Porcine Small Intestinal Submucosa May Be a Suitable Material for Norwood Arch Reconstruction
ConclusionsFreedom from neo-aortic arch re-intervention and survival following Norwood palliation with PSIS patch material is promising. PSIS appears non-inferior and may be an appropriate tissue choice for Norwood palliation. Studies with longer follow-up are needed to determine the rate of neo-aortic re-intervention over time. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 26, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Improving Mortality in Subclinical Acute Kidney Injury after Cardiac Surgery by Composite Biomarker Panel
Publication date: Available online 25 July 2018Source: The Annals of Thoracic SurgeryAuthor(s): Jurij M. Kalisnik, Francesco Pollari, Steffen Pfeiffer, Theodor Fischlein, Giuseppe Santarpino (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 26, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Opportunities for Academic Achievement During Parental Leave: The Society of Thoracic Surgeons Sets the Standard.
PMID: 30037687 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 25, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Antonoff MB Tags: Ann Thorac Surg Source Type: research

Erratum.
Authors: PMID: 30037688 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 25, 2018 Category: Cardiovascular & Thoracic Surgery Tags: Ann Thorac Surg Source Type: research

Regression of ventricular hypertrophy in Fallot patients
Publication date: Available online 23 July 2018Source: The Annals of Thoracic SurgeryAuthor(s): Ismail Yurekli, Mert Kestelli, Habib Cakir, Koksal Donmez, Erturk Karaagac (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 24, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Albumin Is Predictive of 1-Year Mortality After Transcatheter Aortic Valve Replacement
ConclusionsMost commonly used pre-TAVR risk assessments are poorly predictive of 1-year mortality. Albumin was the only frailty marker that was associated with higher mortality. Future studies should investigate whether optimization of nutritional status can improve outcomes following TAVR. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 24, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Decreasing Time to Place and Teach Double-Lumen Endotracheal Intubation: Engaging Anesthesia in Lean
Publication date: Available online 23 July 2018Source: The Annals of Thoracic SurgeryAuthor(s): Robert J. Cerfolio, Benjamin Smood, Asem Ghanim, Matthew M. Townsley, Michelle DowningAbstractBackgroundOur objective is to show our process to standardize and decrease the time to place and teach double-lumen endotracheal tube (DLETT) intubation.MethodsReview of a prospective database of patients who underwent lobectomy or segmentectomy by one surgeon. A systematic approach was instituted starting in 2009. A monitor in the room displayed the bronchoscopic view as anesthesia residents were taught how to drive a bronchoscope. The...
Source: The Annals of Thoracic Surgery - July 24, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Best to Clarify to Avoid Misunderstandings in the Biomechanics of Ross Operation: Parentheses Matter
Publication date: August 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 2Author(s): Massimiliano Fraldi, Cristiano Spadaccio, Christophe Acar, Francesco Nappi (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Editorial Board
Publication date: August 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 2Author(s): (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Board of Directors
Publication date: August 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 2Author(s): (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Contents
Publication date: August 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 2Author(s): (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Lung Cancer Screening: The True Benefit
Publication date: August 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 2Author(s): Raja M. Flores, David F. Yankelevitz (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Opportunities for Academic Achievement During Parental Leave: The Society of Thoracic Surgeons Sets the Standard
Publication date: August 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 2Author(s): Mara B. Antonoff (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Battling the Chimaera: How Much Disclosure of Rare Risks Is Necessary?
Publication date: August 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 2Author(s): Richard L. Prager, Alejandro Murillo Berlioz, Gregory D. Trachiotis, Joseph B. Zwischenberger, Robert M. Sade (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Treatment Approaches and Outcomes for Primary Mediastinal Sarcoma: Analysis of 976 Patients
ConclusionsThe 5-year OS for primary mediastinal sarcoma is poor. Surgical resection can be successful and should be considered whenever possible. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Incentive Spirometry After Lung Resection: A Randomized Controlled Trial
ConclusionsThe addition of IS to routine postoperative physiotherapy does not reduce the incidence of PPC after lung resection. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Racial Disparity in Utilization of High-Volume Hospitals for Surgical Treatment of Esophageal Cancer
Publication date: August 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 2Author(s): Sadiq S. Rehmani, Bian Liu, Adnan M. Al-Ayoubi, Wissam Raad, Raja M. Flores, Faiz Bhora, Emanuela TaioliBackgroundUtilization of high-volume hospitals (HVH) for esophagectomy has been associated with improved perioperative outcomes and reduced mortality. We aimed to test the hypothesis that black-white racial disparities exist in HVH utilization and identify predictors of in-hospital surgical outcomes of esophageal cancer while adjusting for HVH utilization patterns.MethodsWe queried the New York Statewide Planning and Resear...
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Spread Through Air Spaces Is a Prognostic Factor in Sublobar Resection of Non-Small Cell Lung Cancer
ConclusionsSTAS is a prognostic factor of poor outcomes for sublobar resection in patients with lung cancer. The worse prognosis for sublobar resection would be associated with STAS. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Efficacy and Cost of Awake Thoracoscopy and Video-Assisted Thoracoscopic Surgery in the Undiagnosed Pleural Effusion
Publication date: August 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 2Author(s): Christine M. McDonald, Camille Pierre, Marc de Perrot, Gail Darling, Marcelo Cypel, Andrew Pierre, Thomas Waddell, Shaf Keshavjee, Kazuhiro Yasufuku, Kasia Czarnecka-KujawaBackgroundThe study aim is to compare the diagnostic yield, safety, and cost of outpatient awake thoracoscopy (AT) with video-assisted thoracoscopic surgery (VATS) pleural biopsy in undiagnosed pleural effusions.MethodsThe diagnostic yield of pleural biopsy performed by AT or VATS in patients with undiagnosed exudative pleural effusions at a tertiary thorac...
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Is Esophagectomy for Benign Conditions Benign?
Publication date: August 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 2Author(s): Khalil Masabni, Pridvi Kandagatla, Andrew M. Popoff, Ilan Rubinfeld, Zane HammoudBackgroundOutcomes data on esophagectomy performed for benign conditions is scarce. Using the National Surgical Quality Improvement Program database, we sought to analyze outcomes of esophagectomy performed for benign conditions.MethodsThe National Surgical Quality Improvement Program database was queried for all esophagectomies performed from 2005 to 2015. Outcomes for benign conditions were analyzed and compared with outcomes for malignant cond...
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Long-Term Results for Clinical Stage IA Lung Cancer: Comparing Lobectomy and Sublobar Resection
This study used a unique and representative dataset to compare recurrence, overall survival (OS), and lymph node staging between lobectomy and sublobar resection.MethodsThe American College of Surgeons performed a Special Study of the National Cancer Data Base, by reabstracting records to augment NSCLC data with enhanced information on preoperative comorbidity and cancer recurrence from 2007 to 2012. For patients treated with lobectomy or sublobar resection (wedge resection or segmentectomy) for clinical stage IA NSCLC, propensity matching and competing risks models compared 5-year OS and risk of cancer recurrence. Seconda...
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Persistent Problem of Local/Regional Failure After Surgical Intervention for Early-Stage Lung Cancer
ConclusionsDespite contemporary staging procedures and surgical techniques for early-stage NSCLC, LRF occurs in approximately 1 of 4 patients. The observed rates of LRF are similar to those reported more than a decade ago, suggesting that local/regional control remains a persistent problem. The use of additional local treatments, such as radiotherapy, should be reevaluated to further improve outcomes. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Dutch Lung Surgery Audit: A National Audit Comprising Lung and Thoracic Surgery Patients
ConclusionsThe audit provides reliable benchmarked information for caregivers and hospital management with potential to start local, regional, or national improvement initiatives. Currently, the audit is further completed with data from nonsurgical lung cancer patients, including treatment data from pulmonary oncologists and radiation oncologists. This will ultimately provide a comprehensive overview of lung cancer treatment in The Netherlands. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Systematic Compared With Targeted Staging With Endobronchial Ultrasound in Patients With Lung Cancer
ConclusionsIn clinical practice, systematic sampling of the mediastinum by EBUS-TBNA, regardless of PET/CT features, is to be recommended over targeted sampling. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Enoxaparin 40 mg per Day Is Inadequate for Venous Thromboembolism Prophylaxis After Thoracic Surgical Procedure
Publication date: August 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 2Author(s): Christopher J. Pannucci, Kory I. Fleming, Kathleen Holoyda, Lauren Moulton, Ann Marie Prazak, Thomas K. VargheseBackgroundMany patients undergoing thoracic surgical procedures have venous thromboembolism (VTE) events despite the receipt of chemical prophylaxis. Enoxaparin’s pharmacologic impact can be quantified by using anti-Factor Xa (aFXa) levels. We hypothesized that enoxaparin 40 mg once daily would be inadequate for most inpatients undergoing thoracic surgical procedures and that a real-time dose adjustment algori...
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

National Comparison of Hospital Performances in Lung Cancer Surgery: The Role of Case Mix Adjustment
ConclusionsThe between-hospital variation in case mix of patients undergoing surgical treatment for non-small cell lung cancer emphasizes the importance of proper adjustment when comparing hospitals on outcome indicators. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Do Repeated Operations for Recurrent Colorectal Lung Metastases Result in Improved Survival?
ConclusionsRepeated pulmonary metastasectomy should be offered to patients with metastatic CRC because there are no differences in terms of OS between patients undergoing single and repeated metastasectomy. Adjuvant chemotherapy should be suggested in case of metastatic CRC. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Patterns of Practice in Mediastinal Lymph Node Staging for Non-Small Cell Lung Cancer in Canada
ConclusionsDetermining the appropriate treatment and prognosis of NSCLC patients relies on proper staging. Significant variability exists in node staging practices in Canada as well as divergence from guidelines. This may result in understaging or overstaging patients and inappropriate care.Graphical abstract (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Two-Field Lymphadenectomy During Esophagectomy: The Presence of Thoracic Duct Lymph Nodes
ConclusionsThis study shows that thoracic duct lymph nodes are located within the fatty tissue surrounding the thoracic duct. Resection of this compartment during an esophagectomy for cancer increases lymph node yield. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Good 5-Year Durability of Transapical Beating Heart Off-Pump Mitral Valve Repair With Neochordae
ConclusionsIn select patients, MV repair using the NeoChord system results in very good long-term results without recurrent prolapse, MR, or annular dilatation. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: August 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 2Author(s): Gino Gerosa (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Determinants of Reverse Remodeling of the Left Atrium After Transaortic Myectomy
In this study, we investigated whether LA reverse remodeling occurs after septal myectomy.MethodsBetween August 2007 and July 2015, 656 patients underwent myectomy at our institution and had preoperative and postoperative transthoracic echocardiographic (TTE) recording of LA volume index (LAVI). We reviewed clinical and echocardiographic data of these patients, and assessed for changes over time by comparing preoperative and postoperative measurements.ResultsThe median age was 56 (interquartile range [IQR], 46, 65) years, and 370 (56%) were male. New York Heart Association Class III/IV dyspnea was present in...
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Impact of Regional Collaboration on Quality Improvement and Associated Cost Savings in Coronary Artery Bypass Grafting
Publication date: August 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 2Author(s): Jeffrey B. Rich, Clifford E. Fonner, Mohammed A. Quader, Gorav Ailawadi, Alan M. SpeirBackgroundA statewide database identified prolonged ventilation (PV) and acute renal failure (RF) as the biggest cost drivers after isolated coronary artery bypass grafting. Reducing these complications through regional collaboration should improve outcomes and lower health care costs.MethodsA total of 27,978 patients who underwent isolated coronary artery bypass grafting were divided into pre- and post-quality improvement initiative groups ...
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Need for Permanent Pacemaker After Surgical Aortic Valve Replacement Reduces Long-Term Survival
Publication date: August 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 2Author(s): J. Hunter Mehaffey, Nathan S. Haywood, Robert B. Hawkins, John A. Kern, Nicholas R. Teman, Irving L. Kron, Leora T. Yarboro, Gorav AilawadiBackgroundPermanent pacemaker (PPM) implantation has been touted as an inconsequential complication after transcatheter aortic valve replacement. As transcatheter aortic valve replacement moves to lower risk patients, the long-term implications remain poorly understood; therefore, we evaluated the long-term outcomes of pacemaker for surgical aortic valve replacement patients.MethodsA total...
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Coronary Revascularization With Single Versus Bilateral Mammary Arteries: Is It Time to Change?
Publication date: August 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 2Author(s): Joseph P. DeSimone, David J. Malenka, Paul W. Weldner, Alexander Iribarne, Bruce J. Leavitt, Jock N. McCullough, Reed D. Quinn, Joseph D. Schmoker, Robert S. Kramer, Yvon Baribeau, John D. Klemperer, Gerald L. Sardella, Elaine M. Olmstead, Cathy S. Ross, Anthony W. DiScipio, Northern New England Cardiovascular Disease Study GroupBackgroundArterial conduits are preferred to venous conduits for coronary artery bypass grafting because of longer patency. A single internal mammary artery (SIMA) is used routinely. Bilateral interna...
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Risk of Mortality After Resolution of Spinal Malperfusion in Acute Dissection
Publication date: August 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 2Author(s): Harleen K. Sandhu, Kristofer M. Charlton-Ouw, Katherine Jeffress, Samuel Leake, Alexa Perlick, Charles C. Miller, Ali Azizzadeh, Hazim J. Safi, Anthony L. EstreraBackgroundSpinal cord ischemia (SCI) may develop in patients presenting with acute aortic dissection. We sought to determine how SCI and its recovery affect outcomes.MethodsWe reviewed patients with SCI in acute type A aortic dissection (ATAAD) and acute type B aortic dissection (ATBAD) from September 1999 to May 2014. SCI was defined as paraplegia or paraparesis pre...
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Essential Thrombocythemia and Cardiac Surgery: A Case Series and Review of the Literature
ConclusionsPatients with ET undergoing cardiac operations represent a complex cohort at risk for perioperative thrombotic or hemorrhagic complications, or both. Although not currently an indication for platelet reduction therapy by risk stratification criteria, preoperative cytoreduction to platelet counts of less than 800 × 109/L and perhaps lower should be considered in patients undergoing cardiac operations. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Outcome After Operation for Aortic Dissection Type A in Morbidly Obese Patients
Publication date: August 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 2Author(s): Maximilian Kreibich, Bartosz Rylski, Joseph E. Bavaria, Emanuela Branchetti, Daniel Dohle, Patrick Moeller, Prashanth Vallabhajosyula, Wilson Y. Szeto, Nimesh D. DesaiBackgroundThe number of obese patients is increasing, and more obese patients are likely to present for surgical repair of aortic dissection type A (ADA). We evaluated the effect of this procedure on the postoperative outcome of patients based on their body mass index (BMI; calculated as kg/m2).MethodsA total of 667 patients who underwent surgical repair of ADA ...
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Surgical Treatment of Native and Prosthetic Aortic Infection With Xenopericardial Tube Grafts
ConclusionsPatients with infectious aortic disease present in a frail state and the initial and the late mortality is substantial. Yet, surgical treatment of native and prosthetic aortic infection with xenopericardial tube grafts shows promising short-term results with regard to durability and freedom from reinfection in any aortic segment. Further studies are needed to learn of the long-term behavior of these grafts. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Preoperative 6-Minute Walk Distance Is Associated With Postoperative Cognitive Dysfunction
ConclusionsThe 6MWD is useful in identifying patients with a higher chance of developing POCD after a cardiac operation. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Model of End-Stage Liver Disease-eXcluding International Normalized Ratio (MELD-XI) Scoring System to Predict Outcomes in Patients Who Undergo Left Ventricular Assist Device Implantation
This study evaluated the ability of the Model of End-Stage Liver Disease-eXcluding International Normalized Ratio (MELD-XI) scoring system to predict clinical outcomes in patients with advanced heart failure who undergo CF-LVAD implantation.MethodsA single-center retrospective review was performed of 524 patients who were implanted with the HeartMate II LVAD (Thoratec Corporation, Pleasanton, CA) or the HeartWare HVAD (HeartWare International Inc, Framingham, MA) between 2004 and 2016. Patients were stratified into two cohorts: those with a MELD-XI score of less than 14 (n = 301) and 14 or higher (n = 223).Result...
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: August 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 2Author(s): Veli K. Topkara (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Aortic Valve Reoperation After Stentless Bioprosthesis: Short- and Long-Term Outcomes
Publication date: August 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 2Author(s): Bo Yang, Himanshu J. Patel, Elizabeth L. Norton, Christina Debenedictus, Linda Farhat, Xiaoting Wu, Kevin He, Whitney E. Hornsby, Donald S. Likosky, G. Michael DeebBackgroundLimited data are available regarding outcomes for stentless aortic valve reoperation. The reported reoperative mortality has been unacceptably high.MethodsBetween 1997 and 2017, a retrospective analysis was performed on 143 patients who underwent open aortic valve reoperations for failed stentless aortic valve bioprostheses. We evaluated both short-term a...
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Meta-Analysis of Repeat Revascularization of Off-Pump and On-Pump Coronary Artery Bypass Surgery
ConclusionsThe result of our meta-analysis suggests that compared with ONCABG, OPCABG increases repeat revascularization rate at 1-year follow-up, but does not affect that of 5-year follow-up. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Intraoperative Bypass Graft Flow Measurement With Transit Time Flowmetry: A Clinical Assessment
Publication date: August 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 2Author(s): Sanaz Amin, Raphael S. Werner, Per Lav Madsen, George Krasopoulos, David P. TaggartBackgroundGuidelines advocate transit time flowmetry (TTFM) for intraoperative graft patency verification during coronary artery bypass graft surgery (CABG), but studies on accuracy and precision of the TTFM technique are few. In an observational study of CABG patients, we analyzed covariation of left internal mammary artery (LIMA) blood flow with TTFM and free flow measurements.MethodsCovariation of TTFM and free blood flows was evaluated in 6...
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Clinical Outcomes of Root Reimplantation and Bentall Procedure: Propensity Score Matching Analysis
ConclusionsAlthough there was marginal significance in the propensity matched analysis, it is plausible to anticipate a survival benefit with VSR during long-term follow-up. Despite a higher reoperation for aortic valves, VSR can be a viable option in patients who decline life-long anticoagulation, especially the young or the patients in whom anticoagulation is contraindicated. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Quality of Life After Cardiac Operations Based on the Minimal Clinically Important Difference Concept
ConclusionsAlthough our study showed overall improvement of quality of life after cardiac operations, more than one-quarter of the patients manifested deterioration of HRQOL at 6 months postoperatively. The findings from this study should help clinicians to inform patients about their likely postoperative functional status and quality of life. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Reply
Publication date: August 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 2Author(s): Kathleen F. Kerr, Heather R. Thiessen-Philbrook, Chirag R. Parikh (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Cumulative Effect of Preoperative Risk Factors on Mortality After Pediatric Heart Transplantation
ConclusionsIn this single-center pediatric cohort, postheart transplantation mortality could be predicted using patient-specific risk factors. The cumulative effect of these risk factors predicted mortality with high specificity. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: August 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 2Author(s): Ryan R. Davies (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research