Registry Based Medical Research: Data Dredging or Value Building to Quality of Care?
Abstract Registry based medical research is an important tool in assessing health care interventions in the general population. They are observational studies used to establish effectiveness while randomized clinical trials assess efficacy in an experimental manner targeting a carefully selected population of patients. A medical registry may be office or hospital based, state/provincial, national or more recently global in nature. The role in post-marketing pharmaco-surveillance is effective in detecting early adverse events and long-term benefits. Surgical disciplines use registry data to discover early device or...
Source: The Annals of Thoracic Surgery - February 8, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Mulder DS, Spicer J Tags: Ann Thorac Surg Source Type: research

Survival in aortic regurgitation and preoperative ejection fraction.
PMID: 30742817 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 8, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Cakir H, Donmez K, Yurekli I, Karaagac E, Kestelli M Tags: Ann Thorac Surg Source Type: research

Evaluation of novel imaging devices for nanoparticle-mediated fluorescence-guided lung tumor therapy.
CONCLUSIONS: These results support the potential for clinical translation of this novel platform to impact non-surgical and minimally-invasive treatment options for early stage peripheral lung cancer. PMID: 30742818 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 8, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kinoshita T, Ujiie H, Chen J, Ding L, Chan H, Gregor A, Bernards N, McVeigh PZ, Fujino K, Lee CY, Motooka Y, Inage T, Valic MS, Effat A, Weersink R, Wilson BC, Zheng G, Asamura H, Yasufuku K Tags: Ann Thorac Surg Source Type: research

Readmission Following Pediatric Cardiothoracic Surgery: An analysis of the Society of Thoracic Surgeons Database.
CONCLUSIONS: Readmission is common after congenital heart surgery, mostly for non-cardiovascular reasons. Process improvement initiatives targeted at high-risk patients might minimize its impact. PMID: 30742819 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 8, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kogon BE, Oster ME, Wallace A, Chiswell K, Hill KD, Cox ML, Jacobs JP, Pasquali S, Karamlou T, Jacobs ML Tags: Ann Thorac Surg Source Type: research

Concomitant Valve-sparing Aortic Root Replacement with Repair of Tetralogy of Fallot.
Abstract Valve-sparing aortic root replacement is one of the effective repairs for aortic regurgitation resulting from progressive dilatation of the aortic root late after surgical correction of conotruncal anomaly. However, feasibility and effectiveness of this procedure are unknown for unrepaired physiology. A 32 year-old man presented with unrepaired Tetralogy of Fallot (TOF) and moderate aortic regurgitation with severe left ventricular dysfunction. Valve-sparing aortic root replacement and TOF repair were simultaneously performed. Six months after the surgery, aortic regurgitation remained trivial. Concomitan...
Source: The Annals of Thoracic Surgery - February 8, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Adachi O, Suzuki T, Yoshioka I, Takahashi G, Akiyama M, Kumagai K, Tatebe S, Saiki Y Tags: Ann Thorac Surg Source Type: research

An alternative method for airway management with combined tracheal intubation and rigid bronchoscope
Publication date: Available online 7 February 2019Source: The Annals of Thoracic SurgeryAuthor(s): Francesco Puma, Mattia Meattelli, Miroslawa Kolodziejek, Marina Giuliana Properzi, Rosanna Capozzi, Alberto Matricardi, Lucio Cagini, Jacopo VannucciAbstractAn innovative technique for airway management, utilizing a small diameter, short-cuffed, orotracheal tube for assisting rigid bronchoscopy in critical airway obstruction is reported. The device, part of Translaryngeal Tracheostomy KIT, was placed beyond the stenosis and used in combination with the rigid bronchoscope.This procedure improves safety during the management of...
Source: The Annals of Thoracic Surgery - February 8, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

An alternative method for airway management with combined tracheal intubation and rigid bronchoscope.
Abstract An innovative technique for airway management, utilizing a small diameter, short-cuffed, orotracheal tube for assisting rigid bronchoscopy in critical airway obstruction is reported. The device, part of Translaryngeal Tracheostomy KIT, was placed beyond the stenosis and used in combination with the rigid bronchoscope. This procedure improves safety during the management of critical tracheal stenoses, because the airway is constantly under the anesthesiologist's control. Consequently, inhalation anesthesia is feasible, use of neuromuscular blockage is possible, end-tidal CO2 monitoring is reliable and the ...
Source: The Annals of Thoracic Surgery - February 7, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Puma F, Meattelli M, Kolodziejek M, Properzi MG, Capozzi R, Matricardi A, Cagini L, Vannucci J Tags: Ann Thorac Surg Source Type: research

Randomized Trial of Concomitant Maze Procedure Using Nitrous Oxide Versus Argon-Based Cryoablation
ConclusionsBoth procedures have similar one-year sinus rhythm maintenance rates. Left atrial contractile activity tends to return earlier in the N2O group. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 2, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

A successful case of external stenting for bronchomalacia lasting over 20 years
Publication date: Available online 1 February 2019Source: The Annals of Thoracic SurgeryAuthor(s): Takahiko Sakamoto, Yuzo Nagase, Makoto Takiguchi, Nobuhiro UmeharaAbstractThe patient had a perimembranous ventricular septal defect and pulmonary hypertension. He underwent pulmonary artery banding followed by external stenting of the left bronchus because of secondary bronchomalacia. The external stent applied was a ringed expanded polytetrafluoroethylene graft, 10 mm in diameter and fixed at 8 points. Intracardiac repair was performed at the age of 2 years and the external stent was left in place. Since then, the patient h...
Source: The Annals of Thoracic Surgery - February 2, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Patient experience after cardiac surgery: Beyond the transition care questions (Reply)
Publication date: Available online 2 February 2019Source: The Annals of Thoracic SurgeryAuthor(s): Elizabeth B. Habermann, Meghana R. Helder, Hartzell V. Schaff (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 2, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Effect of sarcopenic overweight on lung transplant based on 3D reconstructed psoas muscle mass
ConclusionsSarcopenia was associated with poorer short-term outcome and sarcopenic overweight with poorer overall survival in lung transplant patients. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 2, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Lymph node involvement and the surgical treatment of thymic epithelial and neuroendocrine carcinoma
ConclusionsThis retrospective, single center analysis demonstrates a high rate of lymph node metastasis in resectable thymic neuroendocrine tumors or carcinomas. Positive lymph nodes are associated with inferior outcome. Prospective studies are warranted to explore whether this can be improved by systematic lymphadenectomy and adjuvant therapies. Nevertheless, lymphadenectomy provides optimal staging and should be a routine part of surgery in patients with thymic malignancies. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 2, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Left-sided complete revascularization with bilateral internal thoracic arteries in diabetic patients (Commentary)
Publication date: Available online 2 February 2019Source: The Annals of Thoracic SurgeryAuthor(s): Paul A. Kurlansky (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 2, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Lymph node involvement and the surgical treatment of thymic epithelial and neuroendocrine carcinoma.
CONCLUSIONS: This retrospective, single center analysis demonstrates a high rate of lymph node metastasis in resectable thymic neuroendocrine tumors or carcinomas. Positive lymph nodes are associated with inferior outcome. Prospective studies are warranted to explore whether this can be improved by systematic lymphadenectomy and adjuvant therapies. Nevertheless, lymphadenectomy provides optimal staging and should be a routine part of surgery in patients with thymic malignancies. PMID: 30721691 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 2, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Cheufou DH, Valdivia D, Puhlvers S, Fels B, Weinreich G, Taube C, Theegarten D, Stuschke M, Schuler M, Hegedus B, Stamatis G, Aigner C Tags: Ann Thorac Surg Source Type: research

Effect of sarcopenic overweight on lung transplant based on 3D reconstructed psoas muscle mass.
CONCLUSIONS: Sarcopenia was associated with poorer short-term outcome and sarcopenic overweight with poorer overall survival in lung transplant patients. PMID: 30721692 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 2, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Suh JW, Paik HC, Yu WS, Song SH, Park MS, Kim SY, Lee JG Tags: Ann Thorac Surg Source Type: research

Left-sided complete revascularization with bilateral internal thoracic arteries in diabetic patients (Commentary).
PMID: 30721693 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 2, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kurlansky PA Tags: Ann Thorac Surg Source Type: research

Patient experience after cardiac surgery: Beyond the transition care questions (Reply).
PMID: 30721694 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 2, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Habermann EB, Helder MR, Schaff HV Tags: Ann Thorac Surg Source Type: research

A successful case of external stenting for bronchomalacia lasting over 20 years.
Abstract The patient had a perimembranous ventricular septal defect and pulmonary hypertension. He underwent pulmonary artery banding followed by external stenting of the left bronchus because of secondary bronchomalacia. The external stent applied was a ringed expanded polytetrafluoroethylene graft, 10 mm in diameter and fixed at 8 points. Intracardiac repair was performed at the age of 2 years and the external stent was left in place. Since then, the patient has been healthy and computed tomography revealed that the external stent graft has retained function for over 20 years. PMID: 30716290 [PubMed - as su...
Source: The Annals of Thoracic Surgery - February 1, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Sakamoto T, Nagase Y, Takiguchi M, Umehara N Tags: Ann Thorac Surg Source Type: research

Randomized Trial of Concomitant Maze Procedure Using Nitrous Oxide Versus Argon-Based Cryoablation.
CONCLUSIONS: Both procedures have similar one-year sinus rhythm maintenance rates. Left atrial contractile activity tends to return earlier in the N2O group. PMID: 30716291 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 1, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Jeong DS, Sung K, Kim WS, Kc C, Park PW Tags: Ann Thorac Surg Source Type: research

Neurologic Deficit Following Aortic Arch Replacement: The Influence of the Aortic Atherosclerosis
ConclusionsAtherothrombotic lesions found by objectively graded computed tomography were predictors of neurologic deficit. Retrograde perfusion in the presence of a distal atherothrombotic lesion should be avoided whenever possible. Strategies based on the full assessment of the whole aortic morphology appear to be mandatory. Anticoagulation therapy should be performed very carefully to avoid intracranial hemorrhagic changes.Graphical abstract (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 31, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Where Do We Begin: Building Blocks to Establish a Cardiothoracic Surgery Interest Group
Publication date: Available online 30 January 2019Source: The Annals of Thoracic SurgeryAuthor(s): Trevor A. Davis, Pooja S. Yesantharao, Stephen C. YangAbstractBackgroundWith the impending shortage of cardiothoracic surgeons, much focus has been on increasing trainee interest, particularly at the medical student level. We aimed to determine the impact of participation in our Cardiothoracic Surgery Interest Group (CTSIG) on medical student attitudes regarding surgery, and especially CT surgery.MethodsAn anonymous survey was administered at two time points to the current member list of our 2015-16 CTSIG, and repeated for th...
Source: The Annals of Thoracic Surgery - January 31, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Society of Thoracic Surgeons Intermacs Database Annual Report: Evolving Indications, Outcomes, and Scientific Partnerships.
Abstract BACKGROUND: The Interagency Registry for Mechanically Assisted Circulatory Support (Intermacs), a joint effort among the National Heart, Lung, and Blood Institute, the Food and Drug Administration, the Centers for Medicare and Medicaid Services, and others, was established in 2005 at the University of Alabama at Birmingham. The registry examined clinical outcomes and quality-of-life metrics of patients who received an Food and Drug Administration-approved durable mechanical circulatory support (MCS) device to treat advanced heart failure. On January 1, 2018, the Intermacs Database became part of The Socie...
Source: The Annals of Thoracic Surgery - January 31, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kormos RL, Cowger J, Pagani FD, Teuteberg JJ, Goldstein DJ, Jacobs JP, Higgins RS, Stevenson LW, Stehlik J, Atluri P, Grady KL, Kirklin JK Tags: Ann Thorac Surg Source Type: research

Invited Commentary.
PMID: 30691585 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 31, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Moazami N, Smith D Tags: Ann Thorac Surg Source Type: research

Multicenter Analysis of Early Childhood Outcomes After Repair of Truncus Arteriosus.
CONCLUSIONS: In 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, whereas risk of conduit reintervention was independently influenced by both initial conduit type and size. PMID: 30696549 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 31, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Buckley JR, Amula V, Sassalos P, Costello JM, Smerling AJ, Iliopoulos L, Jennings A, Riley CM, Cashen K, Suguna Narasimhulu S, Gowda KMN, Bakar AM, Wilhelm M, Badheka A, Moser EAS, Mastropietro CW, Collaborative Research in Pediatric Cardiac Intensive Car Tags: Ann Thorac Surg Source Type: research

Predictors of Opioid Prescription After Early Stage Lung Cancer Surgery (Reply)
Publication date: Available online 29 January 2019Source: The Annals of Thoracic SurgeryAuthor(s): Alexander A. Brescia, Caitlin A. Harrington, Jennifer F. Waljee, Kiran H. Lagisetty (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 30, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Truncus arteriosus with major aorto-pulmonary collateral arteries
Publication date: Available online 30 January 2019Source: The Annals of Thoracic SurgeryAuthor(s): Keiichi Fujiwara, Kosuke Yoshizawa, Otohime Kato, Hisanori SakazakiAbstractTruncus arteriosus with the absence of one branching pulmonary artery and presence of major aorto-pulmonary collateral arteries (MAPCAs) is rare. A small patient, with a birth weight of 2219g, was successfully repaired by a staged approach, following banding of the left pulmonary artery and unifocalization of MAPCAS. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 30, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Robotic Coronary Artery Bypass Grafting for Transplant Vasculopathy
Publication date: Available online 30 January 2019Source: The Annals of Thoracic SurgeryAuthor(s): Miguel Bravo, Gianluca Torregrossa, Donna Mancini, John PuskasAbstractA 60 year old female developed Cardiac Allograft Vasculopathy (CAV) 9 years after heart transplantation and treated with drug-eluting stent (DES) in the LAD. Recurrence of in stent restenosis (ISR) was treated with another DES. Recurrent IRS was again observed and Robotic Mid-CABG surgery was successfully performed. Mid-CABG is a plausible alternative in patients with CAV and offer the excellent result of LITA to LAD graft despite a sternotomy-spare approac...
Source: The Annals of Thoracic Surgery - January 30, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

10-year outcomes after left ventricular reconstruction: rethinking the impact of mitral regurgitation
Publication date: Available online 30 January 2019Source: The Annals of Thoracic SurgeryAuthor(s): Annelieke H.J. Petrus, Patrick Klein, Laurens F. Tops, Olaf M. Dekkers, Lotje A. Hoogervorst, Lotte E. Couperus, Saskia L.M.A. Beeres, Robert J.M. Klautz, Jerry BraunAbstractBackgroundHeart failure with reduced ejection fraction due to a post-infarction anteroseptal aneurysm carries a poor prognosis. Patients with refractory heart failure may be considered for advanced surgery, including left ventricular assist device implantation, heart transplantation and LV reconstruction. Aim of this study was to evaluate outcomes after a...
Source: The Annals of Thoracic Surgery - January 30, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

MitraClip and Surgery: annuloplasty makes the difference
Publication date: Available online 30 January 2019Source: The Annals of Thoracic SurgeryAuthor(s): Samer Kassem (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 30, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

The importance of global surgical education
Publication date: Available online 30 January 2019Source: The Annals of Thoracic SurgeryAuthor(s): Jennifer Rickard (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 30, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

A Prediction Model for Nodal Disease among Patients with Non-Small Cell Lung Cancer
ConclusionsA guideline-recommended strategy for invasive mediastinal staging selects all patients with true nodal disease and a majority of patients without nodal disease for invasive mediastinal staging. Our prediction model appears to maintain (within a margin of error) the sensitivity of a guideline-recommended invasive staging strategy and has the potential to reduce the use of invasive procedures. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 30, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Aortitis masquerading as intramural hematoma of the ascending aorta
Publication date: Available online 28 January 2019Source: The Annals of Thoracic SurgeryAuthor(s): Edgar Aranda-Michel, Arman Kilic, Valentino Bianco, Thomas G. Gleason, Ibrahim Sultan (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 28, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Thoraflex Graft in an inverted position for post-dissection thoraco-abdominal aneurysm
We present the off-label use of a ThoraflexTM Hybrid Plexus Prosthesis (Vascutek, Scotland, UK) to treat a post-dissection type IV thoraco-abdominal aortic aneurysm (TAA) in a high-risk patient previously treated with a thoracic stent-graft for a chronic type B aortic dissection. The Thoraflex graft was used in a “reversed frozen elephant trunk” fashion: the stent graft portion deployed in the previously placed thoracic stent, and the branched portion used to revascularize visceral arteries and lower limbs. Our off-label use of the Thoraflex graft was technically successful. Further experiences are required to ...
Source: The Annals of Thoracic Surgery - January 28, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Surgical repair of aortic rupture caused by retained neurointerventional guidewire
Publication date: Available online 28 January 2019Source: The Annals of Thoracic SurgeryAuthor(s): Jie He, Zhengbo Chen, Dong Luo, Sanming Wang, Tucheng Sun, Gang ZhaoAbstractRetention of guidewire during a neurointervention procedure is extremely rare and potentially lethal. Here we report a successful operation on aortic rupture caused by a retained guidewire from a neurointervention procedure 2 years ago. During the surgery, we took out the guidewire from both the aortic arch and femoral artery. Postoperative treatment was uneventful. At the 10-month follow-up, the patient remains asymptomatic and CT scan shows no abnor...
Source: The Annals of Thoracic Surgery - January 28, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Sutureless aortic valve and pacemaker rate: from surgical tricks to clinical outcomes (Commentary)
Publication date: Available online 25 January 2019Source: The Annals of Thoracic SurgeryAuthor(s): David A. D'Alessandro, Arminder Singh Jassar (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Differential expression of TGFβ1 is associated with fetal regeneration after myocardial infarction
ConclusionsTGFβ1 is increased in adult infarcts compared to regenerative, fetal infarcts following MI. While treatment of fetal cardiac fibroblasts with TGFβ1 conveys an adult phenotype, inhibition of TGFβ1 conveys a fetal phenotype to adult cardiac fibroblasts. Decreasing TGFβ1 following MI may facilitate myocardial regeneration by ‘fetalizing’ the otherwise fibrotic, adult response to MI. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Mitral Valve Endocarditis: A rare Manifestation of Lyme Disease
We describe a case of mitral regurgitation with a preoperative diagnosis of myxomatous mitral valve degeneration. During surgery, the surgeon suspected infective rather than degenerative; etiology; tissue cultures were negative. However, universal bacterial PCR on explanted valve tissue detected Borrelia burgdorferi Deoxyribonucleic Acid(DNA). If a surgeon suspects infective endocarditis at the time surgery, appropriate specimens should be sent for histopathology, culture, and PCR. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Robotic Multi-vessel Endoscopic Coronary Bypass: Impact of a Beating Heart Approach with Connectors
Publication date: Available online 25 January 2019Source: The Annals of Thoracic SurgeryAuthor(s): Husam H. Balkhy, Sarah Nisivaco, Hiroto Kitahara, Mackenzie McCrorey, Brooke PatelAbstractBackgroundMost robotic coronary bypass operations are single-vessel procedures. Very few centers perform totally endoscopic coronary bypass (TECAB), and even fewer perform multi-vessel grafting endoscopically. We hypothesized that a robotic beating-heart approach using distal anastomotic-connectors facilitates multi-vessel TECAB with similar safety and efficacy to single-vessel TECAB.MethodsWe reviewed patients undergoing robotic TECAB a...
Source: The Annals of Thoracic Surgery - January 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

In-hospital mobilization, physical fitness and physical functioning following lung cancer surgery
ConclusionsSuboptimal postoperative mobilization after lung cancer surgery impacts negatively on physical fitness at discharge. Our results underline the importance of adherence to early postoperative mobilization protocols. Measuring physical fitness at discharge may be useful to inform clinicians on elective referral of patients for after-discharge rehabilitation. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Operative and long-term outcomes after curative repair of acute dissection involving proximal aorta
ConclusionsCurative aortic repair can be achieved in a relevant share of AAAD patients and is mostly limited by the distal extension of dissection. This kind of repair is advisable, whenever possible, because it can provide very low risk of aortic complications and/or re-operations over time. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Low- and Middle-Income Countries and US Trainees Benefit From the Global Health Educator
Publication date: February 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 2Author(s): Allison N. Martin, Ainhoa Costas-Chavarri (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Editorial Board
Publication date: February 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 2Author(s): (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Board of Directors
Publication date: February 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 2Author(s): (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Contents
Publication date: February 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 2Author(s): (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

TAVR 2.0: Professional Societies Collaborating to Measure, Assure, and Improve Quality
Publication date: February 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 2Author(s): David M. Shahian, Thomas G. Gleason, Richard J. Shemin, John D. Carroll, Michael J. Mack (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Society of Thoracic Surgeons Intermacs Database Annual Report: Evolving Indications, Outcomes, and Scientific Partnerships
Publication date: February 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 2Author(s): Robert L. Kormos, Jennifer Cowger, Francis D. Pagani, Jeffrey J. Teuteberg, Daniel J. Goldstein, Jeffrey P. Jacobs, Robert S. Higgins, Lynne W. Stevenson, Josef Stehlik, Pavan Atluri, Kathleen L. Grady, James K. KirklinBackgroundThe Interagency Registry for Mechanically Assisted Circulatory Support (Intermacs), a joint effort among the National Heart, Lung, and Blood Institute, the Food and Drug Administration, the Centers for Medicare and Medicaid Services, and others, was established in 2005 at the University of Alabama a...
Source: The Annals of Thoracic Surgery - January 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: February 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 2Author(s): Nader Moazami, Deane Smith (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Porphyrin–High-Density Lipoprotein: A Novel Photosensitizing Nanoparticle for Lung Cancer Therapy
Publication date: February 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 2Author(s): Hideki Ujiie, Lili Ding, Rong Fan, Tatsuya Kato, Daiyoon Lee, Kosuke Fujino, Tomonari Kinoshita, Chang Young Lee, Thomas K. Waddell, Shaf Keshavjee, Brian C. Wilson, Gang Zheng, Juan Chen, Kazuhiro YasufukuBackgroundWe have developed ultrasmall porphyrin–high-density lipoprotein (HDL) nanoparticles (
Source: The Annals of Thoracic Surgery - January 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Does the Approach Matter? Comparing Survival in Robotic, Minimally Invasive, and Open Esophagectomies
Publication date: February 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 2Author(s): Fernando Espinoza-Mercado, Taryne A. Imai, Jerald D. Borgella, Ariella Sarkissian, Derek Serna-Gallegos, Rodrigo F. Alban, Harmik J. SoukiasianBackgroundOur objective was to determine how surgical approach impacts overall survival and postoperative outcomes when comparing robotic-assisted minimally invasive esophagectomy (RAMIE), minimally invasive esophagectomy (MIE), and open esophagectomy (OE).MethodsThe National Cancer Database was queried for patients diagnosed with pathologic Stage 0 to III esophageal cancer from 2010...
Source: The Annals of Thoracic Surgery - January 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Operative Planning in Thoracic Surgery: A Pilot Study Comparing Imaging Techniques and Three-Dimensional Printing
Conclusions3D printing in the planning of thoracic surgery may suggest a benefit over contemporary available imaging modalities, and the use of 3D printing in practicing operations is being established. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research