Thoracoscopic Tracheal Resection and Reconstruction with Single-Incision Method
Publication date: Available online 3 March 2018 Source:The Annals of Thoracic Surgery Author(s): Wei-Heng Hung, Heng-Chung Chen, Chang-Lun Huang, Bing-Yen Wang Tracheal resection and reconstruction are traditionally approached with a right lateral thoracotomy or a median sternotomy. The thoracoscopic approach is usually applied in lung resection surgery in most hospitals but seldom used in tracheal resection. Three or more incisions are usually created during a thoracoscopic tracheal resection. We prescribed a method of single-incision thoracoscopic tracheal resection and reconstruction in a case of squamous cell carcinom...
Source: The Annals of Thoracic Surgery - March 3, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Implementing a Thoracic Enhanced Recovery Program: Lessons Learned In the First Year
Conclusions Implementation of thoracic ERAS is a dynamic process with potential to improve outcomes in thoracic surgery. In the first year we shortened length of stay, decreased opioid usage, minimized fluid overload, and decreased hospital costs. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 3, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Flow Preservation of Umbilical Vein for Autologous Shunt and Cardiovascular Reconstruction
Conclusions Umbilical veins have adequate burst strength to function at neonatal systemic pressures. Preservation under flow conditions demonstrated normal endothelial and overall vascular morphology with less platelet adhesion compared to static samples. Preserved autologous umbilical veins are potential source for endothelialized shunts or cardiovascular repair tissue for neonates. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 3, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Prognostic Value of PD-L1 mRNA Sequencing Expression Profile in Non-Small Cell Lung Cancer
Conclusions Our results suggest that the value of PD-L1 mRNA in prognosticating outcome in lung cancer is limited. Further studies are needed to identify novel prognostic biomarkers other than PD-L1 that are associated with improved patient survival. Identification of further prognostically important biomarkers may prove useful in identifying patients suitable for immunotherapy. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 3, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Epidural Analgesia Versus Transversus Abdominis Plane Block For Esophagectomy: Are They Equivalent?
Publication date: Available online 3 March 2018 Source:The Annals of Thoracic Surgery Author(s): Mark C. Kendall, Lucas J. Castro-Alves (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 3, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Measurement of Blood Loss in Cardiac Surgery: Still Too Much
Conclusions Decreases in hematocrit observed in cardiac surgery patients are due to significant red blood cell losses and not to hemodilution. Red blood cell losses averaged 38%. Plasma volume also decreased. Graphical abstract (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 3, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Association of Tricuspid Regurgitation With Transcatheter Aortic Valve Replacement Outcomes: A Report From The Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy Registry.
We examined unadjusted mortality and heart failure readmission stratified by degree of preoperative TR and used multivariable models for 1-year mortality and heart failure readmission. RESULTS: Tricuspid regurgitation was present in 80% (n = 27,804) of TAVR patients, with mild TR in 56% (n = 19,393), moderate TR in 19% (n = 6687), and severe TR in 5% (n = 1,724). Increasing TR severity was associated with a number of comorbidities and The Society of Thoracic Surgeons predicted risk of mortality increased (p
Source: The Annals of Thoracic Surgery - March 2, 2018 Category: Cardiovascular & Thoracic Surgery Authors: McCarthy FH, Vemulapalli S, Li Z, Thourani V, Matsouaka RA, Desai ND, Kirtane A, Anwaruddin S, Williams ML, Giri J, Vallabhajosyula P, Li RH, Herrmann HC, Bavaria JE, Szeto WY Tags: Ann Thorac Surg Source Type: research

Robotic Versus Video-Assisted Thoracoscopic Lung Resection During Early Program Development.
The objective of this study is to compare robotic portal (RP) to video-assisted thoracoscopic surgery (VATS) pulmonary resections for early stage non-small cell lung cancer with respect to health care resource utilization during the first year of a robotic surgery program in thoracic oncology. METHODS: Patients who underwent anatomic lung resections using RP (n = 42) or VATS (n = 96) for early stage non-small cell lung cancer between April 2014 and March 2015 at a single institution were identified. Patient-level case costing data for hospital and home care-associated resource variables were recorded. We ado...
Source: The Annals of Thoracic Surgery - March 2, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Kaur MN, Xie F, Shiwcharan A, Patterson L, Shargall Y, Finley C, Schieman C, Dalimonte T, Fahim C, Hanna WC Tags: Ann Thorac Surg Source Type: research

The Association of Tricuspid Regurgitation With Transcatheter Aortic Valve Replacement Outcomes: A Report From The Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy Registry
Conclusions Tricuspid regurgitation was common among patients undergoing TAVR. Increasing TR severity was associated with higher risk patients and increased mortality and readmission—particularly for patients with severe TR and left ventricular ejection fraction greater than 30%. The effectiveness of TAVR alone in patients with aortic stenosis and concomitant severe TR may warrant further consideration, particularly for lower risk patients. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 2, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Robotic Versus Video-Assisted Thoracoscopic Lung Resection During Early Program Development
Conclusions A micro-costing analysis demonstrates that RP pulmonary resection for early stage non-small cell lung cancer utilizes more health care resource dollars when compared with VATS during early program development, but offers similar perioperative outcomes. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 2, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Predictors of Heparin Resistance Prior to Cardiovascular Surgery in Adults.
CONCLUSIONS: HR was shown to be associated with preoperative high fibrinogen levels, a smoking habit, and a preoperative diagnosis of chronic, but not acute, aortic dissection, with chronic obstructive pulmonary disease as comorbidity. Administration of antithrombin III resolved HR in all the affected patients even when their preoperative antithrombin III level was within the normal limit. PMID: 29501637 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Kawatsu S, Sasaki K, Sakatsume K, Takahara S, Hosoyama K, Masaki N, Suzuki Y, Hayatsu Y, Yoshioka I, Sakuma K, Adachi O, Akiyama M, Kumagai K, Motoyoshi N, Kawamoto S, Saiki Y Tags: Ann Thorac Surg Source Type: research

Long-Term Outcomes for Patients with Stroke After Coronary and Valve Surgery.
In this study, we analyzed the long-term medical and surgical outcomes of stroke after cardiac surgery. METHODS: We conducted a retrospective, nationwide, population-based study. All enrolled patients underwent first-time cardiac surgery and were further divided into the subgroups of nonstroke, stroke with medical treatment, and stroke with neurosurgical treatment. All-cause mortality, recurrent stroke, and readmission were analyzed. RESULTS: We included 67,051 patients in this study. Patients with postoperative stroke (2.6%, n = 1731) exhibited an in-hospital mortality rate of 12.3% (n = 213) and a 5-year mortal...
Source: The Annals of Thoracic Surgery - March 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Chen CC, Chen TH, Tu PH, Chien-Chia Wu V, Yang CH, Yi-Chou Wang A, Lee ST, Tsai FC, Chen SW Tags: Ann Thorac Surg Source Type: research

Ochronosis of Mitral Valve and Coronary Arteries.
We describe the case of a 67-year-old lady with a history of alkaptonuria with severe ochronosis of the coronary arteries and mitral valve, requiring coronary bypass and mitral valve replacement. PMID: 29501639 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Gottschalk BH, Blankenstein J, Guo L Tags: Ann Thorac Surg Source Type: research

Is Functional Independence Associated With Improved Long Term Survival After Lung Transplantation?
Abstract BACKGROUND: Existing research demonstrates superior short term outcomes (Length of stay, 1 year survival) after lung transplantation in patients with preoperative functional independence. The aim of this study is to determine whether advantages remain significant in the long term. METHODS: The United Network for Organ Sharing (UNOS) database was queried for adult, first time, isolated lung transplantation records from 01/2005 to 12/2015. Stratification was performed based on Karnofsky Performance Status Score (3 groups) and on employment at the time of transplantation (2 groups). Kaplan-Meier and Cox...
Source: The Annals of Thoracic Surgery - March 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Osho A, Mulvihill M, Lamba N, Hirji S, Yerokun B, Bishawi M, Spencer P, Panda N, Villavicencio M, Hartwig M Tags: Ann Thorac Surg Source Type: research

Acute Kidney Injury Classification Underestimates Long-Term Mortality After Cardiac Valve Operations.
Abstract BACKGROUND: Perioperative acute kidney injury (AKI) is an important predictor of long-term all-cause mortality after coronary artery bypass (CABG). However, the effect of AKI on long-term mortality after cardiac valve operations is hitherto undocumented. METHODS: Perioperative renal injury and long-term all-cause mortality after valve operations were studied in a prospective cohort of patients undergoing solitary valve operations (n=2,806) or valve operations combined with CABG (n=1,260) with up to 18 years of follow-up. Postoperative serum creatinine increase was classified according to AKI 0-3. Pat...
Source: The Annals of Thoracic Surgery - March 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Bouma HR, Mungroop HE, de Geus AF, Huisman DD, Nijsten MWN, Mariani MA, Scheeren TWL, Burgerhof JGM, Henning RH, Epema AH Tags: Ann Thorac Surg Source Type: research

Implantation Depth and Rotational Orientation Effect on Valve-in-Valve Hemodynamics and Sinus Flow.
This study aims to evaluate the effect of transcatheter aortic valve (TAV) implantation depth and rotation on pressure gradient (PG), leakage fractions (LF), leaflet shear stress and sinus washout in an effort to understand factors that may dictate optimal positioning for valve-in-valve (ViV) procedures. Sinus flow stasis is often associated with prosthetic leaflet thrombosis. While recent ViV in-vitro studies highlighted transcatheter aortic valve (TAV) supra-annular implantation potential benefits to minimize pressure gradients, the relationship between TAV depth and other determinates of valve function remains unknown. ...
Source: The Annals of Thoracic Surgery - March 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Hatoum H, Dollery J, Lilly SM, Crestanello JA, Dasi LP Tags: Ann Thorac Surg Source Type: research

Use of an Automated Suture Fastening Device in Minimally Invasive Aortic Valve Replacement.
CONCLUSIONS: In minimally invasive aortic valve replacement, the Cor-Knot device was associated with reduced aortic cross-clamp time while providing equivalent clinical outcomes. Larger studies are needed to confirm efficacy, safety, and cost-effectiveness of the Cor-Knot device in minimally invasive aortic valve surgery. PMID: 29501643 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Beute TJ, Orem MD, Schiller TM, Goehler M, Parker J, Willekes CL, Timek T Tags: Ann Thorac Surg Source Type: research

Timing and Risk Factors Associated with Venous Thromboembolism Following Lung Cancer Resection.
This study sought to identify risk factors for post-discharge VTE following lung resection. METHODS: Patients undergoing anatomic resection for lung cancer were identified in the National Surgical Quality Improvement Program database from 2005-2015. Patient demographic and clinical characteristics were evaluated for any association with post-discharge VTE. Predictors of post-discharge VTE were identified using multivariable analysis. RESULTS: VTE occurred in 1.6% (234) of the 14,308 patients identified. 44% (102) VTE events occurred following hospital discharge. Undergoing pneumonectomy was associated with a thre...
Source: The Annals of Thoracic Surgery - March 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Thomas DC, Arnold BN, Hoag JR, Salazar MC, Boffa DJ, Detterbeck FC, Kim AW, Blasberg JD Tags: Ann Thorac Surg Source Type: research

Predictors for Late Reoperation After Surgical Repair of Acute Type A Aortic Dissection.
CONCLUSIONS: We found several risk factors for both late reoperation and mortality. Specifically, aortic diameter in the early phase after initial surgery and non-use of β blockers were strong predictors. The F/T index may also be a new and useful indicator for late reoperation. PMID: 29501645 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Suzuki T, Asai T, Kinoshita T Tags: Ann Thorac Surg Source Type: research

Lung Cancer Screening in the Community Setting.
CONCLUSIONS: Our review demonstrates that a community-based program can approximate the results of the National Lung Screening Trial in detecting early lung cancers. Further study of the adherence phenomenon is essential. PMID: 29501646 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Cattaneo SM, Meisenberg BR, Geronimo MCM, Bhandari B, Maxted JW, Brady-Copertino CJ Tags: Ann Thorac Surg Source Type: research

Immunopathogenesis of Primary Graft Dysfunction After Lung Transplantation.
PMID: 29455798 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Bharat A, Kreisel D Tags: Ann Thorac Surg Source Type: research

Tricuspid Valve Repair: How I Teach It.
PMID: 29455799 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Saran N, Dearani JA Tags: Ann Thorac Surg Source Type: research

Invited Commentary.
PMID: 29455800 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Reece TB Tags: Ann Thorac Surg Source Type: research

Invited Commentary.
PMID: 29455801 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Clarizia NA, Ruel M Tags: Ann Thorac Surg Source Type: research

Invited Commentary.
PMID: 29455802 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Ferguson TB Tags: Ann Thorac Surg Source Type: research

Invited Commentary.
PMID: 29455803 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Farjah F Tags: Ann Thorac Surg Source Type: research

Step-by-Step Aortic Valve Replacement With a New Rapid Deployment Valve.
CONCLUSIONS: The INTUITY Elite system represents a significant innovation in bioprosthesis technology. It has been shown to be safe and effective, but its implantation requires detailed attention to several unique operative steps. PMID: 29455804 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Accola KD, Chitwood WR, Mumtaz MA, Barnhart GR Tags: Ann Thorac Surg Source Type: research

The Coroneo External Annuloplasty Ring.
PMID: 29455805 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Yurekli I, Kestelli M, Cakir H, Eygi B Tags: Ann Thorac Surg Source Type: research

Reply.
PMID: 29455806 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Holubec T, Zacek P, Vojacek J Tags: Ann Thorac Surg Source Type: research

Reply.
PMID: 29455807 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Tasca G, Selmi M, Votta E Tags: Ann Thorac Surg Source Type: research

Aortic Leaflet Stress in Surgery for Genetically Determined Root Aneurysms: Biomechanical Insights.
PMID: 29455808 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Izgi C, Mohiaddin R, Xu XY, Pepper J, Treasure T Tags: Ann Thorac Surg Source Type: research

More Aggressive Intervention Contributes to Avoiding Recurrent Tricuspid Regurgitation.
PMID: 29455809 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Fukunaga N, Koyama T Tags: Ann Thorac Surg Source Type: research

Reply.
PMID: 29455810 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Elgharably H, Blackstone EH, Navia JL Tags: Ann Thorac Surg Source Type: research

Sutureless Valve Thrombosis: The Role of Stent Geometry.
PMID: 29455811 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Cerillo AG, Amoretti F, Mariani M, Chiappino D Tags: Ann Thorac Surg Source Type: research

Reply.
r R PMID: 29455812 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Vötsch A, Seitelberger R Tags: Ann Thorac Surg Source Type: research

The Discrepancy Between Two Clinical Trials: Dose-Dependent or Tumor Characteristics?
PMID: 29455813 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Hamaji M, Yoshikawa TF, Date H Tags: Ann Thorac Surg Source Type: research

TNM Staging System and Surgical Resection for Partially Solid Lung Adenocarcinoma.
PMID: 29455814 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Baisi A, Raveglia F, De Simone M, Cioffi U Tags: Ann Thorac Surg Source Type: research

Reply.
PMID: 29455815 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Singhal S Tags: Ann Thorac Surg Source Type: research

There Are Many Unnecessary Patch Plasty Operations in Tetralogy of Fallot.
PMID: 29455816 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Yurekli I, Kestelli M, Cakir H, Donmez K Tags: Ann Thorac Surg Source Type: research

Skin Perforator Flap Pedicled With Intercostal Muscle: Additional Data.
PMID: 29455817 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Bertheuil N, De Latour B, Meunier B Tags: Ann Thorac Surg Source Type: research

Mitral Regurgitation Exacerbation Due to Sutureless Aortic Valve Replacement.
We report a patient with severe aortic stenosis who received a Perceval sutureless AVR (LivaNova, London, United Kingdom), resulting in a competent prosthesis with an absence of paravalvular leak and aortic regurgitation. However, this implantation resulted in the exacerbation of mitral regurgitation. The sutureless valve required explantation, and a traditional sutured valve was subsequently implanted, which returned the mitral regurgitation to baseline. We discuss a potential etiology of this sutureless AVR-specific complication. PMID: 29455818 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Lee T, Mittnacht AJC, Itagaki S, Stewart A Tags: Ann Thorac Surg Source Type: research

Resection of Metastatic Hepatocellular Carcinoma in the Ventricular Septum Causing Left Ventricular Outflow Tract Obstruction.
We report a patient with left ventricular outflow tract (LVOT) obstruction due to isolated recurrent HCC involving the interventricular septum (IVS). A ventriculotomy with resection of the tumor and patch repair of the IVS was performed with successful relief of LVOT obstruction. The patient was discharged home 6 days later symptom-free. PMID: 29455819 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Gray WH, Patel R, Baker CJ, Starnes VA, Bowdish ME Tags: Ann Thorac Surg Source Type: research

Ductus Aneurysm Ruptured Into the Esophagus With Massive Bleeding.
We report a patient with life-threatening hematemesis caused by the rupture of a ductus aneurysm into the esophagus, which was successfully treated by coil embolism for the esophageal fistula through the aorta and subsequent thoracic endovascular aortic replacement. Second-stage therapy was performed surgically after proactive antibiotic treatment and in consideration of the patient's improved general condition. This included debridement with drainage, aortic encasement with remnant aneurysmal wall, omentopexy, and jejunostomy. The esophagus was preserved, and satisfactory healing and natural closure of the fistula were ac...
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Soeda T, Sakashita M, Hamada T, Saito Y, Kitakado Y, Morioka N Tags: Ann Thorac Surg Source Type: research

Pulmonary Hemorrhage After Arterial Switch Operation.
Abstract Major aortopulmonary collateral arteries can influence the postoperative course of arterial switch operation, with heart failure being the common clinical presentation. A relatively rare presentation of an aortopulmonary collateral artery in the form of persistent postoperative pulmonary hemorrhage was encountered after an uneventful arterial switch operation in a neonate with transposition of the great arteries, intact interventricular septum, and situs inversus totalis. The aortopulmonary collateral artery was coil embolized with a successful outcome. PMID: 29455821 [PubMed - in process] (Source: T...
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Maddali MM, Al-Maskari SN, Kandachar PS, Lacour-Gayet F Tags: Ann Thorac Surg Source Type: research

Pulmonary Hemorrhage Due to Unrecognized Bronchial Collateral After Arterial Switch Operation.
We report a neonate with transposition of great arteries and intact ventricular septum who had a massive pulmonary hemorrhage soon after an arterial switch operation. An emergency cardiac catheterization revealed a large bronchial collateral artery from the descending aorta feeding the right lung. The hemorrhage was controlled by coil embolization of the collateral, and the patient recovered after prolonged intensive care. PMID: 29455822 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Leeladharan SP, Jayashankar JP, Kottayil BP, Kappanayil M, Raman K, Balachandran R Tags: Ann Thorac Surg Source Type: research

Sequential Melody Valve Insertion After Repair of Tetralogy of Fallot Atrioventricular Septal Defect.
We present a case describing hybrid strategies to treat severe left atrioventricular and pulmonary valve regurgitation with modified balloon expandable stent valves to counter low cardiac output secondary to valve dysfunction. Such strategies offer an alternative to standard valve choices and should be considered as an extension of the current surgical valve inventory. PMID: 29455823 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Kenny D, Prendiville T, Walsh KP, McGuinness J Tags: Ann Thorac Surg Source Type: research

Anomalous Left Coronary Artery From Pulmonary Artery in a Baby With Pulmonary Atresia, Intact Ventricular Septum.
Abstract A baby with pulmonary atresia with intact ventricular septum and hypoplastic right ventricle, with suspected right ventricle to coronary communications, was operated on for placing an aortopulmonary shunt. Postoperatively, the baby deteriorated with features of myocardial ischemia. Postmortem examination revealed anomalous origin of left coronary artery from pulmonary artery that caused significant coronary ischemia on ligation of the ductus arteriosus. Although coronary anomalies, including right ventricle dependent coronary circulation, has been well described, this is the first report of anomalous orig...
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Sasikumar D, Menon S, Baruah SD, Dharan BS, Gohain D, Sasidharan B, Sivasankaran S Tags: Ann Thorac Surg Source Type: research

Urgent Surgical Approach to Mediastinal Cyst Causing Life-Threatening Tracheal Obstruction.
Abstract This case describes an urgent surgical approach to a patient with symptoms of rapid progressive respiratory compromise resulting from a massive mediastinal cyst. To relieve tracheal compression, ultrasound-guided percutaneous fine-needle aspiration was performed as an urgent procedure, which immediately improved the patient's airway obstruction and facilitated double-lumen endotracheal intubation. Methylene blue was injected into the cyst through the puncturing needle and accurately marked the margins of the cyst. The cyst was completely resected under thoracoscopy. The signs and symptoms of airway obstru...
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Cheng L, Huang A, Jiang K, Xing S, Wang J, Nie J Tags: Ann Thorac Surg Source Type: research

Spontaneous Regression of Primary Pulmonary Synovial Sarcoma.
We report a rare case of primary pulmonary synovial sarcoma that underwent spontaneous regression after a transbronchial biopsy. A 38-year-old woman with a well-demarcated solitary mass shadow on chest roentgenogram was referred to us. A transbronchial biopsy was performed, and immunohistochemical results as well as detection of SYT-SSX1 (SYnovial sarcoma Translocation-Synovial Sarcoma X chromosome breakpoint) transcripts resulted in a diagnosis of synovial sarcoma. A right lower lobectomy was performed during video-assisted thoracoscopic surgery. Pathologic examination revealed widespread coagulative necrosis with feeding...
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Tsunezuka H, Miyata N, Furuya T, Konishi E, Inoue M Tags: Ann Thorac Surg Source Type: research

Paraneoplastic Neuromyelitis Optica Spectrum Disorder as Presentation of Esophageal Adenocarcinoma.
We report a case of transverse myelitis caused by paraneoplastic neuromyelitis optica as the presenting clinical syndrome in a patient with esophageal adenocarcinoma. PMID: 29455827 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Wiener DC, Kaplan TB, Bravo-Iñiguez CE, Miller J, Berkowitz AL, Jaklitsch MT Tags: Ann Thorac Surg Source Type: research