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

Type A Aortic Dissection Complicated by Pheochromocytoma
We present a case of aortic dissection as the patient’s initial presentation of an undiagnosed pheochromocytoma. A 36 year old presented with substernal chest pressure and abdominal pain. CT revealed type A aortic dissection with a 3.6 cm mass left adrenal mass. Elevated catecholamine levels were diagnostic of pheochromocytoma. Type A aortic dissection caused by uncontrolled hypertension secondary to pheochromocytoma is a rare entity. This can complicate surgical planning. Although rare it is important to consider pheochromocytoma in the differential for uncontrolled hypertension in the setting of type A aortic disse...
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Predictive Utility of Lung Allocation Score for Re-transplantation 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 - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Tetralogy of Fallot Repair in Developing Countries: International Quality Improvement Collaborative
Publication date: Available online 2 July 2018Source: The Annals of Thoracic SurgeryAuthor(s): Nestor Sandoval, Marisol Carreño, William M. Novick, Ravi Agarwal, Iftikhar Ahmed, Rakhi Balachandran, Maria Balestrini, K.M. Cherian, Ulisses Croti, Xinwei Du, Kimberlee Gauvreau, Do Thi Cam Giang, Ramkinkar Shastri, Kathy J. JenkinsAbstractBackgroundIsolated reports from low- and middle-income countries (LMIC) for surgical results in Tetralogy of Fallot (TOF) are available. The International Quality Improvement Collaborative for Congenital Heart Disease (IQIC) seeks to improve surgical results promoting reductions in inf...
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Regarding the Suture Annuloplasty in Bicuspid Aortic Valve
Publication date: Available online 3 July 2018Source: The Annals of Thoracic SurgeryAuthor(s): Ismail Yurekli, Mert Kestelli, Habib Cakir, Koksal Donmez (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Analgesia During and After Esophacetomy - The Surgical Approach Matters (Reply)
Publication date: Available online 3 July 2018Source: The Annals of Thoracic SurgeryAuthor(s): Gal Levy, Katherine Haeck, Brian E. Louie (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Metachronous Lung Cancer post Pleurectomy/Decortication
We report a case of MPM developing second primary lung cancer after P/D. A 59-year-old man was diagnosed with MPM on the right and underwent P/D. Follow-up computed tomography detected a nodule in right upper lobe, which was diagnosed as adenocarcinoma by wedge resection. Lung cancer and MPM are associated with asbestos exposure. However, predicting lung cancer following treatment for MPM is difficult. Careful follow-up of the spared lung is necessary for detecting second primary lung cancer or MPM recurrence. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Incremental Value of Three or More Arterial Grafts in CABG -The Effect of Native Vessel Disease
ConclusionsOur results support the use of extended arterial grafting to maximize long-term CABG patient survival, especially in 3VD patients. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Preoperative STOP-BANG Scores and Postoperative Delirium and Coma in Thoracic Surgery Patients
ConclusionsHigher preoperative risk for OSA in thoracic surgery patients was associated with a longer duration of postoperative delirium and coma. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Erythropoietin and its Double Receptors
Publication date: Available online 3 July 2018Source: The Annals of Thoracic SurgeryAuthor(s): Giovanni Grasso (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Ventricular Septal Defect Closure: How I Teach It
Publication date: Available online 4 July 2018Source: The Annals of Thoracic SurgeryAuthor(s): Peter B. Manning (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Ventricular Septal Defect Closure: How I Teach It
Publication date: Available online 4 July 2018 Source:The Annals of Thoracic Surgery Author(s): Peter B. Manning (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 5, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Preoperative STOP-BANG Scores and Postoperative Delirium and Coma in Thoracic Surgery Patients
Conclusions Higher preoperative risk for OSA in thoracic surgery patients was associated with a longer duration of postoperative delirium and coma. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 4, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Erythropoietin and its Double Receptors
Publication date: Available online 3 July 2018 Source:The Annals of Thoracic Surgery Author(s): Giovanni Grasso (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 4, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Incremental Value of Three or More Arterial Grafts in CABG -The Effect of Native Vessel Disease
Conclusions Our results support the use of extended arterial grafting to maximize long-term CABG patient survival, especially in 3VD patients. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 4, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Metachronous Lung Cancer post Pleurectomy/Decortication
We report a case of MPM developing second primary lung cancer after P/D. A 59-year-old man was diagnosed with MPM on the right and underwent P/D. Follow-up computed tomography detected a nodule in right upper lobe, which was diagnosed as adenocarcinoma by wedge resection. Lung cancer and MPM are associated with asbestos exposure. However, predicting lung cancer following treatment for MPM is difficult. Careful follow-up of the spared lung is necessary for detecting second primary lung cancer or MPM recurrence. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 4, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Analgesia During and After Esophacetomy - The Surgical Approach Matters (Reply)
Publication date: Available online 3 July 2018 Source:The Annals of Thoracic Surgery Author(s): Gal Levy, Katherine Haeck, Brian E. Louie (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 4, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Regarding the Suture Annuloplasty in Bicuspid Aortic Valve
Publication date: Available online 3 July 2018 Source:The Annals of Thoracic Surgery Author(s): Ismail Yurekli, Mert Kestelli, Habib Cakir, Koksal Donmez (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 4, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Predictive Utility of Lung Allocation Score for Re-transplantation Outcomes
Conclusions The 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 - July 3, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Type A Aortic Dissection Complicated by Pheochromocytoma
We present a case of aortic dissection as the patient’s initial presentation of an undiagnosed pheochromocytoma. A 36 year old presented with substernal chest pressure and abdominal pain. CT revealed type A aortic dissection with a 3.6 cm mass left adrenal mass. Elevated catecholamine levels were diagnostic of pheochromocytoma. Type A aortic dissection caused by uncontrolled hypertension secondary to pheochromocytoma is a rare entity. This can complicate surgical planning. Although rare it is important to consider pheochromocytoma in the differential for uncontrolled hypertension in the setting of type A aortic disse...
Source: The Annals of Thoracic Surgery - July 3, 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 3, 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 2018 Source:The Annals of Thoracic Surgery Author(s): Sanford M. Zeigler, William Hiesinger An 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 3, 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 3, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Tetralogy of Fallot Repair in Developing Countries: International Quality Improvement Collaborative
Conclusions In LMIC, TOF patients are often operated after age 1 year, unlike developed countries older age is not a risk factor for mortality. Nutritional and hypoxemic status were associated with higher mortality and infections. This information fills a critical knowledge gap for surgery in LMIC . (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 3, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Perioperative Risk Profiles and Volume-Outcome Relationships in Proximal Thoracic Aortic Surgeries
Conclusions Proximal thoracic aortic surgery for aortic aneurysms in the U.S. is associated with a low operative mortality rate of 2.2% for elective cases. Risk of operative death decreases significantly above annual center volume of 20-25 cases per year. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - July 3, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Perrault LP, Kirkwood KA, Chang HL, et al. A prospective multi-institutional cohort study of mediastinal infections after cardiac operations. Ann Thorac Surg. 2018;105(2):461-468.
Authors: PMID: 29953614 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 30, 2018 Category: Cardiovascular & Thoracic Surgery Tags: AORN J Source Type: research

Comparison of Unmatched Pairs and Possible Impact on Result Interpretation.
PMID: 29937219 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 27, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Santarpino G, Gregorini R, Dell'Aquila AM Tags: Ann Thorac Surg Source Type: research

Prosthesis-Patient Mismatch: When Should It Be Determined for Prognosis Implications?
PMID: 29937220 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 27, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Dell'Aquila AM, Welp H, Rukosujew A Tags: Ann Thorac Surg Source Type: research

The Society of Thoracic Surgeons Adult Cardiac Surgery Database: 2018 Update on Research: Outcomes Analysis, Quality Improvement, and Patient Safety.
Abstract The Society of Thoracic Surgeons Adult Cardiac Database (ACSD) is an international voluntary registry that provides adult cardiac surgery programs with risk-adjusted outcome reports for quality improvement. With more than 6,300,000 procedural records in adult cardiac surgery, the ACSD has proven to be a leading instrument for clinical outcomes research. The ACSD generated numerous major original contributions that were either published or accepted for publication in 2017. These works significantly contributed to the practice of adult cardiac surgery through outcome measurement and quality improvement. Thi...
Source: The Annals of Thoracic Surgery - June 27, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Badhwar V, Rankin JS, Thourani VH, D'Agostino RS, Habib RH, Shahian DM, Jacobs JP Tags: Ann Thorac Surg Source Type: research

Isolated Severe Right Ventricular Hypertrophic Cardiomyopathy.
Abstract A 26-year-old woman diagnosed with congenital heart disease was admitted to our hospital with exertional dyspnea, cyanotic complexion, and bilateral lower limb edema. All tests revealed isolated severe right ventricular (RV) hypertrophy. She was in poor condition, with a diminishing chance for routine surgery, so she was scheduled for orthotopic homologous heart transplantation. After the surgery, isolated severe RV hypertrophic cardiomyopathy (RV HCM) was confirmed histologically and pathologically. After the surgery, the patient's cardiac function was normal. Exertional dyspnea, cyanotic complexion and ...
Source: The Annals of Thoracic Surgery - June 23, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Li M, Zhang Z, Wang S, Dong N, Wang G, Zhang L, Xie M Tags: Ann Thorac Surg Source Type: research

Genetic and Extracardiac Anomalies Are Associated With Inferior Single Ventricle Palliation Outcomes (Commentary).
PMID: 29944879 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 23, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Jacobs JP, St Louis JD, Jacobs ML Tags: Ann Thorac Surg Source Type: research

Preoperative Sarcopenia Portends Worse Outcomes after Descending Thoracic Aortic Aneurysm Repair.
Abstract BACKGROUND: Sarcopenia may be an indicator of frailty. We used total psoas area index (TPAI) to identify sarcopenia and evaluated the effect of preoperative TPAI on outcomes following descending thoracic aortic aneurysm (DTAA) repair. METHODS: DTAA patients between 2007-2015 undergoing thoracic endovascular aortic repair (TEVAR) and open surgical repair (OSR) with available preoperative imaging were analyzed. Sarcopenia was defined as TPAI70-year-old, female, and large body surface area, while heritable thoracic aortic disease was a protective factor. OSR patients with sarcopenia were older compared ...
Source: The Annals of Thoracic Surgery - June 23, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Tanaka A, Sandhu HK, Al Rstum Z, Afifi R, Miller CC, Charlton-Ouw KM, Codreanu ME, Saqib NU, Safi HJ, Estrera AL Tags: Ann Thorac Surg Source Type: research

Excess Cost and Predictive Factors of Esophagectomy Complications in the SEER-Medicare Database.
CONCLUSIONS: Complications 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. PMID: 29944881 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 23, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Jiang R, Liu Y, Ward KC, Force SD, Pickens A, Sancheti MS, Javidfar J, Fernandez FG, Khullar OV Tags: Ann Thorac Surg Source Type: research

Robotic Endoscopic Airway Challenge: REACH Assessment
Conclusions The 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 - June 22, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Development of an In Situ Thoracic Surgery Crisis Simulation Focused on Nontechnical Skill Training
Conclusions An 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 - June 22, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Enhanced Recovery Decreases Pulmonary and Cardiac Complications After Thoracotomy for Lung Cancer
Conclusions ERAS was associated with improved postoperative outcomes, including decreased length of stay and pulmonary and cardiac morbidity after thoracotomy, but not after minimally invasive operations. ERAS safety was demonstrated by low rates of adverse events without effect on hospital readmission or perioperative deaths. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 22, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Learning Curve for Robot-Assisted Minimally Invasive Thoracoscopic Esophagectomy: Results From 312 Cases
Conclusions The 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 - June 22, 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
Conclusions The 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 - June 22, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

A Texture Analysis –Based Prediction Model for Lymph Node Metastasis in Stage IA Lung Adenocarcinoma
Conclusions A model based on computerized textures and carcinoembryonic antigen level can assess the lymph node status of patients with cT1 N0 M0 lung adenocarcinoma preoperatively, which could assist surgeons in making subsequent clinical decisions. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 22, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research