First Use of HeartMate 3 TM in a Failing Fontan Circulation
We report the first successful implantation of the HeartMate 3 in a 22-year-old male with a failing Fontan circulation and the possible benefits it may have in supporting this ever-growing population of young adults with single ventricles. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Giant Left Atrial Appendage Aneurysm: A Rare Entity
Publication date: Available online 9 May 2018 Source:The Annals of Thoracic Surgery Author(s): Rajlakshmi Das, Lalit Kapoor, Somnath Ganguly, Arupratan Maity, Saibal RoyChowdhury, Pradeep Narayan (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Reconstruction of Small Chest Wall Defects Caused by Tubercular Abscesses Using Two Different Flaps
Publication date: Available online 9 May 2018 Source:The Annals of Thoracic Surgery Author(s): Woo Ju Kim, Woo Seob Kim, Han Koo Kim, Tae Hui Bae Tubercular infection of the chest wall is rare and typically progresses to abscess formation. The treatment of these abscesses combines medical therapy with surgical debridement, which can cause defects of various sizes. We have reconstructed relatively small chest wall defects caused by tubercular abscesses using 2 different flaps: a lateral intercostal artery perforator flap and a split pectoralis major muscle flap. The use of these flap techniques may provide a novel approach...
Source: The Annals of Thoracic Surgery - May 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Direct Heart Procurement Following Donation after Circulatory Death with ex situ Reperfusion
We describe a modified technique at our institution with rapid donor blood drainage using a cell saver and synchronised perfusion on the OCS. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Robotically-Assisted Transthoracic Cervical Rib Resection
We report a unique case of robotically-assisted transthoracic cervical rib resection for neurogenic thoracic outlet syndrome. This minimally invasive technique offers delicate tissue manipulation under optimal visualization of the thoracic outlet structures. Hence, it promotes patient safety and complete surgical decompression. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

What is Floating in the Pleural Space?
Publication date: Available online 9 May 2018 Source:The Annals of Thoracic Surgery Author(s): Murat Oncel, Huseyin Yildiran, Guven Sadi Sunam (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Giant Left Atrial Appendage Aneurysm: A Rare Entity.
PMID: 29752916 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 9, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Das R, Kapoor L, Ganguly S, Maity A, RoyChowdhury S, Narayan P Tags: Ann Thorac Surg Source Type: research

Robotically-Assisted Transthoracic Cervical Rib Resection.
We report a unique case of robotically-assisted transthoracic cervical rib resection for neurogenic thoracic outlet syndrome. This minimally invasive technique offers delicate tissue manipulation under optimal visualization of the thoracic outlet structures. Hence, it promotes patient safety and complete surgical decompression. PMID: 29752917 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 9, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Wybaillie E, Maene L, Cooreman F, Beelen R Tags: Ann Thorac Surg Source Type: research

What is Floating in the Pleural Space?
PMID: 29752918 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 9, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Oncel M, Yildiran H, Sunam GS Tags: Ann Thorac Surg Source Type: research

First Use of HeartMate 3 TM in a Failing Fontan Circulation.
We report the first successful implantation of the HeartMate 3 in a 22-year-old male with a failing Fontan circulation and the possible benefits it may have in supporting this ever-growing population of young adults with single ventricles. PMID: 29752919 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 9, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Lorts A, Villa C, Riggs KW, Broderick J, Morales DL Tags: Ann Thorac Surg Source Type: research

Direct Heart Procurement Following Donation after Circulatory Death with ex situ Reperfusion.
We describe a modified technique at our institution with rapid donor blood drainage using a cell saver and synchronised perfusion on the OCS. PMID: 29752920 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 9, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Smail H, Garcia Saez D, Stock U, Ahmed Hassan H, Bowles C, Zych B, Mohite PN, Maunz O, Simon AR Tags: Ann Thorac Surg Source Type: research

Reconstruction of Small Chest Wall Defects Caused by Tubercular Abscesses Using Two Different Flaps.
Abstract Tubercular infection of the chest wall is rare and typically progresses to abscess formation. The treatment of these abscesses combines medical therapy with surgical debridement, which can cause defects of various sizes. We have reconstructed relatively small chest wall defects caused by tubercular abscesses using 2 different flaps: a lateral intercostal artery perforator flap and a split pectoralis major muscle flap. The use of these flap techniques may provide a novel approach to cover small chest wall defects caused by tubercular abscesses. PMID: 29752921 [PubMed - as supplied by publisher] (Sourc...
Source: The Annals of Thoracic Surgery - May 9, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Kim WJ, Kim WS, Kim HK, Bae TH Tags: Ann Thorac Surg Source Type: research

Surgical Management of Tricuspid Valve Infective Endocarditis: A Systematic Review and Meta-Analysis
Conclusions Tricuspid valve repair and replacement offer similar long term survival. Valve repair may offer greater freedom from recurrent IE and reoperation as well as need for pacemaker and should be the preferred approach for patients with tricuspid valve IE. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 9, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Bilateral Posterior Mediastinal Primary Myelolipoma
Publication date: Available online 8 May 2018 Source:The Annals of Thoracic Surgery Author(s): Ishan Goel, Parul Kaushik, Rama Anand Myelolipoma(ML) is an uncommon benign mesenchymal tumor consisting of mature adipocytes and hemopoietic elements mostly found in adrenal glands. Bilateral posterior mediastinal primary myelolipoma presents extremely rarely and only 11 such occurrences have been previously described. With no definite symptoms, pathological evaluation is essential for diagnosis. Here the authors present a case of a 63-year old man diagnosed with bilateral posterior mediastinal primary myelolipoma on basis of r...
Source: The Annals of Thoracic Surgery - May 9, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Relative Adrenal Insufficiency is Associated with Prolonged Postoperative Hemodynamic Instability
Conclusions Postoperative RAI is common in patients undergoing cardiac surgery and is associated with an increased risk of persistent hemodynamic instability. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 9, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Regional Thoracic Surgery Quality Collaboration Formation: Providence Thoracic Surgery Initiative
Conclusions The TSI is evolving. Surgeon engagement remains high. The TSI enabled surgeons to lead, set the agenda and remain in control of our destiny. Indeed, health care cannot appropriately evolve without such physician vision, engagement and leadership. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 9, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Frozen Elephant Trunk for Acute Type B Dissection Involving the Distal Arch in the Hybrid Repair Era
Conclusions Open repair of ATBAD with distal aortic arch involvement using the FET procedure with LSCA–LCCA transposition obtained satisfactory outcomes. Avoidance of complications using hybrid repair, good postoperative recovery, and a low prevalence of late reintervention were achieved. The satisfactory results favored this technique for this lesion in this hybrid repair era. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 9, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

A Simplified Technique for Complex Mitral Valve Regurgitation via Minimally Invasive Approach
Conclusions Complex mitral disease in its different forms can be successfully addressed with excellent early and mid-term results using a simplified stepwise mitral valve repair minimally invasive. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 9, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Hyponatremia Predicts Poor Outcomes in Patients with Chronic Kidney Disease Undergoing Heart Surgery
Conclusions Preoperative hyponatremia is a predictor of increased mortality as well as other adverse events in patients with non- dialysis dependent chronic kidney disease undergoing cardiac surgery. These findings are similar to those in hyponatremic patients without kidney disease. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 9, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Lung Hydatid Cyst Treatment with Laparotomy: A New and Different Technique
We present the case of a patient with a pulmonary hydatid cyst. The patient underwent laparotomy for hepatic and splenic cysts, and we performed cystotomy and capitonnage using a transdiaphragmatic intervention. The pulmonary hydatid cyst was located at the base of the lung and near the diaphragm. The diaphragm was cut about 5 cm at the front and the thorax was entered.The pulmonary cyst was treated intra-abdominally. This technique is effective and safe and prevents the patient from undergoing a second operation.We suggest that this technique, which has not been defined before, can be applied safely in carefully selected ...
Source: The Annals of Thoracic Surgery - May 9, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Frozen Elephant Trunk for Acute Type B Dissection Involving the Distal Arch in the Hybrid Repair Era.
CONCLUSIONS: Open repair of ATBAD with distal aortic arch involvement using the FET procedure with LSCA-LCCA transposition obtained satisfactory outcomes. Avoidance of complications using hybrid repair, good postoperative recovery, and a low prevalence of late reintervention were achieved. The satisfactory results favored this technique for this lesion in this hybrid repair era. PMID: 29750927 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 8, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Qi RD, Zhu JM, Liu YM, Chen L, Li CN, Xing XY, Zhang N, Sun LZ Tags: Ann Thorac Surg Source Type: research

Surgical Management of Tricuspid Valve Infective Endocarditis: A Systematic Review and Meta-Analysis.
Abstract BACKGROUND: This meta-analysis compares the early and late outcomes of valve repair versus replacement, the primary surgical strategies for tricuspid valve infective endocarditis (IE). METHODS: We searched MEDLINE and EMBASE databases until 2016 for studies comparing tricuspid valve repair and replacement. RESULTS: The main outcomes were mortality, recurrent IE and need for reoperation. There were 12 unmatched retrospective observational studies with 1165 patients (median follow up 3.8 [inter-quartile range: 2.1-5.0] years). The most common indications for surgery were septic pulmonary embolism,...
Source: The Annals of Thoracic Surgery - May 8, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Yanagawa B, Elbatarny M, Verma S, Hill S, Mazine A, Puskas JD, Friedrich JO Tags: Ann Thorac Surg Source Type: research

Hyponatremia Predicts Poor Outcomes in Patients with Chronic Kidney Disease Undergoing Heart Surgery.
Abstract BACKGROUND: Preoperative hyponatremia adversely impacts outcomes of cardiothoracic surgery. However, in patients with chronic kidney disease, the association of sodium levels on postoperative events has never been evaluated. We investigated the impact of preoperative hyponatremia on outcomes after cardiac surgery in patients with non-dialysis-dependent chronic kidney disease. Primary endpoints were operative mortality and acute kidney injury requiring dialysis. Secondary endpoints were major infection and long-term survival. METHODS: The study is observational and includes all patients with stage III...
Source: The Annals of Thoracic Surgery - May 8, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Shavit L, Merin O, Grenader T, Jacobson E, Waldenberg C, Bitran D, Fink D, Silberman S Tags: Ann Thorac Surg Source Type: research

A Simplified Technique for Complex Mitral Valve Regurgitation via Minimally Invasive Approach.
CONCLUSIONS: Complex mitral disease in its different forms can be successfully addressed with excellent early and mid-term results using a simplified stepwise mitral valve repair minimally invasive. PMID: 29750930 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 8, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Speziale G, Moscarelli M, Di Bari N, Bonifazi R, Salardino M, De Donatis T, Nasso G Tags: Ann Thorac Surg Source Type: research

Relative Adrenal Insufficiency is Associated with Prolonged Postoperative Hemodynamic Instability.
CONCLUSIONS: Postoperative RAI is common in patients undergoing cardiac surgery and is associated with an increased risk of persistent hemodynamic instability. PMID: 29750931 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 8, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Mazine A, Bouhout I, Saydy N, Stevens LM, Gagné-Loranger M, Eynden FV, Parent D, Lamarche Y, Bouchard D Tags: Ann Thorac Surg Source Type: research

Bilateral Posterior Mediastinal Primary Myelolipoma.
Abstract Myelolipoma(ML) is an uncommon benign mesenchymal tumor consisting of mature adipocytes and hemopoietic elements mostly found in adrenal glands. Bilateral posterior mediastinal primary myelolipoma presents extremely rarely and only 11 such occurrences have been previously described. With no definite symptoms, pathological evaluation is essential for diagnosis. Here the authors present a case of a 63-year old man diagnosed with bilateral posterior mediastinal primary myelolipoma on basis of radiological findings who underwent surgical resection via video-assisted thoracic surgery (VATS). The aim of this re...
Source: The Annals of Thoracic Surgery - May 8, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Goel I, Kaushik P, Anand R Tags: Ann Thorac Surg Source Type: research

Regional Thoracic Surgery Quality Collaboration Formation: Providence Thoracic Surgery Initiative.
CONCLUSIONS: The TSI is evolving. Surgeon engagement remains high. The TSI enabled surgeons to lead, set the agenda and remain in control of our destiny. Indeed, health care cannot appropriately evolve without such physician vision, engagement and leadership. PMID: 29750933 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 8, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Handy JR, Costas K, McKenna R, Nisco S, Schaerf R, Stephens K, Vallières E, Konieczny K, Weerasinghe R, Wang M, Lothrop K, Betzer C Tags: Ann Thorac Surg Source Type: research

Lung Hydatid Cyst Treatment with Laparotomy: A New and Different Technique.
We present the case of a patient with a pulmonary hydatid cyst. The patient underwent laparotomy for hepatic and splenic cysts, and we performed cystotomy and capitonnage using a transdiaphragmatic intervention. The pulmonary hydatid cyst was located at the base of the lung and near the diaphragm. The diaphragm was cut about 5 cm at the front and the thorax was entered.The pulmonary cyst was treated intra-abdominally. This technique is effective and safe and prevents the patient from undergoing a second operation.We suggest that this technique, which has not been defined before, can be applied safely in carefully selected ...
Source: The Annals of Thoracic Surgery - May 8, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Aydin Y, Ince I, Turkyilmaz A, Eroglu A Tags: Ann Thorac Surg Source Type: research

Neutrophil to Lymphocyte Ratio as Predictor of Treatment Response in Esophageal Squamous Cell Cancer
Conclusions ΔNLR was inversely related to pCR and associated with risk of recurrence. This simple test, in concert with other clinical tools, can help identify patients with pCR. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 6, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Acute Management of Infected Chronic Thromboembolic Disease
Publication date: Available online 5 May 2018 Source:The Annals of Thoracic Surgery Author(s): Donna May Kimmaliardjuk, Carole Dennie, Sean Dickie, Eric C. Belanger, Fraser Rubens A 29-year-old male with chronic pulmonary emboli presented to hospital with progressive pleuritic chest pain. He was in acute right ventricular failure, and thus underwent intra-pulmonary arterial tissue plasminogen (tPA). He developed massive hemoptysis requiring emergent thromboendarterectomy. A clot was visualized in the main left pulmonary artery which had formed a bronchovascular fistula into the left upper lobe bronchus. Pathology of the c...
Source: The Annals of Thoracic Surgery - May 6, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Centralizing Esophagectomy to Improve Outcomes and Enhance Clinical Research: Invited Expert Review
Publication date: Available online 5 May 2018 Source:The Annals of Thoracic Surgery Author(s): Andrew C. Chang Since the 1970s studies have demonstrated a strong association between operative volume and outcomes such as mortality and complications particularly for complex cancer resections such as esophagectomy. The denouement has been to suggest that this operation should be directed towards specialized centers of esophageal cancer care, with operative volume thresholds being the primary basis for evidence-based hospital referral. In this article, early efforts to centralize esophagectomy as reported from other countries...
Source: The Annals of Thoracic Surgery - May 6, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Closure of a Post-Transplant Bronchial Dehiscence with Endobronchial Fibrin Sealant
Publication date: Available online 5 May 2018 Source:The Annals of Thoracic Surgery Author(s): Branden W. Luna, Luca Paoletti, Chadrick E. Denlinger, Nicholas J. Pastis, Timothy P. Whelan Airway complications following lung transplantation are well described and can lead to significant morbidity and mortality. Treatment options for anastomotic dehiscence include expectant management, placement of endobronchial stents, or surgical repair. The use of fibrin sealant instilled via bronchoscopy to seal a dehiscence has not been well described. Our patient is a 57 year old male who underwent orthotropic bilateral lung transplan...
Source: The Annals of Thoracic Surgery - May 6, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Endobronchial Ultrasound Elastography Differentiate Intrathoracic Lymph Nodes: A Meta-Analysis
Conclusions The results revealed endobronchial ultrasound elastography is a new technique with high sensitivity and specificity. It has a fine performance in diagnosing intrathoracic lymph nodes. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 6, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Durability at 19 Years of Quadrangular Resection with Annular Plication for Mitral Regurgitation
Conclusions Quadrangular resection with annular plication for posterior leaflet prolapse, combined with annuloplasty, is associated with very low probability of reoperation and recurrent mitral regurgitation for up to two decades after surgery. These results provide reference values to which all the other more recently introduced surgical and trans-catheter options need to be compared. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 6, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Neutrophil to Lymphocyte Ratio as Predictor of Treatment Response in Esophageal Squamous Cell Cancer.
CONCLUSIONS: ΔNLR was inversely related to pCR and associated with risk of recurrence. This simple test, in concert with other clinical tools, can help identify patients with pCR. PMID: 29738752 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 5, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Barbetta A, Nobel TB, Sihag S, Hsu M, Tan KS, Bains MS, Isbell JM, Janjigian YY, Wu AJ, Bott MJ, Jones DR, Molena D Tags: Ann Thorac Surg Source Type: research

Acute Management of Infected Chronic Thromboembolic Disease.
Abstract A 29-year-old male with chronic pulmonary emboli presented to hospital with progressive pleuritic chest pain. He was in acute right ventricular failure, and thus underwent intra-pulmonary arterial tissue plasminogen (tPA). He developed massive hemoptysis requiring emergent thromboendarterectomy. A clot was visualized in the main left pulmonary artery which had formed a bronchovascular fistula into the left upper lobe bronchus. Pathology of the clot revealed fibrinopurulent exudate and Gram-positive cocci. The left pulmonary artery was repaired with a pericardial patch, and the left upper lobe was oversewn...
Source: The Annals of Thoracic Surgery - May 5, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Kimmaliardjuk DM, Dennie C, Dickie S, Belanger EC, Rubens F Tags: Ann Thorac Surg Source Type: research

Closure of a Post-Transplant Bronchial Dehiscence with Endobronchial Fibrin Sealant.
Abstract Airway complications following lung transplantation are well described and can lead to significant morbidity and mortality. Treatment options for anastomotic dehiscence include expectant management, placement of endobronchial stents, or surgical repair. The use of fibrin sealant instilled via bronchoscopy to seal a dehiscence has not been well described. Our patient is a 57 year old male who underwent orthotropic bilateral lung transplantation for end stage COPD. He was found to have a partial bronchial anastomosis dehiscence and subsequently treated with endobronchial fibrin sealant glue instillation. Th...
Source: The Annals of Thoracic Surgery - May 5, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Luna BW, Paoletti L, Denlinger CE, Pastis NJ, Whelan TP Tags: Ann Thorac Surg Source Type: research

Durability at 19 Years of Quadrangular Resection with Annular Plication for Mitral Regurgitation.
CONCLUSIONS: Quadrangular resection with annular plication for posterior leaflet prolapse, combined with annuloplasty, is associated with very low probability of reoperation and recurrent mitral regurgitation for up to two decades after surgery. These results provide reference values to which all the other more recently introduced surgical and trans-catheter options need to be compared. PMID: 29738755 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 5, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Lapenna E, Del Forno B, Amore L, Ruggeri S, Iaci G, Schiavi D, Belluschi I, Bargagna M, Alfieri O, De Bonis M Tags: Ann Thorac Surg Source Type: research

Endobronchial Ultrasound Elastography Differentiate Intrathoracic Lymph Nodes: A Meta-Analysis.
CONCLUSIONS: The results revealed endobronchial ultrasound elastography is a new technique with high sensitivity and specificity. It has a fine performance in diagnosing intrathoracic lymph nodes. PMID: 29738756 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 5, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Chen YF, Mao XW, Zhang YJ, Zhang CY, Yu YF, Qin E, Chen X, Shen JX Tags: Ann Thorac Surg Source Type: research

Centralizing Esophagectomy to Improve Outcomes and Enhance Clinical Research: Invited Expert Review.
Abstract Since the 1970s studies have demonstrated a strong association between operative volume and outcomes such as mortality and complications particularly for complex cancer resections such as esophagectomy. The denouement has been to suggest that this operation should be directed towards specialized centers of esophageal cancer care, with operative volume thresholds being the primary basis for evidence-based hospital referral. In this article, early efforts to centralize esophagectomy as reported from other countries such as England, Canada and the Netherlands, as well as the potential impact on access to car...
Source: The Annals of Thoracic Surgery - May 5, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Chang AC Tags: Ann Thorac Surg Source Type: research

Middle Mediastinal Thymoma
Publication date: Available online 5 May 2018 Source:The Annals of Thoracic Surgery Author(s): Takamasa Fukui, Ryota Sumitomo, Yosuke Otake, Cheng-long Huang Thymoma is a common neoplasm in the anterior mediastinum, but rarely arises from the middle mediastinum. Here, we report 3 cases of thymoma that arise from the middle mediastinum. Surgical resections were performed with dissection of the azygos vein, which led to safe separation of the tumors from mediastinal structures. Although rare, thymoma should be included in the differential diagnosis for middle mediastinal tumors. Thymoma is the most common neoplasm in the me...
Source: The Annals of Thoracic Surgery - May 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Successful Use of Sternal-sparing Minimally Invasive Surgery for Proximal Ascending Aortic Pathology
Conclusions A sternal-sparing approach to surgery of the proximal aorta is safe when performed by an experienced surgeon and conserves hospital resources. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Cardiopulmonary-Bypass Glial Fibrillary Acidic Protein Correlates With Neurocognitive Skills
Conclusions Impaired neurodevelopment was associated with increase of GFAP plasma levels during cardiac surgery in infants. The identification of the neurological high-risk phases of CPB run could support the application of new neuroprotective strategies for CHD repair. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Preoperative Aortic Arch Size and Late Outcome Following Coarctation Repair via Lateral Thoracotomy
Conclusions Aortic arches of various dimensions were successfully repaired by lateral thoracotomy. No significant predictors for reintervention or long-term success could be identified although distal transverse arch dimension may play a role in long-term success. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Pulmonary Valve Replacement: A Single Institution Comparison of Surgical and Transcatheter Valves
Conclusions Hemodynamic performance is similar between SPVR and TPVR with similar rates of reintervention. While SPVR patients have a longer hospital length of stay, TPVR was associated with higher rates of infective endocarditis, hospital costs and failure to implant. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Total R ıb Resectıon Vıa Unıportal Thoracoscopıc Approach
In this report, we present a case specifying the availability of uniportal thoracoscopic resection of a total rib safely without the need of conventional thoracotomy. The favorable outcome of this case suggests that uniportal thoracoscopic technique described here is safe and succesful approach for resection of costal lesions with good cosmetic results. To our knowledge; this is the first case reporting the entire rib resection via uniportal thoracoscopic approach. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Cardiopulmonary-Bypass Glial Fibrillary Acidic Protein Correlates With Neurocognitive Skills.
CONCLUSIONS: Impaired neurodevelopment was associated with increase of GFAP plasma levels during cardiac surgery in infants. The identification of the neurological high-risk phases of CPB run could support the application of new neuroprotective strategies for CHD repair. PMID: 29733822 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 4, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Vedovelli L, Padalino M, Suppiej A, Sartori S, Falasco G, Simonato M, Carnielli VP, Stellin G, Cogo P Tags: Ann Thorac Surg Source Type: research

Total R ıb Resectıon Vıa Unıportal Thoracoscopıc Approach.
In this report, we present a case specifying the availability of uniportal thoracoscopic resection of a total rib safely without the need of conventional thoracotomy. The favorable outcome of this case suggests that uniportal thoracoscopic technique described here is safe and succesful approach for resection of costal lesions with good cosmetic results. To our knowledge; this is the first case reporting the entire rib resection via uniportal thoracoscopic approach. PMID: 29733823 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - May 4, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Ocakcioglu I, Ermerak NO, Yuksel M Tags: Ann Thorac Surg Source Type: research

Preoperative Aortic Arch Size and Late Outcome Following Coarctation Repair via Lateral Thoracotomy.
This study aims to define how preoperative arch dimensions relate to late outcomes and identify long term predictors of successful surgery. METHODS: We performed a retrospective review of 102 neonates and infants undergoing isolated coarctation repair via lateral thoracotomy between 2003-2012. Long term surgical success was defined based on the following 5 factors; corrected arch gradient
Source: The Annals of Thoracic Surgery - May 4, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Ramachandran P, Khoury PR, Beekman RH, Michelfelder EC, Manning PB, Tweddell JS, Cnota JF Tags: Ann Thorac Surg Source Type: research

Middle Mediastinal Thymoma.
Abstract Thymoma is a common neoplasm in the anterior mediastinum, but rarely arises from the middle mediastinum. Here, we report 3 cases of thymoma that arise from the middle mediastinum. Surgical resections were performed with dissection of the azygos vein, which led to safe separation of the tumors from mediastinal structures. Although rare, thymoma should be included in the differential diagnosis for middle mediastinal tumors. Thymoma is the most common neoplasm in the mediastinum, which arises from the thymus. Although most thymomas are found in the anterior mediastinum, they can also arise from other locatio...
Source: The Annals of Thoracic Surgery - May 4, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Fukui T, Sumitomo R, Otake Y, Huang CL Tags: Ann Thorac Surg Source Type: research