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Annals of Thoracic Surgery

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https://read.qxmd.com/read/30772338/outcomes-after-initial-unifocalization-to-a-shunt-in-complex-tetralogy-of-fallot-with-mapcas
#1
Holly Bauser-Heaton, Michael Ma, Lisa Wise-Faberowski, Ritu Asija, Jennifer Shek, Yulin Zhang, Lynn F Peng, Douglas R Sidell, Frank L Hanley, Doff B McElhinney
BACKGROUND: Our approach to tetralogy of Fallot (TOF) with pulmonary atresia and major aortopulmonary collateral arteries (MAPCAs) emphasizes early single-stage unifocalization and intracardiac repair. However, a subset of patients with small native pulmonary arteries (PAs) and MAPCAs undergo unifocalization to a shunt rather than simultaneous intracardiac repair. METHODS: Patients with TOF/MAPCAs who underwent unifocalization to a systemic-to-PA shunt by a single surgeon were reviewed...
February 14, 2019: Annals of Thoracic Surgery
https://read.qxmd.com/read/30771330/immunoglobulin-g4-inflammatory-aortic-aneurysm-mimicking-acute-aortic-syndrome
#2
Robert Blazekovic, Mislav Planinc, Jasmina Catic, Davor Baric, Daniel Unic, Luka Manojlovic, Sabrina Holzer
Immunoglobulin-G4-related disease (IgG4RD) is a novel clinical entity characterized by lymphoplasmacytic infiltrates presenting as an excessive fibrosis such as retroperitoneal inflammatory pseudotumor but rarely affecting the heart or the aorta. We describe a case of IgG4RD with multifocal aortic involvement presenting as an acute aortic syndrome.
February 13, 2019: Annals of Thoracic Surgery
https://read.qxmd.com/read/30771329/randomized-trial-of-miniaturized-versus-standard-extracorporeal-circulation-in-aortic-valve-surgery
#3
Frank R Halfwerk, Kees Knol, Silvia Mariani, Jan G Grandjean, Gianclaudio Mecozzi
BACKGROUND: Complications related to extracorporeal circulation remain serious. While a Minimal Invasive Extra Corporeal Circulation (MiECC) system was developed to cope with these complications, its effectivity on patient-related outcomes such as blood loss remain uncertain. Therefore, the aim of this study is to compare MiECC to an advanced standard system with respect to blood loss. METHODS: A total of 128 adult patients undergoing elective isolated aortic valve replacement were enrolled in a randomized clinical trial...
February 13, 2019: Annals of Thoracic Surgery
https://read.qxmd.com/read/30771328/severely-kinked-pseudocoarctation-of-the-aorta-with-unicuspid-aortic-valve
#4
Yosuke Sakurai, Masaaki Koide, Yoshifumi Kunii, Minori Tateishi, Satoshi Okugi, Yuchen Cao
No abstract text is available yet for this article.
February 13, 2019: Annals of Thoracic Surgery
https://read.qxmd.com/read/30771327/is-serca2-sufficient-as-a-molecular-indicator-of-contractile-function-in-ventricular-hypertrophy
#5
LETTER
Bing Gong, Congcong Tian, Dongjin Wang
No abstract text is available yet for this article.
February 13, 2019: Annals of Thoracic Surgery
https://read.qxmd.com/read/30771326/a-pediatric-case-of-staphylococcus-lugdunensis-induced-infective-endocarditis-at-bovine-jugular-vein
#6
Keiichi Hirose, Akio Ikai, Hisao Nagato, Masaya Murata, Kenta Imai, Kazuyoshi Kanno, Motonari Ishido, Keisuke Ota, Hideto Iwafuchi, Kisaburo Sakamoto
A 2-year-old boy underwent right ventricular outflow tract reconstruction (RVOTR) with a bovine jugular vein graft. He presented with high fever on postoperative day 6. Blood and drainage effusion cultures were all positive for S.lugdunensis and vancomycin was prescribed. Echocardiography showed vegetation at the BJV. Re-re-RVOTR was performed 51 days after re-RVOTR. In the operation, vegetation was adhered to the right-sided leaflet and three leaflets were degenerated. After complete BJV graft resection, an expanded polytetrafluoroethylene conduit with tri-leaflets was implanted...
February 13, 2019: Annals of Thoracic Surgery
https://read.qxmd.com/read/30771325/randomized-trial-of-miniaturized-versus-standard-extracorporeal-circulation-in-aortic-valve-surgery-commentary
#7
William L Holman
No abstract text is available yet for this article.
February 13, 2019: Annals of Thoracic Surgery
https://read.qxmd.com/read/30771324/complete-atrioventricular-septal-defect-evolution-of-results-in-a-single-center-during-50-years
#8
Riku Airaksinen, Ilkka Mattila, Eero Jokinen, Jukka Salminen, Juha Puntila, Miia L Lehtinen, Tiina Ojala, Paula Rautiainen, Otto Rahkonen, Pertti Suominen, Tommi Pätilä
BACKGROUND: Operative mortality after complete atrioventricular septal defect (cAVSD) repair has improved vastly. Less improvement has been demonstrated regarding late mortality and reoperation rates. There is evident lack of comprehensive population-based studies analyzing the history and progress of the ever-changing operative results. METHODS: This is a 5-million population-based retrospective study of consecutive 388 cAVSD patients operated in Finland between 1962 and 2014...
February 13, 2019: Annals of Thoracic Surgery
https://read.qxmd.com/read/30771323/robotic-multi-vessel-endoscopic-coronary-bypass-impact-of-a-beating-heart-approach-with-connectors-commentary
#9
Jeffrey E Everett
No abstract text is available yet for this article.
February 13, 2019: Annals of Thoracic Surgery
https://read.qxmd.com/read/30771322/mitral-valve-repair-vs-replacement-in-the-sts-database-the-debate-continues
#10
LETTER
Thomas Modine, Pavel Overtchouk
No abstract text is available yet for this article.
February 13, 2019: Annals of Thoracic Surgery
https://read.qxmd.com/read/30771321/will-patients-with-resectable-esophageal-cancer-be-spared-esophagectomy
#11
LETTER
Han-Yu Deng
No abstract text is available yet for this article.
February 13, 2019: Annals of Thoracic Surgery
https://read.qxmd.com/read/30771320/would-the-proposed-pathophysiology-of-the-full-blast-make-sense-here-reply
#12
LETTER
Daisuke Kaneyuki, Hiroki Kohno, Goro Matsumiya
No abstract text is available yet for this article.
February 13, 2019: Annals of Thoracic Surgery
https://read.qxmd.com/read/30771319/catamenial-haemothorax-a-rare-case-of-thoracic-endometriosis
#13
Nizami Maria, Begum Sofina, Alexander Mani
No abstract text is available yet for this article.
February 13, 2019: Annals of Thoracic Surgery
https://read.qxmd.com/read/30768933/thrombelastography-directed-transfusion-in-cardiac-surgery-impact-on-postoperative-outcomes
#14
Roberta E Redfern, Kevin Fleming, Rebekah L March, Nathan Bobulski, Michael Kuehne, John T Chen, Michael Moront
BACKGROUND: Transfusion of allogenic blood products is associated with significant morbidity and increased risk of mortality. Thrombelastography (TEG) to direct transfusion management during and immediately following cardiothoracic surgery reduced blood product usage in our institution. The goal of this study was to quantify the impact of TEG on postoperative outcomes. METHODS: All patients who underwent cardiac surgery before and after implementation of TEG were retrospectively analyzed...
February 12, 2019: Annals of Thoracic Surgery
https://read.qxmd.com/read/30763562/nonintubated-thoracoscopic-surgery-for-lung-tumor-seven-years-experience-with-1025-cases
#15
Wan-Ting Hung, Ming-Hui Hung, Man-Ling Wang, Ya-Jung Cheng, Hsao-Hsun Hsu, Jin-Shing Chen
BACKGROUND: Nonintubated thoracoscopic surgery for lung tumor is not widely performed. This study assessed the safety, outcome, and risk factors for conversion to tracheal intubation of nonintubated thoracoscopic surgery for lung tumor resection. METHODS: We retrospectively reviewed the records of 1025 patients who underwent lung tumor resection by nonintubated thoracoscopic surgery from August 2009 to December 2016 at our institution. Using univariable and multivariable analyses, we focused on the operative procedures, complications, conversion rate, surgical outcome, and risk factors for conversion to tracheal intubation...
February 11, 2019: Annals of Thoracic Surgery
https://read.qxmd.com/read/30763561/postoperative-acute-kidney-injury-in-young-adults-with-congenital-heart-disease
#16
Dana Y Fuhrman, Lan G Nguyen, Joan Sanchez-de-Toledo, Priyanka Priyanka, John A Kellum
BACKGROUND: There is an increasing number of young adults living with congenital heart disease (CHD). The goal of this study was to ascertain the frequency of acute kidney injury (AKI) as well as the risk factors and outcomes associated with AKI in young adults with CHD after a surgical procedure. METHODS: This was a single center retrospective cohort study including all patients 18-40 years of age with a diagnosis of CHD admitted to a quaternary care children's hospital cardiac intensive care unit postoperatively from 2004-2015...
February 11, 2019: Annals of Thoracic Surgery
https://read.qxmd.com/read/30763560/reversal-and-resumption-of-antithrombotic-therapy-in-lvad-associated-intracranial-hemorrhage
#17
Sung-Min Cho, Nader Moazami, Stuart Katz, Randall Starling, Jennifer A Frontera
BACKGROUND: Little data exists regarding reversal and resumption of antithrombotics following left ventricular assist device (LVAD)-associated intracranial hemorrhage (ICH). METHODS: Prospectively collected data of LVAD patients with ICH was reviewed. Coagulopathy reversal agents, antithrombotic regimens and thrombotic (venous thromboembolism, ischemic stroke, myocardial infarction) and hemorrhagic (recurrent ICH, gastrointestinal bleed, anemia requiring transfusion) complications were recorded...
February 11, 2019: Annals of Thoracic Surgery
https://read.qxmd.com/read/30763559/size-mismatching-increases-mortality-following-lung-transplantation-in-pre-adolescent-patients
#18
Charles D Fraser, Xun Zhou, Joshua C Grimm, Alejandro Suarez-Pierre, Todd C Crawford, Cecillia Lui, Errol L Bush, Narutoshi Hibino, Marshall L Jacobs, Luca A Vricella, Christian Merlo
BACKGROUND: The impact of size mismatch between donor and recipient in pediatric lung transplantation (PLTx) is currently unknown. Previous studies in adults have suggested that oversized allografts are associated with improved outcomes following lung transplantation. We investigated this relationship in order to quantify its effect on post-transplant outcomes in children. METHODS: The UNOS database was queried for pre-adolescent (age<13) patients undergoing PLTx...
February 11, 2019: Annals of Thoracic Surgery
https://read.qxmd.com/read/30763558/the-importance-of-global-surgical-education-reply
#19
LETTER
Michael C Sinclair
No abstract text is available yet for this article.
February 11, 2019: Annals of Thoracic Surgery
https://read.qxmd.com/read/30763557/myocardial-protection-at-aortic-valve-stenosis
#20
LETTER
Habib Cakir, Koksal Donmez, Mert Kestelli
No abstract text is available yet for this article.
February 11, 2019: Annals of Thoracic Surgery
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