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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

Subcutaneous Treprostinil Improves Surgical Candidacy for Next Stage Palliation in Single Ventricle Patients With High-Risk Hemodynamics
Single ventricle (SV) patients with pulmonary vascular disease (SV-PVD) are considered poor surgical candidates for Glenn or Fontan palliation. Given limited options for Stage 1 (S1) and Stage 2 (S2) SV patients with SV-PVD, we report on the use of subcutaneous treprostinil (TRE) to treat SV-PVD in this population. This single-center, retrospective cohort study examined SV patients who were not candidates for subsequent surgical palliation due to SV-PVD and were treated with TRE. The primary outcome was ability to progress to the next surgical stage; secondary outcomes included changes in hemodynamics after TRE initiation....
Source: Seminars in Thoracic and Cardiovascular Surgery - August 1, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Rachel T. Sullivan, Stephanie S. Handler, Jeffrey A. Feinstein, Michelle Ogawa, Esther Liu, Michael Ma, Rachel K. Hopper, Jana Norris, Seth A. Hollander, Sharon Chen Tags: CONGENITAL – Original Submission Source Type: research

Esophagectomy vs Gastrectomy for Early Stage Adenocarcinoma of the Gastroesophageal Junction: What is the Optimal Oncologic Surgical Treatment?
This study aims to compare the oncologic outcomes of these operations. The National Cancer Database was queried for patients with clinical T1N0M0 (all sizes) and T2N0M0 ( ≤2cm) GEJ adenocarcinoma from 2004-2017. Patients treated with surgery-only were included and were stratified by surgical treatment. (Source: Seminars in Thoracic and Cardiovascular Surgery)
Source: Seminars in Thoracic and Cardiovascular Surgery - August 1, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Rolfy A. Perez Holguin, William G. Wong, Chan Shen, Pauline H. Go, Michael F. Reed, Matthew D. Taylor Tags: THORACIC – Original Submission Source Type: research

Impact of a ground-glass opacity component on c-stage IA lung adenocarcinoma
Studies have shown that tumors with ground-glass opacity (GGO) components are associated with favorable outcomes. However, this view should be confirmed in an international cohort. We aimed to verify the impact of a GGO component on clinical (c)-stage IA lung adenocarcinoma and to describe the biological discrepancies between the part-solid and pure-solid groups. We evaluated 1333 cases of surgically resected c-stage IA lung adenocarcinomas, including 484 part-solid and 849 pure-solid tumors. Furthermore, we matched the solid size between the two groups and examined 470 patients. (Source: Seminars in Thoracic and Cardiovascular Surgery)
Source: Seminars in Thoracic and Cardiovascular Surgery - July 27, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Ming Li, Junjie Xi, Qihai Sui, Hiroaki Kuroda, Kazutoshi Hamanaka, Stefano Bongiolatti, Goohyeon Hong, Cheng Zhan, Mingxiang Feng, Qun Wang, Lijie Tan Tags: THORACIC – Original Submission Source Type: research

Commentary: The Road Less Traveled
Dr. Yuan and colleagues present a novel thoracoscopic operation (thoracoscopic anatomical lung resection (TALR) for treating congenital pulmonary airway malformations and intralobar pulmonary sequestration.1 Their technique allows for complete resection of these abnormalities while preserving all normal lung tissue. The operation was performed on 95 children between three and eleven years old. (Source: Seminars in Thoracic and Cardiovascular Surgery)
Source: Seminars in Thoracic and Cardiovascular Surgery - July 25, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Matthew J. Pommerening, Benedict D.T. Daly Tags: CONGENITAL – Commentary Source Type: research

Screening Criteria Evaluation for Expansion in Pulmonary Neoplasias (SCREEN)
The SCREEN study investigated screening eligibility and survival outcomes between heavy smokers and light-or-never-smokers with lung cancer to determine whether expanded risk factor analysis is needed to refine screening criteria. SCREEN is a retrospective study of 917 lung cancer patients diagnosed between 2005 –2018 in Nova Scotia, Canada. Screening eligibility was determined using National Lung Screening Trial (NSLT) criteria. Mortality risk between heavy smokers and light-or-never-smokers was compared using proportional-hazards models. (Source: Seminars in Thoracic and Cardiovascular Surgery)
Source: Seminars in Thoracic and Cardiovascular Surgery - July 22, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Bright Huo, Daria Manos, Zhaolin Xu, Kara Matheson, Samuel Chun, John Fris, Alison M.R. Wallace, Daniel G. French Tags: THORACIC – Original Submission Source Type: research

Decellularized Vs Non-decellularized Allogeneic Pulmonary Artery Patches for Pulmonary Arterioplasty
We studied pulmonary artery size, reinterventions, and panel reactive antibodies in patients with single-ventricle physiology who underwent a pulmonary arterioplasty with decellularized (DAPAP) and non-decellularized allogeneic pulmonary artery patches (non-DAPAP). Retrospective review identified 59 patients with single-ventricle physiology who underwent pulmonary arterioplasty from 2008-2017: 28 patients underwent arterioplasty with DAPAP and 31 patients with non-DAPAP. Demographic and operative variables were similar between groups. (Source: Seminars in Thoracic and Cardiovascular Surgery)
Source: Seminars in Thoracic and Cardiovascular Surgery - July 22, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Carlos Bonilla-Ramirez, Varun Aggarwal, Manasa Atyam, Athar M. Qureshi, Jeffrey S. Heinle, E. Dean McKenzie Tags: CONGENITAL – Original Submission Source Type: research

Should Bilateral Internal Thoracic Arteries be Used in Patients with Chronic Kidney Disease?
The objective of this study was to assess early and long-term results of CABG in patients with preoperative chronic kidney disease (CKD) using a bilateral internal thoracic artery (BITA) strategy, compared to those without CKD. We retrospectively analyzed data for 2,111 consecutive patients who underwent CABG with BITA between 2000-2019. One-to-many propensity score matching was performed to produce a cohort of 132 patients with CKD (defined as an estimated glomerular filtration rate (Source: Seminars in Thoracic and Cardiovascular Surgery)
Source: Seminars in Thoracic and Cardiovascular Surgery - July 22, 2022 Category: Cardiovascular & Thoracic Surgery Authors: German J. Chaud, Dimitri Kalavrouziotis, St éphanie Dionne, Samantha Guimaron, Manuel Roque Cervetti, Shervin Babaki, Siamak Mohammadi Tags: ADULT – Original Submission Source Type: research

Erratum to ‘Clinical and Hemodynamic Outcomes of Rapid-Deployment Aortic Bioprostheses’ [Seminars in Thoracic and Cardiovascular Surgery 34 (2022) 453-461]
The Publisher would like to inform you that the members of the INTU-ITA group were included in the authorship of this article in error. (Source: Seminars in Thoracic and Cardiovascular Surgery)
Source: Seminars in Thoracic and Cardiovascular Surgery - July 21, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Augusto D'Onofrio, Chiara Tessari, Giorgia Cibin, Giulia Lorenzoni, Gian Luca Martinelli, Marco Solinas, Gino Gerosa, the INTU-ITA group Tags: Erratum Source Type: research

Recent Articles in AATS Journals
(Source: Seminars in Thoracic and Cardiovascular Surgery)
Source: Seminars in Thoracic and Cardiovascular Surgery - July 18, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Commentary: Scoops and Goose Necks: Long Term Challenges Following Atrioventricular Septal Defect Repair
In the present study, Ramgren and colleagues provide insights from their 25-year experience with reoperations following repair of atrioventricular septal defects (AVSD). Reoperations were required in approximately one-tenth of the study cohort, the majority of which involved the left atrioventricular valve (AVV), followed by the left ventricular outflow tract (LVOT). In-hospital mortality following reoperation was (Source: Seminars in Thoracic and Cardiovascular Surgery)
Source: Seminars in Thoracic and Cardiovascular Surgery - July 14, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Aditya Sengupta, Meena Nathan Tags: CONGENITAL – Commentary Source Type: research

Impact of preoperative atrial fibrillation on in-hospital outcomes of coronary artery bypass grafting
The objective of our study was to assess if preoperative AF in patients undergoing coronary artery bypass grafting is a predictor of operative mortality, postoperative stroke and need for postoperative dialysis by interrogating a large registry database. (Source: Seminars in Thoracic and Cardiovascular Surgery)
Source: Seminars in Thoracic and Cardiovascular Surgery - July 13, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Daniel Paul Fudulu, Arnaldo Dimagli, Shubhra Sinha, James Ackah, Pradeep Narayan, Jeremy Chan, Marco Gemelli, Tim Dong, Umberto Benedetto, Gianni Davide Angelini Tags: ADULT – Original Submission Source Type: research

Barriers to successful discharge after cardiac surgery: A focus group study and cross-sectional survey
At present, there is a lack of information on patient and caregiver values, and perceived priorities and barriers, to guide successful post-discharge recovery. This was a single centre, multiple methods study that investigated patient, caregiver, and healthcare provider perceptions of the discharge process after cardiac surgery. Themes emerging from focus group discussions with patients and caregivers were used to develop surveys relating to values, barriers, and challenges relating to the discharge process. (Source: Seminars in Thoracic and Cardiovascular Surgery)
Source: Seminars in Thoracic and Cardiovascular Surgery - July 12, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Neboj ša Oravec, Mackenzie A.M. King, Tyler Spencer, Rachel Eikelboom, David Kent, Kristin Reynolds, Renée El-Gabalawy, Anna M. Chudyk, Colleen Metge, Alexandra Cornick, Rohan M. Sanjanwala, Erika Lee, Brett Hiebert, Kristina Nugent, Mudra G. Dave, Todd Tags: ADULT – Original Submission Source Type: research

A novel surgical method for congenital lung malformations: a pilot study
Thoracoscopic surgery for congenital lung malformations (CLMs) has been widely used. However, there are still many shortcomings in the current surgical methods, such as the removal of some normal lung tissue and residual lesions. Thoracoscopic anatomical lesion resection (TALR) may be an effective and safe method to resolve these problems. This retrospective study was conducted to estimate the safety and efficiency of TALR. A retrospective review of clinical data involving patients who underwent TALR in our hospital from October 2019 to January 2021 was performed. (Source: Seminars in Thoracic and Cardiovascular Surgery)
Source: Seminars in Thoracic and Cardiovascular Surgery - July 6, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Miao Yuan, Chang Xu, Dengke Luo, Kaisheng Cheng, Gang Yang, Taozhen He Tags: CONGENITAL – Original Submission Source Type: research

Commentary: A New Double-Blinded Study: The Residency Application Process
We have all been raised on quantitative metrics. Advanced classes, a high grade point average (GPA), and stellar SAT scores are needed to obtain entry into top tier colleges. A superb science GPA and competitive Medical College Admission Test (MCAT) score are required for admission to medical school. Top United States Medical Licensing Exam (USMLE) scores are essential to be considered for sought after residency positions. What does one do when those quantitative metrics utilized for decades to guide the next generation are suddenly made obsolete? Taking it a step further, how should these applicants now be evaluated, when...
Source: Seminars in Thoracic and Cardiovascular Surgery - June 30, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Brian Mitzman Tags: ADULT - Commentary Source Type: research