EBV Predicts Post-Pediatric Heart Transplant Malignancy; Induction Therapy and Tacrolimus Don't
Ann Thorac Surg. 2021 Sep 23:S0003-4975(21)01598-8. doi: 10.1016/j.athoracsur.2021.08.038. Online ahead of print.ABSTRACTBACKGROUND: Patients after heart transplantation are at increased risk for malignancy secondary to immunosuppression and oncogenic viral infections. Most common amongst children is post-transplant lymphoproliferative disorder (PTLD), occurring in 5-10% of patients. We utilized a national database to examine incidence and risk factors for post-transplant malignancy.METHODS: The United Network for Organ Sharing (UNOS) database was queried for pediatric (
Source: The Annals of Thoracic Surgery - September 26, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Katherine Giuliano Joseph K Canner Brandi Braud Scully Nicholas Clarke Charles D Fraser William Ravekes Bret Mettler Marshall Jacobs Danielle Gottlieb Sen Source Type: research

Segmentectomy for inner location small-sized non-small-cell lung cancer: Is it feasible?
Ann Thorac Surg. 2021 Sep 23:S0003-4975(21)01595-2. doi: 10.1016/j.athoracsur.2021.08.035. Online ahead of print.ABSTRACTBACKGROUND: The efficacy of segmentectomy for inner small-sized non-small-cell lung cancer (NSCLC) remains unknown. We aimed to elucidate whether segmentectomy for inner small-sized NSCLC, defined using novel three-dimensional measuring method, yields feasible oncological outcomes compared to segmentectomy for outer lesions.METHODS: We retrospectively analyzed patients with small-sized (
Source: The Annals of Thoracic Surgery - September 26, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Shinya Tane Kenji Kimura Nahoko Shimizu Yoshitaka Kitamura Gaku Matsumoto Kazuya Uchino Wataru Nishio Source Type: research

Sutureless versus rapid deployment aortic valve replacement: results from a multicentric registry
CONCLUSIONS: Our results confirm the safety and efficacy of SURD-AVR regardless of the valve type. The Perceval valve was associated with reduced operative times and increased anterior right thoracotomy incision. The Intuity valve showed superior hemodynamic outcomes and a lower incidence of postoperative mild aortic regurgitation.PMID:34563505 | DOI:10.1016/j.athoracsur.2021.08.037 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 26, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Paolo Berretta Bart Meuris Utz Kappert Martin Andreas Antonio Fiore Marco Solinas Martin Misfeld Thierry P Carrel Emmanuel Villa Carlo Savini Giuseppe Santarpino Kevin Teoh Alberto Albertini Theodor Fischlein Gianluca Martinelli Carmelo Mignosa Mattia Gla Source Type: research

Heart transplantation for a rare case of IgG4-related cardiac pseudotumor
Ann Thorac Surg. 2021 Sep 22:S0003-4975(21)01589-7. doi: 10.1016/j.athoracsur.2021.08.029. Online ahead of print.NO ABSTRACTPMID:34562460 | DOI:10.1016/j.athoracsur.2021.08.029 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 25, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Hongqiang Zhang Shouguo Yang Fanshun Wang Zhaohua Yang Xiaoning Sun Chunsheng Wang Source Type: research

A Simplified Adult Expiratory Support Device: First Clinical Cases in a Low Resource Setting
CONCLUSIONS: A low cost 3D printable adult respiratory support device could provide substantial benefit to patients suffering from respiratory distress through the delivery of appropriate levels of EPAP in a low resource setting with limited infrastructure. Further clinical validation is needed for broader application in low resource settings.PMID:34562461 | DOI:10.1016/j.athoracsur.2021.08.026 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 25, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Robert Djagbletey Ernest Aniteye Ebenezer Owusu Darkwa Pokua Sarpong George Aryee Bright E K Ohene Jacques Kpodonu Lee Makowski Craig D Smallwood Source Type: research

Bridge to Sapien: Mechanical Circulatory Support as a Bridge to Transcatheter Mitral Intervention
Ann Thorac Surg. 2021 Sep 22:S0003-4975(21)01590-3. doi: 10.1016/j.athoracsur.2021.08.030. Online ahead of print.ABSTRACTVeno-arterial membrane oxygenation (VA-ECMO) can be used as a rescue therapy for patients in refractory cardiogenic shock. While there is experience as a bridge-to-transplant and bridge-to-ventricular assist device in the heart failure population, there are not reports of its use as a bridge to definitive valvular intervention. Here we present a case of VA-ECMO as a bridge to transcatheter mitral valve-in-valve (TMVIV) with a Sapien aortic prosthesis (Edwards Life Sciences, Irvine, CA).PMID:34562462 | DO...
Source: The Annals of Thoracic Surgery - September 25, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Michael T Simpson Lyle B Dershowitz Isaac George Source Type: research

Association between Volume and Outcomes of Infective Endocarditis Surgery: A Nationwide Cohort Study
CONCLUSIONS: A higher cumulative volume of IE surgery is associated with a lower risk of mortality and a higher likelihood of successful MV repair. Therefore, interfacility transfer to a high-volume hospital may improve outcomes of IE surgery.PMID:34562463 | DOI:10.1016/j.athoracsur.2021.08.025 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 25, 2021 Category: Cardiovascular & Thoracic Surgery Authors: I-Hsien Li An-Hsun Chou Victor Chien-Chia Wu Yi-Hsin Chan Chia-Pin Lin Shang-Hung Chang Pao-Hsien Chu Yu-Ting Cheng Hsiu-An Lee Kuo-Sheng Liu Shao-Wei Chen Source Type: research

Assessing the Quality of Quality Assessment
Ann Thorac Surg. 2021 Sep 21:S0003-4975(21)01593-9. doi: 10.1016/j.athoracsur.2021.08.033. Online ahead of print.NO ABSTRACTPMID:34560039 | DOI:10.1016/j.athoracsur.2021.08.033 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 24, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Hartzell V Schaff Kent R Bailey Source Type: research

Heart Transplantation Following Acute Aortic Dissection in an Adolescent with Marfan Syndrome
We present the case of a 14-year-old patient with clinical features of Marfan syndrome, who underwent an emergent Bentall procedure for acute type-A aortic dissection. The patient required postoperative ECMO and was listed for heart transplantation due to persistent left ventricular failure caused by an intimal tear and thrombosis of the left main coronary artery. Heart transplantation was performed 5 days after the first procedure and the patient was discharged 60 days after admission. This case represents, to our knowledge, the first report of a successful heart transplantation following acute aortic dissection.PMID:3456...
Source: The Annals of Thoracic Surgery - September 24, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Gabriella Ricciardi Jerome Soquet Osama Abou-Arab Agnes Mugnier Stephanie Delangue Celine Goeminne Mouhamed Djahoum Moussa Andre Vincentelli Source Type: research

Fluorescence Guided Thoracic Duct Dissection in Robotic En-bloc Esophagectomy
We describe a technique that facilitates intraoperative identification of the thoracic duct as well as proximal and distal ligation during robot-assisted esophagectomy by lymphangiography guided injection of indocyanine green in de right groin in left lateral positioning. This approach can be swiftly applied at any time during any thoracoscopic procedure in lateral position when visualization of the thoracic duct anatomy is needed.PMID:34560041 | DOI:10.1016/j.athoracsur.2021.08.034 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 24, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Thomas Jardinet Maarten C Niekel Martin Ruppert Guy Hubens Jody W Valk Paul E van Schil Michiel F de Maat Source Type: research

Venous vascular ring: Duplicated left brachiocephalic vein with preaortic and retroesophageal course
Ann Thorac Surg. 2021 Sep 21:S0003-4975(21)01587-3. doi: 10.1016/j.athoracsur.2021.08.027. Online ahead of print.NO ABSTRACTPMID:34560042 | DOI:10.1016/j.athoracsur.2021.08.027 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 24, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Niraj Nirmal Pandey Mansi Verma Sanjeev Kumar Sivasubramanian Ramakrishnan Source Type: research

Aortic Stenosis and Coronary Artery Disease: Cost of Transcatheter versus Surgical Management
Ann Thorac Surg. 2021 Sep 21:S0003-4975(21)01588-5. doi: 10.1016/j.athoracsur.2021.08.028. Online ahead of print.ABSTRACTBACKGROUND: Surgical aortic valve replacement with coronary artery bypass grafting (SAVR+CABG) is the recommended treatment for aortic stenosis (AS) and coronary artery disease (CAD), however percutaneous coronary intervention at the time of transcatheter aortic valve replacement (TAVR+PCI) is used with increasing frequency.METHODS: Using the National Inpatient Sample, we identified all adult admissions with a diagnosis of AS. Sub-groups of SAVR+CABG and TAVR+PCI formed the study group. Outcomes of inter...
Source: The Annals of Thoracic Surgery - September 24, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Sri Harsha Patlolla Hartzell V Schaff Joseph A Dearani John M Stulak Juan A Crestanello Kevin L Greason Source Type: research

Robotic Aortic Valve Replacement: First 50 Cases
CONCLUSIONS: RAVR appears to have procedural safety and short-term outcomes to rival alternatives. Incremental experience may facilitate the safe performance of concomitant procedures as deemed necessary.PMID:34560044 | DOI:10.1016/j.athoracsur.2021.08.036 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 24, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Lawrence M Wei Chris C Cook J W Awori Hayanga J Scott Rankin Christopher E Mascio Vinay Badhwar Source Type: research

Should Lung Cancer Screening Be Suspended During a Pandemic?
Ann Thorac Surg. 2021 Sep 21:S0003-4975(21)01592-7. doi: 10.1016/j.athoracsur.2021.08.032. Online ahead of print.NO ABSTRACTPMID:34560045 | DOI:10.1016/j.athoracsur.2021.08.032 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 24, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Barry Gibney Robert M Sade Frank Detterbeck Douglas E Wood Source Type: research

Assessing the Quality of Quality Assessment
Ann Thorac Surg. 2021 Sep 21:S0003-4975(21)01593-9. doi: 10.1016/j.athoracsur.2021.08.033. Online ahead of print.NO ABSTRACTPMID:34560039 | DOI:10.1016/j.athoracsur.2021.08.033 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 24, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Hartzell V Schaff Kent R Bailey Source Type: research

Heart Transplantation Following Acute Aortic Dissection in an Adolescent with Marfan Syndrome
We present the case of a 14-year-old patient with clinical features of Marfan syndrome, who underwent an emergent Bentall procedure for acute type-A aortic dissection. The patient required postoperative ECMO and was listed for heart transplantation due to persistent left ventricular failure caused by an intimal tear and thrombosis of the left main coronary artery. Heart transplantation was performed 5 days after the first procedure and the patient was discharged 60 days after admission. This case represents, to our knowledge, the first report of a successful heart transplantation following acute aortic dissection.PMID:3456...
Source: The Annals of Thoracic Surgery - September 24, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Gabriella Ricciardi Jerome Soquet Osama Abou-Arab Agnes Mugnier Stephanie Delangue Celine Goeminne Mouhamed Djahoum Moussa Andre Vincentelli Source Type: research

Fluorescence Guided Thoracic Duct Dissection in Robotic En-bloc Esophagectomy
We describe a technique that facilitates intraoperative identification of the thoracic duct as well as proximal and distal ligation during robot-assisted esophagectomy by lymphangiography guided injection of indocyanine green in de right groin in left lateral positioning. This approach can be swiftly applied at any time during any thoracoscopic procedure in lateral position when visualization of the thoracic duct anatomy is needed.PMID:34560041 | DOI:10.1016/j.athoracsur.2021.08.034 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 24, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Thomas Jardinet Maarten C Niekel Martin Ruppert Guy Hubens Jody W Valk Paul E van Schil Michiel F de Maat Source Type: research

Venous vascular ring: Duplicated left brachiocephalic vein with preaortic and retroesophageal course
Ann Thorac Surg. 2021 Sep 21:S0003-4975(21)01587-3. doi: 10.1016/j.athoracsur.2021.08.027. Online ahead of print.NO ABSTRACTPMID:34560042 | DOI:10.1016/j.athoracsur.2021.08.027 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 24, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Niraj Nirmal Pandey Mansi Verma Sanjeev Kumar Sivasubramanian Ramakrishnan Source Type: research

Aortic Stenosis and Coronary Artery Disease: Cost of Transcatheter versus Surgical Management
Ann Thorac Surg. 2021 Sep 21:S0003-4975(21)01588-5. doi: 10.1016/j.athoracsur.2021.08.028. Online ahead of print.ABSTRACTBACKGROUND: Surgical aortic valve replacement with coronary artery bypass grafting (SAVR+CABG) is the recommended treatment for aortic stenosis (AS) and coronary artery disease (CAD), however percutaneous coronary intervention at the time of transcatheter aortic valve replacement (TAVR+PCI) is used with increasing frequency.METHODS: Using the National Inpatient Sample, we identified all adult admissions with a diagnosis of AS. Sub-groups of SAVR+CABG and TAVR+PCI formed the study group. Outcomes of inter...
Source: The Annals of Thoracic Surgery - September 24, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Sri Harsha Patlolla Hartzell V Schaff Joseph A Dearani John M Stulak Juan A Crestanello Kevin L Greason Source Type: research

Robotic Aortic Valve Replacement: First 50 Cases
CONCLUSIONS: RAVR appears to have procedural safety and short-term outcomes to rival alternatives. Incremental experience may facilitate the safe performance of concomitant procedures as deemed necessary.PMID:34560044 | DOI:10.1016/j.athoracsur.2021.08.036 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 24, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Lawrence M Wei Chris C Cook J W Awori Hayanga J Scott Rankin Christopher E Mascio Vinay Badhwar Source Type: research

Should Lung Cancer Screening Be Suspended During a Pandemic?
Ann Thorac Surg. 2021 Sep 21:S0003-4975(21)01592-7. doi: 10.1016/j.athoracsur.2021.08.032. Online ahead of print.NO ABSTRACTPMID:34560045 | DOI:10.1016/j.athoracsur.2021.08.032 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 24, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Barry Gibney Robert M Sade Frank Detterbeck Douglas E Wood Source Type: research

Effects of Statin Intensity on Long-Term Outcomes after Coronary Artery Bypass Grafting
Ann Thorac Surg. 2021 Sep 21:S0003-4975(21)01584-8. doi: 10.1016/j.athoracsur.2021.08.024. Online ahead of print.ABSTRACTBACKGROUND: The current study sought to investigate the association between statin intensity and long-term clinical outcomes according to initial clinical presentation following CABG.METHODS: A total of 6,531 patients who underwent CABG were finally included in this study, and the study population was classified into four groups according to statin intensity (no or low[atorvastatin
Source: The Annals of Thoracic Surgery - September 23, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Yong Ho Jang Ki Hong Choi Young Bin Song Dong Seop Jeong Joo-Yong Hahn Seung-Hyuk Choi Wook Sung Kim Hyeon-Cheol Gwon Young Tak Lee Source Type: research

Chest Wall Reconstruction Using 3-Dimensional Printing: Functional and Mechanical Results
This study aims to evaluate functional, cosmetic results, and quality of life (QoL) in patients who had a reconstruction based on patient-specific three-dimensional (3D) printing.METHODS: The patient-specific chest wall prosthesis was created for 10 patients. The anatomical models were 3D printed and used to produce a silicone mold which was filled with methyl methacrylate to create the customized prosthesis. Evaluation of the reconstruction was completed by QoL assessment and post-operative tracking of patients' chest motion, using infrared markers. The distance between plot points representing markers on the operated and...
Source: The Annals of Thoracic Surgery - September 23, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Antonia Pontiki Shruthi Natarajan Fred N H Parker Anvarjon Mukhammadaminov Connor Dibblin Richard Housden Giulia Benedetti Kawal Rhode Andrea Bille Source Type: research

30-Year Trends in Graft Survival After Heart Transplant: Modeled Analyses of a Transplant Registry
We describe multi-decade trends in post-transplant graft survival, adjusted for concurrent changes in the population, over the 30 years antecedent to the most recent heart allocation policy change.METHODS: Scientific Registry of Transplant Recipients data were used to identify all primary adult heart recipients 1989 through 2017. We described temporal changes in population characteristics (recipient/donor demographics and comorbidities, pretransplant interventions, clinical transplant measures, and providers). The primary outcome was graft survival, defined as freedom from all-cause death and graft failure, within 6 months...
Source: The Annals of Thoracic Surgery - September 23, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Marlena E Sabatino Matthew L Williams Ike S Okwuosa Ehimare Akhabue Jung Hyun Kim Mark J Russo Soko Setoguchi Source Type: research

Effects of Statin Intensity on Long-Term Outcomes after Coronary Artery Bypass Grafting
Ann Thorac Surg. 2021 Sep 21:S0003-4975(21)01584-8. doi: 10.1016/j.athoracsur.2021.08.024. Online ahead of print.ABSTRACTBACKGROUND: The current study sought to investigate the association between statin intensity and long-term clinical outcomes according to initial clinical presentation following CABG.METHODS: A total of 6,531 patients who underwent CABG were finally included in this study, and the study population was classified into four groups according to statin intensity (no or low[atorvastatin
Source: The Annals of Thoracic Surgery - September 23, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Yong Ho Jang Ki Hong Choi Young Bin Song Dong Seop Jeong Joo-Yong Hahn Seung-Hyuk Choi Wook Sung Kim Hyeon-Cheol Gwon Young Tak Lee Source Type: research

Chest Wall Reconstruction Using 3-Dimensional Printing: Functional and Mechanical Results
This study aims to evaluate functional, cosmetic results, and quality of life (QoL) in patients who had a reconstruction based on patient-specific three-dimensional (3D) printing.METHODS: The patient-specific chest wall prosthesis was created for 10 patients. The anatomical models were 3D printed and used to produce a silicone mold which was filled with methyl methacrylate to create the customized prosthesis. Evaluation of the reconstruction was completed by QoL assessment and post-operative tracking of patients' chest motion, using infrared markers. The distance between plot points representing markers on the operated and...
Source: The Annals of Thoracic Surgery - September 23, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Antonia Pontiki Shruthi Natarajan Fred N H Parker Anvarjon Mukhammadaminov Connor Dibblin Richard Housden Giulia Benedetti Kawal Rhode Andrea Bille Source Type: research

30-Year Trends in Graft Survival After Heart Transplant: Modeled Analyses of a Transplant Registry
We describe multi-decade trends in post-transplant graft survival, adjusted for concurrent changes in the population, over the 30 years antecedent to the most recent heart allocation policy change.METHODS: Scientific Registry of Transplant Recipients data were used to identify all primary adult heart recipients 1989 through 2017. We described temporal changes in population characteristics (recipient/donor demographics and comorbidities, pretransplant interventions, clinical transplant measures, and providers). The primary outcome was graft survival, defined as freedom from all-cause death and graft failure, within 6 months...
Source: The Annals of Thoracic Surgery - September 23, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Marlena E Sabatino Matthew L Williams Ike S Okwuosa Ehimare Akhabue Jung Hyun Kim Mark J Russo Soko Setoguchi Source Type: research

A Pilot Gene Expression and Histopathologic Analysis of Tracheal Resections in Tracheobronchomalacia
Ann Thorac Surg. 2021 Sep 18:S0003-4975(21)01582-4. doi: 10.1016/j.athoracsur.2021.08.022. Online ahead of print.ABSTRACTBACKGROUND: The airway structures and mRNA expression of genes that regulate airway inflammation and remodeling may be altered in the trachea of patients with tracheobronchomalacia (TBM).METHODS: Fourteen tracheal specimens from 2005-to-2018 were used in this study. Surgical resection specimens from patients with TBM and tracheal stenosis (TS) were compared to control tracheal specimens obtained from autopsy cases. We investigated the mRNA expression of genes encoding fibroblast growth factor (FGF), bind...
Source: The Annals of Thoracic Surgery - September 21, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Rani Singh Barbara Vidal Juan Ascanio Naresh Singh Redhu Jorge Ruiz de Somocurcio Adnan Majid Paul A VanderLaan Sidhu P Gangadharan Source Type: research

Preparing for the Future: Funding for Graduate Medical Education in Cardiothoracic Surgery
Ann Thorac Surg. 2021 Sep 18:S0003-4975(21)01580-0. doi: 10.1016/j.athoracsur.2021.09.002. Online ahead of print.NO ABSTRACTPMID:34547298 | DOI:10.1016/j.athoracsur.2021.09.002 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 21, 2021 Category: Cardiovascular & Thoracic Surgery Authors: John Michael DiMaio Ourania Preventza Raymond Strobel Jeremy Conklin Susan D Moffatt-Bruce Jess L Thompson Richard I Whyte Keith A Horvath Source Type: research

Multi-Institutional Evaluation of a Debate-Style Journal Club for Cardiothoracic Surgery Trainees
CONCLUSIONS: In this multi-institutional prospective study, we demonstrate that the novel debate-style cardiothoracic surgery journal club is an effective educational intervention for cardiothoracic surgical trainees to acquire, retain, and gain practice in applying literature-based evidence to case-based scenarios.PMID:34547299 | DOI:10.1016/j.athoracsur.2021.07.104 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 21, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Jessica G Y Luc Clara S Fowler Steven B Eisenberg Anthony L Estrera Randall K Wolf Chun Woo Choi Jennifer S Lawton Linda W Martin Jonathan C Nesbitt Scott I Reznik Tom C Nguyen Ara A Vaporciyan Mara B Antonoff Thoracic Education Cooperative Group (TECoG) Source Type: research

Outcomes in Lung Cancer Surgery: Capturing Reliable Metrics
CONCLUSIONS: Metrics used to compare lung cancer surgical performance between providers have varying levels of reliability. Reliability should be considered when profiling providers, which will become particularly important as lung cancer treatment under screening programs continues to expand.PMID:34547300 | DOI:10.1016/j.athoracsur.2021.07.105 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 21, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Richard Zheng Samantha Lindsay Savitch Arturo Jesus Rios-Diaz Nathaniel Rutherford Evans Tyler Ross Grenda Source Type: research

Late durability of mitral repair for ischemic versus nonischemic functional mitral regurgitation
Ann Thorac Surg. 2021 Sep 18:S0003-4975(21)01581-2. doi: 10.1016/j.athoracsur.2021.08.021. Online ahead of print.ABSTRACTBACKGROUND: Concerns regarding long-term durability of surgical repair for functional mitral regurgitation are based on short-term data, with few comparisons of ischemic (IMR) versus non-ischemic (NIFMR) etiology.METHODS: 788 consecutive patients receiving mitral repair for functional mitral regurgitation were evaluated from a prospectively maintained database. Patients with other surgical procedures were included. Propensity score matching was used to compare outcomes in IMR versus NIFMR.RESULTS: Unmatc...
Source: The Annals of Thoracic Surgery - September 21, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Muath Bishawi Carmelo Milano Jeffrey Gaca Andrew Wang Keith Carr Donald D Glower Source Type: research

A Pilot Gene Expression and Histopathologic Analysis of Tracheal Resections in Tracheobronchomalacia
Ann Thorac Surg. 2021 Sep 18:S0003-4975(21)01582-4. doi: 10.1016/j.athoracsur.2021.08.022. Online ahead of print.ABSTRACTBACKGROUND: The airway structures and mRNA expression of genes that regulate airway inflammation and remodeling may be altered in the trachea of patients with tracheobronchomalacia (TBM).METHODS: Fourteen tracheal specimens from 2005-to-2018 were used in this study. Surgical resection specimens from patients with TBM and tracheal stenosis (TS) were compared to control tracheal specimens obtained from autopsy cases. We investigated the mRNA expression of genes encoding fibroblast growth factor (FGF), bind...
Source: The Annals of Thoracic Surgery - September 21, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Rani Singh Barbara Vidal Juan Ascanio Naresh Singh Redhu Jorge Ruiz de Somocurcio Adnan Majid Paul A VanderLaan Sidhu P Gangadharan Source Type: research

Preparing for the Future: Funding for Graduate Medical Education in Cardiothoracic Surgery
Ann Thorac Surg. 2021 Sep 18:S0003-4975(21)01580-0. doi: 10.1016/j.athoracsur.2021.09.002. Online ahead of print.NO ABSTRACTPMID:34547298 | DOI:10.1016/j.athoracsur.2021.09.002 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 21, 2021 Category: Cardiovascular & Thoracic Surgery Authors: John Michael DiMaio Ourania Preventza Raymond Strobel Jeremy Conklin Susan D Moffatt-Bruce Jess L Thompson Richard I Whyte Keith A Horvath Source Type: research

Multi-Institutional Evaluation of a Debate-Style Journal Club for Cardiothoracic Surgery Trainees
CONCLUSIONS: In this multi-institutional prospective study, we demonstrate that the novel debate-style cardiothoracic surgery journal club is an effective educational intervention for cardiothoracic surgical trainees to acquire, retain, and gain practice in applying literature-based evidence to case-based scenarios.PMID:34547299 | DOI:10.1016/j.athoracsur.2021.07.104 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 21, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Jessica G Y Luc Clara S Fowler Steven B Eisenberg Anthony L Estrera Randall K Wolf Chun Woo Choi Jennifer S Lawton Linda W Martin Jonathan C Nesbitt Scott I Reznik Tom C Nguyen Ara A Vaporciyan Mara B Antonoff Thoracic Education Cooperative Group (TECoG) Source Type: research

Outcomes in Lung Cancer Surgery: Capturing Reliable Metrics
CONCLUSIONS: Metrics used to compare lung cancer surgical performance between providers have varying levels of reliability. Reliability should be considered when profiling providers, which will become particularly important as lung cancer treatment under screening programs continues to expand.PMID:34547300 | DOI:10.1016/j.athoracsur.2021.07.105 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 21, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Richard Zheng Samantha Lindsay Savitch Arturo Jesus Rios-Diaz Nathaniel Rutherford Evans Tyler Ross Grenda Source Type: research

Late durability of mitral repair for ischemic versus nonischemic functional mitral regurgitation
Ann Thorac Surg. 2021 Sep 18:S0003-4975(21)01581-2. doi: 10.1016/j.athoracsur.2021.08.021. Online ahead of print.ABSTRACTBACKGROUND: Concerns regarding long-term durability of surgical repair for functional mitral regurgitation are based on short-term data, with few comparisons of ischemic (IMR) versus non-ischemic (NIFMR) etiology.METHODS: 788 consecutive patients receiving mitral repair for functional mitral regurgitation were evaluated from a prospectively maintained database. Patients with other surgical procedures were included. Propensity score matching was used to compare outcomes in IMR versus NIFMR.RESULTS: Unmatc...
Source: The Annals of Thoracic Surgery - September 21, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Muath Bishawi Carmelo Milano Jeffrey Gaca Andrew Wang Keith Carr Donald D Glower Source Type: research

Frozen Elephant Trunk Repair for Acute Type A Dissection in Right Aortic Arch
Ann Thorac Surg. 2021 Sep 15:S0003-4975(21)01570-8. doi: 10.1016/j.athoracsur.2021.08.017. Online ahead of print.ABSTRACTA 68-year-old woman with right aortic arch and aberrant left subclavian artery was urgently operated for type A aortic dissection. Surgical management included total arch repair with frozen elephant trunk technique and left subclavian artery re-implantation. Post-operative course was complicated by severe renal failure, delirium and pneumonia. She was re-operated 3 weeks later due to an expanding proximal aortic anastomosis pseudoaneurysm. Right aortic arch is a rare vascular anomaly requiring thoughtful...
Source: The Annals of Thoracic Surgery - September 18, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Alexander Calderone Vincent Chauvette Philippe Demers Yoan Lamarche Source Type: research

Early conduction disorders after aortic valve replacement with the sutureless Perceval prosthesis
Ann Thorac Surg. 2021 Sep 15:S0003-4975(21)01573-3. doi: 10.1016/j.athoracsur.2021.08.020. Online ahead of print.ABSTRACTBACKGROUND: To determine the incidence of postoperative conduction disorders and need for pacemaker implantation after aortic valve replacement(AVR) with the Perceval prosthesis.METHODS: From January 2007 to December 2017, 908 patients underwent AVR with Perceval S in 5 participating centers. Study endpoints focused on electrocardiographic changes after AVR and the incidence of new pacemaker(PM) implantation in 801 patients after exclusion of patients with previous PM(n=48) or patients undergoing tricusp...
Source: The Annals of Thoracic Surgery - September 18, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Joke Verlinden Thierry Bov é Laurent de Kerchove Jerome Baert Marc Radermecker Rodolphe Durieux Herbert Gutermann Christian Van Kerrebroeck Delphine Szecel Bart Meuris Source Type: research

The Society of Thoracic Surgeons Adult Cardiac Surgery Database: 2021 Update on Echocardiography
In this report, we describe and summarize the type and rate of reporting of echocardiography-related variables in the STS ACSD, including the Adult Cardiac Anesthesiology Module, from July 2017 to December 2019 for the most frequently performed cardiac surgical procedures. With this review, we aim to increase awareness of the importance of collecting accurate and consistent echocardiography data in the STS ACSD and to highlight opportunities for growth and improvement.PMID:34536378 | DOI:10.1016/j.athoracsur.2021.09.001 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 18, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Alina Nicoara Pinping Song Bruce A Bollen Gaetano Paone James Jake Abernathy Mark A Taylor Robert H Habib J Mauricio Del Rio Ryan E Lauer Nancy A Nussmeier Laurent G Glance Joseph V Petty G Burkhard Mackensen David F Vener Miklos D Kertai Source Type: research

Frozen Elephant Trunk Repair for Acute Type A Dissection in Right Aortic Arch
Ann Thorac Surg. 2021 Sep 15:S0003-4975(21)01570-8. doi: 10.1016/j.athoracsur.2021.08.017. Online ahead of print.ABSTRACTA 68-year-old woman with right aortic arch and aberrant left subclavian artery was urgently operated for type A aortic dissection. Surgical management included total arch repair with frozen elephant trunk technique and left subclavian artery re-implantation. Post-operative course was complicated by severe renal failure, delirium and pneumonia. She was re-operated 3 weeks later due to an expanding proximal aortic anastomosis pseudoaneurysm. Right aortic arch is a rare vascular anomaly requiring thoughtful...
Source: The Annals of Thoracic Surgery - September 18, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Alexander Calderone Vincent Chauvette Philippe Demers Yoan Lamarche Source Type: research

Early conduction disorders after aortic valve replacement with the sutureless Perceval prosthesis
Ann Thorac Surg. 2021 Sep 15:S0003-4975(21)01573-3. doi: 10.1016/j.athoracsur.2021.08.020. Online ahead of print.ABSTRACTBACKGROUND: To determine the incidence of postoperative conduction disorders and need for pacemaker implantation after aortic valve replacement(AVR) with the Perceval prosthesis.METHODS: From January 2007 to December 2017, 908 patients underwent AVR with Perceval S in 5 participating centers. Study endpoints focused on electrocardiographic changes after AVR and the incidence of new pacemaker(PM) implantation in 801 patients after exclusion of patients with previous PM(n=48) or patients undergoing tricusp...
Source: The Annals of Thoracic Surgery - September 18, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Joke Verlinden Thierry Bov é Laurent de Kerchove Jerome Baert Marc Radermecker Rodolphe Durieux Herbert Gutermann Christian Van Kerrebroeck Delphine Szecel Bart Meuris Source Type: research

The Society of Thoracic Surgeons Adult Cardiac Surgery Database: 2021 Update on Echocardiography
In this report, we describe and summarize the type and rate of reporting of echocardiography-related variables in the STS ACSD, including the Adult Cardiac Anesthesiology Module, from July 2017 to December 2019 for the most frequently performed cardiac surgical procedures. With this review, we aim to increase awareness of the importance of collecting accurate and consistent echocardiography data in the STS ACSD and to highlight opportunities for growth and improvement.PMID:34536378 | DOI:10.1016/j.athoracsur.2021.09.001 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 18, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Alina Nicoara Pinping Song Bruce A Bollen Gaetano Paone James Jake Abernathy Mark A Taylor Robert H Habib J Mauricio Del Rio Ryan E Lauer Nancy A Nussmeier Laurent G Glance Joseph V Petty G Burkhard Mackensen David F Vener Miklos D Kertai Source Type: research

Opening the Door: Navigating cardiothoracic surgery training as an underrepresented minority
Ann Thorac Surg. 2021 Sep 14:S0003-4975(21)01571-X. doi: 10.1016/j.athoracsur.2021.08.018. Online ahead of print.NO ABSTRACTPMID:34534527 | DOI:10.1016/j.athoracsur.2021.08.018 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 17, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Fatima G Wilder Boateng Kubi Ahmet Kilic Quinn Capers Robert S D Higgins Source Type: research

Clinical Outcomes Following Durable Mitral Valve Repair for Ischemic Mitral Regurgitation
This study aimed to clarify the incidence and determinants of postoperative adverse events in patients with ischemic cardiomyopathy who achieved long-term durable mitral valve repair.METHODS: Between 1999 and 2015, 166 patients with chronic ischemic mitral regurgitation (MR) and left ventricular (LV) ejection fraction ≤40% underwent restrictive mitral annuloplasty. During follow-up (65±34 months), echocardiographic assessments were performed 809 times (mean, 4.9±2.4 times) and 20 patients who had developed postoperative recurrent MR (≥moderate) were excluded. Finally, 146 patients (68±9 years) wh...
Source: The Annals of Thoracic Surgery - September 17, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Mikiko Senzai Satoshi Kainuma Koichi Toda Shigeru Miyagawa Daisuke Yoshioka Takuji Kawamura Ai Kawamura Noriyuki Kashiyama Yusuke Misumi Takayoshi Ueno Toru Kuratani Tetsuhisa Kitamura Sho Komukai Kazuhiro Taniguchi Yoshiki Sawa Osaka Cardiovascular Surge Source Type: research

Post-operative Renal Failure, Shunt Type and Mortality after Norwood Palliation
Ann Thorac Surg. 2021 Sep 14:S0003-4975(21)01572-1. doi: 10.1016/j.athoracsur.2021.08.019. Online ahead of print.ABSTRACTBACKGROUND: The Single Ventricle Reconstruction (SVR) trial demonstrated increased risk of death or heart transplant one year post-Norwood in subjects randomized to Blalock-Taussig shunts (mBTS) compared to right ventricle-to-pulmonary artery (RV-PA) shunts. We used the SVR public use database to evaluate incidence and risk factors for post-operative renal failure and relationships between renal failure, shunt type and outcomes post-Norwood.METHODS: Post-operative renal failure was defined a-priori as a ...
Source: The Annals of Thoracic Surgery - September 17, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Reid C Chamberlain Nicholas D Andersen Andrew W McCrary Christoph P Hornik Kevin D Hill Source Type: research

Intrapulmonary arterio-venous fistula - unusual early complication of wedge resection
We present a case of an arterio-venous fistula that developed in the early postoperative course after wedge resection of the right upper lobe. A 57-year old male treated for acute myeloid leukemia was referred from the hematology department because of a right upper lobe tumor. Wedge resection was performed. Three weeks later recurrent tumor was visualized on chest X-ray. Angio-CT diagnosed an arterio-venous fistula and the patient was scheduled for redo surgery. Completion upper lobectomy was performed and the pathological examination confirmed iatrogenic arterio-venous fistula. To our knowledge such an early complication ...
Source: The Annals of Thoracic Surgery - September 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Karolina Gambu ś Piotr Talar B łażej Kużdżał Ma łgorzata Urbańczyk Lucyna Rudnicka Source Type: research

Lung Cancer Screening in a Safety-Net Hospital: Rare Harms Inform Decision-Making
CONCLUSIONS: LCS of a predominantly African American population with 2-year follow-up demonstrates early detection and treatment of lung cancer with few harms. Though rare, harms must be clearly described with population-specific evidence. We report clinical perspective of rare harms that can provide guidance to providers and patients.PMID:34516963 | DOI:10.1016/j.athoracsur.2021.07.102 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Lynde K Lutzow Jessica Magarinos Chandra Dass Grace X Ma Cherie P Erkmen Source Type: research

Spontaneous dislocation of a frozen elephant trunk stent-graft into the false lumen
Ann Thorac Surg. 2021 Sep 10:S0003-4975(21)01562-9. doi: 10.1016/j.athoracsur.2021.08.014. Online ahead of print.NO ABSTRACTPMID:34516964 | DOI:10.1016/j.athoracsur.2021.08.014 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Maximilian Kreibich Bartosz Rylski Friedhelm Beyersdorf Martin Czerny Matthias Siepe Source Type: research

Thromboelastography-Platelet Mapping: Is it Really Helpful?
Ann Thorac Surg. 2021 Sep 10:S0003-4975(21)01561-7. doi: 10.1016/j.athoracsur.2021.08.013. Online ahead of print.NO ABSTRACTPMID:34516965 | DOI:10.1016/j.athoracsur.2021.08.013 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Nicholas Hess Danny Chu Source Type: research