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Impact of anatomical sub-types and shunt types on aortopulmonary collaterals in hypoplastic left heart syndrome
This study aims to clarify the relation of development of aortopulmonary collateral arteries (APCs) with anatomical sub-types and the shunt types at Norwood procedure in patients with hypoplastic left heart syndrome (HLHS). A total of 140 patients with HLHS who completed three staged palliation between 2003 and 2019 were included. Incidence of APCs and corresponding interventions were examined using angiogram by cardiac catheterization, with respect to the anatomical sub-types and shunt types. Totally, APCs were observed in 87 (62%) of the patients; pre-stage II in 32 (23%), pre-stage III in 64 (46%), and after stage III i...
Source: Seminars in Thoracic and Cardiovascular Surgery - August 22, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Melvin Schmiel, Masamichi Ono, Helena Staehler, Stanimir Georgiev, Melchior Burri, Paul Philipp Heinisch, Martina Strbad, Peter Ewert, Alfred Hager, J ürgen Hörer Tags: CONGENITAL – Original Submission Source Type: research

Commentary: Brutus, Cassius, the Stars, and the Lung Cancer Screening Criteria
Screening aims to discover early-stage lung cancer in high-risk people,1 healthy enough to undergo successful treatments while minimizing screening-related adverse effects.2 The US National Lung Screening Trial (NLST) discovered that low-dose computed tomography screening reduced lung cancer-specific mortality by 20%.3 After ten years of follow-up, this effectiveness was reaffirmed by the European Dutch –Belgian lung cancer screening trial (Nederlands–Leuvens Longkanker Screenings Onderzoek [NELSON]). (Source: Seminars in Thoracic and Cardiovascular Surgery)
Source: Seminars in Thoracic and Cardiovascular Surgery - August 17, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Luca Bertolaccini, Lorenzo Spaggiari Tags: THORACIC – Commentary Source Type: research

Commentary: Bigger is Not Always Better
In Decellularized vs Non-decellularized Allogeneic Pulmonary Artery Patches for Pulmonary Arterioplasty Bonilla-Ramirez et al. investigate the differential effect of decellularized (DAPAP) and cryopreserved pulmonary allograft (non-DAPAP) on pulmonary artery remodeling following Glenn.1 The authors show that DAPAP is associated with higher pulmonary artery z-score and lower need for reintervention. Their results suggest improved short and long-term outcomes, which they attribute to the theoretical reconstitution of the DAPAP patch, more physiological growth, and lower immunogenicity in a patient population who uniformly fa...
Source: Seminars in Thoracic and Cardiovascular Surgery - August 17, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Joseph R. Nellis, Nicholas D. Andersen, Joseph W. Turek Tags: CONGENITAL – Commentary Source Type: research

Commentary: Our field is competitive again: Quo Vadimus?
A little over a decade ago, interest in thoracic surgery training seemed to have waned.1,2 This led to measures such as creation of the fast-track (4+3) and integrated training pathways (I-6), as well as allowing integrated vascular surgery (I-5) graduates to pursue cardiothoracic surgery (CTS) fellowships.3 It appears that such efforts may have paid off as seen by the increased number of applicants in recent years. In contrast, the number of available positions is still on the decline,1,4 as is the pass rate of American Board of Thoracic Surgery (ABTS) examination. (Source: Seminars in Thoracic and Cardiovascular Surgery)
Source: Seminars in Thoracic and Cardiovascular Surgery - August 17, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Danial Ahmad, Vakhtang Tchantchaleishvili Tags: ADULT – Commentary Source Type: research

Commentary: Gastrectomy or Esophagectomy for Gastroesophageal Junction Tumors: Are We Comparing Apples to Apples?
We read with interest the recent publication by Taylor and colleagues on the optimal extent of resection for early-stage gastroesophageal junction tumors.1 (Source: Seminars in Thoracic and Cardiovascular Surgery)
Source: Seminars in Thoracic and Cardiovascular Surgery - August 17, 2022 Category: Cardiovascular & Thoracic Surgery Authors: David B. Nelson, Mara B Antonoff Source Type: research

Cardiac Enhanced Recovery Program Implementation and Its Effect on Opioid Administration in Adult Cardiac Surgery
In light of the worsening opioid epidemic and nationwide parenteral opioid shortage, our institution created an enhanced recovery after surgery (ERAS) protocol. Our objective was to evaluate our initial experience transitioning to ERAS in cardiac surgery. An institutional cardiac ERAS protocol was implemented in April 2018, consisting of opioid-sparing analgesia, liberalization of fasting and activity restrictions, and goal-directed standardization of perioperative care. Clinical outcomes, opioid administration, and pain scores of patients undergoing nonemergent cardiac surgery were reviewed from March 2017 to July 2018. (...
Source: Seminars in Thoracic and Cardiovascular Surgery - August 16, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Jolian J Dahl, Elizabeth D Krebs, Nicholas R Teman, Matthew Hulse, Robert H Thiele, Karen Singh, Kenan W Yount, the UVA Cardiac ERAS group Tags: ADULT – Original Submission Source Type: research

Association Officers
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Source: Seminars in Thoracic and Cardiovascular Surgery - August 14, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Contents
(Source: Seminars in Thoracic and Cardiovascular Surgery)
Source: Seminars in Thoracic and Cardiovascular Surgery - August 14, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Recent Articles in AATS Journals
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Source: Seminars in Thoracic and Cardiovascular Surgery - August 14, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Masthead (copyright and information page)
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Source: Seminars in Thoracic and Cardiovascular Surgery - August 14, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Aortic valve repair in neonates with aortic stenosis and reduced left ventricular function
This study assessed outcomes of neonatal aortic valve (AoV) repair in presumed high-risk patients with depressed left ventricular (LV) function. Retrospective analysis of all neonates who underwent isolated AoV repair for severe aortic stenosis (AS). Patients with moderate or severe LV dysfunction were compared to those with normal or mild LV dysfunction. From 1980-2021, 43 neonates underwent isolated AoV repair for AS. Of these, 16 patients (37.2%) had ≥moderate LV dysfunction. Mean LV ejection fraction (EF) was 32.8±9.1%. (Source: Seminars in Thoracic and Cardiovascular Surgery)
Source: Seminars in Thoracic and Cardiovascular Surgery - August 3, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Antonia Schulz, Luke Taylor, Edward Buratto, Yaroslav Ivanov, Michael Zhu, Christian P. Brizard, Igor E. Konstantinov Tags: CONGENITAL – Original Submission Source Type: research

Impact of Tricuspid Regurgitation on Outcomes of Mitral Valve Surgery after Transcatheter Edge-to-Edge Repair
Tricuspid regurgitation(TR) severity after mitral TEER has been shown to impact outcomes but unknown in patients requiring mitral valve(MV) surgery after TEER. We sought to determine the impact of preoperative TR severity and right ventricular(RV) dysfunction on MV surgery after TEER. From 7/2009 to 7/2020, 260/332 patients in the CUTTING-EDGE registry who underwent MV surgery after TEER had paired echocardiographic evaluation on TR severity, and ≥moderate(2+) versus (Source: Seminars in Thoracic and Cardiovascular Surgery)
Source: Seminars in Thoracic and Cardiovascular Surgery - August 2, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Syed Zaid, Paolo Denti, Gilbert H.L. Tang, Tamim N. Nazif, Vinayak N. Bapat, Tsuyoshi Kaneko, Thomas Modine, CUTTING-EDGE Investigators Tags: ADULT – Original Submission Source Type: research

Recent Changes in Characteristics of Applicants and Matriculants to Thoracic Surgery Fellowships
The match rate for traditional thoracic surgery fellowships decreased from 97.5% in 2012 to 59.1% in 2021, reflecting an increase in applications. We queried whether characteristics of applicants and matriculants to traditional thoracic surgery fellowships changed during this time period. Applicant data from the 2008 through 2018 application cycles were extracted from the Electronic Residency Application System (ERAS) and Graduate Medical Education (GME) Track Resident Survey and stratified by period of application (2008-2014 vs. (Source: Seminars in Thoracic and Cardiovascular Surgery)
Source: Seminars in Thoracic and Cardiovascular Surgery - August 2, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Andy Chao Hsuan Lee, Sang Mee Lee, Mark K. Ferguson Tags: ADULT – Original Submission Source Type: research

Predictors Of Intervention In Acute Type B Aortic Penetrating Ulcer And Intramural Hematoma
To investigate predictors of intervention of acute type B aortic penetrating ulcer (PAU) and intramural hematoma (IMH). We conducted a retrospective chart review of all patients admitted for acute type B PAU or IMH in a tertiary referral hospital. Indications to intervention were “complicated” (rupture, impending rupture, malperfusion) or “high risk for unfavorable outcome” (refractory hypertension and/or pain despite best medical treatment, morphologic aortic evolution, transition to a new aortic syndrome, or increase in IMH/PAU depth>5 mm) during the acute/subacute phase. (Source: Seminars in Thoracic and Cardiovascular Surgery)
Source: Seminars in Thoracic and Cardiovascular Surgery - August 2, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Michele Piazza, Francesco Squizzato, Luca Porcellato, Eugenia Casali, Franco Grego, Michele Antonello Tags: Original article Source Type: research

Commentary: Concomitant LAA Closure; A No-Brainer to Protect the Brain?
Settled science and unanswered questions. There has been a renewed interest in concomitant closure of the left atrial appendage (LAA) during open heart surgery. The paper by Madsen et al adds to that body of literature and addresses important questions.1 If a surgeon is performing a cardiac operation what is the risk, and long-term benefit, of closing the LAA? It has been reported that 90% of strokes in patients with atrial fibrillation (AF) originate in the LAA,2 and for many years surgeons have sought to obliterate the “most lethal attachment”. (Source: Seminars in Thoracic and Cardiovascular Surgery)
Source: Seminars in Thoracic and Cardiovascular Surgery - August 2, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Patrick M. McCarthy, Jane Kruse Tags: ADULT – Commentary Source Type: research