Less “Tradition,” More New Technologies or Vice Versa?
Publication date: Available online 17 September 2018Source: The Annals of Thoracic SurgeryAuthor(s): Samer Kassema (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 18, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Early and Mid-Term Results of Rapid-Deployment Valves: The Intuity Italian Registry (INTU-ITA) (Commentary).
PMID: 30240760 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 18, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Rahmanian PB Tags: Ann Thorac Surg Source Type: research

Robotic Mitral Valve Repair in Older Individuals: An Analysis of the STS Database (Commentary).
PMID: 30240761 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 18, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Anyanwu A Tags: Ann Thorac Surg Source Type: research

Short Term Outcomes of Tracheal Resection in the Society of Thoracic Surgeons Database.
Abstract BACKGROUND: Tracheal surgery is uncommon and most of the published literature consists of single-center series over large periods. Our goal was to perform a national, contemporary analysis to identify predictors of major morbidity and mortality based on indication and surgical approach. METHODS: The Society of Thoracic Surgeons General Thoracic Surgery Database (STS GTSD) was queried for all patients undergoing tracheal resection between 2002-2016. We identified 1,617 cases and compared outcomes by indication and approach. We created a multivariable model for a combined endpoint of mortality or major...
Source: The Annals of Thoracic Surgery - September 18, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Stanifer BP, Andrei AC, Liu M, Meyerson SL, Bharat A, Odell DD, DeCamp MM Tags: Ann Thorac Surg Source Type: research

A Single-Center Experience of 900 Inter-Hospital Transports on Extracorporeal Membrane Oxygenation.
CONCLUSIONS: Severe complications during ECMO transportation recurrently occurred, but did not affect mortality. We conclude that inter-hospital ECMO transportation is safe, when conducted by an experienced centre, and patients should be transported for treatment at a high-volume ECMO centre in accordance with the Hub and Spoke model whenever feasible. PMID: 30240763 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 18, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Fletcher-Sandersjöö A, Frenckner B, Broman M Tags: Ann Thorac Surg Source Type: research

Segmentectomy is Equivalent to Lobectomy in Hypermetabolic Clinical Stage-IA Lung Adenocarcinomas.
Abstract BACKGROUND: Recent studies have suggested that lobectomy and segmentectomy hold equivalent oncologic-outcomes particularly for small, peripheral, sub-solid nodules. However, for hypermetabolic nodules that are frequently associated with high rates of nodal-disease, recurrence, and/or mortality, the optimum oncologic procedure was not assessed so far. We hypothesize that for hypermetabolic, cT1N0-adenocarcinoma, lobectomy and segmentectomy are associated with comparable outcomes. METHODS: A prospectively collected database was queried for patients with cStage-IA lung adenocarcinoma who underwent lobec...
Source: The Annals of Thoracic Surgery - September 18, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Kamel MK, Rahouma M, Lee B, Harrison SW, Stiles BM, Altorki NK, Port JL Tags: Ann Thorac Surg Source Type: research

Valve Sparing Root Replacement Provides Similar Mid-term Outcomes in Bicuspid and Trileaflet Valves.
CONCLUSIONS: VSRR can be safely and effectively performed in patients with trileaflet and bicuspid valves. Operative outcomes and valve function were equivalent in bicuspid and trileaflet patients in mid-term follow-up. Performance of VSRR is a viable term option in the setting bicuspid aortic valve aortopathy. PMID: 30240765 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 18, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Kayatta MO, Leshnower BG, McPherson L, Zhang C, Lasanajak Y, Chen EP Tags: Ann Thorac Surg Source Type: research

Graduate Subspecialty and Perceptions of Cardiothoracic Surgery Training: A 60-Year Retrospective Study.
This study was performed to examine the impact of subspecialization on graduate assessment of quality of training and to identify educational gaps. METHODS: Surveys were sent to 119 surgeons who completed thoracic surgery residency at Washington University between 1958-2017. Surveys evaluated transition-to-practice preparedness in patient care, technical skills, and qualifying and certifying examinations. 78 surveys were returned complete, 14 were returned deceased or address unknown. Clinical practices included combined cardiothoracic [CT, n=22(28%)] and subspecialty cardiac [n=28(36%)] or thoracic surgery [n=28(36%)...
Source: The Annals of Thoracic Surgery - September 18, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Antonoff MB, Luc JGY, Patterson GA, Meyers BF, Damiano RJ, Moon MR Tags: Ann Thorac Surg Source Type: research

Totally Thorascopic Closure of the Left Atrial Appendage.
We describe our technique for totally thoracoscopic LAA exclusion with an epicardial clip device. This approach provides a safe and likely more effective alternative to LAA management than other endocardial devices. PMID: 30240767 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 18, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Ramlawi B, Bedeir K, Edgerton JR Tags: Ann Thorac Surg Source Type: research

Preoperative Venoarterial Extracorporeal Membrane Oxygenation Slashes Risk Score in Advanced Structural Heart Disease.
CONCLUSIONS: ECMO can be used as a bridge to heart valve or septal defect surgery in severely decompensated patients. Through recovery of end-organ function, ECMO may allow surgical correction of structural heart disease in patients considered inoperable or convert a salvage situation to an elective operation. PMID: 30236527 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 17, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Watkins AC, Maassel NL, Ghoreishi M, Dawood MY, Pham SM, Kon ZN, Taylor BS, Griffith BP, Gammie JS Tags: Ann Thorac Surg Source Type: research

Less "Tradition," More New Technologies or Vice Versa?
Less "Tradition," More New Technologies or Vice Versa? Ann Thorac Surg. 2018 Sep 17;: Authors: Kassema S PMID: 30236528 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 17, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Kassema S Tags: Ann Thorac Surg Source Type: research

Rare and Anomalous Origin of Left Circumflex Artery from Left Anterior Descending Artery
Publication date: Available online 15 September 2018Source: The Annals of Thoracic SurgeryAuthor(s): Niraj Nirmal Pandey, Arun Sharma, Kehkashan Chowhan, Priya Jagia (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Multimodality Therapy for N2 Non-Small Cell Lung Cancer: An Evolving Paradigm
ConclusionsBoth treatment strategies produce equivalent and better than expected outcomes compared to historical controls for N2 NSCLC, with no differences in recurrence patterns. How these conventional therapeutic strategies will compare to those involving immunotherapy combined with surgical loco-regional disease control for N2 disease remains to be determined. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

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

Development of a Congenital Heart Surgery Composite Quality Metric: Part 1 - Conceptual Framework
ConclusionsWe have applied and adapted conceptual framework and methodology related to composite quality measures across other fields to congenital heart surgery. The initial composite quality metric created is inclusive of both morbidity and mortality, and expands our view of quality in this patient population. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Tricuspid Septal Leaflet Detachment for Postinfarction Septal Rupture Repair
Publication date: Available online 15 September 2018Source: The Annals of Thoracic SurgeryAuthor(s): Sven M. Almdahl, Petter Cappelen Endresen (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Development of a Congenital Heart Surgery Composite Quality Metric: Part 2 - Analytic Methods
ConclusionsThis congenital heart surgery composite measure incorporates aspects of both morbidity and mortality, has clinical face-validity, and greater ability to discriminate hospital performance compared to mortality alone. Ongoing efforts will support the use of the composite measure in benchmarking and quality improvement activities. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Minimally Invasive Ivor Lewis Esophagectomy: How I Teach It
Publication date: Available online 14 September 2018Source: The Annals of Thoracic SurgeryAuthor(s): Christopher R. Morse (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 15, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Relevance of Intraoperative Pleural Lavage Cytology and Histological Subtype in Lung Adenocarcinoma.
In this study, we aimed to evaluate the impact of a micropapillary pattern (MPP) in lung adenocarcinomas on results of PLC. METHODS: We retrospectively reviewed 600 consecutive patients with surgically resected pulmonary adenocarcinomas and investigated the relationship between PLC status and clinicopathological factors, including a histologically identified MPP component. RESULTS: Twenty-five patients (4.2%) had positive PLC. Positive PLC was significantly associated with MPP (p=0.0001), lymph node metastasis (p=0.01), and pleural invasion (p
Source: The Annals of Thoracic Surgery - September 15, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Mikubo M, Naito M, Matsui Y, Shiomi K, Ichinoe M, Yoshida T, Satoh Y Tags: Ann Thorac Surg Source Type: research

Rare and Anomalous Origin of Left Circumflex Artery from Left Anterior Descending Artery.
PMID: 30227126 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 15, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Pandey NN, Sharma A, Chowhan K, Jagia P Tags: Ann Thorac Surg Source Type: research

Development of a Congenital Heart Surgery Composite Quality Metric: Part 1 - Conceptual Framework.
CONCLUSIONS: We have applied and adapted conceptual framework and methodology related to composite quality measures across other fields to congenital heart surgery. The initial composite quality metric created is inclusive of both morbidity and mortality, and expands our view of quality in this patient population. PMID: 30227127 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 15, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Pasquali SK, Shahian DM, O'Brien SM, Jacobs ML, Gaynor JW, Romano JC, Gaies MG, Hill KD, Mayer JE, Jacobs JP Tags: Ann Thorac Surg Source Type: research

Development of a Congenital Heart Surgery Composite Quality Metric: Part 2 - Analytic Methods.
CONCLUSIONS: This congenital heart surgery composite measure incorporates aspects of both morbidity and mortality, has clinical face-validity, and greater ability to discriminate hospital performance compared to mortality alone. Ongoing efforts will support the use of the composite measure in benchmarking and quality improvement activities. PMID: 30227128 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 15, 2018 Category: Cardiovascular & Thoracic Surgery Authors: O'Brien SM, Jacobs JP, Shahian DM, Jacobs ML, Gaynor JW, Romano JC, Gaies MG, Hill KD, Mayer JE, Pasquali SK Tags: Ann Thorac Surg Source Type: research

Multimodality Therapy for N2 Non-Small Cell Lung Cancer: An Evolving Paradigm.
CONCLUSIONS: Both treatment strategies produce equivalent and better than expected outcomes compared to historical controls for N2 NSCLC, with no differences in recurrence patterns. How these conventional therapeutic strategies will compare to those involving immunotherapy combined with surgical loco-regional disease control for N2 disease remains to be determined. PMID: 30227129 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 15, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Spicer JD, Shewale JB, Nelson DB, Mitchell KG, Bott MJ, Vallières E, Wilshire CL, Vaporciyan AA, Swisher SG, Jones DR, Darling GE, Sepesi B Tags: Ann Thorac Surg Source Type: research

Tricuspid Septal Leaflet Detachment for Postinfarction Septal Rupture Repair.
PMID: 30227130 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 15, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Almdahl SM, Endresen PC Tags: Ann Thorac Surg Source Type: research

Minimally Invasive Ivor Lewis Esophagectomy: How I Teach It.
PMID: 30222944 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 14, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Morse CR Tags: Ann Thorac Surg Source Type: research

Graft Replacement Kommerell’s Diverticulum and In-Situ Aberrant Subclavian Artery Reconstruction
ConclusionsEarly outcomes following graft replacement of Kommerell’s diverticulum and in-situ aberrant subclavian artery reconstruction were acceptable. In terms of long-term outcomes, symptomatic improvement and an excellent patency rate among reconstructed aberrant subclavian arteries suggest that in-situ surgical repair is an effective treatment option. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 13, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Air Leak Management Program with Digital Drainage Reduces Length of Stay after Lobectomy
ConclusionsOur comprehensive program was associated with reduced chest tube days and hospital LOS. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 13, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Preoperative Dye Localization for Thoracoscopic Lung Surgery: Hybrid versus Computed Tomography Room
This study included patients who underwent preoperative CT-guided dye localization for thoracoscopic lung tumor surgery in the hybrid operation (n=25) and CT (n=283) rooms at our institute. Propensity-matched analysis, incorporating nodule size, number, and depth, and operation method, was used to compare the short-term outcomes of these two groups. Each patient in the hybrid room group was matched with two patients in the CT room group.ResultsLocalization was successfully performed in 23 (92%) and 50 (100%) patients in the hybrid and CT room groups, respectively. There was no significant difference in demographics between...
Source: The Annals of Thoracic Surgery - September 13, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Tumor Lysis Syndrome after Bilobectomy for Typical Carcinoid Tumor of the Lung
Publication date: Available online 12 September 2018Source: The Annals of Thoracic SurgeryAuthor(s): Thomas H. Shin, Elica Inagaki, Teja Ganta, Kevan Hartshorn, Virginia R. Litle, Kei SuzukiAbstractTumor lysis syndrome (TLS) is a life-threatening complication comprised of hyperuricemia, hyperkalemia, hyperphosphatemia, and hypocalcemia attributed to release of intracellular contents. While traditionally associated with leukemia and lymphoma after chemotherapy, it is known to occur in solid malignancies. We herein report a rare case of this syndrome after resection of bulky carcinoid tumor of the lung. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 13, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Graft Replacement Kommerell's Diverticulum and In-Situ Aberrant Subclavian Artery Reconstruction.
CONCLUSIONS: Early outcomes following graft replacement of Kommerell's diverticulum and in-situ aberrant subclavian artery reconstruction were acceptable. In terms of long-term outcomes, symptomatic improvement and an excellent patency rate among reconstructed aberrant subclavian arteries suggest that in-situ surgical repair is an effective treatment option. PMID: 30218662 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 12, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Ikeno Y, Koda Y, Yokawa K, Gotake Y, Henmi S, Nakai H, Matsueda T, Inoue T, Tanaka H, Okita Y Tags: Ann Thorac Surg Source Type: research

Air Leak Management Program with Digital Drainage Reduces Length of Stay after Lobectomy.
CONCLUSIONS: Our comprehensive program was associated with reduced chest tube days and hospital LOS. PMID: 30218663 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 12, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Mayor JM, Lazarus DR, Casal RF, Omer S, Preventza O, Simpson K, Jimenez E, Cornwell LD Tags: Ann Thorac Surg Source Type: research

Preoperative Dye Localization for Thoracoscopic Lung Surgery: Hybrid versus Computed Tomography Room.
This study included patients who underwent preoperative CT-guided dye localization for thoracoscopic lung tumor surgery in the hybrid operation (n=25) and CT (n=283) rooms at our institute. Propensity-matched analysis, incorporating nodule size, number, and depth, and operation method, was used to compare the short-term outcomes of these two groups. Each patient in the hybrid room group was matched with two patients in the CT room group. RESULTS: Localization was successfully performed in 23 (92%) and 50 (100%) patients in the hybrid and CT room groups, respectively. There was no significant difference in demographics...
Source: The Annals of Thoracic Surgery - September 12, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Chen PH, Hsu HH, Yang SM, Tsai TM, Tsou KC, Liao HC, Lin MW, Chen JS Tags: Ann Thorac Surg Source Type: research

Tumor Lysis Syndrome after Bilobectomy for Typical Carcinoid Tumor of the Lung.
Abstract Tumor lysis syndrome (TLS) is a life-threatening complication comprised of hyperuricemia, hyperkalemia, hyperphosphatemia, and hypocalcemia attributed to release of intracellular contents. While traditionally associated with leukemia and lymphoma after chemotherapy, it is known to occur in solid malignancies. We herein report a rare case of this syndrome after resection of bulky carcinoid tumor of the lung. PMID: 30218665 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 12, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Shin TH, Inagaki E, Ganta T, Hartshorn K, Litle VR, Suzuki K Tags: Ann Thorac Surg Source Type: research

Successful Excision of Endobronchial Cellular Schwannoma with Right Lower Sleeve Lobectomy
Publication date: Available online 8 September 2018Source: The Annals of Thoracic SurgeryAuthor(s): Hironori Ishibashi, Ryo Wakejima, Chihiro Takasaki, Kenichi OkuboAbstractCellular schwannoma is a rare variant of schwannoma showing high cellularity and a low mitotic index. A 64-year-old man was admitted to our hospital with a 2-month history of productive cough. Chest computed tomography showed an endobronchial tumor with complete atelectasis of the right lower lobe. Bronchoscopy showed an endobronchial tumor occluding the intermediate bronchus that was diagnosed as a cellular schwannoma on biopsy and successfully excised...
Source: The Annals of Thoracic Surgery - September 9, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Lung Transplantation from Donors after Circulatory Death: United States and Single Center Experience
ConclusionsDCD lung transplants remain underutilized in the United States. Nevertheless, survival is similar to DBD. Primary graft dysfunction metrics for DCDs are worse than DBDs on intensive care arrival but improved subsequently. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 9, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Long-term Outcomes of Coarctation Repair via Left Thoracotomy
This study aims to evaluate reintervention rates and its predictors using a strategy of resection with extended end-to-end anastomosis (REEEA) via left thoracotomy.MethodsA retrospective analysis was performed for all patients who underwent isolated CoA repair or CoA and simultaneous VSD repair via REEEA between Jan 2000-Dec 2015. Patients with complex congenital heart disease were excluded. Transverse arch hypoplasia was defined as echocardiographic z-score
Source: The Annals of Thoracic Surgery - September 9, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Do Estimates of Treatment Risk Based on Clinical Vignettes Differ by Physician Gender?
Publication date: Available online 8 September 2018Source: The Annals of Thoracic SurgeryAuthor(s): Mark K. Ferguson, Jeanne Farnan, Kristen Wroblewski, Megan Huisingh-Scheetz, Katherine ThompsonAbstractBackgroundClinical vignettes are frequently used as instructional and evaluative instruments for physicians. Physician gender is a source of unconscious bias in treatment recommendations. We assessed whether interpretation of information in clinical vignettes differs by physician gender as a possible source of unconscious bias.MethodsThoracic surgeons and physicians in cardiothoracic surgical training were asked to provide ...
Source: The Annals of Thoracic Surgery - September 9, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Genotype-guided Warfarin Dosing in Patients with Mechanical Valves: a Randomized Controlled Trial
The objective of this trial was to evaluate the efficacy and safety of genotype-guided warfarin dosing in East Asians.MethodsA double-blind, randomized control trial was performed to compare a genotype-guided dosing algorithm (CYP2C9, VKORC1 and CYP4F2) with a clinical-guided one in the initiation treatment for patients with mechanical heart valves. The primary outcomes included the time to reach a stable dose and the percentage of time in the therapeutic range (TTR).ResultsTwo hundred and one patients were randomized, 101 to control and 100 to study. The major bleeding and thromboembolic event–free rate in the study...
Source: The Annals of Thoracic Surgery - September 9, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Lung Transplantation from Donors after Circulatory Death: United States and Single Center Experience.
CONCLUSIONS: DCD lung transplants remain underutilized in the United States. Nevertheless, survival is similar to DBD. Primary graft dysfunction metrics for DCDs are worse than DBDs on intensive care arrival but improved subsequently. PMID: 30205113 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 8, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Villavicencio MA, Axtell AL, Spencer PJ, Heng EE, Kilmarx S, Dalpozzal N, Funamoto M, Roy N, Osho A, Melnitchouk S, D'Alessandro DA, Tolis G, Astor T Tags: Ann Thorac Surg Source Type: research

Long-term Outcomes of Coarctation Repair via Left Thoracotomy.
This study aims to evaluate reintervention rates and its predictors using a strategy of resection with extended end-to-end anastomosis (REEEA) via left thoracotomy. METHODS: A retrospective analysis was performed for all patients who underwent isolated CoA repair or CoA and simultaneous VSD repair via REEEA between Jan 2000-Dec 2015. Patients with complex congenital heart disease were excluded. Transverse arch hypoplasia was defined as echocardiographic z-score
Source: The Annals of Thoracic Surgery - September 8, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Gropler MRF, Marino BS, Carr MR, Russell WW, Gu H, Eltayeb OM, Mongé MC, Backer CL Tags: Ann Thorac Surg Source Type: research

Genotype-guided Warfarin Dosing in Patients with Mechanical Valves: a Randomized Controlled Trial.
The objective of this trial was to evaluate the efficacy and safety of genotype-guided warfarin dosing in East Asians. METHODS: A double-blind, randomized control trial was performed to compare a genotype-guided dosing algorithm (CYP2C9, VKORC1 and CYP4F2) with a clinical-guided one in the initiation treatment for patients with mechanical heart valves. The primary outcomes included the time to reach a stable dose and the percentage of time in the therapeutic range (TTR). RESULTS: Two hundred and one patients were randomized, 101 to control and 100 to study. The major bleeding and thromboembolic event-free rate in...
Source: The Annals of Thoracic Surgery - September 8, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Xu Z, Zhang SY, Huang M, Hu R, Li JL, Cen HJ, Wang ZP, Ou JS, Yin SL, Xu YQ, Wu ZK, Zhang X Tags: Ann Thorac Surg Source Type: research

Successful Excision of Endobronchial Cellular Schwannoma with Right Lower Sleeve Lobectomy.
Abstract Cellular schwannoma is a rare variant of schwannoma showing high cellularity and a low mitotic index. A 64-year-old man was admitted to our hospital with a 2-month history of productive cough. Chest computed tomography showed an endobronchial tumor with complete atelectasis of the right lower lobe. Bronchoscopy showed an endobronchial tumor occluding the intermediate bronchus that was diagnosed as a cellular schwannoma on biopsy and successfully excised with a right lower sleeve lobectomy to preserve the middle lobe. The postoperative course was uneventful, and the patient remains well, with no sign of re...
Source: The Annals of Thoracic Surgery - September 8, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Ishibashi H, Wakejima R, Takasaki C, Okubo K Tags: Ann Thorac Surg Source Type: research

Do Estimates of Treatment Risk Based on Clinical Vignettes Differ by Physician Gender?
Abstract BACKGROUND: Clinical vignettes are frequently used as instructional and evaluative instruments for physicians. Physician gender is a source of unconscious bias in treatment recommendations. We assessed whether interpretation of information in clinical vignettes differs by physician gender as a possible source of unconscious bias. METHODS: Thoracic surgeons and physicians in cardiothoracic surgical training were asked to provide estimates of major complication rates for lung resection based on anonymized clinical vignettes of lung resection patients. Vignettes were categorized as low, average, and hig...
Source: The Annals of Thoracic Surgery - September 8, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Ferguson MK, Farnan J, Wroblewski K, Huisingh-Scheetz M, Thompson K Tags: Ann Thorac Surg Source Type: research

Arterial-sided Oxygenator Clot and TCD Emboli in VA-ECMO
Publication date: Available online 4 September 2018Source: The Annals of Thoracic SurgeryAuthor(s): Sung-Min Cho, Wendy Ziai, Romergryko Geocadin, Chun Woo Choi, Glenn Whitman (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 6, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Minimally Invasive Approaches to Surgical Aortic Valve Replacement: A Meta-Analysis
Publication date: Available online 4 September 2018Source: The Annals of Thoracic SurgeryAuthor(s): Carolyn Chang, Sajjad Raza, Salah E. Altarabsheh, Sarah Delozier, Umesh M. Sharma, Aisha Zia, Mandy Neudecker, Alan H. Markowitz, Joseph F. Sabik, Salil V. DeoAbstractBackgroundLimited data exists studying the outcomes of the two minimally invasive aortic valve replacement (AVR) strategies i.e. mini-sternotomy (AVR-st) and right anterior thoracotomy (AVR-th). Therefore, we conducted an indirect meta-analysis to compare the outcomes of these minimally invasive approaches with each other and with conventional AVR (cAVR).Method...
Source: The Annals of Thoracic Surgery - September 6, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Synergistic Reduction of Apoptosis with Diazoxide and Erythropoietin in Spinal Cord Ischemic Injury
ConclusionsOptimized upregulation of bcR by DZ can increase the extrinsic anti-apoptotic effects of EPO. Better understanding of this synergetic mechanism may serve to help prevent ischemic complications caused by aortic intervention. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 6, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Thoracic Bleeding Complications in Patients with Veno-Venous Extracorporeal Membrane Oxygenation
ConclusionsThoracic bleeding complications were observed in 9.6% of patients and represented the most frequent bleeding complication during vv-ECMO treatment. Almost 60% of patients required surgical revision and nearly half of these patients underwent repeated surgery. As mortality is high in these patients, vv-ECMO should be performed in only experienced centers with thoracic surgery. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 6, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Nuanced Approach to Surgical Tricuspid Valve Endocarditis
Publication date: Available online 5 September 2018Source: The Annals of Thoracic SurgeryAuthor(s): Max Jordan Nguemeni Tiako, Makoto Mori, Arnar Geirsson (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 6, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Paradoxical Neochords to Treat Systolic Anterior Motion in Hypertrophic Obstructive Cardiomyopathy
We describe an approach to address the left ventricular outflow tract obstruction (LVOTO) in Hypertrophic Obstructive Cardiomyopathy (HOCM) with concomitant systolic anterior motion of mitral valve. This approach has two main purposes: to enlarge the LVOT through a “moderate” myectomy and to “discipline” the excessive movement of the mitral valve anterior leaflet through paradoxical chords implantation(2,3) and, similarly, the papillary muscle too, if necessary, hanging paradoxical chords between the papillary muscle itself and the posterior mitral annulus(5). (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 6, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Synergistic Reduction of Apoptosis with Diazoxide and Erythropoietin in Spinal Cord Ischemic Injury.
CONCLUSIONS: Optimized upregulation of bcR by DZ can increase the extrinsic anti-apoptotic effects of EPO. Better understanding of this synergetic mechanism may serve to help prevent ischemic complications caused by aortic intervention. PMID: 30193997 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 4, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Yamanaka K, Eldeiry M, Aftab M, Ryan TJ, Mares J, Meng X, Weyant MJ, Cleveland JC, Fullerton DA, Reece TB Tags: Ann Thorac Surg Source Type: research