Health System Needs to Establish Cardiac Surgery Centers.
Abstract Cardiovascular diseases are the leading cause of mortality worldwide, responsible for nearly 18 million deaths each year. More than 80% of these take place in low- and middle-income countries (LMICs), where access to cardiac surgical services is scarce. Approximately 93% of the LMIC population, or six billion people worldwide, are estimated to lack access to safe, timely, and affordable cardiac surgical care as a result of workforce, infrastructure, financial, and quality barriers. Various models have been proposed and attempted to establish cardiac surgery centers in LMICs; however, only some have been s...
Source: The Thoracic and Cardiovascular Surgeon - January 9, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Vervoort D, Premkumar A, Ghandour H, Kpodonu J Tags: Thorac Cardiovasc Surg Source Type: research

Health System Needs to Establish Cardiac Surgery Centers
Thorac Cardiovasc Surg DOI: 10.1055/s-0040-1721395Cardiovascular diseases are the leading cause of mortality worldwide, responsible for nearly 18 million deaths each year. More than 80% of these take place in low- and middle-income countries (LMICs), where access to cardiac surgical services is scarce. Approximately 93% of the LMIC population, or six billion people worldwide, are estimated to lack access to safe, timely, and affordable cardiac surgical care as a result of workforce, infrastructure, financial, and quality barriers. Various models have been proposed and attempted to establish cardiac surgery centers in LMICs...
Source: The Thoracic and Cardiovascular Surgeon - January 9, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Vervoort, Dominique Premkumar, Akash Ghandour, Hiba Kpodonu, Jacques Tags: Short Communications Source Type: research

Association of Lymphatic Abnormalities with Early Complications after Fontan Operation
Conclusion Early Fontan complication is related to hemodynamic factors such as circuit obstruction and to the occurrence and extent of lymphatic congestion. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - December 31, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Dittrich, Sven Weise, Anja Cesnjevar, Robert Rompel, Oliver R üffer, André Sch öber, Martin Moosmann, Julia Gl öckler, Martin Tags: Pediatric and Congenital Cardiology Source Type: research

Long-Term Results of Patch Repair in Destructive Valve Endocarditis
Conclusion Surgical treatment of destructive endocarditis with abscess formation using patch repair techniques offers acceptable early and long-term results. The relapse rate was low. PVE and involvement of multiple valves were associated with worse outcomes. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - December 31, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Li, Jing Zilz, Christian Floerchinger, Bernhard Holzamer, Andreas Camboni, Daniele Schach, Christian Schmid, Christof Rupprecht, Leopold Tags: Original Cardiovascular Source Type: research

The German-Austrian S3 Guideline "Cardiogenic Shock Due to Myocardial Infarction: Diagnosis, Monitoring, and Treatment".
The German-Austrian S3 Guideline "Cardiogenic Shock Due to Myocardial Infarction: Diagnosis, Monitoring, and Treatment". Thorac Cardiovasc Surg. 2020 Dec 24;: Authors: Pilarczyk K, Werdan K, Russ M, Thiele H, Michels G, Boeken U, Thielmann M Abstract Despite advances in the treatment of acute myocardial infarction with subsequent mortality reduction, which are mainly caused by the early timing of revascularization, cardiogenic shock still remains the leading cause of death with mortality rates still approaching 40 to 50%. Cardiogenic shock is characterized by a multiorgan dysfunction syndrom...
Source: The Thoracic and Cardiovascular Surgeon - December 24, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Pilarczyk K, Werdan K, Russ M, Thiele H, Michels G, Boeken U, Thielmann M Tags: Thorac Cardiovasc Surg Source Type: research

25 Years' Experience with Redo Operations in Cardiac Surgery-Third-Time Sternotomy Procedures.
CONCLUSION:  In conclusion, third-time and more sternotomy procedures offer acceptable outcome and should therefore be considered in appropriate patients. PMID: 33368107 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - December 24, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Rupprecht L, Schopka S, Keyser A, Lunz D, Sossalla S, Hilker M, Schmid C Tags: Thorac Cardiovasc Surg Source Type: research

Does the Sweating Severity of Primary Hyperhidrosis Sites Affect Post-Sympathotomy Results?
CONCLUSION:  Preoperative sweating severity of primary hyperhidrosis sites does not affect post-sympathotomy results. Surgeons should not be worried when deciding upon surgery, even in patients with high sweating severity. PMID: 33368108 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - December 24, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Çınar HU, Çelik B Tags: Thorac Cardiovasc Surg Source Type: research

Does the Sweating Severity of Primary Hyperhidrosis Sites Affect Post-Sympathotomy Results?
Conclusion Preoperative sweating severity of primary hyperhidrosis sites does not affect post-sympathotomy results. Surgeons should not be worried when deciding upon surgery, even in patients with high sweating severity. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - December 24, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Çınar, Hüseyín Ulaş Çelik, Burçin Tags: Original Thoracic Source Type: research

25 Years' Experience with Redo Operations in Cardiac Surgery —Third-Time Sternotomy Procedures
Conclusion In conclusion, third-time and more sternotomy procedures offer acceptable outcome and should therefore be considered in appropriate patients. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - December 24, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Rupprecht, Leopold Schopka, Simon Keyser, Andreas Lunz, Dirk Sossalla, Samuel Hilker, Michael Schmid, Christof Tags: Original Cardiovascular Source Type: research

The German –Austrian S3 Guideline “Cardiogenic Shock Due to Myocardial Infarction: Diagnosis, Monitoring, and Treatment”
Thorac Cardiovasc Surg DOI: 10.1055/s-0040-1719155Despite advances in the treatment of acute myocardial infarction with subsequent mortality reduction, which are mainly caused by the early timing of revascularization, cardiogenic shock still remains the leading cause of death with mortality rates still approaching 40 to 50%. Cardiogenic shock is characterized by a multiorgan dysfunction syndrome, often complicated by a systemic inflammatory response syndrome that affects the outcome more than the reduction of the cardiac contractile function. However, both European and American guidelines on myocardial infarction focus on ...
Source: The Thoracic and Cardiovascular Surgeon - December 24, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Pilarczyk, Kevin Werdan, Karl Russ, Martin Thiele, Holger Michels, Guido Boeken, Udo Thielmann, Matthias Tags: Original Cardiovascular Source Type: research

Health Care Analysis on Myocardial Revascularization in Patients with Chronic Coronary Artery Disease: The Multicenter REVASK Study: Design and Protocol.
Abstract Coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) are available for revascularization of coronary artery disease (CAD) with the aims to reduce cardiovascular morbidity and mortality and to improve disease-related quality of life in particular. The German National Care Guideline (NVL-cKHK) on chronic CAD recommends the establishment of so-called heart teams for decision making in myocardial revascularization to improve the quality of care. Preferred recommendations for PCI or CABG are given for different patient subgroups depending on patient characteristics, concomitant d...
Source: The Thoracic and Cardiovascular Surgeon - December 18, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Beckmann A, Bitzer EM, Lederle M, Ihle P, Walker J, Marshall U, Horenkamp-Sonntag D, Schneider S, Zeymer U Tags: Thorac Cardiovasc Surg Source Type: research

Health Care Analysis on Myocardial Revascularization in Patients with Chronic Coronary Artery Disease: The Multicenter REVASK Study: Design and Protocol
Thorac Cardiovasc Surg DOI: 10.1055/s-0040-1721391Coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) are available for revascularization of coronary artery disease (CAD) with the aims to reduce cardiovascular morbidity and mortality and to improve disease-related quality of life in particular. The German National Care Guideline (NVL-cKHK) on chronic CAD recommends the establishment of so-called heart teams for decision making in myocardial revascularization to improve the quality of care. Preferred recommendations for PCI or CABG are given for different patient subgroups depending on patien...
Source: The Thoracic and Cardiovascular Surgeon - December 18, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Beckmann, Andreas Bitzer, Eva-Maria Lederle, Mareike Ihle, Peter Walker, Jochen Marshall, Ursula Horenkamp-Sonntag, Dirk Schneider, Steffen Zeymer, Uwe Tags: Original Cardiovascular Source Type: research

Red Herring
Thorac Cardiovasc Surg 2020; 68: 659-659 DOI: 10.1055/s-0040-1721427 Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - December 15, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Heinemann, Markus K. Tags: Editorial Source Type: research

Right Mini-Thoracotomy for Aortic Plus Mitral with or without Tricuspid Valve Surgery.
We report our initial experience performing multiple valve procedures through a right-sided mini-thoracotomy (RMT) compared with sternotomy. METHODS:  A total of 264 patients underwent aortic and mitral with or without tricuspid valve surgery through RMT (n = 25) or sternotomy (n = 239). Propensity score matching was used for outcome comparisons. RESULTS:  Of the 264 patients, 25 (age: 72 ± 10 years; 72% male) underwent double (n = 19) and triple valve surgery (n = 6) through RMT and 239 (age: 71 ± 11 years...
Source: The Thoracic and Cardiovascular Surgeon - December 13, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Faerber G, Tkebuchava S, Scherag A, Bley M, Kirov H, Diab M, Doenst T Tags: Thorac Cardiovasc Surg Source Type: research

Right Mini-Thoracotomy for Aortic Plus Mitral with or without Tricuspid Valve Surgery
We report our initial experience performing multiple valve procedures through a right-sided mini-thoracotomy (RMT) compared with sternotomy. Methods A total of 264 patients underwent aortic and mitral with or without tricuspid valve surgery through RMT (n = 25) or sternotomy (n = 239). Propensity score matching was used for outcome comparisons. Results Of the 264 patients, 25 (age: 72 ± 10 years; 72% male) underwent double (n = 19) and triple valve surgery (n = 6) through RMT and 239 (age: 71 ± 11 years; 54% ma...
Source: The Thoracic and Cardiovascular Surgeon - December 13, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Faerber, Gloria Tkebuchava, Sophie Scherag, Andr é Bley, Maximilian Kirov, Hristo Diab, Mahmoud Doenst, Torsten Tags: Original Cardiovascular Source Type: research

Aortic Root Remodeling in Acute Aortic Dissection.
CONCLUSIONS:  The long-term stability of aortic root remodeling for enlarged roots with AADA was comparable to TAR preserving a normal aortic root. PMID: 33260233 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - December 1, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Ehrlich T, Karliova I, Froede L, Giebels C, Kunihara T, Schäfers HJ Tags: Thorac Cardiovasc Surg Source Type: research

Impact of Modifiable Risk Factors on Long-Term Outcomes after Coronary Artery Bypass Surgery.
Abstract BACKGROUND:  Risk factors control and secondary prevention measures are often reported to be suboptimal in patients undergoing coronary artery bypass grafting (CABG) and may lead to worse clinical outcomes. We aimed to examine potentially modifiable risk factors in patients undergoing CABG and investigate their association with long-term coronary events. METHODS:  Cardiovascular risk factors were recorded preoperatively in the setting of a cardiac catheterization laboratory and were analyzed in relation to long-term coronary events, defined as acute coronary syndrome (ACS) or revascularizat...
Source: The Thoracic and Cardiovascular Surgeon - December 1, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Leviner DB, Zafrir B, Jaffe R, Saliba W, Flugelman MY, Sharoni E Tags: Thorac Cardiovasc Surg Source Type: research

Benefit of Self-Managed Anticoagulation in Patients with Left Ventricular Assist Device.
CONCLUSION:  We found that INR self-management is superior regarding the efficiency of post-LVAD anticoagulation therapy when compared with telemedical (CS)-based INR management in a small study cohort. Intensive training by experienced staff was able to replace CS. PMID: 33260235 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - December 1, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Vogeler E, Dieterlen MT, Garbade J, Lehmann S, Jawad K, Borger MA, Meyer AL Tags: Thorac Cardiovasc Surg Source Type: research

Spontaneous Pneumothorax: A Complication of Coronavirus Disease 2019 (COVID-19) Patients.
CONCLUSION:  Spontaneous pneumothorax might be an overlooked complication of COVID-19 patients and may be associated with poor prognosis. PMID: 33260236 [PubMed - as supplied by publisher] (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - December 1, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Guo Q, Yang P, Barnabo Nampoukime KP, Ma K, Wang H Tags: Thorac Cardiovasc Surg Source Type: research

Spontaneous Pneumothorax: A Complication of Coronavirus Disease 2019 (COVID-19) Patients
Conclusion Spontaneous pneumothorax might be an overlooked complication of COVID-19 patients and may be associated with poor prognosis. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - December 1, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Guo, Qiannan Yang, Peiwen Barnabo Nampoukime, Kan-paatib Ma, Ke Wang, Haihao Tags: Original Thoracic Source Type: research

Benefit of Self-Managed Anticoagulation in Patients with Left Ventricular Assist Device
Conclusion We found that INR self-management is superior regarding the efficiency of post-LVAD anticoagulation therapy when compared with telemedical (CS)-based INR management in a small study cohort. Intensive training by experienced staff was able to replace CS. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - December 1, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Vogeler, Elisa Dieterlen, Maja-Theresa Garbade, Jens Lehmann, Sven Jawad, Khalil Borger, Michael A. Meyer, Anna L. Tags: Original Cardiovascular Source Type: research

Impact of Modifiable Risk Factors on Long-Term Outcomes after Coronary Artery Bypass Surgery
Thorac Cardiovasc Surg DOI: 10.1055/s-0040-1719154 Background Risk factors control and secondary prevention measures are often reported to be suboptimal in patients undergoing coronary artery bypass grafting (CABG) and may lead to worse clinical outcomes. We aimed to examine potentially modifiable risk factors in patients undergoing CABG and investigate their association with long-term coronary events. Methods Cardiovascular risk factors were recorded preoperatively in the setting of a cardiac catheterization laboratory and were analyzed in relation to long-term coronary events, defined as acute coronary sy...
Source: The Thoracic and Cardiovascular Surgeon - December 1, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Leviner, Dror B. Zafrir, Barak Jaffe, Ronen Saliba, Walid Flugelman, Moshe Y. Sharoni, Erez Tags: Original Cardiovascular Source Type: research

Aortic Root Remodeling in Acute Aortic Dissection
Conclusions The long-term stability of aortic root remodeling for enlarged roots with AADA was comparable to TAR preserving a normal aortic root. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - December 1, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Ehrlich, Tristan Karliova, Irem Froede, Lennart Giebels, Christian Kunihara, Takashi Sch äfers, Hans-Joachim Tags: Original Cardiovascular Source Type: research

Computed Tomography-Guided Trans-scapular Coil Localization for Pulmonary Nodules
Conclusion CT-guided TSCL can be simply and safely used to facilitate successful VATS-guided wedge resection of scapula-blocked PNs. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - November 20, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Zhang, Jian-Hua Zhou, Shi-Qing Xia, Feng-Fei Wang, Tao Tags: Short Communication Source Type: research

Thoracic Surgery during Coronavirus Disease 2019 (COVID-19): The Experience of a Level 1 Trauma Center
Conclusion This study demonstrates that during the first surge of SARS-CoV-2, it was possible to adapt a thoracic oncology and trauma service without increase in mortality due to COVID-19. This was only possible due to a significant reduction in trauma referrals, cessation of benign and elective work, and the more stringent reprioritization of cancer surgery. This information is vital to learn from our experience and prepare for the predicted second surge and any similar future pandemics we might face. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table ...
Source: The Thoracic and Cardiovascular Surgeon - November 20, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Smelt, Jeremy Santhirakumaran, Gowthanan Vaughan, Paul Hunt, Ian Tan, Carol Tags: Original Thoracic Source Type: research

Diagnostic Value of Cholinesterase Activity for the Development of Postoperative Delirium after Cardiac Surgery
Thorac Cardiovasc Surg DOI: 10.1055/s-0040-1716897 Background Depression of cholinesterase (CHE) activity has been reported to lead to an amplified neuroinflammatory response, which clinically manifests as postoperative delirium (PD). This observational study investigates the association between CHE activity and the development of PD following elective cardiac surgery. Methods Patients with preexisting neurologic deficits or carotid artery disease as well as patients undergoing reoperations or procedures under circulatory arrest have been excluded from this study. The Mini-Mental State Examination, the Conf...
Source: The Thoracic and Cardiovascular Surgeon - November 20, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Saha, Shekhar Karaca, K übra Jebran, Ahmad Fawad Waezi, Narges Ort, Katharina Brandes, Ivo Hagl, Christian Niehaus, Heidi Tags: Original Cardiovascular Source Type: research

Exercise Echocardiography following Septal Myectomy for Hypertrophic Obstructive Cardiomyopathy
This study included 40 consecutive patients operated with septal myectomy for hypertrophic obstructive cardiomyopathy from January 1998 to August 2017 at Skane University Hospital, Lund, Sweden. Perioperative clinical data and echocardiography measurements were reviewed retrospectively. Patients (n = 36) who were alive and living in Sweden were invited for exercise echocardiography to evaluate exercise capacity and hemodynamics, of whom 19 patients performed exercise echocardiography. Results Overall survival was 100% at 1 year and 96% at 5 years following surgery. Preoperative median resting peak LVO...
Source: The Thoracic and Cardiovascular Surgeon - November 20, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Nov én, Johan Stagmo, Martin Wierup, Per Nozohoor, Shahab Bjursten, Henrik Sj ögren, Johan Zindovic, Igor Ragnarsson, Sigurdur Tags: Original Cardiovascular Source Type: research

The Role of the Heart Team in Patients with Diffuse Coronary Artery Disease Undergoing Coronary Artery Bypass Grafting
Conclusion The multispecialty Heart Team achieved good accuracy in predicting the angiographic coronary artery bypass graft success in patients with diffuse CAD, with a high specificity and reasonable sensitivity. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - November 20, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Dourado, Luciana Oliveira Cascaes Pereira, Alexandre C. Poppi, Nilson Tavares Cavalcante, Rafael Gaiotto, Fabio Dallan, Luis Alberto Oliveira Bittencourt, Marcio Sommer Cesar, Luiz Antonio M. Gowdak, Luis Henrique W. Tags: Original Cardiovascular Source Type: research

First Experiences with MANTA Vascular Closure Device in Minimally Invasive Valve Surgery
Conclusions MANTA as percutaneous femoral artery closure after decannulation of cardiopulmonary bypass is a safe, feasible, and effective approach and yields excellent early outcomes. Larger size studies are needed to evaluate more the efficacy and safety of MANTA. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - November 20, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Ahmad, Ali El-Sayed Salamate, Saad Amer, Mohamed Sirat, Sami Monsefi, Nadejda Bakhtiary, Farhad Tags: Original Cardiovascular Source Type: research

A Modified VATS Procedure for Treating Adult Intralobar Pulmonary Sequestration
Thorac Cardiovasc Surg DOI: 10.1055/s-0040-1708870Video-assisted thoracoscopic surgery (VATS) makes it possible to treat intralobar sequestration (ILS) more minimally invasive compared with conventional open surgery. However, this procedure is challenging to expose and isolate the aberrant arteries of ILS and the risk of bleeding is high. Herein, we developed a modified VATS procedure in which the aberrant vessels are treated in the last step of lobectomy, rather than at the beginning. In this way, we can expose the aberrant vessels easier and reduce the risk of massive blood loss, also simplifying the surgical procedure. ...
Source: The Thoracic and Cardiovascular Surgeon - November 17, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Zeng, Bo Zou, Jianyong Yang, Weixiong Liu, Zhenguo Xie, Chunying Cheng, Chao Tags: How to Do It Source Type: research

COVID-19 Pulmonary Failure and Extracorporeal Membrane Oxygenation: First Experience from Three European Extracorporeal Membrane Oxygenation Centers
Thorac Cardiovasc Surg DOI: 10.1055/s-0040-1719156On April 17, 2020, a coronavirus disease 2019 (COVID-19) webinar was held by selected international experts in the field of intensive care and specialized respiratory ECMO centers from Germany, Italy, Spain, and the United Kingdom, which was hosted by the German Heart Centre Berlin/Charité. The experts shared their experience about the treatment of 42 patients with severe acute respiratory failure requiring venovenous extracorporeal membrane oxygenation (VV-ECMO). Patients were predominantly male (male-to-female ratio: 3:1), with a mean age of 51 years (range: 25&nda...
Source: The Thoracic and Cardiovascular Surgeon - November 13, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Yankah, Charles Abraham Trimlett, Richard Sandoval, Elena Lotz, Christopher Ledot, Stephane Pomar, Jose Luis Price, Susanna Meybohm, Patrick Tags: Original Cardiovascular Source Type: research

Hemopatch to Fix Mobile Lobe after Thoracoscopic Lobectomy
Thorac Cardiovasc Surg DOI: 10.1055/s-0040-1716326Herein, we report a new technique of middle lobe fixation using Hemopatch after thoracoscopic right upper lobectomy. A 3–0 atraumatic polypropylene suture is passed first through the Hemopatch, then two not-inflated lobes, and then again patch. The lung is half-inflated, and the Hemopatch is placed onto the surface of the two half-inflated lobes in a bridging manner over the fissure. The suture is then tied by a clip. This procedure was successfully applied in five consecutive patients after thoracoscopic right upper lobectomy for cancer. No complications occurred dur...
Source: The Thoracic and Cardiovascular Surgeon - November 2, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Fiorelli, Alfonso Carlucci, Annalisa Cascone, Roberto Santini, Mario Tags: How to Do It Source Type: research

Galen: The First Cardiac Surgeon?
Thorac Cardiovasc Surg DOI: 10.1055/s-0040-1716568It is widely believed that the first and the second pericardium surgeries were done in the nineteenth century by Francisco Romero and Dominique Jean Larrey, respectively; however, Galen was the first surgeon who proceeded with pericardiectomy. This ancient case report of sternum osteomyelitis and pericardiectomy illuminates some dark part of the history of medicine and the ability of physicians in that era. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text...
Source: The Thoracic and Cardiovascular Surgeon - October 30, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Rajabnejad, Mohammad Reza Ranjbar, Maryam Al-Attar, Mohammad Tags: Others Source Type: research

Postoperative Thoracic Pain Treatment: Serratus Anterior or Erector Spinae Plane Block?
In this study, we aimed to compare the two new fascial block techniques. Methods A total of 107 patients who underwent thoracic surgery between October 2018 and November 2019 were retrospectively evaluated. The study included 59 patients in the serratus anterior plane block (SAPB) group and 48 patients in the erector spinae plane block (ESPB) group. Both groups were administered 30 mL of 0.25% bupivacaine and their morphine consumption was evaluated by a patient-controlled analgesia (PCA) method during the 2nd, 6th, 12th, 24th, and 48th postoperative hours. Pain was measured with the visual analog scale (VAS...
Source: The Thoracic and Cardiovascular Surgeon - October 25, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Ülgey, Ayşe Pehlivan, Sibel Se çkin Demir, Ömer Faruk Tags: Original Thoracic Source Type: research

Rapid Deployment Aortic Valve Replacement with the Perceval S and Intuity Elite
Conclusions Our propensity score analysis in AVR patients showed good hemodynamic characteristics with comparable 30-day mortality rate and complications rates for both investigated RDVs. [...] 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 25, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Liakopoulos, Oliver J. Gerfer, Stephen Rahmanian, Parwis Eghbalzadeh, Kaveh Djordjevic, Ilija Schlachtenberger, Georg Zeriouh, Mohamed Mader, Navid Choi, Yeong-Hoon Wahlers, Thorsten Tags: Original Cardiovascular Source Type: research

Experience and Technique for Zenker's Diverticulum Per Oral Endoscopic Myotomy: Z-POEM
Conclusions Z-POEM is performed entirely endoscopically with very little associated pain or complication rates, with short-term follow-up having excellent functional and symptomatic results. [...] 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 21, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Podgaetz, Eitan Konda, Vani Tags: Short Communication Source Type: research

Real 3D Visualization of the Circumflex Artery Surrounding the Mitral Annulus
Conclusion Our observations show correlation with previous anatomical studies and case reports addressing iatrogenic lesions on the circumflex coronary artery. Based on all these, we could determine a “danger zone” on the vessel. The simultaneous evaluation of the anatomical preparations and the angiograms might improve the acknowledgment of this vulnerable region serving to avoid any damage to the coronary artery. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: The Thoracic an...
Source: The Thoracic and Cardiovascular Surgeon - October 21, 2020 Category: Cardiovascular & Thoracic Surgery Authors: F ábián, Bálint Osadczuk, Andr ás B árány, László Baksa, G ábor R ácz, Gergely Ruttkay, Tam ás Tags: Original Cardiovascular Source Type: research

Surgery without Scars: Right Lateral Access for Minimally Invasive Aortic Valve Replacement
Thorac Cardiovasc Surg DOI: 10.1055/s-0040-1713137As part of an institutionally driven holistic concept, named the “360-degree approach,” all established surgical access routes —full sternotomy, partial upper sternotomy, and right anterolateral thoracotomy using the second interspace—are supported. The surgical toolbox now is completed by adding a further approach: through a 5- to7-cm skin incision in the right anterior axillary line, the third interspace is used for a minimally invasive aortic valve surgery providing striking exposition of the aortic valve and resulting in superior cosmetics with n...
Source: The Thoracic and Cardiovascular Surgeon - October 19, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Wilbring, Manuel Matschke, Klaus Ehrhard Alexiou, Konstantin Di Eusanio, Marco Kappert, Utz Tags: How to Do It Source Type: research

Old at Heart
Thorac Cardiovasc Surg 2020; 68: 549-549 DOI: 10.1055/s-0040-1717112 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 17, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Heinemann, Markus K. Tags: Editorial Source Type: research

Robotic-Assisted Lobectomy Favors Early Lung Recovery versus Limited Thoracotomy
Conclusion Robotic technique can offer similar pulmonary and pain recovery during the in-hospital stay with a lighter analgesia protocol. It clearly favors the early term recovery compared with the open limited technique. The objective and subjective functional recovery becomes equivalent at 2 and 6 months. [...] 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 12, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Lacroix, Val érie Kahn, David Matte, Pascal Pieters, Thierry Noirhomme, Philippe Poncelet, Alain Steyaert, Arnaud Tags: Original Thoracic Source Type: research

Novel Choices of Cannula for Blood Delivery via Femoral Artery in Pediatric Patients
Thorac Cardiovasc Surg DOI: 10.1055/s-0040-1715604We previously presented a cardiopulmonary bypass (CPB) method with blood delivery via femoral artery cannulation for pediatric aortic arch repair operations using the Radifocus Introducer sheath. However, the flow rate with the Radifocus Introducer sheath is limited by accessory parts with the same structure having a smaller inner diameter among different sizes, rather than the sheath body. Therefore, we further devised a combination of the JELCO IV catheter, an extension tube, and a three-way stopcock with a larger opening to obtain more flow rate keeping the CPB circuit p...
Source: The Thoracic and Cardiovascular Surgeon - September 29, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Yamamoto, Tomohiro Saito, Takeshi Shiraishi, Shuichi Asfour, Boulos Hraska, Victor Schindler, Ehrenfried Tags: Short Communications Source Type: research

Long-Term Clinical Outcome in Elderly Patients Undergoing Mitral Valve Repair
Conclusion Various independent risk factors for mortality in elderly MV repair patients could be identified, but overall survival rates were similar to those of the general population. Consequently, our data indicates that repairing the MV in elderly patients represents a suitable and safe surgical approach. [...] 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 29, 2020 Category: Cardiovascular & Thoracic Surgery Authors: G ötte, Julia Zittermann, Armin Hakim-Meibodi, Kavous Hata, Masatoshi Schramm, Rene Bleiziffer, Sabine Parsa, Mohammed Amin Gummert, Jan Renner, Andre Tags: Original Cardiovascular Source Type: research

Comparison of Safety between Different Kinds of Heparins in Patients Receiving Intra-Aortic Balloon Counterpulsation
Conclusion LMWH could reduce the risk of major bleeding in patients receiving IABP. Whether LMWH could reduce arterial thromboembolism needs further investigation. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text (Source: The Thoracic and Cardiovascular Surgeon)
Source: The Thoracic and Cardiovascular Surgeon - September 29, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Guan, Xiaonan Chen, Mulei Li, Yanbing Zhang, Jianjun Xu, Li Sun, Hao Zhang, Dapeng Wang, Lefeng Yang, Xinchun Tags: Original Cardiovascular Source Type: research

Professor Peter E. Lange, MD (15-7-1935 to 17-6-2020)
Thorac Cardiovasc Surg 2020; 68: 459-461 DOI: 10.1055/s-0040-1715507 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 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Berger, Felix Hebe, Joachim N ürnberg, Jan-Hendrik Schirmer, Karl-Robert Tags: Obituary Source Type: research

COVID-19, Naturally
Thorac Cardiovasc Surg 2020; 68: 457-458 DOI: 10.1055/s-0040-1715890 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 16, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Heinemann, Markus K. Tags: Editorial Source Type: research

Can the Wall Shear Stress Values of Left Internal Mammary Artery Grafts during the Perioperative Period Reflect the One-Year Patency?
Thorac Cardiovasc Surg DOI: 10.1055/s-0040-1714385 Purpose The left internal mammary artery (LIMA) is the preferred graft for coronary artery bypass grafting, but the reasoning for LIMA occlusion is unclear. We sought to examine whether the wall shear stress (WSS) values of LIMA grafts during the perioperative period reflected the 1-year patency by using combining computational fluid dynamics (CFD) and coronary computed tomography angiography (CCTA) images. Methods CCTA was performed in 233 patients with LIMA graft perioperatively and 1 year later from October 2014 to May 2017. LIMA occlusion was detected i...
Source: The Thoracic and Cardiovascular Surgeon - September 15, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Zhu, Lan Pan, Zilai Li, Zehang Chang, Yunxiao Zhu, Yunpeng Yan, Fuhua Tu, Shengxian Yang, Wenjie Tags: Original Cardiovascular Source Type: research

Publication Performance in German Academic Heart Surgery
Conclusions The six units of the first quintile published on average 3.6 times more per managing member than the nine units in the last quintile and the average cumulative IF per member in the first quintile was almost five times higher. Further investigation must show whether this considerable difference in publication activity between the university units is also observed in other operative fields. [...] 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 7, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Debus, Eike Sebastian Dolg, Maximilian Reichenspurner, Hermann Grundmann, Reinhart T. Tags: Special Report Source Type: research

Impact of COVID-19 on Lung Transplant Activity in Germany —A Cross-Sectional Survey
Thorac Cardiovasc Surg DOI: 10.1055/s-0040-1715436The current COVID-19 pandemia affects health care systems worldwide, however, to a variable extent depending on the caseload in each country. We aimed to provide a cross-sectional overview of current limitations or adaptions in lung transplant programs in Germany in from January to May 2020 due to the COVID-19 pandemia caused by severe acute respiratory syndrome coronavirus 2. A cross-sectional survey assessing various aspects of lung transplant activity was sent to all active lung transplant programs (n = 12) in Germany. Eight centers (66%) responded to the s...
Source: The Thoracic and Cardiovascular Surgeon - September 7, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Michel, Sebastian Witt, Christian Gottlieb, Jens Aigner, Clemens Tags: Short Communication Source Type: research

Transcervical (SP) and Transhiatal DaVinci Robotic Esophagectomy: A Cadaveric Study
Conclusion This preclinical study demonstrated that a fully robotic McKeown esophagectomy in simultaneous rendezvous technique using the DaVinci X for transhiatal dissection and the DaVinci SP for transcervical dissection was feasible with adequate lymphadenectomy in a cadaver model. Future research will elucidate the indications for the use of the fully robotic transhiatal and transcervical esophagectomy. [...] 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 7, 2020 Category: Cardiovascular & Thoracic Surgery Authors: van der Sluis, Pieter Egberts, Jan-Hendrik Stein, Hubert Sallum, Rubens van Hillegersberg, Richard Grimminger, Peter P. Tags: Original Thoracic Source Type: research

Different View on Tumor Size Dilemma in Tumor-Node-Metastasis Staging System for Thymoma
Conclusion Both smaller tumor size and complete resection are associated with better survival in thymoma patients. Therefore, the largest or the mean tumor size might be considered as a criterion in the TNM staging for thymoma. [...] 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 7, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Cangir, Ayten Kay ı Yenig ün, Bülent Mustafa Direk, Tamer Kocaman, Gokhan Y ücemen, Ugurum Kahya, Yusuf Sak, Serpil Dizbay En ön, Serkan Tags: Original Article Source Type: research