Robotic-Assisted Sleeve Lobectomy Using the Four-Arm Technique in the DaVinci Si ® and Xi® Systems
Thorac cardiovasc Surg DOI: 10.1055/s-0038-1660508Sleeve lobectomy (SL) makes it possible to resect centrally located lung carcinoma oncological correct while protecting healthy lung tissue. However, this procedure is often limited with conventional video-assisted thoracoscopic surgery, due to the limited mobility of the rigid and long instruments and the limited visualization. Therefore, these interventions are often still performed in the open conventional technique with the well-known disadvantages. Particularly in the reconstruction of the respiratory tract, precise sewing must be performed in a small space to avoid st...
Source: The Thoracic and Cardiovascular Surgeon - June 16, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Egberts, Jan-Hendrik M öller, Thorben Becker, Thomas Tags: How To Do It Source Type: research

Impact of Different Aortic Entry Tear Sites on Early Outcomes and Long-Term Survival in Patients with Stanford A Acute Aortic Dissection.
CONCLUSION:  The location of the primary entry tear in patients with Stanford A AAD significantly influences early outcomes, short- and long-term survival of patients, whereas survival of patients free from major cerebrovascular events showed similar results among the three groups. Distal aortic entry tear site showed poorest outcomes and survival. PMID: 29898464 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - June 13, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Merkle J, Sabashnikov A, Deppe AC, Weber S, Mader N, Choi YH, Liakopoulos O, Kuhn-Régnier F, Wahlers T Tags: Thorac Cardiovasc Surg Source Type: research

Follow-Up of the Novel Free Margin Running Suture Technique for Mitral Valve Repair.
Abstract The free margin running suture (FMRS) is a novel technique for nonresection correction of degenerative mitral regurgitation. It was employed in 37 minimally invasive mitral repair cases. We performed a retrospective collection of in-hospital data and a clinical/echocardiographic follow-up. All patients were discharged with none or mild mitral regurgitation, except one who had mild-to-moderate (2+) regurgitation. At follow-up (average: 2.1 years), all patients were alive; there were no instances of recurrent regurgitation, one case of 2+ regurgitation, and no valve-related complications. Average mitral val...
Source: The Thoracic and Cardiovascular Surgeon - June 13, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Agnino A, Lanzone AM, Albertini A, Anselmi A Tags: Thorac Cardiovasc Surg Source Type: research

Follow-Up of the Novel Free Margin Running Suture Technique for Mitral Valve Repair
Thorac cardiovasc Surg DOI: 10.1055/s-0038-1651525The free margin running suture (FMRS) is a novel technique for nonresection correction of degenerative mitral regurgitation. It was employed in 37 minimally invasive mitral repair cases. We performed a retrospective collection of in-hospital data and a clinical/echocardiographic follow-up. All patients were discharged with none or mild mitral regurgitation, except one who had mild-to-moderate (2+) regurgitation. At follow-up (average: 2.1 years), all patients were alive; there were no instances of recurrent regurgitation, one case of 2+ regurgitation, and no valve-related c...
Source: The Thoracic and Cardiovascular Surgeon - June 13, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Agnino, Alfonso Lanzone, Alberto Maria Albertini, Andrea Anselmi, Amedeo Tags: Short Communication Source Type: research

Impact of Different Aortic Entry Tear Sites on Early Outcomes and Long-Term Survival in Patients with Stanford A Acute Aortic Dissection
Conclusion The location of the primary entry tear in patients with Stanford A AAD significantly influences early outcomes, short- and long-term survival of patients, whereas survival of patients free from major cerebrovascular events showed similar results among the three groups. Distal aortic entry tear site showed poorest outcomes and survival. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - June 13, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Merkle, Julia Sabashnikov, Anton Deppe, Antje Christin Weber, Saskia Mader, Navid Choi, Yeong-Hoon Liakopoulos, Oliver Kuhn-R égnier, Ferdinand Wahlers, Thorsten Tags: Original Cardiovascular Source Type: research

Five Modes of Sudden Death
Thorac cardiovasc Surg 2018; 66: 277-277 DOI: 10.1055/s-0038-1654704 Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - June 3, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Heinemann, Markus K. Tags: Editorial Source Type: research

Five Modes of Sudden Death.
PMID: 29860717 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - June 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Heinemann MK Tags: Thorac Cardiovasc Surg Source Type: research

Current Status of Off-pump Coronary Artery Bypass Grafting in Patients with Multiple Coronary Artery Disease Compared with On-pump Coronary Artery Bypass Grafting: The Korean National Cohort Study.
Abstract BACKGROUND:  Despite advance in off-pump coronary artery bypass (OPCAB) grafting, there are large debating issues regarding survival benefit between OPCAB and on-pump coronary artery bypass grafting (CABG). The aim of this study is to address appropriateness of OPCAB approach in patients with ischemic heart disease having multiple vessels using South Korea national cohort data. METHODS:  To evaluate the safety and efficacy of OPCAB, we accessed all causes of death, late repeat revascularization, hospitalization for cerebrovascular accident (CVA), and new renal replacement therapy in patient...
Source: The Thoracic and Cardiovascular Surgeon - May 31, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Kim HJ, Chung JE, Jung JS, Kim IS, Son HS Tags: Thorac Cardiovasc Surg Source Type: research

Current Status of Off-pump Coronary Artery Bypass Grafting in Patients with Multiple Coronary Artery Disease Compared with On-pump Coronary Artery Bypass Grafting: The Korean National Cohort Study
Thorac cardiovasc Surg DOI: 10.1055/s-0038-1651516 Background Despite advance in off-pump coronary artery bypass (OPCAB) grafting, there are large debating issues regarding survival benefit between OPCAB and on-pump coronary artery bypass grafting (CABG). The aim of this study is to address appropriateness of OPCAB approach in patients with ischemic heart disease having multiple vessels using South Korea national cohort data. Methods To evaluate the safety and efficacy of OPCAB, we accessed all causes of death, late repeat revascularization, hospitalization for cerebrovascular accident (CVA), and new renal ...
Source: The Thoracic and Cardiovascular Surgeon - May 31, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Kim, Hee Jung Chung, Jae Eun Jung, Jae Seung Kim, In Seup Son, Ho Sung Tags: Original Cardiovascular Source Type: research

Off-Pump Coronary Artery Bypass Graft Versus Drug-Eluting Stent Implantation in Patients with Multivessel Disease Involving the Right Coronary Artery.
Abstract BACKGROUND:  Whether percutaneous coronary intervention (PCI) is superior to coronary artery bypass grafting (CABG) for the right coronary territory is unknown. The aim of this study was to compare the outcomes and patency in the right coronary territory after CABG or PCI. METHODS:  We studied 2,467 multivessel coronary artery disease patients from January 2001 to December 2011; 1,672 were off-pump CABG patients and 795 were PCI. The graft patency and the presence of major adverse cardiac and cerebrovascular events (MACCEs) including death, myocardial infarction, target vessel revasculariza...
Source: The Thoracic and Cardiovascular Surgeon - May 29, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Lee JH, Jeong DS, Sung K, Kim WS, Park PW, Kim H, Carriere KC, Lee YT Tags: Thorac Cardiovasc Surg Source Type: research

Predictive Factors of Thoracic Lymph Node Metastasis Accompanying Pulmonary Metastasis from Colorectal Cancer.
CONCLUSION:  The number of pulmonary metastasis and metastasis from colon cancers were independent factors predicting LN metastases. LN sampling should be performed especially in cases with strong predictive factors to improve staging and help guide further treatment. PMID: 29843186 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - May 29, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Ali K, Cho S, Jang HJ, Kim K, Jheon S Tags: Thorac Cardiovasc Surg Source Type: research

Comparing Part-Solid and Pure-Solid Tumors in the TNM Classification of Lung Cancer (Eighth Edition).
CONCLUSION:  In the eighth edition of the TNM classification of clinical-T1a-cN0M0 NSCLC, the prognosis of part-solid and pure-solid tumors showed no significant differences. Solid component size of the tumor is considered important prognostic factor in early-stage NSCLC. PMID: 29843187 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - May 29, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Yamanashi K, Okumura N, Yamamoto Y, Takahashi A, Nakashima T, Matsuoka T Tags: Thorac Cardiovasc Surg Source Type: research

Comparing Part-Solid and Pure-Solid Tumors in the TNM Classification of Lung Cancer (Eighth Edition)
Conclusion In the eighth edition of the TNM classification of clinical-T1a-cN0M0 NSCLC, the prognosis of part-solid and pure-solid tumors showed no significant differences. Solid component size of the tumor is considered important prognostic factor in early-stage NSCLC. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - May 29, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Yamanashi, Keiji Okumura, Norihito Yamamoto, Yoshiharu Takahashi, Ayuko Nakashima, Takashi Matsuoka, Tomoaki Tags: Original Thoracic Source Type: research

Predictive Factors of Thoracic Lymph Node Metastasis Accompanying Pulmonary Metastasis from Colorectal Cancer
Conclusion The number of pulmonary metastasis and metastasis from colon cancers were independent factors predicting LN metastases. LN sampling should be performed especially in cases with strong predictive factors to improve staging and help guide further treatment. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - May 29, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Ali, Kamran Cho, Sukki Jang, Hyo Jun Kim, Kwhanmien Jheon, Sanghoon Tags: Original Thoracic Source Type: research

Off-Pump Coronary Artery Bypass Graft Versus Drug-Eluting Stent Implantation in Patients with Multivessel Disease Involving the Right Coronary Artery
Thorac cardiovasc Surg DOI: 10.1055/s-0038-1653962 Background Whether percutaneous coronary intervention (PCI) is superior to coronary artery bypass grafting (CABG) for the right coronary territory is unknown. The aim of this study was to compare the outcomes and patency in the right coronary territory after CABG or PCI. Methods We studied 2,467 multivessel coronary artery disease patients from January 2001 to December 2011; 1,672 were off-pump CABG patients and 795 were PCI. The graft patency and the presence of major adverse cardiac and cerebrovascular events (MACCEs) including death, myocardial infarctio...
Source: The Thoracic and Cardiovascular Surgeon - May 29, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Lee, Jun Ho Jeong, Dong Seop Sung, Kiick Kim, Wook Sung Park, Pyo Won Kim, Hyuck Carriere, K. C. Lee, Young Tak Tags: Original Cardiovascular Source Type: research

Surgical Pericardiectomy for Constrictive Pericarditis: A Single Tertiary Center Experience.
Abstract BACKGROUND:  Although surgery is the sole therapeutic option for patients with constrictive pericarditis (CP), reports on high postoperative mortality rates have led to hesitant surgery referral. The aim of this study was to report the short- and long-term outcomes of surgical pericardiectomy (SP) from a large tertiary center. METHODS:  Between January 2005 and January 2017, 55 consecutive patients underwent SP after comprehensive echocardiography, computed tomography, and hemodynamic studies. Detailed clinical, imaging, surgical techniques and follow-up outcomes were recorded. RESULTS...
Source: The Thoracic and Cardiovascular Surgeon - May 27, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Nachum E, Sternik L, Kassif Y, Raanani E, Hay I, Shalabi A, Buber J Tags: Thorac Cardiovasc Surg Source Type: research

Analysis of Minimally Invasive Left Thoracotomy HVAD Implantation - A Single-Center Experience.
CONCLUSION:  The minimally invasive approach is a viable alternative with the possibility to reduce complications and should be particularly considered for bridge-to-transplant patients. PMID: 29804285 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - May 27, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Reichart D, Brand CF, Bernhardt AM, Schmidt S, Schaefer A, Blankenberg S, Reichenspurner H, Wagner FM, Deuse T, Barten MJ Tags: Thorac Cardiovasc Surg Source Type: research

Analysis of Minimally Invasive Left Thoracotomy HVAD Implantation – A Single-Center Experience
Conclusion The minimally invasive approach is a viable alternative with the possibility to reduce complications and should be particularly considered for bridge-to-transplant patients. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - May 27, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Reichart, D. Brand, C.F. Bernhardt, A.M. Schmidt, S. Schaefer, A. Blankenberg, S. Reichenspurner, H. Wagner, F.M. Deuse, T. Barten, M.J. Tags: Original Cardiovascular Source Type: research

Surgical Pericardiectomy for Constrictive Pericarditis: A Single Tertiary Center Experience
Thorac cardiovasc Surg DOI: 10.1055/s-0038-1645869 Background Although surgery is the sole therapeutic option for patients with constrictive pericarditis (CP), reports on high postoperative mortality rates have led to hesitant surgery referral. The aim of this study was to report the short- and long-term outcomes of surgical pericardiectomy (SP) from a large tertiary center. Methods Between January 2005 and January 2017, 55 consecutive patients underwent SP after comprehensive echocardiography, computed tomography, and hemodynamic studies. Detailed clinical, imaging, surgical techniques and follow-up outcom...
Source: The Thoracic and Cardiovascular Surgeon - May 27, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Nachum, Eyal Sternik, Leonid Kassif, Yigal Raanani, Ehud Hay, Ilan Shalabi, Amjad Buber, Jonathan Tags: Original Cardiovascular Source Type: research

Is Right Sleeve Lower Lobectomy Necessary? Is It Safe?
CONCLUSION:  This technique allows for reduced filling of the thoracic cavity by a prolonged air leak and a reduced prevalence of complications. Additionally, the hospitalization time is shortened. It does not produce any additional mortality burden, and total survival and oncological outcomes are reliable. This technique can be used in selected patients at experienced centers. PMID: 29791936 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - May 23, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Kocaturk CI, Saydam O, Sezen CB, Kalafat CE, Cansever L, Kutluk AC, Akin H, Metin M Tags: Thorac Cardiovasc Surg Source Type: research

Is Right Sleeve Lower Lobectomy Necessary? Is It Safe?
Conclusion This technique allows for reduced filling of the thoracic cavity by a prolonged air leak and a reduced prevalence of complications. Additionally, the hospitalization time is shortened. It does not produce any additional mortality burden, and total survival and oncological outcomes are reliable. This technique can be used in selected patients at experienced centers. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - May 23, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Kocaturk, Celalettin Ibrahim Saydam, Ozkan Sezen, Celal Bugra Kalafat, Cem Emrah Cansever, Levent Kutluk, Ali Cevat Akin, Hasan Metin, Muzaffer Tags: Original Cardiovascular Source Type: research

Survival after Aortic Valve Replacement with Bovine or Porcine Valve Prostheses: A Systematic Review and Meta-Analysis.
CONCLUSIONS:  This systematic review and meta-analysis suggest no difference in survival between patients who received a bovine versus a porcine bioprosthesis after aortic valve replacement. Our study provides valuable evidence for the continuing use of both bovine and porcine bioprosthetic valves for surgical aortic valve replacement. PMID: 29772584 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - May 17, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Glaser N, Jackson V, Franco-Cereceda A, Sartipy U Tags: Thorac Cardiovasc Surg Source Type: research

Thoracoplasty-Current View on Indication and Technique.
This article presents an overview of the historical and current techniques of this surgical procedure.Nowadays, thoracoplasty is rarely performed due to the low incidence of diseases for which this method is necessary. Therefore, this method has even been discredited. Furthermore, certain technical aspects of the thoracoplasty are not very well known because of the infrequent application of this procedure.Unfortunately, a look into the literature of thoracoplasty is not always usefull due to the biased views of advocates of different techniques such as Schede's thoracoplasty, Heller's Jalousie-Plastik, Alexander's extramus...
Source: The Thoracic and Cardiovascular Surgeon - May 17, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Kuhtin O, Veith M, Alghanem M, Martel I, Giller D, Haas V, Lampl L Tags: Thorac Cardiovasc Surg Source Type: research

Custom-made Stent Grafts for the Treatment of Pseudoaneurysms after Childhood Coarctation Surgery.
CONCLUSION:  Redo open surgery is challenging because of adhesions of the thoracic cavity and associated morbidity and mortality. TEVAR is less invasive and offers fewer complications. Custom-made modifications overcome difficult anatomies including short landing zones and diameter variability. PMID: 29772586 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - May 17, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Lescan M, Hornung A, Hofbeck M, Schlensak C Tags: Thorac Cardiovasc Surg Source Type: research

Custom-made Stent Grafts for the Treatment of Pseudoaneurysms after Childhood Coarctation Surgery
Conclusion Redo open surgery is challenging because of adhesions of the thoracic cavity and associated morbidity and mortality. TEVAR is less invasive and offers fewer complications. Custom-made modifications overcome difficult anatomies including short landing zones and diameter variability. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - May 17, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Lescan, Mario Hornung, Andreas Hofbeck, Michael Schlensak, Christian Tags: Short Communication Source Type: research

Thoracoplasty —Current View on Indication and Technique
This article presents an overview of the historical and current techniques of this surgical procedure.Nowadays, thoracoplasty is rarely performed due to the low incidence of diseases for which this method is necessary. Therefore, this method has even been discredited. Furthermore, certain technical aspects of the thoracoplasty are not very well known because of the infrequent application of this procedure.Unfortunately, a look into the literature of thoracoplasty is not always usefull due to the biased views of advocates of different techniques such as Schede's thoracoplasty, Heller's Jalousie-Plastik, Alexander's extramus...
Source: The Thoracic and Cardiovascular Surgeon - May 17, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Kuhtin, Oleg Veith, Marina Alghanem, Mohammed Martel, Ivan Giller, Dmitrii Haas, Viktor Lampl, Ludwig Tags: Review Article Source Type: research

Survival after Aortic Valve Replacement with Bovine or Porcine Valve Prostheses: A Systematic Review and Meta-Analysis
Conclusions This systematic review and meta-analysis suggest no difference in survival between patients who received a bovine versus a porcine bioprosthesis after aortic valve replacement. Our study provides valuable evidence for the continuing use of both bovine and porcine bioprosthetic valves for surgical aortic valve replacement. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - May 17, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Glaser, Natalie Jackson, Veronica Franco-Cereceda, Anders Sartipy, Ulrik Tags: Original Cardiovascular Source Type: research

How Do Transcatheter Heart Valves Fit in Mitral Annuloplasty Rings and Which Combination Can be Recommended?
CONCLUSION:  Not all currently available annuloplasty rings are ideal scaffolds for THV placement. It appears that a more proper fit can be achieved with semi-rigid rings than with rigid ones. Note that 23 mm THV appeared to be too small for an adequate anchoring in even the smallest available ring. Thus, 26 mm as well as 29 mm THV fit properly in ring sizes between 28 and 34 mm. Surgeons may consider to choose from those ring brands and sizes which allow for good placement of a THV in view of possible valve degeneration in the later course. PMID: 29739020 [PubMed - as supplied by publisher] (Source...
Source: The Thoracic and Cardiovascular Surgeon - May 8, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Ostovar R, Kuehnel RU, Erb M, Hartrumpf M, Claus T, Haase R, Albes JM Tags: Thorac Cardiovasc Surg Source Type: research

Prognosis of Transcatheter Closure Compared with Surgical Repair of Paravalvular Leak after Prosthetic Valve Replacement: A Retrospective Comparison.
CONCLUSIONS:  Transcatheter closure was shown to be a safe, effective therapeutic option in patients with PVL. It was associated with a lower hospital mortality rate, shorter procedural time, and fewer blood transfusions than surgical treatment in selected patients. PMID: 29739021 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - May 8, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Yang C, Liu Y, Tang J, Jin P, Li L, Yu S, Yang J Tags: Thorac Cardiovasc Surg Source Type: research

Efficacy of Miniuniportal Video-Assisted Thoracoscopic Selective Sympathectomy (Ramicotomy) for the Treatment of Severe Palmar and Axillar Hyperhidrosis.
CONCLUSION:  Miniuniportal VATS ramicotomy represents a feasible surgical technique with a very high success and satisfaction rate. Therefore, this approach should be considered as the method of choice for the treatment of patients with severe therapy-refractory palmar and axillary hyperhidrosis. PMID: 29739022 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - May 8, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Akil A, Semik M, Fischer S Tags: Thorac Cardiovasc Surg Source Type: research

Efficacy of Miniuniportal Video-Assisted Thoracoscopic Selective Sympathectomy (Ramicotomy) for the Treatment of Severe Palmar and Axillar Hyperhidrosis
Conclusion Miniuniportal VATS ramicotomy represents a feasible surgical technique with a very high success and satisfaction rate. Therefore, this approach should be considered as the method of choice for the treatment of patients with severe therapy-refractory palmar and axillary hyperhidrosis. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - May 8, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Akil, Ali Semik, Michael Fischer, Stefan Tags: Original Thoracic Source Type: research

Prognosis of Transcatheter Closure Compared with Surgical Repair of Paravalvular Leak after Prosthetic Valve Replacement: A Retrospective Comparison
Conclusions Transcatheter closure was shown to be a safe, effective therapeutic option in patients with PVL. It was associated with a lower hospital mortality rate, shorter procedural time, and fewer blood transfusions than surgical treatment in selected patients. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - May 8, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Yang, Chun Liu, Yang Tang, Jiayou Jin, Ping Li, Lanlan Yu, Shiqiang Yang, Jian Tags: Original Cardiovascular Source Type: research

How Do Transcatheter Heart Valves Fit in Mitral Annuloplasty Rings and Which Combination Can be Recommended?
Conclusion Not all currently available annuloplasty rings are ideal scaffolds for THV placement. It appears that a more proper fit can be achieved with semi-rigid rings than with rigid ones. Note that 23 mm THV appeared to be too small for an adequate anchoring in even the smallest available ring. Thus, 26 mm as well as 29 mm THV fit properly in ring sizes between 28 and 34 mm. Surgeons may consider to choose from those ring brands and sizes which allow for good placement of a THV in view of possible valve degeneration in the later course. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle i...
Source: The Thoracic and Cardiovascular Surgeon - May 8, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Ostovar, Roya Kuehnel, Ralf-Uwe Erb, Michael Hartrumpf, Martin Claus, Thomas Haase, Robert Albes, Johannes M. Tags: Original Cardiovascular Source Type: research

Incidence and Risk Factors for Right Ventricular Outflow Tract Obstruction after the Arterial Switch Operation.
Abstract BACKGROUND:  The aim of this study was to evaluate the incidence and risk factors for the development of right ventricular outflow tract obstruction (RVOTO) after the arterial switch operation (ASO). METHODS:  Between 1983 and 2014, a total of 688 patients underwent ASO. RVOTO was defined as any obstruction of the right ventricular outflow tract (RVOT) requiring reintervention. RESULTS:  RVOTO developed in 79 patients (11%) at a median time of 3.8 years (range, 1 day-23.6 years) after ASO. Freedom from RVOT reintervention was 96 ± 1, 89 ± ...
Source: The Thoracic and Cardiovascular Surgeon - May 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Cleuziou J, Vitanova K, Pabst von Ohain J, Ono M, Tanase D, Burri M, Lange R Tags: Thorac Cardiovasc Surg Source Type: research

ICU Readmission after Cardiac Surgery-Still a Matter of Concern?
CONCLUSIONS:  In conclusion, readmission to the ICU after cardiac surgery is a rare complication that is still associated with excessive mortality. Establishment of an intermediate care unit proved to be an excellent means to reduce ICU stay without endangering post-surgery patients and significantly reduced the ICU readmission rate. PMID: 29715703 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - May 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Kolat P, Guttenberger P, Ried M, Kapahnke J, Haneya A, Schmid C, Diez C Tags: Thorac Cardiovasc Surg Source Type: research

Benefits and Risks of Prophylactic Cerebrospinal Fluid Catheter and Evoked Potential Monitoring in Symptomatic Spinal Cord Ischemia Low-Risk Thoracic Endovascular Aortic Repair.
CONCLUSION:  Use of CSF drainage is associated with a significant lower incidence of SSCI after SSCI low-risk TEVAR than nonuse, whereas the complication rate associated with CSF drainage insertion or removal is very low. Routine EP monitoring is a useful tool to detect immediate arterial inflow obstruction to the spinal cord. The combination of these two methods serves as a safe and reliable standardized strategy in reducing the incidence of SSCI to a minimum. PMID: 29715704 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - May 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Maier S, Shcherbakova M, Beyersdorf F, Benk C, Kari FA, Siepe M, Czerny M, Rylski B Tags: Thorac Cardiovasc Surg Source Type: research

Randomized (CO)mparison of (TRI)fecta and (P)erimount Magna Ease Supraannular Aortic Xenografts-CO.TRI.P Study.
CONCLUSIONS:  The Trifecta and the Perimount Magna Ease prostheses both show excellent hemodynamic performance after AVR. In patients with larger annuli, the Trifecta valve seems to be even superior to the Magna Ease, which may be advantageous in obese patients. PMID: 29715705 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - May 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Van Linden A, Arsalan M, Körschgen T, Blumenstein J, Kempfert J, Hecker F, Walther T Tags: Thorac Cardiovasc Surg Source Type: research

Needlescopic Video-Assisted Thoracic Bilateral T4 Sympathicotomy for the Treatment of Primary Palmar Hyperhidrosis: An Analysis of 200 Cases.
CONCLUSION:  Needlescopic video-assisted thoracic bilateral T4 sympathicotomy could reach an excellent and immediate result of treating PPH. It is a safe, convenient, and minimally invasive method appropriate for wide clinical use. PMID: 29715706 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - May 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Feng X, Xiong X, Jin E, Meng W Tags: Thorac Cardiovasc Surg Source Type: research

Rib Radiography versus Chest Computed Tomography in the Diagnosis of Rib Fractures.
CONCLUSION:  In rib radiography, overlap with organs and fractures outside the imaging range were characteristic reasons for missed diagnoses. In chest computed tomography, horizontal rib fractures and insufficient breath holding were often responsible. We should take these challenges into account when diagnosing rib fractures. PMID: 29715707 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - May 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Sano A Tags: Thorac Cardiovasc Surg Source Type: research

The Feasibility of Thoracoscopic Left Pneumonectomy.
CONCLUSION:  VATS pneumonectomy is a safe, feasible treatment for complicated diseases that induces acceptable damage and has lower morbidity. PMID: 29715708 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - May 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Xu H, Zhang L Tags: Thorac Cardiovasc Surg Source Type: research

Dissection of Incomplete Fissure Using Electrocautery Is a Safe and Acceptable Method for Thoracoscopic Right Upper Lobectomy.
CONCLUSIONS:  The number of patients with prolonged air leak was higher in the electrocautery group. However, electrocautery does not prolong overall length of stay and decreases hospitalization costs. Dissection of incomplete fissure using electrocautery is a safe and acceptable method for thoracoscopic right upper lobectomy. PMID: 29715709 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - May 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Xu H, Zhang L Tags: Thorac Cardiovasc Surg Source Type: research

Timing of ECMO Initiation Impacts Survival in Influenza-Associated ARDS.
Abstract In the past decade, extracorporeal membrane oxygenation (ECMO) has emerged as an innovative therapy for influenza-associated acute respiratory distress syndrome (ARDS). Despite its promising results, the ideal timing of ECMO initiation for these patients remains unclear. Retrospective analysis of a single institution experience with venovenous ECMO for influenza-induced ARDS was performed. Twenty-one patients were identified and categorized into early (0-2 days), standard (3-6 days), or late (more than 7 days) cannulation cohorts. Patients cannulated within 48 hours of admission had 80% survival rate at 9...
Source: The Thoracic and Cardiovascular Surgeon - May 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Steimer DA, Hernandez O, Mason DP, Schwartz GS Tags: Thorac Cardiovasc Surg Source Type: research

Timing of ECMO Initiation Impacts Survival in Influenza-Associated ARDS
Thorac cardiovasc Surg DOI: 10.1055/s-0038-1642066In the past decade, extracorporeal membrane oxygenation (ECMO) has emerged as an innovative therapy for influenza-associated acute respiratory distress syndrome (ARDS). Despite its promising results, the ideal timing of ECMO initiation for these patients remains unclear. Retrospective analysis of a single institution experience with venovenous ECMO for influenza-induced ARDS was performed. Twenty-one patients were identified and categorized into early (0–2 days), standard (3–6 days), or late (more than 7 days) cannulation cohorts. Patients cannulated within 48 h...
Source: The Thoracic and Cardiovascular Surgeon - May 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Steimer, Desiree A. Hernandez, Omar Mason, David P. Schwartz, Gary S. Tags: Short Communication Source Type: research

Dissection of Incomplete Fissure Using Electrocautery Is a Safe and Acceptable Method for Thoracoscopic Right Upper Lobectomy
Conclusions The number of patients with prolonged air leak was higher in the electrocautery group. However, electrocautery does not prolong overall length of stay and decreases hospitalization costs. Dissection of incomplete fissure using electrocautery is a safe and acceptable method for thoracoscopic right upper lobectomy. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - May 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Xu, Hao Zhang, Linyou Tags: Original Thoracic Source Type: research

The Feasibility of Thoracoscopic Left Pneumonectomy
Conclusion VATS pneumonectomy is a safe, feasible treatment for complicated diseases that induces acceptable damage and has lower morbidity. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - May 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Xu, Hao Zhang, Linyou Tags: Original Thoracic Source Type: research

Rib Radiography versus Chest Computed Tomography in the Diagnosis of Rib Fractures
Conclusion In rib radiography, overlap with organs and fractures outside the imaging range were characteristic reasons for missed diagnoses. In chest computed tomography, horizontal rib fractures and insufficient breath holding were often responsible. We should take these challenges into account when diagnosing rib fractures. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - May 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Sano, Atsushi Tags: Original Thoracic Source Type: research

Needlescopic Video-Assisted Thoracic Bilateral T4 Sympathicotomy for the Treatment of Primary Palmar Hyperhidrosis: An Analysis of 200 Cases
Conclusion Needlescopic video-assisted thoracic bilateral T4 sympathicotomy could reach an excellent and immediate result of treating PPH. It is a safe, convenient, and minimally invasive method appropriate for wide clinical use. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - May 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Feng, Xing Xiong, Xiaoling Jin, Er Meng, Wen Tags: Original Thoracic Source Type: research

Randomized (CO)mparison of (TRI)fecta and (P)erimount Magna Ease Supraannular Aortic Xenografts —CO.TRI.P Study
Conclusions The Trifecta and the Perimount Magna Ease prostheses both show excellent hemodynamic performance after AVR. In patients with larger annuli, the Trifecta valve seems to be even superior to the Magna Ease, which may be advantageous in obese patients. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - May 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Van Linden, Arnaud Arsalan, Mani K örschgen, Thore Blumenstein, Johannes Kempfert, J örg Hecker, Florian Walther, Thomas Tags: Original Cardiovascular Source Type: research

Benefits and Risks of Prophylactic Cerebrospinal Fluid Catheter and Evoked Potential Monitoring in Symptomatic Spinal Cord Ischemia Low-Risk Thoracic Endovascular Aortic Repair
Conclusion Use of CSF drainage is associated with a significant lower incidence of SSCI after SSCI low-risk TEVAR than nonuse, whereas the complication rate associated with CSF drainage insertion or removal is very low. Routine EP monitoring is a useful tool to detect immediate arterial inflow obstruction to the spinal cord. The combination of these two methods serves as a safe and reliable standardized strategy in reducing the incidence of SSCI to a minimum. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  F...
Source: The Thoracic and Cardiovascular Surgeon - May 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Maier, Sven Shcherbakova, Maria Beyersdorf, Friedhelm Benk, Christoph Kari, Fabian Alexander Siepe, Matthias Czerny, Martin Rylski, Bartosz Tags: Original Cardiovascular Source Type: research

ICU Readmission after Cardiac Surgery —Still a Matter of Concern?
Conclusions In conclusion, readmission to the ICU after cardiac surgery is a rare complication that is still associated with excessive mortality. Establishment of an intermediate care unit proved to be an excellent means to reduce ICU stay without endangering post-surgery patients and significantly reduced the ICU readmission rate. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - May 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Kolat, Philipp Guttenberger, Patricia Ried, Michael Kapahnke, Julia Haneya, Assad Schmid, Christof Diez, Claudius Tags: Original Cardiovascular Source Type: research