Outcomes and Long-Term Survival after Pulmonary Retransplantation A single center experience
ConclusionsReLTX is a reasonable option for a selected group of patients. Ideally a number of well-established risk factors is avoided and the ReLTx performed more than one year after the PLTx. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 21, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Cardiac Surgery Trainees as "Skin-to-Skin" Operating Surgeons: Midterm Outcomes (Commentary)
Publication date: Available online 20 May 2019Source: The Annals of Thoracic SurgeryAuthor(s): Mallory L. Irons (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 21, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Combined Tracheal Resection and Coronary Artery Bypass with ECMO Support
Publication date: Available online 18 May 2019Source: The Annals of Thoracic SurgeryAuthor(s): Taufiek Konrad Rajab, Kareem Bedeir, F.John Taghavi, John J. DunningAbstractIn patients with critical tracheal stenosis, ECMO support provides an additional level of safety over conventional approaches to secure an airway. This brings operations with exquisite complexity into the realm of routine feasibility. Here we describe a case of combined tracheal resection with four vessel coronary artery bypass grafting in a patient with critical tracheal stenosis, occluded coronary arteries and severely reduced ejection fraction. Post-op...
Source: The Annals of Thoracic Surgery - May 18, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

The influence of clinical T factor on predicting pathological N factor in resected lung cancer
ConclusionsA consolidation size of>2 cm and GGO- were predictors of pN+, and the clinical T factor of the 8th edition was a stronger predictor of the pN+ status than that of the 7th edition. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 17, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Heterotopic Ossification of the Xiphoid after Chest Compressions
We report the case of a 56 year-old female with a six-year history of severe epigastric pain following chest compressions for cardiac arrest. A comprehensive gastrointestinal workup was negative. However, an abdominal CT scan demonstrated an elongated xiphoid process. After a xiphoid trigger point injection, she experienced pain relief lasting four days, and thus her symptoms were attributed to xiphoidalgia secondary to heterotopic ossification following trauma. We performed an open resection of the xiphoid process. Heterotopic ossification of the xiphoid process is rare. To our knowledge, this is the only documented case ...
Source: The Annals of Thoracic Surgery - May 17, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Heterotopic Ossification of the Xiphoid after Chest Compressions.
We report the case of a 56 year-old female with a six-year history of severe epigastric pain following chest compressions for cardiac arrest. A comprehensive gastrointestinal workup was negative. However, an abdominal CT scan demonstrated an elongated xiphoid process. After a xiphoid trigger point injection, she experienced pain relief lasting four days, and thus her symptoms were attributed to xiphoidalgia secondary to heterotopic ossification following trauma. We performed an open resection of the xiphoid process. Heterotopic ossification of the xiphoid process is rare. To our knowledge, this is the only documented case ...
Source: The Annals of Thoracic Surgery - May 17, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Diem Vu TN, Aho JM, Puig CA, Reisenauer JS Tags: Ann Thorac Surg Source Type: research

Combined Tracheal Resection and Coronary Artery Bypass with ECMO Support.
Abstract In patients with critical tracheal stenosis, ECMO support provides an additional level of safety over conventional approaches to secure an airway. This brings operations with exquisite complexity into the realm of routine feasibility. Here we describe a case of combined tracheal resection with four vessel coronary artery bypass grafting in a patient with critical tracheal stenosis, occluded coronary arteries and severely reduced ejection fraction. Post-operatively, the patient made an excellent recovery. This case exemplifies a trend where multi-disciplinary cooperation, refinements in surgical techniques...
Source: The Annals of Thoracic Surgery - May 17, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Rajab TK, Bedeir K, Taghavi FJ, Dunning JJ Tags: Ann Thorac Surg Source Type: research

Mediastinal Nodal Involvement After Neoadjuvant Chemoradiation For Siewert II/III Adenocarcinoma
ConclusionsPretreatment proximal tumor extent, rather than Siewert classification, is an independent predictor of mediastinal involvement among AEG II/III patients without clinical evidence of mediastinal metastasis and should be considered during treatment planning. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 16, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Discontinuation Ticagrelor or Clopidogrel on Bleeding: Essential Role of Antifibrinolytics
Publication date: Available online 15 May 2019Source: The Annals of Thoracic SurgeryAuthor(s): Xiaojie Liu, Hushan Ao (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 16, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Successful LVAD Suction Event Diagnosis with Electrocardiogram Gated Computed Tomography Angiography
Publication date: Available online 15 May 2019Source: The Annals of Thoracic SurgeryAuthor(s): Masashi Kawabori, Mishan Rambukwella, Alexander Yoon, Yong Zhan, Frederick Y. Chen, Gregory S. Couper (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 16, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Simplified tricuspid polytetrafluoroethylene valved conduit; mid-term results of multicenter study
ConclusionsFunctional results and longevity of our expanded polytetrafluoroethylene tricuspid valved conduit are acceptable. Although our conduits tend to have increasing pressure gradient over time, especially in small conduits, they have low incidence of moderate or more regurgitation. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 16, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Transconal Unroofing of Anomalous Left Main Coronary Artery from Right Sinus with Transeptal Course
We describe a novel trans-conal approach to effectively unroof trans-septal left main coronary artery. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 16, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

How does a Cabrol fistula look at reoperation?
Publication date: Available online 15 May 2019Source: The Annals of Thoracic SurgeryAuthor(s): Vedran Savic, Martin O. Schmiady, Krishna Khargi, Francesco Maisano, Carlos – A. Mestres (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 16, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Predictors of opioids-on-discharge in Cardiothoracic surgery in over 6000 patients
Publication date: Available online 15 May 2019Source: The Annals of Thoracic SurgeryAuthor(s): Priyadharshanan Ariyaratnam, Nabil Hussein, Michael Cowen (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 16, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Successful Stenting Followed by Surgery for Perforated Esophageal Cancer due to Chemotherapy
Publication date: Available online 15 May 2019Source: The Annals of Thoracic SurgeryAuthor(s): Teruyuki Kobayashi, Tomoki Makino, Makoto Yamasaki, Koji Tanaka, Masaki Mori, Yuichiro DokiAbstractPerforation of esophageal cancer solely due to preoperative chemotherapy is extremely rare, but can be associated with pyothorax, and be difficult to treat. Here, we first report the case of successfully-treated patient with thoracic esophageal cancer who developed esophageal perforation during DCF (docetaxel, cisplatin, 5-FU) chemotherapy. A 73-year-old patient developed esophageal perforation on the fourth day of the first DCF cyc...
Source: The Annals of Thoracic Surgery - May 16, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Impact of Microbiological Organism Type on Surgically Managed Endocarditis
This study is the first to describe the impact of organism and valve type on surgically managed infective endocarditis (IE) from the Society of Thoracic Surgeons (STS) database. Previous risk models for surgically managed endocarditis have not included microbiological organism.MethodsThe STS database was queried for adult patients with surgically managed endocarditis from 7/1/11-6/30/16. Outcomes were compared based on (1) causative microbiological organism, (2) valve type (native vs. prosthetic), and (3) right- (tricuspid) versus left- (mitral, aortic) sided endocarditis. Univariate and risk adjusted models were developed...
Source: The Annals of Thoracic Surgery - May 16, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

The influence of clinical T factor on predicting pathological N factor in resected lung cancer.
CONCLUSIONS: A consolidation size of>2 cm and GGO- were predictors of pN+, and the clinical T factor of the 8th edition was a stronger predictor of the pN+ status than that of the 7th edition. PMID: 31103386 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 16, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Shimamatsu S, Takenoyama M, Shimokawa M, Takada K, Edagawa M, Toyozawa R, Nosaki K, Oba T, Tagawa T, Yamaguchi M, Taguchi K, Seto T Tags: Ann Thorac Surg Source Type: research

Impact of Microbiological Organism Type on Surgically Managed Endocarditis.
This study is the first to describe the impact of organism and valve type on surgically managed infective endocarditis (IE) from the Society of Thoracic Surgeons (STS) database. Previous risk models for surgically managed endocarditis have not included microbiological organism. METHODS: The STS database was queried for adult patients with surgically managed endocarditis from 7/1/11-6/30/16. Outcomes were compared based on (1) causative microbiological organism, (2) valve type (native vs. prosthetic), and (3) right- (tricuspid) versus left- (mitral, aortic) sided endocarditis. Univariate and risk adjusted models were d...
Source: The Annals of Thoracic Surgery - May 16, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Williams JB, Shah AA, Zhang S, Jung SH, Yerokun B, Vemulapalli S, Smith PK, Gammie JS, Gaca JG Tags: Ann Thorac Surg Source Type: research

Mediastinal Nodal Involvement After Neoadjuvant Chemoradiation For Siewert II/III Adenocarcinoma.
CONCLUSIONS: Pretreatment proximal tumor extent, rather than Siewert classification, is an independent predictor of mediastinal involvement among AEG II/III patients without clinical evidence of mediastinal metastasis and should be considered during treatment planning. PMID: 31102632 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 15, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Mitchell KG, Ikoma N, Nelson DB, Maru DM, Erasmus JJ, Weston BR, Vaporciyan AA, Antonoff MB, Mehran RJ, Rice DC, Roth JA, Swisher SG, Sepesi B, Walsh GL, Correa AM, Das P, Blum MA, Badgwell BD, Hofstetter WL Tags: Ann Thorac Surg Source Type: research

Successful Stenting Followed by Surgery for Perforated Esophageal Cancer due to Chemotherapy.
Abstract Perforation of esophageal cancer solely due to preoperative chemotherapy is extremely rare, but can be associated with pyothorax, and be difficult to treat. Here, we first report the case of successfully-treated patient with thoracic esophageal cancer who developed esophageal perforation during DCF (docetaxel, cisplatin, 5-FU) chemotherapy. A 73-year-old patient developed esophageal perforation on the fourth day of the first DCF cycle. The second cycle of DCF was administered after insertion of esophageal stenting, and subtotal esophagectomy. Early drainage and stent placement were crucial for achieving i...
Source: The Annals of Thoracic Surgery - May 15, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kobayashi T, Makino T, Yamasaki M, Tanaka K, Mori M, Doki Y Tags: Ann Thorac Surg Source Type: research

Transconal Unroofing of Anomalous Left Main Coronary Artery from Right Sinus with Transeptal Course.
We describe a novel trans-conal approach to effectively unroof trans-septal left main coronary artery. PMID: 31102634 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 15, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Najm HK, Ahmad M Tags: Ann Thorac Surg Source Type: research

How does a Cabrol fistula look at reoperation?
PMID: 31102635 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 15, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Savic V, Schmiady MO, Khargi K, Maisano F, Mestres CA Tags: Ann Thorac Surg Source Type: research

Simplified tricuspid polytetrafluoroethylene valved conduit; mid-term results of multicenter study.
CONCLUSIONS: Functional results and longevity of our expanded polytetrafluoroethylene tricuspid valved conduit are acceptable. Although our conduits tend to have increasing pressure gradient over time, especially in small conduits, they have low incidence of moderate or more regurgitation. PMID: 31102636 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 15, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Choi KH, Kim H, Chan Sung S, Lee HD, Kim G, Ko H, Byun JH, Kim WH, Kim ER, Park HK, Shin YR, Lee Y, Cho J Tags: Ann Thorac Surg Source Type: research

Predictors of opioids-on-discharge in Cardiothoracic surgery in over 6000 patients.
PMID: 31102637 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 15, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Ariyaratnam P, Hussein N, Cowen M Tags: Ann Thorac Surg Source Type: research

Successful LVAD Suction Event Diagnosis with Electrocardiogram Gated Computed Tomography Angiography.
PMID: 31102638 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 15, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kawabori M, Rambukwella M, Yoon A, Zhan Y, Chen FY, Couper GS Tags: Ann Thorac Surg Source Type: research

Discontinuation Ticagrelor or Clopidogrel on Bleeding: Essential Role of Antifibrinolytics.
PMID: 31102639 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 15, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Liu X, Ao H Tags: Ann Thorac Surg Source Type: research

Relief of anteriorly translocated pulmonary artery compression with a Nuss bar
Publication date: Available online 11 May 2019Source: The Annals of Thoracic SurgeryAuthor(s): Hyungtae Kim, Si Chan Sung, Kwang Ho Choi, Bong Soo Son, Hyoung Doo Lee, Geena Kim, Hoon KoAbstractA concomitant anterior translocation of the right pulmonary artery (RPA) can be used in patients with airway compression by a dilated RPA associated with congenital heart disease having a large left-to-right shunt or aortic arch anomaly. However, a chest wall deformity and mechanical compression of the anteriorly translocated RPA could develop after the operation. In this situation, simple RPA angioplasty is not sufficient. Therefor...
Source: The Annals of Thoracic Surgery - May 12, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Long-term outcomes with mechanical versus biological aortic valve prosthesis in patients >70 years
Publication date: Available online 10 May 2019Source: The Annals of Thoracic SurgeryAuthor(s): Ville Kytö, Monna E. Myllykangas, Jussi Sipilä, Teemu J. Niiranen, Päivi Rautava, Jarmo GunnAbstractBackgroundBiological prostheses are preferred for surgical aortic valve replacement (SAVR) in patients aged>70 years in clinical practice. We studied differences in long-term outcomes between SAVR patients aged>70 years who received mechanical and biological prosthetic valves.MethodsAll patients (excluding endocarditis) aged>70 years with isolated first-time SAVR (±coronary artery by-pass grafting) in...
Source: The Annals of Thoracic Surgery - May 12, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Characteristics of Surgical Prosthetic Heart Valves and Problems Around Labelling: A Document From the European Association for Cardio-Thoracic Surgery (EACTS)–The Society of Thoracic Surgeons (STS)–American Association for Thoracic Surgery (AATS) Valve Labelling Task Force
This article was derived from the meeting's discussions. The Task Force identified the following areas for improvement and clarification: reporting of physical dimensions and characteristics of SHVs determining and labelling of SHV size, in vivo and in vitro testing and reporting of SHV hemodynamic performance and thrombogenicity. Furthermore, a thorough understanding of the regulatory background and the role of the applicable ISO standards, together with close cooperation between all stakeholders (including regulatory and standard-setting bodies), is necessary to improve the current situation. Cardiac surgeons s...
Source: The Annals of Thoracic Surgery - May 12, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Houston Methodist lung transplant risk model – a validated tool for pre-transplant risk assessment
Publication date: Available online 10 May 2019Source: The Annals of Thoracic SurgeryAuthor(s): Edward Y. Chan, Duc T. Nguyen, Thomas S. Kaleekal, Ahmad Goodarzi, Edward A. Graviss, A. Osama Gaber, Houston Methodist Lung Outcomes GroupAbstractBackgroundLung transplantation is the gold standard for a carefully selected patient population with end-stage lung disease. We sought to create a unique risk stratification model using only preoperative recipient data to predict one-year postoperative mortality during our pre-transplant assessment.MethodsData of lung transplant recipients at Houston Methodist Hospital (HMH) from 1/200...
Source: The Annals of Thoracic Surgery - May 12, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Early Outcomes after Thoracoabdominal Aortic Aneurysm Repair with Hypothermic Circulatory Arrest
ConclusionsOur extended experience with this technique confirms its safety and effectiveness when used on a routine basis. The rates of spinal cord injury and permanent renal failure are among the lowest reported in the literature. Particularly favorable outcomes were observed in younger patients and those undergoing elective operations. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 12, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Optimal Management to Maintain "Fontan-like Circulation" during LVAD Support (Reply)
Publication date: Available online 11 May 2019Source: The Annals of Thoracic SurgeryAuthor(s): Naoto Fukunaga, Vivek Rao (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 12, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

A Simple Extra-Corporeal Knot tying technique in Minimal Access Surgery
We describe a technique which is very conventional and uses a PTFE pledget to lower the knot. Also in this technique there is no contact between the suture and the instrument at any point therefore fraying and tearing of sutures is not an issue. The technique is simple, inexpensive and has an extremely short learning curve.One of the major challenges in minimally access surgery is extra-corporeal knot tying. A wide variety of techniques have been described and a number of instruments have been devised for tying and pushing the knots down. However, there is no universal acceptance of any particular technique.We describe an ...
Source: The Annals of Thoracic Surgery - May 11, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Preliminary results of debranch-first technique in Frozen Elephant Trunk procedures
ConclusionsFET with debranch-first technique is safe and feasible and resulted in low mortality and morbidity rates. Further investigation is needed to compare it with standard techniques. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 11, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Association of Overnight Extubation with Outcomes after Cardiac Surgery in the Intensive Care Unit
ConclusionsOE is prevalent following cardiac surgery. OE is associated with little risk and reduces ICU length of stay for those requiring MV for>8h. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 11, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Optimal Management to Maintain "Fontan-like Circulation" during LVAD Support (Reply).
Optimal Management to Maintain "Fontan-like Circulation" during LVAD Support (Reply). Ann Thorac Surg. 2019 May 11;: Authors: Fukunaga N, Rao V PMID: 31085167 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Fukunaga N, Rao V Tags: Ann Thorac Surg Source Type: research

Early Outcomes after Thoracoabdominal Aortic Aneurysm Repair with Hypothermic Circulatory Arrest.
CONCLUSIONS: Our extended experience with this technique confirms its safety and effectiveness when used on a routine basis. The rates of spinal cord injury and permanent renal failure are among the lowest reported in the literature. Particularly favorable outcomes were observed in younger patients and those undergoing elective operations. PMID: 31085168 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kouchoukos NT, Kulik A, Haynes M, Castner CF Tags: Ann Thorac Surg Source Type: research

Relief of anteriorly translocated pulmonary artery compression with a Nuss bar.
Abstract A concomitant anterior translocation of the right pulmonary artery (RPA) can be used in patients with airway compression by a dilated RPA associated with congenital heart disease having a large left-to-right shunt or aortic arch anomaly. However, a chest wall deformity and mechanical compression of the anteriorly translocated RPA could develop after the operation. In this situation, simple RPA angioplasty is not sufficient. Therefore, we have adopted a technique to perform the concomitant Nuss procedure in an effort to resolve this problem. After eight months of follow-up, a widely-patent RPA and a normal...
Source: The Annals of Thoracic Surgery - May 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kim H, Chan Sung S, Choi KH, Son BS, Doo Lee H, Kim G, Ko H Tags: Ann Thorac Surg Source Type: research

The Houston Methodist lung transplant risk model - a validated tool for pre-transplant risk assessment.
Abstract BACKGROUND: Lung transplantation is the gold standard for a carefully selected patient population with end-stage lung disease. We sought to create a unique risk stratification model using only preoperative recipient data to predict one-year postoperative mortality during our pre-transplant assessment. METHODS: Data of lung transplant recipients at Houston Methodist Hospital (HMH) from 1/2009 to 12/2014 were extracted from the United Network for Organ Sharing (UNOS) database. Patients were randomly divided into development and validation cohorts. Cox proportional-hazards models were conducted. Variabl...
Source: The Annals of Thoracic Surgery - May 10, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Chan EY, Nguyen DT, Kaleekal TS, Goodarzi A, Graviss EA, Gaber AO, Houston Methodist Lung Outcomes Group Tags: Ann Thorac Surg Source Type: research

Long-term outcomes with mechanical versus biological aortic valve prosthesis in patients > 70 years.
Long-term outcomes with mechanical versus biological aortic valve prosthesis in patients>70 years. Ann Thorac Surg. 2019 May 10;: Authors: Kytö V, Myllykangas ME, Sipilä J, Niiranen TJ, Rautava P, Gunn J Abstract BACKGROUND: Biological prostheses are preferred for surgical aortic valve replacement (SAVR) in patients aged>70 years in clinical practice. We studied differences in long-term outcomes between SAVR patients aged>70 years who received mechanical and biological prosthetic valves. METHODS: All patients (excluding endocarditis) aged>70 years with isolated first-time SA...
Source: The Annals of Thoracic Surgery - May 10, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kytö V, Myllykangas ME, Sipilä J, Niiranen TJ, Rautava P, Gunn J Tags: Ann Thorac Surg Source Type: research

A Simple Extra-Corporeal Knot tying technique in Minimal Access Surgery.
We describe a technique which is very conventional and uses a PTFE pledget to lower the knot. Also in this technique there is no contact between the suture and the instrument at any point therefore fraying and tearing of sutures is not an issue. The technique is simple, inexpensive and has an extremely short learning curve. One of the major challenges in minimally access surgery is extra-corporeal knot tying. A wide variety of techniques have been described and a number of instruments have been devised for tying and pushing the knots down. However, there is no universal acceptance of any particular technique.We describe an...
Source: The Annals of Thoracic Surgery - May 10, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Narayan P, Kapoor L, Gayen R, Topno B, Kumar D Tags: Ann Thorac Surg Source Type: research

Association of Overnight Extubation with Outcomes after Cardiac Surgery in the Intensive Care Unit.
CONCLUSIONS: OE is prevalent following cardiac surgery. OE is associated with little risk and reduces ICU length of stay for those requiring MV for>8h. PMID: 31082359 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 10, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Gershengorn HB, Wunsch H, Hua M, Bavaria JE, Gutsche J Tags: Ann Thorac Surg Source Type: research

Preliminary results of debranch-first technique in Frozen Elephant Trunk procedures.
CONCLUSIONS: FET with debranch-first technique is safe and feasible and resulted in low mortality and morbidity rates. Further investigation is needed to compare it with standard techniques. PMID: 31082360 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 10, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Bertoglio L, Fittipaldi A, Giambuzzi I, Redaelli P, Verzini A, Cambiaghi T, Bargagna M, Alfieri O, Chiesa R, Castiglioni A Tags: Ann Thorac Surg Source Type: research

A Century of Heparin
Publication date: Available online 8 May 2019Source: The Annals of Thoracic SurgeryAuthor(s): Chin Siang Ong, James A. Marcum, Kenton J. Zehr, Duke E. CameronAbstract2018 is the centennial of the naming of heparin by Emmett Holt and William Howell and the 102nd anniversary of Jay McLean’s discovery of an anticoagulant heparphosphatide at Johns Hopkins. We discuss recently discovered historical artifacts that shed new light on heparin’s christening, including McLean’s unpublished letter written in 1950 that represents one of the most complete accounts of heparin’s discovery prior to his untimely deat...
Source: The Annals of Thoracic Surgery - May 9, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Preemptive extracorporeal life support for surgical treatment of severe constrictive pericarditis
ConclusionsBased on our real-world data, preemptive use of perioperative ECLS, assigned by individual team decision in selected patients with severe CP, is a feasible and safe strategy. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 9, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

First report of potentially malignant giant esophageal paraganglioma
We report the first case of a 39-year-old man with a giant high-risk esophageal paraganglioma, who underwent a hybrid minimally invasive 3-hole esophagectomy. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 9, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Neoadjuvant therapy versus upfront surgery for clinical T2N0 esophageal cancer: A systematic review
Publication date: Available online 8 May 2019Source: The Annals of Thoracic SurgeryAuthor(s): Biniam Kidane, Robert J. Korst, Benny Weksler, Ashley Farrell, Gail E. Darling, Linda W. Martin, Rishindra Reddy, Inderpal S. SarkariaAbstractBackgroundThe optimal approach to clinical T2N0 (cT2N0) esophageal cancer is unclear. Our objective is to perform a systematic review investigating whether neo-adjuvant therapy results in better outcomes compared to upfront surgery in cT2N0 esophageal cancer.MethodsWe performed a systematic review and meta-analysis of randomized and nonrandomized studies (1995-2017) comparing use of neo-adju...
Source: The Annals of Thoracic Surgery - May 9, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Heart transplantation in patients with Loeys-Dietz Syndrome – Is It a Novel Cardiomyopathy?
Publication date: Available online 8 May 2019Source: The Annals of Thoracic SurgeryAuthor(s): Muhammad Aftab, T.Brett Reece, Lars G. Svensson (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 9, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Late neo-aortic valve regurgitation long after arterial switch operation
ConclusionsConcomitant relief of left ventricular outflow tract obstruction and preoperative more than mild pulmonary regurgitation increase the risk of neo-AR after the arterial switch operation. Reoperation for neo-AR can be done safely. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 9, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Arterial Tortuosity Syndrome in a Term Neonate
Publication date: Available online 8 May 2019Source: The Annals of Thoracic SurgeryAuthor(s): Justino M. Zoma, Sanjeev Aggarwal, Daisuke Kobayashi (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 9, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research