Ewing Sarcoma of the Chest Wall: Prognostic Factors of Multimodal Therapy Including En-Bloc Resection
Conclusions Multimodality treatment of ESCW, including neoadjuvant Chemotherapy followed by en-bloc resection and adjuvant Chemotherapy or Chemoradiation, is associated with excellent long-term outcomes. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Ewing Sarcoma of the Chest Wall: Prognostic Factors of Multimodal Therapy Including En-Bloc Resection.
Abstract BACKGROUND: Radiotherapy has long been the treatment of choice for local control of Ewing sarcoma of the chest wall (ESCW). However, there is debate regarding the use of surgery versus RT. Our objective was to identify risk factors that may affect long-term outcomes of non-metastatic ESCW all treated with preoperative chemotherapy followed by en-bloc resection and adjuvant Chemotherapy or Chemoradiation. METHODS: Between 1996 and 2014, 30 patients with a median age of 25 years (SD +/-8.9) were treated at our institution. Adjuvant therapy was used in 27 patients: Chemotherapy for 6 of them, Chemoradia...
Source: The Annals of Thoracic Surgery - March 15, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Provost B, Missenard G, Pricopi C, Mercier O, Mussot S, Fabre D, Langer N, Mir O, Le Pechoux C, Dartevelle P, Fadel E Tags: Ann Thorac Surg Source Type: research

Synchronous Presentation of Pheochromocytoma and Epidermoid Lung Carcinoma.
PMID: 29551630 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 15, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Gregory J, Bennani S, Freche G, Mansuet-Lupo A, Revel MP, Chassagnon G Tags: Ann Thorac Surg Source Type: research

Current State of Empyema Management
Conclusions This study characterizes recent treatment practices of patients with empyema. Higher readmission and reintervention rates were observed in patients managed with chest tubes, suggesting some of these patients may benefit from earlier definitive surgical intervention. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 15, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Coronary Revascularization with Single Versus Bilateral Mammary Arteries: Is It Time to Change?
Conclusions In a large regional experience BIMA is associated with no upfront risk of adverse events and improved long-term survival compared to SIMA. Our results indicate that BIMA conduits should be considered more frequently during CABG due to their demonstrated survival advantage. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 15, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Cardiothoracic and Vascular Surgeons Achieve High Rates of K-Award Conversion Into R01 Funding
Conclusions CTV surgeons have an equal 10-year conversion rate to first R01 award compared to other clinicians. These data suggest that NIH achieves a good return on investment when funding CTV surgeon-scientists with K-level funding. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 15, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Safety and Feasibility of Lung Resection after Immunotherapy for Metastatic or Unresectable Tumors
Conclusions In patients with previously metastatic or unresectable cancer, lung resection for suspected residual disease following immunotherapy is feasible, with high rates of R0 resection. Operations can be technically challenging, but significant morbidity appears to be rare. Outcomes are encouraging, with reasonable survivals during short-interval follow-up. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 15, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Surgery of HOCM in Patients with Severe Hypertrophy, Myocardial Fibrosis and Ventricular Tachycardia (Commentary)
Publication date: Available online 14 March 2018 Source:The Annals of Thoracic Surgery Author(s): Anita Nguyen, Hartzell V. Schaff (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 15, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

A Texture Analysis-Based Prediction Model for Lymph Node Metastasis in Stage IA Lung Adenocarcinoma
Conclusions A model based on computerized textures and CEA level can assess the LN status of patients with cT1N0M0 lung adenocarcinoma preoperatively, which could assist surgeons in making subsequent clinical decisions. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 15, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Coronary Revascularization with Single Versus Bilateral Mammary Arteries: Is It Time to Change?
Abstract BACKGROUND: Coronary artery bypass graft surgery (CABG) arterial conduits are preferred to venous conduits because of longer patency. A single internal mammary artery (SIMA) is used routinely. Bilateral internal mammary arteries (BIMA) are used less frequently. We sought to determine if BIMA were superior to SIMA. METHODS: From our regional registry of consecutive open heart surgery, we identified 47,984 patients who underwent isolated CABG from 1992-2014. Of the 1,482 BIMA patients, 1,297 were propensity matched to a cohort of SIMA patients. Short-term outcomes were compared using standard statistic...
Source: The Annals of Thoracic Surgery - March 14, 2018 Category: Cardiovascular & Thoracic Surgery Authors: DeSimone JP, Malenka DJ, Weldner PW, Iribarne A, Leavitt BJ, McCullough JN, Quinn RD, Schmoker JD, Kramer RS, Baribeau Y, Klemperer JD, Sardella GL, Olmstead EM, Ross CS, DiScipio AW, Northern New England Cardiovascular Disease Study Group Tags: Ann Thorac Surg Source Type: research

A Texture Analysis-Based Prediction Model for Lymph Node Metastasis in Stage IA Lung Adenocarcinoma.
Abstract BACKGROUND: Some clinical N0 lung adenocarcinoma have been pathologically diagnosed as N1 or N2. To improve the preoperative diagnostic accuracy of lymph node (LN) disease, we developed a prediction model for LN metastasis in cT1N0M0 lung adenocarcinoma based on computed tomography (CT) texture analysis and clinical characteristics to estimate the probability of LN metastasis. METHODS: The records of 501 consecutive patients with cT1N0M0 lung adenocarcinoma who underwent CT scan and pulmonary resection with systematic lymph nodes dissection or lymph nodes sampling were reviewed. Each nodule was manua...
Source: The Annals of Thoracic Surgery - March 14, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Gu Y, She Y, Dai C, Ren Y, Fan Z, Zhu H, Sun X, Xie H, Jiang G, Xie D, Chen C Tags: Ann Thorac Surg Source Type: research

Current State of Empyema Management.
We examined current treatment practices and outcomes for inpatient treatment of empyema using a comprehensive, longitudinal dataset that encompasses an entire state cohort of hospitalized patients. METHODS: We queried the Healthcare Cost and Utilization Project (HCUP) New York State Inpatient Database (2009-2014) for patients with primary empyema and subsequent readmissions. Patients were categorized into three groups by definitive treatment during their initial hospitalization: chest tube drainage, VATS decortication/drainage, or open decortication/drainage. Treatment outcomes including success rates, readmission, re...
Source: The Annals of Thoracic Surgery - March 14, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Semenkovich TR, Olsen MA, Puri V, Meyers BF, Kozower BD Tags: Ann Thorac Surg Source Type: research

Cardiothoracic and Vascular Surgeons Achieve High Rates of K-Award Conversion Into R01 Funding.
CONCLUSIONS: CTV surgeons have an equal 10-year conversion rate to first R01 award compared to other clinicians. These data suggest that NIH achieves a good return on investment when funding CTV surgeon-scientists with K-level funding. PMID: 29550206 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 14, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Narahari AK, Mehaffey JH, Hawkins RB, Baderdinni PK, Chandrabhatla AS, Tribble CG, Kron IL, Roeser ME, Walters DM, Ailawadi G Tags: Ann Thorac Surg Source Type: research

Safety and Feasibility of Lung Resection after Immunotherapy for Metastatic or Unresectable Tumors.
CONCLUSIONS: In patients with previously metastatic or unresectable cancer, lung resection for suspected residual disease following immunotherapy is feasible, with high rates of R0 resection. Operations can be technically challenging, but significant morbidity appears to be rare. Outcomes are encouraging, with reasonable survivals during short-interval follow-up. PMID: 29550207 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 14, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Bott MJ, Cools-Lartigue J, Tan KS, Dycoco J, Bains MS, Downey RJ, Huang J, Isbell JM, Molena D, Park BJ, Rusch VW, Sihag S, Jones DR, Adusumilli PS Tags: Ann Thorac Surg Source Type: research

Surgery of HOCM in Patients with Severe Hypertrophy, Myocardial Fibrosis and Ventricular Tachycardia (Commentary).
PMID: 29550208 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 14, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Nguyen A, Schaff HV Tags: Ann Thorac Surg Source Type: research

Emergent Transcatheter Aortic Valve Replacement for Aortic Insufficiency
We present a case in which transcatheter aortic valve replacement was implemented successfully as a salvage therapy in a hemodynamically unstable patient experiencing aortic insufficiency as a result of a torn bio-prosthetic leaflet during an unrelated abdominal operation. The successful use of this technique in a non-cardiac operating room allowed the patient to be placed on extracorporeal support and ultimately to be discharged home. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 14, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Multivessel Total Arterial Coronary Artery Bypass Grafting in Mesocardia
We report here a case of coronary artery bypass grafting in mesocardia, which has not been described in medical literature earlier. A 52 years male suffered an anterior wall myocardial infarction. Chest X Ray, 2 D Echocardiography and computed tomography of chest confirmed the presence of mesocardia. Off pump total arterial revascularization was done. Exposure of aorta and right atrium through the standard median sternotomy is very difficult in mesocardia due to cardiac rotation and should be kept in mind in this surgery. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 14, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Maximize Reimbursement and Minimize Risk under the Medicare Access and Children ’s Health Insurance Program Reauthorization Act (MACRA) and the Quality Payment Program (QPP)
Publication date: Available online 13 March 2018 Source:The Annals of Thoracic Surgery Author(s): Jeffrey Rich, Clifford E. Fonner, Jayna Eller, Ivan Berkel, Deborah Nadzam (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 14, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

A Novel Objective Approach to the External Measurement of Pectus Excavatum Severity By Means of an Optical Device
Conclusions CI-3D has a good match with the average subjective assessment in distinguishing patients with mild to severe PE. This innovative approach offers several advantages over existing indices, as it is repeatable and does not require cross-sectional imaging. The index might be particularly suitable for monitoring the efficacy of non-operative treatment and, in the future, for designing an optimal personalized usage of therapeutic devices. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 14, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Multivessel Total Arterial Coronary Artery Bypass Grafting in Mesocardia.
We report here a case of coronary artery bypass grafting in mesocardia, which has not been described in medical literature earlier. A 52 years male suffered an anterior wall myocardial infarction. Chest X Ray, 2 D Echocardiography and computed tomography of chest confirmed the presence of mesocardia. Off pump total arterial revascularization was done. Exposure of aorta and right atrium through the standard median sternotomy is very difficult in mesocardia due to cardiac rotation and should be kept in mind in this surgery. PMID: 29549008 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 13, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Bhatnagar P, Bhatnagar S Tags: Ann Thorac Surg Source Type: research

A Novel Objective Approach to the External Measurement of Pectus Excavatum Severity By Means of an Optical Device.
CONCLUSIONS: CI-3D has a good match with the average subjective assessment in distinguishing patients with mild to severe PE. This innovative approach offers several advantages over existing indices, as it is repeatable and does not require cross-sectional imaging. The index might be particularly suitable for monitoring the efficacy of non-operative treatment and, in the future, for designing an optimal personalized usage of therapeutic devices. PMID: 29549009 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 13, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Uccheddu F, Ghionzoli M, Volpe Y, Servi M, Furferi R, Governi L, Facchini F, Lo Piccolo R, McGreevy KS, Martin A, Carfagni M, Messineo A Tags: Ann Thorac Surg Source Type: research

Maximize Reimbursement and Minimize Risk under the Medicare Access and Children's Health Insurance Program Reauthorization Act (MACRA) and the Quality Payment Program (QPP).
PMID: 29549010 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 13, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Rich J, Fonner CE, Eller J, Berkel I, Nadzam D Tags: Ann Thorac Surg Source Type: research

Emergent Transcatheter Aortic Valve Replacement for Aortic Insufficiency.
We present a case in which transcatheter aortic valve replacement was implemented successfully as a salvage therapy in a hemodynamically unstable patient experiencing aortic insufficiency as a result of a torn bio-prosthetic leaflet during an unrelated abdominal operation. The successful use of this technique in a non-cardiac operating room allowed the patient to be placed on extracorporeal support and ultimately to be discharged home. PMID: 29549011 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 13, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Trahanas JM, Van Boxtel BS, Miller SE, Irobunda C, Kodali SK, George I Tags: Ann Thorac Surg Source Type: research

Effectiveness of Implemented Interventions on Pathologic Nodal Staging of Non-Small Cell Lung Cancer
Conclusions The combined effect of two interventions to improve pathologic lymph node examination has a greater effect on attainment of a range of surgical quality criteria than either intervention alone. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 11, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Intramural Metastasis as a Risk Factor for Recurrence in Esophageal Squamous Cell Carcinoma
Conclusions IM could be an important prognostic factor, along with anatomical determinants such as the TNM staging system, in patients with ESCC. Effective preoperative evaluation and postoperative surveillance may help improve the outcome of ESCC patients, particularly when accompanied by IM. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 11, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Surgery of Hypertrophic Obstructive Cardiomyopathy in Patients With Severe Hypertrophy, Myocardial Fibrosis and Ventricular Tachycardia
Conclusions The benefits of applying our technique include effective surgical treatment of HOCM patients with severe hypertrophy and biventricular obstruction. It may be an appropriate choice for HOCM patients with septal myocardial fibrosis. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 11, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Radiographic Predictors of Resectability in Thymic Carcinoma
Conclusions Pre-operative CT imaging features may help to identify patients at risk for an incomplete surgical resection. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 11, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Clinicoradiographic Predictors of Aggressive Biology in Lung Cancer with Ground Glass Components
Conclusions Several radiographic features were associated with aggressive tumor biology, which is a well-known finding. However, we found that none of these radiographic features remained relevant after we adjusted for the size of the solid component, indicating that radiographic features are not as important as previously believed. Further research will be required to identify reliable markers associated with favorable tumor biology. These studies will ultimately be critical in informing prognosis or guiding extent of resection. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 11, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Radiographic Predictors of Resectability in Thymic Carcinoma.
CONCLUSIONS: Pre-operative CT imaging features may help to identify patients at risk for an incomplete surgical resection. PMID: 29534953 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 10, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Hayes SA, Huang J, Golia Pernicka J, Cunningham J, Zheng J, Moskowitz CS, Ginsberg MS Tags: Ann Thorac Surg Source Type: research

Surgery of Hypertrophic Obstructive Cardiomyopathy in Patients With Severe Hypertrophy, Myocardial Fibrosis and Ventricular Tachycardia.
CONCLUSIONS: The benefits of applying our technique include effective surgical treatment of HOCM patients with severe hypertrophy and biventricular obstruction. It may be an appropriate choice for HOCM patients with septal myocardial fibrosis. PMID: 29534954 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 10, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Borisov KV Tags: Ann Thorac Surg Source Type: research

Intramural Metastasis as a Risk Factor for Recurrence in Esophageal Squamous Cell Carcinoma.
Abstract BACKGROUND: The purpose of this study was to assess the clinicopathological implications of intramural metastasis (IM) in patients with esophageal squamous cell carcinoma (ESCC). METHODS: We retrospectively analyzed 743 patients who underwent esophagectomy. Among these patients, IM was detected in 41 patients (5.5%). The clinicopathological features of IM and its influence on postoperative recurrence were investigated. RESULTS: In total, 710 male patients and 33 female patients with a mean age of 64.4 ± 7.7 years were included. The median follow-up period was 98.5 months. IM was associate...
Source: The Annals of Thoracic Surgery - March 10, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Moon DH, Jeon JH, Yang HC, Kim YI, Lee JY, Kim MS, Lee JM, Lee GK Tags: Ann Thorac Surg Source Type: research

Effectiveness of Implemented Interventions on Pathologic Nodal Staging of Non-Small Cell Lung Cancer.
Abstract BACKGROUND: Accurate pathologic nodal staging improves early-stage non-small-cell lung cancer survival. In an ongoing implementation study, we measured the impact of a surgical lymph node specimen collection kit and a more thorough pathologic gross dissection method, on attainment of guideline-recommended pathologic nodal staging quality. METHODS: We prospectively collected data on curative-intent non-small cell lung cancer resections from 2009-2016 from 11 hospitals in 4 contiguous Dartmouth Hospital Referral Regions. We categorized patients into 4 groups based on exposure to the two interventions i...
Source: The Annals of Thoracic Surgery - March 10, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Ray MA, Faris NR, Smeltzer MP, Fehnel C, Houston-Harris C, Levy P, Wiggins L, Sachdev V, Robbins T, Spencer D, Osarogiagbon RU Tags: Ann Thorac Surg Source Type: research

Clinicoradiographic Predictors of Aggressive Biology in Lung Cancer with Ground Glass Components.
Abstract BACKGROUND: Ground glass opacities pose diagnostic challenges, and even after malignancy is confirmed, prognosis is often unclear. We sought to identify clinicoradiographic features that could predict aggressive tumor biology in lung adenocarcinoma with associated ground glass components. METHODS: A retrospective review of patients with resected lung adenocarcinoma from 2008-2013 was performed. Detailed radiographic features were reviewed by two radiologists. Logistic regression was used to identify risks of poor differentiation or a composite outcome of nodal metastases/lymphovascular invasion. ...
Source: The Annals of Thoracic Surgery - March 10, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Nelson DB, Godoy MC, Benveniste MF, Shewale JB, Spicer JD, Mitchell KG, Hofstetter WL, Mehran RJ, Rice DC, Sepesi B, Walsh GL, Vaporciyan AA, Swisher SG, Roth JA, Antonoff MB Tags: Ann Thorac Surg Source Type: research

ConVes: The Sutureless Aortic Graft Anastomotic Device
Conclusions This proof-of-concept study demonstrates the feasibility and short-term success of the proposed sutureless anastomotic device. Further preclinical studies are necessary to evaluate long-term durability of the anastomosis. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

ConVes: The Sutureless Aortic Graft Anastomotic Device.
CONCLUSIONS: This proof-of-concept study demonstrates the feasibility and short-term success of the proposed sutureless anastomotic device. Further preclinical studies are necessary to evaluate long-term durability of the anastomosis. PMID: 29530280 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 9, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Dual SA, Muller A, Boës S, Brinkmann O, Steffanoni S, Falk V, Meboldt M, Schmid Daners M, Sündermann S Tags: Ann Thorac Surg Source Type: research

Finite-Element Analysis Aided Design of Customized Nuss Bar in Pectus Excavatum Surgery.
PMID: 29530768 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 9, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Wang H, Yang J, Liu W, Xia H Tags: Ann Thorac Surg Source Type: research

A Nomogram Predicting Recurrence and Guiding Adjuvant Radiation for Thymic Carcinoma After Resection.
CONCLUSIONS: Our nomogram for predicting RFS had good performance. Adjuvant radiotherapy should be recommended for patients with a total score>208. PMID: 29530769 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 9, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Wang Y, Xu L, Du T, Gao Y, Wu Z, Luo D Tags: Ann Thorac Surg Source Type: research

Enhanced Recovery Decreases Pulmonary and Cardiac Complications Following Thoracotomy for Lung Cancer.
Abstract BACKGROUND: Enhanced recovery after surgery (ERAS) pathways aim to improve postoperative recovery through evidence-based practices including early ambulation, multimodal opioid-sparing analgesia, and reduction of surgical stress. The purpose of this study was to evaluate outcomes following implementation of ERAS in patients undergoing resection for pulmonary malignancy. METHODS: A retrospective review compared outcomes for patients undergoing pulmonary resection for primary lung cancer. Analysis was performed between three time periods: Pre-ERAS (1/1/2006-12/31/2011), transitional period with element...
Source: The Annals of Thoracic Surgery - March 9, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Van Haren RM, Mehran RJ, Correa AM, Antonoff MB, Baker CM, Woodard TC, Hofstetter WL, Mena GE, Roth JA, Sepesi B, Swisher SG, Vaporciyan AA, Walsh GL, Rice DC Tags: Ann Thorac Surg Source Type: research

Novel Management of Atrial Septal Defect at Time of Lung Transplantation.
We present a case of young female patient with end stage lung failure due to pulmonary arterial hypertension who was failing maximal medical therapy and was listed for a single sequential lung transplantation. The challenge of the case was a concomitant presence of a large atrial septal defect (ASD). The novelty of our approach was a device closure of ASD before performing a transplant with the use of intraoperative venoarterial extracorporeal membrane oxygenation (ECMO). PMID: 29530771 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 9, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Urban M, Booth K, O'Sullivan J, Dark J Tags: Ann Thorac Surg Source Type: research

Overcoming a Surgical Challenge: Inverted Aortic Prosthetic Valves in Small Mitral Annulus.
oda J PMID: 29530772 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 9, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Redondo A, Lopez-Menendez J, Varela L, Muñoz R, Rodriguez-Roda J Tags: Ann Thorac Surg Source Type: research

Bronchoscopy Simulation Training as a Tool in Medical School Education.
Abstract BACKGROUND: Procedural simulation training is rare at the medical school level and little is known about its usefulness in improving anatomical understanding and procedural confidence in students. Our aim is to assess the impact of bronchoscopy simulation training on bronchial anatomy knowledge and technical skills in medical students. METHODS: Medical students were recruited by email, consented, and asked to fill out a survey regarding their baseline experience. Two thoracic surgeons measured their knowledge of bronchoscopy on a virtual reality bronchoscopy simulator using the Bronchoscopy Skills an...
Source: The Annals of Thoracic Surgery - March 9, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Gopal M, Skobodzinski AA, Sterbling HM, Rao SR, LaChapelle C, Suzuki K, Litle VR Tags: Ann Thorac Surg Source Type: research

Anomalous Left Coronary Artery from the Pulmonary Artery: Masquerading as Peripartum Cardiomyopathy.
ose É, Jacques F Abstract Diagnosed with peripartum cardiomyopathy 8 years earlier, a 45-year-old female suffered sudden cardiac death. Following resuscitation, the patient was diagnosed with an anomalous origin of the left coronary artery from the pulmonary artery and underwent a successful coronary repair. The management of a patient with clinical features of cardiomyopathy is reviewed. Anomalous left coronary artery originating from the pulmonary artery (ALCAPA) is a rare but potentially lethal congenital anomaly affecting 1 in 300,000 live births1. Infants may have clinical features of myocardial ischem...
Source: The Annals of Thoracic Surgery - March 9, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Frigault J, Lafrenière-Bessi V, Perron J, Bédard É, Philippon F, Poirier P, Larose É, Jacques F Tags: Ann Thorac Surg Source Type: research

Construction of an Apical Plug for Explantation of HeartWare HVAD Left Ventricular Assist Device.
Abstract Utilization of a left ventricular assist device (LVAD) as a bridge to myocardial recovery is an established therapy for acute systolic heart failure. However, device removal can present a technical challenge with no clear consensus on preferred method. In this case report, we describe a complex patient who underwent successful explantation of an LVAD using an intraoperatively constructed apical plug. This method utilizes inexpensive and easily accessible materials, minimizes ventricular distortion during device removal, and preserves the ventricular sewing ring for future reimplantation. PMID: 295307...
Source: The Annals of Thoracic Surgery - March 9, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Shah SM, Teman NR, Dearth E, Yarboro LT, Kern JA Tags: Ann Thorac Surg Source Type: research

W. Gerald Rainer, MD, November 13, 1927 - November 14, 2017.
Abstract W. Gerald Rainer, the 25th President of the Society of Thoracic Surgeons and a founding member of the STS, died suddenly on November 14, 2017, one day after celebrating his 90th birthday with his family. He will be remembered as a superb private practice Cardiothoracic Surgeon who also participated in research, had a strong commitment to the community and the University of Colorado, and a superb record of service to the Society of Thoracic Surgeons and other professional societies. PMID: 29530776 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 9, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Grover FL Tags: Ann Thorac Surg Source Type: research

Psoas Muscle Size Predicts Risk-Adjusted Outcomes After Surgical Aortic Valve Replacement.
Abstract BACKGROUND: Frailty is an important predictor of outcomes after cardiac surgery, but utility is limited by difficult assessment and quantification. We hypothesize that sarcopenia defined as psoas muscle cross-sectional area is a useful predictor of surgical aortic valve replacement (SAVR) outcomes in moderate to high-risk patients. METHODS: Moderate to high-risk (predicted risk of mortality [PROM]>3%) patients who underwent SAVR with or without coronary bypass were extracted from an institutional database (2009-2016). Psoas index was calculated as the cross-sectional area of the psoas muscle at th...
Source: The Annals of Thoracic Surgery - March 9, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Hawkins RB, Mehaffey JH, Charles EJ, Kern JA, Lim DS, Teman NR, Ailawadi G Tags: Ann Thorac Surg Source Type: research

A Multidisciplinary Protocol-Driven Approach to Improve Extubation Times Following Cardiac Surgery.
Abstract BACKGROUND: Prolonged intubation following cardiac surgery is associated with significant morbidity. A fast-track extubation protocol primarily driven by bedside providers was instituted for all postoperative cardiac surgery patients to facilitate safe and expeditious extubation. METHODS: A retrospective review of 1581 cardiac surgery patients over an 8-year period was performed. Prior to 2011, non-protocolized standard perioperative management was utilized (n=807). From 2011 onwards, a fast-track extubation (FTE) protocol directed by bedside providers was instituted (n=774). Post-operatively, patien...
Source: The Annals of Thoracic Surgery - March 9, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Chan JL, Miller JG, Murphy M, Greenberg A, Iraola P, Horvath KA Tags: Ann Thorac Surg Source Type: research

Granulomatosis with Polyangiitis Involving the Ascending Aorta.
Abstract A 58-year-old man visited the emergency department with vague anterior chest discomfort. Based on computed tomographic findings, our initial suspicion was intramural hematoma (IMH) in the ascending aorta. After a comprehensive discussion with relevant departments, emergent operation was planned. Intra-pericardial space, however, was severely adhered suggesting chronic inflammation. Biopsies were performed, and additional surgical procedures were discontinued. The patient was finally diagnosed as having Granulomatosis with Polyangiitis. Careful approach with high degreed suspicion for Granulomatosis with P...
Source: The Annals of Thoracic Surgery - March 9, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Kim WK, Kim JB Tags: Ann Thorac Surg Source Type: research

Bronchoscopy Simulation Training as a Tool in Medical School Education
Conclusions Self-driven bronchoscopy simulation training in medical students led to improvements in bronchial anatomy knowledge and bronchoscopy skills. Further investigation is underway to determine the impact of bronchoscopy simulation training on future specialty interest and long-term skills retention. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 9, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

W. Gerald Rainer, MD, November 13, 1927 - November 14, 2017
Publication date: Available online 9 March 2018 Source:The Annals of Thoracic Surgery Author(s): Frederick L. Grover W. Gerald Rainer, the 25th President of the Society of Thoracic Surgeons and a founding member of the STS, died suddenly on November 14, 2017, one day after celebrating his 90th birthday with his family. He will be remembered as a superb private practice Cardiothoracic Surgeon who also participated in research, had a strong commitment to the community and the University of Colorado, and a superb record of service to the Society of Thoracic Surgeons and other professional societies. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 9, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Finite-Element Analysis Aided Design of Customized Nuss Bar in Pectus Excavatum Surgery
Publication date: Available online 9 March 2018 Source:The Annals of Thoracic Surgery Author(s): Hui Wang, Jingzhou Yang, Wei Liu, Huimin Xia (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 9, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research