Right coronary artery pseudoaneurysm after drug eluting stent: Dilemma solved on dual source CT
Publication date: Available online 31 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): Vineeta Ojha, Kartik Ganga, Mumun Sinha, Arun Sharma (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 1, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Prevalence of occult peribronchial N1 nodal metastasis in peripheral clinical N0 <2 cm NSCLC
Publication date: Available online 31 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): Eric M. Robinson, Ilkka K. Ilonen, Kay See Tan, Andrew J. Plodkowski, Matthew Bott, Manjit S. Bains, Prasad S. Adusumilli, Bernard J. Park, Valerie W. Rusch, David R. Jones, James HuangABSTRACTBackgroundThere has been growing interest in limited resection and nonsurgical treatment for small lung cancers. Our objective was to examine the pattern and rate of occult N1 nodal metastasis in patients with peripheral, small (≤2 cm), clinically node-negative non-small cell lung cancer (NSCLC).MethodsPatients with peripheral
Source: The Annals of Thoracic Surgery - September 1, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Minimal access versus sternotomy for complex mitral valve repair: A meta-analysis
Publication date: Available online 31 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): Marco Moscarelli, Khalil Fattouch, Mario Gaudino, Giuseppe Nasso, Dodo Paparella, Prakash Punjabi, Thanos Athanasiou, Umberto Benedetto, Gianni D. Angelini, Giuseppe Santarpino, Giuseppe SpezialeAbstractBackgroundThere is high demand for minimally invasive mitral valve repair; however, it is unclear whether the minimally invasive approach provides the same performance of conventional sternotomy in a context of complex mitral valve disease. Here, we compared outcomes of minimally invasive and sternotomy procedures for bileaflet...
Source: The Annals of Thoracic Surgery - September 1, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Cardiac Surgery in Patients with Opioid Use Disorder: An Analysis of 1.7 Million Surgeries
Publication date: Available online 31 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): Rohan M. Shah, Sameer A. Hirji, Edward Percy, Samantha Landino, Farhang Yazdchi, Andrea Bellavia, Marc P. Pelletier, Prem S. Shekar, Tsuyoshi KanekoABSTRACTBackgroundAdverse repercussions associated with the current opioid epidemic have been documented in many surgical specialties. The extent of this problem in the cardiac surgery population, however, has not been previously characterized. We evaluated the impact of opioid use disorder (OUD) on in-hospital cardiac surgery outcomes using a large national database.MethodsUsing t...
Source: The Annals of Thoracic Surgery - September 1, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Gender Differences in Outcomes after Implantation of Left Ventricular Assist Devices
ConclusionsThe number of women undergoing LVAD implantation has increased with the introduction of CF-LVADs but a gender gap still exists. Most major in-hospital outcomes after LVAD implantation are similar between genders. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 1, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Outcomes of Guideline-Directed Concomitant Annuloplasty for Functional Tricuspid Regurgitation
ConclusionsGuideline-directed concomitant tricuspid valve repair resulted in excellent safety end-points and survival. At 14 months, freedom from moderate or worse tricuspid regurgitation was high and right ventricular performance did not worsen, while pacemaker rate was comparable to rates after isolated mitral repair. Given these findings, adherence to current guidelines regarding functional tricuspid regurgitation should be encouraged. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - September 1, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Paraneoplastic dermatomyositis as a potential precursor to thymic carcinoma
Publication date: Available online 31 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): Takehiro Tsuchiya, Atsushi Sano, Mitsuaki KwashimaAbstractA 54-year-old man developed a red rash on both hands. At age 56, he was admitted to our hospital because of an abnormal shadow detected by chest radiography. Detailed examination revealed an anterior mediastinal tumor and dermatomyositis. Thymectomy was performed and pathologic examination revealed thymic carcinoma. After the surgery, the dermatomyositis symptoms improved. Although dermatomyositis associated with thymic carcinoma is extremely rare, we should account for...
Source: The Annals of Thoracic Surgery - September 1, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Pneumonectomy in an elderly Swyer-James-MacLeod syndrome patient with a giant bulla
Publication date: Available online 28 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): Yuriko Yagi, Masato Minami, Yoko Yamamoto, Ryu Kanzaki, Soichiro Funaki, Yasushi Shintani, Meinoshin OkumuraAbstractSwyer–James-MacLeod syndrome is a rare lung disease that appears as unilateral pulmonary hyperlucency on chest radiographs and is considered to occur as a result of childhood bronchiolitis obliterans. We herein report the case of a 54-year-old woman who suffered from exertional dyspnea due to Swyer–James-MacLeod syndrome associated with a giant calcified bulla that occupied the entire hemithorax. Righ...
Source: The Annals of Thoracic Surgery - August 31, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Causes, Risk Factors, and Costs of 30-day Readmissions after Mitral Valve Repair and Replacement
Publication date: Available online 31 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): Nicholas J. Goel, Amit Iyengar, John J. Kelly, Chase R. Brown, Fabliha Kurshan, Pavan Atluri, Michael A. Acker, Zehang Chen, Nimesh D. DesaiAbstractBackgroundPostsurgical readmissions are an increasingly scrutinized marker of healthcare quality. We sought to estimate the risk factors and costs associated with readmissions following mitral valve surgery in a large, nationally-representative cohort.MethodsAdult patients undergoing mitral valve repair or replacement were queried from the National Readmissions Database from 2010 t...
Source: The Annals of Thoracic Surgery - August 31, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

New Technology, New Complications: Training the Next Generation of CT Surgeons (Reply)
Publication date: Available online 28 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): George Tolis, Jordan P. Bloom, Michael H. Kwon (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 30, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Minimally Invasive Non-Resectional Mitral Valve Repair can be Performed with Excellent Outcomes
Publication date: Available online 29 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): Andrea L. Axtell, Philicia Moonsamy, Jacob P. Dal-Bianco, Jonathan J. Passeri, Thoralf M. Sundt, Serguei MelnitchoukAbstractBackgroundTo review the efficacy of a minimally invasive surgical technique for mitral valve (MV) repair, we analyze a non-resectional technique for degenerative mitral regurgitation (DMR).MethodsA retrospective analysis was performed on 101 consecutive patients who underwent a minimally invasive MV repair for severe DMR between 2014–2017. All patients underwent a right lateral mini-thoracotomy and ...
Source: The Annals of Thoracic Surgery - August 30, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Diaphragmatic Hernia Perforation Leading to Fecopneumothorax
This report describes the presentation, diagnosis, and treatment of a patient presenting with a Type IV hiatal hernia that resulted in colonic ischemia, perforation, and fecopneumothorax. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 30, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

A step-by-step problem-solving strategy in a patient with heart failure and cerebral aneurysm
Publication date: Available online 29 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): Elena Rossi, Assunta Fabozzo, Nicola Pradegan, Chiara Tessari, Joseph Domenico Gabrieli, Francesco Causin, Vincenzo Tarzia, Tomaso Bottio, Gino GerosaAbstractLeft ventricular assist devices (LVAD) implantation is an established treatment for patients with end-stage heart failure. HeartMate 3 (HM3) is a continuous-flow centrifugal pump, recently introduced in the clinic, which has shown greater hemocompatibility compared to similar devices of previous generations. Nevertheless, anticoagulation is still required after HM3 implan...
Source: The Annals of Thoracic Surgery - August 30, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

A new Variant in the MYH11 gene in a Familial case of Thoracic Aortic Aneurysm
Publication date: Available online 29 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): Lorenzo Pucci, Alexandra Pointet, Jean-Marc Good, Emeline Davoine, Viviane Cina, Fabio Zanchi, Sebastien Deglise, Lucia Mazzolai Duchosal, Matthias KirschABSTRACTMYH11 (Myosin Heavy chain 11) gene is involved in vascular contractility and several autosomal dominant mutations, have been linked to TAA. Three male members of the same family were found to carry an heterozygous missense variant, in the MYH11 gene and all of them presented a thoracic aortic aneurysm/dilation. We identified a rare missense variant in the MYH11 gene p...
Source: The Annals of Thoracic Surgery - August 30, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Epiaortic Ultrasound to Prevent Stroke in Coronary Artery Bypass Grafting (Commentary)
Publication date: Available online 29 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): George L. Hicks (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 30, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Endovascular Repair of Ascending Aortic Disease in High-Risk Patients Yields Favorable Outcome
ConclusionsAscending aortic stent placement for ascending aortic disease is feasible and is associated with favorable aortic remodeling. Despite persistent perfusion to the false lumen in a subset of patients, there is minimal aortic dilation at short-term follow-up with excellent survival. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 28, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Repair of Superior Sinus Venosus Atrial Septal Defect Using a Modified Two-patch Technique
ConclusionsA modified two-patch technique is a valid alternative to other methods of superior SVASD and PAPVC repair, and prevents late systemic/pulmonary venous pathway obstruction while maintaining sinus rhythm. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 28, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Risk factors for atrial fibrillation recurrence post Cox-maze IV performed without pre-exclusion
Publication date: Available online 28 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): Masami Takagaki, Hiroki Yamaguchi, Naoko Ikeda, Hajime Yamakage, Hiromasa Nakamura, Tasuku Kadowaki, Takaki Uchida, Yosuke Ueno, Tomoyuki AokiAbstractBackgroundNew Society of Thoracic Surgeons guidelines recommend adding surgical ablation as a concomitant procedure for Class I indications. We performed the maze procedure for all cases that experienced atrial fibrillation (AF) prior to cardiac surgery, without surgeon pre-exclusion.MethodsWe retrospectively analyzed 83 patients, aged 71 ± 11 (22%>80) years, who underw...
Source: The Annals of Thoracic Surgery - August 28, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Results of Pericardial Patches in Tricuspid and Bicuspid Aortic Cusp Repair
Publication date: Available online 28 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): Irem Karliova, Ulrich Schneider, Tristan Ehrlich, Hans-Joachim SchäfersAbstractBackgroundAortic valve repair for aortic regurgitation (AR) has become an increasingly accepted alternative to replacement. Some cusp pathologies require partial cusp replacement or augmentation using pericardium. There is limited data on pericardial patch durability. We analyzed our long-term results with pericardial patches in aortic cusp repair in order to clarify whether durability is influenced by aortic valve morphology or underlying cusp...
Source: The Annals of Thoracic Surgery - August 28, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Successful excision of epithelioid hemangioendothelioma of the superior vena cava
We report a case of a radically resected mediastinal EHE originating from the superior vena cava. A 79-year-old woman was referred to our hospital for colon cancer surgery. Computed tomography showed a 50-mm middle mediastinal tumor in direct contact with the left and right brachiocephalic veins, aortic arch, and right brachiocephalic artery. Right lateral thoracotomy was performed, and the tumor was resected en bloc with the right brachiocephalic vein and vagal nerve. Recurrence was not observed at 7 years after surgery, even without adjuvant therapy. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 28, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Contemporary Mid-term Outcomes in Pediatric Patients undergoing Vascular Ring Repair (Commentary)
Publication date: Available online 28 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): Carl L. Backer (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 28, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Results of left ventricular reconstruction with and without mitral valve surgery
ConclusionsThe clinical outcomes of left ventricular reconstruction are comparable to those of left ventricular reconstruction plus mitral valve surgery in patients with left aneurysm and moderate mitral regurgitation. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 28, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Degenerative Mitral Valve Repair Restores Life Expectancy
ConclusionsThese findings suggest that degenerative MVr restores anticipated life expectancy to that of the general population, regardless of age. While our findings underscore the importance of repair for degenerative mitral disease, larger studies with longer-term follow-up are needed to reinforce this finding, particularly for younger patients. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 28, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Durability of Mitral Valve Bioprostheses: A meta-analysis of long-term follow-up studies
ConclusionsIn surgical populations that underwent mitral valve replacement after 1980 with new generation tissue valves and similar mean age at the implant time, we found, at long-term follow up, a higher freedom from SVD in the group of porcine prostheses. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 28, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Extracorporeal membrane oxygenation to overcome graft-cavity disparity of lung transplantation
We describe the case of an urgent lung transplantation in which veno-venous extracorporeal membrane oxygenation was used after open-chest management and volume reduction to allow the lung allograft to accommodate to a smaller chest cavity. The use of venous-venous extracorporeal membrane oxygenation in this case facilitated early chest closure in a patient with graft-cavity disparity while lowering the risk of infection without hemodynamic or respiratory compromise. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 28, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

An Unusual Cause of Pulmonary Arterial Hypertension: Hydatid Cyst
Publication date: Available online 28 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): Hayri Ogul, Selim Topcu, Yener Aydin, Ali Bilal Ulas, Mecit Kantarci, Atilla ErogluAbstractHydatid cyst is an important health problem throughout the world and it is caused by the larval form of Echinococcus granulosus. Although it is most commonly located in the liver and lungs, hydatid cyst can also affect other organs because the oncospheres spread through the bloodstream. The disease may have many different clinical presentations. Although it is a benign disease, sometimes it can cause serious morbidity and even mortality....
Source: The Annals of Thoracic Surgery - August 28, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

The effect of socioeconomic status on treatment and mortality in non-small cell lung cancer patients
The objective was to assess the contribution of SES factors to treatment and outcomes among patients with stage I NSCLC.MethodsThe National Cancer Database was queried for operable patients with stage I NSCLC. Patients were divided into 3 treatment groups: primary resection (SUR), nonstandard treatments (chemotherapy with or without radiation) (NST), and no therapy (NoT). The SES of patients who made up the treatment groups was assessed and the 5-year survival of all groups was analyzed.ResultsThe cohort included 69,168 patients with stage I NSCLC. Each of these patients had between 0 and 5 SES risk factors. The factors as...
Source: The Annals of Thoracic Surgery - August 28, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Anterior meningomyelocele without neurospine involvement – a rare posterior mediastinal pathology
We present the case of a young female with a chronic history of right upper abdominal pain and low grade fever but no associated neurological or spinal defects. Relevant investigations showed a posterior mediastinal mass in right paraspinal region. Through a right postero-lateral thoracotomy, complete excision of the growth with preservation of major surrounding structures was carried out. Histopathology revealed Myelomeningocele. To our knowledge, this is the only case of Anterior Myelomeningocele at the thoracic level without neurospinal involvement. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 28, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

New Technology, New Complications: Training the Next Generation of CT Surgeons
Publication date: Available online 27 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): Amy G. Fiedler, Nilto De Oliveira (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 27, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Endovascular repair of the thoracic or thoraco-abdominal aorta following the frozen elephant trunk Procedure
CONCLUSIONSSecond-stage endovascular repair after previous fET is feasible with good mid-term results. This staged hybrid procedure is extremely effective in patients whose aneurysms are confined both to the arch and thoraco-abdominal aorta leading to an excellent functional result. In case of favorable anatomy endovascular repair in residual type B aortic dissection lead to complete false lumen thrombosis. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 27, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Failure to rescue contributes to center-level differences in mortality after lung transplantation
Publication date: Available online 27 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): Asishana A. Osho, Muath M. Bishawi, Michael S. Mulvihill, Andrea L. Axtell, Sameer A. Hirji, Philip J. Spencer, Elbert E. Heng, David A. D'Alessandro, Serguei Melnitchouk, Matthew G. Hartwig, Mauricio A. VillavicencioAbstractBackgroundThe clinical response to postoperative complications after lung transplantation (LTx) may contribute to mortality differences between transplant centers. The ability to avoid mortality following a complication – Failure to Rescue (FTR) – may be an effective quality metric in lung tran...
Source: The Annals of Thoracic Surgery - August 27, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Surgical management of iatrogenic left ventricle perforation by Chest Tube Insertion
We report an iatrogenic perforation of the left ventricle, following the placement of an intercostal catheter and its successful surgical management. Furthermore, we discuss various operative scenarios which may arise, and steps regarding the management of this potentially life-threatening complication. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 27, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Intrapulmonary activated factor seven for hemoptysis complicating pulmonary thromboendarterectomy
We present a patient with chronic thromboembolic pulmonary hypertension who underwent pulmonary thromboendarterectomy. Postoperative course was complicated by massive hemoptysis resulting in severe hypoxemia requiring extracorporeal membrane oxygenation and multiple daily blood transfusions. After failure of conservative and interventional approaches, recombinant factor seven was administered via bronchial isolation. Following treatment, her hemoptysis dramatically resolved with eventual discharge and excellent function at follow-up. This case presents the novel use of intrapulmonary activated factor seven to control massi...
Source: The Annals of Thoracic Surgery - August 27, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Histidine-tryptophan-ketoglutarate solution for donor heart preservation is safe for transplantation
Publication date: Available online 27 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): Majd Mokbel, Haniyeh Zamani, Ienglam Lei, Y. Eugene Chen, Matthew A. Romano, Keith D. Aaronson, Jonathan W. Haft, Francis D. Pagani, Paul C. TangAbstractBackgroundVarious solutions are used for donor heart preservation. We examine outcomes in our heart transplant population where histidine-tryptophan-ketoglutarate (HTK) solution have been used for heart preservation since 2004.MethodsRetrospective review of the United Network for Organ Sharing database (UNOS, 2004-2016) comparing our heart transplant outcomes with other nation...
Source: The Annals of Thoracic Surgery - August 27, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Cardiac Surgery for the Forgotten Millions: The Way Forward. Cardiac Surgery Intersociety Alliance (CSIA) Site Selection Criteria.
PMID: 31445591 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 27, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Boateng P, Bolman RM, Zilla P, CSIA Tags: Ann Thorac Surg Source Type: research

Transseptal Access-Gateway to Transcatheter Mitral Interventions.
PMID: 31445592 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 27, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Kaneko T, Thourani VH, Ailawadi G, Leon MB, Mack MJ, Tang GHL Tags: Ann Thorac Surg Source Type: research

Invited Commentary.
PMID: 31445593 [PubMed - in process] (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 27, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Yang B Tags: Ann Thorac Surg Source Type: research

Lung volume reduction surgery: Only short-term evaluation is enough? (Reply)
Publication date: Available online 24 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): Sowmyanarayanan Thuppal, Stephen Markwell, Stephen Hazelrigg (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 24, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Sex matters: impact of sex on surgery for infective endocarditis (Reply)
Publication date: Available online 24 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): Carolyn Weber, Oliver J. Liakopoulos, Thorsten Wahlers (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 24, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Sexual Harassment & Cardiothoracic Surgery - #UsToo?
Publication date: Available online 24 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): DuyKhanh P. Ceppa, Scott C. Dolejs, Natalie Boden, Sean Phelan, Katherine J. Yost, Jessica Donington, Keith S. Naunheim, Shanda BlackmonAbstractBackgroundFifty-eight percent of women in science, engineering, and medicine report being affected by sexual harassment. We sought to determine the extent of SH in cardiothoracic surgery.MethodsWe developed a survey based on the Sexual Experience Questionnaire-Workplace, physician wellness and burnout survey. The survey was open to responses for 45 days and disseminated via the STS, WT...
Source: The Annals of Thoracic Surgery - August 24, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Recipient airway bronchoplasty for donor “pig bronchus"
Publication date: Available online 24 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): Gita N. Mody, Hari R. MallidiAbstractDissemination of surgical techniques to manage rare donor airway anomalies may improve outcomes after lung transplantation. Here we report a case of an unsuspected donor tracheal bronchus that was successfully managed with a native right mainstem bronchoplasty. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 24, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Endovascular Repair of Ruptured Ascending Aorta Secondary to Embolized Transcatheter Aortic Valve
We present a case of a late ascending aortic pseudoaneurysm with rupture secondary to erosion by an embolized transcatheter aortic valve occurring six years after implantation, which was successfully treated with a commercially available, off-the-shelf aortic endograft. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 24, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Pediatric Tracheal Surgery: A 25-year Review of Slide Tracheoplasty and Tracheal Resection (Commentary)
Publication date: Available online 24 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): Kyle W. Riggs, David LS. Morales (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 24, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Use of a three-dimensional model in lung transplantation for a patient with giant pulmonary aneurysm
Publication date: Available online 22 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): Hiromi Oda, Masatsugu Hamaji, Hideki Motoyama, Tadashi Ikeda, Kenji Minatoya, Daisuke Nakajima, Toyofumi Fengshi Chen-Yoshikawa, Hiroshi DateAbstractManagement of a giant pulmonary trunk aneurysm in lung transplantation is a challenge. Herein, we present a patient undergoing replacement of the giant pulmonary artery (PA) aneurysm with a donor’s aorta in bilateral lung transplantation for idiopathic pulmonary arterial hypertension (IPAH). A plastic three-dimensional (3D) model of the PA aneurysm created accurately based o...
Source: The Annals of Thoracic Surgery - August 24, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Persistent Opioid Use Among The Elderly After Lung Resection: A SEER-Medicare Study
ConclusionsOpioid dependence in the over 65-year old population after lung resection is high but was significantly lower among those who received minimally invasive surgery, in addition to other factors. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 24, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Intraoperative Autologous Blood Donation Leads to Fewer Transfusions in Cardiac Surgery
Publication date: Available online 22 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): Eric Zimmermann, Roger Zhu, Takuya Ogami, Anthony Lamonica, John A. Petrie, Charles Mack, Samuel Lang, Dimitrios V. AvgerinosAbstractBackgroundBlood conservation with antifibrinolytics, topical hemostatics, and strict transfusion triggers are becoming commonplace in cardiac surgery. The aim of this study was to evaluate the effect of a blood conservation protocol centering on standardized IAD use in cardiac surgery.MethodsWe reviewed patient charts who underwent cardiac surgery at our hospital over an 8 year period to analyze ...
Source: The Annals of Thoracic Surgery - August 24, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Valve-in-Ring Transcatheter Aortic Valve Replacement After Left Ventricular Assist Device Therapy
We present the first case of a valve-in-ring TAVR for a patient with severe aortic regurgitation associated with LVAD destination therapy. Our case demonstrates that this approach is feasible in humans and can yield excellent clinical results. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 24, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Intermediate-term Outcomes of Slide Tracheoplasty in Pediatric Patients with Ring-sling Complex
This study was intended to determine the intermediate-term outcomes following slide tracheoplasty (STP) in patients with ring-sling complex (RSC).MethodsAll children undergoing STP between 2009 and 2018 were included. The patients’ baseline characteristics, perioperative management details, and follow-up evaluations were reviewed retrospectively.ResultsMedian age was 1.2 years (range 2 months to 9.2 years). Seventy-eight patients had additional cardiovascular anomalies and 7 had unilateral pulmonary hypoplasia. Carina involved in the stenotic lesion was present in 42 patients and carinal compression occurred in 58. T...
Source: The Annals of Thoracic Surgery - August 24, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Isolated Tricuspid Aortic Valve Repair with Double Annuloplasty: How I Teach It
Publication date: Available online 22 August 2019Source: The Annals of Thoracic SurgeryAuthor(s): Pouya Youssefi, Pavel Zacek, Mathieu Debauchez, Emmanuel Lansac (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 24, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Single And Double Lung Transplantation Have Equivalent Survival for Idiopathic Pulmonary Fibrosis
ConclusionsIn recipients concurrently listed for SLT and DLT, overall survival was similar regardless of the eventual procedure. These data suggests that the previously purported survival advantage for DLT may purely represent selection bias, and should not preclude the use of SLT in appropriately-selected IPF patients. (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - August 24, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research