The Way to Man's Heart Is through the Stomach
Thorac cardiovasc Surg DOI: 10.1055/s-0039-1700886Organ systems do not exist in a vacuum. However, in an era of increasingly specialized medicine, the focus is often on the organ system alone. Many symptoms are associated with differential diagnoses from upper gastrointestinal (GI) and cardiovascular medical and surgical specialties. Furthermore, a large number of rare but deadly conditions cross paths between the upper GI tract and cardiovascular system; a significant proportion of these are iatrogenic injuries from a parallel specialty. These include unusual fistulae, herniae, and embolisms that transcend specialties. Th...
Source: The Thoracic and Cardiovascular Surgeon - November 22, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Grossman, Rebecca Francis, Rohin Tags: Review Article Source Type: research

Wrapping in Ascending Aortic Aneurysms as an Alternative for Replacement: Is It Beneficial?
Conclusions AW is safe and feasible and can be used in elderly or frail patients in order to avoid an AR. Progression of the remaining native aortic segments occurs, thus requiring strict life-long follow-up to ensure an elective and thus safe approach for appropriate consecutive surgical measures, if required. [...] 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 - November 20, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Laux, Magdalena L. Ostovar, Roya Braun, Christian Hartrumpf, Martin Claus, Thomas Schr öter, Filip Albes, Johannes M. Tags: Original Cardiovascular Source Type: research

Surgical Cytoreduction and HITOC for Thymic Malignancies with Pleural Dissemination
Conclusion Surgical cytoreduction with HITOC is feasible in selected patients and offers encouraging survival rates. The application of cytoprotective agents appears to be effective for the prevention of postoperative renal insufficiency. [...] 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 - November 15, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Markowiak, Till Neu, Reiner Ansari, Mohammed Khalid Afeen Gro ßer, Christian Klinkhammer-Schalke, Monika Hofmann, Hans-Stefan Ried, Michael Tags: Original Thoracic Source Type: research

Midterm Outcomes of Surgical Repair of Partial Anomalous Pulmonary Venous Connection to SVC
Conclusion PAPVC to SVC can be safely managed by multiple techniques. Careful manipulation nearby sinus node must be emphasized during double-patch repair to prevent injury of sinus node. Obstruction of postoperative SVC stenosis should be paid attention to after Warden procedure. For young patients, operation should not be performed that early, but until preschool age. [...] 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 - November 15, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Hu, Jie Hu, Renjie Zhang, Haibo Zhang, Lei Zhang, Wen Chen, Dian Dong, Wei Tags: Original Cardiovascular Source Type: research

Off-Pump Tricuspid Annuloplasty through a Direct Transatrial Approach: Early Results
Thorac cardiovasc Surg DOI: 10.1055/s-0039-1698392Severe tricuspid regurgitation constitutes a growing disease burden. Conventional surgery for tricuspid valve disease has an increased risk while several interventional procedures are currently under clinical investigation, yet do not offer comprehensive solutions. We investigated a novel surgical approach for off-pump beating-heart tricuspid annuloplasty in circulating blood through a single port in the right atrium. Early feasibility results in preclinical porcine in vivo studies encourage further development of this approach, combining the proven concept of surgical annu...
Source: The Thoracic and Cardiovascular Surgeon - November 4, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Andreas, Martin Werner, Paul Laufer, Guenther Sauer, Jude Tags: Short Communication Source Type: research

Aortic Coarctation a Systemic Vessel Disease-Insights from Magnetic Resonance Imaging.
Abstract BACKGROUND:  Even after successful aortic coarctation (CoA) repair, hypertension causes premature morbidity and mortality. The mechanisms are not clear. The aim was to evaluate elastic wall properties and aortic morphology and to correlate these results with severity of restenosis, hypertension, aortic arch geometry, noninvasive pressure gradients, and time and kind of surgical procedure. METHODS:  Eighty-nine patients (17 ± 6.3 years) and 20 controls (18 ± 4.9 years) were examined using magnetic resonance imaging (MRI). In addition to contrast-enha...
Source: The Thoracic and Cardiovascular Surgeon - November 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Eichhorn JG, Ley S, Kropp F, Fink C, Brockmeier K, Loukanov T, Ley-Zaporozhan J Tags: Thorac Cardiovasc Surg Source Type: research

Cardiopulmonary Bypass Strategy to Facilitate Transfusion-Free Congenital Heart Surgery in Neonates and Infants
Thorac cardiovasc Surg DOI: 10.1055/s-0039-1700529Priming the cardiopulmonary bypass (CPB) circuit without the addition of homologous blood constitutes the basis of blood-saving strategies in open-heart surgery. For low-weight patients, in particular neonates and infants, this implies avoidance of excessive hemodilution during extracorporeal circulation. The circuit has to be miniaturized and tubing must be cut as short as possible to reduce the priming volume to prevent unacceptable hemodilution with initiating CPB. During perfusion, measures should be taken to prevent blood loss from the primary circuit to avoid replacem...
Source: The Thoracic and Cardiovascular Surgeon - November 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Boettcher, Wolfgang Dehmel, Frank Redlin, Mathias Sinzobahamvya, Nicod ème Photiadis, Joachim Tags: Review Article Source Type: research

Atrial Resection without Cardiopulmonary Bypass for Lung Cancer
Conclusions T4atrium is technically feasible without mortality and acceptable morbidity. Patients with N2 cancers should not be operated. T4atrium should not be systematically considered as a definitive contraindication to surgery. [...] 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 - November 3, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Galetta, Domenico Spaggiari, Lorenzo Tags: Original Thoracic Source Type: research

Aortic Coarctation a Systemic Vessel Disease —Insights from Magnetic Resonance Imaging
Thorac cardiovasc Surg 2019; 67: e1-e10 DOI: 10.1055/s-0039-1697915 Background Even after successful aortic coarctation (CoA) repair, hypertension causes premature morbidity and mortality. The mechanisms are not clear. The aim was to evaluate elastic wall properties and aortic morphology and to correlate these results with severity of restenosis, hypertension, aortic arch geometry, noninvasive pressure gradients, and time and kind of surgical procedure. Methods Eighty-nine patients (17 ± 6.3 years) and 20 controls (18 ± 4.9 years) were examined using magnetic resona...
Source: The Thoracic and Cardiovascular Surgeon - November 1, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Eichhorn, Joachim G. Ley, Sebastian Kropp, Florian Fink, Christian Brockmeier, Konrad Loukanov, Tsvetomir Ley-Zaporozhan, Julia Tags: Pediatric and Congenital Cardiology Source Type: research

Intermuscular S-ICD Implantation in Pediatric Patients.
We present the surgical technique necessary to adapt the subcutaneous ICD (S-ICD) implantation designed for adults, to children, including patients weighing less than 20 kg. The implant procedure implies a two-incision technique and interfascial serratus anterior-latissimus dorsi dissection to accommodate the device. S-ICD implantation was successfully performed in three patients of 19, 28, and 24 kg, respectively, two of them suffered cardiorespiratory arrest. Intermuscular thoracic implantation of S-ICD might represent an effective strategy for primary or secondary prevention of sudden cardiac death in pedi...
Source: The Thoracic and Cardiovascular Surgeon - October 20, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Ferreiro-Marzal A, Rodríguez-Serrano F, Esteban-Molina M, González-Vargas T, Perin F, Garrido JM Tags: Thorac Cardiovasc Surg Source Type: research

Intermuscular S-ICD Implantation in Pediatric Patients
We present the surgical technique necessary to adapt the subcutaneous ICD (S-ICD) implantation designed for adults, to children, including patients weighing less than 20 kg. The implant procedure implies a two-incision technique and interfascial serratus anterior–latissimus dorsi dissection to accommodate the device. S-ICD implantation was successfully performed in three patients of 19, 28, and 24 kg, respectively, two of them suffered cardiorespiratory arrest. Intermuscular thoracic implantation of S-ICD might represent an effective strategy for primary or secondary prevention of sudden cardiac death i...
Source: The Thoracic and Cardiovascular Surgeon - October 20, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Ferreiro-Marzal, Andrea Rodr íguez-Serrano, Fernando Esteban-Molina, Mar ía Gonz ález-Vargas, Teresa Perin, Francesca Garrido, Jose Manuel Tags: How to do it Source Type: research

Sex-Specific Outcome after Ascending Aortic Surgery in Moderate Hypothermic Circulatory Arrest.
Abstract BACKGROUND:  Historically, female patients had worse outcome undergoing heart surgery. No recent data exist on gender-specific outcome after moderate hypothermic circulatory arrest (MHCA). The aim of this large retrospective analysis was to investigate gender disparity in patients undergoing elective surgery of ascending aorta in MHCA at 24°C. METHODS:  We conducted a retrospective review of 905 (33.3% female) cases of elective heart surgery in MHCA for ascending aortic aneurysm (90.9%) or severely calcified aorta (12.5%) between 2001 and 2015. Furthermore, 299 female and 299 male patie...
Source: The Thoracic and Cardiovascular Surgeon - October 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Friedrich C, Freundt M, Salem MA, Panholzer B, Huenges K, Puehler T, Cremer J, Haneya A Tags: Thorac Cardiovasc Surg Source Type: research

The Same is Not the Same: Device Effect during Bipolar Radiofrequency Ablation of Atrial Fibrillation.
g A Abstract BACKGROUND:  Different ablation devices deliver the same type of energy but use individual control mechanisms to estimate efficacy. We compared patient outcome after the application of radiofrequency ablation systems, using temperature- or resistance-control in paroxysmal and persistent atrial fibrillation (AF). METHODS:  This is an unselected all-comers study. Patients underwent standardized left atrial (paroxysmal atrial fibrillation, [PAF] n = 31) or biatrial ablation (persistent atrial fibrillation [persAF] n = 61) with bipolar RF from October 2010 to Jun...
Source: The Thoracic and Cardiovascular Surgeon - October 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Niemann B, Dominik E, Rohrbach S, Grieshaber P, Roth P, Böning A Tags: Thorac Cardiovasc Surg Source Type: research

Cost Analysis of Transfusion Therapy in Coronary Artery Surgery.
Abstract BACKGROUND:  In patients undergoing coronary artery bypass grafting (CABG), wide variability in transfusion rate (7.8% to 92.8%) raises the question of the amount of unnecessary transfusions. The aim of the study was (1) to identify CABG patients at low risk of bleeding to whom transfusion treatment should be avoided and (2) to calculate the amount of possible cost savings that would be achieved by avoiding transfusion in low bleeding risk patients. METHODS:  This retrospective observational study enrolled patients undergoing isolated elective CABG from January 2010 to January 2018. Patient...
Source: The Thoracic and Cardiovascular Surgeon - October 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Petricevic M, Petricevic M, Pasalic M, Cepulic BG, Raos M, Dujmic D, Kalamar V, Mestrovic V, Gasparovic H, Vasicek V, Goerlinger K, Biocina B Tags: Thorac Cardiovasc Surg Source Type: research

Use of Pericardium for Cardiac Reconstruction Procedures in Acquired Heart Diseases-A Comprehensive Review.
CONCLUSIONS:  Pericardium plays an important role in various cardiac and aortic pathologies. Tissues resistant to fibrosis and calcification to be used as patch material are the ideal solution for more successful cardiac reconstruction procedures and will hopefully be provided by the ongoing research. PMID: 31604358 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - October 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: De Martino A, Milano AD, Bortolotti U Tags: Thorac Cardiovasc Surg Source Type: research

Use of Pericardium for Cardiac Reconstruction Procedures in Acquired Heart Diseases —A Comprehensive Review
Conclusions Pericardium plays an important role in various cardiac and aortic pathologies. Tissues resistant to fibrosis and calcification to be used as patch material are the ideal solution for more successful cardiac reconstruction procedures and will hopefully be provided by the ongoing research. [...] 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 - October 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: De Martino, Andrea Milano, Aldo D. Bortolotti, Uberto Tags: Review Article Source Type: research

Cost Analysis of Transfusion Therapy in Coronary Artery Surgery
Thorac cardiovasc Surg DOI: 10.1055/s-0039-1697600 Background In patients undergoing coronary artery bypass grafting (CABG), wide variability in transfusion rate (7.8% to 92.8%) raises the question of the amount of unnecessary transfusions. The aim of the study was (1) to identify CABG patients at low risk of bleeding to whom transfusion treatment should be avoided and (2) to calculate the amount of possible cost savings that would be achieved by avoiding transfusion in low bleeding risk patients. Methods This retrospective observational study enrolled patients undergoing isolated elective CABG from January...
Source: The Thoracic and Cardiovascular Surgeon - October 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Petricevic, Mirna Petricevic, Mate Pasalic, Marijan Cepulic, Branka Golubic Raos, Mirela Dujmic, Dora Kalamar, Viktor Mestrovic, Vice Gasparovic, Hrvoje Vasicek, Vesna Goerlinger, Klaus Biocina, Bojan Tags: Original Cardiovascular Source Type: research

The Same is Not the Same: Device Effect during Bipolar Radiofrequency Ablation of Atrial Fibrillation
Thorac cardiovasc Surg DOI: 10.1055/s-0039-1698402 Background Different ablation devices deliver the same type of energy but use individual control mechanisms to estimate efficacy. We compared patient outcome after the application of radiofrequency ablation systems, using temperature- or resistance-control in paroxysmal and persistent atrial fibrillation (AF). Methods This is an unselected all-comers study. Patients underwent standardized left atrial (paroxysmal atrial fibrillation, [PAF] n = 31) or biatrial ablation (persistent atrial fibrillation [persAF] n = 61) with bipolar R...
Source: The Thoracic and Cardiovascular Surgeon - October 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Niemann, Bernd Dominik, Elisabeth Rohrbach, Susanne Grieshaber, Philippe Roth, Peter B öning, Andreas Tags: Original Cardiovascular Source Type: research

Sex-Specific Outcome after Ascending Aortic Surgery in Moderate Hypothermic Circulatory Arrest
Thorac cardiovasc Surg DOI: 10.1055/s-0039-1698409 Background Historically, female patients had worse outcome undergoing heart surgery. No recent data exist on gender-specific outcome after moderate hypothermic circulatory arrest (MHCA). The aim of this large retrospective analysis was to investigate gender disparity in patients undergoing elective surgery of ascending aorta in MHCA at 24°C. Methods We conducted a retrospective review of 905 (33.3% female) cases of elective heart surgery in MHCA for ascending aortic aneurysm (90.9%) or severely calcified aorta (12.5%) between 2001 and 2015. Furthermore,...
Source: The Thoracic and Cardiovascular Surgeon - October 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Friedrich, Christine Freundt, Miriam Salem, Mohamed Ahmed Panholzer, Bernd Huenges, Katharina Puehler, Thomas Cremer, Jochen Haneya, Assad Tags: Original Cardiovascular Source Type: research

Do You Follow Us (@TCSurgeon) on Twitter?
Thorac cardiovasc Surg 2019; 67: 514-515 DOI: 10.1055/s-0039-1698447 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 - October 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Matt, Peter Tags: Editorial Source Type: research

An Issue in One Tweet
Thorac cardiovasc Surg 2019; 67: 513-513 DOI: 10.1055/s-0039-1698433 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 - October 11, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Heinemann, Markus K. Tags: Editorial Source Type: research

Erratum to: Ten Years' Experience in Robotic-Assisted Thoracic Surgery for Early Stage Lung Cancer.
PMID: 31585465 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - October 4, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Casiraghi M, Galetta D, Borri A, Tessitore A, Romano R, Diotti C, Brambilla D, Maisonneuve P, Spaggiari L Tags: Thorac Cardiovasc Surg Source Type: research

Erratum to: Surgical Treatment of Bilateral Lung Cancers: Long-Term Outcomes and Prognostic Factors.
PMID: 31585466 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - October 4, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Petrella F, Frassoni S, Bagnardi V, Casiraghi M, Brambilla D, Diotti C, Spaggiari L Tags: Thorac Cardiovasc Surg Source Type: research

Erratum to: Surgical Treatment of Bilateral Lung Cancers: Long-Term Outcomes and Prognostic Factors
Thorac cardiovasc Surg DOI: 10.1055/s-0039-1697928 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 - October 4, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Petrella, Francesco Frassoni, Samuele Bagnardi, Vincenzo Casiraghi, Monica Brambilla, Daniela Diotti, Cristina Spaggiari, Lorenzo Tags: Erratum Source Type: research

Erratum to: Ten Years' Experience in Robotic-Assisted Thoracic Surgery for Early Stage Lung Cancer
Thorac cardiovasc Surg DOI: 10.1055/s-0039-1698411 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 - October 4, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Casiraghi, Monica Galetta, Domenico Borri, Alessandro Tessitore, Adele Romano, Rosalia Diotti, Cristina Brambilla, Daniela Maisonneuve, Patrick Spaggiari, Lorenzo Tags: Erratum Source Type: research

Functional and Degenerative Mitral Regurgitation: One Ring Fits All?
CONCLUSION:  Repair of FMR with the three-dimensional Profile 3D annuloplasty ring shows excellent mid-term results with regard to recurrence of MR. In cases of DMR, the results are conforming to the current literature. PMID: 31546265 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - September 23, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Sideris K, Boehm J, Voss B, Guenther T, Lange RS, Guenzinger R Tags: Thorac Cardiovasc Surg Source Type: research

Functional and Degenerative Mitral Regurgitation: One Ring Fits All?
Conclusion Repair of FMR with the three-dimensional Profile 3D annuloplasty ring shows excellent mid-term results with regard to recurrence of MR. In cases of DMR, the results are conforming to the current literature. [...] 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 - September 23, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Sideris, Konstantinos Boehm, Johannes Voss, Bernhard Guenther, Thomas Lange, Ruediger S. Guenzinger, Ralf Tags: Original Cardiovascular Source Type: research

A Technique for 360-Degree Rigid Sternal Fixation with Sternal Plates and Wire Cerclage.
This article describes a surgical technique of combined rigid plate fixation and wire cerclage that provides 360-degree stabilization for sternotomies in high-risk patients. We employed this technique in 40 patients with no incidence of deep sternal wound infection. PMID: 31539921 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - September 20, 2019 Category: Cardiovascular & Thoracic Surgery Authors: James TM, Nores MA, Stamou S Tags: Thorac Cardiovasc Surg Source Type: research

A Technique for 360-Degree Rigid Sternal Fixation with Sternal Plates and Wire Cerclage
This article describes a surgical technique of combined rigid plate fixation and wire cerclage that provides 360-degree stabilization for sternotomies in high-risk patients. We employed this technique in 40 patients with no incidence of deep sternal wound infection. [...] 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 - September 20, 2019 Category: Cardiovascular & Thoracic Surgery Authors: James, Taylor M. Nores, Marcos A. Stamou, Sotiris Tags: How to Do It Source Type: research

Successful Sleeve Resection as a Marker for Proficiency for Robotic Pulmonary Resection.
CONCLUSION:  Perioperative outcomes, such as duration of surgery, number of dissected lymph nodes, complications, and ERs are favorable in patients who underwent surgeries after the first sleeve resection. The first sleeve lobectomy may be considered as the benchmark procedure for the proficiency level in RATS. PMID: 31522428 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - September 15, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Cosgun T, Kaba E, Ayalp K, Toker A Tags: Thorac Cardiovasc Surg Source Type: research

Nonintubated Uniportal Thoracoscopic Thymectomy with Laryngeal Mask.
Abstract OBJECTIVE:  To investigate whether laryngeal mask anesthesia had more favorable postoperative outcomes than double-lumen tube intubation anesthesia in uniportal thoracoscopic thymectomy. METHODS:  Data were collected retrospectively from December 2013 to December 2017. A total of 96 patients with anterior mediastinum mass underwent nonintubated uniportal video-assisted thoracoscopic thymectomy with laryngeal mask, and 129 patients underwent intubated uniportal video-assisted thoracoscopic thymectomy. A single incision of ∼3 cm was made in an intercostal space along the anterior a...
Source: The Thoracic and Cardiovascular Surgeon - September 15, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Liu Z, Yang R, Sun Y Tags: Thorac Cardiovasc Surg Source Type: research

Nonintubated Uniportal Thoracoscopic Thymectomy with Laryngeal Mask
Thorac cardiovasc Surg DOI: 10.1055/s-0039-1696950 Objective To investigate whether laryngeal mask anesthesia had more favorable postoperative outcomes than double-lumen tube intubation anesthesia in uniportal thoracoscopic thymectomy. Methods Data were collected retrospectively from December 2013 to December 2017. A total of 96 patients with anterior mediastinum mass underwent nonintubated uniportal video-assisted thoracoscopic thymectomy with laryngeal mask, and 129 patients underwent intubated uniportal video-assisted thoracoscopic thymectomy. A single incision of ∼3 cm was made in an intercos...
Source: The Thoracic and Cardiovascular Surgeon - September 15, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Liu, Zhengcheng Yang, Rusong Sun, Yang Tags: Original Thoracic Source Type: research

Successful Sleeve Resection as a Marker for Proficiency for Robotic Pulmonary Resection
Conclusion Perioperative outcomes, such as duration of surgery, number of dissected lymph nodes, complications, and ERs are favorable in patients who underwent surgeries after the first sleeve resection. The first sleeve lobectomy may be considered as the benchmark procedure for the proficiency level in RATS. [...] 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 - September 15, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Cosgun, Tugba Kaba, Erkan Ayalp, Kemal Toker, Alper Tags: Original Thoracic Source Type: research

SAVR versus TAVI: What about the Hemodynamic Performance? An In Vivo and In Vitro Analysis.
Abstract BACKGROUND:  Surgical aortic valve replacement (SAVR) is nowadays discussed whether it remains the gold standard of treatment. In the last decade, there has been a tremendous increase in transcatheter aortic valve implantation (TAVI) due to the growing expertise and excellent results of the catheter-based approach. We, therefore, retrospectively compared the rapid deployment valve (RDV), the Edwards Intuity valve (IEV), with the Edwards Sapien 3 (S3V) with regard to post-procedural hemodynamics. METHODS:  A total of 246 patients treated with TAVI or SAVR between February 2009 and November 2...
Source: The Thoracic and Cardiovascular Surgeon - September 10, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Eghbalzadeh K, Rahmanian PB, Giese D, Kuhn EW, Djordjevic I, Kaya S, Weber C, Baldus S, Mader N, Wahlers TCW Tags: Thorac Cardiovasc Surg Source Type: research

Ligation of Left Atrial Appendage during Off-Pump Coronary Surgery.
CONCLUSION:  Epicardial ligation of LAA during OPCAB in patients with AF may reduce the risk of ischemic stroke in long-term follow-up and does not affect the mortality. PMID: 31505691 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - September 10, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Enginoev S, Koz'min D, Magomedov G, Makeev S, Chernov I, Ilov N, Tarasov D, Zhigalov K, Weymann A Tags: Thorac Cardiovasc Surg Source Type: research

Ligation of Left Atrial Appendage during Off-Pump Coronary Surgery
Conclusion Epicardial ligation of LAA during OPCAB in patients with AF may reduce the risk of ischemic stroke in long-term follow-up and does not affect the 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 - September 10, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Enginoev, Soslan Koz'min, Dmitry Magomedov, Gasan Makeev, Sergey Chernov, Igor Ilov, Nikolay Tarasov, Dmiry Zhigalov, Konstantin Weymann, Alexander Tags: Original Cardiovascular Source Type: research

SAVR versus TAVI: What about the Hemodynamic Performance? An In Vivo and In Vitro Analysis
Thorac cardiovasc Surg DOI: 10.1055/s-0039-1695779 Background Surgical aortic valve replacement (SAVR) is nowadays discussed whether it remains the gold standard of treatment. In the last decade, there has been a tremendous increase in transcatheter aortic valve implantation (TAVI) due to the growing expertise and excellent results of the catheter-based approach. We, therefore, retrospectively compared the rapid deployment valve (RDV), the Edwards Intuity valve (IEV), with the Edwards Sapien 3 (S3V) with regard to post-procedural hemodynamics. Methods A total of 246 patients treated with TAVI or SAVR betwee...
Source: The Thoracic and Cardiovascular Surgeon - September 10, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Eghbalzadeh, Kaveh Rahmanian, Parwis Baradaran Giese, Daniel Kuhn, Elmar W. Djordjevic, Ilija Kaya, S üreyya Weber, Carolyn Baldus, Stephan Mader, Navid Wahlers, Thorsten C.W. Tags: Original Cardiovascular Source Type: research

Impact of Preoperative Functional Status on Quality of Life after Cardiac Surgery.
Abstract BACKGROUND:  With increasing importance, health-related quality of life (HRQoL) has become a crucial outcome measure of cardiac surgery. The aim of this study was to assess the dynamics of HRQoL change within 12 months after surgery and to identify predictors of deterioration in physical and mental health. METHODS:  The cohort of this prospective study included 164 consecutive patients who underwent elective surgery. HRQoL was assessed on the basis of the Short-Form 36 questionnaire at three different times: upon admission and at 3 and 12 months after surgery. The minimal clinically importa...
Source: The Thoracic and Cardiovascular Surgeon - September 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Joskowiak D, Meusel D, Kamla C, Hagl C, Juchem G Tags: Thorac Cardiovasc Surg Source Type: research

Surgical Outcomes and Risk Analysis of Primary Pulmonary Sarcoma.
CONCLUSIONS:  Our series of PPS revealed that incomplete resection, advanced pathological stage, higher pathological grade, and tumor size were unfavorable factors for long-term survival. PMID: 31499540 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - September 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Yamada Y, Kaplan T, Soltermann A, Schmitt-Opitz I, Schneiter D, Weder W, Inci I Tags: Thorac Cardiovasc Surg Source Type: research

Surgical Outcomes and Risk Analysis of Primary Pulmonary Sarcoma
Conclusions Our series of PPS revealed that incomplete resection, advanced pathological stage, higher pathological grade, and tumor size were unfavorable factors for long-term 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 - September 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Yamada, Yoshito Kaplan, Tevfik Soltermann, Alex Schmitt-Opitz, Isabelle Schneiter, Didier Weder, Walter Inci, Ilhan Tags: Original Thoracic Source Type: research

Impact of Preoperative Functional Status on Quality of Life after Cardiac Surgery
Thorac cardiovasc Surg DOI: 10.1055/s-0039-1696953 Background With increasing importance, health-related quality of life (HRQoL) has become a crucial outcome measure of cardiac surgery. The aim of this study was to assess the dynamics of HRQoL change within 12 months after surgery and to identify predictors of deterioration in physical and mental health. Methods The cohort of this prospective study included 164 consecutive patients who underwent elective surgery. HRQoL was assessed on the basis of the Short-Form 36 questionnaire at three different times: upon admission and at 3 and 12 months after surgery. ...
Source: The Thoracic and Cardiovascular Surgeon - September 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Joskowiak, Dominik Meusel, Daniela Kamla, Christine Hagl, Christian Juchem, Gerd Tags: Original Cardiovascular Source Type: research

Early Antibiotic Prophylaxis Prior to Bypass Surgery Improves Tissue Penetration.
CONCLUSIONS:  Early, additional preoperative administration of cefazolin was able to significantly increase peak tissue concentrations during surgery compared with the standard protocol. No difference, however, could be achieved in the percentage of time during which the concentration exceeded the MIC. PMID: 31491791 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - September 6, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Andreas M, Zeitlinger M, Shabanian S, Wisser W, Thell R, Edlinger-Stanger M, Maier-Salamon A, Jaeger W, Kocher A, Laufer G, Hiesmayr JM, Hutschala D Tags: Thorac Cardiovasc Surg Source Type: research

Effect of the Different Mechanical Mitral Valve Sounds on the Patients' Quality of Life.
CONCLUSION:  Patients receiving ATS mechanical MVR may be less disturbed by valve noise than those receiving SJM or CM mechanical MVR in a single Chinese cardiac center. PMID: 31491792 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - September 6, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Huang JS, Hong ZN, Sun KP, Cao H, Chen Q Tags: Thorac Cardiovasc Surg Source Type: research

Effect of the Different Mechanical Mitral Valve Sounds on the Patients' Quality of Life
Conclusion Patients receiving ATS mechanical MVR may be less disturbed by valve noise than those receiving SJM or CM mechanical MVR in a single Chinese cardiac center. [...] 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 - September 6, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Huang, Jiang-Shan Hong, Zhi-Nuan Sun, Kai-Peng Cao, Hua Chen, Qiang Tags: Original Cardiovascular Source Type: research

Early Antibiotic Prophylaxis Prior to Bypass Surgery Improves Tissue Penetration
Conclusions Early, additional preoperative administration of cefazolin was able to significantly increase peak tissue concentrations during surgery compared with the standard protocol. No difference, however, could be achieved in the percentage of time during which the concentration exceeded the MIC. [...] 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 - September 6, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Andreas, Martin Zeitlinger, Markus Shabanian, Shiva Wisser, Wilfried Thell, Rainer Edlinger-Stanger, Maximilian Maier-Salamon, Alexandra Jaeger, Walter Kocher, Alfred Laufer, Guenther Hiesmayr, Joerg-Michael Hutschala, Doris Tags: Original Cardiovascular Source Type: research

Shaving with William
Thorac cardiovasc Surg 2019; 67: 425-425 DOI: 10.1055/s-0039-1695797 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 - September 6, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Heinemann, Markus K. Tags: Editorial Source Type: research

Transcervical Mediastinoscopic Closure of Left-Sided Postpneumonectomy Bronchial Stump Fistula.
CONCLUSIONS:  The transcervical approach is a very suitable maneuver in selected patients with a bronchial stump at least 1 cm long, ideally 1.5 cm. PMID: 31476773 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - September 2, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Paleru C, Cordoş I, Dănăilă O, Bolca C Tags: Thorac Cardiovasc Surg Source Type: research

Transcervical Mediastinoscopic Closure of Left-Sided Postpneumonectomy Bronchial Stump Fistula
Conclusions The transcervical approach is a very suitable maneuver in selected patients with a bronchial stump at least 1 cm long, ideally 1.5 cm. [...] 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 - September 2, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Paleru, Cristian Cordo ş, Ioan D ănăilă, Olga Bolca, Ciprian Tags: Original Thoracic Source Type: research

Computed Tomography-Guided Transfissural Coil Localization of Lung Nodules.
CONCLUSION:  CT-guided TFCL is a safe and effective method for the preoperative localization of subfissural lung nodules. PMID: 31450246 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - August 26, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Xia FF, Shi YB, Wang T, Fu YF Tags: Thorac Cardiovasc Surg Source Type: research

Computed Tomography-Guided Transfissural Coil Localization of Lung Nodules
Conclusion CT-guided TFCL is a safe and effective method for the preoperative localization of subfissural lung nodules. [...] 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 - August 26, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Xia, Feng-Fei Shi, Yi-Bing Wang, Tao Fu, Yu-Fei Tags: Short Communications Source Type: research