Approach to a Posterior Cervico-mediastinal Ganglioneuroma
Publication date: Available online 23 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Fred Lee, Wengdong Yu, Gabriel Loor, Bryan M. BurtAbstractPosterior mediastinal masses centered on the thoracic inlet require a thoughtful operative approach. Herein, a case of a young woman with a symptomatic posterior cervico-mediastinal ganglioneuroma is reported to highlight such considerations. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 24, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Post-Market Experience with HeartMate3 Left Ventricular Assist Device: 30-Day Outcomes from ELEVATE (Commentary)
Publication date: Available online 23 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Tain-Yen Hsia (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 24, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Pulmonary Blastoma in an Adult Presenting with Hemoptysis and Hemothorax
Publication date: Available online 23 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): John D. Vossler, Ayman Abdul-GhaniAbstractPulmonary blastoma is a rare, aggressive neoplasm accounting for less than 1% of lung cancers in adults. Reported is a case of pulmonary blastoma in an adult with the unusual presentation of hemoptysis followed by large hemothorax. The patient received a lobectomy. Pathology showed clear resection margins without nodal involvement. However, the patient developed recurrence 4 months after surgery and died shortly thereafter. The clinical characteristics of pulmonary blastoma are discus...
Source: The Annals of Thoracic Surgery - October 24, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Airway Compression After Unifocalization in Pulmonary Atresia and Aortopulmonary Collateral Arteries
ConclusionsAC is a common cause of postoperative respiratory distress and tends to be associated with higher post-repair PA pressure, more frequent RV dysfunction and worse medium-term survival. The study underscores the importance of incorporating all available lung segments to achieve a low PA pressure, potentially preventing pathologic dilatation of the reconstructed PA. Management of patients with poor MAPCAs anatomy physiology remains a challenge. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 24, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Extracorporeal life support for refractory cardiac arrest: A 10-year comparative analysis
Publication date: Available online 23 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Matteo Pozzi, Xavier Armoiry, Felix Achana, Catherine Koffel, Isabelle Pavlakovic, Flavie Lavigne, Jean Luc Fellahi, Jean Francois ObadiaAbstractBackgroundCardiopulmonary resuscitation of cardiac arrest displays poor outcomes. Extracorporeal life support (ECLS) could represent a salvage option. We aimed to analyze the outcomes of ECLS used for refractory cardiac arrest.MethodsWe undertook an observational analysis. Patients were divided into an in-hospital (IHCA) and an out-of-hospital (OHCA) cardiac arrest group. The primary...
Source: The Annals of Thoracic Surgery - October 24, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Perceval Valve Implantation: Technical Details and Echocardiographic Assessment.
Abstract The Perceval valve (LivaNova, London, United Kingdom) is a collapsible, sutureless bioprosthetic aortic valve. This novel design is well suited for minimally invasive approaches and has particular advantages for patients with small, calcified annuli. The implantation technique is unique and echocardiographic assessment of valve cage shape, angulation and height are essential. The following discussion provides a framework of technical and sonographic considerations to help surgical teams achieve reproducible success with Perceval valve deployment. PMID: 30367839 [PubMed - as supplied by publisher] (So...
Source: The Annals of Thoracic Surgery - October 24, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Vasanthan V, Kent W, Gregory A, Maitland A, Cutrara C, Bouchard D, Asch F, Adams C Tags: Ann Thorac Surg Source Type: research

Surgical Approach for Hypoplastic Mirror Circumflex Aortic Arch
Publication date: Available online 22 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Ed Peng, Kerrie McAllister, Alyson Walker, Thomas Savage, Lindsey HunterAbstractSurgical approach for mirror-form of circumflex aortic arch with a long-segment hypoplasia is described. Instead of “uncrossing” the arch, posterior aortic translocation aorta is required for the mirror-form. These surgical strategies addressed all the associated patho-mechanisms: (i) relief of vascular ring, (ii) removal of posterior arch compression on the trachea, and (iii) correct any arch obstruction. Posterior tracheobronchopexy ...
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Acute Type A dissection 18 years after a Ross operation; the old prejudice
This report describes a successful aortic root replacement of a patient with the clinical symptoms of an acute aortic type A dissection with a free rupture of the neo-aortic wall. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Unusual complicated fungal endocarditis in a patient with vascular Ehlers-Danlos Syndrome
Publication date: Available online 22 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Zohya Khalique, Suzan Hatipoğlu, Ulrich Rosendahl, Raad MohiaddinAbstractA 24-year-old man with dilated aortic root and vascular type Ehlers-Danlos Syndrome underwent aortic root replacement with a stentless bioprosthesis. A year later he developed aortic valve endocarditis necessitating a redo valve replacement. Excised valve tissue grew fungus Purpureocillium lilacinum. Over a period of four years case was further complicated with mycotic aneurysm of the infra-renal aorta, a retroperitoneal abscess (treated surgically), a ...
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Bilateral pulmonary artery banding in Ebstein's anomaly with circular shunting
We present a case of critical Ebstein’s anomaly with circular shunting, diagnosed in utero. The fetal cardiothoracic area ratio was elevated; tricuspid regurgitation and pulmonary regurgitation worsened with fetal hydrops. At 35 weeks and 6 days of gestation, elective caesarean section delivery was performed. Planned bilateral pulmonary artery banding and pulmonary trunk ligation were performed as a palliative operation 4 hours after birth, with the infant in a stable condition. At age 5 days, we performed Starnes operation. The postoperative course was uneventful and bidirectional Glenn operation was performed at ag...
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Fracture of the Costal Cartilage: Presentation, Diagnosis, and Management
Publication date: Available online 22 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Grace E. Sollender, Thomas W. White, Fredric M. PieracciAbstractA 52-year-old woman sustained a fracture of the left 7th costal cartilage after a ski injury. She presented complaining of painful clicking over the area. Initial imaging studies were negative for fracture; however, 3-D reconstruction of a chest CT, formatted to costal cartilage, revealed the fracture. She was offered and underwent surgical fixation of the fracture with a plate and four screws using a bi-axial, convergent construct. Postoperatively, her symptoms ...
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

A modified transatrial approach for repair of postinfarction ventricular septal defect
We describe a modified transatrial approach through the left atrium for basal-inferior VSD. After left atriotomy, mitral valve is detached from the annulus to expose the defect, which is closed with a pericardial patch. Two patients were operated by this method. In both cases veno-arterial extracorporeal membrane oxygenation with a ventricular vent was utilised to unload the left ventricle. Echocardiography revealed no residual shunt in both cases. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Left ventricular aneurysm after post-infarction ventricular septal defect repair
We report a case of a left posterior ventricular aneurysm that developed after an urgent operation to repair an acute ischemic posterior ventricular septal defect using the double-patch sandwich technique via a right ventriculotomy. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Giant Left Atrium in a 14 Month Old Child with Compression of Airways
We report a 14 month old boy with GLA presenting with symptoms of cough and stridor because of comprssed airways. The child underwent successful surgical resection for the same. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

One More Advantage: There is Hemi-Mustard but There is no Hemi-Senning
Publication date: November 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 5Author(s): Ezzeldin A. Mostafa, Ashraf A. Elmidany (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Editorial Board
Publication date: November 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 5Author(s): (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Board of Directors
Publication date: November 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 5Author(s): (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Contents
Publication date: November 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 5Author(s): (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Reflections of a Cardiac Surgeon Turned Global Health Educator
Publication date: November 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 5Author(s): Michael C. Sinclair (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Introduction to Dr Joseph E. Bavaria’s Presidential Address
Publication date: November 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 5Author(s): Richard L. Prager (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Quality and Innovation in Cardiothoracic Surgery: Colliding Imperatives?
Publication date: November 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 5Author(s): Joseph E. Bavaria (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Society of Thoracic Surgeons General Thoracic Surgery Database: 2018 Update on Research
Publication date: November 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 5Author(s): Traves D. Crabtree, Henning A. Gaissert, Jeffrey P. Jacobs, Robert H. Habib, Felix G. FernandezAbstractThrough the leadership of the Society of Thoracic Surgeons (STS) Workforce on Research Development, the STS Research Center now offers three programs that facilitate outcomes research utilizing the STS General Thoracic Surgery Database (GTSD). (1) The Access and Publications Program supports STS-sponsored projects with data analysis conducted at an STS approved data analytic center, (2) the STS Task Force for Funded Resear...
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Outcomes of Stentless Thoracic Endovascular Aortic Repair for Chronic DeBakey IIIb Aneurysms
ConclusionsStentless TEVAR seems to be a safe procedure and enables favorable aortic remodeling. Thus, this technique can be useful in a selected group of patients with CDIIIb aneurysms. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: November 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 5Author(s): Ourania Preventza, Vicente Orozco-Sevilla, Joseph S. Coselli (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Understanding the Association Between Frailty and Cardiac Surgical Outcomes
This study identified whether the association of frailty (measured by gait speed) with adverse outcomes differed across subgroups of patients.MethodsThe study evaluated 53,932 patients who underwent cardiac operations between 2011 and 2016 across 33 Michigan institutions. Five-meter gait speed (in seconds) was divided into groups: faster (
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Preoperative Sarcopenia Portends Worse Outcomes After Descending Thoracic Aortic Aneurysm Repair
Publication date: November 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 5Author(s): Akiko Tanaka, Harleen K. Sandhu, Zainulabdeen Al Rstum, Rana O. Afifi, Charles C. Miller, Kristofer M. Charlton-Ouw, Maria E. Codreanu, Naveed U. Saqib, Hazim J. Safi, Anthony L. EstreraBackgroundSarcopenia may be an indicator of frailty. We used the total psoas area index (TPAI) to identify sarcopenia and evaluated the effect of preoperative TPAI on outcomes after descending thoracic aortic aneurysm (DTAA) repair.MethodsPatients with DTAA between 2007 and 2015 who were undergoing thoracic endovascular aortic repair (TEVAR)...
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

En Bloc Left Pulmonary Vein and Appendage Isolation in Thoracoscopic Surgery for Atrial Fibrillation
ConclusionsThoracoscopic en bloc left PV and appendage isolation was safely achieved in most patients. Using this technique may contribute to better rhythm control results than not using it in cases of long-standing persistent AF. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: November 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 5Author(s): James R. Stewart (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Vasoplegia After Surgical Left Ventricular Restoration: 2-Year Follow-Up
Publication date: November 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 5Author(s): Marieke E. van Vessem, Meindert Palmen, Lotte E. Couperus, Theo Stijnen, Remco R. Berendsen, Leon P.H.J. Aarts, Evert de Jonge, Robert J.M. Klautz, Martin J. Schalij, Saskia L.M.A. BeeresBackgroundVasoplegia is a severe complication that can develop after surgical procedures for heart failure. The current study evaluated the effect of vasoplegia on survival, cardiac function, and renal function 2 years after surgical left ventricular restoration (SVR).MethodsHeart failure patients with a left ventricular ejection fraction (...
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: November 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 5Author(s): Anelechi Anyanwu (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Early Diagnostic Features of Left-to-Right Shunt–Induced Pulmonary Arterial Hypertension in Piglets
Publication date: November 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 5Author(s): Yi-Yao Jiang, Guo-Wei HeBackgroundWe aimed to establish early diagnostic characteristics of left-to-right shunt–induced pulmonary arterial hypertension (PAH) in a piglet model.MethodsA shunt-induced PAH in piglets (n = 9) was successfully established by anastomosis of vascular prosthesis from aorta to pulmonary artery with follow-up for 6 months by a number of diagnostic procedures.ResultsPAH developed with mean pulmonary arterial pressure [PAP] of 30.2 ± 6.0 mm Hg immediately after operation and 33.5 &plu...
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Impact of Mitral Disease Etiology on Operative Mortality After Mitral Valve Operations
ConclusionsMortality after mitral operations is determined primarily by standard clinical risk factors. Mitral etiology does not appear to add independent predictive value. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Patients With Systemic Right Ventricle Are at Higher Risk of Chylothorax After Cavopulmonary Connections
Publication date: November 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 5Author(s): Jerome Soquet, Hani N. Mufti, Bryn Jones, Igor E. Konstantinov, Johann Brink, Christian P. Brizard, Yves d’UdekemBackgroundChylothorax is a rare but severe complication after pediatric cardiac surgical procedures and is related to significant morbidity and mortality. It is suspected to be more frequent after single-ventricle staged palliation procedures, but focused studies on chylothorax in patients with univentricular heart physiology are scarce.MethodsFrom January 2008 to December 2016, a total of 289 patients unde...
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Impact of a Composite Valved RV-PA Graft After Stage 1 Palliation
We examined the association of RVPAS type on postoperative hemodynamics, time to reintervention, pulmonary artery growth, and survival.ResultsAmong 94 infants, 56 (60%) underwent PTFE-only shunt, 24 (25%) underwent femoral vein homograft, and 14 (15%) underwent saphenous vein homograft, and no relevant risk factor differences were found between the groups. Arterial saturation was 2.3% higher (p = 0.014) and serum lactic acid was 1.24 mg/dL lower (p = 0.03) in the femoral vein homograft group than in the PTFE-only group, although venous saturation was similar. By 60 days, 50% of patients with saphenous vein h...
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Challenges in Predicting Recurrence After Resection of Node-Negative Non-Small Cell Lung Cancer
ConclusionsWe were unable to predict lung cancer recurrence using a risk-prediction model based on five well-known clinical risk factors and several biomarkers. Further research should consider novel predictors of recurrence to stratify patients with completely resected early-stage non-small cell lung cancer according to their risk of recurrence. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Excess Cost and Predictive Factors of Esophagectomy Complications in the SEER-Medicare Database
ConclusionsComplications after esophagectomy result in significant excess 90-day cost. Efforts at cost reduction and quality improvement will need to focus on reducing complications, in particular pulmonary and infectious, as well as risk factors for higher complication costs. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Nodal Skip Metastasis: A Promising Predictor of Prognosis in ESCC
Publication date: November 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 5Author(s): Yu-Shang Yang, Wei-Peng Hu, Wen-Ping Wang, Yong Yuan, Long-Qi Chen (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Uniportal Subxiphoid Video-Assisted Thoracoscopic Anatomical Segmentectomy: Technique and Results
ConclusionsThis report demonstrates that the uniportal SVATS approach can be safely and effectively utilized to perform pulmonary segmentectomies. Our series demonstrates that it is possible to access and resect all segments by this novel approach to VATS. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Predictive Utility of Lung Allocation Score for Retransplantation Outcomes
ConclusionsThe Lung Allocation Score achieved comparable, but poor, predictive utility for 1-year outcomes of primary LTx and rLTx. We found no evidence that Lung Allocation Score components should be weighted differently for rLTx candidates. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Higher Use of Surgery Confers Superior Survival in Stage I Non-Small Cell Lung Cancer
Publication date: November 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 5Author(s): Michael S. Mulvihill, Morgan L. Cox, David C. Becerra, Joshua A. Watson, Soraya L. Voigt, Babatunde A. Yerokun, Paul J. Speicher, Thomas A. D’Amico, Betty Tong, Matthew G. HartwigBackgroundLobar resection is the gold standard therapy for medically fit patients with stage I non-small cell lung cancer (NSCLC). However, considerable variability exists in the use of surgical therapy. This study tested the hypothesis that center-based variation in the use of surgical therapy affects survival in NSCLC.MethodsWe queried...
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Validation of a Nomogram Predicting Survival After Trimodality Therapy for Esophageal Cancer
ConclusionsThe nomogram accurately predicted OS and PFS after nCRT plus surgery in an independent international cohort of esophageal cancer patients. The current validated model may enable risk-stratified adjuvant treatment allocation and identify patients in need of routine surveillance after treatment. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Oxygen Use After Lung Cancer Surgery
ConclusionsHome O2 use after lung cancer surgery comprises a sizable portion of this population and is correlated with death in the first 6 months. Various predictors significantly increased the risk of O2 use at discharge. However, 49.3% of those originally discharged on O2 were alive and off O2 at 6 months. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Unmatched Integrated Cardiothoracic Surgery Program Applicants: Where Do They End Up?
ConclusionsOnly a small percentage of applicants that did not match to an IP from 2008 to 2011 have ended up in CTS. As IPs continue to develop and improve, the concerns brought about by current CTS residents must be addressed to attract the next generation of exceptional surgeons. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Giant Circumflex Artery Aneurysm With a Coronary Sinus Fistula
Publication date: November 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 5Author(s): Richard Libertini, David Wallbridge, Hefin R. Jones, Mark Gunning, Christopher M.R. SaturGiant coronary artery aneurysms are extremely rare entities, and the authors are aware of only 13 case reports of such aneurysms of the circumflex artery. This case report is provided to add evidence of the natural history and pathophysiology and describe the successful surgical treatment of this condition. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Cocaine-Related Myocardial Infarction and Ventricular Rupture
We present a case of myocardial infarction and ventricular rupture in a young individual with limited underlying coronary disease and habitual cocaine use. The role of each is discussed. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

An Alternative Approach by HeartWare Ventricular Assist Device in Hypertrophic Cardiomyopathy
Publication date: November 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 5Author(s): Katsuhide Maeda, Teimour Nasirov, David N. Rosenthal, John C. DykesHypertrophic cardiomyopathy is known to be difficult to support by left ventricular assist device because of the small ventricular cavity and inadequate drainage. Therefore, instead of cannulating on the left ventricular apex, a HeartWare ventricular assist device (HeartWare, Framingham, MA) was connected to the left atrium through right atrium onto atrial septum using ringed Gore-Tex (W.L. Gore & Associates, Flagstaff, AZ) interposition graft. The patie...
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

First Use of HeartMate 3 in a Failing Fontan Circulation
Publication date: November 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 5Author(s): Angela Lorts, Chet Villa, Kyle W. Riggs, John Broderick, David L.S. MoralesThe failing Fontan circulation can be challenging to support with ventricular assist devices, mostly because of the variety of causes of failure, some of which cannot be addressed by VAD therapy alone. A new ventricular assist device, the HeartMate 3 (Abbott, Chicago, IL), was recently approved for use in adults in the United States and is now widely available, with excellent survival results in two-ventricle patients. This case report describes the ...
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Bilateral Posterior Mediastinal Primary Myelolipoma
This report presents a case of a 63-year-old man with a diagnosis of bilateral posterior mediastinal primary myelolipoma on the basis of radiologic findings who underwent surgical resection by video-assisted thoracic surgery. The aims of this report are to show the diagnosis of an unusual mediastinal lesion and improve understanding of this disease. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Thoracoabdominal Resection of Mucormycosis Lesions in a Leukemic Patient
Publication date: November 2018Source: The Annals of Thoracic Surgery, Volume 106, Issue 5Author(s): Paris-Dimitrios Kalogerakos, Michael Kiparakis, Kostantia Pavlaki, Charalampos Pontikoglou, George Lazopoulos, George ChalkiadakisMucormycosis is a rare fungal infection that poses a severe threat to immunocompromised patients. In the case presented herein, a 56-year-old leukemic patient, who was treated with amphotericin B and posaconazole, was scheduled for surgical resection of mucormycosis lesions that had spread to the thorax and abdomen. Surgery was aggressive and the resection involved the left lateral thoracoabdomin...
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Recurrence of Pericardial Mesothelioma Affecting the Myocardium After Pericardial Resection
We present the case of a 54-year-old woman who has so far survived 4 years after a primary resection of a pericardial mesothelioma and was referred with myocardial and aortopulmonary window recurrences for further treatment. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 23, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research