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Which is the Best Minimal Invasive Approach for the Treatment of Spontaneous Pneumothorax? Uniport, Two, or Three Ports: A Prospective Randomized Trail
This study prospectively compared the results of the uniportal, two-port, and three-port thoracoscopic surgery. Material and Methods One hundred and thirty-five patients were randomized into three groups according to the port numbers. The groups were compared regarding the operation time, hospital stay, amount of drainage, area of pleurectomy, complications, recurrences, and pain scores. Results Except for the amount of drainage (p = 0.03), no factors were found to be statistically significant. The overall recurrence rate was 5%. Although the first and second week pain scores were not statisti...
Source: The Thoracic and Cardiovascular Surgeon - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Kutluk, Ali Cevat Kocaturk, Celalettin Ibrahim Akin, Hasan Erdogan, Sertan Bilen, Salih Karapinar, Kemal Sezen, Celal Bugra Saydam, Ozkan Tags: Original Thoracic Source Type: research

Graft-Sparing Strategy for Thoracic Prosthetic Graft Infection
Conclusions Graft-sparing surgery for thoracic prosthetic graft infection is an alternative option particularly for early graft infection after hemiarch 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 - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Uchino, Gaku Yoshida, Takeshi Kakii, Bunpachi Furui, Masato Tags: Original Cardiovascular Source Type: research

Golgi Fragmentation in Human Patients with Chronic Atrial Fibrillation: A New Aspect of Remodeling
Conclusions The present data may show that AF associated remodeling also involves intracellular remodeling of the Golgi-microtubular apparatus. [...] 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 - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Jungk, Luisa Franke, Heike Salameh, Aida Dhein, Stefan Tags: Original Basic Science Source Type: research

The “Auto-sliding Graft” Aortic Wrapping Technique
We describe the “auto-sliding graft” technique, a different anastomotic option for reconstructive prosthetic procedures on the ascending aorta especially in patients at risk of circulatory arrest with mild aortic dilatation. This simple technique provides not only an important hemostatic reinforcement for the distal aortic graft anastomosis but also a protective effect on the native ascending aorta beyond the suture line. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: The Thoracic ...
Source: The Thoracic and Cardiovascular Surgeon - February 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Estevez-Cid, Francisco Herrera-Norena, Jose Mar ía de Sierra, Carlos Velasco-Garc ía Tags: How to Do It Source Type: research

Thoracic Endovascular Repair for Acute Traumatic Transection of the Descending Thoracic Aorta and Postendovascular Remodeling Change.
CONCLUSIONS:  TEVAR resulted in good early survival in patients with TTA. No late or stent graft-related event was encountered up to a maximum of 9 years after surgery. We recommend that patients with grade III or higher TTA should undergo emergency surgery. Moreover, we consider that long-term follow-up and blood pressure management are essential when the proximal aortic diameter is found to increase slightly after TEVAR on follow-up CT. PMID: 29396977 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - February 2, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Kim JT, Kim YS, Yoon YH, Shin HK, Park KM, Baek WK Tags: Thorac Cardiovasc Surg Source Type: research

The COSTA Study: Sternal Closure in High-Risk Patients - A Prospective Randomized Multicenter Trial
Conclusion According to these data, there is no statistically significant difference between Sternal Talon closure and wire cerclage in reducing the incidence of mediastinitis and superficial SSI after primary closure of median sternotomy in high-risk 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 - February 2, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Leinberger, Tetyana Heilmann, Claudia Sorg, Stefan Mueller, Matthias Kueri, Sami Schmoor, Claudia Siepe, Matthias Beyersdorf, Friedhelm Tags: Original Cardiovascular Source Type: research

Thoracic Endovascular Repair for Acute Traumatic Transection of the Descending Thoracic Aorta and Postendovascular Remodeling Change
Conclusions TEVAR resulted in good early survival in patients with TTA. No late or stent graft-related event was encountered up to a maximum of 9 years after surgery. We recommend that patients with grade III or higher TTA should undergo emergency surgery. Moreover, we consider that long-term follow-up and blood pressure management are essential when the proximal aortic diameter is found to increase slightly after TEVAR on follow-up CT. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: The T...
Source: The Thoracic and Cardiovascular Surgeon - February 2, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Kim, Joung Taek Kim, Young Sam Yoon, Yong Han Shin, Helen Ki Park, Keun Myoung Baek, Wan Ki Tags: Original Cardiovascular Source Type: research

The Bronchus First and Vessels Simultaneously Stapled Technique: A Safe and Simple Method for Video-Assisted Right Upper Lobe Lobectomy.
Abstract OBJECTIVE:  Video-assisted thoracic surgery lobectomy is a minimally invasive procedure for major pulmonary resection. The purpose of this study was to present a novel approach with a thoracoscope in the right upper lobe and to compare different lobectomy methods at our institution. METHODS:  We reviewed the medical records of patients who underwent a thoracoscopic right upper lobectomy for lung cancer between September 2015 and September 2016. We performed 128 thoracoscopic right upper lobectomies: group A (n = 50) was treated with the bronchus-first and vessels simultaneousl...
Source: The Thoracic and Cardiovascular Surgeon - January 30, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Xu H, Zhang L Tags: Thorac Cardiovasc Surg Source Type: research

The Bronchus First and Vessels Simultaneously Stapled Technique: A Safe and Simple Method for Video-Assisted Right Upper Lobe Lobectomy
Thorac cardiovasc Surg DOI: 10.1055/s-0037-1620276 Objective Video-assisted thoracic surgery lobectomy is a minimally invasive procedure for major pulmonary resection. The purpose of this study was to present a novel approach with a thoracoscope in the right upper lobe and to compare different lobectomy methods at our institution. Methods We reviewed the medical records of patients who underwent a thoracoscopic right upper lobectomy for lung cancer between September 2015 and September 2016. We performed 128 thoracoscopic right upper lobectomies: group A (n = 50) was treated with the bronchus-f...
Source: The Thoracic and Cardiovascular Surgeon - January 30, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Xu, Hao Zhang, Linyou Tags: Original Thoracic Source Type: research

Lung Adenocarcinoma Invasiveness Risk in Pure Ground-Glass Opacity Lung Nodules Smaller than 2 cm.
CONCLUSION:  Pure GGNs were highly associated with lung adenocarcinoma in surgically resected cases, while estimated risk of GGNs invasiveness gradually increased as maximal diameter increased. PMID: 29359309 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - January 22, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Lee GD, Park CH, Park HS, Byun MK, Lee IJ, Kim TH, Lee S Tags: Thorac Cardiovasc Surg Source Type: research

Lung Adenocarcinoma Invasiveness Risk in Pure Ground-Glass Opacity Lung Nodules Smaller than 2 cm
Conclusion Pure GGNs were highly associated with lung adenocarcinoma in surgically resected cases, while estimated risk of GGNs invasiveness gradually increased as maximal diameter increased. [...] 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 - January 22, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Lee, Geun Dong Park, Chul Hwan Park, Heae Surng Byun, Min Kwang Lee, Ik Jae Kim, Tae Hoon Lee, Sungsoo Tags: Original Thoracic Source Type: research

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The Thoracic and Cardiovascular Surgeon 2018; S 01 Article in Thieme eJournals: Table of contents  |  Congress (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - January 22, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

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The Thoracic and Cardiovascular Surgeon 2018; S 02 Article in Thieme eJournals: Table of contents  |  Congress (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - January 22, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Editor's Commentary.
PMID: 29351693 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - January 19, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Heinemann MK Tags: Thorac Cardiovasc Surg Source Type: research

Treatment Outcomes for Right-Sided Endocarditis in Intravenous Drug Users: A Systematic Review and Analysis of Outcomes in a Tertiary Centre.
CONCLUSIONS:  There is paucity around optimal RSIE management strategy for IVDU that can decrease mortality. Surgical management of RSIE may be associated with increased mortality over medical management mainly due to advanced surgical indications. PMID: 29351694 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - January 19, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Magsino K, Sanjanwala R, Hiebert B, Rothney J, Manji R, Arora R, Shah P Tags: Thorac Cardiovasc Surg Source Type: research

Reasons for Failure of Systemic-to-Pulmonary Artery Shunts in Neonates.
Abstract BACKGROUND:  Systemic-to-pulmonary artery shunt placement is an established palliative procedure for congenital heart disease. Although it is thought to be a simple operation, it is associated with significant morbidity and mortality. METHODS:  Data for all neonates who underwent surgery for a systemic-to-pulmonary artery shunt between 2000 and 2016 were reviewed. The study endpoints were shunt failure and shunt-related mortality. Shunt failure was defined as a shunt dysfunction because of thrombosis or stenosis requiring intervention or reoperation; shunt mortality was defined as death bec...
Source: The Thoracic and Cardiovascular Surgeon - January 19, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Vitanova K, Leopold C, von Ohain JP, Wolf C, Beran E, Lange R, Cleuziou J Tags: Thorac Cardiovasc Surg Source Type: research

Risk of Primary Spontaneous Pneumothorax According to Chest Configuration.
Abstract BACKGROUND:  We compared the chest configurations of patients with primary spontaneous pneumothorax (PSP) and age-sex-matched controls to determine the presence of chest wall deformities in patients with PSP. METHODS:  We retrospectively enrolled 166 male patients with PSP (age, 18-19 years) and 85 age-sex-matched controls without PSP, who simultaneously underwent chest computed tomography (CT) and radiography at one of two institutes. After correcting for height, the following thoracic parameters were comparatively evaluated between the two groups: maximal internal transverse (T) and anter...
Source: The Thoracic and Cardiovascular Surgeon - January 19, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Park CH, Sung M, Lee GD, Do YW, Park HM, Kim J, Hur J, Han K, Kim TH, Song JJ, Lee S Tags: Thorac Cardiovasc Surg Source Type: research

Roles of Transit-Time Flow Measurement for Coronary Artery Bypass Surgery.
Abstract Transit-time flow measurement (TTFM) has been increasingly applied to detect graft failure during coronary artery bypass grafting (CABG), because TTFM is less invasive, more reproducible, and less time consuming. Many authors have attempted to validate TTFM and to gain the clear cutoff values and algorithm in TTFM to predict graft failure. The TTFM technology has also been shown to be a useful tool to investigate CABG graft flow characteristics and coronary circulation physiology. It is important to recognize the practical roles of TTFM in the cardiac operating room by review and summarize the literatures...
Source: The Thoracic and Cardiovascular Surgeon - January 19, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Takami Y, Takagi Y Tags: Thorac Cardiovasc Surg Source Type: research

Roles of Transit-Time Flow Measurement for Coronary Artery Bypass Surgery
Thorac cardiovasc Surg DOI: 10.1055/s-0037-1618575Transit-time flow measurement (TTFM) has been increasingly applied to detect graft failure during coronary artery bypass grafting (CABG), because TTFM is less invasive, more reproducible, and less time consuming. Many authors have attempted to validate TTFM and to gain the clear cutoff values and algorithm in TTFM to predict graft failure. The TTFM technology has also been shown to be a useful tool to investigate CABG graft flow characteristics and coronary circulation physiology. It is important to recognize the practical roles of TTFM in the cardiac operating room by revi...
Source: The Thoracic and Cardiovascular Surgeon - January 19, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Takami, Yoshiyuki Takagi, Yasushi Tags: Review Article Source Type: research

Risk of Primary Spontaneous Pneumothorax According to Chest Configuration
Thorac cardiovasc Surg DOI: 10.1055/s-0037-1620273 Background We compared the chest configurations of patients with primary spontaneous pneumothorax (PSP) and age-sex-matched controls to determine the presence of chest wall deformities in patients with PSP. Methods We retrospectively enrolled 166 male patients with PSP (age, 18–19 years) and 85 age-sex-matched controls without PSP, who simultaneously underwent chest computed tomography (CT) and radiography at one of two institutes. After correcting for height, the following thoracic parameters were comparatively evaluated between the two groups: maxim...
Source: The Thoracic and Cardiovascular Surgeon - January 19, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Park, Chul Hwan Sung, MinDong Lee, Geun Dong Do, Young Woo Park, Hee Min Kim, Junu Hur, Jin Han, Kyunghwa Kim, Tae Hoon Song, Jason Jungsik Lee, Sungsoo Tags: Original Thoracic Source Type: research

Reasons for Failure of Systemic-to-Pulmonary Artery Shunts in Neonates
Thorac cardiovasc Surg DOI: 10.1055/s-0037-1621706 Background Systemic-to-pulmonary artery shunt placement is an established palliative procedure for congenital heart disease. Although it is thought to be a simple operation, it is associated with significant morbidity and mortality. Methods Data for all neonates who underwent surgery for a systemic-to-pulmonary artery shunt between 2000 and 2016 were reviewed. The study endpoints were shunt failure and shunt-related mortality. Shunt failure was defined as a shunt dysfunction because of thrombosis or stenosis requiring intervention or reoperation; shunt mort...
Source: The Thoracic and Cardiovascular Surgeon - January 19, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Vitanova, Keti Leopold, Cornelius von Ohain, Jelena Pabst Wolf, Cordula Beran, Elisabeth Lange, R üdiger Cleuziou, Julie Tags: Original Cardiovascular Source Type: research

Treatment Outcomes for Right-Sided Endocarditis in Intravenous Drug Users: A Systematic Review and Analysis of Outcomes in a Tertiary Centre
Conclusions There is paucity around optimal RSIE management strategy for IVDU that can decrease mortality. Surgical management of RSIE may be associated with increased mortality over medical management mainly due to advanced surgical indications. [...] 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 - January 19, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Magsino, Karen Sanjanwala, Rohan Hiebert, Brett Rothney, Janet Manji, Rizwan Arora, Rakesh Shah, Pallav Tags: Original Cardiovascular Source Type: research

Editor's Commentary
Thorac cardiovasc Surg DOI: 10.1055/s-0037-1618579 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 - January 19, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Heinemann, Markus K. Tags: Commentary Source Type: research

Validation of Three Postoperative Risk Prediction Models for Intensive Care Unit Mortality after Cardiac Surgery.
The objective of this study was to externally validate three postoperative risk prediction models for intensive care unit (ICU) mortality after cardiac surgery. METHODS:  The logistic Cardiac Surgery Scores (logCASUS), Rapid Clinical Evaluation (RACE), and Sequential Organ Failure Assessment (SOFA) scores were calculated over the first 7 postoperative days for consecutive adult cardiac surgery patients between January 2013 and May 2015. Model discrimination was assessed using receiver operating characteristic curve analyses. Calibration was assessed using the Hosmer-Lemeshow (HL) test, calibration plots, and obse...
Source: The Thoracic and Cardiovascular Surgeon - January 9, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Howitt SH, Caiado C, McCollum C, Goldstein M, Malagon I, Venkateswaran R, Grant SW Tags: Thorac Cardiovasc Surg Source Type: research

Validation of Three Postoperative Risk Prediction Models for Intensive Care Unit Mortality after Cardiac Surgery
The objective of this study was to externally validate three postoperative risk prediction models for intensive care unit (ICU) mortality after cardiac surgery. Methods The logistic Cardiac Surgery Scores (logCASUS), Rapid Clinical Evaluation (RACE), and Sequential Organ Failure Assessment (SOFA) scores were calculated over the first 7 postoperative days for consecutive adult cardiac surgery patients between January 2013 and May 2015. Model discrimination was assessed using receiver operating characteristic curve analyses. Calibration was assessed using the Hosmer–Lemeshow (HL) test, calibration plots, and ob...
Source: The Thoracic and Cardiovascular Surgeon - January 9, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Howitt, Samuel Henry Caiado, Camila McCollum, Charles Goldstein, Michael Malagon, Ignacio Venkateswaran, Rajamiyer Grant, Stuart William Tags: Original Cardiovascular Source Type: research

A Thing of Beauty is a Joy Forever
Thorac cardiovasc Surg 2018; 66: 001-001 DOI: 10.1055/s-0037-1615294 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 - January 9, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Heinemann, Markus K. Tags: Editorial Source Type: research

A Thing of Beauty is a Joy Forever.
PMID: 29316573 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - January 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Heinemann MK Tags: Thorac Cardiovasc Surg Source Type: research

Is 300 Seconds ACT Safe and Efficient during MiECC Procedures?
In this study, 68 patients undergoing coronary artery bypass grafting with MiECC were randomized to either the study group with an ACT target of 300 seconds or the control group with an ACT of 450 seconds. All other factors of MiECC remained unchanged. RESULTS:  The study group received significantly less heparin and protamine (heparin [international units] median [min-max], Red_AC: 32,800 [23,000-51,500] vs. Full_AC: 50,000 [35,000-65,000] p 
Source: The Thoracic and Cardiovascular Surgeon - December 31, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Bauer A, Hausmann H, Schaarschmidt J, Szlapka M, Scharpenberg M, Eberle T, Hasenkam JM Tags: Thorac Cardiovasc Surg Source Type: research

Buckberg versus Calafiore Cardioplegia in Patients with Acute Coronary Syndromes.
CONCLUSION:  Buckberg and Calafiore cardioplegia offer comparable myocardial protection and similar postoperative results in patients undergoing CABG surgery due to ACS. PMID: 29290079 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - December 31, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Kuhn EW, Liakopoulos O, Slottosch I, Deppe AC, Choi YH, Madershahian N, Wahlers TCW Tags: Thorac Cardiovasc Surg Source Type: research

Burden between Undersupply and Overtreatment in the Care of Primary Spontaneous Pneumothorax.
In this study, 101 (74.8%) male and 34 (25.2%) female patients were included with a mean age of 35.7 years. The indications for surgery included blebs/bullae in the radiological images (n = 20), persistent air leaks (n = 15), or the occupations/wishes of the patients (n = 13). A first ipsilateral recurrent pneumothorax (true recurrence) was observed in 31.1% of all patients (VATS: 6.25%, conservative: 44.8%). Including contralateral recurrence, the overall first recurrence rate was 41.3% (VATS: 14.6%, conservative: 57.5%). The recurrence-free time did not differ significantly betwe...
Source: The Thoracic and Cardiovascular Surgeon - December 31, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Hofmann HS, Suttner T, Neu R, Potzger T, Szöke T, Grosser C, Ried M Tags: Thorac Cardiovasc Surg Source Type: research

B-type Natriuretic Peptide and Other Risk Factors for Predicting Postoperative Atrial Fibrillation after Thoracic Surgery.
Abstract BACKGROUND:  Postoperative atrial fibrillation (POAF) is associated with increased morality rate, prolonged hospitalization, and reduced long-term survival after surgery. Thus, prediction of POAF is important to assess surgical risk and provide prophylaxis. METHODS:  It was a prospective study of 207 consecutive patients who underwent a routine preoperative laboratory testing before thoracic surgery from October 2016 to May 2017. Comprehensive data were collected. Then stepwise multivariate logistic regression analysis was adopted to identify significant risk factors associated with POAF fr...
Source: The Thoracic and Cardiovascular Surgeon - December 31, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Pu Z, Qi X, Xue T, Liu Z, Wu Y Tags: Thorac Cardiovasc Surg Source Type: research

An Overview and Update of Femorofemoral Crossover Bypass Surgery as an Extra-Anatomic Bypass Procedure.
Abstract Femorofemoral crossover bypass is a surgical arterial revascularization modality which is commonly performed for unilateral aortoiliac occlusive disease. It is primarily applied to patients with intermittent claudication or critical limb ischemia in whom underlying anatomic constraints rule out endovascular means of restoring in-line flow and those who do not qualify for anatomic reconstruction due to the comorbid conditions that preclude a more invasive open surgical approach. This surgical procedure may be also used as a complementary component of endovascular repair of abdominal aortic aneurysms when o...
Source: The Thoracic and Cardiovascular Surgeon - December 31, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Yuksel A, Cayir MC, Kumtepe G, Velioglu Y, Atli FH, Muduroglu A, Gurbuz O Tags: Thorac Cardiovasc Surg Source Type: research

An Overview and Update of Femorofemoral Crossover Bypass Surgery as an Extra-Anatomic Bypass Procedure
Thorac cardiovasc Surg DOI: 10.1055/s-0037-1613715Femorofemoral crossover bypass is a surgical arterial revascularization modality which is commonly performed for unilateral aortoiliac occlusive disease. It is primarily applied to patients with intermittent claudication or critical limb ischemia in whom underlying anatomic constraints rule out endovascular means of restoring in-line flow and those who do not qualify for anatomic reconstruction due to the comorbid conditions that preclude a more invasive open surgical approach. This surgical procedure may be also used as a complementary component of endovascular repair of a...
Source: The Thoracic and Cardiovascular Surgeon - December 31, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Yuksel, Ahmet Cayir, Mustafa Cagdas Kumtepe, Gencehan Velioglu, Yusuf Atli, Fahri Hayri Muduroglu, Ayhan Gurbuz, Orcun Tags: Review Article Source Type: research

B-type Natriuretic Peptide and Other Risk Factors for Predicting Postoperative Atrial Fibrillation after Thoracic Surgery
Thorac cardiovasc Surg DOI: 10.1055/s-0037-1609037 Background Postoperative atrial fibrillation (POAF) is associated with increased morality rate, prolonged hospitalization, and reduced long-term survival after surgery. Thus, prediction of POAF is important to assess surgical risk and provide prophylaxis. Methods It was a prospective study of 207 consecutive patients who underwent a routine preoperative laboratory testing before thoracic surgery from October 2016 to May 2017. Comprehensive data were collected. Then stepwise multivariate logistic regression analysis was adopted to identify significant risk f...
Source: The Thoracic and Cardiovascular Surgeon - December 31, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Pu, Zhenye Qi, Xiaotong Xue, Tao Liu, Zhiyong Wu, Yanhu Tags: Original Thoracic Source Type: research

Burden between Undersupply and Overtreatment in the Care of Primary Spontaneous Pneumothorax
In this study, 101 (74.8%) male and 34 (25.2%) female patients were included with a mean age of 35.7 years. The indications for surgery included blebs/bullae in the radiological images (n = 20), persistent air leaks (n = 15), or the occupations/wishes of the patients (n = 13). A first ipsilateral recurrent pneumothorax (true recurrence) was observed in 31.1% of all patients (VATS: 6.25%, conservative: 44.8%). Including contralateral recurrence, the overall first recurrence rate was 41.3% (VATS: 14.6%, conservative: 57.5%). The recurrence-free time did not differ significantly betwe...
Source: The Thoracic and Cardiovascular Surgeon - December 31, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Hofmann, Hans-Stefan Suttner, Tobias Neu, Reiner Potzger, Tobias Sz öke, Tamas Grosser, Christian Ried, Michael Tags: Original Thoracic Source Type: research

Buckberg versus Calafiore Cardioplegia in Patients with Acute Coronary Syndromes
Conclusion Buckberg and Calafiore cardioplegia offer comparable myocardial protection and similar postoperative results in patients undergoing CABG surgery due to ACS. [...] 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 - December 31, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Kuhn, Elmar W. Liakopoulos, Oliver Slottosch, Ingo Deppe, Antje Christin Choi, Yeong-Hoon Madershahian, Navid Wahlers, Thorsten C. W. Tags: Original Cardiovascular Source Type: research

Is 300 Seconds ACT Safe and Efficient during MiECC Procedures?
In this study, 68 patients undergoing coronary artery bypass grafting with MiECC were randomized to either the study group with an ACT target of 300 seconds or the control group with an ACT of 450 seconds. All other factors of MiECC remained unchanged. Results The study group received significantly less heparin and protamine (heparin [international units] median [min–max], Red_AC: 32,800 [23,000–51,500] vs. Full_AC: 50,000 [35,000–65,000] p 
Source: The Thoracic and Cardiovascular Surgeon - December 31, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Bauer, Adrian Hausmann, Harald Schaarschmidt, Jan Szlapka, Michal Scharpenberg, Martin Eberle, Thomas Hasenkam, J. Michael Tags: Original Cardiovascular Source Type: research

Regenerative Medicine/Cardiac Cell Therapy: Adult/Somatic Progenitor Cells.
m C Abstract Preclinical data suggested that somatic stem or progenitor cells derived induce and/or support endogenous repair mechanisms of the myocardium. Such cell populations were clearly shown to promote neovascularization in postischemic tissue, and some evidence also indicated transdifferentiation into cardiomyocytes. In the clinical setting, however, many attempts to regenerate damaged myocardium with a variety of autologous and allogeneic somatic progenitors have failed to generate the expected therapeutic efficacy. Currently, efforts are being made to select specific cellular subpopulations, modify somati...
Source: The Thoracic and Cardiovascular Surgeon - December 28, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Nazari-Shafti TZ, Kempfert J, Falk V, Röll W, Stamm C Tags: Thorac Cardiovasc Surg Source Type: research

Regenerative Medicine/Cardiac Cell Therapy: Adult/Somatic Progenitor Cells
Thorac cardiovasc Surg DOI: 10.1055/s-0037-1608835Preclinical data suggested that somatic stem or progenitor cells derived induce and/or support endogenous repair mechanisms of the myocardium. Such cell populations were clearly shown to promote neovascularization in postischemic tissue, and some evidence also indicated transdifferentiation into cardiomyocytes. In the clinical setting, however, many attempts to regenerate damaged myocardium with a variety of autologous and allogeneic somatic progenitors have failed to generate the expected therapeutic efficacy. Currently, efforts are being made to select specific cellular s...
Source: The Thoracic and Cardiovascular Surgeon - December 28, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Nazari-Shafti, Timo Z. Kempfert, J örg Falk, Volkmar R öll, Wilhelm Stamm, Christof Tags: Review Article Source Type: research

New Targets for the Prevention of Chronic Rejection after Thoracic Organ Transplantation.
Abstract The gold standard for the treatment of terminal heart failure and irreversible lung diseases includes thoracic organ transplantation. The major obstacle for long-term survival after successful transplantation is chronic rejection, an ongoing immunomodulatory disease so far without effective therapy. Therefore, the aim of this review is to elucidate scientific efforts targeting different new mechanisms of cardiac allograft vasculopathy (CAV) and chronic lung allograft dysfunction (CLAD). For this purpose, we performed a systematic review of the literature to assess recent strategies in transplant immunolog...
Source: The Thoracic and Cardiovascular Surgeon - December 19, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Heim C, Gocht A, Weyand M, Ensminger S Tags: Thorac Cardiovasc Surg Source Type: research

Heart and Mitochondria: Pathophysiology and Implications for Cardiac Surgeons.
Abstract Excluding the heart from systemic circulation during cardiac surgery renders the myocardium ischemic, resulting in cardiac damage. In addition, another hit to the myocardium will occur upon restoration of blood flow, in the reperfusion phase. Experimental data from animal models have revealed that loss of cardiac metabolic flexibility and mitochondrial dysfunctions contributes to contractile impairment in hypertrophied, failing, obese, and diabetic hearts. Such diseased hearts are prone to myocardial ischemia-reperfusion (I/R) injury. Although analyses in human cardiac samples are not as comprehensive as ...
Source: The Thoracic and Cardiovascular Surgeon - December 19, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Niemann B, Schwarzer M, Rohrbach S Tags: Thorac Cardiovasc Surg Source Type: research

Heart and Mitochondria: Pathophysiology and Implications for Cardiac Surgeons
Thorac cardiovasc Surg DOI: 10.1055/s-0037-1615263Excluding the heart from systemic circulation during cardiac surgery renders the myocardium ischemic, resulting in cardiac damage. In addition, another hit to the myocardium will occur upon restoration of blood flow, in the reperfusion phase. Experimental data from animal models have revealed that loss of cardiac metabolic flexibility and mitochondrial dysfunctions contributes to contractile impairment in hypertrophied, failing, obese, and diabetic hearts. Such diseased hearts are prone to myocardial ischemia–reperfusion (I/R) injury. Although analyses in human cardia...
Source: The Thoracic and Cardiovascular Surgeon - December 19, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Niemann, Bernd Schwarzer, Michael Rohrbach, Susanne Tags: Review Article Source Type: research

New Targets for the Prevention of Chronic Rejection after Thoracic Organ Transplantation
Thorac cardiovasc Surg DOI: 10.1055/s-0037-1615290The gold standard for the treatment of terminal heart failure and irreversible lung diseases includes thoracic organ transplantation. The major obstacle for long-term survival after successful transplantation is chronic rejection, an ongoing immunomodulatory disease so far without effective therapy. Therefore, the aim of this review is to elucidate scientific efforts targeting different new mechanisms of cardiac allograft vasculopathy (CAV) and chronic lung allograft dysfunction (CLAD). For this purpose, we performed a systematic review of the literature to assess recent st...
Source: The Thoracic and Cardiovascular Surgeon - December 19, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Heim, Christian Gocht, Annika Weyand, Michael Ensminger, Stephan Tags: Review Article Source Type: research

Extracorporeal Membrane Oxygenation in Postcardiotomy Pediatric Patients-15 Years of Experience Outside Europe and North America.
PMID: 29232733 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - December 12, 2017 Category: Cardiovascular & Thoracic Surgery Authors: ElMahrouk AF, Ismail MF, Hamouda T, Shaikh R, Mahmoud A, Shihata MS, Alradi O, Jamjoom A Tags: Thorac Cardiovasc Surg Source Type: research

Impact of Surgery on Growth, Pulmonary Functions, and Acute Pulmonary Exacerbations in Children with Non-Cystic Fibrosis Bronchiectasis.
PMID: 29232734 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - December 12, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Emiralioglu N, Dogru D, Yalcin S, Tugcu GD, Yalcin E, Ozcelik U, Ekinci S, Kiper N Tags: Thorac Cardiovasc Surg Source Type: research

Clinical Outcome of Urgent Thoracotomy in Patients with Penetrating and Blunt Chest Trauma: A Retrospective Survey.
PMID: 29232735 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - December 12, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Refaely Y, Koyfman L, Friger M, Ruderman L, Saleh MA, Sahar G, Shaked G, Klein M, Brotfain E Tags: Thorac Cardiovasc Surg Source Type: research

Clinical Outcome of Urgent Thoracotomy in Patients with Penetrating and Blunt Chest Trauma: A Retrospective Survey
Conclusion Mortality after UT was higher in patients with blunt chest trauma. The UT should be performed in both penetrating and blunt chest trauma as quickly as possible and should be limited to damage control. It also emerges that acidosis and hypothermia in chest trauma patients need to be treated extremely aggressively before, during, and after UT. [...] 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 - December 12, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Refaely, Yael Koyfman, Leonid Friger, Michael Ruderman, Leonid Saleh, Mahmud Abu Sahar, Gidon Shaked, Gad Klein, Moti Brotfain, Evgeni Tags: Original Thoracic Source Type: research

Impact of Surgery on Growth, Pulmonary Functions, and Acute Pulmonary Exacerbations in Children with Non-Cystic Fibrosis Bronchiectasis
Thorac cardiovasc Surg DOI: 10.1055/s-0037-1608922 Background Treatment decisions for the management of bronchiectasis include medical treatment, such as antibiotics, chest physiotherapy, and surgical procedures. Here, we aimed to review the effect of lung resection on longitudinal growth, clinical course of patients depending on annual exacerbation rates, and pulmonary function tests (PFTs) and compare them with the results of only medically treated children with non-cystic fibrosis (non-CF) bronchiectasis. Methods The medical records of patients with non-CF bronchiectasis were retrospectively analyzed. Pa...
Source: The Thoracic and Cardiovascular Surgeon - December 12, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Emiralioglu, Nagehan Dogru, Deniz Yalcin, Songul Tugcu, Gokcen D ılsa Yalcin, Ebru Ozcelik, Ugur Ekinci, Saniye Kiper, Nural Tags: Original Thoracic Source Type: research

Extracorporeal Membrane Oxygenation in Postcardiotomy Pediatric Patients —15 Years of Experience Outside Europe and North America
Conclusion Satisfactory results can be achieved in pediatric patients by using ECMO support for postoperative cardiac and pulmonary failure refractory to medical management. Prolonged ECMO support, renal failure, and stroke are risk of mortality. [...] 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 - December 12, 2017 Category: Cardiovascular & Thoracic Surgery Authors: ElMahrouk, Ahmed F. Ismail, Mohamed Fouad Hamouda, Tamer Shaikh, Rafik Mahmoud, Alaa Shihata, Mohammad Sabry Alradi, Osman Jamjoom, Ahmed Tags: Original Cardiovascular Source Type: research

Regenerative Medicine/Cardiac Cell Therapy: Pluripotent Stem Cells.
m C PMID: 29216651 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - December 7, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Duran AG, Reidell O, Stachelscheid H, Klose K, Gossen M, Falk V, Röll W, Stamm C Tags: Thorac Cardiovasc Surg Source Type: research