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Seminars in Thoracic and Cardiovascular Surgery

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https://read.qxmd.com/read/31102725/donation-after-cardiac-death-a-necessary-expansion-for-heart-transplantation
#1
Rachel A Beaupré, Jeffrey A Morgan
The gold standard and sole curative therapy for advanced stage heart failure is cardiac transplantation. As the population ages, the number of patients diagnosed with advanced heart failure and listed for transplant steadily increases annually. However, there remains a paucity of eligible DBD donor hearts which severely limits access to cardiac transplantation and leads to increasing wait-list times and avoidable patient mortalities. Though the first human heart transplant in 1967 was performed using a deceased donor heart, the advent of brain death criteria and the ability to avoid long warm ischemic times led DCD transplantation to fall out of favor...
May 15, 2019: Seminars in Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/31102724/intraoperative-balloon-pulmonary-annulus-dilation-a-new-alchemy-or-polishing-a-meatball
#2
EDITORIAL
David Bichell
Late right heart performance obligates attention to pulmonary valve preservation at TOF repair. Intraoperative balloon dilation of the annulus has enjoyed some enthusiasm, yet mid-term results show a discouraging reintervention rate and valve incompetence. Refined patient selection and modifications of the technique may improve results, but further study is needed.
May 15, 2019: Seminars in Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/31102723/vena-cava-versatility
#3
EDITORIAL
Thomas Maxey
No abstract text is available yet for this article.
May 15, 2019: Seminars in Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/31102722/the-eternal-debate-cabg-vs-pci-current-status-of-the-literature
#4
John Lisko, Norihiko Kamioka, Kendra J Grubb
While advances in revascularization strategies have dramatically altered the morbidity and mortality associated with coronary artery disease, significant equipoise remains regarding the optimal revascularization strategy for specific groups of patients. Herein we review the 5 most impactful studies of the last 3 years and correlate this with a historical perspective.
May 15, 2019: Seminars in Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/31100339/medical-error-and-psycho-physiology
#5
EDITORIAL
Rizwan A Manji, Hilary P Grocott, Rakesh C Arora
Estimates suggest that medical error is the third leading cause of death in the USA only after heart disease and cancer costing $50 billion US. Cognitive load and biases may play a role. Understanding measurable physiological variables that give one real-time data about cognitive load may allow preventative intervention.
May 14, 2019: Seminars in Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/31085219/hemoadsorption-to-reduce-plasma-free-hemoglobin-during-cardiac-surgery-results-of-refresh-i-pilot-study
#6
Thomas G Gleason, Michael Argenziano, Joseph E Bavaria, Lauren C Kane, Joseph S Coselli, Richard M Engelman, Kenichi A Tanaka, Ahmed Awad, Michael E Sekela, Joseph B Zwischenberger
OBJECTIVE: Generation of plasma free hemoglobin (pfHb) and activated complement during complex cardiac surgery contributes to end-organ dysfunction. This prospective, multi-center REFRESH I (REduction in FREe Hemoglobin) randomized controlled trial (RCT) evaluated the safety and feasibility of CytoSorb hemoadsorption therapy to reduce these factors during prolonged cardiopulmonary bypass (CPB). METHODS: Eligible patients underwent elective, non-emergent complex cardiac surgery with expected CPB duration ≥ 3h...
May 11, 2019: Seminars in Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/31077810/a-few-things-about-rings
#7
EDITORIAL
Christopher Mascio
Controversy exists on how aggressive to be when treating right aortic arch, aberrant left subclavian artery, diverticulum of Kommerell, and left ligamentum. The authors advocate the more invasive diverticulum resection and reimplantation approach. It is not clear that this eliminates the associated aortopathy and risks better than ligamentum division.
May 8, 2019: Seminars in Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/31077809/tracheobronchomalacia-does-one-size-fit-all
#8
EDITORIAL
Ziv Beckerman, Carlos M Mery
Tracheobronchomalacia is a multifactorial and complex disease characterized by increased susceptibility of the airway to collapse with changes in pressure. The care of patients with tracheobronchomalacia is complex and best managed by a multidisciplinary dedicated team, which can individualize the care for each particular patient.
May 8, 2019: Seminars in Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/31077808/efficacy-of-cut-and-sew-surgical-ablation-for-atrial-fibrillation-in-patients-with-giant-left-atria-undergoing-mitral-valve-surgery-a-propensity-matched-analysis
#9
Huishan Wang, Jinsong Han, Zengwei Wang, Zongtao Yin, Zhigang Liu, Yan Jin, Hongguang Han
OBJECTIVE: Surgical management for patients with long-standing persistent (LSP) AF and giant left atria (GLA) associated with mitral valve diseases remains a challenge. We aimed to assess the efficacy of the cut-and-sew Maze procedure(CSM) in this subgroup of patients, in terms of maintenance of sinus rhythm (SR), atrial function, and to identify the operative risks of this procedure. METHODS: A total of 229 patients with LSP-AF underwent CSM at our institution from December 2013 to October 2017...
May 8, 2019: Seminars in Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/31077807/what-every-surgeon-should-know-about-intra-operative-evaluation-of-paravalvular-leaks
#10
EDITORIAL
Joanna Chikwe, Eric Zabirowicz
No abstract text is available yet for this article.
May 8, 2019: Seminars in Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/31075416/more-is-not-always-better-less-may-be
#11
EDITORIAL
James D St Louis, James E O'Brien
Decades of successful surgical treatment of tetralogy of Fallot have created a population with significant long-term morbidities, management of which we are still struggling to optimize. Aggressive surgical techniques utilized in pursuit of perfect surgical results have caused long-term health issues that currently plague this patient population.
May 7, 2019: Seminars in Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/31071443/waiting-for-weight-2-0-is-the-new-2-5
#12
EDITORIAL
Michael E Mitchell
The arterial switch procedure can be safely and consistently performed at less than 2.5kg making the apparent new cut point for safe repair 2.0kg. Below 2.0kg complications mount and outcomes are challenged. Weight-related risks must be thoughtfully balanced against the risk of waiting for weight.
May 6, 2019: Seminars in Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/31022447/long-term-outcomes-of-coronary-endarterectomy-in-patients-with-complete-imaging-follow-up
#13
Sharaf-Eldin Shehada, Fanar Mourad, Ilir Balaj, Mohamed El Gabry, Daniel Wendt, Matthias Thielmann, Thomas Schlosser, Heinz Jakob
BACKGROUND: Coronary endarterectomy (CEA) in coronary artery bypass grafting (CABG) is controversially discussed, however CEA is considered as a last option for severely diseased coronary arteries. We therefore aimed to evaluate outcomes of patients undergoing CABG with CEA. METHODS: We present a retrospective single surgeon's experience. Between 05/1999-12/2017 426 patients underwent CABG with CEA. Follow-up imaging was proposed to all surviving patients, and only patients accepting were considered for this study...
April 22, 2019: Seminars in Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/31009698/a-novel-endoscopic-approach-in-the-management-of-a-penetrating-esophageal-gunshot-wound
#14
Ruchi Amin, Kenji Leonard, Nicole Garcia, Carlos Anciano
No abstract text is available yet for this article.
April 19, 2019: Seminars in Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/31009697/significance-of-the-red-blood-cell-distribution-width-in-resected-pathological-stage-i-non-small-cell-lung-cancer
#15
Gouji Toyokawa, Fumihiro Shoji, Koji Yamazaki, Mototsugu Shimokawa, Sadanori Takeo
BACKGROUND: Red blood cell distribution width (RDW) is a parameter measured in blood sample tests that reflects the variation in the volume of erythrocytes and used to differentiate an anemic state. The RDW has been used to predict a poor survival in various types of cancer; however, the prognostic impact of the RDW in resected pathological stage I non-small cell lung cancer (NSCLC) patients remains to be elucidated. METHODS: A total of 273 patients with resected pathological stage I NSCLC were included in this study...
April 19, 2019: Seminars in Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/31005578/it-s-a-team-sport
#16
EDITORIAL
Chris Cook, Mohammed Alreshidan, Muhammad Salman, Lawrence M Wei, Harold G Roberts, J Scott Rankin, Vinay Badhwar
No abstract text is available yet for this article.
April 18, 2019: Seminars in Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/31005577/extracardiac-rerouting-of-left-superior-vena-cava-to-right-atrium
#17
C R Siddartha, Neeraj Aggarwal, Reena Joshi, Raja Joshi
Rerouting of persistent left superior vena cava (LSVC) is necessary in correction of certain congenital cardiac conditions. Techniques previously described, involve either an "intracardiac" baffle or an "extracardiac" connection between the LSVC and the right atrium or its appendage or the right superior vena cava. We present a modification of the extracardiac technique, utilizing flaps of right and left atrial appendages in construction of the extra-anatomic tube. Using this technique in seven patients we obtained a tension free, oblique anastomosis with vascular tissue circumferentially and potentially preserving growth...
April 18, 2019: Seminars in Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/31005576/valve-sparing-repair-of-tetralogy-of-fallot-with-intraoperative-dilation-of-the-pulmonary-valve-mid-term-results
#18
María Lozano-Balseiro, Maria Garcia-Vieites, Isaac Martínez-Bendayán, Irene García-Hernández, Jose J Cuenca-Castillo, Fernando Rueda-Núñez, Victor Bautista-Hernandez
OBJECTIVE: Deleterious long-term effects of chronic pulmonary regurgitation after repair of tetralogy of Fallot have become evident during the last decades. Subsequently, some groups have developed strategies to spare the pulmonary valve function at the time of repair with good early results. However, mid-term outcomes are scarce in the literature and in some cases controversial. The aim of our study is to report our results mid-term with valve-sparing repair of tetralogy of Fallot. METHODS: We retrospectively reviewed patients undergoing tetralogy of Fallot repair and having preservation of the pulmonary valve with intraoperative dilation at our institution...
April 18, 2019: Seminars in Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/30981739/two-sides-of-a-coin
#19
EDITORIAL
S Ram Kumar
No abstract text is available yet for this article.
April 11, 2019: Seminars in Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/30981738/thoracoscopic-resection-of-a-non-seminomatous-primary-mediastinal-germ-cell-tumor
#20
Raul Caso, M Blair Marshall
Surgery for residual PMNGCT is traditionally performed via an open approach. This is the first reported case, to our knowledge, of a minimally invasive resection following induction chemotherapy.
April 11, 2019: Seminars in Thoracic and Cardiovascular Surgery
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