Invited Commentary
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Saina Attaran, Toby Rogers, Lowell Satler, Vinod H. Thourani (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Salvage Coronary Artery Bypass Predicts Increased Mortality During Aortic Root Operation
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): W. Brent Keeling, John Hunting, Bradley G. Leshnower, Chad Stouffer, Jose Binongo, Edward P. ChenBackgroundAortic root replacement (ROOT) has been an established therapy, yet the impact of adding coronary artery bypass grafting (CABG) to ROOT (CABG-R) is unknown. The purpose of this research was to investigate the impact of CABG on the outcomes of ROOT.MethodsA retrospective review from 2004 to 2016 of patients undergoing nonemergent ROOT surgical procedure was performed. Cohorts were established based on the presence or ab...
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Transcatheter Versus Surgical Aortic Valve Replacement Episode Payments and Relationship to Case Volume
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Alexander A. Brescia, John D. Syrjamaki, Scott E. Regenbogen, Gaetano Paone, Andrew L. Pruitt, Francis L. Shannon, Theodore J. Boeve, Himanshu J. Patel, Michael P. Thompson, Patricia F. Theurer, James M. Dupree, Karen M. Kim, Richard L. Prager, Donald S. LikoskyBackgroundTranscatheter aortic valve replacement (TAVR) has increased in volume as an alternative to surgical aortic valve replacement (SAVR). Comparisons of total episode expenditures, although largely ignored thus far, will be key to the value proposition for payer...
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Early and Mid-Term Results of Rapid Deployment Valves: The Intuity Italian Registry (INTU-ITA)
ConclusionsAortic RDBs 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 - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Parwis B. Rahmanian (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

A Novel Risk Score Predicts Operative Mortality After Acute Type A Aortic Dissection Repair
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Mehrdad Ghoreishi, Eric S. Wise, Luqman Croal-Abrahams, Douglas Tran, Chetan Pasrija, Charles B. Drucker, Bartley P. Griffith, James S. Gammie, Robert S. Crawford, Bradley S. TaylorBackgroundCurrent stratification systems for patients presenting with acute type A aortic dissection rely on signs of malperfusion to predict mortality. The authors sought to develop an algorithm to readily risk stratify these patients using admission characteristics.MethodsTwo hundred sixty-nine consecutive patients who underwent type A repair b...
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Salim Aziz (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Full Sternotomy, Hemisternotomy, and Minithoracotomy for Aortic Valve Surgery: Is There a Difference?
This study compared perioperative results and mortality rates of different approaches to perform aortic valve replacement (AVR), describing predictors favoring one approach over the others.MethodsAll patients who underwent AVR were enrolled. The choice of the approach was left to surgeon’s preference. Data were retrospectively collected, and the major baseline characteristics (including age, sex, body mass index, creatinine clearance, preoperative condition, cardiovascular risk factors, functional status, and left ventricular ejection fraction, etc.) and intraoperative variables were recorded. To adjust for differenc...
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Tricuspid Annular Geometry and Strain After Suture Annuloplasty in Acute Ovine Right Heart Failure
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Marcin Malinowski, Hans Schubert, Jeremy Wodarek, Haley Ferguson, Lenora Eberhart, David Langholz, Tomasz Jazwiec, Manuel K. Rausch, Tomasz A. TimekBackgroundTricuspid valve repair using suture annuloplasty is thought to be more physiologic, but the effect of annular reduction on annular geometry and motion is unknown. We set out to investigate the effect of DeVega suture annuloplasty (DV) on tricuspid annular geometry and dynamics during acute right heart failure (RHF).MethodsTen adult sheep underwent implantation of sonom...
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Long-Term Survival After Arterial Versus Atrial Switch in d-Transposition of the Great Arteries
ConclusionsDespite initial higher in-hospital mortality for ASO during the study period, there is a significant long-term transplant-free survival advantage for ASO as compared with atrial switch for d-TGA surgery. Ongoing monitoring is required to assess late risk of cardiovascular disease. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Khanh H. Nguyen (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Partial Hammock Valve: Surgical Repair and Long-Term Follow-Up in 23 Patients
ConclusionsPartial hammock valve is a rare congenital anomaly resulting in mitral regurgitation. Patch enlargement of the posterior leaflet achieves long-term repair. It is safe and reliable. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Surgical Outcome in Adolescents and Adults With Anomalous Left Coronary Artery From Pulmonary Artery
ConclusionsAlthough short-term outcomes were satisfactory in both groups, a higher MACE rate was observed in reimplantation group than Takeuchi repair group; mitral valvuloplasty was not significantly associated with improved prognosis and left ventricular reverse remodeling. Elevation of preoperative blood glucose level was significantly associated with increasing long-term MACE rate.Visual Abstract (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Percutaneous Transjugular Extraction of Venous Bullet Embolism to the Right Ventricle
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Jean-Christophe Charniot, Philippe Cluzel, Pascal Leprince, Pierre DemondionMigration of a bullet to a distant part of the body after a gunshot is rarely observed in the clinical setting; migration to the heart is even rarer. There are usually no clear symptoms or signs from migration of a bullet. The case of a 28-year-old man with an intracardiac bullet migration 2 months after a gunshot wound to the right abdomen is presented. We propose that the bullet migrated along the vena cava to the right ventricle. Interventional r...
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Bilateral Prosthetic Graft Stenosis After Supraaortic Debranching and Thoracic Endovascular Aortic Repair of the Transverse Arch
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Maximilian Luehr, Josephina Haunschild, Christian D. Etz, Martin Misfeld, Michael A. BorgerA 66-year-old patient presented to the Leipzig Heart Center in Leipzig, Germany with therapy-refractory hypotension with a history of postural presyncope 7 years after supraaortic debranching and thoracic endovascular aortic repair of the transverse arch. Arterial angiography with invasive blood pressure measurement revealed pronounced hypertension of the lower body (blood pressure, 270/120 mm Hg) and subtotal prosthetic graft st...
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Modified Double Patch Repair for Septal Rupture With Ventricular Wall Dissection
We report on modified double patch repair with ventricular wall dissection exclusion, which might be effective for preventing residual shunt and maintaining cardiac function. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Collaborative Management of Missile Injury to Right Ventricle and Subsequent Pulmonary Embolization
This report describes a case of a gunshot wound to the chest with preoperative and initial intraoperative imaging localizing the bullet to the right ventricle but a negative intraoperative exploration of the right-sided cardiac chambers. Intraoperative fluoroscopy allowed for immediate localization of the bullet to the hilum of the left lung, with subsequent endovascular retrieval. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Minimally Invasive Mitral Valve Surgery With Endoaortic Balloon Requires Cerebral Monitoring
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Thierry V. Scohy, Mohamed Bentala, Nardo J.M. van der Meer, Bastiaan M. GerritseAfter induction of anesthesia, an extra right radial artery catheter and cerebral oximetry were placed for minimally invasive mitral valve surgery. An anterolateral minithoracotomy, endoaortic balloon, and left atriotomy allowed visualization of the mitral valve. During the procedure, we observed a drop of the right cerebral oximetry saturation without a drop in right radial artery pressure. We suspected an aberrant right subclavian artery. Afte...
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Early Degeneration Caused by Cusp Tear of First-Generation Trifecta Bioprosthesis
We report 2 cases of early Trifecta valve degeneration, both caused by partial rupture of one of the leaflet cusps 3 and 4 years post-implant. Post discharge, both patients had routinely performed echocardiography check-ups, without signs of valve failure. Transesophageal echocardiography performed during emergency hospital readmission due to severe dyspnea revealed transvalvular aortic regurgitation without signs of endocarditis. Urgent redo-surgery was successful in both cases, replacing the Trifecta prosthesis with a different bovine bioprosthesis. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Need for Multiple Bypass Grafts in Repair of Right Coronary Artery–to–Coronary Sinus Fistulas
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Phillip G. Rowse, Sameh M. SaidCoronary artery fistulas are rare anomalies with controversial management strategies. The two main treatment options are surgical repair and catheter embolization. This case report describes successful treatment of a complex right coronary artery–to–coronary sinus fistula by using a less conventional approach: multiple coronary artery bypass grafting. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Gastric Volvulus After Left Lower Lobectomy
This report describes a case of postlobectomy gastric volvulus in a 73-year-old woman without hiatal hernia. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

A Rare Large Symptomatic Paratracheal Air Cyst in a 62-Year-Old Woman
In this report we present a 62-year-old woman with a large paratracheal air cyst that caused interesting rare symptoms such as dysphagia, dyspnea, and hoarseness who became completely symptom-free after treatment. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Mass-Forming Deep Pseudodiverticulosis of the Esophagus With 18F-Fluorodeoxyglucose Uptake
This report describes a case of esophageal intramural pseudodiverticulosis associated with an inflammatory esophageal mass with high 18F-fluorodeoxyglucose (FDG) uptake. A 48-year-old man presented with dysphagia caused by an esophageal stricture. Simultaneous positron emission tomography and magnetic resonance imaging showed an FDG-avid lesion in the lower esophagus. Because of suspected malignancy, the patient underwent subtotal esophagectomy. Histologic examination confirmed the diagnosis of an inflammatory tumor associated with esophageal pseudodiverticulosis. Unlike typical cases, this patient’s pseudodiverticul...
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Minimally Invasive Thymectomy and Lung Volume Reduction in a Patient With Myasthenia Gravis
We describe the case of a patient with myasthenia gravis and severe pulmonary emphysema who underwent concomitant bilateral video/robotic-assisted thymectomy with unilateral lung volume reduction surgery. We review the important pathophysiologic considerations that must be appreciated to ensure safe surgery in this unusual situation with two diseases that independently affect the respiratory system—each of which requires preoperative optimization. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Normalization of Transvalvular Flow Patterns After Bicuspid Aortic Valve Repair: Insights From Four-Dimensional Flow Cardiovascular Magnetic Resonance Imaging
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(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 - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Pericardial Pleomorphic Mesothelioma and Heart Failure: A Unique Case
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Gregorio Laguna, Miriam Blanco, Gerardo Martínez, Yolanda Carrascal (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Giant Left Atrial Appendage Aneurysm: A Rare Entity
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Rajlakshmi Das, Lalit Kapoor, Somnath Ganguly, Arupratan Maity, Saibal RoyChowdhury, Pradeep Narayan (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Suprasternal and Left Axillary Transcatheter Aortic Valve Replacement in Morbidly Obese Patients
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Anna Olds, Kyle Eudailey, Tamim Nazif, Torsten Vahl, Omar Khalique, Clifton Lewis, Rebecca Hahn, Martin Leon, Vinayak Bapat, Mustafa Ahmed, Susheel Kodali, Isaac GeorgeIn morbidly obese patients who cannot undergo transfemoral, transaortic, or transapical transcatheter aortic valve replacement (TAVR) due to body habitus, suprasternal (SS) and left subclavian/axillary artery (LSCLA) approaches may provide safe TAVR access. Nine morbidly obese patients with a body mass index of 35 or more underwent SS-TAVR (7 patients) or LSC...
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Adventitial Wrap Technique for Acute Type A Aortic Dissection
We describe a simple and reproducible technique to achieve complete and immediate hemostasis of the distal anastomosis in total arch replacement with the frozen elephant trunk technique. The adventitia was left seamlessly 1.0 cm longer than the level of the suture line. The adventitial remnant covered most of the distal anastomosis line tightly while the distal anastomosis was completed with continuous sutures. The adventitia was thin and tough, making it suitable to cover the suture line. This technique can contribute to eliminating bleeding from the distal anastomosis independent of unreliable blood coagulability during ...
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Multimodal Treatment for Post-Pneumonectomy Bronchopleural Fistula Associated With Empyema
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Claudio Andreetti, Cecilia Menna, Antonio D'Andrilli, Mohsen Ibrahim, Giulio Maurizi, Camilla Poggi, Erino Angelo Rendina, Federico Venuta, Mario Santini, Alfonso FiorelliPost-pneumonectomy bronchopleural fistula associated with empyema still remains a dreaded complication in thoracic surgery. A variety of surgical and endoscopic procedures have been proposed over the years, but none of these has been suitable for all patients. Herein, we report a new multimodal approach, including the insertion of tracheobronchial conical ...
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Evolution of Therapeutic Strategies: Niche Apportionment for Hybrid Palliation
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Christoph Haller, Christopher A. CaldaroneHybrid palliation, the concept to stabilize univentricular circulation with bilateral pulmonary artery banding and maintenance of ductal patency, has significantly widened the therapeutic spectrum for patients with single-ventricle malformations or borderline hypoplasia. The concept has already been a part of early attempts to improve outcome in hypoplastic left heart syndrome but has not attracted much attention initially. Technical refinement and expertise have led to results that...
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Reply
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Ulrich Schneider, Hans-Joachim Schäfers (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Reply
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Hjalmar R. Bouma, Hubert E. Mungroop, Robert H. Henning, Anne H. Epema (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Use of Bilateral Mammary Artery: Redefining Indications After a Quick Glance at the Coronary Status?
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Angelo M. Dell’Aquila, Arash Motekallemi, Fausto Biancari (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Increasing Opportunity for Lung Transplant in Interstitial Lung Disease With Pulmonary Hypertension
Publication date: December 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 6Author(s): Scott Chicotka, Felipe E. Pedroso, Cara L. Agerstrand, Erika B. Rosenzweig, Darryl Abrams, Tom Benson, Aimee Layton, Daniel Burkhoff, Daniel Brodie, Matthew D. BacchettaBackgroundExtracorporeal membrane oxygenation (ECMO) as a bridge to lung transplantation for end-stage interstitial lung disease (ILD) and pulmonary hypertension (PH) has varying results based on ECMO configuration. We compare our experience using venovenous (VV) and venoarterial (VA) ECMO bridge to transplantation for ILD with PH on survival to successful t...
Source: The Annals of Thoracic Surgery - November 16, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Heparin Binding Protein in Adult Heart Surgery
Publication date: Available online 14 November 2018Source: The Annals of Thoracic SurgeryAuthor(s): Eero Pesonen, Arie Passov, Ulla-Stina Salminen, Minna Ilmakunnas, Antti Vento, Juha Aittomäki, Sture Andersson, Alexey SchramkoAbstractBackgroundHeparin binding protein (HBP) is released from neutrophilic secretory vesicles upon neutrophil adhesion on the endothelium. HBP mediates capillary hyperpermeability experimentally. In sepsis, HBP predicts organ dysfunction. Cardiopulmonary bypass induces both neutrophil activation and hyperpermeability. We hypothesized that in cardiopulmonary bypass, HBP is released in the repe...
Source: The Annals of Thoracic Surgery - November 15, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Emergency surgery for acute type A aortic dissection in octogenarians without patient selection.
CONCLUSIONS: Emergency surgery for type A aortic dissection in octogenarians without patient selection resulted in similar rates of mortality and morbidity to younger patients. Octogenarians should not be refused this life-saving emergent surgery. PMID: 30448481 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 15, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Suzuki T, Asai T, Kinoshita T Tags: Ann Thorac Surg Source Type: research

Right-sided vs Left-sided Pneumonectomy after Induction Therapy for Non-small-cell Lung Cancer.
We examined the impact of laterality on long-term survival after induction therapy and pneumonectomy using the National Cancer Data Base (NCDB). METHODS: Perioperative and long-term outcomes of patients who underwent pneumonectomy following induction chemotherapy with or without radiation from 2004-2014 in the NCDB were evaluated using multivariable Cox proportional hazards modeling and propensity score-matched analysis. RESULTS: During the study period, 1465 patients (right n=693 [47.3%], left n=772 [52.7%]) met inclusion criteria. Right-sided pneumonectomy was associated with significantly higher 30-day (8.2% [...
Source: The Annals of Thoracic Surgery - November 15, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Yang CJ, Shah S, Lin BK, Vandusen K, Chan DY, Tan W, Ranney D, Cox M, D'Amico TA, Berry MF Tags: Ann Thorac Surg Source Type: research

Surgical repair of distal aortic arch aneurysm with distal extension: sternotomy versus thoracotomy.
Abstract BACKGROUND: There is no consensus as to whether a median approach or lateral approach is better for distal aortic arch aneurysms with distal extensions. The aim of this study was to compare clinical outcomes of these two approaches for distal aortic arch aneurysms with distal extensions. METHODS: From January 2001 to December 2017, 212 consecutive patients with distal aortic arch aneurysms with distal extensions underwent surgery using different approaches: hemiarch and descending thoracic aneurysm (DTA) replacement via thoracotomy (group 1, n=91), and total arch and DTA replacement via sternotomy (g...
Source: The Annals of Thoracic Surgery - November 15, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Joo HC, Youn YN, Kim JH, Lee SH, Lee S, Yoo KJ Tags: Ann Thorac Surg Source Type: research

Deep Hypothermia + Retrograde Cerebral Perfusion vs. Moderate Hypothermia + Antegrade Cerebral Perfusion for Arch Surgery.
Abstract BACKGROUND: Patients undergoing aortic arch replacement are at high risk for neurologic injury. The purpose of this study was to compare two different established neuroprotective strategies in patients undergoing elective transverse hemiarch replacement. METHODS: Twenty patients undergoing hemiarch replacement were prospectively randomized to receive either: Deep Hypothermic Circulatory Arrest + Retrograde Cerebral Perfusion(DHCA+RCP) or Moderate Hypothermic Circulatory Arrest + Antegrade Cerebral Perfusion(MHCA+ACP). All patients received Neurologist-adjudicated exams and MRI's prior to discharge. T...
Source: The Annals of Thoracic Surgery - November 15, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Leshnower BG, Rangaraju S, Allen JW, Stringer AY, Gleason TG, Chen EP Tags: Ann Thorac Surg Source Type: research

Uniportal Thoracoscopic Thoracic Duct Clipping In Poirier’s Triangle For Post-operative Chylothorax
Publication date: Available online 13 November 2018Source: The Annals of Thoracic SurgeryAuthor(s): Francesco Paolo Caronia, Federica Fatica, Damiano Librizzi, Alfonso FiorelliAbstractPost-operative chylothorax is a rare but potentially life-threatening complication. Conservative treatment is usually unsuccessful in patients with high-output chylothorax, for whom early surgical thoracic duct ligation has advocated to minimize morbidity and mortality. Herein, we reported the left uniportal thoracoscopic closure of persistent high-output chylothorax via the Poirier's triangle in a patient undergoing thoracoscopic thymectomy....
Source: The Annals of Thoracic Surgery - November 14, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Rare presentation of giant isolated enteric cyst in anterior mediastinum
Publication date: Available online 13 November 2018Source: The Annals of Thoracic SurgeryAuthor(s): Wei-Li Huang, Yau-Lin TsengAbstractMediastinal enteric cysts are extremely rare. In the published English literature, the majority of such cysts are reported in the right posterior mediastinal position; often with vertebral anomalies. Just 4 cases have been reported for enteric cysts in atypical mediastinal locations since 1997. Herein, we report an additional case of an atypically located giant isolated enteric cyst in the anterior mediastinum. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 14, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Impact of Donor and Recipient Age: Older Lung Transplant Recipients Do Not Require Younger Lungs
ConclusionsOur results suggest that even though donor and recipient age may be important in lung transplantation, the interplay between donor and recipient age alone is not an independent determinant of survival. Careful selection of lungs from donors over 60 years old should be exercised, taking into consideration the totality of donor demographics and risk factors rather than dismissing lungs based on advanced age alone (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 14, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Clinical validation of a coronary surgery technique that minimizes aortic manipulation
Publication date: Available online 13 November 2018Source: The Annals of Thoracic SurgeryAuthor(s): Bernardo Benussi, Giuseppe Gatti, Florida Gripshi, Federico Biondi, Aldostefano Porcari, Danilo Ruggiero, Manuel Belgrano, Elisabetta Rauber, Gianfranco Sinagra, Aniello PappalardoAbstractBackgroundTo minimize aortic manipulation and maximize use of arterial conduits are aims of modern coronary surgery.MethodsFrom March 2012 to October 2016, 890 consecutive patients with multivessel coronary disease underwent isolated coronary surgery using both internal thoracic arteries (ITAs). In 205 (23%; mean age, 67.6±9.2 years)...
Source: The Annals of Thoracic Surgery - November 14, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Complete sternal-sparing HeartMate 3 implantation: a case series of ten consecutive patients
ConclusionsOur early outcomes suggest that the CSS approach may reduce the incidence of right ventricular failure, bleeding, intubation time and ICU length of stay. Further studies are needed to fully elucidate the advantages of CSS LVAD implantation compared with median sternotomy. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 14, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Management of patients with coronary artery malperfusion secondary to Type A aortic dissection
Publication date: Available online 13 November 2018Source: The Annals of Thoracic SurgeryAuthor(s): Maximilian Kreibich, Joseph E. Bavaria, Emanuela Branchetti, Chase R. Brown, Zehang Chen, Fabliha Khurshan, Mary Siki, Prashanth Vallabhajosyula, Wilson Y. Szeto, Nimesh D. DesaiAbstractBackgroundTo review our experience with coronary artery (CA) malperfusion secondary to Type A aortic dissection.MethodsBetween 2002 and 2017, 76 patients presented with CA malperfusion with a dissection flap limited to the aorta in the region of the coronary ostium (Type A lesion, n=26, 34%), with a dissection flap involving the CA itself (Ty...
Source: The Annals of Thoracic Surgery - November 14, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Induction Radiation Therapy for Esophageal Cancer: Does Dose Affect Outcomes?
Publication date: Available online 13 November 2018Source: The Annals of Thoracic SurgeryAuthor(s): Tara R. Semenkovich, Pamela P. Samson, Jessica L. Hudson, Melanie Subramanian, Bryan F. Meyers, Benjamin D. Kozower, Daniel Kreisel, G. Alexander Patterson, Clifford G. Robinson, Jeffrey D. Bradley, Varun PuriAbstractBackgroundWide variation is seen in dosage of preoperative induction radiation therapy for esophageal cancer. We investigated associations between outcomes following esophagectomy and dosage of induction radiation.MethodsPatients undergoing induction radiation therapy (30-70Gy) followed by esophagectomy were ide...
Source: The Annals of Thoracic Surgery - November 14, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Recurrent Intracardiac Juvenile Xanthogranuloma in an Adult
Publication date: Available online 14 November 2018Source: The Annals of Thoracic SurgeryAuthor(s): David A. Nolte, Brandon T. Larsen, Richard E. Sobonya, Mohammed A. Al-Amoodi, Zain I. Khalpey (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 14, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Cannulation of the Femoral Arterial Bypass Cannula Allows Completion of TAVR in Unstable Patients
We describe a method to re-introduce the pigtail catheter via puncturing the arterial bypass cannula. This allows us to support the patient, continue bypass, and successfully place the valve without aborting the procedure. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 14, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Sarcopenia of the Psoas Muscles is Associated with Poor Outcomes Following Lung Transplantation
Publication date: Available online 14 November 2018Source: The Annals of Thoracic SurgeryAuthor(s): Joshua Hsu, Aravind Krishnan, Cheng T. Lin, Pali D. Shah, Stephen R. Broderick, Robert S.D. Higgins, Christian A. Merlo, Errol L. BushAbstractBackgroundSarcopenia, a known component of frailty, defined by diminished cross-sectional area of the psoas muscles, is associated with poor outcomes after a range of surgical procedures. However, little is known of the relationship between sarcopenia of the psoas muscles (SPM) and long-term mortality, decline in pulmonary function, and graft failure after lung transplantation.MethodsW...
Source: The Annals of Thoracic Surgery - November 14, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research