The Cape Town Declaration on Access to Cardiac Surgery in the Developing World
Publication date: Available online 3 August 2018Source: The Annals of Thoracic SurgeryAuthor(s): Peter Zilla, R. Morton Bolman, Magdi H. Yacoub, Friedhelm Beyersdorf, Karen Sliwa, Liesl Zühlke, Robert S.D. Higgins, Bongani Mayosi, Alain Carpentier, David Williams (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 4, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Simultaneous Surgical Treatment of Sternum and Costal Cartilage Fractures
Publication date: Available online 3 August 2018Source: The Annals of Thoracic SurgeryAuthor(s): Erji Gao, Yang Li, Tiancheng Zhao, Xiang Guo, Weiwei He, Weiming Wu, Yonghong Zhao, Yi YangAbstractThere are studies confirmed that for severe flail chest or sternal fractures, even multiple rib fractures, surgery can effectively reduce hospital stay and relieve chest wall pain. But it is a challenge to fix too many costal cartilage fractures in such a small area if we just put internal fixator directly on the sternum. Through this case report we want to share our method of fixation of multiple costal cartilage and sternal frac...
Source: The Annals of Thoracic Surgery - August 4, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Minimally Invasive Mitral Valve Repair for Acute Papillary Muscle Rupture During Pregnancy
We describe a 28-year-old morbidly obese woman at 27-weeks gestation who presents with acute decompensated mitral regurgitation secondary to spontaneous papillary muscle rupture. Following hemodynamic stabilization and Cesarean delivery, we performed an emergent mitral valve repair through a minimally invasive right thoracotomy. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 4, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Gordon F. Murray, MD, January 8, 1939-May 21, 2018
Publication date: Available online 3 August 2018Source: The Annals of Thoracic SurgeryAuthor(s): Mark B. OrringerAbstractDr. Gordon F. Murray was the 44th president of the Society of Thoracic Surgeons and a distinguished member of this profession. He had a major influence on surgery as both Chief of the Division of Cardiothoracic Surgery and Chairman of the Department of Surgery at West Virginia University. An advocate of resident education, he served on the American Board of Thoracic Surgery and the Residency Review Committee, and was President of the Thoracic Surgery Directors Association. He was a tireless worker and le...
Source: The Annals of Thoracic Surgery - August 4, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Aortic Root Pseudoaneurysm Caused by Mycobacterium Chimaera
We describe a case of a 50-year-old male who developed an invasive Mycobacterium chimaera infection with an aortic root pseudoaneurysm following a Bentall-de Bono procedure for a Stanford Type A aortic dissection. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 4, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Transcatheter Aortic Valve Replacement for a Failed Mechanical Aortic Prosthesis
We report a case where transcatheter aortic valve replacement was used through the open aorta on cardiopulmonary bypass in order to minimize operative duration and reduce the risk of prosthesis-patient mismatch in a Jehovah’s witness with a failed 17-mm mechanical aortic prosthesis. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 4, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Successful Heart Transplantation in Two Infants with Dextrocardia-Heterotaxy Syndrome
Publication date: Available online 3 August 2018Source: The Annals of Thoracic SurgeryAuthor(s): Umar Boston, TK Susheel Kumar, Jignesh Shah, Tiffany Street, Jeffrey Towbin, Christopher J. Knott-CraigAbstractInfants with dextrocardia-heterotaxy syndrome pose significant surgical challenges to a successful orthotopic heart transplant. Here in we report two infants with dextrocardia-heterotaxy syndrome who underwent complex heart transplantation. A combination of pre-operative three-dimensional chest computed tomography to predict optimal donor size and unique surgical technique resulted in successful outcomes. (Source: The ...
Source: The Annals of Thoracic Surgery - August 4, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Nonoperative Management of Brachiocephalic Artery Dissection
Publication date: Available online 3 August 2018Source: The Annals of Thoracic SurgeryAuthor(s): Laura Seese, Arman Kilic, Forozan Navid, Thomas G. Gleason, Ibrahim SultanAbstractA 68-year-old male presented with complaints of right-sided neck and chest pain with systolic blood pressures>200mmHg but denied any recent blunt trauma or whiplash events. A computer tomography angiography (CTA) demonstrated an acute dissection involving the origin of the right brachiocephalic artery that extended into the right common carotid and right subclavian arteries. The patient was neurologically intact and CTA of the brain demonstrate...
Source: The Annals of Thoracic Surgery - August 4, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Current Practices in the Management of Pulmonary Ground-Glass Opacities: A Survey of SICT Members.
CONCLUSIONS: This topic warrants more investigation in the future. An upcoming consensus conference of SICT experts (also open to experts in other specialties) could provide updated indications for GGO management based on the literature, expert opinions, and the results of the present survey. PMID: 30086278 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 4, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Lococo F, Cusumano G, De Filippis AF, CurcurĂ¹ G, Quercia R, Marulli G, Monaco G, Granone P, Muriana G, Rea F, Crisci R, Di Rienzo G, Cardillo G, Lococo A, PNR-Group Tags: Ann Thorac Surg Source Type: research

Impact of Frailty on Outcomes in Acute Type A Aortic Dissection.
CONCLUSIONS: Frailty, as defined using a 7-component frailty index, can serve as an independent predictor of the risk of late mortality in patients undergoing an ATAAD. Such frailty markers, all of which are easily assessed preoperatively, may provide valuable information for patient counseling and risk stratification before aortic surgery. PMID: 30086279 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 4, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Gomibuchi T, Seto T, Komatsu M, Tanaka H, Ichimura H, Yamamoto T, Ohashi N, Wada Y, Okada K Tags: Ann Thorac Surg Source Type: research

Outcomes of Stentless-Thoracic Endovascular Aortic Repair for Chronic DeBakey IIIb Aneurysms.
CONCLUSIONS: Stentless-TEVAR seems to be a safe procedure and enables favorable aortic remodeling. Thus, this technique can be useful in a selected group of patients with CDIIIb aneurysms. PMID: 30086280 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 4, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Kim TH, Song SW, Lee KH, Heo W, Baek MY, Yoo KJ, Cho BK Tags: Ann Thorac Surg Source Type: research

Progressive Sandstorm Lung in Pulmonary Alveolar Microlithiasis.
PMID: 30086281 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 4, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Chen CW, Wu FZ Tags: Ann Thorac Surg Source Type: research

Veno-venous Extracorporeal Membrane Oxygenation and Pulmonary Resection for Necrotizing Pneumonia.
We describe the case of a 35-year-old man who presented in respiratory failure after influenza B infection requiring initiation of veno-venous extra-corporeal membranous oxygenation (VV-ECMO) and eventual pulmonary resection for necrotizing pneumonia. Following a successful wean off VV-ECMO, and once hemodynamically stable, he was taken to the operating room for decortication and left pulmonary resection. Recovery was complicated by persistent airleak requiring placement of endobronchial valves, but otherwise he recovered very well. This case demonstrates the benefits of lung resection for necrotizing pneumonia. PMID:...
Source: The Annals of Thoracic Surgery - August 4, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Merlo A, Reid T, Burks AC, Long J Tags: Ann Thorac Surg Source Type: research

Utility of Biomarkers to Improve Prediction of Readmission or Mortality after Cardiac Surgery.
Abstract BACKGROUND: Hospital readmission within 30 days is associated with higher risks of complications, death, and increased costs. Accurate statistical models to stratify the risk of 30-day readmission or death after cardiac surgery could help clinical teams focus care on those patients at highest risk. We hypothesized biomarkers could improve prediction for readmission or mortality. METHODS: Levels of ST2, Galectin-3, NTproBNP, Cystatin C, IL-6, and IL-10 were measured in samples from 1046 patients discharged after isolated CABG surgery from 8 medical centers with external validation in 1194 patients fro...
Source: The Annals of Thoracic Surgery - August 4, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Brown JR, Jacobs JP, Alam SS, Thiessen-Philbrook H, Everett A, Likosky DS, Lobdell K, Wyler von Ballmoos MC, Parker DM, Garg AX, Mackenzie T, Jacobs ML, Parikh CR Tags: Ann Thorac Surg Source Type: research

Functional Outcomes of Type I Bicuspid Aortic Valve Repair with Annular Stabilization: Subcommissural Annuloplasty versus External Subannular Aortic Ring.
Abstract BACKGROUND: In bicuspid aortic valve (BAV) patients with non-aneurysmal root (1+ was achieved, with significant reduction of vena contracta (-3.0±0.6mm, p
Source: The Annals of Thoracic Surgery - August 4, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Ko H, Bavaria JE, Habertheuer A, Augoustides JG, Siki M, Freas M, Komlo C, Milewski K, Desai ND, Szeto WY, Vallabhajosyula P Tags: Ann Thorac Surg Source Type: research

Successful Heart Transplantation in Two Infants with Dextrocardia-Heterotaxy Syndrome.
Abstract Infants with dextrocardia-heterotaxy syndrome pose significant surgical challenges to a successful orthotopic heart transplant. Here in we report two infants with dextrocardia-heterotaxy syndrome who underwent complex heart transplantation. A combination of pre-operative three-dimensional chest computed tomography to predict optimal donor size and unique surgical technique resulted in successful outcomes. PMID: 30081023 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 3, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Boston U, Kumar TS, Shah J, Street T, Towbin J, Knott-Craig CJ Tags: Ann Thorac Surg Source Type: research

Nonoperative Management of Brachiocephalic Artery Dissection.
Abstract A 68-year-old male presented with complaints of right-sided neck and chest pain with systolic blood pressures>200mmHg but denied any recent blunt trauma or whiplash events. A computer tomography angiography (CTA) demonstrated an acute dissection involving the origin of the right brachiocephalic artery that extended into the right common carotid and right subclavian arteries. The patient was neurologically intact and CTA of the brain demonstrated a stable arachnoid cyst and a brain perfusion scan demonstrated homogenous perfusion. In the absence of strong indications for arch replacement, the patient wa...
Source: The Annals of Thoracic Surgery - August 3, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Seese L, Kilic A, Navid F, Gleason TG, Sultan I Tags: Ann Thorac Surg Source Type: research

Transcatheter Aortic Valve Replacement for a Failed Mechanical Aortic Prosthesis.
We report a case where transcatheter aortic valve replacement was used through the open aorta on cardiopulmonary bypass in order to minimize operative duration and reduce the risk of prosthesis-patient mismatch in a Jehovah's witness with a failed 17-mm mechanical aortic prosthesis. PMID: 30081025 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 3, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Nader J, Paradis JM, Zainulabdin O, Dagenais F, Mohammadi S, Kalavrouziotis D Tags: Ann Thorac Surg Source Type: research

Aortic Root Pseudoaneurysm Caused by Mycobacterium Chimaera.
We describe a case of a 50-year-old male who developed an invasive Mycobacterium chimaera infection with an aortic root pseudoaneurysm following a Bentall-de Bono procedure for a Stanford Type A aortic dissection. PMID: 30081026 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 3, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Shah VN, Orlov OI, Sternlieb MP, Plestis KA Tags: Ann Thorac Surg Source Type: research

Gordon F. Murray, MD, January 8, 1939-May 21, 2018.
Abstract Dr. Gordon F. Murray was the 44th president of the Society of Thoracic Surgeons and a distinguished member of this profession. He had a major influence on surgery as both Chief of the Division of Cardiothoracic Surgery and Chairman of the Department of Surgery at West Virginia University. An advocate of resident education, he served on the American Board of Thoracic Surgery and the Residency Review Committee, and was President of the Thoracic Surgery Directors Association. He was a tireless worker and leader in our specialty. PMID: 30081027 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 3, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Orringer MB Tags: Ann Thorac Surg Source Type: research

Minimally Invasive Mitral Valve Repair for Acute Papillary Muscle Rupture During Pregnancy.
We describe a 28-year-old morbidly obese woman at 27-weeks gestation who presents with acute decompensated mitral regurgitation secondary to spontaneous papillary muscle rupture. Following hemodynamic stabilization and Cesarean delivery, we performed an emergent mitral valve repair through a minimally invasive right thoracotomy. PMID: 30081028 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 3, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Nguyen S, Umana-Pizano JB, Donepudi R, Dhoble A, Nguyen TC Tags: Ann Thorac Surg Source Type: research

Transplantation of Lungs Procured From a Donor with an Atrioesophageal Fistula.
We report the case of procurement and transplantation of lungs from a young donor who died from an atrioesophageal fisula complicating catheter ablation for atrial fibrillation. Our case illustrates that structural damage to the left atrium is not an absolute contraindication to lung donation. As atrioesophageal fistulas are being increasingly recognized as a rare but often lethal complication of catheter ablation such donors can contribute to the expansion of the donor pool. PMID: 30081029 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 3, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Takahashi T, Gauthier JM, Albertin EK, Damiano RJ, Patterson GA, Bierhals AJ, Pasque MK, Hachem RR, Puri V, Kreisel D Tags: Ann Thorac Surg Source Type: research

Simultaneous Surgical Treatment of Sternum and Costal Cartilage Fractures.
Abstract There are studies confirmed that for severe flail chest or sternal fractures, even multiple rib fractures, surgery can effectively reduce hospital stay and relieve chest wall pain. But it is a challenge to fix too many costal cartilage fractures in such a small area if we just put internal fixator directly on the sternum. Through this case report we want to share our method of fixation of multiple costal cartilage and sternal fractures at the same time through a small incision, and it is also appropriate for multiple costal cartilage fractures without sternal fracture. PMID: 30081030 [PubMed - as sup...
Source: The Annals of Thoracic Surgery - August 3, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Gao E, Li Y, Zhao T, Guo X, He W, Wu W, Zhao Y, Yang Y Tags: Ann Thorac Surg Source Type: research

Preoperative Imaging of a Malignant Cardiac Tumor
Publication date: Available online 2 August 2018Source: The Annals of Thoracic SurgeryAuthor(s): Josephine Pressacco, Jaramie Thomas-Gittens, Mathieu Charest, Yoel Bitton, Mathieu Rousseau, Moishe Liberman (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 2, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Bare Metal Stent use in Type B Aortic Dissection May Offer Positive Remodeling for the Distal Aorta
ConclusionsThe use of a PETTICOAT concept with an addition of a bare metal stent distal to the proximal thoracic endograft offers positive aortic remodeling in the thoracoabdominal aorta at six months. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 2, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Thoracoscopic Right Basilar Segmentectomy after Right Upper Lobectomy
We report a case of thoracoscopic right basilar segmentectomy after upper lobectomy. A 76-year-old man who underwent right upper lobectomy for lung tuberculosis 50 years earlier was diagnosed with squamous cell carcinoma, stage IB (T2aN0M0), in the right lower lobe and underwent right basilar segmentectomy for limited resection. The postoperative course was uneventful. The patient showed no recurrence clinically and the 1-year postoperative chest computed tomographic scan showed adequate volume of the middle and residual right lower lobe without emphysematous changes. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 2, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Thoracoscopic Right Basilar Segmentectomy after Right Upper Lobectomy.
We report a case of thoracoscopic right basilar segmentectomy after upper lobectomy. A 76-year-old man who underwent right upper lobectomy for lung tuberculosis 50 years earlier was diagnosed with squamous cell carcinoma, stage IB (T2aN0M0), in the right lower lobe and underwent right basilar segmentectomy for limited resection. The postoperative course was uneventful. The patient showed no recurrence clinically and the 1-year postoperative chest computed tomographic scan showed adequate volume of the middle and residual right lower lobe without emphysematous changes. PMID: 30077592 [PubMed - as supplied by publisher]...
Source: The Annals of Thoracic Surgery - August 2, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Tada M, Miyajima M, Mishina T, Takahashi Y, Maki R, Watanabe A Tags: Ann Thorac Surg Source Type: research

Preoperative Imaging of a Malignant Cardiac Tumor.
PMID: 30077593 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 2, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Pressacco J, Thomas-Gittens J, Charest M, Bitton Y, Rousseau M, Liberman M Tags: Ann Thorac Surg Source Type: research

Bare Metal Stent use in Type B Aortic Dissection May Offer Positive Remodeling for the Distal Aorta.
CONCLUSIONS: The use of a PETTICOAT concept with an addition of a bare metal stent distal to the proximal thoracic endograft offers positive aortic remodeling in the thoracoabdominal aorta at six months. PMID: 30077594 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 2, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Sultan I, Dufendach K, Kilic A, Bianco V, Trivedi D, Althouse AD, Thoma F, Navid F, Gleason T Tags: Ann Thorac Surg Source Type: research

Normalization of Transvalvular Flow Patterns after Bicuspid Aortic Valve Repair: Insights from 4D Flow Cardiovascular Magnetic Resonance Imaging
Publication date: Available online 1 August 2018Source: The Annals of Thoracic SurgeryAuthor(s): Peter Bannas, Alexander Lenz, Johannes Petersen, Martin Sinn, Gerhard Adam, Hermann Reichenspurner, Evaldas Girdauskas (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 1, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

TAVR 2.0: Collaborating to Measure, Assure, and Advance Quality
Publication date: Available online 1 August 2018Source: The Annals of Thoracic SurgeryAuthor(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 - August 1, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Impact of Sharing O Heart with Non-O Recipients: Simulation in the United Network for Organ Sharing Registry
This study aims to clarify the outcome difference between O and non-O candidates and how allocation change could affect survival using Markov simulation.MethodsWe reviewed the United Network for Organ Sharing registry for adults listed for heart transplantation from 2008 to 2015. Cumulative incidences of death or transplant and survival after listing were compared between O and non-O using propensity matching. A four-state Markov model (waiting without LVAD, waiting with LVAD, transplanted, and death) was created to simulate survival after listing. Sensitivity analysis was performed to see how the percentage of O heart in ...
Source: The Annals of Thoracic Surgery - August 1, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

2018 AATS/ACC/SCAI/STS Expert Consensus Systems of Care Document: Operator and Institutional Recommendations and Requirements for Transcatheter Aortic Valve Replacement: A Joint Report of the American Association for Thoracic Surgery, the American College of Cardiology, the Society for Cardiovascular Angiography and Interventions, and the Society of Thoracic Surgeons
Publication date: Available online 31 July 2018Source: The Annals of Thoracic SurgeryAuthor(s): Joseph E. Bavaria, Carl L. Tommaso, Ralph G. Brindis, John D. Carroll, G. Michael Deeb, Ted E. Feldman, Thomas G. Gleason, Eric M. Horlick, Clifford J. Kavinsky, Dharam J. Kumbhani, D. Craig Miller, A. Allen Seals, David M. Shahian, Richard J. Shemin, Thoralf M. Sundt, Vinod H. Thourani (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 1, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Impact of Sharing O Heart with Non-O Recipients: Simulation in the United Network for Organ Sharing Registry.
This study aims to clarify the outcome difference between O and non-O candidates and how allocation change could affect survival using Markov simulation. METHODS: We reviewed the United Network for Organ Sharing registry for adults listed for heart transplantation from 2008 to 2015. Cumulative incidences of death or transplant and survival after listing were compared between O and non-O using propensity matching. A four-state Markov model (waiting without LVAD, waiting with LVAD, transplanted, and death) was created to simulate survival after listing. Sensitivity analysis was performed to see how the percentage of O h...
Source: The Annals of Thoracic Surgery - August 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Ando M, Takeda K, Kurlansky PA, Han J, Garan AR, Topkara VK, Yuzefpolskaya M, Colombo PC, Farr M, Naka Y, Takayama H Tags: Ann Thorac Surg Source Type: research

TAVR 2.0: Collaborating to Measure, Assure, and Advance Quality.
PMID: 30076794 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Shahian DM, Gleason TG, Shemin RJ, Carroll JD, Mack MJ Tags: Ann Thorac Surg Source Type: research

Normalization of Transvalvular Flow Patterns after Bicuspid Aortic Valve Repair: Insights from 4D Flow Cardiovascular Magnetic Resonance Imaging.
PMID: 30076795 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Bannas P, Lenz A, Petersen J, Sinn M, Adam G, Reichenspurner H, Girdauskas E Tags: Ann Thorac Surg Source Type: research

The Transcriptional Signature of Growth in Human Fetal Aortic Valve Development
ConclusionsWe present a unique data set, comprehensively characterizing human valve development after valve primordia are formed, focusing on key processes displayed by normal aortic valves undergoing significant growth. We build a time course of genes and processes in second trimester fetal valve growth and observe the sequential regulation of gene clusters over time. Critical valve growth genes are potential targets for therapeutic intervention in congenital heart disease and have implications for regenerative medicine and tissue engineering. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 31, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Electroencephalographic Response to Deep Hypothermic Circulatory Arrest in Neonatal Swine and Humans
ConclusionsOur data suggest that current cooling strategies may not be sufficient to eliminate all EEG activity prior to circulatory arrest in humans, but are sufficient in swine. This important difference between the swine and human response to DHCA should be considered when using this model. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 31, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Less Is More in Post Pediatric Heart Transplant Care
ConclusionsThis study suggests less-invasive post-transplant approach which avoids biopsies and steroids, was safely implemented in this single center. Both groups had similar survival. However, Group 2 had statistically significant less post-transplant rejection, hypertension, and diabetes. Overall, this study shows no increased risk associated with steroid and biopsy avoidance in post-transplant patients, but with some clear benefits. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 31, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Perioperative Exposure to Suspect Neurotoxicants from Medical Devices in Newborns with Congenital Heart Defects
ConclusionsThere is considerable perioperative exposure to DEHP and BPA for neonates undergoing cardiac surgery. For both BPA and DEHP metabolites, infant concentrations were significantly higher than maternal concentrations, consistent with infant’s exposure to medical devices. Further study is needed to determine the potential role of these suspect neurotoxicants in the etiology of neurodevelopmental disability after cardiac surgery. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 31, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Anomalous Extrathoracic Running of Left Internal Thoracic Artery
Publication date: Available online 30 July 2018Source: The Annals of Thoracic SurgeryAuthor(s): Mamoru Hamuro, Shuji Setozaki, Kenji Yamamoto, Sakae Enomoto (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 31, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Surgeon Performance in Adult Cardiac Surgery
Publication date: Available online 29 July 2018Source: The Annals of Thoracic SurgeryAuthor(s): David M. Shahian, Richard L. Prager, Robert S.D. Higgins, Thomas E. MacGillivray, Joseph F. Sabik, Joseph A. Dearani, Keith S. Naunheim (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 29, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Programmatic and Surgeon Specialization Improves Mortality in Isolated Coronary Bypass Grafting
ConclusionsSubspecialization in CABG and dedicated coronary surgery programs may lead to faster operations, increased use of bilateral internal mammary arteries, fewer complications, and improved survival after isolated CABG. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 26, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Mechanical versus Bioprosthetic Aortic Valve Replacement in Patients Aged 50 Years and Younger (Commentary)
Publication date: Available online 25 July 2018Source: The Annals of Thoracic SurgeryAuthor(s): Andrew B. Goldstone, Y. Joseph Woo (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 26, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Early and Mid-Term Results of Rapid-Deployment Valves: The Intuity Italian Registry (INTU-ITA)
ConclusionsRapid deployment aortic bioprostheses provide good early and mid-term clinical and hemodynamic outcomes. These devices may be considered as a reasonable alternative to conventional bioprostheses especially in minimally invasive and combined operations. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 26, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Programmatic and surgeon specialization improves mortality in isolated coronary bypass grafting (Commentary)
Publication date: Available online 25 July 2018Source: The Annals of Thoracic SurgeryAuthor(s): Teresa M. Kieser (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 26, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Consequences of Refusing Surgery for Esophageal Cancer: A National Cancer Database Analysis
Publication date: Available online 25 July 2018Source: The Annals of Thoracic SurgeryAuthor(s): Mohamed Rahouma, Sebron Harrison, Mohamed Kamel, Abu Nasar, Benjamin Lee, Jeffrey Port, Nasser Altorki, Brendon StilesAbstractBackgroundGiven the potential morbidity of esophagectomy, patients may pursue other treatments. We sought to determine predictors and outcomes of esophageal cancer (EC) patients who refused esophagectomy.MethodsThe National Cancer Database (2004-2014) was queried for locally advanced EC patients. A unique field allows identification of patients recommended to have surgery, but who refused. Comparisons bet...
Source: The Annals of Thoracic Surgery - July 26, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Predictors of Recurrent Aortic Insufficiency in Type I Bicuspid Aortic Valve Repair
ConclusionsVSRR is associated with improved longitudinal BAV durability compared to SCA. Preoperative annulus diameter of ≥30 mm is associated with increased recurrent AI, especially SCA patients. For annular indications, ESAR might offer comparable functional outcomes to VSRR, however further follow-up is critical. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 26, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Residual arch tears and major adverse events after acute DeBakey type I aortic dissection repair (Commentary)
Publication date: Available online 25 July 2018Source: The Annals of Thoracic SurgeryAuthor(s): Alberto Pochettino (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 26, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Society of Thoracic Surgeons Congenital Heart Surgery Database: 2018 Update on Research
This article reviews published outcomes research and quality improvement projects from the past year, and describes ongoing research related to quality measurement. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 26, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research