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Annals of Thoracic and Cardiovascular Surgery

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https://read.qxmd.com/read/30568066/does-epicardial-adipose-tissue-influence-postoperative-atrial-fibrillation
#1
Hiroko Kogo, Akira Sezai, Shunji Osaka, Motomi Shiono, Masashi Tanaka
PURPOSE: Epicardial adipose tissue (EAT) is associated with atrial fibrillation. We investigated the effect of EAT on postoperative atrial fibrillation (POAF) after cardiac surgery. METHODS: In all, 77 patients underwent scheduled cardiac surgery. Before the operation, we measured total epicardial adipose tissue (Total EAT) and left atrial (LA) EAT by three-dimensional computed tomography (CT). During surgery, we obtained samples of the right atrial appendage, aortic fat, and epicardial fat...
December 20, 2018: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/30568075/factors-associated-with-low-admission-platelet-count-in-adults-with-acute-aortic-dissection
#2
Shuwen Li, Jiakai Lu, Weiping Cheng, Junming Zhu, Mu Jin
PURPOSE: Platelets are crucial components of the coagulation processes, and low admission platelet count (PLC) is associated with adverse clinical outcomes in patients with Stanford type A acute aortic dissection (AAD). METHODS: A total of 130 consecutive patients undergoing Stanford type A AAD surgery in Beijing Anzhen Hospital were enrolled between January 2013 and July 2014. Preoperative clinical and laboratory data from patients were collected. Multiple regression analyses were used to determine the independent factors of low admission platelets...
December 18, 2018: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/30568074/first-transcatheter-aortic-valve-implantation-via-carotid-artery-performed-in-japan
#3
Yusuke Misumi, Toru Kuratani, Koichi Maeda, Koichi Toda, Shigeru Miyagawa, Takayoshi Ueno, Yoshiki Sawa
Transcatheter aortic valve implantation (TAVI) through a peripheral arterial access is often complicated by concomitant arteriopathy. We describe here the first successful case of TAVI through the carotid artery in Japan. The patient was an 83-year-old woman with severe aortic stenosis (AS). Preoperative computed tomography (CT) revealed a shaggy distal aortic arch and left subclavian artery ostium, along with severely calcified bilateral iliofemoral arteries. Trans-apical and direct aortic approaches were abandoned because of frailty...
December 18, 2018: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/30542000/is-the-outcome-of-pulmonary-resections-due-to-non-small-cell-lung-cancer-in-octogenarian-patients-worse
#4
Ali Cevat Kutluk, Hasan Akin, Altan Ceritoglu, Celalettin Ibrahim Kocaturk, Salih Bilen, Yasar Sonmezoglu, Kemal Karapinar
PURPOSE: Lung cancer is one of the major sources of mortality in the elderly. This study was undertaken to assess the early and long-term results of surgical resection in patients older than 70 years of age by comparing the results of patients aged 70-79 years (group 1) with patients older than 80 years of age (group 2). METHODS: Data on patient age, gender, spirometry values, side, size, histology and stage of the tumor, surgical procedures, postoperative complications, Charlson comorbidity scores (CCS), and survival were collected...
December 11, 2018: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/30541999/doubly-committed-subarterial-ventricular-septal-defects-closure-using-minimal-mid-partial-sternotomy
#5
Chengfeng Huang, Tao Yu, Xiaoshen Zhang
BACKGROUND: Repair of doubly committed subarterial ventricular septal defects (DCVSD) via a minimal mid-partial sternotomy has not been reported. We aimed to evaluate the feasibility and safety of this procedure. METHODS: We retrospectively reviewed all patients with a clinical diagnosis of DCVSD and underwent repair via minimal mid-partial sternotomy at our institution. Patient characteristics, perioperative, and follow-up data were collected. RESULTS: A total of 13 patients who underwent minimal mid-partial sternotomy DCVSD repair were analyzed...
December 11, 2018: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/30541998/drainage-tubeless-dress-bypass-surgery-as-the-best-palliative-care-for-unresectable-thoracic-esophageal-cancer-with-and-without-esophago-respiratory-fistula
#6
Shinsuke Takeno, Yukinori Tanoue, Roko Hamada, Fumiaki Kawano, Kosei Tashiro, Takashi Wada, Atsushi Nanashima
Approximately half of the patients with esophageal cancer are diagnosed at an advanced stage with inoperable disease. The technique of bypass surgery, which is one of the palliative procedures for esophageal cancer, usually requires the insertion of a drainage tube for clearing secretions from the blind remnant esophagus. Since the artificial drainage tube is sometimes problematic for the patient after discharge from the hospital, drainage tubeless (DRESS) surgery might be preferable. The authors demonstrated the utility of DRESS bypass surgery by adding esophagostomy in the right supraclavicular region in three patients with unresectable esophageal cancer with and without esophago-respiratory fistula...
December 11, 2018: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/30487356/early-and-late-outcomes-of-isolated-tricuspid-valve-surgery-following-valvular-surgery
#7
Naoto Fukunaga, Tadaaki Koyama
PURPOSE: Isolated tricuspid valve surgery (TVS) following valvular surgery has been still challenging. We reviewed our experience to determine early and late outcomes. METHODS: We retrospectively analyzed 14 patients (mean age, 57.0 ± 17.8 years old) who underwent isolated TVS after valvular surgery between January 1990 and December 2010. The causes of isolated TVS were structural valve deterioration (SVD) (n = 5) and symptomatic severe tricuspid regurgitation (n = 9)...
November 28, 2018: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/30404980/effective-combination-of-different-surgical-strategies-for-deep-sternal-wound-infection-and-mediastinitis
#8
Lachmandath Tewarie, Ajay K Moza, Mohammad Amen Khattab, Rüdiger Autschbach, Rashad Zayat
PURPOSE: Timing and ideal reconstructive approach in deep sternal wound infection (DSWI) and mediastinitis still remain controversially debated. We present our own combined surgical strategy of bilateral pectoralis major muscle flap (BPMMF) or omental flap (OF) transposition. METHODS: Between July 2010 and July 2016, poststernotomy patients with DSWI and mediastinitis underwent a secondary wound closure with modified BPMMF (Group A, center for disease control class (CDC)-II, n = 21; Group B, CDC-III, n = 20) or with OF (Group C, CDC-III, n = 19) following vacuum-assisted closure (VAC)...
November 7, 2018: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/30381639/whether-thymoma-patients-in-myasthenia-crisis-could-benefit-from-immediate-resection-of-tumor-compared-with-selective-surgery-after-stabilization-of-mc
#9
Jiaqi Zhang, Lei Liu, Guige Wang, Wenliang Bai, Shanqing Li
No abstract text is available yet for this article.
October 31, 2018: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/29998925/retrospective-analysis-of-air-handling-by-contemporary-oxygenators-in-the-setting-of-cardiac-surgery
#10
Carina Benstoem, Bleilevens Christian, Borchardt Ralf, Stoppe Christian, Goetzenich Andreas, Autschbach Ruedriger, Breuer Thomas
PURPOSE: Cardiac surgery with the use of extracorporeal circulation is associated with a significant risk for gaseous microemboli (GME) despite excellent surgical techniques and highest operative standards. GME are associated with postoperative neurocognitive dysfunction and negative clinical outcome. This study determines whether oxygenator design has influence on perioperative outcome after cardiac surgery. METHODS: Three different oxygenator models with integrated arterial filter (HiliteAF 7000, Fusion Affinity, and Synthesis) were retrospectively evaluated in 55 patients undergoing elective cardiac surgery with the use of extracorporeal circulation...
October 19, 2018: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/29962389/vats-and-intrapleural-fibrinolytic-therapy-for-parapneumonic-empyema
#11
LETTER
Gen Ohara, Kesato Iguchi, Hiroaki Satoh
No abstract text is available yet for this article.
October 19, 2018: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/29962387/future-perspectives-of-surgery-for-esophageal-cancer
#12
EDITORIAL
Hirotoshi Kikuchi, Hiroya Takeuchi
Esophageal cancer is one of the leading causes of cancer-related death worldwide. Surgery plays an important role in the treatment strategies for esophageal cancer. Recent advances in surgical techniques and perioperative management have dramatically improved the mortality rate; however, esophagectomy remains a highly invasive procedure that can lead to severe postoperative complications. Future advances in thoracoscopic surgery with the development of surgical endoscopy systems such as three-dimensional (3D) imaging systems with a 4K ultra high-definition camera or two-dimensional (2D) imaging systems with an 8K camera, which is expected to provide 3D-like visual sensation, will enable us to further understand the microscopic anatomy of the thoracic cavity and mediastinum, and to perform delicate surgical procedures that enable minimally invasive esophagectomy with mediastinal lymphadenectomy...
October 19, 2018: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/29962386/ruptured-deep-femoral-artery-aneurysm-a-case-report
#13
Maciej Malinowski, Tadeusz Dorobisz, Kornel Pormanćczuk, Michał Lesćniak, Mariusz Chabowski, Dariusz Janczak
A deep femoral artery (DFA) aneurysm is a very rare pathology of the vascular system. Peripheral arterial aneurysms constitute 4.6% of all aneurysms, of which 0.13% are DFA aneurysms. In the literature, there are still few reports on this vascular system pathology. As a result, its diagnosis and treatment remain a serious clinical problem. This case study is of a 95-year-old patient admitted to our Department with anemia, swelling, and lower left leg pain. Generally, open surgery seems to be the treatment of choice for DFA aneurysms although the possibilities of intravascular therapy require further investigation...
October 19, 2018: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/29877218/is-systolic-right-ventricular-function-reduced-after-thoracic-non-cardiac-surgery-a-propensity-matched-echocardiographic-analysis
#14
Henning Johann Steffen, Sebastian Kalverkamp, Rashad Zayat, Rüdiger Autschbach, Jan-Wilhelm Spillner, Andreas Hagendorff, Nima Hatam
PURPOSE: To assess whether thoracic non-cardiac surgery has an influence on right ventricular function (RVF) compared to known impaired postoperative RV function after cardiac surgery. METHODS: In all, 50 patients (mean age: 61 years), who underwent thoracic non-cardiac surgery were included and matched using propensity score to 50 patients, receiving coronary artery bypass graft surgery (CABG) (CABGmatched ). All patients had transthoracic echocardiography (TTE) including two-dimensional speckle tracking (2D-STE) and tissue Doppler imaging (TDI) pre- and 1 week postoperatively...
October 19, 2018: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/29848840/impact-of-the-8th-edition-of-the-uicc-tnm-classification-on-clinical-stage-0-ia-lung-adenocarcinoma-does-the-new-classification-predict-postoperative-prognosis-more-precisely-than-the-previous-one
#15
Liming Wang, Masaki Anraku, Masaaki Sato, Jun-Ichi Nitadori, Kazuhiro Nagayama, Kentaro Kitano, Jun Nakajima
PURPOSE: Early lung adenocarcinoma has been more frequently found recently. The 8th edition of the Union for International Cancer Control (UICC)-Tumor Node Metastasis (TNM) classification for lung cancer has been effective since January 2017. This study aims to elucidate advantages of the current classification for patients with clinical stage 0-IA lung adenocarcinoma, in comparison with the older one. METHODS: We retrospectively reviewed the data of clinical stage IA (7th edition) lung adenocarcinoma patients who underwent surgery at our institute from 2001 to 2012, and reclassified them by the 8th edition...
October 19, 2018: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/29780074/communication-site-ligation-and-polyglycolic-acid-sheet-use-for-the-treatment-of-hydrothorax-in-patients-undergoing-continuous-ambulatory-peritoneal-dialysis
#16
Hirotoshi Kubokura, Junichi Okamoto, Jitsuo Usuda
INTRODUCTION: Hydrothorax due to pleuroperitoneal communication (PPC) can occur in patients undergoing continuous ambulatory peritoneal dialysis (CAPD). We report our experiences of the safety and efficacy of the treatment of four patients with a novel video-assisted thoracoscopy method. METHODS: Single-port video-assisted thoracoscopic surgery (VATS) was performed with a mini-thoracotomy of 5 cm in length. The PPC site was identified on the diaphragm and ligated using an endoscopic loop...
October 19, 2018: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/29367500/mucoepidermoid-carcinoma-of-arising-from-a-bronchogenic-cyst-of-the-diaphragm
#17
Naohiro Taira, Hidenori Kawasaki, Eriko Atsumi, Takaharu Ichi, Tsutomu Kawabata, Masanao Saio, Naoki Yoshimi
INTRODUCTION: Bronchogenic cysts may rupture or become infected, and malignant degeneration may occur. Although various types of malignant degeneration have been described, only a few reports of mucoepidermoid carcinoma arising from a bronchogenic cyst have been published. We report such a case. CASE: A 77-year-old female was referred to our institution for evaluation of left chest pain. A computed tomography scan showed an enhancing 65 × 70 mm mass of the left diaphragm...
October 19, 2018: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/29321385/severe-compression-of-the-left-main-coronary-artery-in-a-patient-with-chronic-thromboembolic-pulmonary-hypertension
#18
Kayo Sugiyama, Nobusato Koizumi, Hitoshi Ogino
Extrinsic compression of the left main coronary artery (LMCA) can occur in patients with an enlarged pulmonary artery trunk secondary to severe pulmonary hypertension (PH). This phenomenon rarely occurs in PH; moreover, few reports have shown that chronic thromboembolic PH can be a triggering factor for this syndrome. Herein, we describe a patient with extrinsic compression of the LMCA with chronic thromboembolic PH who underwent pulmonary endarterectomy and coronary artery bypass grafting successfully. Intravenous ultrasonography (IVUS) was effective for detecting and assessing the compression...
October 19, 2018: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/30333361/advanced-lung-cancer-inflammation-index-predicts-outcomes-of-patients-with-pathological-stage-ia-lung-adenocarcinoma-following-surgical-resection
#19
Satoru Kobayashi, Yoko Karube, Takashi Inoue, Osamu Araki, Sumiko Maeda, Yuji Matsumura, Masayuki Chida
PURPOSE: The correlation of advanced cancer with inflammation and/or nutrition factors is well known. Recently, the advanced lung cancer inflammation index (ALI) was developed as a new prognostic tool for patients with advanced lung cancer. In this study, we examined whether ALI results are correlated with prognosis of patients with early stage lung adenocarcinoma who undergo lung resection. METHODS: From January 2009 to December 2014, 544 patients underwent lung resection due to primary lung cancer at Dokkyo Medical University Hospital, of whom 166 with pathological stage IA lung adenocarcinoma were retrospectively investigated in this study...
October 17, 2018: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/30305479/assessing-aortic-remodeling-after-thoracic-endovascular-aortic-repair-tevar-in-debakey-iiib-aortic-dissection-a-retrospective-study
#20
Wei Zhou, Wanjiang Yu, Yunying Wang, Ying Li, Wei Sheng, Qingjiang Wang, Wenjian Xu
PURPOSE: This study analyzed the different levels of aortic remodeling in patients with DeBakey IIIb aortic dissection (AD) after thoracic endovascular aortic repair (TEVAR) at a single center. METHODS: In all, 66 patients with DeBakey IIIb AD who underwent TEVAR in the acute (Group A) or subacute phase (Group SA) from January 2012 to October 2016 were included in the study. The change in aortic lumen (A), true lumen (TL), false lumen (FL), and true lumen index (TLi) at different levels were analyzed...
October 10, 2018: Annals of Thoracic and Cardiovascular Surgery
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