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Spotlight on recently published EJCTS articles
(Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Tags: SPOTLIGHT - EJCTS RECENT ARTICLES Source Type: research

Aortic root and proximal aortic arch replacement (performed by a left-handed surgeon)
We present our standard technique of composite graft replacement performed by a left-handed surgeon. This procedure is performed with a 30-day mortality comparable to that of elective isolated aortic valve replacement. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Carrel, T. Tags: Education, Pericardium, Basic research vascular Adult Cardiac Source Type: research

Thoraco-abdominal aortic aneurysm rupture secondary to lymphocytic lymphoma
We present the case of a 60-year old woman with a ruptured thoraco-abdominal aortic aneurysm (TAAA). It was a Type IV TAAA in the Crawford Classification. A mycotic origin was suspected as she had a known history of lymphocytic lymphoma. She underwent thoraco-abdominal aortic replacement with a good surgical result. Histopathological examination revealed destruction of the aortic layers due to inflammatory lymphomatous aortic infiltration. The patient fully recovered. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Pontailler, M., Fabre, D., Hocquemiller-Khalife, T., Fadel, E. Tags: Vascular malformations Source Type: research

A pitfall of false lumen embolization in chronic aortic dissection: intimal injury caused by the embolization device edge
We report a case of intimal injury caused by the occluder device in the false lumen (FL) after treatment of refractory chronic aortic dissection with FL embolization. We speculate that the intimal injury was due to the disproportionate stress from the FL. We covered the new entry by an additional stent graft in the true lumen. The deployment of a stent device in both lumens at the level of embolization might be indispensable for FL embolization. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Furukawa, T., Uchida, N., Yamane, Y., Yamada, K. Tags: Vascular malformations Adult Cardiac Source Type: research

Superficial femoral artery access for transcatheter aortic valve replacement
We report the use of the superficial femoral artery (SFA) as the arterial site of puncture with surgical cut-down. It may be a reasonable access alternative to the other classical routes, especially in the setting of either obese patients with elevated body mass index or in the presence of high femoral artery bifurcation. This route seems to be feasible with a low-profile risk. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Gennari, M., Trabattoni, P., Roberto, M., Agrifoglio, M. Tags: History, Venous disease Adult Cardiac Source Type: research

Haemodynamic improvement of older, previously replaced mechanical mitral valves by removal of the subvalvular pannus in redo cardiac surgery
Patients requiring redo cardiac surgery for diseased heart valves other than mitral valves may show increased pressure gradients and reduced valve areas of previously placed mechanical mitral valves due to subvalvular pannus formation. We treated four women who had mechanical mitral valves inserted greater than or equal to 20 years earlier and who presented with circular pannus that protruded into the lower margin of the valve ring but did not impede leaflet motion. Pannus removal improved the haemodynamic function of the mitral valve. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Kim, J. H., Kim, T. Y., Choi, J. B., Kuh, J. H. Tags: Basic research vascular Adult Cardiac Source Type: research

Combined endoscopic and transcatheter treatment of native mitral stenosis
This report describes an approach for the treatment of high-risk native mitral valve stenosis. It incorporates the deployment of a transcatheter valve in the mitral position under full endoscopic vision, combined with endoscopic mitral repair techniques that secure valve positioning and reduce the risk of paravalvular leak. This approach could be used as a rescue procedure in centres with experience in transcatheter and endoscopic valve techniques. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Van Praet, F., Roubelakis, A., Coddens, J., Casselman, F. Tags: History, Transplantation - heart, Basic research vascular Adult Cardiac Source Type: research

A Loeys-Dietz patient with a transatlantic odyssey: repeated aortic root surgery ending with a huge left main coronary aneurysm
We present a patient who required several aortic root procedures. Finally, a huge aneurysm of the left main coronary artery required emergency surgery after a failed transcatheter procedure. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Carrel, T., Schoenhoff, F., Cameron, D. Tags: Molecular biology, Pericardium, Basic research vascular Adult Cardiac Source Type: research

Surgical rescue after left anterior descending catheter entrapment causing cardiogenic shock
We present the case of an entrapped balloon catheter in the left anterior descending coronary artery during an elective percutaneous coronary intervention. The patient developed acute myocardial ischaemia and cardiac arrest. Emergency surgical intervention with device retrieval and distal bypass grafting was life-saving. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Ventosa-Fernandez, G., Moscoso, B., Cartana, R., Pereda, D. Tags: Molecular biology Adult Cardiac Source Type: research

Surgical treatment of a giant left main aneurysm
We report the case of a 75-year old man with a clinical symptom of chest pain on exertion, worsening in the last 6 months, who was diagnosed with a giant left main aneurysm. Surgical ligation of the proximal left anterior descending artery and first diagonal and triple bypass, using saphenous vein graft to vascularize the proximal circumflex artery, left anterior descending artery and first diagonal, was performed. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Viola, L., Keita, L., Veerasingam, D. Tags: Electrophysiology - arrhythmias, Molecular biology Adult Cardiac Source Type: research

A successful staged Fontan operation for a right atrial isomerism neonate having major aortopulmonary collateral arteries and extracardiac total anomalous pulmonary venous connection
We describe a successful staged Fontan operation for a neonate with a single ventricle, right atrial isomerism, pulmonary atresia with major aortopulmonary collateral arteries, a small central pulmonary artery and a supracardiac TAPVC. Unifocalization of the pulmonary vasculature was achieved by ligating all dual-supply major aortopulmonary collateral arteries at their origins, concomitant with supracardiac TAPVC repair and modified Blalock–Taussig shunt placement at 15 days. The patient underwent patch augmentation of the small stenosed central pulmonary artery at 8 months and bilateral bidirectional Glenn shunt at ...
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Ide, Y., Murata, M., Ito, H., Sakamoto, K. Tags: Mechanical Circulatory Assistance Congenital Source Type: research

A novel procedure for reconstructing an extensive hypoplastic aortic arch in older children
We report a novel reconstruction technique involving aortapulmonary fusion that was used to treat THAA in a 9 year-old patient with IAA. In this procedure, the underside of the aortic arch and the upside of the main pulmonary artery were fused to reconstruct the aortic arch. The short-term outcome of the procedure has been promising. This procedure may represent an alternative for repairing extensive THAA in older children. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Wu, S., Yang, Y., Hu, S., Zhao, T. Tags: Congenital Source Type: research

Pulmonary root translocation for borderline complex coarctation of aorta and multiple ventricular septal defects
We describe a case of complex left ventricular outflow tract obstruction, multiple muscular ventricular septal defects, aortic coarctation and a hypoplastic aortic arch, where staged biventricular repair was performed successfully using pulmonary root translocation. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Sugimoto, A., Ota, N., Murata, M., Sakamoto, K. Tags: Congenital Source Type: research

Do novel anticoagulant agents increase the risk of perioperative complications during implantable cardiac rhythm device insertion?
A best evidence topic was written according to a structured protocol. The question addressed was ‘In patients requiring an implanted cardiac rhythm device, do novel oral anticoagulant agents lead to increased rates of peri-procedural complications?’ Altogether 1228 papers were found using the reported search, of which 5 represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. The novel oral anticoagulant agents (NOACs) assessed in the included studies were ...
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Davies, R. A., Perera, N. K., Orr, Y. Tags: History, Myocardial infarction Adult Cardiac Source Type: research

Is there significance in identification of non-predominant micropapillary or solid components in early-stage lung adenocarcinoma?
A best evidence topic in thoracic surgery was written according to a structured protocol. The question addressed was ‘in early-stage lung adenocarcinomas, does the presence of non-predominant micropapillary (MIP) or solid (SOL) growth component influence long-term survival and surgical strategy?’. Altogether, more than 600 papers were found using the reported search, of which 13 presented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group, study type, relevant outcomes and results of these papers were tabulated. The data collected showed that ...
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Zhao, Z.-R., To, K. F., Mok, T. S. K., Ng, C. S. H. Tags: Lung - other, Mediastinum, Lung - basic science Thoracic Source Type: research