Invited Commentary
Publication date: April 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 4Author(s): Tirone E. David (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 27, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Long-Term Growth of the Neoaortic Root After Arterial Switch Operation
This study aimed to investigate the growth of the neoaortic root and identify risk factors for neoaortic root dilatation.MethodsSerial angiographic measurements of the neoaortic root for at least 10 years were evaluated in 145 patients. A total of 1,876 measurements of the sinuses of the Valsalva and the neoaortic annuli were obtained. A linear mixed effects model was used for z-score analysis, including evaluation of risk factors for neoaortic root dilatation. To assess changes in the time course of neoaortic root absolute diameters, a nonlinear mixed effects model with a growth curve model was used.ResultsThe growth...
Source: The Annals of Thoracic Surgery - March 27, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Revisitation of Double-Inlet Left Ventricle or Tricuspid Atresia With Transposed Great Arteries
ConclusionsArch obstruction and a smaller systemic outflow tract area index at end-systolic phase at initial presentation are predictors of subsequent need for SORO in patients with double-inlet left ventricle or tricuspid atresia with transposition of the great arteries.Visual Abstract (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 27, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Fate of the Left Ventricular Outflow Tract After Rastelli With Selective Infundibular Muscle Resection
ConclusionsThe Rastelli is a safe procedure that can be applied in a variety of morphological variants. LVOTO remains a late complication of Rastelli, but can be minimized by concomitant infundibular muscle resection. Late reoperation is safe and ventricular function is well preserved in greater than 95% of cases at late follow-up. The operation has stood the test of time and avoids many of the risks of translocation procedures. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 27, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: April 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 4Author(s): William M. DeCampli (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 27, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Impact of Heparin- or Nonheparin-Coated Circuits on Platelet Function in Pediatric Cardiac Surgery
ConclusionsThe two circuits showed similar biological effects on platelet function and coagulation. This observation may be useful in optimizing the conduct of CPB and in rationalizing its cost for the treatment of congenital heart disease. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 27, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Decontamination and Lung Transplantation of a Patient With Cystic Fibrosis With Resistant Infections
We describe the use of a decontamination protocol that allowed for successful lung transplantation in a patient with cystic fibrosis with necrotizing pneumonia from highly antibiotic-resistant pathogens (Burkholderia and Psuedomonas species). This strategy may allow for successful lung transplantation in patients with cystic fibrosis with multidrug-resistant infections previously considered nontransplantable. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 27, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

First in Man: Off-Pump Transapical Transcatheter Aortic Valve Implantation and Mitral Valve Repair
We report the case of an 89-year-old man with severe aortic valve stenosis and concomitant severe mitral valve regurgitation. Due to his age and comorbidities, the patient was not accepted for open heart surgery. After interdisciplinary discussion with the heart team, the patient underwent a minimally invasive off-pump procedure combining aortic valve replacement with mitral valve repair. Cardiac surgeons performed a transapical aortic valve replacement, followed by mitral valve repair applying the NeoChord device (NeoChord Inc, St. Louis Park, MN) under three-dimensional transesophageal echocardiographic guidance by ...
Source: The Annals of Thoracic Surgery - March 27, 2019 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 neoaortic wall. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 27, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Complete Tumor Response of Tracheal Squamous Cell Carcinoma After Treatment With Pembrolizumab
Publication date: April 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 4Author(s): Bradley Maller, Frank Kaszuba, Tawee TanvetyanonPersistent carcinoma of the trachea is an uncommon thoracic malignancy with limited treatment options. To our knowledge pembrolizumab, an immunotherapy targeting programmed death 1, has not been previously reported as an effective therapy for tracheal carcinoma. Here we describe a case of recurrent tracheal squamous cell carcinoma refractory to photodynamic therapy, radiotherapy, and cryotherapy. Programmed death ligand 1 was positive in 90% to 95% of tumor cells. A complete tumo...
Source: The Annals of Thoracic Surgery - March 27, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Uncommon Cause of Fever and Embolism: Staphylococcus epidermidis Infected Myxoma
Publication date: April 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 4Author(s): Masashi Kawabori, Abigail R. Benkert, Kenneth G. Warner, Ayan R. Patel, Knarik Arkun, Frederick Y. Chen, Yong Zhan (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 27, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Society of Thoracic Surgeons National Database at 30: Honoring Our Heritage, Celebrating the Present, Evolving for the Future
Publication date: April 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 4Author(s): David M. Shahian, Felix G. Fernandez, Vinay Badhwar (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 27, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Double Burden of Disease: A Global Health Challenge
Publication date: April 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 4Author(s): Robinson Ssebuufu (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 27, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Reply
Publication date: April 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 4Author(s): Michael C. Sinclair (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 27, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Reply
Publication date: April 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 4Author(s): Melanie Subramanian, Benjamin D. Kozower (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 27, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Minimally Invasive Approach for Complex Mitral Disease: Time to Choose the Lesser of Evils?
Publication date: April 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 4Author(s): Francesco Nappi (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 27, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Reply
Publication date: April 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 4Author(s): Marco Moscarelli, Giuseppe Nasso, Giuseppe Speziale (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 27, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Reply
Publication date: April 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 4Author(s): Henning Hermanns, Abdullah Kaya (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 27, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: April 2019Source: The Annals of Thoracic Surgery, Volume 107, Issue 4Author(s): Yves d’Udekem (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 27, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Warden Procedure in a 77-year-old Man
We present a case of isolated PAPVR in an older patient who underwent a Warden procedure at age 77 years with rapid improvement in right ventricular size and function. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Surgical Repair of an Arch and Descending Aortic Aneurysm in a Child
We describe a case involving 10-year-old girl who had an arch and descending thoracic aortic aneurysm. Preoperative 18F-fluorodeoxyglucose positron emission tomography-computed tomography showed an inflammatory lesion corresponding to the aneurysm’s location. The ascending aorta, aortic arch, and descending thoracic aorta were replaced via median sternotomy and left thoracotomy with safe systemic and brain perfusion to avoid placing the anastomoses within the inflammatory lesion. The patient was discharged without complications and a SMAD3 mutation was detected in a postoperative mutational screening. (Source: The An...
Source: The Annals of Thoracic Surgery - March 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Congenital left ventricular diverticulum in Pentalogy of Cantrell: Puzzle solved on dual source CT
Publication date: Available online 25 March 2019Source: The Annals of Thoracic SurgeryAuthor(s): Vineeta Ojha, Chandrashekhara SH, Kartik P. Ganga, Anita Saxena, Gurpreet Gulati (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Role of Anatomical Resection in Pulmonary Metastasectomy
Publication date: Available online 25 March 2019Source: The Annals of Thoracic SurgeryAuthor(s): Hu Liao, Zhilan Xiao (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Calcified Left Ventricular Pseudoaneurysm of the Base of the Heart
Publication date: Available online 25 March 2019Source: The Annals of Thoracic SurgeryAuthor(s): Annalisa Bernabei, Charanjit S. Rihal, Juan A. CrestanelloAbstractCardiac pseudoaneurysms of non-infectious or non-ischemic etiology are rare. We illustrate the surgical management of a patient with a large post-surgical calcified pseudoaneurysm located in the base of the heart disrupting the continuity between the aortic and mitral annulus. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Immunoglobulin G4 thymic tumor
Publication date: Available online 23 March 2019Source: The Annals of Thoracic SurgeryAuthor(s): Amr A. Arafat., Mohammad A. Torky., Mustafa Elhamshary., Mohamed Aboelnasr.AbstractThymic IgG4 is a rare entity that can mimic anterior mediastinal tumors. Preoperative diagnosis is essential to prevent unnecessary surgery. Little is known about disease presentation, diagnosis and response to therapy. A 40-year-old male presented with retrosternal chest pain. X-ray showed anterior mediastinal mass. Intraoperatively, the dense adhesions to the phrenic nerve, aorta and pulmonary artery deemed the tumor unresectable. Thymic IgG4 d...
Source: The Annals of Thoracic Surgery - March 24, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Tumor Spread Through Air Spaces in Non–Small Cell Lung Cancer: a systematic review and meta–analysis
Publication date: Available online 23 March 2019Source: The Annals of Thoracic SurgeryAuthor(s): Donglai Chen, Yiming Mao, Junmiao Wen, Yunlang She, Erjia Zhu, Feng Zhu, Yongsheng Zhang, Min Fan, Chang Chen, Yongbing ChenAbstractBackgroundA series of studies have assessed the clinicopathological features and prognostic impact of STAS in non-small cell lung cancer (NSCLC) bringing conflicting findings so far. We performed a systematic review and meta-analysis to synthesize the available evidence regarding to the prognostic value of STAS in NSCLCs.MethodsStudies were identified by searching databases including PubMed, EMBASE...
Source: The Annals of Thoracic Surgery - March 24, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Equations estimating the pre-dissected diameter of the ascending aorta for acute type A aortic dissection
Publication date: Available online 23 March 2019Source: The Annals of Thoracic SurgeryAuthor(s): Takashi Yamauchi, Hiroshi Takano, Toshiki Takahashi, Takafumi Masai, Masayuki Sakaki, Yukitoshi Shirakawa, Katsukiyo Kitabayashi, Naoki Asano, Koichi Toda, Yoshiki Sawa, Osaka Cardiovascular Surgery Research Group (OSCAR)AbstractBackgroundA successful endovascular treatment for acute type A dissection has been recently reported. However, there has been no consensus regarding the appropriate stent graft size based on the estimated pre-dissected aortic diameter for this pathology.MethodsWe developed new equations for estimating t...
Source: The Annals of Thoracic Surgery - March 24, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Devoted Grandma: Is a Social Indication for TAVR Acceptable?
Publication date: Available online 22 March 2019Source: The Annals of Thoracic SurgeryAuthor(s): Andrea J. Carpenter, William Novick, Robert M. Sade (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 23, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Stathmin-1 is a useful diagnostic marker for high-grade lung neuroendocrine tumors
This study evaluated its diagnostic value for differentiating between NSCLC and high-grade neuroendocrine tumor (HGNET).MethodsStathmin-1 protein expression was assessed by immunohistochemistry (IHC) in surgical specimens of 414 NSCLC (305 adenocarcinoma [AD], 102 squamous cell carcinoma [SCC], 7 large-cell carcinoma [LA]), 5 typical carcinoid (TC; a low-grade neuroendocrine tumor), and 34 HGNET (17 small-cell carcinoma [SCLC] and 17 large-cell neuroendocrine carcinoma [LCNEC]) and biopsy specimens of 57 NSCLCs (29 AD and 28 SCC) and 42 HGNETs (17 LCNEC and 25 SCLC). We also analyzed stathmin-1 mRNA levels in 81 NSCLC and ...
Source: The Annals of Thoracic Surgery - March 23, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

The tribulation of tracheal surgery
Publication date: Available online 22 March 2019Source: The Annals of Thoracic SurgeryAuthor(s): Simone T. Timman, Sailay Siddiqi, Ad F.T.M. Verhagen (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 23, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Robotic-assisted 3rd Time Redo-Mitral Valve Replacement
Publication date: Available online 22 March 2019Source: The Annals of Thoracic SurgeryAuthor(s): Robert Spiller, Trever Symalla, Mackenzie McCrorey, Husam H. BalkhyAbstractRobotic-assisted approaches in cardiac surgery are becoming an increasingly common form of minimally invasive surgery. Recent literature has shown robotic-assisted techniques to be superior to traditional sternotomy in infection rates, bleeding, length of hospital stay and postoperative quality of life. While there are a growing number of centers performing robotic mitral valve (MV) surgery this approach is usually reserved for first-time MV repair. In t...
Source: The Annals of Thoracic Surgery - March 23, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Long-term Outcome of Metallic Stenting For Central Airway Involvement In Relapsing Polychondritis
Publication date: Available online 22 March 2019Source: The Annals of Thoracic SurgeryAuthor(s): Xiaodong Wu, Xin Zhang, Wei Zhang, Haidong Huang, Qiang LiAbstractBackgroundPlacement of uncovered self-expandable metallic stents has been shown to successfully alleviate critical airflow limitation in relapsing polychondritis patients with central airway involvement by several reports. However, the long-term outcome of airway metallic stenting in RP patients remained unclear.MethodsWe retrospectively analyzed patients with relapsing polychondritis who underwent airway metallic stenting with the use of fiberoptic bronchoscopy ...
Source: The Annals of Thoracic Surgery - March 23, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Lung Transplantation in Pulmonary Fibrosis Secondary to Influenza A Pneumonia
We describe a 45-year-old man with ARDS and progressive lung fibrosis secondary to H1N1 pneumonia who was treated for 45 days with venovenous extracorporeal membrane oxygenation as a rescue utility and bridge to bilateral lung transplantation. The patient was saved and lived well. Lung transplantation may be a viable alternative for patients with lung fibrosis secondary to H1N1-induced ARDS in very selected situations. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 23, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Successful Treatment of an Aortotomy Site Aspergillus Infection
Publication date: Available online 23 March 2019Source: The Annals of Thoracic SurgeryAuthor(s): Ravil Sharifulin, Alexander Bogachev-Prokophiev, Yuliya Varnek, Nikolay Klimko, Oksana Malakhova, Alexander Volkov, Ivan Murashev, Alexey Pivkin, Alexander KaraskovAbstractAspergillus aortitis is a rare, often fatal infection. Here, we report successful treatment of an aortotomy site that became infected by Aspergillus spp. following aortic valve replacement. Surgery, combined with antifungal therapy, allowed a favorable outcome. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 23, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Direct procurement of donor heart with normothermic regional perfusion of abdominal organs
ConclusionsWe demonstrated a successful combination of direct procurement of the heart and normothermic regional perfusion of the abdominal organs. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 23, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Simultaneous transcatheter mitral and tricuspid valve in valve replacement
We report the case of a patient with two failing mitral and tricuspid bioprostheses, who was successfully treated with simultaneous transapical mitral and percutaneous transjugular tricuspid transcatheter valve-in-valve replacements. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 23, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Modified Penn Classification: Easier To Predict Mortality After Acute Type A Dissection Repair
Publication date: Available online 21 March 2019Source: The Annals of Thoracic SurgeryAuthor(s): Liang-Ying Ke, Hong-Jie Jhou, Ying-Fu Chen (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 23, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Factors affecting postoperative mortality in coronary bypass surgery
Publication date: Available online 21 March 2019Source: The Annals of Thoracic SurgeryAuthor(s): Orhan Gokalp, Börtecin Eygi, Ali Gurbuz (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 23, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Coexistence of spontaneous coronary artery dissection and ascending aortic aneurysm
We describe the management of two patients presenting with SCAD and unruptured ascending aortic aneurysms. Coexistence of SCAD with extracoronary vascular disorders should be considered by clinicians. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 21, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Cytology versus histology in the primary diagnosis of lymphoma located in the mediastinum
Publication date: Available online 20 March 2019Source: The Annals of Thoracic SurgeryAuthor(s): Till Plönes, Khaled Mardanzai, Dumitrita Gafencu, Jan Viehof, Thomas Hager, Dirk Theegarten, Ulrich Dührsen, Kaid Darwiche, Christian Taube, Clemens AignerAbstractBackgroundEndobronchial ultrasound-guided transbronchial needle aspirations (EBUS-TBNA) are well-established for staging lung cancer. A growing number of publications report on lymphoma diagnosis via EBUS-TBNA acquired cytology; however, current guidelines recommend histological diagnosis. Research on the value of EBUS-TBNA acquired cytology versus surgical ...
Source: The Annals of Thoracic Surgery - March 21, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Selective epidurography for the assessment of epidural catheter placement after esophagectomy
ConclusionsThis is the first study to review selective epidurogram use in esophagectomy patients to determine its role in ‘rescuing’ inadequate pain control through expediting clinical decision-making. Findings confirm that in selected patients epidurography can is feasible and has the potential to directly contribute to patient care. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 21, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Prognosis of Severe Asymptomatic Aortic Stenosis With and Without Surgery
This study sought to determine outcomes in patients with severe, asymptomatic aortic stenosis (AS), stratified by treatment recommendation.MethodsBetween January 2005 and December 2013, 4,998 patients had severe AS by echocardiography, of whom 308 were identified as asymptomatic by medical record review. Five patients were deemed inoperable, and 38 were lost to follow-up. Of the remaining 265 patients, aortic valve replacement (AVR) was recommended in 104, and watchful waiting (WW) was recommended in 161. Probabilities of undergoing surgery and of death from recommendation date were estimated using a multistate model. Cox ...
Source: The Annals of Thoracic Surgery - March 21, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Robotic bronchial sleeve lobectomy for central lung tumors: technique and outcome
ConclusionsRobotic bronchial sleeve lobectomy and the novel anastomotic technique are both feasible and safe for carefully selected patients.Graphical abstract (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 21, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Collaborative Learning Models in Pediatric Cardiac Care: The Continuum of Learning and Positive Change Through Shared Inquiry
Publication date: Available online 19 March 2019Source: The Annals of Thoracic SurgeryAuthor(s): Tara Karamlou, Rohit Rao, Hani Najm (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Developing an ideal cardiac valve bioprosthesis: Xeno’s paradox
Publication date: Available online 18 March 2019Source: The Annals of Thoracic SurgeryAuthor(s): Ismael A. Salas de Armas, Keshava Rajagopal (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Society of Thoracic Surgeons General Thoracic Surgery Database 2019 Update on Outcomes and Quality
Publication date: Available online 19 March 2019Source: The Annals of Thoracic SurgeryAuthor(s): Christopher W. Seder, Mitchell J. Magee, Stephen R. Broderick, Lisa M. Brown, Justin D. Blasberg, Benjamin D. Kozower, Felix G. Fernandez, Robert Welsh, Henning A. Gaissert, William Burfeind, Susan Becker, Daniel RaymondAbstractThe Society of Thoracic Surgeons General Thoracic Surgery Database (STS GTSD) remains the most robust thoracic surgical database in the world, providing participating institutions semi-annual risk-adjusted performance reports and facilitating multiple quality improvement initiatives each year. In 2018, t...
Source: The Annals of Thoracic Surgery - March 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Robotic Mitral Valve Repair: How I Teach It
Publication date: Available online 19 March 2019Source: The Annals of Thoracic SurgeryAuthor(s): W. Randolph Chitwood (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Physician-Modified Thoracic Stent-Grafts for the arch after surgical treatment of type A dissection
ConclusionsThe use of physician modified thoracic stent-grafts for the treatment of dissecting aortic arch aneurysm after surgical treatment of acute type A dissection is both feasible and effective. Durability concerns will need to be assessed in future studies.Graphical abstract (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Bleeding in Patients Treated with Ticagrelor or Clopidogrel Before Coronary Artery Bypass Grafting
ConclusionsIn patients receiving ticagrelor 2 days before surgery and in those receiving clopidogrel 3 days before surgery, there was an increased rate of severe bleeding. Postponing non-emergent CABG for at least 3 days after discontinuation of ticagrelor and 4 days after clopidogrel should be considered. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

The link between minimally invasive esophagectomy and tracheobronchial fistula occurrence (Reply)
Publication date: Available online 18 March 2019Source: The Annals of Thoracic SurgeryAuthor(s): Ashok Muniappan, Douglas J. Mathisen (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 18, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research