Methylene Blue for Vasoplegic Syndrome After Cardiac Operations (Reply).
PMID: 30316847 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 11, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Mehaffey JH Tags: Ann Thorac Surg Source Type: research

Outcomes of valve repair for degenerative disease in patients with mitral annular calcification (Commentary).
PMID: 30316848 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 11, 2018 Category: Cardiovascular & Thoracic Surgery Authors: David TE Tags: Ann Thorac Surg Source Type: research

Decontamination and Lung Transplantation of a Cystic Fibrosis Patient with Resistant Infections.
We describe the use of a decontamination protocol that allowed for successful lung transplantation in a cystic fibrosis patient with necrotizing pneumonia from highly antibiotic-resistant pathogens (Burkholderia and psuedomonas species). This strategy may allow for successful lung transplantation in cystic fibrosis patients with multi-drug resistant infections previously considered non-transplantable. PMID: 30316849 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 11, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Shah A, Pasrija C, Boulos F, Pham S, Griffith BP, Amoroso A, Sanchez PG, Kon ZN Tags: Ann Thorac Surg Source Type: research

Comparison of neoadjuvant chemotherapy followed by surgery to upfront surgery for thymic malignancy.
Abstract BACKGROUND: The oncological benefit of neoadjuvant chemotherapy in thymic malignancies remains unclear. We compared postoperative oncological outcomes of curative resection following neoadjuvant chemotherapy with those of upfront surgery. METHODS: Based on records from a multi-center database, a total of 1486 patients with surgically resected thymic malignancies between 2000 and 2013 were included in the final study cohort. 110 (7.4%) patients underwent surgical resection following neoadjuvant chemotherapy and 1376 (92.6%) patients underwent upfront surgery. A propensity score-matched analysis was pe...
Source: The Annals of Thoracic Surgery - October 11, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Park S, Park IK, Kim YT, Lee GD, Kim DK, Cho JH, Choi YS, Lee CY, Lee JG, Kang CH, Korean Association for Research on the Thymus Tags: Ann Thorac Surg Source Type: research

Factors Associated with Prolonged Survival in Left Ventricular Assist Device Recipients.
CONCLUSIONS: Preoperative diabetes and amiodarone use were associated with poor long-term survival in LVAD recipients. Development of early complications of stroke, gastrointestinal bleeding, hemolysis, or pump thrombosis was also associated with poor long-term survival. Early diagnosis and treatment of these complications may improve survival in LVAD recipients. PMID: 30316851 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 11, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Xia Y, Forest S, Friedmann P, Chou LC, Patel S, Jorde U, Goldstein D Tags: Ann Thorac Surg Source Type: research

Factors Associated with New Persistent Opioid Usage After Lung Resection.
Abstract BACKGROUND: Opioid dependence, misuse, and abuse in the United States continue to rise. Prior studies indicate an important risk factor for persistent opioid use includes elective surgical procedures, though the probability following thoracic procedures remains unknown. We analyzed the incidence and factors associated with new persistent opioid use after lung resection. METHODS: We evaluated data from opioid-naïve cancer patients undergoing lung resection between 2010 and 2014 using insurance claims from the Truven Health MarketScan Databases. New persistent opioid usage was defined as continued...
Source: The Annals of Thoracic Surgery - October 11, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Brescia AA, Harrington CA, Mazurek A, Ward S, Lee JSJ, Hu HM, Brummett CM, Waljee JF, Lagisetty PA, Lagisetty KH Tags: Ann Thorac Surg Source Type: research

PorphyrinHDL: A Novel Photosensitizing Nanoparticle for Lung Cancer Therapy.
Abstract BACKGROUND: We have developed ultra-small porphyrin-lipoprotein nanoparticles (
Source: The Annals of Thoracic Surgery - October 11, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Ujiie H, Ding L, Fan R, Kato T, Lee D, Fujino K, Kinoshita T, Lee CY, Waddell TK, Keshavjee S, Wilson BC, Zheng G, Chen J, Yasufuku K Tags: Ann Thorac Surg Source Type: research

Robotic-Assisted Surgical Ablation of Atrial Fibrillation Combined with Mitral Valve Surgery.
CONCLUSIONS: Surgical AF ablation using robotic-assistance in the setting of mitral valve surgery showed excellent safety and favorable long-term clinical outcomes. PMID: 30316854 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 11, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Ju MH, Huh JH, Lee CH, Kim HJ, Je HG, Kim JB, Jung SH, Lee JW Tags: Ann Thorac Surg Source Type: research

Minimally Invasive Approach for Complex Mitral Disease:time to choose the lesser of evils?
PMID: 30316855 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 11, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Nappi F Tags: Ann Thorac Surg Source Type: research

Operative planning in Thoracic Surgery: A pilot study comparing imaging techniques and 3D printing.
CONCLUSIONS: 3D printing in the planning of thoracic surgery may suggest a benefit over contemporary available imaging modalities and the use of 3D printing in practicing operations is being established. PMID: 30316856 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 11, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Smelt JL, Suri T, Valencia O, Jahangiri M, Rhode K, Nair A, Bille A Tags: Ann Thorac Surg Source Type: research

When Cold Matters, Consider Your Options.
PMID: 30316857 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 11, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Abjigitova D, Bogers AJJC, Bekkers JA, Mokhles MM Tags: Ann Thorac Surg Source Type: research

Superior Vena Cava Replacement for Thymic Malignancies.
CONCLUSIONS: En-bloc resection and conduit reconstruction of SVC is a good option to allow radical resection of locally advanced thymic tumours. Heterologous pericardial conduit represents the favourite option in our experience. PMID: 30316858 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 11, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Maurizi G, Poggi C, D'Andrilli A, Vanni C, Ciccone AM, Ibrahim M, Andreetti C, Tierno SM, Venuta F, Rendina EA Tags: Ann Thorac Surg Source Type: research

Effect of Hospital Ownership on Outcomes after Left Ventricular Assist Device Implantation in the United States.
Abstract BACKGROUND: We sought to evaluate the effects of hospital ownership, classified into three tiers (nonfederal government, not-for-profit, and for-profit hospitals) on in-hospital outcomes after implantation of continuous-flow left ventricular assist devices (LVADs) in the United States from 2009 to 2014. METHODS: Using data from the National Inpatient Sample and the U.S. Census Bureau, annual national estimates in utilization, in-hospital mortality, major complications length-of-stay, cost of hospitalization, and disposition at discharge were estimated for years 2009-2014. Complications were calculate...
Source: The Annals of Thoracic Surgery - October 11, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Briasoulis A, Inampudi C, Akintoye E, Adegbala O, Bhama J, Alvarez P Tags: Ann Thorac Surg Source Type: research

Valve sparing aortic root replacement in an 8-month-old infant with Loeys-Dietz syndrome
Publication date: Available online 10 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Konrad Wisniewski, Sybille Singer, Hans-Gerd Kehl, Pawel Nawrocki, Katarzyna Januszewska, Edward MalecAbstractThe clinical experience with Loeys-Dietz syndrome (LDS) reveals fateful natural history with intracerebral incidents and aortic dissections. A newborn child was referred to our hospital with significantly dilated aortic root and clinical signs of LDS phenotype later genetically confirmed as LDS type I. A therapy with antihypertensive medicines was initiated to postpone the surgery. Despite that, aortic root dilatation...
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Resection of an Esophageal Diverticulum by Thoracoscopy in Prone Position
We present the case of a 60 year old male with a large midesophageal diverticulum, treated successfully by four-port VATS in prone position (procedure summarized in video).Thoracoscopy is a good approach for direct visualization of the diverticulum, prone position has several advantages to help clear the view. We advise against routine myotomy for middle-third diverticula given the risk of poor functional result and diverticulization of the myotomy itself. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Surgical outcomes in Behcet’s disease patients with severe aortic regurgitation
ConclusionsThe findings suggest that mechanical root replacement combined with a low post-operative C-reactive protein level maintained through adjunctive immunomodulation therapy may lead to optimal surgical outcomes in Behcet’s disease associated with severe aortic regurgitation. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Neighborly Help or Itinerant Surgery?
Publication date: Available online 10 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): James S. Allan, Alberto Ferreres, Robert M. Sade (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

The risk of misdiagnosing pulmonary adenocarcinoma as traumatic pseudocyst in a young adult
Publication date: Available online 10 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Mitsuhiro Kamiyoshihara, Ryohei Yoshikawa, Hitoshi Igai, Fumi Ohsawa, Tomohiro YazawaAbstractA 35-year-old male was transferred because of bruising on the chest. A computed tomography scan revealed a pulmonary pseudocyst. Although the pulmonary pseudocyst remained unchanged it accumulated fluid. Based on our concern regarding hemoptysis, the patient underwent S6 segmentectomy of the right lower lobe. The postoperative pathological examination revealed a cystic lesion, including a white mass on the cystic wall. Unexpectedly, t...
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Graft replacement Kommerell's diverticulum and in-situ aberrant subclavian artery reconstruction (Commentary)
Publication date: Available online 10 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Alberto Pochettino (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Minimally Invasive Intragastric Approach to Gastroesophageal Junction Pathology
ConclusionsResection of selected intramural GEJ pathology using a minimally invasive trans-gastric approach can be performed safely with acceptable morbidity and good long-term results. The approach allows preservation of the LES and vagi, a potential advantage compared to other surgical alternatives to resection in this region. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Impact of isolated cerebral perfusion technique for aortic arch aneurysm repair in elderly patients
ConclusionsICP during total aortic arch replacement presents an acceptable procedure for elderly patients with severely atherosclerotic aortas. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

A single-center experience of 900 inter-hospital transports on extracorporeal membrane oxygenation (Commentary)
Publication date: Available online 10 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Nicholas R. Teman (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Assessment of Fissure Integrity in Patients with Intrabronchial Valves for Treatment of Prolonged Air Leak
Publication date: Available online 10 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Adnan Majid, Fayez Kheir, Melibea Sierra, Christian Ghattas, Mihir Parikh, Colleen Channick, Colleen Keyes, Alex Chee, Sebastian Fernandez-Bussy, Sidhu Gangadharan, Erik FolchAbstractBackgroundIntrabronchial valves(IBV) is a treatment alternative for persistent air leak(PAL). However, there is a paucity of evidence regarding whether the absence of collateral ventilation(CV) can predict successful treatment of PAL with IBV placement. We assessed whether absence of CV measured by fissure integrity could predict successful resol...
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Is it time for a peri-operative registry on pneumonectomy surgery?
Publication date: Available online 10 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Priyadharshanan Ariyaratnam (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Late onset valve dislocation of the Edwards Intuity rapid-deployment bioprosthesis
Publication date: Available online 10 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Max Wacker, Ingo Slottosch, Maximilian Scherner, Sam Varghese, Jens WippermannAbstractOver the last decade, aortic valve replacement with rapid-deployment biological bioprosthesis has become a common alternative technique to mechanical or biological stented valves for high-risk patients. A 63 year old patient underwent uncomplicated valve replacement with the Edwards Intuity valve. 2 months post operation, the patient had progredient dyspnea. Echocardiography showed a dislocated aortic valve reaching into the left ventricular...
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Converting Fontan-Björk to 1.5- or 2-ventricle circulation
We present two successful cases to illustrate this idea. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Extracardiac Versus lateral tunnel Fontan: A Meta-Analysis of Long-Term Results
Publication date: Available online 10 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Walid Ben Ali, Ismail Bouhout, Paul Khairy, Denis Bouchard, Nancy PoirierAbstractBackgroundThere is growing awareness of the long-term impact of a Fontan circulation on the associated morbidity and mortality. Comparative data on the incidence of supraventricular arrhythmia and sinus node dysfunction following extra cardiac (EC) and lateral tunnel (LT) Fontans are controversial. We performed a meta-analysis pooling all available long-term results comparing the EC and LT Fontan with a special focus on arrhythmia.MethodsWe perfo...
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Intraoperative device closure of a perimembranous VSD using the right thoracic-ventricle approach
ConclusionsIntraoperative device closure of a pmVSD via the right-thoracic-minimal-incision-to-right-ventricle approach is safe and effective. This procedure can avoid some of the shortcomings caused by sternotomy, uses an incision with an improved cosmetic appearance, and is worth recommendation. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Objective Donor Scoring System for Lung Transplantation
Publication date: Available online 9 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): William M. Whited, Jaimin R. Trivedi, Victor H. van Berkel, Matthew P. FoxAbstractBackgroundThere is not an objective method to estimate post lung transplant (LTx) survival based solely on cumulative donor risk factors.MethodsThe UNOS thoracic transplant database was queried to identify patients who underwent lung transplant between 2005 and 2015. A cox-proportional hazard model was generated using a training set to identify donor risk factors significantly associated with post-transplant survival. Significant donor risk facto...
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Incentive Spirometry after Lung Resection: Importance of Patient Adherence
Publication date: Available online 9 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Jane Chen, Adam E.M. Eltorai (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Risks and Rewards of Advanced Practice Providers in Cardiothoracic Surgery Training: National Survey
This study aimed to analyze the extent of APP utilization on the CTS team, their role within the hierarchy of clinical care, and the impact of PEs on CTS training from the resident perspective.MethodsCTS residents’ responses to the 2017 Thoracic Surgery Residents Association (TSRA)/Thoracic Surgery Directors Association (TSDA) In-Service Training Examination (ITE) survey regarding the role of APPs in specific clinical scenarios, and perception of APP contribution to residents’ educational environment were analyzed. Statistical analysis of categorical variables was performed in SPSS using a Fisher’s exact ...
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Early Prognosis of Reduction Ascending Aortoplasty
Publication date: Available online 9 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Ismail Yurekli, Mert Kestelli, Habib Cakir, Ihsan Peker, Erturk Karaagac (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Does the Approach Matter? Comparing Survival in Robotic, Minimally Invasive and Open Esophagectomies
Publication date: Available online 9 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Fernando Espinoza-Mercado, Taryne A. Imai, Jerald D. Borgella, Ariella Sarkissian, Derek Serna-Gallegos, Rodrigo F. Alban, Harmik J. SoukiasianAbstractBackgroundOur objective is to determine how surgical approach impacts overall survival and postoperative outcomes when comparing robotic-assisted minimally invasive esophagectomy (RAMIE), minimally invasive esophagectomy (MIE) and open esophagectomy (OE).MethodsThe National Cancer Data Base (NCDB) was queried for patients diagnosed with pathologic Stage 0-III esophageal cancer f...
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Anomalous Aortic Origin of the Coronary Arteries: A Novel Unroofing Technique in an Adult Cohort
ConclusionsUnroofing by sharp excision and by electrical fulguration were equally safe short-term. Fulguration is technically easier and faster while still equally effective. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Direct true lumen cannulation for acute type A aortic dissection
Publication date: Available online 9 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Sergey Yurevich Boldyrev, Angelina Andreevna Polyahova, Kirill Olegovich Barbukhatty, Vladimir Alekseevich Porhanov (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Clinicopathological Features of Thymoma with the Expression of Programmed Death-Ligand 1
Publication date: Available online 9 October 2018Source: The Annals of Thoracic SurgeryAuthor(s): Shuhei Hakiri, Takayuki Fukui, Shunsuke Mori, Koji Kawaguchi, Shota Nakamura, Naoki Ozeki, Taketo Kato, Masaki Goto, Yasushi Yatabe, Kohei YokoiAbstractBackgroundProgrammed death-ligand 1 (PD-L1) is reportedly expressed in various malignancies and is considered a prognostic factor. We attempted to reveal the usefulness of the PD-L1 expression as a prognostic factor in patients with thymoma.MethodsEighty-one patients with thymoma who underwent surgical resection between 2004 and 2015 were retrospectively reviewed. The PD-L1 exp...
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Surgical outcomes in Behcet's disease patients with severe aortic regurgitation.
CONCLUSIONS: The findings suggest that mechanical root replacement combined with a low post-operative C-reactive protein level maintained through adjunctive immunomodulation therapy may lead to optimal surgical outcomes in Behcet's disease associated with severe aortic regurgitation. PMID: 30315793 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Ghang B, Kim JB, Jung SH, Chung CH, Lee JW, Song JM, Kang DH, Kim DH, Kim J, Yoo B, Choo SJ Tags: Ann Thorac Surg Source Type: research

Converting Fontan-Bj örk to 1.5- or 2-ventricle circulation.
We present two successful cases to illustrate this idea. PMID: 30315794 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Hopkins KA, Brown JW, Darragh RK, Kay WA Tags: Ann Thorac Surg Source Type: research

Minimally Invasive Intragastric Approach to Gastroesophageal Junction Pathology.
CONCLUSIONS: Resection of selected intramural GEJ pathology using a minimally invasive trans-gastric approach can be performed safely with acceptable morbidity and good long-term results. The approach allows preservation of the LES and vagi, a potential advantage compared to other surgical alternatives to resection in this region. PMID: 30315795 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Villano AM, Lofthus A, Watson TJ, Haddad NG, Marshall MB Tags: Ann Thorac Surg Source Type: research

Impact of isolated cerebral perfusion technique for aortic arch aneurysm repair in elderly patients.
CONCLUSIONS: ICP during total aortic arch replacement presents an acceptable procedure for elderly patients with severely atherosclerotic aortas. PMID: 30315796 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Kasama K, Uchida K, Karube N, Takebayashi S, Imoto K, Masuda M Tags: Ann Thorac Surg Source Type: research

Valve sparing aortic root replacement in an 8-month-old infant with Loeys-Dietz syndrome.
Abstract The clinical experience with Loeys-Dietz syndrome (LDS) reveals fateful natural history with intracerebral incidents and aortic dissections. A newborn child was referred to our hospital with significantly dilated aortic root and clinical signs of LDS phenotype later genetically confirmed as LDS type I. A therapy with antihypertensive medicines was initiated to postpone the surgery. Despite that, aortic root dilatation progressed to 33mm (z-score +9.3). To avoid aortic rupture a valve sparing aortic root replacement was performed at the age of 8 months. The purpose of this report was to share our dilemmas ...
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Wisniewski K, Singer S, Kehl HG, Nawrocki P, Januszewska K, Malec E Tags: Ann Thorac Surg Source Type: research

Resection of an Esophageal Diverticulum by Thoracoscopy in Prone Position.
We present the case of a 60 year old male with a large midesophageal diverticulum, treated successfully by four-port VATS in prone position (procedure summarized in video). Thoracoscopy is a good approach for direct visualization of the diverticulum, prone position has several advantages to help clear the view. We advise against routine myotomy for middle-third diverticula given the risk of poor functional result and diverticulization of the myotomy itself. PMID: 30315798 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Chandeze MM, Gayet B, Cowan J, Ferraz JM, Fuks D Tags: Ann Thorac Surg Source Type: research

Extracardiac Versus lateral tunnel Fontan: A Meta-Analysis of Long-Term Results.
Abstract BACKGROUND: There is growing awareness of the long-term impact of a Fontan circulation on the associated morbidity and mortality. Comparative data on the incidence of supraventricular arrhythmia and sinus node dysfunction following extra cardiac (EC) and lateral tunnel (LT) Fontans are controversial. We performed a meta-analysis pooling all available long-term results comparing the EC and LT Fontan with a special focus on arrhythmia. METHODS: We performed a systematic search of PubMed, EMBASE, and Cochrane Library for articles reporting long-term results of Fontan comparing the EC and the LT Fontan. ...
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Ali WB, Bouhout I, Khairy P, Bouchard D, Poirier N Tags: Ann Thorac Surg Source Type: research

The risk of misdiagnosing pulmonary adenocarcinoma as traumatic pseudocyst in a young adult.
Abstract A 35-year-old male was transferred because of bruising on the chest. A computed tomography scan revealed a pulmonary pseudocyst. Although the pulmonary pseudocyst remained unchanged it accumulated fluid. Based on our concern regarding hemoptysis, the patient underwent S6 segmentectomy of the right lower lobe. The postoperative pathological examination revealed a cystic lesion, including a white mass on the cystic wall. Unexpectedly, the mass was composed of papillary adenocarcinoma. Acute care surgeons should be alert to the possible presence of tumor in trauma patients. A cystic lesion must be carefully ...
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Kamiyoshihara M, Yoshikawa R, Igai H, Ohsawa F, Yazawa T Tags: Ann Thorac Surg Source Type: research

Is it time for a peri-operative registry on pneumonectomy surgery?
PMID: 30315801 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Ariyaratnam P Tags: Ann Thorac Surg Source Type: research

Graft replacement Kommerell's diverticulum and in-situ aberrant subclavian artery reconstruction (Commentary).
PMID: 30315802 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Pochettino A Tags: Ann Thorac Surg Source Type: research

Surgical treatment for pulmonary embolization of a right atrial myxoma.
We report the case of a woman with pulmonary embolism due to a cardiac mass. Echocardiography, CT scan and cardiac magnetic resonance raised the suspicion of right atrial myxoma and confirmed the presence of pulmonary embolism. The patient was sent to Pavia, where the atrial myxoma was excised, and using interrupted periods of circulatory arrest, extraction of the myxoma emboli from the pulmonary arteries was performed. No adjuvant chemotherapy was required as surgical treatment is an effective therapy in cases of pulmonary embolism of a benign neoplastic mass. PMID: 30315803 [PubMed - as supplied by publisher] (Sourc...
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Merli VN, Dell'Oglio S, Grazioli V, Monterosso C, Vanini B, Gori M, Quarta G, D'Armini AM Tags: Ann Thorac Surg Source Type: research

Assessment of Fissure Integrity in Patients with Intrabronchial Valves for Treatment of Prolonged Air Leak.
Abstract BACKGROUND: Intrabronchial valves(IBV) is a treatment alternative for persistent air leak(PAL). However, there is a paucity of evidence regarding whether the absence of collateral ventilation(CV) can predict successful treatment of PAL with IBV placement. We assessed whether absence of CV measured by fissure integrity could predict successful resolution of PAL with IBV placement. METHODS: A multicenter, retrospective study was performed. Patients who underwent IBV placement for PAL were identified. Chest-computed-tomography analysis via VIDA Diagnostics was used to assess CV. CV was present if the tr...
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Majid A, Kheir F, Sierra M, Ghattas C, Parikh M, Channick C, Keyes C, Chee A, Fernandez-Bussy S, Gangadharan S, Folch E Tags: Ann Thorac Surg Source Type: research

Late onset valve dislocation of the Edwards Intuity rapid-deployment bioprosthesis.
Abstract Over the last decade, aortic valve replacement with rapid-deployment biological bioprosthesis has become a common alternative technique to mechanical or biological stented valves for high-risk patients. A 63 year old patient underwent uncomplicated valve replacement with the Edwards Intuity valve. 2 months post operation, the patient had progredient dyspnea. Echocardiography showed a dislocated aortic valve reaching into the left ventricular outflow tract, impairing the anterior mitral valve leaflet. Both valves were replaced by a conventional stented bioprosthesis. With this case, we report the first cas...
Source: The Annals of Thoracic Surgery - October 10, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Wacker M, Slottosch I, Scherner M, Varghese S, Wippermann J Tags: Ann Thorac Surg Source Type: research

Clinicopathological Features of Thymoma with the Expression of Programmed Death-Ligand 1.
Abstract BACKGROUND: Programmed death-ligand 1 (PD-L1) is reportedly expressed in various malignancies and is considered a prognostic factor. We attempted to reveal the usefulness of the PD-L1 expression as a prognostic factor in patients with thymoma. METHODS: Eighty-one patients with thymoma who underwent surgical resection between 2004 and 2015 were retrospectively reviewed. The PD-L1 expression was evaluated by immunohistochemistry and stratified by the proportion of positive tumor cells. Strong membranous reactivity of the PD-L1 antibody in ≥ 1% of tumor cells was considered 'positive'. The associatio...
Source: The Annals of Thoracic Surgery - October 9, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Hakiri S, Fukui T, Mori S, Kawaguchi K, Nakamura S, Ozeki N, Kato T, Goto M, Yatabe Y, Yokoi K Tags: Ann Thorac Surg Source Type: research