Rheumatic Double Valve Repair Using Two Remodeling Annuloplasty Rings.
This report describes rheumatic double valve repair in a patient with rheumatic dysfunction of both the aortic and mitral valves. PMID: 30641063 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Downey RS, Rankin JS, Wei LM, Badhwar V Tags: Ann Thorac Surg Source Type: research

Hospital Consumer Assessment of Healthcare Providers and Systems: Beyond the transition care questions.
PMID: 30641064 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kamal YA Tags: Ann Thorac Surg Source Type: research

Degenerative Mitral Regurgitation After Non-Mitra Surgery: MitraClip Versus Surgical Reconstruction (Commentary).
PMID: 30641065 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Bonde P Tags: Ann Thorac Surg Source Type: research

Cerebral circulation during retrogarde cerebral perfusion: evaluation using laser speckle flowgraphy (Commentary).
PMID: 30641066 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Corvera JS Tags: Ann Thorac Surg Source Type: research

Antithrombotic Strategies After Bioprosthetic Aortic Valve Replacement: A Systematic Review (Commentary).
PMID: 30641067 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Jaffer IH, Whitlock RP Tags: Ann Thorac Surg Source Type: research

Effects of Intraoperative Fluid Management on Postoperative Outcomes following Lobectomy.
CONCLUSIONS: In patients undergoing minimally invasive lobectomy, the infusion rates of intraoperative total fluid and intraoperative colloid were all significantly associated with postoperative pulmonary complications. Both restrictive and liberal intraoperative fluid administration were related to adverse effects on postoperative outcomes. PMID: 30641068 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Wu Y, Yang R, Xu J, Rusidanmu A, Zhang X, Hu J Tags: Ann Thorac Surg Source Type: research

The Society of Thoracic Surgeons Congenital Heart Surgery Database: 2019 Update on Outcomes and Quality.
This article summarizes current aggregate national outcomes in congenital and pediatric cardiac surgery and reviews related activities in the areas of quality measurement, performance improvement, and transparency. The reported data about aggregate national outcomes are exemplified by an analysis of ten benchmark operation groups performed from January 2014 - December 2017. This analysis documents the overall aggregate Operative Mortality for operations performed at North American participants in The Society of Thoracic Surgeons Congenital Heart Surgery Database (and the interquartile range [IQR] for participant-specific r...
Source: The Annals of Thoracic Surgery - January 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Jacobs JP, Mayer JE, Pasquali SK, Hill KD, Overman DM, St Louis JD, Kumar SR, Backer CL, Tweddell JS, Dearani JA, Jacobs ML Tags: Ann Thorac Surg Source Type: research

One Year Survival and Neurologic Outcomes after Pediatric Open-Chest Cardiopulmonary Resuscitation (Commentary).
PMID: 30641070 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Hines MH Tags: Ann Thorac Surg Source Type: research

The Importance of Smoking Cessation on Surgical Outcome in Primary Lung Cancer (Commentary).
PMID: 30641071 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Grannis FW Tags: Ann Thorac Surg Source Type: research

Autologous tissue reconstruction of Interrupted aortic arch using aberrant subclavian artery
We report a novel technique to use the aberrant subclavian artery as autologous tissue in the reconstruction of the aortic arch for repair of type B interruption associated with type II aortopulmonary window. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 10, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Interrelationship between hemodynamics, brain volumes and outcome in Hypoplastic Left Heart Syndrome
ConclusionsThese data suggest that altered cardiovascular hemodynamics after stage II influence brain growth and neurodevelopmental outcome in infants with HLHS/HLHC. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 10, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Predictors of cardiac surgery patients who tolerate blood conservation in cardiac surgery
This study aimed to identify patient characteristics associated with patients who safely tolerate blood conservation.MethodsWe conducted a retrospective review of consecutive patients undergoing isolated coronary artery bypass grafting (CABG), isolated aortic valve replacement (AVR), concomitant CABG and AVR between 2011-2016, during which blood conservation intervention tool place. Logistic regression derived from pre-intervention cohort was applied to post-intervention cohort to identify patient characteristics associated with those predicted to be transfused in pre-intervention era but were not in the post-intervention ...
Source: The Annals of Thoracic Surgery - January 10, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Model for End Stage Liver Disease Score Independently Predicts Mortality in Cardiac Surgery
This study assessed the impact of Model for End-stage Liver Disease (MELD) on outcomes after cardiac surgery and the additional predictive value of MELD in the STS risk model.MethodsDe-identified records of 21,272 patients were extracted from a regional STS database. Inclusion criteria were any cardiac operation with a risk score available (2011-2016). Exclusion criteria included missing MELD (n=2,895) or preoperative anticoagulation (n=144). Patients were stratified into three categories, MELD 15 (high). Univariate and multivariate logistic regression assessed risk-adjusted associations between MELD and operative outcomes...
Source: The Annals of Thoracic Surgery - January 10, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Predictors of cardiac surgery patients who tolerate blood conservation in cardiac surgery.
This study aimed to identify patient characteristics associated with patients who safely tolerate blood conservation. METHODS: We conducted a retrospective review of consecutive patients undergoing isolated coronary artery bypass grafting (CABG), isolated aortic valve replacement (AVR), concomitant CABG and AVR between 2011-2016, during which blood conservation intervention tool place. Logistic regression derived from pre-intervention cohort was applied to post-intervention cohort to identify patient characteristics associated with those predicted to be transfused in pre-intervention era but were not in the post-inter...
Source: The Annals of Thoracic Surgery - January 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Mori M, Zhuo H, Liu F, LaLonde M, Pelletier KJ, Agarwal R, Geirsson A, Karimi M, Haddadin A, Bonde P, Zhang Y, Mangi AA Tags: Ann Thorac Surg Source Type: research

Model for End Stage Liver Disease Score Independently Predicts Mortality in Cardiac Surgery.
This study assessed the impact of Model for End-stage Liver Disease (MELD) on outcomes after cardiac surgery and the additional predictive value of MELD in the STS risk model. METHODS: De-identified records of 21,272 patients were extracted from a regional STS database. Inclusion criteria were any cardiac operation with a risk score available (2011-2016). Exclusion criteria included missing MELD (n=2,895) or preoperative anticoagulation (n=144). Patients were stratified into three categories, MELD 15 (high). Univariate and multivariate logistic regression assessed risk-adjusted associations between MELD and operative ...
Source: The Annals of Thoracic Surgery - January 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Hawkins RB, Young BAC, Mehaffey JH, Speir AM, Quader MA, Rich JB, Ailawadi G, Investigators for the Virginia Cardiac Services Quality Initiative Tags: Ann Thorac Surg Source Type: research

Interrelationship between hemodynamics, brain volumes and outcome in Hypoplastic Left Heart Syndrome.
CONCLUSIONS: These data suggest that altered cardiovascular hemodynamics after stage II influence brain growth and neurodevelopmental outcome in infants with HLHS/HLHC. PMID: 30639363 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Reich B, Heye KN, Tuura ROG, Beck I, Wetterling K, Hahn A, Aktintürk H, Schranz D, Jux C, Kretschmar O, Hübler M, Latal B, Knirsch W Tags: Ann Thorac Surg Source Type: research

Autologous tissue reconstruction of Interrupted aortic arch using aberrant subclavian artery.
We report a novel technique to use the aberrant subclavian artery as autologous tissue in the reconstruction of the aortic arch for repair of type B interruption associated with type II aortopulmonary window. PMID: 30639364 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Cr S, Aggarwal N, Joshi R, Joshi R Tags: Ann Thorac Surg Source Type: research

Esophageal biomechanics revisited: A tale of tenacity, anastomoses, and suture bite lengths in swine
Publication date: Available online 7 January 2019Source: The Annals of Thoracic SurgeryAuthor(s): Christina Oetzmann von Sochaczewski, Evangelos Tagkalos, Andreas Lindner, Hauke Lang, Axel Heimann, Arne Schröder, Peter P. Grimminger, Oliver J. MuenstererAbstractBackgroundAnastomotic tension has repeatedly been associated to anastomotic leakages following esophagectomy for cancer or esophageal atresia repair. We therefore aimed to determine which anastomotic technique would come as close as possible to the native esophagus in sustaining traction forces. Constant traction for several minutes at esophageal remnants and l...
Source: The Annals of Thoracic Surgery - January 7, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

The link between minimally invasive esophagectomy and tracheobronchial fistula occurrence
Publication date: Available online 7 January 2019Source: The Annals of Thoracic SurgeryAuthor(s): Damien Bergeat, Nicolas Bertheuil, Bernard Meunier (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 7, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Poor Performance Flagging is Associated with Fewer Transplants at Centers Flagged Multiple Times
ConclusionsThis analysis defines center level trends in lung transplantation following CMS flagging. Contrary to our primary hypothesis flagging did not result in temporal center level changes. However, programs on prolonged probation demonstrated reduced activity, which likely indicates a shift to higher performing centers. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 7, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Improving Operating Room Turnover Time in A New York City Academic Hospital via Lean
Publication date: Available online 7 January 2019Source: The Annals of Thoracic SurgeryAuthor(s): Robert J. Cerfolio, Dana Ferrari-Light, Nissa Perry, Annette Rabinovich, Mark Saraceni, Maureen Fitzpatrick, Sudheer Jain, H. Leon PachterAbstractBackgroundProlonged operating room turnover time erodes patient and employee satisfaction and value.MethodsLean and value stream mapping was applied to three operating room teams at an academic health center in New York City and a solution called Performance Improvement Team (PIT Crew) was piloted.ResultsOverall, 10% of operating room turnover steps were considered non-valued and wer...
Source: The Annals of Thoracic Surgery - January 7, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

The link between minimally invasive esophagectomy and tracheobronchial fistula occurrence.
PMID: 30629925 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 7, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Bergeat D, Bertheuil N, Meunier B Tags: Ann Thorac Surg Source Type: research

Esophageal biomechanics revisited: A tale of tenacity, anastomoses, and suture bite lengths in swine.
OJ Abstract BACKGROUND: Anastomotic tension has repeatedly been associated to anastomotic leakages following esophagectomy for cancer or esophageal atresia repair. We therefore aimed to determine which anastomotic technique would come as close as possible to the native esophagus in sustaining traction forces. Constant traction for several minutes at esophageal remnants and large suture bites are also considered relevant in long-gap esophageal atresia repair. METHODS: Porcine esophagi were subjected to linear traction using a motorized horizontal test stand. We compared breaking strengths of native esophagi t...
Source: The Annals of Thoracic Surgery - January 7, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Oetzmann von Sochaczewski C, Tagkalos E, Lindner A, Lang H, Heimann A, Schröder A, Grimminger PP, Muensterer OJ Tags: Ann Thorac Surg Source Type: research

Improving Operating Room Turnover Time in A New York City Academic Hospital via Lean.
Abstract BACKGROUND: Prolonged operating room turnover time erodes patient and employee satisfaction and value. METHODS: Lean and value stream mapping was applied to three operating room teams at an academic health center in New York City and a solution called Performance Improvement Team (PIT Crew) was piloted. RESULTS: Overall, 10% of operating room turnover steps were considered non-valued and were eliminated and 25% of previously sequential steps were performed synchronously. Seven institutional dogmas were eliminated, and three hospital policies were changed. After 35 pilot turnovers, median operati...
Source: The Annals of Thoracic Surgery - January 7, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Cerfolio RJ, Ferrari-Light D, Perry N, Rabinovich A, Saraceni M, Fitzpatrick M, Jain S, Pachter HL Tags: Ann Thorac Surg Source Type: research

Poor Performance Flagging is Associated with Fewer Transplants at Centers Flagged Multiple Times.
CONCLUSIONS: This analysis defines center level trends in lung transplantation following CMS flagging. Contrary to our primary hypothesis flagging did not result in temporal center level changes. However, programs on prolonged probation demonstrated reduced activity, which likely indicates a shift to higher performing centers. PMID: 30629928 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 7, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Beller JP, Hawkins RB, Mehaffey JH, Chancellor WZ, Teaster R, Walters DM, Krupnick AS, Davis RD, Lau CL Tags: Ann Thorac Surg Source Type: research

The Importance of Smoking Cessation on Surgical Outcome in Primary Lung Cancer
This study included 666 patients, of which 256 (38.4%) were never smokers and 410 (61.6%) were smokers. There were significant differences between the smokers and never smokers regarding the 90-day mortality rate (2.0% vs 0%, p=0.025), and respiratory complications (22.3% vs 3.5%, p
Source: The Annals of Thoracic Surgery - January 3, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Paraneoplatic Obstruction of Descending Thoracic Aorta: A New Indication for Endovascular Surgery?
We describe the rare case of a 61 years-old man, admitted in emergency to our department with visceral-organ and lower-limb malperfusion because an unknown retroperitoneal high grade undifferentiated pleomorphic sarcoma and a severe paraneoplastic obstruction of the descending thoracic aorta, treated with TEVAR The postoperative period was uneventful and patient was discharged within four days. At six- month follow-up CT scan showed complete patency of the descending thoracic aorta.This single case experience shows that TEVAR can be a less invasive and effective off-label alternative to exclude infiltrated and/or obstructe...
Source: The Annals of Thoracic Surgery - January 3, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Bilateral or just left internal mammarian?
Publication date: Available online 2 January 2019Source: The Annals of Thoracic SurgeryAuthor(s): Habib Cakir, Ismail Yurekli, Bortecin Eygi, Kamil Asar, Mert Kestelli (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 3, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Radiotherapy in Patients with Clinical N0, Pathologic N2 Non-Small Cell Lung Cancer After Complete Resection
Publication date: Available online 2 January 2019Source: The Annals of Thoracic SurgeryAuthor(s): Benny Weksler (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 3, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Imaging Depiction of Large Pericardial Metastasis from Osteosarcoma of Tibia
Publication date: Available online 2 January 2019Source: The Annals of Thoracic SurgeryAuthor(s): Manish Shaw, Rishabh Khurana, Sanjeev Kumar, Vineeta Ojha (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 3, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

First Evaluation of the Next Generation Endobronchial Ultrasound System in preclinical models
ConclusionsThe next-generation CP-EBUS has improved operability, which resulted in better access to each lobar bronchus and more prompt detection of mediastinal/hilar lymph nodes. These improvements may allow more precise lymph node staging and diagnosis, as well as improve EBUS procedural skill acquisition, once introduced to clinical practice. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 3, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Repair of Untreated Older Patients with Tetralogy of Fallot with Major Aortopulmonary Collaterals (Commentary)
Publication date: Available online 3 January 2019Source: The Annals of Thoracic SurgeryAuthor(s): Yves d’Udekem (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 3, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Repair of Untreated Older Patients with Tetralogy of Fallot with Major Aortopulmonary Collaterals (Commentary).
PMID: 30611757 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: d'Udekem Y Tags: Ann Thorac Surg Source Type: research

A novel and simple method for establishing the subxiphoid approach during thoracoscopic thymectomy
Publication date: Available online 2 January 2019Source: The Annals of Thoracic SurgeryAuthor(s): Hao Xu, Linyou ZhangAbstractThe trans-subxiphoid thoracoscopic approach is an ideal method for thoracoscopic thymectomy. We introduce a simple method to establish the subxiphoid approach. We made an incision and inserted a homemade gasbag into the retrosternal space. The gasbag may be inflated with 600-800 ml of air. The inflated gasbag was maintained for 5 minutes and removed. This methodology was performed in 20 cases. This method provides the surgeon with a good field of view, rare thoracoscope contamination and a smoother ...
Source: The Annals of Thoracic Surgery - January 2, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Imaging Depiction of Large Pericardial Metastasis from Osteosarcoma of Tibia.
PMID: 30610850 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 2, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Shaw M, Khurana R, Kumar S, Ojha V Tags: Ann Thorac Surg Source Type: research

The Importance of Smoking Cessation on Surgical Outcome in Primary Lung Cancer.
This study included 666 patients, of which 256 (38.4%) were never smokers and 410 (61.6%) were smokers. There were significant differences between the smokers and never smokers regarding the 90-day mortality rate (2.0% vs 0%, p=0.025), and respiratory complications (22.3% vs 3.5%, p
Source: The Annals of Thoracic Surgery - January 2, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Fukui M, Suzuki K, Matsunaga T, Oh S, Takamochi K Tags: Ann Thorac Surg Source Type: research

First Evaluation of the Next Generation Endobronchial Ultrasound System in preclinical models.
CONCLUSIONS: The next-generation CP-EBUS has improved operability, which resulted in better access to each lobar bronchus and more prompt detection of mediastinal/hilar lymph nodes. These improvements may allow more precise lymph node staging and diagnosis, as well as improve EBUS procedural skill acquisition, once introduced to clinical practice. PMID: 30610852 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 2, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Fujino K, Ujiie H, Kinoshita T, Lee CY, Igai H, Inage T, Motooka Y, Gregor A, Suzuki M, Yasufuku K Tags: Ann Thorac Surg Source Type: research

A novel and simple method for establishing the subxiphoid approach during thoracoscopic thymectomy.
Abstract The trans-subxiphoid thoracoscopic approach is an ideal method for thoracoscopic thymectomy. We introduce a simple method to establish the subxiphoid approach. We made an incision and inserted a homemade gasbag into the retrosternal space. The gasbag may be inflated with 600-800 ml of air. The inflated gasbag was maintained for 5 minutes and removed. This methodology was performed in 20 cases. This method provides the surgeon with a good field of view, rare thoracoscope contamination and a smoother surgical procedure. Therefore, the method described in this study is a powerful option to establish the subx...
Source: The Annals of Thoracic Surgery - January 2, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Xu H, Zhang L Tags: Ann Thorac Surg Source Type: research

Paraneoplatic Obstruction of Descending Thoracic Aorta: A New Indication for Endovascular Surgery?
We describe the rare case of a 61 years-old man, admitted in emergency to our department with visceral-organ and lower-limb malperfusion because an unknown retroperitoneal high grade undifferentiated pleomorphic sarcoma and a severe paraneoplastic obstruction of the descending thoracic aorta, treated with TEVAR The postoperative period was uneventful and patient was discharged within four days. At six- month follow-up CT scan showed complete patency of the descending thoracic aorta. This single case experience shows that TEVAR can be a less invasive and effective off-label alternative to exclude infiltrated and/or obstruct...
Source: The Annals of Thoracic Surgery - January 2, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Di Tommaso L, Di Tommaso E, Giordano R, Iannelli G Tags: Ann Thorac Surg Source Type: research

Bilateral or just left internal mammarian?
PMID: 30610855 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 2, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Cakir H, Yurekli I, Eygi B, Asar K, Kestelli M Tags: Ann Thorac Surg Source Type: research

Radiotherapy in Patients with Clinical N0, Pathologic N2 Non-Small Cell Lung Cancer After Complete Resection.
PMID: 30610856 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 2, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Weksler B Tags: Ann Thorac Surg Source Type: research

Lobectomy for lung cancer with congenital pericardial defect
Publication date: Available online 31 December 2018Source: The Annals of Thoracic SurgeryAuthor(s): Yasuto Sakaguchi, Kazuya MatsumotoAbstractA congenital complete pericardial defect is a rare and often asymptomatic condition that may be diagnosed intraoperatively. While performing lung lobectomy in patients with this condition, surgeons must exercise more caution than with standard lobectomies. Additional points of consideration include the use of surgical instruments to ensure a clear operative field, vascular treatment for pulmonary veins, confirmation of the phrenic nerve location, and determination of the need to repa...
Source: The Annals of Thoracic Surgery - January 1, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Esophageal Cancer Presentation, Treatment and Outcomes Vary with Hospital Safety-net Burden
ConclusionsThere is a mortality risk for patients with squamous cell carcinoma, but not adenocarcinoma at HBH compared to LBH. Further analysis of unadjusted variables such as performance status, completion of therapy, and continuity of care, and others should be undertaken among safety-net hospitals with the goal of creating appropriate clinical pathways for care of esophageal cancer in vulnerable populations. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 1, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Pulmonary Bronchiectasis Mimicking a Giant Hydatid Cyst
Publication date: Available online 31 December 2018Source: The Annals of Thoracic SurgeryAuthor(s): Denish Apparau, Angeles Montero-Fernandez, Felice Granato (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 1, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Cerebral circulation during retrograde cerebral perfusion: evaluation using laser speckle flowgraphy
ConclusionsIn conclusion, no significant difference was observed in the cerebral circulation between RCP and simple circulatory arrest without adjunctive strategy under moderate hypothermia. In contrast, the cerebral circulation during SCP was significantly higher than simple circulatory arrest and RCP. These results suggest that cerebral microcirculation may not be adequate during RCP compared with SCP under moderate hypothermia. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 1, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

What is the potential of tissue-engineered pulmonary valves in children?
ConclusionsThis study showed that there is room for improvement in clinical outcomes in children requiring RVOTR. If TEHV result in improved clinical outcomes, they are expected to be cost-effective compared to existing heart valve substitutes. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - January 1, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Continuous Erector Spinae Plane Blocks for Adult Pectus Excavatum Repair
We report the successful use of bilateral ESPs in two patients with complex medical histories in which a thoracic epidural was either contraindicated or unsuccessful. The benefits of the continuous ESPs in this subset of patients include: pain control with a focus on opioid sparing, early extubation, decreased atelectasis, improved mobilization/physical therapy, and decreased length of hospital stay. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - December 29, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Hemi-Senning as an alternative for hemi-Mustard in double discordance with small right ventricle
We present a case of anatomical repair in a young child with double discordance, VSD and pulmonary atresia. A novel technique of hemi-Senning is described, combined with a bidirectional cavopulmonary anastomosis and Rastelli repair. The possible advantages and applications of this technical modification are briefly discussed. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - December 27, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Robotic approach to combined anatomic pulmonary subsegmentectomy: technical aspects and early results
ConclusionsCompletely portal robotic CAS is a safe and effective procedure in a select subset of patients, proving quite suitable for smaller (
Source: The Annals of Thoracic Surgery - December 27, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Survival before and after direct surgical quality feedback in a population-based lung cancer cohort
Publication date: Available online 27 December 2018Source: The Annals of Thoracic SurgeryAuthor(s): Matthew P. Smeltzer, Nicholas R. Faris, Meredith A. Ray, Carrie Fehnel, Cheryl Houston-Harris, Philip Ojeabulu, Olawale Akinbobola, Yu-Sheng Lee, Meghan Meadows, Sam Signore, Lynn Wiggins, David Talton, Edmond Owen, Lawrence E. Deese, Richard Eubanks, Bradley A. Wolf, Paul Levy, E Todd Robbins, Raymond U. OsarogiagbonAbstractBackgroundSurgical resection is the main curative modality for non-small cell lung cancer (NSCLC), but variation in the quality of care contributes to sub-optimal survival rates. Improving surgical outco...
Source: The Annals of Thoracic Surgery - December 27, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research