Persistent levoatriocardinal vein in rheumatic mitral stenosis
Publication date: Available online 9 November 2019Source: The Annals of Thoracic SurgeryAuthor(s): Sreenivasa Narayana Raju, Arun Sharma, S.H. Chandrashekhara (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 9, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Persistent levoatriocardinal vein in rheumatic mitral stenosis.
PMID: 31715150 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Raju SN, Sharma A, Chandrashekhara SH Tags: Ann Thorac Surg Source Type: research

Repair of Complex Transposition of Great Arteries: Up to 30 Years of Follow-Up.
CONCLUSIONS: Long-term survival is good without detectable differences between operations. Since the early 2000s increasing use of Nikaidoh and REV-procedures was obvious, with REV performing particularly well. Surgery-specific and unspecific reoperations are most common after Rastelli. PMID: 31715151 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kari FA, Bohnens H, Bierbach B, Bacha EA, Stiller B, Bauer U Tags: Ann Thorac Surg Source Type: research

Plasmapharesis in Patients with Heparin-Induced Thrombocytopenia Requiring Ventricular Assist Device.
We describe two patients with HIT confirmed via serotonin release assay who were successfully treated with plasmapheresis exchange before LVAD placement. PMID: 31715152 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Maffei SR, Lamba HK, Mensah CK, Bracey A, Civitello A, Delgado R, Simpson L, Nair A, Frazier OH, Morgan JA Tags: Ann Thorac Surg Source Type: research

Bilateral Internal Thoracic Artery In Situ Versus Y-Composite Graftings: Long-Term Outcomes.
CONCLUSIONS: The off-pump CABG using bilateral ITAs as in situ versus Y-composite grafts demonstrated no differences in terms of 10-year patency rates and long-term clinical outcomes between the groups. PMID: 31715153 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Sohn SH, Lee Y, Choi JW, Hwang HY, Kim KB Tags: Ann Thorac Surg Source Type: research

Long-term follow-up of epicardial pacing and left ventricular dysfunction in children with congenital heart block.
CONCLUSIONS: Our study suggests that RV free wall pacing may be a significant risk factor for LV dysfunction. Pacemaker-induced LV dysfunction was improved via lead relocation to the RV apex or cardiac resynchronization therapy upgrade. Future studies with a bigger sample size and longer-term follow-up are required to confirm our results. PMID: 31715154 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Song MK, Kim NY, Bae EJ, Kim GB, Kwak JG, Kim WH, Lee JR Tags: Ann Thorac Surg Source Type: research

Out-of-Hospital 30-day Deaths Following Cardiac Surgery Are Often Under-reported.
CONCLUSIONS: Operative mortality following cardiac surgery is often under-reported due to a considerable percentage of out-of-hospital cardiac surgery deaths that are missed by reporting centers. This can adversely impact the assessment of hospital risk-adjusted mortality in public reports. PMID: 31715155 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Hannan EL, Samadashvili Z, Cozzens K, Chikwe J, Adams DH, Sundt TM, Girardi L, Smith CR, Lahey SJ, Gold JP, Wechsler A, Jordan D, Ashraf MH, Kurlansky PA Tags: Ann Thorac Surg Source Type: research

Evaluation of the LACE+ Index for Short-Term Cardiac Surgery Outcomes: A Coarsened Exact Match Study.
Abstract BACKGROUND: The potential of LACE+ scores, in patients undergoing cardiac surgery, to predict short-term undesirable outcomes was examined. METHODS: Coarsened exact matching was used to assess the predictive capacity of the LACE+ index amongst all cardiac surgery cases over a two-year period (2016-2018) at one health system (n=4001). Study subjects were matched on characteristics not assessed by LACE+, including duration of surgery, wound class, BMI, insurance type, median household income, and race amongst others. For comparison of outcomes, LACE score was divided into quartiles and otherwise matche...
Source: The Annals of Thoracic Surgery - November 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Glauser G, Caplan IF, Winter E, Goodrich S, McClintock SD, Atluri P, Malhotra NR Tags: Ann Thorac Surg Source Type: research

Artificial Intelligence and Machine Learning in Cardiovascular Healthcare
ConclusionsAlthough there is an expanding body of literature on AI and ML in cardiovascular medicine, the future these fields will have in clinical practice remains to be paved. In particular, there is a promising role in providing automated imaging interpretation, automated data extraction and quality control, and clinical risk prediction although these techniques require further refinement and evaluation. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 8, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Lung ultrasonography in Paediatric cardiac surgery: a complementary diagnostic tool
Publication date: Available online 6 November 2019Source: The Annals of Thoracic SurgeryAuthor(s): Marco Sperandeo, Antonio Mirijello, Salvatore De Cosmo (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 8, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

A Missed Diagnosis of Hemangioma Mimicking Neurogenic Tumor in the Posterior Mediastinum
Publication date: Available online 7 November 2019Source: The Annals of Thoracic SurgeryAuthor(s): Lei Peng, Han-Yu Deng, Chang-Long Qin, Qinghua Zhou (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 8, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

A Staging System for Neuroendocrine Tumors of the Lung Needs to Incorporate Histological Grade
CONCLUSIONSGrade was the dominant driver of prognosis in patients with neuroendocrine tumors of the lung. Incorporation of grade with traditional TNM parameters better discriminates between stage categories compared to current AJCC staging. Future NETL staging systems should include histologic grade. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 8, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Deep Venous Thrombosis and Pulmonary Embolism in Cardiac Surgical Patients
This study aimed to characterize the national incidence, mortality, and costs associated with thromboembolism following cardiac surgery.MethodsThe 2005-2015 National Inpatient Sample was used to identify all adult patients undergoing coronary artery bypass grafting or valve surgery. International Classification of Disease codes were used to identify patients with deep venous thrombosis and pulmonary embolism.ResultsOf approximately 3 million patients undergoing cardiac surgery, 1.62% developed deep venous thrombosis and 0.38% pulmonary embolism. Those with deep venous thrombosis and pulmonary embolism were more commonly fe...
Source: The Annals of Thoracic Surgery - November 8, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Smoking Cessation after Surgery and Mid-Term Outcomes of Surgical Revascularization
Publication date: Available online 7 November 2019Source: The Annals of Thoracic SurgeryAuthor(s): Farzad Masoudkabir, Negin Yavari, Mina Pashang, Saeed Sadeghian, Arash Jalali, Abbasali Karimi, Jamshid Bagheri, Kiomars Abbasi, Saeed Davoodi, Abbas Salehi Omran, Mahmood Shirzad, Seyed Hossein Ahmadi TaftiAbstractBackgroundAlthough multiple studies reported the devastating effect of Cigarette smoking (CS) on short-term outcomes of patients who underwent coronary artery bypass grafting surgery (CABG), its effect on long-term outcomes is still questionable. We aimed to evaluate the long-term outcomes of CS cessation after CAB...
Source: The Annals of Thoracic Surgery - November 8, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Examination of a Proposed 30-Day Readmission Risk Score on Discharge Location and Cost
Publication date: Available online 7 November 2019Source: The Annals of Thoracic SurgeryAuthor(s): Scott D. Barnett, Eric Sarin, Andy C. Kiser, Gorav Ailawadi, Robert B. Hawkins, J. Hunter Mehaffey, Zachary Tyerman, Jeffrey B. Rich, Mohammad A. Quader, Alan M. SpeirAbstractBackgroundReadmissions cost an estimated $41 billion in the United States each year. To address this, a single institution recently developed a new risk model predictive of 30-day readmission following adult cardiac surgery. The purpose of this study is to validate and refine this new readmission risk model using a statewide database.MethodsA total of 19...
Source: The Annals of Thoracic Surgery - November 8, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Predictive Utility of a Machine Learning Algorithm in Estimating Mortality Risk in Cardiac Surgery
ConclusionsMachine learning algorithms such as XGBoost have promise in predictive analytics in cardiac surgery. The modest improvements in model performance demonstrated in the current study warrant further validation in larger cohorts of patients. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 8, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Controlling the cost of management of congenital heart disease (Reply)
Publication date: Available online 7 November 2019Source: The Annals of Thoracic SurgeryAuthor(s): Kimberly E. McHugh, Sara K. Pasquali, William T. Mahle (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 8, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

A Step Back in the Diagnosis and Management of Myocardial Bridging
Publication date: Available online 7 November 2019Source: The Annals of Thoracic SurgeryAuthor(s): Ingela Schnittger, Jack H. Boyd, Jennifer A. Tremmel (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 8, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

A Staging System for Neuroendocrine Tumors of the Lung Needs to Incorporate Histological Grade.
CONCLUSIONS: Grade was the dominant driver of prognosis in patients with neuroendocrine tumors of the lung. Incorporation of grade with traditional TNM parameters better discriminates between stage categories compared to current AJCC staging. Future NETL staging systems should include histologic grade. PMID: 31706866 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 7, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Jackson AS, Rosenthal A, Cattoni M, Bograd AJ, Farivar AS, Aye RW, Vallières E, Louie BE Tags: Ann Thorac Surg Source Type: research

Understanding Failure-to-Rescue after Esophagectomy in the United States.
Abstract BACKGROUND: Data on failure to rescue (FTR) after esophagectomy are sparse. We sought to better understand the patient factors associated with FTR, and assessed whether FTR is associated with hospital volume. METHODS: We identified all patients undergoing esophagectomy between 2010 and 2014 from the AHRQ Nationwide Readmission Database. We defined FTR as mortality after a major complication. Multiple logistic regression was used to identify patient factors and hospital-volume associations with FTR. RESULTS: Of 26,820 patients undergoing an esophagectomy, 7,130 (26.6%) experienced a major complic...
Source: The Annals of Thoracic Surgery - November 7, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Abdelsattar ZM, Habermann E, Borah BJ, Moriarty JP, Rojas RL, Blackmon SH Tags: Ann Thorac Surg Source Type: research

Deep Venous Thrombosis and Pulmonary Embolism in Cardiac Surgical Patients.
This study aimed to characterize the national incidence, mortality, and costs associated with thromboembolism following cardiac surgery. METHODS: The 2005-2015 National Inpatient Sample was used to identify all adult patients undergoing coronary artery bypass grafting or valve surgery. International Classification of Disease codes were used to identify patients with deep venous thrombosis and pulmonary embolism. RESULTS: Of approximately 3 million patients undergoing cardiac surgery, 1.62% developed deep venous thrombosis and 0.38% pulmonary embolism. Those with deep venous thrombosis and pulmonary embolism were ...
Source: The Annals of Thoracic Surgery - November 7, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Khoury H, Lyons R, Sanaiha Y, Rudasill S, Shemin RJ, Benharash P Tags: Ann Thorac Surg Source Type: research

Artificial Intelligence and Machine Learning in Cardiovascular Healthcare.
CONCLUSIONS: Although there is an expanding body of literature on AI and ML in cardiovascular medicine, the future these fields will have in clinical practice remains to be paved. In particular, there is a promising role in providing automated imaging interpretation, automated data extraction and quality control, and clinical risk prediction although these techniques require further refinement and evaluation. PMID: 31706869 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 7, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kilic A Tags: Ann Thorac Surg Source Type: research

A Missed Diagnosis of Hemangioma Mimicking Neurogenic Tumor in the Posterior Mediastinum.
PMID: 31706870 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 7, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Peng L, Deng HY, Qin CL, Zhou Q Tags: Ann Thorac Surg Source Type: research

A Step Back in the Diagnosis and Management of Myocardial Bridging.
PMID: 31706871 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 7, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Schnittger I, Boyd JH, Tremmel JA Tags: Ann Thorac Surg Source Type: research

Predictive Utility of a Machine Learning Algorithm in Estimating Mortality Risk in Cardiac Surgery.
CONCLUSIONS: Machine learning algorithms such as XGBoost have promise in predictive analytics in cardiac surgery. The modest improvements in model performance demonstrated in the current study warrant further validation in larger cohorts of patients. PMID: 31706872 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 7, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kilic A, Goyal A, Miller JK, Gjekmarkaj E, Tam WL, Gleason TG, Sultan I, Dubrawksi A Tags: Ann Thorac Surg Source Type: research

An Implementation Science Approach to Handoff Redesign in a Cardiac Surgery Intensive Care Unit.
Abstract BACKGROUND: The ability of handoff redesign to improve short-term outcomes is well established, yet an effective approach for achieving widespread adoption is unknown. An implementation science-based approach capable of influencing the leading indicators of widespread adoption was used to redesign handoffs from the cardiac operating room to the intensive care unit. METHODS: A transdisciplinary, unit-based team used a 12-step implementation process. The steps were divided into four phases: planning, engaging, executing, and evaluating. Based on unit-determined best practices, a "handoff bundle&qu...
Source: The Annals of Thoracic Surgery - November 7, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Geoffrion TR, Lynch I, Hsu W, Phelps E, Minhajuddin A, Tsai E, Timmons A, Greilich PE Tags: Ann Thorac Surg Source Type: research

Development and Pilot Testing of an Assessment Tool for Performance of Anatomic Lung Resection.
CONCLUSIONS: TCAT-ARC demonstrated early evidence of validity and reliability in assessing performance of anatomic lung resection. The instrument may be most useful early in training and as a means for providing fine-grained formative feedback about which steps have been mastered and which still require improvement. TCAT-ARC may be employed in training programs to aid in the development of trainees' competency and as a part of an aggregate assessment of trainees' overall mastery of the procedure and readiness for independent practice. PMID: 31706874 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 7, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Turner SR, Lai H, Nasir BS, Yasufuku K, Schieman C, Huang J, Bédard ELR Tags: Ann Thorac Surg Source Type: research

Smoking Cessation after Surgery and Mid-Term Outcomes of Surgical Revascularization.
Abstract BACKGROUND: Although multiple studies reported the devastating effect of Cigarette smoking (CS) on short-term outcomes of patients who underwent coronary artery bypass grafting surgery (CABG), its effect on long-term outcomes is still questionable. We aimed to evaluate the long-term outcomes of CS cessation after CABG surgery. METHODS: This retrospective cohort study included all patients who underwent isolated CABG at our center between 2007 and 2016 and were either cigarette smoker just prior or at the time of surgery. Patients were stratified into those who continued CS and those who were persiste...
Source: The Annals of Thoracic Surgery - November 7, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Masoudkabir F, Yavari N, Pashang M, Sadeghian S, Jalali A, Karimi A, Bagheri J, Abbasi K, Davoodi S, Omran AS, Shirzad M, Ahmadi Tafti SH Tags: Ann Thorac Surg Source Type: research

Controlling the cost of management of congenital heart disease (Reply).
PMID: 31706876 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 7, 2019 Category: Cardiovascular & Thoracic Surgery Authors: McHugh KE, Pasquali SK, Mahle WT Tags: Ann Thorac Surg Source Type: research

Examination of a Proposed 30-Day Readmission Risk Score on Discharge Location and Cost.
Abstract BACKGROUND: Readmissions cost an estimated $41 billion in the United States each year. To address this, a single institution recently developed a new risk model predictive of 30-day readmission following adult cardiac surgery. The purpose of this study is to validate and refine this new readmission risk model using a statewide database. METHODS: A total of 19,964 patients were analyzed using a statewide Society of Thoracic Surgeons database (2014-2017). The aforementioned multivariate model was replicated (Model 1): race, hospital length of stay, chronic lung disease, operation type, and renal failur...
Source: The Annals of Thoracic Surgery - November 7, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Barnett SD, Sarin E, Kiser AC, Ailawadi G, Hawkins RB, Mehaffey JH, Tyerman Z, Rich JB, Quader MA, Speir AM Tags: Ann Thorac Surg Source Type: research

Can preoperative vitamin K reduce blood transfusions after left ventricular assist device implant?
Publication date: Available online 6 November 2019Source: The Annals of Thoracic SurgeryAuthor(s): Yi Feng, Haiyan An, Liang Sun (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 6, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Can preoperative vitamin K reduce blood transfusions after left ventricular assist device implant?
PMID: 31705852 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 6, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Feng Y, An H, Sun L Tags: Ann Thorac Surg Source Type: research

Lung ultrasonography in Paediatric cardiac surgery: a complementary diagnostic tool.
PMID: 31705853 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 6, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Sperandeo M, Mirijello A, De Cosmo S Tags: Ann Thorac Surg Source Type: research

The Search for Meaningful Use of Patient Reported Outcomes in Thoracic Surgery
Publication date: Available online 4 November 2019Source: The Annals of Thoracic SurgeryAuthor(s): Peter J. Kneuertz, Susan D. Moffatt-Bruce (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 5, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Omental Flap Coverage for Management of Thoracic Aortic Graft Infection
ConclusionsHigh mortality rates associated with TAGI exemplify the challenges associated with this disease process and patient population. Pedicled omentum is a safe adjunct with promising results to the management of TAGI, while significantly reducing the risk of reinfection (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 5, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Outcomes after Left Ventricular Outflow Tract Reconstruction with a Tube Graft For Annular Erosion
ConclusionsOur extended experience with this technique confirms its safety and effectivelness for patients with extensive destruction of the aortic annulus. It represents a suitable alternative to other currently utilized techniques. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 5, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Evaluation of right ventricular function in functional tricuspid insufficiency (Reply)
Publication date: Available online 4 November 2019Source: The Annals of Thoracic SurgeryAuthor(s): Mohanad Hamandi, William H. Ryan, Michael J. Mack (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 5, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Omental Flap Coverage for Management of Thoracic Aortic Graft Infection.
CONCLUSIONS: High mortality rates associated with TAGI exemplify the challenges associated with this disease process and patient population. Pedicled omentum is a safe adjunct with promising results to the management of TAGI, while significantly reducing the risk of reinfection. PMID: 31697905 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 4, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Hernandez JA, Stranix JT, Piwnica-Worms W, Azoury SC, Kozak GM, Grimm JC, Vallabhajosyula P, Fischer JP, Kovach SJ Tags: Ann Thorac Surg Source Type: research

Evaluation of right ventricular function in functional tricuspid insufficiency (Reply).
PMID: 31697906 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 4, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Hamandi M, Ryan WH, Mack MJ Tags: Ann Thorac Surg Source Type: research

The Search for Meaningful Use of Patient Reported Outcomes in Thoracic Surgery.
PMID: 31697907 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 4, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kneuertz PJ, Moffatt-Bruce SD Tags: Ann Thorac Surg Source Type: research

Outcomes after Left Ventricular Outflow Tract Reconstruction with a Tube Graft For Annular Erosion.
CONCLUSIONS: Our extended experience with this technique confirms its safety and effectivelness for patients with extensive destruction of the aortic annulus. It represents a suitable alternative to other currently utilized techniques. PMID: 31697908 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 4, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kouchoukos NT, Masetti P, Stamou SC, Kulik A, Haynes M Tags: Ann Thorac Surg Source Type: research

A New and Unexpected Complication after Arch Stent Grafting For Residual Dissection
This report describes an unreported complication after stent-grafting of the aortic arch for residual dissection following ascending aorta and aortic arch replacement for acute type A dissection. The patient developed, one year later, a pseudoaneurysm originating from the proximal suture line and therefore far from the stent-graft landing zone, that fistulized into the pulmonary artery. Possible causes are: suture damage during stent deployment or change of system forces after stent placement leading to high-tension on the suture line. Emergency surgery was performed. Aortic arch stent grafting is a new promising technique...
Source: The Annals of Thoracic Surgery - November 2, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Society of Thoracic Surgeons Composite Score Rating for Pulmonary Resection for Lung Cancer
ConclusionsParticipants in the STS GTSD perform lung cancer resection with low morbidity and mortality. Lymph node data suggest participants are meeting contemporary staging standards. There is wide variability among participants in application of minimally invasive approaches. Risk adjustment for approach alters ratings in 3% of participants. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 2, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Post-operative opioid consumption in Thoracic Surgery Patients: How much is actually used?
Publication date: Available online 2 November 2019Source: The Annals of Thoracic SurgeryAuthor(s): Kimberly A. Holst, Cornelius A. Thiels, Daniel S. Ubl, Shanda H. Blackmon, Stephen D. Cassivi, Francis C. Nichols, K. Robert Shen, Dennis A. Wigle, Matthew Thomas, Ian A. Makey, Staci E. Beamer, Dawn E. Jaroszewski, Mark S. Allen, Elizabeth B. HabermannAbstractBackgroundThe object of this initiative was to perform a prospective, multi-center survey of patients following lung resection to assess the amount of opioids consumed and disposition of unused opioids to inform the development of evidence-based prescribing guidelines.M...
Source: The Annals of Thoracic Surgery - November 2, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Post-operative opioid consumption in Thoracic Surgery Patients: How much is actually used?
Abstract BACKGROUND: The object of this initiative was to perform a prospective, multi-center survey of patients following lung resection to assess the amount of opioids consumed and disposition of unused opioids to inform the development of evidence-based prescribing guidelines. METHODS: Adults undergoing lung resection via minimally invasive (MIS, n=108) or thoracotomy (n=45) were identified prospectively from three academic centers (3/2017 - 1/2018) to complete a 28-question telephone survey 21-35 days post-discharge. Discharge opioids were converted into Morphine Milligram Equivalents (MME) and compared a...
Source: The Annals of Thoracic Surgery - November 2, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Holst KA, Thiels CA, Ubl DS, Blackmon SH, Cassivi SD, Nichols FC, Shen KR, Wigle DA, Thomas M, Makey IA, Beamer SE, Jaroszewski DE, Allen MS, Habermann EB Tags: Ann Thorac Surg Source Type: research

The Society of Thoracic Surgeons Composite Score Rating for Pulmonary Resection for Lung Cancer.
CONCLUSIONS: Participants in the STS GTSD perform lung cancer resection with low morbidity and mortality. Lymph node data suggest participants are meeting contemporary staging standards. There is wide variability among participants in application of minimally invasive approaches. Risk adjustment for approach alters ratings in 3% of participants. PMID: 31689407 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - November 2, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Broderick SR, Grau-Sepulveda M, Kosinski AS, Kurlansky PA, Shahian DM, Jacobs JP, Becker S, DeCamp MM, Seder CW, Grogan EL, Brown LM, Burfiend W, Magee M, Raymond DP, Puri V, Chang AC, Kozower BD Tags: Ann Thorac Surg Source Type: research

A New and Unexpected Complication after Arch Stent Grafting For Residual Dissection.
This report describes an unreported complication after stent-grafting of the aortic arch for residual dissection following ascending aorta and aortic arch replacement for acute type A dissection. The patient developed, one year later, a pseudoaneurysm originating from the proximal suture line and therefore far from the stent-graft landing zone, that fistulized into the pulmonary artery. Possible causes are: suture damage during stent deployment or change of system forces after stent placement leading to high-tension on the suture line. Emergency surgery was performed. Aortic arch stent grafting is a new promising technique...
Source: The Annals of Thoracic Surgery - November 2, 2019 Category: Cardiovascular & Thoracic Surgery Authors: D'Onofrio A, Cibin G, Caraffa R, Rubino M, Antonello M, Grego F, Gerosa G Tags: Ann Thorac Surg Source Type: research

Impact of Gestational Age on Surgical Outcomes in Patients with Functionally Single Ventricle (Commentary)
Publication date: Available online 31 October 2019Source: The Annals of Thoracic SurgeryAuthor(s): Siva P. Namachivayam (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 31, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Total endovascular repair of the aortic arch: initial experience in the Netherlands (Commentary)
Publication date: Available online 31 October 2019Source: The Annals of Thoracic SurgeryAuthor(s): Marvin D. Atkins, Michael J. Reardon (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 31, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Total arch replacement via single upper hemisternotomy approach in patients with Type A dissection (Commentary)
Publication date: Available online 31 October 2019Source: The Annals of Thoracic SurgeryAuthor(s): Jehangir J. Appoo (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - October 31, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research