
CONCLUSIONS The SPF aortic prosthesis is a true pericardial stentless prosthesis suitable for the treatment of acute bacterial endocarditis. Intermediate-time results in terms of freedom from reoperation, structural valve deterioration and resistance to infections are satisfactory. Haemodynamic performances are excellent since a complete exclusion of aortic root abscesses is achieved without any reduction of the aortic annular diameter, usually due to marsupialization or patch closure of the infected cavities. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Stefanelli, G., Pirro, F., Meli, M., Trevisan, D., Telesca, M., Campisano, B., Mussini, C., Barbieri, A. Tags: Basic research vascular Adult Cardiac Source Type: research

A prospective comparison of mid-term outcomes in patients treated with heart transplantation with advanced age donors versus left ventricular assist device implantation
CONCLUSIONS Early and mid-term outcomes of patients treated with a CF-LVAD with BTT indication seem better than HTx with old donors. It must be emphasized that up to 19% of patients in the CF-LVAD/BTT group underwent transplantation in an urgent condition due to complications related to the LVAD. At the 2-year follow-up, CF-LVAD with BTT and BTC indications have similar outcome than HTx using old heart donors. These results must be confirmed in a larger and multicentre population and extending the follow-up. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Ammirati, E., Cipriani, M. G., Varrenti, M., Colombo, T., Garascia, A., Cannata, A., Pedrazzini, G., Benazzi, E., Milazzo, F., Oliva, F., Gagliardone, M. P., Russo, C. F., Frigerio, M. Tags: Minimally invasive surgery, Peripheral vascular, Aorto-iliac disease Adult Cardiac Source Type: research

Impact of donor age on cardiac transplantation outcomes and on cardiac function
CONCLUSIONS Heart transplant from older donors is not associated with lower in-hospital and mid-term survival if donors are carefully selected; furthermore, the graft function is comparable. The use of hearts from donors older than 50 years of age can be expanded beyond critically ill recipients in carefully selected recipients. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Chamogeorgakis, T., Joseph, S., Hall, S., Gonzalez-Stawinski, G. V., Saracino, G., Rafael, A., MacHannaford, J., Toumpoulis, I., Mendez, J., Lima, B. Tags: Aorto-iliac disease Adult Cardiac Source Type: research

Recipient age impact on outcome after cardiac transplantation: should it still be considered in organ allocation?
CONCLUSIONS Our results showed a significantly different outcome according to recipient age, even when adjusted for major risk factors. Notably, patients younger than 40 years showed 100% long-term survival, and apparent lower rate of complications due to immunosuppression. Since 15-year survival in patients ≤40 years is twice that of patients ≥60 years, recipient age should be taken into account in organ allocation. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Sponga, S., Deroma, L., Sappa, R., Piani, D., Lechiancole, A., Spagna, E., Tursi, V., Nalli, C., Livi, U. Tags: Aorto-iliac disease Adult Cardiac Source Type: research

Spread through air spaces is a predictive factor of recurrence and a prognostic factor in stage I lung adenocarcinoma
CONCLUSIONS Among stage I lung adenocarcinoma patients, spread through air spaces was found frequently in the invasive cases and was closely related to poor prognosis and recurrence. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Shiono, S., Yanagawa, N. Tags: Lung - other Thoracic Source Type: research

Prognostic value of body mass index and change in body weight in postoperative outcomes of lung cancer surgery
CONCLUSIONS Low BMI and significant body weight loss before surgery have a negative effect on surgical outcomes for patients with non-small-cell lung cancer. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Nakagawa, T., Toyazaki, T., Chiba, N., Ueda, Y., Gotoh, M. Tags: Lung - other Thoracic Source Type: research

Clinical results of bronchial stump coverage using free pericardial fat pad
CONCLUSIONS No bronchial fistula developed in the FPFP group. Although the FPFP is a free flap, it remains viable for many months after surgery and may contribute to good wound healing of the bronchial stump by offering a wet environment. A pericardial fat pad is easy to make, can be used anywhere in the thoracic cavity and may be useful for bronchial stump reinforcement. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Matsuoka, K., Imanishi, N., Yamada, T., Matsuoka, T., Nagai, S., Ueda, M., Miyamoto, Y. Tags: Mediastinum, Cerebral protection, Congenital - cyanotic Thoracic Source Type: research

Influence of stapling the intersegmental planes on lung volume and function after segmentectomy
CONCLUSIONS Stapling does not lead to less preserved volume or function than electrocautery in the division of the intersegmental planes. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Tao, H., Tanaka, T., Hayashi, T., Yoshida, K., Furukawa, M., Yoshiyama, K., Okabe, K. Tags: Pleura Thoracic Source Type: research

Measuring changes in chest wall motion after lung resection using structured light plethysmography: a feasibility study
CONCLUSIONS SLP was able to detect changes in chest wall motion and asynchrony after thoracic surgery. Changes in this small group of patients were consistent with the side of the incision and were most apparent in patients undergoing lobectomy. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Elshafie, G., Kumar, P., Motamedi-Fakhr, S., Iles, R., Wilson, R. C., Naidu, B. Tags: Mediastinum, Pleura, Chest wall, Diaphragm Thoracic Source Type: research

Comparison between Caprini and Padua risk assessment models for hospitalized medical patients at risk for venous thromboembolism: a retrospective study
CONCLUSIONS The Caprini RAM was suggested to be more effective than the Padua RAM for identification of hospitalized medical patients at risk for VTE. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Liu, X., Liu, C., Chen, X., Wu, W., Lu, G. Tags: History, Venous disease Vascular Source Type: research

Association of nadir oxygen delivery on cardiopulmonary bypass with serum glial fibrillary acid protein levels in paediatric heart surgery patients
CONCLUSIONS Lower nadir DO2 is associated with increased GFAP levels, suggesting that diminished DO2 during paediatric heart surgery may be contributing to neurological injury. The DO2–GFAP relationship may provide a useful measure for the implementation of neuroprotective strategies in paediatric heart surgery, including goal-directed perfusion. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Magruder, J. T., Hibino, N., Collica, S., Zhang, H., Harness, H. L., Heitmiller, E. S., Jacobs, M. L., Cameron, D. E., Vricella, L. A., Everett, A. D. Tags: Extracorporeal circulation, Mechanical Circulatory Assistance Congenital Source Type: research

Repair of adult aortic coarctation by resection and interposition grafting
CONCLUSIONS Open surgical repair of primary, recurrent or complicated adult aortic coarctation by interposition grafting is a safe and feasible therapeutic option, providing durable long-term results and excellent long-term survival. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Yousif, A., Kloppenburg, G., Morshuis, W. J., Heijmen, R. Tags: Pericardium, Vascular malformations Congenital Source Type: research

Computational haemodynamic analysis of left pulmonary artery angulation effects on pulmonary blood flow
CONCLUSIONS Acute LPA angulation is associated with adverse haemodynamic performance. This should be particularly addressed during the reconstruction of pulmonary artery in the repair of tetralogy of Fallot. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Zhang, W., Liu, J., Yan, Q., Liu, J., Hong, H., Mao, L. Tags: Electrophysiology - arrhythmias, Mechanical Circulatory Assistance Congenital Source Type: research

Liver stiffness modifications shortly after total cavopulmonary connection
CONCLUSIONS Liver stiffness increases rapidly after total cavopulmonary connection and perioperative variations in some liver enzymes appear to correlate with this change. Since a true anatomical damage is known to develop gradually with Fontan circulation, early liver stiffness raise is likely due to parenchymal congestion only. Fibro-Scan can easily recognize and assess the entity of such a change. For these reasons, this diagnostic tool must be considered useful only to monitor liver stiffness changes and evolution with time, but a conventional evaluation of results, like in other acquired hepatic fibrosis, can be misle...
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Deorsola, L., Aidala, E., Cascarano, M. T., Valori, A., Agnoletti, G., Napoleone, C. P. Tags: Mechanical Circulatory Assistance Congenital Source Type: research