Pretreatment with Diazoxide Attenuates Spinal Cord Ischemia-Reperfusion Injury Through STAT3 pathway.
CONCLUSIONS: DZ preserves motor function in spinal cord ischemia-reperfusion injury via the STAT3 pathway. DZ may be beneficial clinically, for use in spinal protection in aortic intervention. PMID: 30395862 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 2, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Yamanaka K, Eldeiry M, Aftab M, Ryan TJ, Roda G, Meng X, Weyant MJ, Cleveland JC, Fullerton DA, Reece TB Tags: Ann Thorac Surg Source Type: research

A Standardized Musculocutaneous Flap for the Coverage of Deep Sternal Wounds after Cardiac Surgery (Commentary).
PMID: 30395863 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 2, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Cabbabe EB Tags: Ann Thorac Surg Source Type: research

Trans-diaphragmatic gastro-ventricular fistula
We report a case of trans-diaphragmatic fistula between the intra-abdominal gastric conduit and the right ventricle and surgical management thereof. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 1, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Sustainability of infant cardiac surgery early extubation practices after implementation and study
Publication date: Available online 31 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Michael Gaies, Sara K. Pasquali, Susan C. Nicolson, Lara Shekerdemian, Madolin Witte, Michael Wolf, Wenying Zhang, Janet E. Donohue, William T. Mahle, Pediatric Heart Network InvestigatorsAbstractBackgroundThe Pediatric Heart Network Collaborative Learning Study (PHN CLS) successfully changed practice at 4 hospitals to increase the rate of early extubation within 6 hours after infant heart surgery. It is unknown whether this practice continued after study completion.MethodsWe linked the PHN CLS dataset to the Pediatric Cardia...
Source: The Annals of Thoracic Surgery - November 1, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Patterns of Recurrence and Overall Survival in Incidental Lung Cancer in Explanted Lungs
ConclusionsMost recurrences occur within two years after transplantation and are the cause of death in these patients. Patients with nodal disease tend to have higher recurrence rates. Multidisciplinary review of abnormal pre-transplant radiographic findings and close follow up may allow for detection of undiagnosed cancers. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 1, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Long-Term Growth of the Neoaortic Root after Arterial Switch Operation
This study aimed to investigate the growth of the neoaortic root and identify risk factors for neoaortic root dilatation.MethodsSerial angiographic measurements of the neoaortic root for at least 10 years were evaluated in 145 patients. A total of 1876 measurements of the sinuses of the Valsalva and the neoaortic annuli were obtained. A linear mixed effects model was used for z-score analysis, including evaluation of risk factors for neoaortic root dilatation. To assess changes in the time course of neoaortic root absolute diameters, a nonlinear mixed effects model with a growth curve model was used.ResultsThe growth curve...
Source: The Annals of Thoracic Surgery - November 1, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Subtotal Cor Triatriatum on Dual Source CT
Publication date: Available online 31 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Arun Sharma, Basavraj Biradar, Amarinder S. Malhi, Sanjeev Kumar (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 1, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Failure to Harvest Lymph Nodes
Publication date: Available online 31 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Frank A. Baciewicz (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 1, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Does Mitral Valve Calcium In Patients Undergoing Mitral Valve Replacement Portend Worse Survival?
CONCLUSIONS: Conservative approach to treat MAC achieves satisfactory results. Patients with MAC have significant comorbidities contributing to a worse survival though MAC in itself is not a risk factor for mortality. PMID: 30391339 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Saran N, Greason KL, Schaff HV, Cicek SM, Daly RC, Maltais S, Stulak JM, Pochettino A, King KS, Dearani JA, Said SM Tags: Ann Thorac Surg Source Type: research

Predictive Utility of Lung Allocation Score for Retransplantation Outcomes.
CONCLUSIONS: The Lung Allocation Score achieved comparable, but poor, predictive utility for 1-year outcomes of primary LTx and rLTx. We found no evidence that Lung Allocation Score components should be weighted differently for rLTx candidates. PMID: 30369429 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 30, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Doyle S, Hayes D, Stewart WCL, Whitson BA, Tobias JD, Tumin D Tags: Ann Thorac Surg Source Type: research

Emergency Use of Branched Thoracic Endovascular Repair in the Treatment of Aortic Arch Pathologies
Conclusions: Our experience provided an early insight to the feasibility and safety of b-TEVAR in emergency situation, although the early reintervention rate was not negligible. The endograft was versatile with potential off-the-shelf use in future. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 30, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Differential Survival characteristics of sarcomatoid subtype biphasic pleural mesothelioma
Publication date: Available online 30 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Leanne Harling, Styliani Maria Kolokotroni, Arjun Nair, Jeremy Smelt, Juliet King, Tom Routledge, James Spicer, Wen Ng, Andrea BilleAbstractBackgroundBiphasic mesothelioma (BPM) accounts for approximately 10% of all pleural mesothelioma. Our aim was to assess the clinical, radiological and pathological factors impacting survival in BPM and to better identify patients most likely to benefit from active treatment.MethodsTen-year retrospective review of 214 biopsy-proven BPM cases with minimum 2-year follow-up. Patients with ins...
Source: The Annals of Thoracic Surgery - October 30, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Feasibility and Clinical Effectiveness of Three-Dimensional Printed Model-Assisted Nuss Procedure
This study aimed to demonstrate the feasibility of the 3D model-assisted Nuss procedure and to compare its potential benefits with those of the traditional Nuss procedure.MethodsWe simulated the targeted curvature, length and planned intercostal space of a metallic bar based on the preoperative chest computed tomographic images. After using a 3D printing technique, a plastic template bar was produced and sterilized. The metallic bar was bent and placed at the planned intercostal space accordingly. The patients’ characteristics, total number of pectus bar placement, total operation time and improvement percentage of H...
Source: The Annals of Thoracic Surgery - October 30, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Mitral valve repair vs replacement in elderly with degenerative disease: Analysis of the STS Adult Cardiac Surgery Database
Publication date: Available online 26 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Ryan J. Hendrix, Ricardo A. Bello, Julie M. Flahive, Nikolaos Kakouros, Gerard P. Aurigemma, John F. Keaney, William Hoffman, Christina M. VassilevaAbstractBackgroundIt has been postulated that mitral repair in the elderly does not confer short-term benefits over mitral replacement with complete preservation of the chordal apparatus. Our purpose was to test this hypothesis using data from the STS ACSD.MethodsPatients age ≥ 70 undergoing primary isolated elective mitral valve repair (MVP) or mitral valve replacement (MVR) f...
Source: The Annals of Thoracic Surgery - October 27, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Necessity of New Repair Technique
Publication date: Available online 26 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Habib Cakir, Ismail Yurekli, Huseyin Durmaz, Kamil Asar, Mert Kestelli (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 27, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Massive Main Pulmonary Artery Aneurysm Complicated by Acute Dissection
Publication date: Available online 26 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Laura DiChiacchio, Kevin M. Jones (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 27, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Ground Glass Lesions on Imaging: Evaluation of Reported Incidence Using Natural Language Processing
Publication date: Available online 26 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Robert M. Van Haren, Arlene M. Correa, Boris Sepesi, David C. Rice, Wayne L. Hofstetter, Reza J. Mehran, Ara A. Vaporciyan, Garrett L. Walsh, Jack A. Roth, Stephen G. Swisher, Mara B. AntonoffAbstractBackgroundGround glass opacities (GGO) on computed tomography (CT) imaging have gained significant recent attention, with unclear incidence and epidemiologic patterns. Natural language processing (NLP) is a powerful computing tool that collects variables from unstructured data fields. Our objective was to characterize trends of G...
Source: The Annals of Thoracic Surgery - October 27, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Technical considerations for lung transplantation in Kartagener’s syndrome
We report a case of bilateral LT without the use of cardiopulmonary bypass in a patient with Kartagener’s syndrome while describing important technical details of the operation.Primary ciliary dyskinesia (PCD) is an umbrella term for an autosomal recessive mutation resulting in disorders of motile cilia. Patients typically present with recurrent respiratory infections, as the ciliated epithelium of the respiratory tract cannot effectively clear airway secretions. Approximately 50% of cases manifest the clinical triad of Kartagener’s syndrome (KS), consisting of bronchiectasis, chronic sinusitis, and situs inver...
Source: The Annals of Thoracic Surgery - October 27, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Multicenter Analysis of Early Childhood Outcomes Following Repair of Truncus Arteriosus
ConclusionsIn a multicenter dataset, DiGeorge syndrome and need for tracheostomy postoperatively were found to be independent risk factors for late mortality after repair of truncus arteriosus, while risk of conduit reintervention was independently influenced by both initial conduit type and size. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 27, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

A Standardized Musculocutaneous Flap for the Coverage of Deep Sternal Wounds after Cardiac Surgery
ConclusionsWe conclude that the latissimus dorsi pedicled flap is a safe, reproducible technique for coverage of deep sternal wounds, with few relevant perioperative complications. By setting definite parameters for the flap dissection and by ensuring a reliable blood supply, our method enables the coverage of these complex wounds by an interdisciplinary team in any cardiovascular surgical setting. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 27, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Long-Term Outcomes after Mitral Valve Replacement and Tricuspid Annuloplasty in Rheumatic Patients
ConclusionsThis study demonstrates good long-term results in patients with rheumatic heart disease undergoing mitral valve replacement with concomitant tricuspid valve annuloplasty. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 26, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Ex-vivo sleeve lobectomy and auto-transplantation after chemoradiation
Publication date: Available online 25 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Tokuyuki Yamashita, Masatsugu Hamaji, Ryo Nakanobo, Akihiro Aoyama, Toyofumi Fengshi Chen-Yoshikawa, Makoto Sonobe, Hiroshi DateAbstractA 51-year-old man presented to us for potential salvage surgery for local recurrence of a squamous cell carcinoma originating in the left lower lobe after definitive chemoradiotherapy. Salvage sleeve lower lobectomy was initially planned, however, intraoperatively the interlobar pulmonary artery was difficult to separate from the bronchus. To safely spare the upper lobe, we performed ex-vivo ...
Source: The Annals of Thoracic Surgery - October 26, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Minimally Invasive Approach for Complex Mitral Disease:time to choose the lesser of evils? (Reply)
Publication date: Available online 25 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Marco Moscarelli, Giuseppe Nasso, Giuseppe Speziale (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 26, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

When Cold Matters, Consider Your Options (Reply)
Publication date: Available online 25 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Ibrahim Sultan, Thomas G. Gleason (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 26, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Is it time for a national peri-operative registry on pneumonectomy surgery? (Reply)
Publication date: Available online 25 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Claudio Andreetti, Matteo Tiracorrendo, Erino Angelo Rendina, Mario Santini, Alfonso Fiorelli (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 26, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Novel Left Atrioventricular Valvuloplasty for Atrioventricular Septal Defect
We report a successful instance of CAVSD that achieved biventricular repair via novel left atrioventricular valvuloplasty for parachute left atrioventricular valve and absent left mural leaflet. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 26, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Perceval Valve Implantation: Technical Details and Echocardiographic Assessment
Publication date: Available online 24 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Vishnu Vasanthan, William Kent, Alexander Gregory, Andrew Maitland, Charles Cutrara, Denis Bouchard, Federico Asch, Corey AdamsAbstractThe Perceval valve (LivaNova, London, United Kingdom) is a collapsible, sutureless bioprosthetic aortic valve. This novel design is well suited for minimally invasive approaches and has particular advantages for patients with small, calcified annuli. The implantation technique is unique and echocardiographic assessment of valve cage shape, angulation and height are essential. The following dis...
Source: The Annals of Thoracic Surgery - October 26, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Stent Graft-Induced Pseudoaneurysms in a Patient with Vasculo-Behcet’s Disease
Publication date: Available online 23 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Hunter M. Ray, Anthony L. EstreraAbstractBehcet’s disease is a rare condition that causes pathologic abnormalities in multiple systems, with vascular complications occurring between 7-29% of disease individuals, termed vasculo-Behcet’s disease (vasculo-BD). Arterial complications portend the highest mortality in vasculo-BD. Here, we present a case of a young female with active vasculo-BD who failed endovascular repair with development of stent graft-induced pseudoaneurysms at the proximal and distal extents of the...
Source: The Annals of Thoracic Surgery - October 24, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Multimodality Imaging in Aortic Arch Aneurysm Ruptured into Pulmonary Artery
Publication date: Available online 23 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Nobuyuki Kagiyama, Yuki Otsuki, Masatoshi Tsunoda, Hidenori Yoshitaka (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 24, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Shepherd’s crook conal artery: A hitherto unreported variant
Publication date: Available online 23 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Niraj Nirmal Pandey, Rengarajan Rajagopal, Arun Sharma, Sanjeev Kumar (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 24, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Impact of cardiopulmonary bypass flow on renal oxygenation in patients undergoing cardiac surgery
Publication date: Available online 23 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Lukas Lannemyr, Gudrun Bragadottir, Anders Hjärpe, Bengt Redfors, Sven-Erik RickstenAbstractBackgroundCardiac surgery with cardiopulmonary bypass (CPB) is associated with acute kidney injury, and the risk increases with low oxygen delivery during CPB. We hypothesized that renal oxygenation could be improved at higher than normal CPB flow rates.MethodsAfter ethical approval and informed consent, 17 patients with normal serum creatinine undergoing normothermic CPB were included and received pulmonary artery and renal vein ...
Source: The Annals of Thoracic Surgery - October 24, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Modeling Impaired Coaptation Effects on Mitral Leaflet Homeostasis Using a Flow Culture Bioreactor
Publication date: Available online 23 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Katsuhide Maeda, Xiaoyuan Ma, Frank L. Hanley, R. Kirk RiemerAbstractBackgroundMitral valve (MV) regurgitation constitutes an increasing burden of adult and pediatric cardiac disease tending to worsen over time. Whether altered mechanical forces on leaflets cause valve disease is unknown. Here we show that mitral valve leaflet coaptive strain disruption alters expression of genes critical to leaflet homeostasis.MethodsWe used a flow-culture bioreactor of rat MV with either flow–induced cyclic coaptation (Cycling valve g...
Source: The Annals of Thoracic Surgery - October 24, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

A modern reaffirmation of surgery as the optimal treatment for solitary fibrous tumors of the pleura
The objective of this study was to identify the most effective treatment for survival in patients with solitary fibrous tumors of the pleura (SFTP).MethodsThe National Cancer Database (NCDB) was queried for patients with malignant SFTPs. Patients were divided into two groups, those who had surgical treatment and those who did not. The primary outcome was 5-year overall survival which was assessed by the Kaplan-Meier method and compared using the log-rank test.ResultsThere were 204 patients with SFTPs identified between 2004 and 2014. Of those, 65% (133) patients had surgical intervention, whereas 18% (37) had no surgical i...
Source: The Annals of Thoracic Surgery - October 24, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Anomalous Aortic Origin of the Coronary Arteries: A Novel Unroofing Technique in an Adult Cohort (Commentary)
Publication date: Available online 23 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Minoo N. Kavarana (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 24, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Paracorporeal connection to Heart-Lung machine in transplant surgery with Berlin-Heart
Publication date: Available online 23 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Juan-Miguel Gil-Jaurena, Ramón Pérez-Caballero, Ana Pita, Carlos PardoAbstractA simple way to deal with time-consuming adhesions and cannulae handling in patients on paracorporeal assist-device facing transplant surgery is reported. On connecting the extra-thoracic lines to the Heart-Lung machine, chest re-entry becomes a straightforward issue. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 24, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Left Atrial Appendage Occlusion with Left Ventricular Assist Device Decreases Thromboembolic Events
ConclusionsIn patients undergoing LVAD, LAAO is associated with reduced TEs and this effect may be independent of AF. A prospective randomized study to examine the efficacy LAAO in prevention of TE is needed to confirm these findings. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 24, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Clinical Outcomes of Mitral Valve Reoperations in the United States: An Analysis of the Society of Thoracic Surgeons National Database
ConclusionsDespite a high-risk patient profile, surgical outcomes of reoperative MVS were acceptable, particularly in elective cases with prior mitral valve surgery and without endocarditis. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 24, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Tricuspid septal leaflet detachment for postinfarction septal rupture repair (Reply)
Publication date: Available online 23 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Erin T. Roughneen, Vincent R. Conti, Patrick T. Roughneen (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 24, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Approach to a Posterior Cervico-mediastinal Ganglioneuroma
Publication date: Available online 23 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Fred Lee, Wengdong Yu, Gabriel Loor, Bryan M. BurtAbstractPosterior mediastinal masses centered on the thoracic inlet require a thoughtful operative approach. Herein, a case of a young woman with a symptomatic posterior cervico-mediastinal ganglioneuroma is reported to highlight such considerations. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 24, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Post-Market Experience with HeartMate3 Left Ventricular Assist Device: 30-Day Outcomes from ELEVATE (Commentary)
Publication date: Available online 23 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Tain-Yen Hsia (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 24, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Pulmonary Blastoma in an Adult Presenting with Hemoptysis and Hemothorax
Publication date: Available online 23 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): John D. Vossler, Ayman Abdul-GhaniAbstractPulmonary blastoma is a rare, aggressive neoplasm accounting for less than 1% of lung cancers in adults. Reported is a case of pulmonary blastoma in an adult with the unusual presentation of hemoptysis followed by large hemothorax. The patient received a lobectomy. Pathology showed clear resection margins without nodal involvement. However, the patient developed recurrence 4 months after surgery and died shortly thereafter. The clinical characteristics of pulmonary blastoma are discus...
Source: The Annals of Thoracic Surgery - October 24, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Airway Compression After Unifocalization in Pulmonary Atresia and Aortopulmonary Collateral Arteries
ConclusionsAC is a common cause of postoperative respiratory distress and tends to be associated with higher post-repair PA pressure, more frequent RV dysfunction and worse medium-term survival. The study underscores the importance of incorporating all available lung segments to achieve a low PA pressure, potentially preventing pathologic dilatation of the reconstructed PA. Management of patients with poor MAPCAs anatomy physiology remains a challenge. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 24, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Extracorporeal life support for refractory cardiac arrest: A 10-year comparative analysis
Publication date: Available online 23 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Matteo Pozzi, Xavier Armoiry, Felix Achana, Catherine Koffel, Isabelle Pavlakovic, Flavie Lavigne, Jean Luc Fellahi, Jean Francois ObadiaAbstractBackgroundCardiopulmonary resuscitation of cardiac arrest displays poor outcomes. Extracorporeal life support (ECLS) could represent a salvage option. We aimed to analyze the outcomes of ECLS used for refractory cardiac arrest.MethodsWe undertook an observational analysis. Patients were divided into an in-hospital (IHCA) and an out-of-hospital (OHCA) cardiac arrest group. The primary...
Source: The Annals of Thoracic Surgery - October 24, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Perceval Valve Implantation: Technical Details and Echocardiographic Assessment.
Abstract The Perceval valve (LivaNova, London, United Kingdom) is a collapsible, sutureless bioprosthetic aortic valve. This novel design is well suited for minimally invasive approaches and has particular advantages for patients with small, calcified annuli. The implantation technique is unique and echocardiographic assessment of valve cage shape, angulation and height are essential. The following discussion provides a framework of technical and sonographic considerations to help surgical teams achieve reproducible success with Perceval valve deployment. PMID: 30367839 [PubMed - as supplied by publisher] (So...
Source: The Annals of Thoracic Surgery - October 24, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Vasanthan V, Kent W, Gregory A, Maitland A, Cutrara C, Bouchard D, Asch F, Adams C Tags: Ann Thorac Surg Source Type: research

Surgical Approach for Hypoplastic Mirror Circumflex Aortic Arch
Publication date: Available online 22 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Ed Peng, Kerrie McAllister, Alyson Walker, Thomas Savage, Lindsey HunterAbstractSurgical approach for mirror-form of circumflex aortic arch with a long-segment hypoplasia is described. Instead of “uncrossing” the arch, posterior aortic translocation aorta is required for the mirror-form. These surgical strategies addressed all the associated patho-mechanisms: (i) relief of vascular ring, (ii) removal of posterior arch compression on the trachea, and (iii) correct any arch obstruction. Posterior tracheobronchopexy ...
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Acute Type A dissection 18 years after a Ross operation; the old prejudice
This report describes a successful aortic root replacement of a patient with the clinical symptoms of an acute aortic type A dissection with a free rupture of the neo-aortic wall. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Unusual complicated fungal endocarditis in a patient with vascular Ehlers-Danlos Syndrome
Publication date: Available online 22 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Zohya Khalique, Suzan Hatipoğlu, Ulrich Rosendahl, Raad MohiaddinAbstractA 24-year-old man with dilated aortic root and vascular type Ehlers-Danlos Syndrome underwent aortic root replacement with a stentless bioprosthesis. A year later he developed aortic valve endocarditis necessitating a redo valve replacement. Excised valve tissue grew fungus Purpureocillium lilacinum. Over a period of four years case was further complicated with mycotic aneurysm of the infra-renal aorta, a retroperitoneal abscess (treated surgically), a ...
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Bilateral pulmonary artery banding in Ebstein's anomaly with circular shunting
We present a case of critical Ebstein’s anomaly with circular shunting, diagnosed in utero. The fetal cardiothoracic area ratio was elevated; tricuspid regurgitation and pulmonary regurgitation worsened with fetal hydrops. At 35 weeks and 6 days of gestation, elective caesarean section delivery was performed. Planned bilateral pulmonary artery banding and pulmonary trunk ligation were performed as a palliative operation 4 hours after birth, with the infant in a stable condition. At age 5 days, we performed Starnes operation. The postoperative course was uneventful and bidirectional Glenn operation was performed at ag...
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Fracture of the Costal Cartilage: Presentation, Diagnosis, and Management
Publication date: Available online 22 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Grace E. Sollender, Thomas W. White, Fredric M. PieracciAbstractA 52-year-old woman sustained a fracture of the left 7th costal cartilage after a ski injury. She presented complaining of painful clicking over the area. Initial imaging studies were negative for fracture; however, 3-D reconstruction of a chest CT, formatted to costal cartilage, revealed the fracture. She was offered and underwent surgical fixation of the fracture with a plate and four screws using a bi-axial, convergent construct. Postoperatively, her symptoms ...
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

A modified transatrial approach for repair of postinfarction ventricular septal defect
We describe a modified transatrial approach through the left atrium for basal-inferior VSD. After left atriotomy, mitral valve is detached from the annulus to expose the defect, which is closed with a pericardial patch. Two patients were operated by this method. In both cases veno-arterial extracorporeal membrane oxygenation with a ventricular vent was utilised to unload the left ventricle. Echocardiography revealed no residual shunt in both cases. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research