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

Ewing Sarcoma of the Chest Wall: Prognostic Factors of Multimodal Therapy Including En Bloc Resection
Conclusions Multimodality treatment of ESCW, including neoadjuvant CT followed by en bloc resection and adjuvant CT or chemoradiation, is associated with excellent long-term outcomes. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 22, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Incidence and Treatment of Symptomatic Diaphragmatic Hernia After Esophagectomy for Cancer
Conclusions The 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 - June 22, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Contemporary Outcomes of Extracorporeal Membrane Oxygenation Used as Bridge to Lung Transplantation
Conclusions ECMO 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 - June 22, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Pleural Coating by 50% Glucose Solution Reduces Postoperative Recurrence of Spontaneous Pneumothorax
Conclusions Intraoperative GPC significantly reduced the postoperative recurrence rate of spontaneous pneumothorax. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 22, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Remote Ischemic Preconditioning Does  Not Prevent White Matter Injury in Neonates
Conclusions In 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 - June 22, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Factors Influencing Team Behaviors in Surgery: A Qualitative Study to Inform Teamwork Interventions
Conclusions Team behaviors are contextually contingent and organizationally determined, and beliefs about optimal behaviors are not necessarily shared. Interventions to optimize surgical teamwork require establishing consensus regarding best practice, ability to adapt as circumstances require, and organizational commitment to addressing contextual factors that affect teams. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 22, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Association of Aortic Valve Pathology With Renal Resistive Index as a Kidney Injury Biomarker
Conclusions Patients with aortic insufficiency and combined insufficiency/stenosis had higher median RRI values compared with normal patients. For these individuals, diastolic flow differences related to aortic insufficiency may explain why their presurgery RRI values often exceeded postoperative thresholds typically associated with AKI. Strategies to account for the potentially confounding effects of aortic insufficiency on renal flow patterns, independent of renal injury, may add to the value of RRI as an early AKI biomarker. Graphical abstract (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 22, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Acute Kidney Injury Classification Underestimates Long-Term Mortality After Cardiac Valve Operations
Conclusions An increase in serum creatinine by more than 10% during the first week after valve operation is associated with an increased risk for long-term mortality after cardiac valve operation. Thus, AKI classification clearly underestimates long-term mortality risk in patients undergoing valve operations. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 22, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Long-Term Outcomes for Patients With Stroke After Coronary and Valve Surgery
Conclusions Postoperative stroke often leads to high mortality and poor long-term outcomes. Patients who experienced a severe stroke and underwent neurosurgical procedures also exhibited poor outcomes. Patients and their families should be informed of relatively high mortality and poor long-term outcomes before neurosurgical operation. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 22, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Is Functional Independence Associated With Improved Long-Term Survival After Lung Transplantation?
Conclusions Preoperative functional independence and maintenance of employment are associated with superior long-term outcomes in lung recipients. The results highlight potential benefits of pretransplant functional rehabilitation for patients on the waiting list for lungs. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 22, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Implantation Depth and Rotational Orientation Effect on Valve-in-Valve Hemodynamics and Sinus Flow
Conclusions First, supraannular axial deployment is associated with lower PGs irrespective of commissural alignment. Second, subannular deployment is associated with more favorable sinus hemodynamics and less LF. Further in vivo studies are needed to substantiate these observations and facilitate optimal prosthesis positioning during ViV procedures. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 22, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Predictors for Late Reoperation After  Surgical Repair of Acute Type A Aortic Dissection
Conclusions We found several risk factors for both late reoperation and death. Specifically, aortic diameter in the early phase after the initial operation and nonuse of β-blockers were strong predictors. The ratio of the false lumen to the true lumen may also be a new and useful indicator for late reoperation. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 22, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Use of an Automated Suture Fastening Device in Minimally Invasive Aortic Valve Replacement
Conclusions In mAVR, the CK device was associated with reduced aortic cross-clamp time while providing equivalent clinical outcomes. Larger studies are needed to confirm the efficacy, safety, and cost-effectiveness of the CK device in minimally invasive aortic valve surgery. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 22, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Does Preoperative Troponin Level Impact  Outcomes After Coronary Artery Bypass Grafting?
Conclusions A positive preoperative troponin correlates with worse outcomes after CABG, but risk adjustment eliminates much of the short-term predictive value of this biomarker. Peak troponin level does not influence outcomes after CABG and is a poor predictor of events when The Society of Thoracic Surgeons predictive models are used. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 22, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Society of Thoracic Surgeons Adult Cardiac Surgery Database: 2018 Update on Research: Outcomes Analysis, Quality Improvement, and Patient Safety
Publication date: July 2018 Source:The Annals of Thoracic Surgery, Volume 106, Issue 1 Author(s): Vinay Badhwar, J. Scott Rankin, Vinod H. Thourani, Richard S. D’Agostino, Robert H. Habib, David M. Shahian, Jeffrey P. Jacobs 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...
Source: The Annals of Thoracic Surgery - June 22, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Subglottic Resections: How I Teach It
Publication date: July 2018 Source:The Annals of Thoracic Surgery, Volume 106, Issue 1 Author(s): Konrad Hoetzenecker, Walter Klepetko (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 22, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

TSF Donor Honor Rolls.
PMID: 29936023 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 21, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Kennedy P Tags: Ann Thorac Surg Source Type: research

Complications after Esophagectomy are Associated with Extremes of Body Mass Index.
Abstract BACKGROUND: Body mass index (BMI) is not routinely taken into consideration for risk stratification prior to esophagectomy. Extremes of BMI are associated with adverse surgical outcomes in a variety of surgical specialties. We assessed the relationship of BMI to outcomes after esophagectomy for cancer. METHODS: Patients in the Society of Thoracic Surgeons General Thoracic Surgery Database (2009 - 2016) who underwent elective esophagectomy for cancer were selected for analysis. Open and minimally invasive approaches were included. Complications were categorized based on the Esophagectomy Complications...
Source: The Annals of Thoracic Surgery - June 21, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Mitzman B, Schipper PH, Edwards MA, Kim S, Ferguson MK Tags: Ann Thorac Surg Source Type: research

Oxygen Use After Lung Cancer Surgery
Conclusions Home O2 use after lung cancer surgery comprises a sizable portion of this population and is correlated with mortality in the first 6 months. Various predictors significantly increased the risk of O2 use at discharge. However, of those originally discharged on oxygen, 49.3% were alive and off O2 at 6 months. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 20, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

One More Advantage: There is Hemi-Mustard but There is no Hemi-Senning
Publication date: Available online 19 June 2018 Source:The Annals of Thoracic Surgery Author(s): Ezzeldin A. Mostafa, Ashraf A. Elmidany (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 20, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Pericardial Window for Methicillin-Resistant Staphylococcus Aureus Pericarditis
Publication date: Available online 19 June 2018 Source:The Annals of Thoracic Surgery Author(s): Hiroaki Oizumi, Hideomi Ichinokawa, Hironobu Hoshino, Jun Shitara, Kenji Suzuki A 58-year-old man presented with tamponade, and he underwent an emergency pericardiocentesis. We made the diagnosis of methicillin-resistant Staphylococcus aureus (MRSA) pericarditis based on culture results, and treated the patient with pericardial drainage and antibiotics as the first-line therapy. After temporary relief, reaccumulation of effusion developed. We successfully created a pericardial window using thoracotomy, and the postoperative co...
Source: The Annals of Thoracic Surgery - June 20, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Validation of a Nomogram Predicting Survival After Trimodality Therapy for Esophageal Cancer
Conclusions The nomogram accurately predicted OS and PFS after nCRT followed by 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 - June 20, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Brucellosis after Cardiac Transplantation
We present the case of a 51-year-old farmer who underwent orthotopic heart transplantation and was readmitted after 3 months in a severely immunosuppressed state with significant nonspecific complaints. He posed a diagnostic and management dilemma to all disciplines, but finally turned out to be harbouring Brucella infection. He responded well to medical management and was discharged in a stable clinical status. Although rare, brucellosis should be included in the investigative work up for non-specific symptoms after cardiac transplantation. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 20, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Surgical Outcome in Adolescents and Adults with Anomalous Left Coronary Artery from Pulmonary Artery
Conclusions Although short-term outcomes were satisfactory in both groups, a higher MACE rate was observed in re-implantation group than Takeuchi repair group; mitral valvuloplasty wasn’t significantly associated with improved prognosis and left ventricular reverse remodeling. Elevation of preoperative blood glucose level was significantly associated with increasing long-term MACE rate. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 20, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Transcatheter Aortic Valve Replacement: Comparing Transfemoral, Transcarotid and Transcaval Access
Conclusions Patients unsuitable for TF TAVR treated with TC or TCav access had 30-day/in-hospital and 1-year survival similar to a contemporary cohort undergoing TF access. Avoiding surgical entry to the chest may offer procedural and intermediate term outcomes equivalent to TF TAVR. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 20, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Peripheral Distribution of Thrombus Does Not Affect Outcomes After Surgical Pulmonary Embolectomy (Commentary)
Publication date: Available online 20 June 2018 Source:The Annals of Thoracic Surgery Author(s): Eric J. Lehr, Juan Nicolas Pulido (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 20, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Converting Atoms into Bytes
Publication date: Available online 20 June 2018 Source:The Annals of Thoracic Surgery Author(s): Varun Shetty, Deviprasad Shetty (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 20, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Maternal and Fetal Outcome after Cardiac Surgery during Pregnancy: A Meta-Analysis (Commentary)
Publication date: Available online 20 June 2018 Source:The Annals of Thoracic Surgery Author(s): William C. Oliver (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 20, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Lung Cancer Invading a Coronary Graft: Role of Coronary Intervention and Robotic Surgery
We present a patient with squamous cell carcinoma invading into coronary artery bypass grafts, but successfully treated by combination of percutaneous coronary intervention followed by video-assisted thoracoscopic surgery. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 20, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Bilateral Internal Mammary Artery Utilization in Diabetics: Friend or Foe?
Conclusions In this statewide analysis, diabetics who received BIMA grafts (compared to diabetics with LIMA grafts or non-diabetics with BIMA grafts) had higher O/E ratios for composite morbidity/mortality as a result of higher O/E ratios for major complications. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 20, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Localized Tracheal Amyloidosis
Publication date: Available online 20 June 2018 Source:The Annals of Thoracic Surgery Author(s): Luis Gorospe, Rosa María Gómez-García, Paola Arrieta, Alberto Cabañero-Sánchez, Odile Ajuria-Illarramendi, Esther Gambí-Pisonero (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 20, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Septal Leaflet Versus Chordal Detachment in Closure of Hard-to-Expose Ventricular Septal Defects (Commentary)
Publication date: Available online 20 June 2018 Source:The Annals of Thoracic Surgery Author(s): Chun Soo Park (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 20, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Validation of a Nomogram Predicting Survival After Trimodality Therapy for Esophageal Cancer.
CONCLUSIONS: The nomogram accurately predicted OS and PFS after nCRT followed by 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. PMID: 29932887 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - June 19, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Goense L, Merrell KW, Arnett AL, Hallemeier CL, Meijer GJ, Ruurda JP, Hofstetter WL, van Hillegersberg R, Lin SH Tags: Ann Thorac Surg Source Type: research

Pericardial Window for Methicillin-Resistant Staphylococcus Aureus Pericarditis.
Abstract A 58-year-old man presented with tamponade, and he underwent an emergency pericardiocentesis. We made the diagnosis of methicillin-resistant Staphylococcus aureus (MRSA) pericarditis based on culture results, and treated the patient with pericardial drainage and antibiotics as the first-line therapy. After temporary relief, reaccumulation of effusion developed. We successfully created a pericardial window using thoracotomy, and the postoperative course was uneventful. MRSA pericarditis is an extremely rare and life-threatening illness. No consensus exists concerning the ideal surgical intervention. Creati...
Source: The Annals of Thoracic Surgery - June 19, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Oizumi H, Ichinokawa H, Hoshino H, Shitara J, Suzuki K Tags: Ann Thorac Surg Source Type: research