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Journal of Cardiothoracic Surgery

Mitsunori Higuchi, Masayuki Watanabe, Kotaro Endo, Ikuro Oshibe, Nobutoshi Soeta, Takuro Saito, Hiroshi Hojo, Hiroyuki Suzuki
BACKGROUND: Extended sleeve lobectomy is rarely applied to pulmonary surgery for primary lung cancer to avoid a pneumonectomy. As there is a size discrepancy between main bronchus and peripheral bronchus, ingenuity to improve anastomosis is required in the bronchoplasty. We report herein a case in which successful reconstruction of extended sleeve lobectomy with bronchial wall flap. CASE PRESENTATION: We report on a 64-year-old man suffering from hemoptysis, cough, mild fever and dyspnea...
February 12, 2019: Journal of Cardiothoracic Surgery
Dan Aravot, Yaron D Barac, Efrat Krutzwald-Josefson, Aaron M Allen, Dov Flex, Nir Peled, Mordechai R Kramer, Yuri Peysakhovich, Milton Saute
The original article [1] contained an error whereby all authors' names were mistakenly inverted. This error has now been corrected.
February 12, 2019: Journal of Cardiothoracic Surgery
Chun-Lin Kuo, Kuan-Hsun Lin, Kai-Hsiung Ko, Tsai-Wang Huang
BACKGROUND: Congenital arterial abnormalities are unusual causes of hemoptysis in elder patients. Appropriate image examination and recognition of the variant vessels are crucial in achieving precise diagnosis and successful treatment. CASE PRESENTATION: We report a case of 70-year-old female presenting with hemoptysis. Computed tomography angiography showed hypervascular lesions in the lingula of the left lung abutting the pericardium. Three-dimensional reconstruction image revealed an aberrant systemic arterial supply communicating with the left pulmonary artery and co-supplying the pulmonary parenchyma of the left upper...
February 11, 2019: Journal of Cardiothoracic Surgery
Neerod Kumar Jha, Laszlo Kiraly, Nishant Shah, Arif Al Mulla, Bassem Mora
BACKGROUND: Congenital coronary artery fistula in association with aneurysm of the involved coronary artery in adults is rare. Moreover, the right coronary artery- left atrial fistula is also uncommon. Most of the cases are asymptomatic. However, symptomatic patients need therapeutic interventions. The potential complications associated with this anomaly are life-threatening, therefore, there is a need to explore more on differential diagnosis, investigations, management strategies and prevention of complications...
February 8, 2019: Journal of Cardiothoracic Surgery
Yongfeng Zhu, Hewen Qi, Yunzhou Jin
OBJECTIVE: The efficacy of using a sutureless approach in order to surgically manage postoperative pulmonary vein stenosis following total anomalous pulmonary venous drainage (TAPVD) has been reported, though outcomes of primary treatment of supracardiac TAPVD remain unclear. We retrospectively reviewed our cardiac center experience, and compared the differences in mid-term outcomes for those patients that received conventional surgery and those that underwent sutureless technique for the primary repair of supracardiac TAPVD...
February 8, 2019: Journal of Cardiothoracic Surgery
Min Suk Choi, Dong Seop Jeong, Jae K Oh, Sung-A Chang, Sung-Ji Park, Suryeun Chung
BACKGROUND: The extent of pericardiectomy is an important issue in constrictive pericarditis but its impact on long-term outcomes has been rarely reported. We compared long-term results of radical pericardiectomy with conventional phrenic to phrenic pericardiectomy. METHODS: Ninety patients who underwent pericardiectomies between February 1995 and April 2015 were reviewed retrospectively. They were classified into conventional (n = 37) and radical (n = 53) groups according to pericardiectomy being performed anterior or posterior to the phrenic nerves, respectively...
February 6, 2019: Journal of Cardiothoracic Surgery
Yusef Moulla, Tanja Gradistanac, Christian Wittekind, Uwe Eichfeld, Ines Gockel, Arne Dietrich
The original article [1] contains slight errors whereby several terms in the first column of Tables 1, 2, and 3 have an erroneous 'p' preceding them.
February 5, 2019: Journal of Cardiothoracic Surgery
Wenbin Hu, Yiran Zhang, Lei Guo, Jingya Fan, Yuan Lu, Liang Ma
BACKGROUND: Retrograde type A aortic dissection (RTAD) is a rare but life-threatening complication after thoracic endovascular aortic repair (TEVAR) for type B aortic dissection (TBAD). A graft inversion technique was applied to distal anastomosis in total arch replacement for this complicated dissection. We reviewed our results of the processing for this serious complication. The aim is to evaluate the feasibility of this technology. METHODS: From January 2013 to December 2017, 20 patients (80% male, mean age 50...
February 4, 2019: Journal of Cardiothoracic Surgery
Guodong Zhang, Qing Gao, Shenglong Chen, Yu Chen
BACKGROUND: Primary cardiac sarcomas are exceedingly rare, and they commonly result in nonspecific constitutional symptoms such as shortness of breath, weight loss, and anaemia-related fatigue and malaise. However, thrombocytopenia has very rarely been reported in association with cardiac tumours, either benign or malignant. We report one case of primary cardiac synovial sarcoma continuous with the mitral valve, which was accompanied by severe thrombocytopenia, and the platelet counts returned rapidly to a normal range early after tumour excision and without any special therapies...
February 4, 2019: Journal of Cardiothoracic Surgery
Tareq Maraqa, Mohamed A T Mohamed, Kenneth L Wilson, Vinu Perinjelil, Gul R Sachwani-Daswani, Leo Mercer
BACKGROUND: Isolated right atrial rupture (IRAR) from blunt chest trauma is rare. There are no physical exam findings and non-invasive testing specific to the condition, which result in diagnostic delays and poor outcomes. We present a case of IRAR along with a systematic review of similar cases in the literature. CASE REPORT: A 23-year-old male presented following a motor vehicle accident (MVA). He was bradycardic and hypotensive during transportation; and required intubation...
February 4, 2019: Journal of Cardiothoracic Surgery
Haichao Xu, Abudumailamu Abuduwufuer, Wang Lv, Zhenyu Zhou, Yunhai Yang, Chong Zhang, Jian Hu
BACKGROUND: Graft function may be affected if the organ is exposed to hypoxia. We hypothesized that bronchiolitis obliterans (BO) after lung transplantation is associated with hypoxia-inducible factor-1α (HIF-1α). This study compares the expression of HIF-1α and its downstream proteins in allograft and isograft to explore the relationship between this pathway and BO in rats. MATERIAL AND METHODS: We performed an orthotopic left pulmonary transplant model using the tri-cuff vascular anastomosis method and evaluated the histopathology, including the severity of fibrosis (SF)...
January 29, 2019: Journal of Cardiothoracic Surgery
Hao Chen, Juhua Yang, Shengchao Zhang, Xuan Qin, Wei Jin, Lihua Sun, Feng Li, Yunfeng Cheng
BACKGROUND: Allograft rejection and infection are the major sources of morbidity and mortality after heart transplant. Early differential diagnosis is clinically crucial but difficult. The aim of the study was to examine serum cytokine profiles associated with each entity and whether such profiles could help to differentiate between them. METHODS: Heart allografts from Wistar rats were transplanted to Lewis rats as described by Yokoyama. Cardiac rejection and pulmonary bacterial infection were induced by Cyclosporine cessation and bacteria bronchus injection, and pathologically confirmed...
January 29, 2019: Journal of Cardiothoracic Surgery
Mohammed Fakhro, Hillevi Larsson, Malin Malmsjö, Lars Algotsson, Sandra Lindstedt
BACKGROUND: Even though identical blood group matching between recipient and donor is preferred, it is still not clear by how much this improves the outcome for patients who received a lung transplant (LTx), or whether there is any survival benefit. Earlier studies have yielded ambiguous results and few have investigated long-term survival. The aim of this study is, therefore, to explore the different outcomes of identical and compatible recipient and donor blood group matching to determine whether identical matching is superior (LTx)...
January 28, 2019: Journal of Cardiothoracic Surgery
Joshua M Liao, Patrick Chan, Lorraine Cornwell, Peter I Tsai, Joseph H Joo, Faisal G Bakaeen, James D Luketich, Danny Chu
BACKGROUND: Morbidly obese patients (body mass index [BMI] ≥ 35 kg/m2 ) who undergo cardiac surgery involving median sternotomy have a higher-than-normal risk of sternal dehiscence. To explore a potential solution to this problem, we examined the utility of transverse sternal plating for primary sternal closure in morbidly obese cardiac surgical patients. METHODS: We retrospectively reviewed data from cardiac surgical patients who underwent single primary xiphoid transverse titanium plate reinforcement for primary sternal closure from August 2009 to July 2010 (n = 8), and we compared their outcomes with those of patients with BMI ≥35 kg/m2 who underwent cardiac surgery without sternal plate reinforcement from April 2008 to July 2009 (n = 14)...
January 28, 2019: Journal of Cardiothoracic Surgery
Liang Zhang, Cheng-Bin Wang, Bo Li, Duo-Mao Lin, Jun Ma
BACKGROUND: Grafting vessel with LIMA to the left anterior descending coronary artery plays a most important role in the long-term prognosis of OPCABG surgery. The aim of this study was to compare the effects of isoflurane preconditioning on miRs and mRNAs levels in the left internal mammary arterie (LIMA) graft with propofol in patients undergoing off-pump coronary artery bypass surgery (OPCABG). METHODS: Patients were randomly assigned to receive either propofol (n = 15), or interrupted isoflurane (n = 15)...
January 25, 2019: Journal of Cardiothoracic Surgery
Giuseppe Maria Raffa, Francesco Agnello, Giovanna Occhipinti, Roberto Miraglia, Vincenzina Lo Re, Gianluca Marrone, Fabio Tuzzolino, Antonio Arcadipane, Michele Pilato, Angelo Luca
BACKGROUND: To evaluate incidence, risk factors, and outcomes of postoperative neurological complications in patients undergoing cardiac surgery. METHODS: A total of 2121 patients underwent cardiac surgery between August, 2008 and December, 2013; 91/2121 (4.3%) underwent brain computed tomography (70/91, 77%) or magnetic resonance imaging (21/91, 23%) scan because of major stroke (37/2121, 1.7%) and a spectrum of transient neurological episodes as well as transient ischemic attacks and delirium /psychosis/seizures (54/2121, 2...
January 25, 2019: Journal of Cardiothoracic Surgery
Shuonan Xu, Jianfei Zhu, Guolong Zhao, Shudong Li
BACKGROUND: Tracheomalacia (TM), caused by anterior mediastinal tumorectomy, most likely to deteriorate condition of patient life. CASE PRESENTATION: A 63-year-old patient felt serious dyspnea diagnosis as TM caused by the recurrent cervical schwannoma. The narrowest diameter of the TM was only 0.446 cm and the length of malacic segment was 7.47 cm. Here we designed a novel tracheal suspension technique by using autogenous rib cartilage graft to treat severe TM...
January 25, 2019: Journal of Cardiothoracic Surgery
Takuya Onuki, Tomoyuki Kawamura, Shuntaro Kawabata, Masatoshi Yamaoka, Masaharu Inagaki
BACKGROUND: To investigate the development of neogenetic bullae or blebs on 1-year postoperative chest computed tomography after video-assisted thoracic surgery (VATS) in young patients with primary spontaneous pneumothorax (PSP). METHODS: In this prospective study, 10- to 20-year-old patients with PSP were treated via VATS with additional procedures (bullectomy, cold coagulation, coverage, pleural abrasion, or chemical pleurodesis). All patients underwent the additional procedures and computed tomography of the chest 1 year postoperatively for the assessment of neogenetic bullae...
January 23, 2019: Journal of Cardiothoracic Surgery
Susie Yoon, Eun Jin Jang, Ga Hee Kim, Dal Ho Kim, Tae-Yoon Lim, Hannah Lee, Ho Geol Ryu
BACKGROUND: The inverse relationship between case-volume and surgical mortality has been reported in complex surgical procedures. The aim of this study was to evaluate the effect of case-volume on mortality after lung transplantation in Korea. METHODS: The National Health Insurance Service data was used to analyse all adult lung transplantations in Korea between 2007 and 2016. Institutions were categorized into low-volume (< 5 lung transplantations/year) centers or high-volume (≥ 5 lung transplantations/year) centers...
January 23, 2019: Journal of Cardiothoracic Surgery
Nanqing Jiang, Yiming Lu, Jun Wang
BACKGROUND: Video-assisted thoracic surgery (VATS) for mediastinal cysts has been used with increasing frequency. Both single-port VATS and three-port VATS procedures are used for mediastinal cystectomy. Few studies have been published to compare three-port VATS and single-port VATS procedures in mediastinal cystectomy. METHODS: Forty-five patients with mediastinal cysts who underwent single-port procedures (n = 23) or three-port procedures (n = 22) in our department from January 2016 to July 2018 were retrospectively analysed...
January 22, 2019: Journal of Cardiothoracic Surgery
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