Reply
Publication date: February 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 2Author(s): Mark K. Ferguson (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Standardization Within Groups Is Necessary
Publication date: February 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 2Author(s): Ismail Yurekli, Mert Kestelli, Habib Cakir, Bortecin Eygi, Koksal Donmez (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Reply
Publication date: February 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 2Author(s): Josephina Haunschild, Isabel N. Schellinger, Christian D. Etz (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: February 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 2Author(s): James M. Hammel (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Elective Aortic Root Replacement in North America: Analysis of STS Adult Cardiac Surgery Database
ConclusionsElective ARR is performed with excellent postoperative outcomes. Analysis of the STS database reveals several significant risk factors that are independently associated with increased mortality and morbidity. We anticipate that future studies inclusive of the non-elective ARR cases in the database will facilitate development of a risk model for root replacement procedure. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 25, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Short Tandem Repeats Define A Gestational Origin For Metastatic Choriocarcinoma
We present the case of a healthy female patient with a history of placenta accreta, who was transferred from an outside hospital with the chief complaint of shortness of breath and a large spontaneous hemothorax requiring surgical exploration. Resection of a large, bleeding lower lobe mass identified metastatic gestational choriocarcinoma, a previously unreported cause of spontaneous hemothorax and an equally rare consequence of placenta accreta. The identification of novel genomic features associated with gestational choriocarcinoma allowed for confirmation of this subtype, which has clinical implications for surveillance...
Source: The Annals of Thoracic Surgery - January 25, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Mitral Valve Endocarditis: A rare Manifestation of Lyme Disease.
We describe a case of mitral regurgitation with a preoperative diagnosis of myxomatous mitral valve degeneration. During surgery, the surgeon suspected infective rather than degenerative; etiology; tissue cultures were negative. However, universal bacterial PCR on explanted valve tissue detected Borrelia burgdorferi Deoxyribonucleic Acid(DNA). If a surgeon suspects infective endocarditis at the time surgery, appropriate specimens should be sent for histopathology, culture, and PCR. PMID: 30690018 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 25, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Haddad O, Gillinov M, Fraser T, Shrestha N, Pettersson GB Tags: Ann Thorac Surg Source Type: research

Differential expression of TGF β1 is associated with fetal regeneration after myocardial infarction.
CONCLUSIONS: TGFβ1 is increased in adult infarcts compared to regenerative, fetal infarcts following MI. While treatment of fetal cardiac fibroblasts with TGFβ1 conveys an adult phenotype, inhibition of TGFβ1 conveys a fetal phenotype to adult cardiac fibroblasts. Decreasing TGFβ1 following MI may facilitate myocardial regeneration by 'fetalizing' the otherwise fibrotic, adult response to MI. PMID: 30690019 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 25, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Hodges MM, Zgheib C, Xu J, Hu J, Dewberry LC, Hilton SA, Allukian MW, Gorman JH, Gorman RC, Liechty KW Tags: Ann Thorac Surg Source Type: research

In-hospital mobilization, physical fitness and physical functioning following lung cancer surgery.
CONCLUSIONS: Suboptimal postoperative mobilization after lung cancer surgery impacts negatively on physical fitness at discharge. Our results underline the importance of adherence to early postoperative mobilization protocols. Measuring physical fitness at discharge may be useful to inform clinicians on elective referral of patients for after-discharge rehabilitation. PMID: 30690020 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 25, 2019 Category: Cardiovascular & Thoracic Surgery Authors: van der Leeden M, Balland C, Geleijn E, Huijsmans RJ, Dekker J, Paul MA, Dickhoff C, Stuiver MM Tags: Ann Thorac Surg Source Type: research

Robotic Multi-vessel Endoscopic Coronary Bypass: Impact of a Beating Heart Approach with Connectors.
Abstract BACKGROUND: Most robotic coronary bypass operations are single-vessel procedures. Very few centers perform totally endoscopic coronary bypass (TECAB), and even fewer perform multi-vessel grafting endoscopically. We hypothesized that a robotic beating-heart approach using distal anastomotic-connectors facilitates multi-vessel TECAB with similar safety and efficacy to single-vessel TECAB. METHODS: We reviewed patients undergoing robotic TECAB at our institution between 7/2013 and 3/2018. 344 consecutive patients were divided into two groups: multi-vessel (MV, Group 1), and single-vessel (SV, Group 2). ...
Source: The Annals of Thoracic Surgery - January 25, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Balkhy HH, Nisivaco S, Kitahara H, McCrorey M, Patel B Tags: Ann Thorac Surg Source Type: research

Operative and long-term outcomes after curative repair of acute dissection involving proximal aorta.
CONCLUSIONS: Curative aortic repair can be achieved in a relevant share of AAAD patients and is mostly limited by the distal extension of dissection. This kind of repair is advisable, whenever possible, because it can provide very low risk of aortic complications and/or re-operations over time. PMID: 30690022 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 25, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Urbanski PP, Zierer A, Irimie V, Lenos A, Bougioukakis P, Zacher M, Diegeler A Tags: Ann Thorac Surg Source Type: research

Sutureless aortic valve and pacemaker rate: from surgical tricks to clinical outcomes (Commentary).
PMID: 30690023 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 25, 2019 Category: Cardiovascular & Thoracic Surgery Authors: D'Alessandro DA, Jassar AS Tags: Ann Thorac Surg Source Type: research

Modified Distal Dunk Technique for Right Ventricle to Pulmonary Artery Shunt in Stage 1 Palliation
We present a technique for creating the distal connection aimed at minimizing procedural bleeding, promoting distal patency, and facilitating second stage palliation. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 24, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Pulmonary artery obstruction by idiopathic calcification causing sudden collapse in a neonate
We report a case of a newborn infant that experienced circulatory collapse caused by a calcified lesion occluding the main pulmonary artery (PA). The baby was born via full-term birth at normal birth weight. Cyanosis was noted immediately after birth. Echocardiography revealed a main PA occlusion due to a calcified lesion. Bradycardia and circulatory failure occurred at postnatal day 4 and an urgent surgical resection was successfully performed. Idiopathic calcification causing both PA obstruction and circulatory collapse is rare. Our report indicates that PA calcification can cause hemodynamic instability requiring early ...
Source: The Annals of Thoracic Surgery - January 24, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Sutureless aortic valve and pacemaker rate: from surgical tricks to clinical outcomes
Publication date: Available online 23 January 2019Source: The Annals of Thoracic SurgeryAuthor(s): Ferdinand Vogt, Marco Moscarelli, Anna Nicoletti, Renato Gregorini, Francesco Pollari, Jurji M. Kalisnik, Steffen Pfeiffer, Theodor Fischlein, Giuseppe SantarpinoAbstractBackgroundSeveral studies reported high rates of postoperative permanent pacemaker (PPM) implantation, which has been described as the "Achilles’ heel" of sutureless aortic valve replacement (AVR).MethodsFrom July 2010 to December 2017, 3158 patients with symptomatic, severe aortic valve stenosis were referred to our cardiac surgery center and...
Source: The Annals of Thoracic Surgery - January 24, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Does type of TAVR access affect early mortality in morbidly obese patients (Reply)
Publication date: Available online 23 January 2019Source: The Annals of Thoracic SurgeryAuthor(s): Anna Olds, Isaac George (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 24, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Excessive pannus overgrowth on the aortic side of Trifecta valve determining severe regurgitation
Publication date: Available online 23 January 2019Source: The Annals of Thoracic SurgeryAuthor(s): Anne Kristin Schaefer, Martin Andreas, Paul Werner, Carlo Gaetano Sassi, Thomas Haberl, Alfred Kocher, Guenther Laufer, Marco RussoAbstractStructural valve deterioration represents the most important concern regarding the implantation of a biological heart valve in young patients. Several strategies have been proposed to improve prosthesis design in order to optimize performance and durability. Here we describe an early and specific mode for valve degeneration of prosthesis with outwards mounted pericardial leaflets due to pa...
Source: The Annals of Thoracic Surgery - January 24, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Cytosorb adsorption during emergency cardiac operations in patients at high risk of bleeding
ConclusionsThe intra-operative use of Cytosorb adsorption of Ticagrelor and Rivaroxaban in emergency open-heart operations is reported for the first time. The data show that the strategy is safe and an effective method to reduce bleeding complications. We recommend the use for safety in patients with Ticagrelor or Rivaroxaban undergoing emergency cardiac surgery.Graphical abstract (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 24, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Alternative approach for the surgical treatment of left main coronary artery aneurysm
We present a case of a giant LMCA aneurysm where an alternative surgical approach was performed. The aneurysm was incised and partially resected. An interposition RITA graft from the LMCA to the LCX was placed together with a LITA and free RITA graft. Postoperative imaging showed good patency of all grafts. This case demonstrates an effective approach for the surgical treatment of LMCA that offers an alternative when other techniques are not desirable. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 24, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Risk of Ischemic Mitral Regurgitation Recurrence after Combined Valvular and Subvalvular Repair
ConclusionsIn patients undergoing coronary artery bypass grafting with MVr+PMA, the extent of baseline MV apparatus and LV geometric remodeling identifies patients at increased risk for MR recurrence. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 24, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Elective Aortic Root Replacement in North America: Analysis of STS Adult Cardiac Surgery Database.
CONCLUSIONS: Elective ARR is performed with excellent postoperative outcomes. Analysis of the STS database reveals several significant risk factors that are independently associated with increased mortality and morbidity. We anticipate that future studies inclusive of the non-elective ARR cases in the database will facilitate development of a risk model for root replacement procedure. PMID: 30685254 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 24, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Wallen T, Habertheuer A, Bavaria JE, Hughes C, Badhwar V, Jacobs J, Yerokun B, Thibault D, Milewski K, Desai N, Szeto W, Svensson L, Vallabhajosyula P Tags: Ann Thorac Surg Source Type: research

Short Tandem Repeats Define A Gestational Origin For Metastatic Choriocarcinoma.
We present the case of a healthy female patient with a history of placenta accreta, who was transferred from an outside hospital with the chief complaint of shortness of breath and a large spontaneous hemothorax requiring surgical exploration. Resection of a large, bleeding lower lobe mass identified metastatic gestational choriocarcinoma, a previously unreported cause of spontaneous hemothorax and an equally rare consequence of placenta accreta. The identification of novel genomic features associated with gestational choriocarcinoma allowed for confirmation of this subtype, which has clinical implications for surveillance...
Source: The Annals of Thoracic Surgery - January 24, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Brown K, Homer R, Baine M, Blasberg JD Tags: Ann Thorac Surg Source Type: research

Acute Neurologic Injury in Children Admitted to the Cardiac Intensive Care Unit
Publication date: Available online 22 January 2019Source: The Annals of Thoracic SurgeryAuthor(s): Jamie L. Bell, Lucas Saenz, Yuliya Domnina, Tracy Baust, Ashok Panigrahy, Michael J. Bell, Marta Camprubí-Camprubí, Joan Sanchez-de-ToledoAbstractBackgroundChildren with both acquired and congenital heart disease have low mortality but increased risk of neurologic morbidity which is multi-factorial. We hypothesize that acute neurologic injuries contributes to mortality in such children and are an important cause of death.MethodsRetrospective review of all admissions to the pediatric cardiac intensive care unit f...
Source: The Annals of Thoracic Surgery - January 23, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

What are the first line anesthetic agents in case of propofol and remifentanyl allergy?
Publication date: Available online 22 January 2019Source: The Annals of Thoracic SurgeryAuthor(s): Habib Cakir, Koksal Donmez, Ismail Yurekli, Pelin Cakir, Mert Kestelli (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 23, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Influence of Preoperative Frailty On Health-Related Quality of Life after Cardiac Surgery
ConclusionsFrail and pre-frail patients have a significant improvement in their quality-of-life 6 months after cardiac surgery, and they have a proportionally greater increase in their postoperative health-related quality of life scores than robust ones.Graphical abstract (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 23, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Extramedullary plasmacytoma of the right main bronchus
We report the case of a 54-year-old female with EMP of the right mainstem bronchus treated with sleeve resection. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 23, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Temperature selection in antegrade cerebral perfusion for aortic arch surgery: a meta-analysis
ConclusionsACP with warmer circulatory arrest temperatures may reduce the incidence of permanent neurological deficit, as well as potentially other clinical outcomes. Further studies are required to determine the safe circulatory arrest durations for visceral organs at warmer temperatures. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 23, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Survival and resected lymph nodes number during sublobectomy for N0 Non-Small Cell Lung Cancer ≤ 2cm
ConclusionsIn wedge resection, 4-9 and 10-16 lymph nodes should be examined for lesions ≤1 cm and 1-2 cm, respectively. In segmentectomy, lymph node resection did not confer survival benefits for lesions ≤2 cm. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 23, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Left-sided complete revascularization with bilateral internal thoracic arteries in diabetic patients
ConclusionsAll-cause death, re-revascularization and myocardial infarction showed no differences between diabetic and non-diabetic patients who underwent left-sided revascularization with the BITAs. Although diabetes did not affect the patency of the ITA, free ITA grafts to the left circumflex artery showed very good long-term patency in diabetic patients. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 23, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Socioeconomic ‘Distressed Communities Index’ Predicts Risk-Adjusted Mortality After Cardiac Surgery
ConclusionsThe Distressed Communities Index independently predicts risk-adjusted operative mortality following CABG. Socioeconomic status, although not part of traditional risk calculators, should be considered when building risk models, evaluating resource utilization, and comparing hospitals. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 23, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Alternative approach for the surgical treatment of left main coronary artery aneurysm.
We present a case of a giant LMCA aneurysm where an alternative surgical approach was performed. The aneurysm was incised and partially resected. An interposition RITA graft from the LMCA to the LCX was placed together with a LITA and free RITA graft. Postoperative imaging showed good patency of all grafts. This case demonstrates an effective approach for the surgical treatment of LMCA that offers an alternative when other techniques are not desirable. PMID: 30684476 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 23, 2019 Category: Cardiovascular & Thoracic Surgery Authors: De Hous N, Haine S, Oortman R, Laga S Tags: Ann Thorac Surg Source Type: research

Risk of Ischemic Mitral Regurgitation Recurrence after Combined Valvular and Subvalvular Repair.
CONCLUSIONS: In patients undergoing coronary artery bypass grafting with MVr+PMA, the extent of baseline MV apparatus and LV geometric remodeling identifies patients at increased risk for MR recurrence. PMID: 30684477 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 23, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Nappi F, Lusini M, Avtaar Singh SS, Santana O, Chello M, Mihos CG Tags: Ann Thorac Surg Source Type: research

Does type of TAVR access affect early mortality in morbidly obese patients (Reply).
PMID: 30684478 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 23, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Olds A, George I Tags: Ann Thorac Surg Source Type: research

Sutureless aortic valve and pacemaker rate: from surgical tricks to clinical outcomes.
Abstract BACKGROUND: Several studies reported high rates of postoperative permanent pacemaker (PPM) implantation, which has been described as the "Achilles' heel" of sutureless aortic valve replacement (AVR). METHODS: From July 2010 to December 2017, 3158 patients with symptomatic, severe aortic valve stenosis were referred to our cardiac surgery center and 512 received a Perceval sutureless bioprosthesis. Thirty-nine patients who had been discharged with concomitant PPM implantation were re-evaluated. RESULTS: After a cumulative follow-up of 1534 months (100% complete, median 50, IQR 30, max 7...
Source: The Annals of Thoracic Surgery - January 23, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Vogt F, Moscarelli M, Nicoletti A, Gregorini R, Pollari F, Kalisnik JM, Pfeiffer S, Fischlein T, Santarpino G Tags: Ann Thorac Surg Source Type: research

Modified Distal Dunk Technique for Right Ventricle to Pulmonary Artery Shunt in Stage 1 Palliation.
We present a technique for creating the distal connection aimed at minimizing procedural bleeding, promoting distal patency, and facilitating second stage palliation. PMID: 30684480 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 23, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Meyer DB, Nguyen K Tags: Ann Thorac Surg Source Type: research

Pulmonary artery obstruction by idiopathic calcification causing sudden collapse in a neonate.
We report a case of a newborn infant that experienced circulatory collapse caused by a calcified lesion occluding the main pulmonary artery (PA). The baby was born via full-term birth at normal birth weight. Cyanosis was noted immediately after birth. Echocardiography revealed a main PA occlusion due to a calcified lesion. Bradycardia and circulatory failure occurred at postnatal day 4 and an urgent surgical resection was successfully performed. Idiopathic calcification causing both PA obstruction and circulatory collapse is rare. Our report indicates that PA calcification can cause hemodynamic instability requiring early ...
Source: The Annals of Thoracic Surgery - January 23, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Yamamoto R, Kato H, Matsubara M, Gomi S, Sakamoto H, Hiramatsu Y Tags: Ann Thorac Surg Source Type: research

Cytosorb adsorption during emergency cardiac operations in patients at high risk of bleeding.
CONCLUSIONS: The intra-operative use of Cytosorb adsorption of Ticagrelor and Rivaroxaban in emergency open-heart operations is reported for the first time. The data show that the strategy is safe and an effective method to reduce bleeding complications. We recommend the use for safety in patients with Ticagrelor or Rivaroxaban undergoing emergency cardiac surgery. PMID: 30684482 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 23, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Hassan K, Kannmacher J, Wohlmuth P, Budde U, Schmoeckel M, Geidel S Tags: Ann Thorac Surg Source Type: research

Excessive pannus overgrowth on the aortic side of Trifecta valve determining severe regurgitation.
Abstract Structural valve deterioration represents the most important concern regarding the implantation of a biological heart valve in young patients. Several strategies have been proposed to improve prosthesis design in order to optimize performance and durability. Here we describe an early and specific mode for valve degeneration of prosthesis with outwards mounted pericardial leaflets due to pannus overgrowth on the aortic side. This led to leaflet retraction in two consecutive cases four and six years after the first implantation of a Trifecta valve. PMID: 30684483 [PubMed - as supplied by publisher] (So...
Source: The Annals of Thoracic Surgery - January 23, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Schaefer AK, Andreas M, Werner P, Sassi CG, Haberl T, Kocher A, Laufer G, Russo M Tags: Ann Thorac Surg Source Type: research

In Memoriam: Gerald Buckberg, M.D.: Mentor, Educator, Surgeon and Artist
Publication date: Available online 21 January 2019Source: The Annals of Thoracic SurgeryAuthor(s): Richard J. Shemin, Friedhelm Beyersdorf, Harold L. Lazar (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Temperature selection in antegrade cerebral perfusion for aortic arch surgery: a meta-analysis.
CONCLUSIONS: ACP with warmer circulatory arrest temperatures may reduce the incidence of permanent neurological deficit, as well as potentially other clinical outcomes. Further studies are required to determine the safe circulatory arrest durations for visceral organs at warmer temperatures. PMID: 30682350 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 22, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Tian DH, Weller J, Hasmat S, Preventza O, Forrest P, Kiat H, Yan TD Tags: Ann Thorac Surg Source Type: research

Acute Neurologic Injury in Children Admitted to the Cardiac Intensive Care Unit.
de-Toledo J Abstract BACKGROUND: Children with both acquired and congenital heart disease have low mortality but increased risk of neurologic morbidity which is multi-factorial. We hypothesize that acute neurologic injuries contributes to mortality in such children and are an important cause of death. METHODS: Retrospective review of all admissions to the pediatric cardiac intensive care unit from January 2011 through January 2015. Patients were assessed for any acute neurologic events during admission (ANE) as defined by radiologic findings or electrographic seizures. RESULTS: Of all 1,573 children admi...
Source: The Annals of Thoracic Surgery - January 22, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Bell JL, Saenz L, Domnina Y, Baust T, Panigrahy A, Bell MJ, Camprubí-Camprubí M, Sanchez-de-Toledo J Tags: Ann Thorac Surg Source Type: research

What are the first line anesthetic agents in case of propofol and remifentanyl allergy?
PMID: 30682352 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 22, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Cakir H, Donmez K, Yurekli I, Cakir P, Kestelli M Tags: Ann Thorac Surg Source Type: research

Survival and resected lymph nodes number during sublobectomy for N0 Non-Small Cell Lung Cancer ≤ 2cm.
CONCLUSIONS: In wedge resection, 4-9 and 10-16 lymph nodes should be examined for lesions ≤1 cm and 1-2 cm, respectively. In segmentectomy, lymph node resection did not confer survival benefits for lesions ≤2 cm. PMID: 30682353 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 22, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Ding H, Wang H, Xu L, Song N, Jiang G Tags: Ann Thorac Surg Source Type: research

Socioeconomic 'Distressed Communities Index' Predicts Risk-Adjusted Mortality After Cardiac Surgery.
CONCLUSIONS: The Distressed Communities Index independently predicts risk-adjusted operative mortality following CABG. Socioeconomic status, although not part of traditional risk calculators, should be considered when building risk models, evaluating resource utilization, and comparing hospitals. PMID: 30682354 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 22, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Charles EJ, Mehaffey JH, Hawkins RB, Fonner CE, Yarboro LT, Quader MA, Kiser AC, Rich JB, Speir AM, Kron IL, Tracci MC, Ailawadi G, Investigators for the Virginia Cardiac Services Quality Initiative Tags: Ann Thorac Surg Source Type: research

Extramedullary plasmacytoma of the right main bronchus.
We report the case of a 54-year-old female with EMP of the right mainstem bronchus treated with sleeve resection. PMID: 30682355 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 22, 2019 Category: Cardiovascular & Thoracic Surgery Authors: LeNoir B, Bruner ET, Denlinger CE, Gibney BC Tags: Ann Thorac Surg Source Type: research

Influence of Preoperative Frailty On Health-Related Quality of Life after Cardiac Surgery.
CONCLUSIONS: Frail and pre-frail patients have a significant improvement in their quality-of-life 6 months after cardiac surgery, and they have a proportionally greater increase in their postoperative health-related quality of life scores than robust ones. PMID: 30682356 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 22, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Miguelena J, Lopez-Menendez J, Prada PC, Rodriguez-Roda J, Martin M, Vigil-Escalera C, Hernandez-Vaquero D, Miguelena JM, Silva J, Gonzalez-Colaço Harmand M Tags: Ann Thorac Surg Source Type: research

Left-sided complete revascularization with bilateral internal thoracic arteries in diabetic patients.
CONCLUSIONS: All-cause death, re-revascularization and myocardial infarction showed no differences between diabetic and non-diabetic patients who underwent left-sided revascularization with the BITAs. Although diabetes did not affect the patency of the ITA, free ITA grafts to the left circumflex artery showed very good long-term patency in diabetic patients. PMID: 30682357 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 22, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Hayashi Y, Maekawa A, Sawaki S, Ozeki T, Orii M, Saiga T, Kato R, Usui A, Ito T Tags: Ann Thorac Surg Source Type: research

In Memoriam: Gerald Buckberg, M.D.: Mentor, Educator, Surgeon and Artist.
PMID: 30677404 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 21, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Shemin RJ, Beyersdorf F, Lazar HL Tags: Ann Thorac Surg Source Type: research

Novel Alaska Pollock Gelatin Sealant Shows High Adhesive Quality and Conformability
ConclusionsThe ApGltn sealant showed higher adhesive quality and conformability than fibrin sealant in an excised porcine lung model. We expect, in future, ApGltn sealant will be used for lung resections in clinical settings. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 16, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Hospital Consumer Assessment of Healthcare Providers and Systems: Beyond the transition care questions
Publication date: Available online 11 January 2019Source: The Annals of Thoracic SurgeryAuthor(s): Yasser Ali Kamal (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 12, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research