Preservation of a Regurgitant Quadricuspid Pulmonary Autograft by the David-Procedure
We report the case in which a quadricuspid pulmonary valve was used for the Ross operation in a young male patient. The patient demonstrated severe pulmonary autograft regurgitation due to neosinus of Valsalva aneurysm 16 years after primary operation. Preservation of the quadricuspid pulmonary autograft was performed by the David procedure resulting in a competent valve function. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Transcatheter Aortic Valve Explantation is Usually Feasible and Easy
We present a clinical case of a 59 year-old patient with a degenerated CoreValve aortic prosthesis. We provide a video of a previously described surgical technique to perform a late surgical explantation of a CoreValve. We confirm that this operation is feasible and easy, partly due to the absence of adhesions at the coronary ostia. Finally, we comment the controversy between mechanical and biological prostheses in patients with dialysis. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Aortic graft dehiscence after valve-sparing root replacement
We report a case of postoperative left ventricular outflow tract pseudoaneurysm in a 49-year-old woman with Marfan syndrome following valve-sparing aortic root replacement. Four months postoperatively, severe dehiscence of the aortic root graft resulted in a retrosternal giant pseudoaneurysm. She underwent emergency redo aortic root replacement, and the postoperative course was uneventful. Although valve-sparing aortic root replacement for aortic root dilatation is widely accepted, we must consider the possibility of postoperative pseudoaneurysms in patients with Marfan syndrome. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Severe Migraine Associated with Nickel allergy requiring surgical removal of atrial septal device
We report a 16 years-old male who required surgical explantation of the device 6 years after closure because of debilitating headaches. He had grade I reaction to nickel following skin testing. Intraoperatively, the device had not fully endothelialised. Immediately after surgery, his headaches completely resolved. Long-term Nickel allergy may cause severe migraine, secondary to lack of endothelialisation of a device. Extreme cases may require surgical removal of the device. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Editorial Board
Publication date: March 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 3Author(s): (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Board of Directors
Publication date: March 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 3Author(s): (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Contents
Publication date: March 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 3Author(s): (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Society of Thoracic Surgeons Congenital Heart Surgery Database: 2019 Update on Outcomes and Quality
This report summarizes current aggregate national outcomes in congenital and pediatric cardiac surgery and reviews related activities in the areas of quality measurement, performance improvement, and transparency. The reported data about aggregate national outcomes are exemplified by an analysis of 10 benchmark operation groups performed from January 2014 to December 2017. This analysis documents the overall aggregate Operative Mortality for operations performed at North American participants in The Society of Thoracic Surgeons Congenital Heart Surgery Database and the interquartile range (IQR) for participant-specific rat...
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Hemoglobin Optimization for Coronary Bypass: A 10-Year Canadian Multicenter Experience
We report our 10-year experience of a multicenter hemoglobin optimization program with the aim to reduce red blood cell transfusion in patients undergoing coronary artery bypass grafting (CABG).MethodsFrom 2006 to 2016, patients undergoing CABG at 10 centers in Ontario were referred to the Ontario Transfusion Coordinators (ONTraC) program. Of these, we present data on the first 60 consecutive patients per center, per year (n = 6,145).ResultsOverall, 45.7% patients were assessed
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Distal Stent Graft-Induced New Entry After TEVAR of Type B Aortic Dissection: Experience in 15 Years
ConclusionsIn TBAD patients with distal SINE after TEVAR, reintervention with re-TEVAR could improve long-term survival significantly. Recurrence of distal SINE was high after re-TEVAR using routine stent grafts. More tapered stent grafts may be helpful in preventing the recurrence of distal SINE. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Degenerative Mitral Regurgitation After Nonmitral Cardiac Surgery: MitraClip Versus Surgical Reconstruction
Publication date: March 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 3Author(s): Lucman A. Anwer, Joseph A. Dearani, Richard C. Daly, John M. Stulak, Hartzell V. Schaff, Anita Nguyen, Hadi Toeg, Yan Topilsky, Hector I. Michelena, Mackram F. Eleid, Simon MaltaisBackgroundSurgical mitral valve repair is the conventional treatment for severe degenerative mitral regurgitation (MR). MitraClip therapy has emerged as a viable option in high-risk surgical patients. We sought to compare conventional surgery to MitraClip therapy in patients with severe degenerative mitral valve prolapse (MVP) and previous cardiac in...
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: March 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 3Author(s): Pramod Bonde (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Pretreatment With Diazoxide Attenuates Spinal Cord Ischemia-Reperfusion Injury Through Signaling Transducer and Activator of Transcription 3 Pathway
ConclusionsDZ preserves motor function in spinal cord ischemia-reperfusion injury by the STAT3 pathway. DZ may be beneficial clinically for use in spinal protection in aortic intervention. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Mitral Valve Repair Versus Replacement in Elderly With Degenerative Disease: Analysis of the STS Adult Cardiac Surgery Database
Publication date: March 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 3Author(s): Ryan J. Hendrix, Ricardo A. Bello, Julie M. Flahive, Nikolaos Kakouros, Gerard P. Aurigemma, John F. Keaney, William Hoffman, Christina M. VassilevaBackgroundIt has been postulated that mitral valve repair in the elderly does not confer short-term benefits over mitral valve replacement with complete preservation of the chordal apparatus. Our purpose was to test this hypothesis using data from The Society of Thoracic Surgeons Adult Cardiac Surgery Database (STS ACSD).MethodsPatients aged 70 years or more undergoing primary isol...
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: March 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 3Author(s): Niv Ad (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: March 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 3Author(s): Harold G. Roberts, Lawrence M. Wei, Vinay Badhwar (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Graft Replacement of Kommerell Diverticulum and In Situ Aberrant Subclavian Artery Reconstruction
ConclusionsEarly outcomes of graft replacement of Kommerell diverticulum and in situ aberrant subclavian artery reconstruction were acceptable. As for long-term outcomes, symptomatic improvement and an excellent patency rate among reconstructed aberrant subclavian arteries suggest that in situ surgical repair is an effective treatment option. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: March 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 3Author(s): Alberto Pochettino (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Risk Prediction Model for Major Adverse Outcome in Proximal Thoracic Aortic Surgery
ConclusionsThe current study identified risk factors for major adverse outcome after proximal thoracic aortic surgery with hypothermic circulatory arrest for degenerative pathology. The proposed simple, accurate model can quantify risk and facilitate physician-patient counseling before possible surgical intervention. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Standardized Musculocutaneous Flap for the Coverage of Deep Sternal Wounds After Cardiac Surgery
ConclusionsThe latissimus dorsi pedicled flap is a safe, reproducible technique for coverage of deep sternal wounds, with few relevant perioperative complications. By setting definite parameters for the flap dissection and by ensuring a reliable blood supply, our method enables the coverage of these complex wounds by an interdisciplinary team in any cardiovascular surgical setting. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: March 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 3Author(s): Edmond B. Cabbabe (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Extracorporeal Life Support for Refractory Cardiac Arrest: A 10-Year Comparative Analysis
This study aimed to analyze the outcomes of ECLS used for refractory cardiac arrest.MethodsIn this observational analysis, patients were divided into an in-hospital cardiac arrest group (IHCA) and an out-of-hospital (OHCA) cardiac arrest group. The primary end point was survival to hospital discharge with good neurologic outcome. Both groups were compared after propensity score matching. Risk factors were searched with multivariate analyses.ResultsFrom January 2007 to December 2016, study investigators performed 131 ECLS procedures (IHCA, n = 45, 34.4%; OHCA, n = 86, 65.6%). The mean age of patients was 43.2 year...
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Intraoperative Device Closure of a Perimembranous Ventricular Septal Defect Using the Right Thoracic Ventricle Approach
ConclusionsIntraoperative device closure of a pmVSD through the right thoracic minimal incision to right ventricle approach is safe and effective. This procedure can avoid some of the shortcomings caused by sternotomy, uses an incision with an improved cosmetic appearance, and is worth recommendation. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Anomalous Aortic Origin of the Coronary Arteries: A Novel Unroofing Technique in an Adult Cohort
ConclusionsUnroofing by sharp excision and by electrical fulguration were equally safe in the short term. Fulguration is technically easier and faster while still equally effective. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: March 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 3Author(s): Minoo N. Kavarana (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Reintervention After Heller Myotomy for Achalasia: Is It Inevitable?
ConclusionsPatients’ expectations when undergoing Heller myotomy for achalasia must be that symptoms will only be palliated, and patients who have worse esophageal function—achalasia type I—may require one or more postoperative reinterventions. Thus, we recommend that patients with achalasia have lifelong annual surveillance after Heller myotomy that includes TBE. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: March 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 3Author(s): Dirk Van Raemdonck (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Nerve-Sparing Surgery in Advanced Stage Thymomas
ConclusionsPhrenic nerve preservation in cases of invasive thymomas is feasible and may warrant an acceptable local control of disease, if associated with radiotherapy. According to these results, this technique could be proposed to all patients with invasive thymoma, especially in those affected by severe comorbidities or with a poor performance status. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Penetration, Completeness, and Representativeness of The Society of Thoracic Surgeons General Thoracic Surgery Database for Lobectomy
We examined penetration, completeness, and representativeness of the STS GTSD for lobectomy in the Centers for Medicare and Medicaid Services (CMS) patient population.MethodsThe STS GTSD lobectomies from 2002 to 2013 were linked and matched to CMS data using a deterministic matching algorithm. Penetration at center- and patient-level were determined by the number of CMS lobectomy sites and patients, matched to STS GTSD data, divided by the total number of CMS lobectomy sites and patients, respectively. Completeness was defined as the ratio of lobectomies linked to STS GTSD data to the total number of lobectomies. Represent...
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Less “Tradition” and More New Technologies, or Vice Versa?
Publication date: March 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 3Author(s): Samer Kassem (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Differential Survival Characteristics of Sarcomatoid Subtype in Biphasic Pleural Mesothelioma
Publication date: March 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 3Author(s): Leanne Harling, Styliani Maria Kolokotroni, Arjun Nair, Jeremy Smelt, Juliet King, Tom Routledge, James Spicer, Wen Ng, Andrea BilleBackgroundBiphasic pleural mesothelioma (BPM) accounts for approximately 10% of all pleural mesothelioma. Our aim was to assess the clinical, radiologic, and pathologic factors impacting survival in BPM and to better identify patients most likely to benefit from active treatment.MethodsA 10-year retrospective review was made of 214 biopsy-proven BPM cases with minimum 2-year follow-up. Patients wi...
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Ground Glass Lesions on Chest Imaging: Evaluation of Reported Incidence in Cancer Patients Using Natural Language Processing
Publication date: March 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 3Author(s): Robert M. Van Haren, Arlene M. Correa, Boris Sepesi, David C. Rice, Wayne L. Hofstetter, Reza J. Mehran, Ara A. Vaporciyan, Garrett L. Walsh, Jack A. Roth, Stephen G. Swisher, Mara B. AntonoffBackgroundGround glass opacities (GGOs) on computed tomography (CT) have gained significant recent attention, with unclear incidence and epidemiologic patterns. Natural language processing (NLP) is a powerful computing tool that collects variables from unstructured data fields. Our objective was to characterize trends of GGO detection usi...
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Identifying Drivers of Multiple Readmissions After Pulmonary Lobectomy
Publication date: March 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 3Author(s): Raymond A. Jean, Alexander S. Chiu, Jessica R. Hoag, Justin D. Blasberg, Daniel J. Boffa, Frank C. Detterbeck, Anthony W. KimBackgroundReadmissions after pulmonary lobectomy for lung cancer are important markers of healthcare quality for surgeons and hospitals. The implications on resources and quality are magnified when examining patients who require multiple readmissions within the perioperative period.MethodsThe Nationwide Readmission Database between 2013 and 2014 was investigated for patients with a primary diagnosis of l...
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Three-Dimensional Printed Models–Guided Surgical Repair for Recurrent Coronary Artery Fistula
Publication date: March 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 3Author(s): Jing Zhang, Wenrui Ma, Wei Zhang, Ye KongRecurrent coronary artery fistula is rare and can be difficult for surgical treatment because of anatomic complexity. Here, we reported a case of successful re-repair of a recurrent coronary artery fistula, with added evidence of the three-dimensional printed models guiding surgical correction of complex intracardiac abnormalities. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Implantation of Two HVADs Used as a Total Artificial Heart: A New Approach
Publication date: March 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 3Author(s): Guillaume Lebreton, Ciro Mastroianni, Julien Amour, Pascal LeprinceA 30-year-old patient had angiosarcoma of the right atrium with a negative outcome. The use of a SynCardia or Carmat was not possible due to invasion of the right atrium by the tumor, so we implanted two HeartWare ventricular assist devices (Medtronic, Minneapolis, MN) in a total artificial heart configuration using a technique not previously described. The surgical follow-up was simple, and the patient remained alive 30 days postoperatively. The technique...
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Libman-Sacks Endocarditis in a Puerpera With Systemic Lupus Erythematosus
In this report, we present a rare case of congestive heart failure after vaginal delivery. The patient was diagnosed with systemic lupus erythematosus and LS endocarditis based on the transesophageal echocardiographic and laboratory findings. After steroid therapy, the vegetations on the mitral valve disappeared and mitral regurgitation reduced dramatically without a cardiac surgery. The patient achieved long-term clinical improvement at 3-year follow-up. Immunosuppressive therapy could be an effective treatment for acute congestive heart failure induced by LS endocarditis. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Endovascular Aortic Repair for Early Complications After Implantation of the Thoraflex Hybrid Graft
We describe 2 patients who required early intervention for severe foreshortening and incomplete expansion of the Thoraflex (Vascutek, Inchinnan, United Kingdom) stent graft. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Sternal Wires–Induced Severe Systemic Inflammatory Response and Cardiac Tamponade
Publication date: March 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 3Author(s): Ewa M. Zywicka, Thomas Theologou, Susannah Love, Omar NawaytouNickel hypersensitivity has been reported in up to 15% of the general population, and cases of nickel allergy have been correlated with use of stainless steel wires. This is a case report of a 48-year-old woman with history of contact allergy to metal who underwent elective coronary artery bypass grafting. Severe systemic inflammatory response and cardiac tamponade due to edema of mediastinal tissues developed postoperatively. The patient required removal of stainle...
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Emergency Ross Procedure for Pediatric Aortic Valve Myxofibrosarcoma
We report a malignant tumor arising from the aortic root in a 5-year-old boy presenting with left ventricular outflow tract obstruction and tumor embolism, its surgical management using the Ross procedure, and the unique histopathological aspects of the tumor. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Aortic Root Replacement and Berlin Heart EXCOR Implantation in Marfan Syndrome
We report of a 20-year-old Marfan syndrome patient presenting with severe aortic regurgitation and severe heart failure. Aortic surgery with concurrent biventricular paracorporeal assist device implantation was performed to bridge the patient to heart transplantation, which was performed successfully 21 weeks after aortic surgery. While the optimal strategy for this situation has not been described, the approach applied here appears a valid option. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Pleural Dural Fistula After Anterior Excision of Thoracic Disc Hernia: Suggested Repair Procedure
Publication date: March 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 3Author(s): Nissim Ohana, Daniel Benharroch, Dimitri SheinisA young woman displayed a dural tear during thoracic spine surgery. The corpectomy was by anterior approach, after thoracotomy. The dural defect was plastered by a fatty flap and a pleural layer. One month later, she exhibited a right pleural effusion. No consensual intervention is available for this complication. This dural fistula was sealed by a triple patch comprising a flap of intercostal muscles. The incidence of dural leaks following an anterior thoracic spinal surger...
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

A Rare Solitary Fibrous Tumor Originating From the Distal Aortic Arch
We report a 68-year-old man who presented with a well-circumscribed 6.9 × 6.5 × 3.6-cm tumor with a feeding vessel from the thyrocervical trunk in his left pleural cavity. The tumor was attached to the distal aortic arch, so he underwent a tumor resection with prosthetic graft replacement of the distal aortic arch. Pathological examination revealed a solitary fibrous tumor with potentially malignant features. To our knowledge, this is the first case of a solitary fibrous tumor arising from the aortic adventitia reported in the literature. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Esophagopericardial Fistula and Pneumopericardium From Caustic Ingestion and Esophageal Stent
We report a case of an esophagopericardial fistula presenting as pneumopericardium and purulent pericarditis in a patient with a history of caustic ingestion and an esophageal stent. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Subtotal Cor Triatriatum on Dual-Source Computed Tomography
Publication date: March 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 3Author(s): Arun Sharma, Basavraj Biradar, Amarinder S. Malhi, Sanjeev Kumar (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Multimodality Imaging in Aortic Arch Aneurysm Ruptured Into the Pulmonary Artery
Publication date: March 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 3Author(s): Nobuyuki Kagiyama, Yuki Otsuki, Masatoshi Tsunoda, Hidenori Yoshitaka (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Modified Infarct Exclusion Technique for Repair of Postinfarction Ventricular Septal Rupture
This report discusses an infarct exclusion technique modified from the one described by Tirone David and associates. In this technique two separate pericardial patches are used. The first patch excludes the rupture. The second patch is sutured to the margins of the first patch and thus provides strength to the margins of the first patch. The repair is simple and durable and has reduced the incidence of residual ventricular septal defects and patch dehiscence. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Left Atrial Decompression by Minithoracotomy During Extracorporeal Life Support
This report describes a fast and less invasive technique for placing a left atrial cannula through a left anterior minithoracotomy approach. In 4 critically ill children, this minimally invasive technique provided satisfactory left-sided heart decompression, and this report describes a representative case. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Uniportal Lung Cancer Surgery: State of the Evidence
ConclusionsIt remains premature to declare superiority for uniportal VATS in lung cancer surgery. A higher level of evidence is needed, especially in investigating objective benefits and treatment efficacy of the single-incision approach. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

In Memoriam: Gerald Buckberg, MD: Mentor, Educator, Surgeon, and Artist
Publication date: March 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 3Author(s): Richard J. Shemin, Friedhelm Beyersdorf, Harold L. Lazar (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Reply
Publication date: March 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 3Author(s): Tadashi Kitamura (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research