The first ablation
Before the 1980s, management of supraventricular arrhythmias that were refractory to drugs were treated surgically. The procedure involved thoracotomy, cardiotomy, and ligation or cryoablation of the atrioventricular (AV) junction. In the late 1970s, I conceived the idea of trying to replicate the surgical procedure but without the need for open heart surgery. A literature survey described a number of direct techniques used in animals to promote AV block, but I was struck by an abstract published by Beazell et al. (Source: Heart Rhythm)
Source: Heart Rhythm - April 29, 2024 Category: Cardiology Authors: Melvin M. Scheinman Tags: Iconic Figure Source Type: research
The Effects of Various Approaches to Lobectomies on Respiratory Muscle Strength, Diaphragm Thickness, and Exercise Capacity in Lung Cancer
CONCLUSION: The VATS technique appears superior to the CT technique in terms of preserving respiratory muscle strength and functional exercise capacity. Thoracic surgeons should refer patients to physiotherapists before lobectomy, especially patients undergoing CT. If lobectomy with VATS will be technically difficult, MST may be an option preferable to CT because of its impact on exercise capacity.PMID:38679681 | DOI:10.1245/s10434-024-15312-x (Source: Ann Oncol)
Source: Ann Oncol - April 28, 2024 Category: Cancer & Oncology Authors: Funda Sirakaya Ebru Calik Kutukcu Mehmet Ruhi Onur Erkan Dikmen Ulas Kumbasar Serkan Uysal Riza Dogan Source Type: research
Comparison of Early Postoperative Diaphragm Muscle Function after Lobectomy via VATS and Open Thoracotomy: A Sonographic Study
In conclusion, the VATS technique seems to be less invasive than conventional thoracotomy providing a better postoperative function of the main respiratory muscle.PMID:38672757 | DOI:10.3390/life14040487 (Source: Cancer Control)
Source: Cancer Control - April 27, 2024 Category: Cancer & Oncology Authors: Janusz Kocjan Mateusz Rydel Damian Czy żewski Mariusz Adamek Source Type: research
Primary pulmonary monophasic synovial sarcoma initially presenting with bloody pleural effusion: A case report and literature review
We report the first case of a 57-year -old man with bloody pleural effusion as an initial manifestation of PPSS in the middle lobe of the right lung diagnosed after surgery. Diagnosis: Chest computed tomography (CT) revealed a mass in the middle lobe of the right lung, which was pathologically diagnosed as a monophasic SS after surgical resection. Interventions: Ten days after preoperative closed chest drainage, a right thoracotomy was performed to remove the right middle lobe of the lung. Outcomes: The patient recovered smoothly and was discharged from the hospital without any other postoperative treatment. A follow-up ch...
Source: Clinical Case Reports - April 27, 2024 Category: General Medicine Authors: Tengcheng Yin,
Bing Liu,
Jinru Xue,
Xiyu Liu,
Shengtao Shang,
Yan Wang Tags: CASE REPORT Source Type: research
Neoadjuvant nivolumab plus chemotherapy followed by resection for superior sulcus tumour with high PD ‐L1 expression: A case report
This report represents a new treatment option for superior sulcus tumours. (Source: Respirology Case Reports)
Source: Respirology Case Reports - April 26, 2024 Category: Respiratory Medicine Authors: Takahito Nakaya,
Yoshimitsu Hirai,
Hiroaki Akamatsu,
Fumiyoshi Kojima,
Hideto Iguchi,
Aya Fusamoto,
Yumi Yata,
Takahiro Nagai,
Daiki Kitahara,
Toshiaki Takakura,
Yoshiharu Nishimura,
Nobuyuki Yamamoto Tags: CASE REPORT Source Type: research
N-Butyl cyanoacrylate embolization of an extremely rare variant of sequestration complex — a high-flow left-to-left shunt between systemic artery and pulmonary vein
AbstractA 19-year-old female presented with hemoptysis. Computed tomography (CT) pulmonary angiography revealed aberrant vessels from descending thoracic aorta, draining into pulmonary veins (left-to-left shunt). She was managed by transcatheter embolization of the aberrant vessels using N-butyl cyanoacrylate (NBCA) with balloon occlusion. A systemic artery to pulmonary vein fistula is one of the least common congenital anomalies. Most of the reported cases have been managed by surgery. Only a few patients have been treated by transcatheter embolization, using coils or vascular plugs as the embolizing agents. To our knowle...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 26, 2024 Category: Cardiovascular & Thoracic Surgery Source Type: research
Resuscitative thoracotomy
This article provides a detailed review of the relevant pathophysiology, indications and contraindications, necessary equipment and techniques, and factors influencing patient outcomes. (Source: Surgery (Medicine Publishing))
Source: Surgery (Medicine Publishing) - April 25, 2024 Category: Surgery Authors: Karl Foster, Laura J. Watson, Peter Coyne Tags: Surgery for major incidents Source Type: research
Robotic-Assisted Hybrid Coronary Revascularization
The authors reported 285 patients who underwent reverse robotic-assisted hybrid coronary revascularization (HCR). Reverse HCR consists of percutaneous coronary intervention in non-left anterior descending (LAD) coronary artery vessels performed within 30 days before robotic-assisted left internal thoracic artery (LTA) harvesting and LTA to LAD manual anastomosis through a 4 cm left mini-thoracotomy. (Source: The American Journal of Cardiology)
Source: The American Journal of Cardiology - April 24, 2024 Category: Cardiology Authors: Andrea Ballotta Tags: Editorial Source Type: research
Risk Factors for Empyema Following Penetrating Diaphragmatic Injuries
Am Surg. 2024 Apr 20:31348241248700. doi: 10.1177/00031348241248700. Online ahead of print.ABSTRACTEmpyema resulting as a complication of penetrating diaphragmatic injuries is a subject that requires further investigation, and the aim of this study was to determine the risk factors associated with empyema in patients with penetrating trauma. Consecutive adult trauma patients from a level 1 trauma center were searched for penetrating diaphragm injuries. Data were collected on patient demographics, pre-existing conditions, injury type and severity, hospital interventions, in-hospital complications, and outcomes. Patients wer...
Source: The American Surgeon - April 20, 2024 Category: Surgery Authors: Lydia C Rewerts Lance E Stuke John P Hunt Alan B Marr Jonathan E Schoen Patrick Greiffenstein Alison A Smith Source Type: research
Feasibility of an animal model for long-term mechanical circulatory support with Impella 5.5 implanted through carotid artery access in sheep
This study aimed to evaluate the feasibility of an animal model for long-term support with Impella 5.5 implanted through carotid artery access in sheep.Impella 5.5 was implanted in four sheep through the proximal region of the left carotid artery without a thoracotomy, and myocardial injuries were induced by coronary microembolization. Support by Impella 5.5 was maintained for 4 weeks, and the animals were observed. The position of Impella 5.5 and cardiac function was evaluated using cardiac computer tomography at 2 and 4 weeks after implantation.All four animals completed the 4-week study without major complications. The ...
Source: Journal of Artificial Organs - April 20, 2024 Category: Transplant Surgery Source Type: research
Nd-YAG laser –assisted pulmonary metastasectomy: initial experience from a tertiary care cancer center in India
ConclusionLAS of pulmonary metastatic lesions addresses more lesions in a single sitting; the bilateral lung lesions can be operated and has parenchyma preserving and good sealant properties. (Source: Indian Journal of Thoracic and Cardiovascular Surgery)
Source: Indian Journal of Thoracic and Cardiovascular Surgery - April 19, 2024 Category: Cardiovascular & Thoracic Surgery Source Type: research
Discussion to: Implantation of the HeartMate 3 left ventricular assist device using a thoracotomy-based implant technique: Multicenter HeartMate 3 SWIFT study
Presenter: Dr Igor Gosev (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - April 18, 2024 Category: Cardiovascular & Thoracic Surgery Tags: Adult Source Type: research
Clinical Impact of the Endo-aortic Clamp for Redo Mitral Valve Surgery
AbstractAim of this study was to compare redo MV surgery patients undergoing right mini-thoracotomy and EAC with redo MV patients undergoing surgery through other approaches. Redo MV patients from 7 European centers were analyzed. Primary endpoint was 30-day mortality; secondary endpoints were stroke, re-exploration, low cardiac output syndrome (LCOS), respiratory failure, and intensive care unit (ICU) and in-hospital length-of-stay. Forty-nine patients underwent right mini-thoracotomy and EAC (22.7%), and 167 (77.3%) underwent surgery through other approaches (112 sternotomy, 40 unclamped mini-thoracotomies, and 15 mini-t...
Source: Journal of Cardiovascular Translational Research - April 17, 2024 Category: Cardiology Source Type: research
Bleeding sites and treatment strategies for cardiac tamponade by catheter ablation requiring thoracotomy: risks of catheter ablation in patients with left atrial diverticulum
There is insufficient information regarding the bleeding sites and surgical strategies of cardiac tamponade during catheter ablation for atrial fibrillation (AF). (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - April 17, 2024 Category: Cardiovascular & Thoracic Surgery Authors: Atsuyuki Mitsuishi, Yujiro Miura, Yoshinori Nomura, Takayoshi Hirota, Naoki Arima, Hiroaki Kitaoka, Hiroki Tateiwa and Yoshifumi Katsumata Tags: Case Report Source Type: research
