Comparison between Stereotactic Radiotherapy and Sublobar Resection for Non-Small Cell Lung Cancer
Publication date: Available online 17 November 2018Source: The Annals of Thoracic SurgeryAuthor(s): Masaya Tamura, Isao Matsumoto, Yusuke Tanaka, Daisuke Saito, Shuhei Yoshida, Seiichi Kakegawa, Tomoyasu Kumano, Yosuke Shimizu, Hiroyasu Tamamura, Tsuyoshi Takanaka, Hirofumi TakemuraAbstractBackgroundThe aim of this study was to compare outcomes of primary treatment with stereotactic body radiation therapy (SBRT) versus sublobar resection (SLR) for clinical stage I non-small cell lung cancer (NSCLC) in patients with medical comorbidities.MethodsConsecutive patients who underwent SBRT (n=106) or SLR (wedge resection: n=100 a...
Source: The Annals of Thoracic Surgery - November 18, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Double burden of disease: A global health challenge (Reply)
Publication date: Available online 17 November 2018Source: The Annals of Thoracic SurgeryAuthor(s): Michael C. Sinclair (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 18, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Prothrombin complex concentrate in cardiac surgery: A systematic review and meta-analysis
ConclusionsIn patients with significant bleeding following cardiac surgery, PCC administration seems to be more effective than FFP in reducing perioperative blood transfusions. No additional risks of thromboembolic events or other adverse reactions were observed. Randomized controlled trials are needed to definitively establish the safety of PCC in cardiac surgery. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 18, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Large coronary sinus hematoma resembling thrombus in the left atrium
Publication date: Available online 17 November 2018Source: The Annals of Thoracic SurgeryAuthor(s): Hideki Tsubota, Genichi Sakaguchi, Yoshio Arai, Jun Iida, Akira Marui (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 18, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Antithrombotic Strategies after Bioprosthetic Aortic Valve Replacement: A Systematic Review
ConclusionsTreatment with warfarin or aspirin both lead to similar outcomes after surgical bAVR. Combining aspirin with warfarin may lead to a small decrease in thromboembolism and mortality but is accompanied by increased bleeding. For TAVR patients, aspirin is equivalent to DAPT for reducing thromboembolism and mortality, with a possible decrease in bleeding. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 18, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Hospital Costs Related to Early Extubation after Infant Cardiac Surgery
Publication date: Available online 17 November 2018Source: The Annals of Thoracic SurgeryAuthor(s): Kimberly E. McHugh, William T. Mahle, Matthew A. Hall, Mark A. Scheurer, Michael-Alice Moga, John Triedman, Susan C. Nicolson, Venugopal Amula, David S. Cooper, Marcus Schamberger, Michael Wolf, Lara Shekerdemian, Kristin M. Burns, Kathleen E. Ash, Dustin M. Hipp, Sara K. Pasquali, Pediatric Heart Network InvestigatorsAbstractBackgroundThe Pediatric Heart Network Collaborative Learning Study (PHN CLS) increased early extubation rates after infant Tetralogy of Fallot (TOF) and coarctation (CoA) repair across participating sit...
Source: The Annals of Thoracic Surgery - November 18, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Long-Term Results Following Lung Volume Reduction Surgery: A Single Institution’s Experience
ConclusionsLVRS is an effective operation with overall improvement in functional status and quality of life among appropriately selected patients. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 18, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Emergency surgery for acute type A aortic dissection in octogenarians without patient selection
ConclusionsEmergency surgery for type A aortic dissection in octogenarians without patient selection resulted in similar rates of mortality and morbidity to younger patients. Octogenarians should not be refused this life-saving emergent surgery. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Surgical repair of distal aortic arch aneurysm with distal extension: sternotomy versus thoracotomy
Publication date: Available online 15 November 2018Source: The Annals of Thoracic SurgeryAuthor(s): Hyun-Chel Joo, Young-Nam Youn, Jung-Hwan Kim, Seung-Hyun Lee, Sak Lee, Kyung-Jong YooAbstractBackgroundThere is no consensus as to whether a median approach or lateral approach is better for distal aortic arch aneurysms with distal extensions. The aim of this study was to compare clinical outcomes of these two approaches for distal aortic arch aneurysms with distal extensions.MethodsFrom January 2001 to December 2017, 212 consecutive patients with distal aortic arch aneurysms with distal extensions underwent surgery using di...
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Right-sided vs Left-sided Pneumonectomy after Induction Therapy for Non-small-cell Lung Cancer
We examined the impact of laterality on long-term survival after induction therapy and pneumonectomy using the National Cancer Data Base (NCDB).MethodsPerioperative and long-term outcomes of patients who underwent pneumonectomy following induction chemotherapy with or without radiation from 2004-2014 in the NCDB were evaluated using multivariable Cox proportional hazards modeling and propensity score-matched analysis.ResultsDuring the study period, 1465 patients (right n=693 [47.3%], left n=772 [52.7%]) met inclusion criteria. Right-sided pneumonectomy was associated with significantly higher 30-day (8.2% [57/693] vs 4.2% [32/772], p
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Deep Hypothermia + Retrograde Cerebral Perfusion vs. Moderate Hypothermia + Antegrade Cerebral Perfusion for Arch Surgery
Publication date: Available online 15 November 2018Source: The Annals of Thoracic SurgeryAuthor(s): Bradley G. Leshnower, Srikant Rangaraju, Jason W. Allen, Anthony Y. Stringer, Thomas G. Gleason, Edward P. ChenAbstractBackgroundPatients undergoing aortic arch replacement are at high risk for neurologic injury. The purpose of this study was to compare two different established neuroprotective strategies in patients undergoing elective transverse hemiarch replacement.MethodsTwenty patients undergoing hemiarch replacement were prospectively randomized to receive either: Deep Hypothermic Circulatory Arrest + Retrograde Cerebr...
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Editorial Board
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Board of Directors
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Contents
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Live Tweet The Society of Thoracic Surgeons Annual Meeting: How to Leverage Twitter to Maximize Your Conference Experience
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Jessica G.Y. Luc, Mara B. Antonoff (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Short-Term Outcomes of Tracheal Resection in The Society of Thoracic Surgeons Database
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Bryan Payne Stanifer, Adin-Cristian Andrei, Menghan Liu, Shari L. Meyerson, Ankit Bharat, David D. Odell, Malcolm M. DeCampBackgroundTracheal surgery is uncommon, and most of the published literature consists of single-center series over large periods. Our goal was to perform a national, contemporary analysis to identify predictors of major morbidity and mortality based on indication and surgical approach.MethodsThe Society of Thoracic Surgeons General Thoracic Surgery Database (STS GTSD) was queried for all patients underg...
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Lung Transplantation From Donation After Circulatory Death: United States and Single-Center Experience
ConclusionsDCD lung transplants remain underused in the United States. Nevertheless, survival is similar to DBD. Primary graft dysfunction metrics for DCDs are worse than DBDs on intensive care arrival but improved subsequently.Visual Abstract (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Long-Term Physical HRQOL Decreases After Single Lung as Compared With Double Lung Transplantation
ConclusionsThe trajectory of physical HRQOL in patients receiving SLT declines over time compared with DLT, indicating that, in the longer term, SLT recipients are more likely to have physical HRQOL scores that fall substantively below general population norms. Physical HRQOL after 5 years may be a consideration for lung allocation and patient counseling regarding expectations when recommending SLT or DLT. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Relevance of Intraoperative Pleural Lavage Cytology and Histologic Subtype in Lung Adenocarcinoma
In this study, we evaluated the effect of a micropapillary pattern (MPP) in lung adenocarcinomas on results of PLC.MethodsWe retrospectively reviewed 600 consecutive patients with surgically resected pulmonary adenocarcinomas and investigated the relationship between PLC status and clinicopathologic factors, including a histologically identified MPP component.ResultsPLC was positive in 25 patients (4.2%). Positive PLC was significantly associated with MPP (p = 0.0001), lymph node metastasis (p = 0.01), and pleural invasion (p
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Thoracic Bleeding Complications in Patients With Venovenous Extracorporeal Membrane Oxygenation
ConclusionsThoracic bleeding complications were observed in 9.6% of patients and represented the most frequent bleeding complication during vv-ECMO treatment. Almost 60% of patients required surgical revision, and nearly half of these patients underwent a repeated operation. Because mortality is high in these patients, vv-ECMO should be performed in only centers experienced with thoracic surgery. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Clinical Outcomes After Pulmonary Metastasectomy for Melanoma: A Population-Based Study
ConclusionsIn this unselected population-based study, 21% of patients were 5-year survivors after pulmonary metastasectomy for melanoma. There was worse survival with greater lesion size. Greater lesion size was associated with positive margin status. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Predictors of Pathologic Tumor Invasion and Prognosis for Ground Glass Opacity Featured Lung Adenocarcinoma
ConclusionsRadiologic measurements could not precisely predict tumor invasion and prognosis. Making treatment strategies solely according to TS-CT findings for GGO tumor is inappropriate. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Quiana L. Kern, Chadrick E. Denlinger (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Effect of Aneurysm and Bicuspid Aortic Valve on Layer-Specific Ascending Aorta Mechanics
ConclusionsNo mechanical vulnerability of BAV-ATAA was found, corroborating current conservative guidelines regarding the management of bicuspid aortopathy. Weakening and added vulnerability was found in patients with valvular deficiency, aortic root aneurysm, hypertension, and hyperlipidemia. Aging led to increased susceptibility to dissection initiation or full rupture, or both, in both patient classes. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

International Survey on the Management of Anastomotic Leakage After Esophageal Resection
ConclusionsThis survey shows that there is no standardized guideline for diagnostic workup or management of anastomotic leakage and that there is a need for an international guideline regarding the optimal management of anastomotic leakage. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Clinical Leaflet Thrombosis in Transcatheter and Surgical Bioprosthetic Aortic Valves by Four-Dimensional Computed Tomography
ConclusionsOne-third of patients with clinical or echocardiographic indications suggestive of leaflet thrombosis were found to have evidence of leaflet thrombosis using 4DCT. This allowed tailored anticoagulation therapy with resolution of the thrombus in most patients and avoiding unnecessary anticoagulation in the remaining two-thirds of patients.Visual Abstract (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Saina Attaran, Toby Rogers, Lowell Satler, Vinod H. Thourani (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Salvage Coronary Artery Bypass Predicts Increased Mortality During Aortic Root Operation
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): W. Brent Keeling, John Hunting, Bradley G. Leshnower, Chad Stouffer, Jose Binongo, Edward P. ChenBackgroundAortic root replacement (ROOT) has been an established therapy, yet the impact of adding coronary artery bypass grafting (CABG) to ROOT (CABG-R) is unknown. The purpose of this research was to investigate the impact of CABG on the outcomes of ROOT.MethodsA retrospective review from 2004 to 2016 of patients undergoing nonemergent ROOT surgical procedure was performed. Cohorts were established based on the presence or ab...
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Transcatheter Versus Surgical Aortic Valve Replacement Episode Payments and Relationship to Case Volume
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Alexander A. Brescia, John D. Syrjamaki, Scott E. Regenbogen, Gaetano Paone, Andrew L. Pruitt, Francis L. Shannon, Theodore J. Boeve, Himanshu J. Patel, Michael P. Thompson, Patricia F. Theurer, James M. Dupree, Karen M. Kim, Richard L. Prager, Donald S. LikoskyBackgroundTranscatheter aortic valve replacement (TAVR) has increased in volume as an alternative to surgical aortic valve replacement (SAVR). Comparisons of total episode expenditures, although largely ignored thus far, will be key to the value proposition for payer...
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Early and Mid-Term Results of Rapid Deployment Valves: The Intuity Italian Registry (INTU-ITA)
ConclusionsAortic RDBs provide good early and mid-term clinical and hemodynamic outcomes. These devices may be considered as a reasonable alternative to conventional bioprostheses, especially in minimally invasive and combined operations. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Parwis B. Rahmanian (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

A Novel Risk Score Predicts Operative Mortality After Acute Type A Aortic Dissection Repair
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Mehrdad Ghoreishi, Eric S. Wise, Luqman Croal-Abrahams, Douglas Tran, Chetan Pasrija, Charles B. Drucker, Bartley P. Griffith, James S. Gammie, Robert S. Crawford, Bradley S. TaylorBackgroundCurrent stratification systems for patients presenting with acute type A aortic dissection rely on signs of malperfusion to predict mortality. The authors sought to develop an algorithm to readily risk stratify these patients using admission characteristics.MethodsTwo hundred sixty-nine consecutive patients who underwent type A repair b...
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Salim Aziz (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Full Sternotomy, Hemisternotomy, and Minithoracotomy for Aortic Valve Surgery: Is There a Difference?
This study compared perioperative results and mortality rates of different approaches to perform aortic valve replacement (AVR), describing predictors favoring one approach over the others.MethodsAll patients who underwent AVR were enrolled. The choice of the approach was left to surgeon’s preference. Data were retrospectively collected, and the major baseline characteristics (including age, sex, body mass index, creatinine clearance, preoperative condition, cardiovascular risk factors, functional status, and left ventricular ejection fraction, etc.) and intraoperative variables were recorded. To adjust for differenc...
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Tricuspid Annular Geometry and Strain After Suture Annuloplasty in Acute Ovine Right Heart Failure
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Marcin Malinowski, Hans Schubert, Jeremy Wodarek, Haley Ferguson, Lenora Eberhart, David Langholz, Tomasz Jazwiec, Manuel K. Rausch, Tomasz A. TimekBackgroundTricuspid valve repair using suture annuloplasty is thought to be more physiologic, but the effect of annular reduction on annular geometry and motion is unknown. We set out to investigate the effect of DeVega suture annuloplasty (DV) on tricuspid annular geometry and dynamics during acute right heart failure (RHF).MethodsTen adult sheep underwent implantation of sonom...
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Long-Term Survival After Arterial Versus Atrial Switch in d-Transposition of the Great Arteries
ConclusionsDespite initial higher in-hospital mortality for ASO during the study period, there is a significant long-term transplant-free survival advantage for ASO as compared with atrial switch for d-TGA surgery. Ongoing monitoring is required to assess late risk of cardiovascular disease. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Khanh H. Nguyen (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Partial Hammock Valve: Surgical Repair and Long-Term Follow-Up in 23 Patients
ConclusionsPartial hammock valve is a rare congenital anomaly resulting in mitral regurgitation. Patch enlargement of the posterior leaflet achieves long-term repair. It is safe and reliable. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Surgical Outcome in Adolescents and Adults With Anomalous Left Coronary Artery From Pulmonary Artery
ConclusionsAlthough short-term outcomes were satisfactory in both groups, a higher MACE rate was observed in reimplantation group than Takeuchi repair group; mitral valvuloplasty was not significantly associated with improved prognosis and left ventricular reverse remodeling. Elevation of preoperative blood glucose level was significantly associated with increasing long-term MACE rate.Visual Abstract (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Percutaneous Transjugular Extraction of Venous Bullet Embolism to the Right Ventricle
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Jean-Christophe Charniot, Philippe Cluzel, Pascal Leprince, Pierre DemondionMigration of a bullet to a distant part of the body after a gunshot is rarely observed in the clinical setting; migration to the heart is even rarer. There are usually no clear symptoms or signs from migration of a bullet. The case of a 28-year-old man with an intracardiac bullet migration 2 months after a gunshot wound to the right abdomen is presented. We propose that the bullet migrated along the vena cava to the right ventricle. Interventional r...
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Bilateral Prosthetic Graft Stenosis After Supraaortic Debranching and Thoracic Endovascular Aortic Repair of the Transverse Arch
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Maximilian Luehr, Josephina Haunschild, Christian D. Etz, Martin Misfeld, Michael A. BorgerA 66-year-old patient presented to the Leipzig Heart Center in Leipzig, Germany with therapy-refractory hypotension with a history of postural presyncope 7 years after supraaortic debranching and thoracic endovascular aortic repair of the transverse arch. Arterial angiography with invasive blood pressure measurement revealed pronounced hypertension of the lower body (blood pressure, 270/120 mm Hg) and subtotal prosthetic graft st...
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Modified Double Patch Repair for Septal Rupture With Ventricular Wall Dissection
We report on modified double patch repair with ventricular wall dissection exclusion, which might be effective for preventing residual shunt and maintaining cardiac function. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Collaborative Management of Missile Injury to Right Ventricle and Subsequent Pulmonary Embolization
This report describes a case of a gunshot wound to the chest with preoperative and initial intraoperative imaging localizing the bullet to the right ventricle but a negative intraoperative exploration of the right-sided cardiac chambers. Intraoperative fluoroscopy allowed for immediate localization of the bullet to the hilum of the left lung, with subsequent endovascular retrieval. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Minimally Invasive Mitral Valve Surgery With Endoaortic Balloon Requires Cerebral Monitoring
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Thierry V. Scohy, Mohamed Bentala, Nardo J.M. van der Meer, Bastiaan M. GerritseAfter induction of anesthesia, an extra right radial artery catheter and cerebral oximetry were placed for minimally invasive mitral valve surgery. An anterolateral minithoracotomy, endoaortic balloon, and left atriotomy allowed visualization of the mitral valve. During the procedure, we observed a drop of the right cerebral oximetry saturation without a drop in right radial artery pressure. We suspected an aberrant right subclavian artery. Afte...
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Early Degeneration Caused by Cusp Tear of First-Generation Trifecta Bioprosthesis
We report 2 cases of early Trifecta valve degeneration, both caused by partial rupture of one of the leaflet cusps 3 and 4 years post-implant. Post discharge, both patients had routinely performed echocardiography check-ups, without signs of valve failure. Transesophageal echocardiography performed during emergency hospital readmission due to severe dyspnea revealed transvalvular aortic regurgitation without signs of endocarditis. Urgent redo-surgery was successful in both cases, replacing the Trifecta prosthesis with a different bovine bioprosthesis. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Need for Multiple Bypass Grafts in Repair of Right Coronary Artery–to–Coronary Sinus Fistulas
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Phillip G. Rowse, Sameh M. SaidCoronary artery fistulas are rare anomalies with controversial management strategies. The two main treatment options are surgical repair and catheter embolization. This case report describes successful treatment of a complex right coronary artery–to–coronary sinus fistula by using a less conventional approach: multiple coronary artery bypass grafting. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Gastric Volvulus After Left Lower Lobectomy
This report describes a case of postlobectomy gastric volvulus in a 73-year-old woman without hiatal hernia. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

A Rare Large Symptomatic Paratracheal Air Cyst in a 62-Year-Old Woman
In this report we present a 62-year-old woman with a large paratracheal air cyst that caused interesting rare symptoms such as dysphagia, dyspnea, and hoarseness who became completely symptom-free after treatment. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Mass-Forming Deep Pseudodiverticulosis of the Esophagus With 18F-Fluorodeoxyglucose Uptake
This report describes a case of esophageal intramural pseudodiverticulosis associated with an inflammatory esophageal mass with high 18F-fluorodeoxyglucose (FDG) uptake. A 48-year-old man presented with dysphagia caused by an esophageal stricture. Simultaneous positron emission tomography and magnetic resonance imaging showed an FDG-avid lesion in the lower esophagus. Because of suspected malignancy, the patient underwent subtotal esophagectomy. Histologic examination confirmed the diagnosis of an inflammatory tumor associated with esophageal pseudodiverticulosis. Unlike typical cases, this patient’s pseudodiverticul...
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Minimally Invasive Thymectomy and Lung Volume Reduction in a Patient With Myasthenia Gravis
We describe the case of a patient with myasthenia gravis and severe pulmonary emphysema who underwent concomitant bilateral video/robotic-assisted thymectomy with unilateral lung volume reduction surgery. We review the important pathophysiologic considerations that must be appreciated to ensure safe surgery in this unusual situation with two diseases that independently affect the respiratory system—each of which requires preoperative optimization. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research