The Society of Thoracic Surgeons 56th Annual Meeting January 25-28, 2020 Ernest N. Morial Convention Center New Orleans, Louisiana
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Surgeon-Driven Decision-Making Can Be Ethically Supportable
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): Denise M. Dudzinski, Alexander A. Kon (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

No Informed Consent/No Mitral Valve Surgery
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): Robbin G. Cohen, Wendy Kohlhase (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Validity of Patient-Requested Noninformed Consent
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): Jessica G.Y. Luc, Jason J. Han, James G. Abel (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Recalcitrant Noninformed Patient
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): William M. Novick (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Consent Refusenik
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): David Blitzer (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Noninformed Consent and Autonomy
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): John W.C. Entwistle (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Reinterpreting Informed Decision-Making Through The Clinician–Patient Relationship
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): Georgina D. Campelia, James N. Kirkpatrick (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Informed Consent Requires The Patient Have The Opportunity To Be Informed
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): Peter Angelos (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Noninformed Consent Can Be Ethically Defensible
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): Udo Schuklenk (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Algorithmic vs Conscientious Professional Responsibility
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): Daniel E. Wueste (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Acting In Good Faith: Operating Without Truly Informed Consent
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): Jeffrey G. Gaca (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Meaningful Consent From a Willfully Noninformed Patient
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): Michael E. Bowdish, Peter F. Crookes (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Delegating Decision-Making Authority To a Surrogate
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): Lainie Friedman Ross (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

An Exploration of Myths, Barriers, and Strategies for Improving Diversity Among STS Members
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): Leah M. Backhus, Jacques Kpodonu, Jennifer C. Romano, Glenn J. Pelletier, Ourania Preventza, David T. CookeDiversity within health care organizations has many proven benefits, yet women and other groups remain underrepresented in cardiothoracic surgery. We sought to explore responses from a Society of Thoracic Surgeons (STS) survey to identify myths and barriers for informing organizational strategies in the STS and cardiothoracic surgery. We performed a qualitative review of narrative survey responses within three domains ...
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Society of Thoracic Surgeons National Database 2019 Annual Report
This article provides the fourth annual summary of the status of the STS National Database. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Patient Satisfaction After Lung Cancer Surgery: Do Clinical Outcomes Affect Hospital Consumer Assessment of Health Care Providers and Systems Scores?
ConclusionsOverall HCAHPS satisfaction scores after lung resection for cancer were high and were negatively associated with increasing length of stay. Patient satisfaction may be affected more by the perception of effective communication during prolonged hospitalizations than by complications. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Salvage Surgery After Chemotherapy or Chemoradiotherapy for Initially Unresectable Lung Carcinoma
ConclusionsAlthough cardiopulmonary complications can accompany salvage surgery, the procedure is generally safe. Survival outcome is encouraging, especially in cases with good response to initial treatment. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Should Pathologically Noninvasive Lung Adenocarcinoma Larger Than 3 cm Be Classified as T1a?
ConclusionsThere is a possibility that tumor diameter need not be a consideration for AIS classification. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Reply
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): Michael C. Sinclair (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Outcomes of Repair of Kommerell Diverticulum
This study assessed outcomes of open and endovascular repair of this disorder.MethodsBetween 1997 and 2016, 152 adult patients presented with KD at Cleveland Clinic (Cleveland, OH), 87 had no intervention, and 65 underwent open repair (n = 55; 19 elephant trunk [ET] procedures [9 with aortic dissection], including 7 frozen ET, and completions with 5 thoracic endovascular aortic repairs, 2 open, and 5 lost to follow-up) or endovascular procedures (n = 10). Non-ET open KD repairs consisted of resection (n = 15), interposition graft (n = 16), patch (n = 4), or aortopexy (n = 1). Maximum KD diamet...
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): Leonard N. Girardi, Christopher H. Lau (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): Vincent Chauvette, Ismail El-Hamamsy (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Single-Stage Management of Dynamic Malperfusion Using a Novel Arch Remodeling Hybrid Graft
ConclusionsThe AMDS provides an effective single-stage malperfusion management strategy. In this study, dynamic malperfusion involving supraaortic, visceral, spinal cord, and lower extremities were treated concurrently with the index standard-of-care operation without delay in life-saving care. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): George L. Hicks (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): Bruce D. Spiess (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Early and Midterm Outcomes in High-risk Single-ventricle Patients: Hybrid Vs Norwood Palliation
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): Christopher T. Sower, Jennifer C. Romano, Sunkyung Yu, Ray Lowery, Sara K. Pasquali, Jeffrey D. ZampiBackgroundAlthough overall outcomes have improved for single-ventricle patients, substantial morbidity and mortality remain for certain high-risk groups. The hybrid stage I procedure is an alternative to the Norwood operation for stage I palliation, but it remains unclear whether it is associated with improved outcomes in high-risk patients.MethodsThis single-center, nested, case-control study included high-risk patients wit...
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Invited Commentary
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): Paul J. Chai (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Safety and Efficacy of Vasopressin After Fontan Completion: A Randomized Pilot Study
ConclusionsVasopressin infusion after Fontan completion appears safe and was associated with reduced transpulmonary gradient and chest tube drainage in the early postoperative period. A larger multiinstitutional study may show further outcome benefit. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Surgical Repair of Ebstein’s Anomaly Using a Bicuspidization Approach
ConclusionsThe bicuspidization surgical technique resulted in 91% percent of patients undergoing a successful initial repair. These results suggest this technique may be a viable alternative to the “cone” procedure. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Multicenter Experience With 500 CardioCel Implants Used for the Repair of Congenital Heart Defects
ConclusionsCardioCel has good durability when used for the repair of congenital heart defects. It performs comparably in the systemic and pulmonary circulations in neonates, infants, and older children. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

American Board of Thoracic Surgery 10-Year Maintenance of Certification Exam Improves and Validates Knowledge Acquisition
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): Yolonda L. Colson, Joe B. Putnam, Stephen C. Yang, James I. Fann, Ara A. Vaporciyan, Joseph A. Dearani, David R. Jones, Mark S. Allen, Bryan F. Meyers, Cameron D. Wright, Richard J. Shemin, William A. Baumgartner, David A. FullertonBackgroundPrevious “high-stakes” examinations by the American Board of Thoracic Surgery (ABTS) required remote testing, were noneducational, and were not tailored to individual practices. Given the ABTS mission of public safety and diplomate education, the ABTS Maintenance of Certific...
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

A Potentially Malignant Giant Esophageal Paraganglioma
We report a 39-year-old man with a giant high-risk esophageal paraganglioma who underwent a hybrid minimally invasive 3-hole esophagectomy. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Video-Assisted Thoracoscopic Pneumonectomy for Complications of Congenital Pulmonary Venous Stenosis
In this report, we describe a 37-year-old woman with known congenital unilateral pulmonary venous stenosis and a unilateral hypoplastic right pulmonary artery who presented with recurrent episodes of hemoptysis, requiring multiple catheter-based interventions, and symptomatic pleural effusions, requiring multiple large-volume thoracenteses. The patient underwent successful video-assisted thoracoscopic pneumonectomy with resolution of symptoms. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Reoperation With Coronary Reimplantation After Takeuchi Repair of Bland-White-Garland Syndrome
We present a 1-year-old boy with Bland-White-Garland syndrome (anomalous origin of the left coronary artery from the pulmonary artery) who underwent coronary reimplantation. He had previously undergone a Takeuchi procedure at 7 months of age. He was hospitalized because the patency of the intrapulmonary tunnel to the left coronary could not be confirmed by routine computed tomography in an outpatient facility. The left coronary reimplantation was performed by extending the coronary artery with an autologous pulmonary artery wall. The postoperative course was uneventful. The patient’s left ventricular function had imp...
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Transconal Unroofing of Anomalous Left Main Coronary Artery From Right Sinus With Trans-septal Course
We describe a novel transconal approach to effectively unroof the trans-septal left main coronary artery. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Partial Resection of a Huge Left Ventricle Cardiac Fibroma in an Asymptomatic Child
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): Haisong Bu, Yibo Gong, Li XieAn asymptomatic, 9-year-old boy was referred to our institution for a left ventricular cardiac mass incidentally discovered during a medical examination. The patient was asymptomatic and physical examination was unremarkable. Chest radiography showed an abnormal heart shadow in the left ventricle field. Echocardiography revealed an echo-bright mass attached to the left ventricle free wall with mitral obstruction or compromise to the flow. Computed tomography was performed, from which a large, we...
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Combined Coronary Artery Bypass Surgery With Bone Marrow Stem Cell Transplantation: Are We There Yet?
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): Kamal S. Ayyat, Ahmed Argawi, Meinhard Mende, Gustav Steinhoff, Michael A. Borger, Ahmed M. Deebis, Kenneth R. McCurry, Jens GarbadeBackgroundAlthough the safety and feasibility of combined coronary artery bypass grafting (CABG) and bone marrow stem cell (BMSC) transplantation have been proven, the efficacy of this approach remains controversial. Therefore, we conducted an updated meta-analysis of randomized controlled trials to evaluate the efficacy of this procedure.MethodsElectronic databases were systematically searched...
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Optimal Management to Maintain Fontan-like Circulation During Left Ventricular Assist Device Support
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): Teruhiko Imamura (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Reply
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): Naoto Fukunaga, Vivek Rao (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Reply
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): Lawrence M. Wei, J. Scott Rankin, Vinay Badhwar (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Length of Intensive Care Unit Stay: An Unneglectable Risk Factor for Postoperative Delirium
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): Dong Tian, Yu Wang, Long-Qi Chen (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Reply
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): Mikita Fuchita, Sikandar H. Khan, Babar A. Khan (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Role of Anatomic Resection in Pulmonary Metastasectomy
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): Hu Liao, Zhilan Xiao (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Reply
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): John R. Handy, Michael Lanuti (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Fostering the Future of Cardiac Surgery Around the World
Publication date: December 2019Source: The Annals of Thoracic Surgery, Volume 108, Issue 6Author(s): Dominique Vervoort, Jessica G.Y. Luc (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Avoiding manipulation of the aorta reduces the adverse events: of course, but which manipulations?
PMID: 31765614 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Specchia L, Melone M, Santarpino G Tags: Ann Thorac Surg Source Type: research

A rare cause of misplaced port catheter: episternal ossicles with abundant fibrous capsule.
PMID: 31765615 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Lee HY, Huang WL, Cheng LL, Huang LT Tags: Ann Thorac Surg Source Type: research

Multiple pulmonary resections for Synchronous and Metachronous Lung Cancer at Two Chinese Centers.
CONCLUSIONS: MPR is valid for patients with synchronous and metachronous LCMPS. PMID: 31765616 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kang X, Zhang C, Zhou H, Zhang J, Yan W, Zhong WZ, Chen KN Tags: Ann Thorac Surg Source Type: research

It is not Hemi-Mustard nor Hemi-Senning: It is the clock that ticks (Reply).
PMID: 31765617 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Francois K Tags: Ann Thorac Surg Source Type: research