Development of a Risk Prediction Model and Clinical Risk Score for Isolated Tricuspid Valve Surgery
Publication date: July 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 1Author(s): Damien J. LaPar, Donald S. Likosky, Min Zhang, Patty Theurer, C. Edwin Fonner, John A. Kern, Steven F. Bolling, Daniel H. Drake, Alan M. Speir, Jeffrey B. Rich, Irving L. Kron, Richard L. Prager, Gorav Ailawadi, Investigators for the Virginia Cardiac Surgery Quality Initiative and the Michigan Society of Thoracic and Cardiovascular SurgeonsBackgroundAlthough tricuspid valve operations remain associated with high mortality (approximately 8% to 10%), no robust prediction models exist to support clinical decision making. We develo...
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: July 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 1Author(s): Martin T. Yates, Anelechi C. Anyanwu (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Long-Term Outcome After Pulmonary Artery Banding in Children With Atrioventricular Septal Defects
ConclusionsPAB can be used in patients with AVSD without compromising AVV function. Most patients with bAVSD progress to biventricular repair, albeit with a high rate of AVV reoperation. Patients with uAVSD who undergo PAB have similar outcomes to the overall uAVSD population. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Tricuspid Valve Detachment in Ventricular Septal Defect Closure Does Not Impact Valve Function
ConclusionsTVD did not compromise long-term valve durability and did not impose increased morbidity. Patients who underwent TVD had a similar prevalence of mild TR to patients without TVD. Moderate TR was exceptionally rare in both groups. When exposure is difficult, TVD is a safe and effective technical adjunct. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Remote Ischemic Preconditioning Does Not Prevent White Matter Injury in Neonates
ConclusionsIn this randomized, blinded clinical trial, there was no evidence that use of RIPC provides neuroprotection in neonates undergoing repair of congenital heart defects with cardiopulmonary bypass. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Need for Pulmonary Arterioplasty During Glenn Independently Predicts Inferior Surgical Outcome
ConclusionsThe need for PAplasty at BDCA is an independent predictor of mortality and morbidity. It is important to consider this variable when developing outcome metrics for BDCA. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Long-Term Outcome of Homograft Implants Related to Donor and Tissue Characteristics
ConclusionsThe best long-term outcome was found when homografts were retrieved from organ donors and middle-aged donors. There is no harm extending the ischemic time in non–heart-beating donors to 48 hours to increase the number of possible donors. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Predictors of Nodal Metastases for Clinical T2N0 Esophageal Adenocarcinoma
ConclusionsEUS is inaccurate for staging of T2N0 esophageal adenocarcinoma and often fails to identify nodal involvement. Identification of vascular invasion on preoperative biopsy should be explored as a prognostic marker to select patients for induction therapy. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Safety and Feasibility of Lung Resection After Immunotherapy for Metastatic or Unresectable Tumors
ConclusionsIn patients with previously metastatic or unresectable cancer, lung resection for suspected residual disease after immunotherapy is feasible, with high rates of R0 resection. Operations can be technically challenging, but significant morbidity appears to be rare. Outcomes are encouraging, with reasonable survivals during short-interval follow-up. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Pleural Coating by 50% Glucose Solution Reduces Postoperative Recurrence of Spontaneous Pneumothorax
ConclusionsIntraoperative GPC significantly reduced the postoperative recurrence rate of spontaneous pneumothorax. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Contemporary Outcomes of Extracorporeal Membrane Oxygenation Used as Bridge to Lung Transplantation
ConclusionsECMO as BTT has led to encouraging perioperative outcomes and early survival. Careful patient selection and early use of ECMO seems to allow for preservation of vitality while these critically ill candidates await donor organs, which may improve outcomes. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Incidence and Treatment of Symptomatic Diaphragmatic Hernia After Esophagectomy for Cancer
ConclusionsThe incidence of symptomatic diaphragmatic hernia after esophagectomy was 2.5%, with the highest incidence after minimally invasive Ivor Lewis esophagectomy (9.4%) as compared with other procedures. Although prophylactic cruroplasty is now the standard of care in patients undergoing minimally invasive esophagectomy, a significant lower hernia rate was not found in this study. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: July 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 1Author(s): Scott I. Reznik (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Ewing Sarcoma of the Chest Wall: Prognostic Factors of Multimodal Therapy Including En Bloc Resection
The objective of this study was to identify risk factors that may affect long-term outcomes of nonmetastatic ESCW treated with preoperative chemotherapy (CT) followed by en bloc resection and adjuvant CT or chemoradiation.MethodsBetween 1996 and 2014, 30 patients with a median age of 25 years (SD ± 8.9 years) were treated at Marie-Lannelongue Hospital in Le Plessis-Robinson, France. Adjuvant therapy was used in 27 patients: CT for 6, chemoradiation for 20, and radiotherapy for 1. Patients’ demographics, treatment data, tumor features, and outcomes were collected.ResultsIn this cohort of patients who received m...
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

A Texture Analysis–Based Prediction Model for Lymph Node Metastasis in Stage IA Lung Adenocarcinoma
Publication date: July 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 1Author(s): Yawei Gu, Yunlang She, Dong Xie, Chenyang Dai, Yijiu Ren, Ziwen Fan, Huiyuan Zhu, Xiwen Sun, Huikang Xie, Gening Jiang, Chang ChenBackgroundSome clinical N0 lung adenocarcinomas have been pathologically diagnosed as N1 or N2. To improve the preoperative diagnostic accuracy of lymph node disease, we developed a prediction model for lymph node metastasis in cT1 N0 M0 lung adenocarcinoma based on computed tomography texture analysis and clinical characteristics to estimate the probability of lymph node metastasis.MethodsThe record...
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

A Novel Objective Approach to the External Measurement of Pectus Excavatum Severity by Means of an Optical Device
ConclusionsThe optical 3D index has a good match with the average subjective assessment in distinguishing patients with mild to severe PE. This innovative approach offers several advantages over existing indices, as it is repeatable and does not require cross-sectional imaging. The index might be particularly suitable for monitoring the efficacy of nonoperative treatment and, in the future, for designing an optimal personalized usage of therapeutic devices. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Effectiveness of Implemented Interventions on Pathologic Nodal Staging of Non-Small Cell Lung Cancer
Publication date: July 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 1Author(s): Meredith A. Ray, Nicholas R. Faris, Matthew P. Smeltzer, Carrie Fehnel, Cheryl Houston-Harris, Paul Levy, Lynn Wiggins, Vishal Sachdev, Todd Robbins, David Spencer, Raymond U. OsarogiagbonBackgroundAccurate pathologic nodal staging improves early stage non-small cell lung cancer survival. In an ongoing implementation study, we measured the impact of a surgical lymph node specimen collection kit and a more thorough pathologic gross dissection method on attainment of guideline-recommended pathologic nodal staging quality.MethodsW...
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Clinicoradiographic Predictors of Aggressive Biology in Lung Cancer With Ground Glass Components
Publication date: July 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 1Author(s): David B. Nelson, Myrna C.B. Godoy, Marcelo F. Benveniste, Jitesh B. Shewale, Jonathan D. Spicer, Kyle G. Mitchell, Wayne L. Hofstetter, Reza J. Mehran, David C. Rice, Boris Sepesi, Garrett L. Walsh, Ara A. Vaporciyan, Stephen G. Swisher, Jack A. Roth, Mara B. AntonoffBackgroundGround glass opacities pose diagnostic challenges, and even after malignancy is confirmed, prognosis is often unclear. We sought to identify clinicoradiographic features that could predict aggressive tumor biology in lung adenocarcinoma with associated gr...
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Radiographic Predictors of Resectability in Thymic Carcinoma
ConclusionsPreoperative computed tomography imaging features may help to identify patients at risk for an incomplete surgical resection. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Intramural Metastasis as a Risk Factor for Recurrence in Esophageal Squamous Cell Carcinoma
Publication date: July 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 1Author(s): Duk Hwan Moon, Jae Hyun Jeon, Hee Chul Yang, Young-Il Kim, Jong Yeul Lee, Moon Soo Kim, Jong Mog Lee, Geon-Kook LeeBackgroundThe purpose of this study was to assess the clinicopathologic implications of intramural metastasis (IM) in patients with esophageal squamous cell carcinoma (ESCC).MethodsWe retrospectively analyzed 743 patients who underwent esophagectomy. Among these patients, IM was detected in 41 patients (5.5%). The clinicopathologic features of IM and its influence on postoperative recurrence were investigated.Resul...
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

A Nomogram Predicting Recurrence and Guiding Adjuvant Radiation for Thymic Carcinoma After Resection
ConclusionsOur nomogram for predicting recurrence-free survival had good performance. Adjuvant radiotherapy should be recommended for patients with a total score greater than 208. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Learning Curve for Robot-Assisted Minimally Invasive Thoracoscopic Esophagectomy: Results From 312 Cases
ConclusionsThe learning phase of thoracic laparoscopic RAMIE consisted of 70 procedures in 55 months. A structured proctoring for RAMIE substantially reduced the number of procedures and time required to achieve proficiency. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Enhanced Recovery Decreases Pulmonary and Cardiac Complications After Thoracotomy for Lung Cancer
This study evaluated outcomes after implementation of ERAS in patients undergoing resection for pulmonary malignancy.MethodsA retrospective review compared outcomes for patients undergoing pulmonary resection for primary lung cancer. Analysis was performed between three periods: pre-ERAS (January 1, 2006, to December 31, 2011), transitional period with elements of ERAS (January 1, 2012, to August 31, 2015), and full implementation of ERAS (September 1, 2015, to December 31, 2016).ResultsWe analyzed 2,886 lung resections (pre-ERAS, n = 1615; transitional, n = 929; ERAS, n = 342). For all patients, length...
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Bronchoscopy Simulation Training as a Tool in Medical School Education
Publication date: July 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 1Author(s): Mallika Gopal, Alexus A. Skobodzinski, Helene M. Sterbling, Sowmya R. Rao, Christopher LaChapelle, Kei Suzuki, Virginia R. LitleBackgroundProcedural simulation training is rare at the medical school level and little is known about its usefulness in improving anatomic understanding and procedural confidence in students. Our aim is to assess the impact of bronchoscopy simulation training on bronchial anatomy knowledge and technical skills in medical students.MethodsMedical students were recruited by email, consented, and asked to...
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Development of an In Situ Thoracic Surgery Crisis Simulation Focused on Nontechnical Skill Training
ConclusionsAn inexpensive in situ intraoperative crisis simulation model for thoracic surgical emergencies was created, implemented, and demonstrated to be effective as a proof of concept at identifying latent threats to patient safety and differentiating the nontechnical skills of trainees and consultant surgeons. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Robotic Endoscopic Airway Challenge: REACH Assessment
ConclusionsThe robotic endoscopic system was advanced beyond a conventional thin bronchoscope with identical outer diameter into the periphery of human cadaveric lungs. Improved reach within the lung periphery may address some limitations with contemporary bronchoscopic approaches for peripheral lesion biopsy. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Novel Management of Atrial Septal Defect at Time of Lung Transplantation
We present a case of a young female patient with end-stage lung failure because of pulmonary arterial hypertension who was failing maximal medical therapy and was listed for a single sequential lung transplantation. The challenge of the case was a concomitant presence of a large atrial septal defect. The novelty of our approach was a device closure of atrial septal defect before performing transplantation with the use of intraoperative venoarterial extracorporeal membrane oxygenation. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Multivessel Total Arterial Coronary Artery Bypass Grafting in Mesocardia
We report here a case of coronary artery bypass grafting in mesocardia, which has not been described in medical literature. A 52-year-old man had an anterior wall myocardial infarction. Chest roentgenogram, two-dimensional echocardiography, and computed tomography of the chest confirmed mesocardia. Off-pump total arterial revascularization was done. Computed tomography coronary angiography done 1 year after surgery showed all 4 grafts patent. Exposure of aorta and right atrium through the standard median sternotomy is very difficult in mesocardia owing to cardiac rotation and should be kept in mind in this surger...
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Emergent Transcatheter Aortic Valve Replacement for Aortic Insufficiency
We present a case in which transcatheter aortic valve replacement was implemented successfully as a salvage therapy in a hemodynamically unstable patient having aortic insufficiency as a result of a torn bioprosthetic leaflet during an unrelated abdominal operation. The successful use of this technique in a noncardiac operating room allowed the patient to be placed on extracorporeal support and ultimately to be discharged home. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Granulomatosis With Polyangiitis Involving the Ascending Aorta
Publication date: July 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 1Author(s): Wan Kee Kim, Joon Bum KimA 58-year-old man visited the emergency department with vague anterior chest discomfort. From the computed tomographic findings, our initial suspicion was intramural hematoma in the ascending aorta. After a comprehensive discussion with relevant departments, emergent operation was planned. Intrapericardial space, however, was severely adhered, suggesting chronic inflammation. Biopsies were performed, and additional surgical procedures were discontinued. The patient was finally diagnosed as having granul...
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Construction of an Apical Plug for Explantation of HeartWare HVAD Left Ventricular Assist Device
Publication date: July 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 1Author(s): Shawn M. Shah, Nicholas R. Teman, Eileen Dearth, Leora T. Yarboro, John A. KernUtilization of a left ventricular assist device as a bridge to myocardial recovery is an established therapy for acute systolic heart failure. However, device removal can present a technical challenge, with no clear consensus on preferred method. In this case report, we describe a complex patient who underwent successful explantation of a left ventricular assist device using an intraoperatively constructed apical plug. This method utilizes inexpensiv...
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Ochronosis of Mitral Valve and Coronary Arteries
This report describes the case of a 67-year-old woman with a history of alkaptonuria with severe ochronosis of the coronary arteries and mitral valve who required coronary artery bypass and mitral valve replacement. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Myectomy and Left Atrial-to-Left Ventricular Conduit for Severe Calcific Mitral Stenosis and Hypertrophic Cardiomyopathy
We report two cases of obstructive hypertrophic cardiomyopathy with severe calcific mitral valve stenosis successfully treated with concomitant transaortic septal myectomy and bypass of the stenotic mitral valve with the use of a valved left atrial-to-left ventricular conduit. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Coronary Sinus Rupture Repair: Patency Is Important
We report a case of coronary sinus (CS) injury with a retrograde cardioplegia catheter and repair that compromised CS patency. This resulted in acute global cardiac dysfunction shortly after weaning from bypass, which reversed after patch repair with confirmed CS patency. The case report shows that acute CS occlusion may not be tolerated in some humans. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Cardiac Calcified Amorphous Tumor in a Newborn
This report describes a case of a pedunculated oscillating CAT arising from the left atrial appendage that prolapses through the mitral valve and causes severe mitral regurgitation in a newborn. This is the only case of cardiac CAT described in a neonate. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Spontaneous Right Atrial Dissection and Congenital Right Atrial Aneurysm
Publication date: July 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 1Author(s): Jing Zhang, Lin He, Tao Wang, Yuman Li, Lei Wang, Li Zhang, Mingxing XieRight atrial (RA) wall dissection and congenital RA aneurysm is a very rare abnormality. This is may be the first reported case of a spontaneous dissection of the RA wall without rupture, in addition to the presence of a congenital RA aneurysm. The patient, a 4-year-old boy, was successfully treated with RA aneurysm resection under cardiopulmonary bypass. Although the diagnosis of RA dissection poses a challenge even when the advanced multimodality imaging ...
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Anomalous Left Coronary Artery From the Pulmonary Artery: Masquerading as Peripartum Cardiomyopathy
Publication date: July 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 1Author(s): Jonathan Frigault, Valérie Lafrenière-Bessi, Jean Perron, Élisabeth Bédard, François Philippon, Paul Poirier, Éric Larose, Frédéric JacquesDiagnosed with peripartum cardiomyopathy 8 years earlier, a 45-year-old woman had sudden cardiac death. After resuscitation, the patient was diagnosed with an anomalous origin of the left coronary artery from the pulmonary artery and underwent a successful coronary repair. The management of a patient with clinical features of cardiomyop...
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Hodgkin Lymphoma Presentation With Extensive Chest Wall Muscle Involvement in an Adult
Publication date: July 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 1Author(s): Luis Gorospe, Anabelle Chinea-Rodríguez, Mónica García-Cosío-Piqueras, María Calbacho-Robles, Nicolás Alejandro Almeida-Aróstegui (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Truncus Superior Artery Ventral to the Apical Vein of the Right Upper Lobe
Publication date: July 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 1Author(s): Ryunosuke Maki, Masahiro Miyajima, Taijiro Mishina, Atsushi Watanabe (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Compressive Giant Left Atrium
Publication date: July 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 1Author(s): Yalcin Velibey, Sinan Sahin, Tolga Sinan Guvenc, Fatma Can, Ozge Guzelburc (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Quadricuspid Aortic Valve With Sinus of Valsalva Aneurysm
Publication date: July 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 1Author(s): Robert James Leatherby, Arvind Singh, Gyanesh Namjoshi, Rossella Barbagallo, Sarah Fergey (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Thoracoscopic Tracheal Resection and Reconstruction With Single-Incision Method
Publication date: July 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 1Author(s): Wei-Heng Hung, Heng-Chung Chen, Chang-Lun Huang, Bing-Yen WangTracheal 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 carcinoma ...
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Shoulder Point Fitting Method as a New Universal Tricuspid Annuloplasty
Publication date: July 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 1Author(s): Toshihiko Shibata, Yosuke Takahashi, Yoshito Sakon, Akimasa Morisaki, Takashi MurakamiApproximately half of all tricuspid valves consist of four or more leaflets; however, no previous reports have discussed how to implant an annuloplasty ring in these multi-leaflet valves. We herein define the shoulder point of the tricuspid annulus and the annuloplasty ring and advocate a simple and universal fitting method to avoid deforming the tricuspid valve after ring implantation. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Rigid Plate Fixation Versus Wire Cerclage for Sternotomy After Cardiac Surgery: A Meta-Analysis
ConclusionsThis meta-analysis, driven by the results of unmatched observational studies, suggests that rigid plate fixation may lead to reduced sternal complications in patients at high risk for such events, improved perioperative survival, and decreased hospital length of stay. More randomized controlled trials are required to confirm the potential benefits of rigid plate fixation for primary sternotomy closure. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Visionaries, the Virtuosos, and the History of Congenital Esophageal Atresia Surgery
Publication date: July 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 1Author(s): Magdalena Mazurak, Dariusz PatkowskiThe year 2018 marks the 130th anniversary of the first known surgical attempt at correction of esophageal atresia, performed by Charles Steele. But before the first successful procedure happened, many other surgeons undertook heroic attempts to save newborns and infants with this defect. Two hundred seventy-one years passed from the first description of the defect to the first surgery survivor. This paper presents a fascinating history of these milestones in pediatric surgery and of its pione...
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Abciximab/Heparin During Acute Heparin-Induced Thrombocytopenia: A Word of Caution
Publication date: July 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 1Author(s): Andreas Koster, Michiel Morshuis, Ingvild Birschmann (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Multimodality Imaging Involving Magnetic Resonance Facilitates Giant Symptomatic Myxoma Resection
We present a case of symptomatic, giant left atrial myxoma and the utility of multimodality imaging to guide surgical planning. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Successful Repair of Type A Aortic Dissection in an Octogenarian with Double Aortic Arch
Publication date: Available online 2 July 2018Source: The Annals of Thoracic SurgeryAuthor(s): Sanford M. Zeigler, William HiesingerAbstractAn 80 year old woman was transferred to our institution with a subacute Type A aortic dissection and a previously undiagnosed double aortic arch. The patient underwent successful repair with aortic valve resuspension, ascending aortic replacement, and repair of the proximal right sided arch. This is the first reported case of a Type A dissection associated with a double aortic arch. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Sixty Years after Tetralogy of Fallot Correction
We describe one of the early open surgical corrections of tetralogy of Fallot performed by C. Walton Lillehei and colleagues at the University of Minnesota and discuss findings from the patient’s follow up sixty years later. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Perioperative Risk Profiles and Volume-Outcome Relationships in Proximal Thoracic Aortic Surgeries
Publication date: Available online 2 July 2018Source: The Annals of Thoracic SurgeryAuthor(s): Makoto Mori, Kayoko Shioda, Xiaofei Wang, Abeel A. Mangi, James J. Yun, Umer Darr, John A. Elefteriades, Arnar GeirssonAbstractBackgroundUsing the national STS Adult Cardiac Surgery Database (ACSD) data for thoracic aortic surgeries for aortic aneurysm, this study aimed to 1) characterize the patient risk profiles and outcomes, 2) evaluate center volume-outcome relationship across U.S. centers, and 3) identify risk factors for operative mortality.MethodsBetween 2011-2016, 53,559 operations for ascending aortic aneurysm performed ...
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research