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Is Single LIMA-LAD Bypass Appropriate for OPCAB Training? Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2024-02-23 Shiho Naito, Hermann Reichenspurner, Björn Sill
Background A significant impact of surgeons' experience on outcomes of off-pump coronary artery bypass (OPCAB) has been recognized through previous large-scale studies. However, a safe, effective, and concrete OPCAB training was yet to be identified. We evaluate a safety of our OPCAB training model with single left internal mammary artery (LIMA)–left anterior descending artery (LAD) as a reasonable
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Natural Sequential Collapse Method: A Common Technique to Identify the Intersegmental Plane Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2024-02-22 Yuanlin Deng, Yilin Luo, Min Zhang, Mingjian Ge
The natural sequential collapse method (NSCM) can be employed during surgery to reduce the duration of segmentectomy. This method avoids inflating the lung by rapidly blocking vessels within the tumor basin. It is important to note that the color of the lungs should be used to determine the surgical procedure. The NSCM is efficient and straightforward in revealing the intersegmental plane.
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Risk Factor Analysis for 30-day Mortality After Surgery for Infective Endocarditis Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2024-02-19 Jill Jussli-Melchers, Christine Friedrich, Kira Mandler, Mohamad Hosam Alosh, Mohamed Ahmed Salem, Jan Schoettler, Jochen Cremer, Assad Haneya
Background Infective endocarditis (IE) remains a challenging disease associated with high mortality. Several scores have been suggested to assess surgical risk. None was sufficiently adequate. We therefore analyzed risk factors for 30-day mortality. Methods A total of 438 consecutive patients had surgery for IE in our department between 2002 and 2020. Patients were divided into two groups, one consisting
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Current Status of Cardiac Xenotransplantation: Report of a Workshop of the German Heart Transplant Centers, Martinsried, March 3, 2023 Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2024-02-12 Michael Schmoeckel, Matthias Längin, Bruno Reichart, Jan-Michael Abicht, Martin Bender, Sebastian Michel, Christine-Elena Kamla, Joachim Denner, Ralf Reinhard Tönjes, Reinhard Schwinzer, Georg Marckmann, Eckhard Wolf, Paolo Brenner, Christian Hagl
This report comprises the contents of the presentations and following discussions of a workshop of the German Heart Transplant Centers in Martinsried, Germany on cardiac xenotransplantation. The production and current availability of genetically modified donor pigs, preservation techniques during organ harvesting, and immunosuppressive regimens in the recipient are described. Selection criteria for
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Sex Differences in the Histopathology of Acute Type A Aortic Dissections Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2024-02-12 Nimrat Grewal, Onur Baris Dolmaci, Robert JM Klautz, Robert E. Poelmann
Background Although sex-related differences in cardiovascular surgery outcomes have increasingly garnered attention in the past decades, knowledge about sex disparities in the pathophysiology of acute type A aortic dissections (ATAADs) remains sparse. In this study, we evaluate the histopathologic and atherosclerotic lesions in female and male ATAAD patients. Methods A total of 68 patients were studied:
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New Insights into Mortality-Related Risk Factors in Infective Endocarditis: Results from the Brandenburg State Endocarditis Register Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2024-02-09 Roya Ostovar, Filip Schroeter, Frarzane Seifi Zinab, Dirk Fritzsche, Hans-Heinrich Minden, Nirmeen Lasheen, Martin Hartrumpf, Oliver Ritter, Gesine Dörr, Johannes Maximilian Albes
Objective Endocarditis as a potentially life-threatening disease with high complication and mortality rates. In recent years, an increase in the incident of endocarditis has been reported throughout Europe. In the aging society, successful treatment is complex and challenging owing to the high rate of multimorbidity. Methods We initiated a statewide prospective multicenter endocarditis registry in
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Comparison between Off-Pump and On-Pump Beating Heart Coronary Artery Bypass Grafting Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2024-02-09 Kazuki Matsuhashi, Yoshiyuki Takami, Atsuo Maekawa, Koji Yamana, Kiyotoshi Akita, Kentaro Amano, Yasushi Takagi
Background Although coronary artery bypass grafting (CABG) is performed via three different techniques, conventional, on-pump beating heart CABG (ONBHCAB), or off-pump CABG (OPCAB), data are limited to compare ONBHCAB with OPCAB. Methods We retrospectively investigated the postoperative cardiac biomarkers, creatine kinase-MB (CK-MB), and troponin I (cTnI), and early and late outcomes in 806 patients
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Concomitant Surgical Ablation for Treatment of Atrial Fibrillation in Patients Undergoing Minimally Invasive Mitral Valve Surgery: A Single-Center Experience in Vietnam Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2024-02-09 Pham Tran Viet Chuong, Phan Quang Thuan, Vu Tri Thanh, Nguyen Hoang Dinh
Background This study presents the early and midterm outcomes of combining atrial fibrillation (AF) treatment with minimally invasive mitral valve surgery (MIMVS) at our center. Methods From January 2017 to June 2022, our center treated a total of 86 patients with both MIMVS and surgical AF ablation. The patient cohort included 62 women (72.1%) and 24 men (27.9%). The average EuroScore II was 2.64 ± 1
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Impact of Extremes of BMI on Outcomes following Lung Resection Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2024-01-31
Background Body mass index (BMI) has been shown to be an independent predictor of survival following lung resection surgery. This study aimed to quantify the short- to midterm impact of abnormal BMI on postoperative outcomes. Methods Lung resections at a single institution were examined between 2012 and 2021. Patients were divided into low BMI (<18.5), normal/high BMI (18.5–29.9), and obese BMI (>30)
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Reverse-U Aortotomy (Kırali Incision) for Aortic Valvular Interventions Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2024-01-31 Mustafa Mert Ozgur, Hakan Hancer, Fatih Yigit, Mehmet Aksut, Tanıl Ozer, Ozge Altas, Sabit Sarıkaya, Kaan Kırali
Background Surgical incisional approach to the ascending aorta is the main strategic step during valvular and/or subvalvular aortic interventions. Classic aortotomy incisions (transverse or oblique) can be challenging and can cause suboptimal exposure of the aortic root especially for the patients with small aortic annulus or for redo coronary artery bypass patients with patent proximal grafts interposed
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Meta-analysis: Bilateral and Unilateral Cerebral Perfusion in Type A Dissection Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2024-01-30
Background This meta-analysis compared the outcomes of bilateral cerebral perfusion (BCP) and unilateral cerebral perfusion (UCP) in aortic surgery for acute type A aortic dissection. Methods A systematic literature search identified 12 studies involving 4,547 patients. Pooled odds ratios (OR) with 95% confidence intervals (CI) were calculated to analyze perioperative characteristics, short-term mortality
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Trilateral versus Bilateral Antegrade Cerebral Perfusion in Frozen Elephant Trunk: A Propensity Score Analysis Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2024-01-23 Razan Salem, Arnaud Van Linden, Jan Hlavicka, Afsaneh Karimian-Tabrizi, Ina Ischewski, Thomas Walther, Tomas Holubec
Objective Spinal cord injury (SCI) with subsequent paraplegia and/or stroke after arch repair with frozen elephant trunk (FET) remain the most devastating complications. In this study, we aim to examine the impact of different cerebral perfusion strategies on the neurological outcome comparing bilateral antegrade cerebral perfusion (bACP) and trilateral antegrade cerebral perfusion (tACP). Methods Between
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Impact of Myocardial Viability on Long-term Outcomes after Surgical Revascularization Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2024-01-22 Suk Ho Sohn, Yoonjin Kang, Ji Seong Kim, Eun-Ah Park, Whal Lee, Ho Young Hwang
Background This study was conducted to evaluate whether myocardial viability assessed with cardiac magnetic resonance (CMR) affected long-term clinical outcomes after coronary artery bypass grafting (CABG) in patients with ischemic cardiomyopathy (ICMP). Methods Preoperative CMR with late gadolinium enhancement (LGE) was performed in 103 patients (64.9 ± 10.1 years, male:female = 82:21) with 3-vessel
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Long-Term Outcome of Chest Wall and Diaphragm Repair with Biological Materials Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-12-21
Introduction Chest wall and/or diaphragm reconstruction aims to preserve, restore, or improve respiratory function; conserve anatomical cavities; and upkeep postural and upper extremity support. This can be achieved by utilizing a wide range of different grafts made of synthetic, biological, autologous, or bioartificial materials. We aim to review our experience with decellularized bovine pericardium
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Single-Stage Surgical Procedure for Patients with Primary Esophageal and Lung Cancers Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-12-21 Jiang Lianyong, Hu Fengqing, Xie Xiao, Zhang Xuefeng, Bi Rui
Background The aim of this study was to evaluate the safety and feasibility of simultaneous surgery for patients with primary esophageal and lung cancers. Methods Patients with primary esophageal and lung cancers who underwent simultaneous surgical procedures between January 2016 and January 2022 were retrospectively analyzed. The data of patients who underwent esophagectomy and lobectomy (group EL)
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Acquired Thrombocytopenia in Contemporary Transcatheter Aortic Valve Prosthesis Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-12-18
Background Postprocedural thrombocytopenia is a known phenomenon following transcatheter aortic valve implantation (TAVI). The aim of this study is to evaluate whether postinterventional platelet kinetics differ when comparing the current generation of balloon-expandable valve (BEV) and self-expanding valve (SEV) prostheses. Methods We performed a retrospective analysis of patients undergoing TAVI
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Pneumonectomy with Carinal Sleeve Resection in Patients with Non-Small-Cell Lung Cancer Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-12-06
Background Carinal sleeve resection with pneumonectomy is one of the rarest procedures in thoracic surgery, but for locally advanced central lung cancer with infiltration of the carina, it is an option to achieve complete resection. Additionally, it might be the method of choice for patients with stump insufficiency after pneumonectomy or in the cases with anastomosis dehiscence after sleeve lobectomy
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A Controlled Trial Comparing One-Year Hemodynamics of Two Bovine Pericardial Valves Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-12-05
Background This randomized controlled trial was designed to compare 1-year hemodynamic performances and clinical outcomes after aortic valve replacement (AVR) using a recently introduced (the AVALUS group) and worldwide used (the CEPME group) bovine pericardial bioprostheses. Methods Patients were screened to enroll 70 patients in each group based on a noninferiority design. The primary endpoint of
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Solitary Fibrous Tumor of the Pleura: Surgical Treatment and Recurrence Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-11-27
Background Solitary fibrous tumors of the pleura (SFTPs) are primary pleural tumors originating from the mesenchymal tissue. Surgical treatment was the first choice for management of SFTPs. There were no defined guidelines for the follow-up of these tumors and the postoperative therapy due to the rarity of these tumors. Methods We conducted a retrospective, multicenter study from two high-volume centers
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Strong German Hearts 2023: A Field Report Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-11-22 Laura Rings, Luca Koechlin
What do the special forces of the Federal Police and heart surgeons have in common? To find out, a team of the German Society for Thoracic and Cardiovascular Surgery (DGTHG) started a pilot project called “Strong German Hearts” with an intensive 36-hour training supported by the special forces of the Federal Police.
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Outcomes after Conversion from Video-Assisted Thoracoscopic Lobectomy to Thoracotomy Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-11-15
Background Lung cancer resections are increasingly being performed via video-assisted thoracoscopic surgery (VATS). Conversion to thoracotomy can occur for many reasons and may affect outcomes. The objective of this study was to investigate the impact of VATS conversion on short- and mid-term outcomes and identify reasons for conversion. Methods Consecutive patients undergoing lobectomy for primary
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Simultaneous Minimally Invasive Coronary Artery Bypass Grafting and Lung Resection Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-11-15 Jiang Lianyong, Gao Pengkai, Zhang Xuefeng, Ding Fangbao, Liu Hao
Background The best surgical treatment strategy for coexisting coronary artery disease (CAD) and lung cancer (LC) remains controversial. This study analyzed the safety and efficacy of a simultaneous minimally invasive procedure for patients with CAD and LC. Methods Patients who underwent simultaneous minimally invasive off-pump coronary artery bypass grafting and lung resection from January 2016 to
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Impact of a 36-hour Nonstop Training Course on Academic, Physical, and Mental Skills as well as Psychological Stress Perception in Cardiac Surgery Residents Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-11-01 Tulio Caldonazo, Hristo Kirov, Ulrich Schneider, Andreas Beckmann, K. W., Günter Weber, Regina Iglauer-Sander, Gloria Färber, Torsten Doenst, on behalf of all Strong GermaN HeaRTS Participants
Background Making the right decision in stressful situations is required for goal-oriented action in cardiac surgery. Current labor laws prevent residents to be subjected to situations that test their stress tolerance. These situations often occur only later in the career. We simulated such conditions in a structured non-stop 36-hour cardiac surgical training course and assessed the participant's performance
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Implementation of a Short-term Treatment Protocol in Anemic Patients before Cardiac Surgery Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-10-30 Dror B. Leviner, Dana Abraham, Maayan Shiner, Naama Schwartz, Ophir Lavon, Erez Sharoni
Background We assessed whether implementation of an immediate preoperative treatment in anemic patients could result in fewer perioperative packed red blood cell (PRBC) transfusions and improved outcomes in a real-world setting. Methods From January 1, 2020, to November 31, 2022, we implemented a perioperative protocol for anemic patients (hemoglobin (Hb) level in women <11.5 g/dL, men <12.5 g/dL)
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Outcomes of CT-Guided Deeper Localization Technique for Superficial Pulmonary Nodules Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-10-23 Jingpeng Wu, Ye Tian, Jianli An, Zibo Zou, Yanchao Dong, Zhuo Chen, Hongtao Niu
Background The possibility of coil dislocation in computed tomography (CT)-guided microcoil localization of superficial pulmonary nodules is relatively high. The aim of the study is to investigate the outcomes of deeper localization technique during CT-guided microcoil localization of superficial pulmonary nodules before video-assisted thoracoscopic surgery (VATS). Methods Fifty-seven identified superficial
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Hemodynamics and Diastolic Function after Native Aortic Valve Preserving vs. Replacing Surgery Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-10-23 Theresa Holst, Xiaoqin Hua, Christoph Sinning, Benjamin Waschki, Hermann Reichenspurner, Evaldas Girdauskas, Johannes Petersen
Background Alterations in left ventricular (LV) diastolic function following native tissue-preserving aortic valve (AV) procedures have not been systematically investigated. Furthermore, no comparisons have been made between these changes and those observed after prosthetic AV replacement. Methods From October 2017 to August 2020, 74 patients aged <65 years were referred to our institution for elective
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Continuous Analgesia with Intercostal Catheterization after Thoracoscopy Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-10-17 Yifei Wang, Qi Sun, Yiling Huang, Qinghua Yang, Rong Chen, Xianwei Zhang, Xuewei Zhao, Mingdong Wang
Background There are few studies on continuous intercostal nerve block after single operation hole thoracoscopic surgery, that is, two-port thoracoscopic surgery. Objective To evaluate the analgesic effect of continuous intercostal nerve block after thoracoscopic surgery. Methods A total of 80 patients who underwent single operation hole thoracoscopic surgery in our hospital between September 2020
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Smoking Status and Outcomes following Lung Resection Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-10-16 Amber Ahmed-Issap, Kim Mantio, Shubham Jain, Akolade Habib, Andrew Brazier, Marko Raseta, Udo Abah
Background Surgical resection is the gold standard treatment for the management of early-stage lung cancer. Several modifiable factors may significantly influence postoperative morbidity and mortality. We examined the outcomes of patients following lung resection based upon preoperative smoking status to quantify the impact on postoperative outcomes. Methods Data from consecutive lung resections from
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Urgent Endovascular Aortic Repair Requiring Coverage of the Left Subclavian Artery Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-10-16 Peter L. Haldenwang, Christoph Heute, Karla J. Schero, Markus Schlömicher, Lorine Haeuser, Volkmar Nicolas, Justus T. Strauch
Background Evaluation of the optimal left subclavian artery (LSA) management during thoracic endovascular aortic repair (TEVAR) involving the distal aortic arch in an urgent setting. Methods A total of 52 patients with acute aortic syndromes underwent TEVAR (March 2017 to May 2021) requiring proximal landing in the distal aortic arch. Decision for partial or complete LSA ostial endograft coverage,
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Development of Weight and Height Age z-Score after Total Cavopulmonary Connection Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-10-16 Carlo Bilic, Helena Staehler, Carolin Niedermaier, Thibault Schaeffer, Magdalena Cuman, Paul Philipp Heinisch, Melchior Burri, Nicole Piber, Alfred Hager, Peter Ewert, Jürgen Hörer, Masamichi Ono
Objective We aimed to analyze somatic growth of patients after total cavopulmonary connection (TCPC) as well as to identify factors influencing postoperative catch-up growth. Methods A total of 309 patients undergoing TCPC at 4 years old or less between 1994 and 2021 were included. Weight for age z-score (WAZ) and height for age-z-score (HAZ) at TCPC and at postoperative time between 1 and 3 years
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Comment on: "Continuous analgesia with intercostal catheterization under the thoracoscopy". Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-10-16 Wen-He Yang,Xin-Tao Li,Fu-Shan Xue,Nong He
No abstract.
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Low-Dose CT Screening of Persistent Subsolid Lung Nodules: First-Order Features in Radiomics Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-09-25 Nobuyuki Yoshiyasu, Fumitsugu Kojima, Kuniyoshi Hayashi, Daisuke Yamada, Toru Bando
Background Nondisappearing subsolid nodules requiring follow-up are often detected during lung cancer screening, but changes in their invasiveness can be overlooked owing to slow growth. We aimed to develop a method for automatic identification of invasive tumors among subsolid nodules during multiple health checkups using radiomics technology based on low-dose computed tomography (LD-CT) and examine
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Bibliometric Analysis of Scientific Output Growth in the Field of Lung Transplantation Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-09-25 Murat Emre Tokur, Sevil Alkan
Background Lung transplantation (LT) has recently emerged as a scientifically validated curative therapeutic modality for patients afflicted with end-stage lung disease. This study aimed to conduct a global bibliometric analysis of research articles on LT between 1983 and 2021. Methods Employing the Web of Science database, a bibliometric analysis was conducted to assess the expansion of scientific
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Foreign Body Reaction Mimicking Lymph Node Metastasis is Not Rare After Lung Cancer Resection Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-09-25 Berk Cimenoglu, Talha Dogruyol, Attila Ozdemir, Mesut Buz, Dilek Ece, Sevda Sener Comert, Recep Demirhan
Background Mediastinal lymphadenopathies with high 18-fluorodeoxyglucose uptake in patients previously operated on for lung cancer are alarming for recurrence and necessitate invasive diagnostic procedures. Peroperative placement of oxidized cellulose to control minor bleeding may lead to a metastasis-like image through a foreign body reaction within the dissected mediastinal lymph node field at postoperative
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The Incidence and Effect of Different Organ Metastasis on the Prognosis of NSCLC Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-09-11
Objective The aim of this study was to explore the effect of different organ metastasis on the prognosis of non-small cell lung cancer (NSCLC). Methods Patients with distant metastatic NSCLC were selected from Surveillance, Epidemiology, and End Results database during 2016 to 2019. The incidence of different organ metastasis and their association with clinicopathological factors were explored. Overall
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Patient-Reported Long-Term Outcome of Balloon Pulmonary Angioplasty for Inoperable CTEPH Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-08-29 Christoph B. Wiedenroth, Kristin Steinhaus, Andreas Rolf, Andreas Breithecker, Miriam S. D. Adameit, Steffen D. Kriechbaum, Moritz Haas, Fritz Roller, Christian W. Hamm, H.-Ardeschir Ghofrani, Eckhard Mayer, Stefan Guth, Christoph Liebetrau
Background Balloon pulmonary angioplasty (BPA) is a promising interventional treatment for inoperable chronic thromboembolic pulmonary hypertension (CTEPH). Evidence in favor of BPA is growing, but long-term data remain scarce. The Cambridge Pulmonary Hypertension Outcome Review (CAMPHOR) is validated for the assessment of patients with pulmonary hypertension within three domains: symptoms, activity
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Determinants of Inadequate Cardioprotection in Adult Patients with Left Ventricular Dysfunction Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-08-29 Krzysztof Sanetra, Witold Gerber, Piotr Paweł Buszman, Marta Mazur, Krzysztof Milewski, Paweł Kaźmierczak, Andrzej Bochenek
Background Perioperative cardioprotection is essential for achieving satisfactory clinical outcomes in heart failure patients. It is important to understand the factors affecting perioperative cardioprotection. Methods The institutional database was searched for patients with reduced ejection fraction (EF, < 40%) who underwent surgery with cardioplegia-induced arrest. Patients were divided into del
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Stripping Massage and Literature Review in Post-Thoracoscopic Chest Pain Management Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-08-23 Jiun Hsu, Sheng-Pin Yu, Chien-Te Pan, Pei-Ming Huang
The aim of this randomized study was to investigate whether stripping massage (SM) of myofascial trigger points in the lower rhomboid muscle could alleviate chest pain in patients following thoracoscopic surgery. In addition, a literature review was conducted to assess the effectiveness of various pain management techniques. Sixty adult patients who reported a visual analog scale (VAS) score of 4 or
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Implanting Impella 5.5 under Local Anesthesia Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-08-11 Kaveh Eghbalzadeh, Thorsten C.W. Wahlers, Antje Christin Deppe
Background Surgically implanted Impella 5.5. delivers full cardiac support and left ventricular unloading for patients with heart failure. So far, the Impella device is implanted under general anesthesia (GA). Material and Methods A total of n = 3 critically ill patients presented with acute heart failure in need of cardiac support. All patients suffered cardiogenic shock of varying etiology. Due to
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Combined Endovascular Treatment of Complex Aortic Pathologies Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-08-11 Levent Mavioglu, Hakki Zafer Iscan, Goktan Askin, Serkan Mola, Naim Boran Tumer, Ertekin Utku Unal
Aim Multisegmented aortic pathologies present challenging issues independent of the treatment chosen. Whether open or endovascular, staged, or simultaneous, every treatment modality has its own pros and cons. We revealed our patients retrospectively with early and midterm results who had simultaneous endovascular thoracic and abdominal aortic repair for thoracic aortic pathologies and infrarenal abdominal
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Characteristics and Ethnic Distribution of Aortic Aneurysms in a Caribbean Cohort Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-08-10 Michael J. Ramdass, Shivani T. Persad, Patrick Harnarayan
Background There is a paucity of data regarding relationships between patient demographics and aneurysm characteristics in the West Indies. With this in mind, a retrospective cross-sectional review was conducted analyzing the computed tomography aortogram reports/images of 273 aortic aneurysms. Methods Data were collected and analyzed on ethnicity, size, type, morphology, presence and maximum size
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Myocardial Recovery, Metabolism, and Structure after Cardiac Arrest with Cardioplexol Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-08-10 Carina Hemmerich, Martina Heep, Ulrich Gärtner, Zulfugar Timur Taghiyev, Matthias Schneider, Andreas Böning
Objectives Clinical studies indicate encouraging cardioprotective potential for Cardioplexol. Its cardioprotective capacities during 45 minutes of ischemia compared with pure no-flow ischemia or during 90 minutes of ischemia compared with Calafiore cardioplegia were investigated experimentally. Methods Forty-four rat hearts were isolated and inserted into a blood-perfused pressure-controlled Langendorff
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Aortic Valve Replacement with Single-Strip Autologous Pericardium Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-08-07 Ismail Dilawar, Jusuf Rachmat, Ito Puruhito, Idrus Alwi, Sudigdo Sastroasmoro, Suhendro Suhendro, Isabella Kurnia Liem, Minarma Siagian, Ahmad Aulia Jusuf, William Makdinata, Imamurahman Taslim, Stefanie Melisa
Background Aortic valve replacement with mechanical valves is the standard treatment for aortic valve disease in Indonesia. Its usage is associated with high cost, risk of endocarditis and thromboembolic event, and lifetime consumption of anticoagulants. We performed a novel replacement technique of the aortic valve using an autologous pericardium and evaluated the short-term outcomes. Methods From
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The Two-Tube Method for Treating Thoracogastric Airway Fistula Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-08-03 Chenchen Zhang, Xiaobing Li, Zhanfeng He, Shuai Wang, Meipan Yin, Yaozhen Ma, Gang Wu
Background Thoracogastric airway fistula (TGAF) is a fatal complication after esophagectomy. Without active treatment, patients may die of intractable pneumonia, sepsis, massive hemoptysis, or respiratory failure. We determined the clinical value of the two-tube method that involves the precise interventional placement of the nasojejunal tube (NJT) and nasogastric tube (NGT) for TGAF. Methods Clinical
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Follow-Up and Outcome after Coronary Bypass Surgery Preceded by Coronary Stent Implantation Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-07-31 Marwan Hamiko, Nicole Konrad, Doreen Lagemann, Christopher Gestrich, Franz Masseli, Mehmet Oezkur, Markus Velten, Hendrik Treede, Georg Daniel Duerr
Background Guidelines on myocardial revascularization define recommendations for percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG) surgery. Only little information exists on long-term follow-up and quality of life (QoL) after CABG preceded by PCI. The aim of our study was to evaluate the impact of prior PCI on outcome and QoL in patients with stable coronary artery disease
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Hostile Hemodynamics in Distal Stent Graft–Induced New Entry Prior to Aortic Rupture: A Comparison of Transient versus Steady-State CFD Simulations Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-07-28 Anja Osswald, Konstantinos Tsagakis, Ender Demircioglu, Alexander Weymann, Alina Zubarevich, Arjang Ruhparwar, Christof Karmonik
Background Computational fluid dynamics (CFD) simulations model blood flow in aortic pathologies. The aim of our study was to understand the local hemodynamic environment at the site of rupture in distal stent graft–induced new entry (dSINE) after frozen elephant trunk with a clinically time efficient steady-flow simulation versus transient simulations. Methods Steady-state simulations were performed
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Surgical Myocardial Revascularization with a Composite T-graft from the Left Internal Mammary Artery—Comparison of the Great Saphenous Vein with the Radial Artery Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-07-28 M. Eide, J. Jussli-Melchers, C. Friedrich, A. Haneya, G. Lutter, J. Cremer, J. Schoettler
Background Composite T-grafts between left internal mammary artery (LIMA) and radial artery (RA) are a common concept in complete arterial myocardial revascularization. The aim of the present study was to investigate whether the use of the great saphenous vein (SV) instead of RA leads to comparably good results in terms of outcome in this context. Methods Patients who underwent myocardial revascularization
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Aortic Valve Replacement with Single-Strip Autologous Pericardium Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-07-28 Ismail Dilawar, Jusuf Rachmat, Ito Puruhito, Idrus Alwi, Sudigdo Sastroasmoro, Suhendro Suhendro, Isabella Kurnia Liem, Minarma Siagian, Ahmad Aulia Jusuf, William Makdinata, Imamurahman Taslim, Stefanie Melisa
Background Aortic valve replacement with mechanical valves is the standard treatment for aortic valve disease in Indonesia. Its usage is associated with high cost, risk of endocarditis and thromboembolic event, and lifetime consumption of anticoagulants. We performed a novel replacement technique of the aortic valve using an autologous pericardium and evaluated the short-term outcomes. Methods From
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Endoscopic Management of Benign Airway Stenosis in Coronavirus Disease 2019 Patients Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-07-15 Alfonso Fiorelli, Alfonso Pecoraro, Giuseppe Failla, Francesco De Blasio, Erino Angelo Rendina, Federico Venuta, Claudio Andreetti
Background The aims of this study were to evaluate the results of endoscopic dilation for simple benign airway stenosis in coronavirus disease 2019 (COVID-19) patients and whether COVID-19 infection was associated with higher rate of recurrence compared with a control group. Methods It was an observational multicenter study including consecutive patients with simple benign airway stenosis undergoing
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Association of Heart Transplant Volume with Presence of Lung Transplant Programs and Heart Transplant’s SRTR One-year Survival Rating Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-07-15 Jake L. Rosen, Danial Ahmad, Anjali Uphadyaya, Andrew T. Brodie, Gabriel Gaw, Indranee Rajapreyar, J. Eduardo Rame, Rene J. Alvarez, Keshava Rajagopal, John W. Entwistle, Howard T. Massey, Vakhtang Tchantchaleishvili
Background Several factors affect heart transplant (HTx) and lung transplant (LTx) program outcomes. Variabilities in institutional and community characteristics have been shown to influence survival. At present, half of HTx centers in the United States do not possess a concomitant LTx program. This study sought to better understand the characteristics of HTx with and without LTx programs. Methods Nationwide
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Outcome of Emergency Pulmonary Lobectomy under ECMO Support in Patients with COVID-19 Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-07-03 Ana Beatriz Almeida, Michael Schweigert, Peter Spieth, Attila Dubecz, Marcelo Gama de Abreu, Torsten Richter, Patrick Kellner
Background Not much is known about the results of nonelective anatomical lung resections in coronavirus disease 2019 (COVID-19) patients put on extracorporeal membrane oxygenation (ECMO). The aim of this study was to analyze the outcome of lobectomy under ECMO support in patients with acute respiratory failure due to severe COVID-19. Methods All COVID-19 patients undergoing anatomical lung resection
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Transapical Transcatheter Mitral Valve Implantation with the Tendyne Valve: The Swiss Experience Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-06-16
Background The aim of this study was to report outcomes of all patients undergoing transcatheter mitral valve implantation with the Tendyne Mitral Valve System (Tendyne) in Switzerland. Methods We retrospectively analyzed preoperative echocardiographic and computed tomography (CT) data, procedural findings, and 30-day and 1-year follow-up echocardiographic and clinical data of patients who underwent
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German Heart Surgery Report 2022: The Annual Updated Registry of the German Society for Thoracic and Cardiovascular Surgery Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-06-16 Andreas Beckmann, Renate Meyer, Jana Lewandowski, Andreas Markewitz, Daniela Blaßfeld, Andreas Böning
Based on a longtime voluntary registry, founded by the German Society for Thoracic and Cardiovascular Surgery (GSTCVS/DGTHG) in 1980, well-defined data of all cardiac, thoracic, and vascular surgery procedures performed in 78 German heart surgery departments during the year 2022 are analyzed. Under the decreasing interference of the worldwide coronavirus disease 2019 pandemic, a total of 162,167 procedures
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Outcome of Revascularizing the Left Subclavian Artery via Carotid-Subclavian Bypass Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-05-31 Bartosz Rylski, Monika Matzdorf, Stoyan Kondov, Martin Czerny
Background Endovascular thoracic aortic treatment frequently requires extending the proximal landing zone up into the aortic arch with consecutive covering of the left subclavian artery orifice. Our aim was to report on our outcome of left subclavian artery revascularization using carotid-subclavian bypass via lateral access to the subclavian artery. Methods Patients' charts in our aortic center were
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Anterolateral Thoracotomy: A Novel and Simple Technique to Improve the Closure Using the Self Locking Knot Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-05-31 Luis Felipe Cabrera Vargas, Mauricio Pedraza, Fabien Mantilla-Sylvain, Isabella Garavis Montagut
Thoracotomy is defined as an incision made by the surgeon in the chest wall in order to allow visibility of the thoracic cavity content. This can be used by surgeons to treat thoracic cavity content diseases including the heart, lungs, esophagus, and other organs. Thoracic incision closure remains an item with no consensus. Therefore, we present an easy way and give a little tip for closure using the
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Sternal Pin Used to Close Sternum in Infants after Cardiac Surgery Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-05-25 Wen-Peng Xie, Xiu-Hua Chen, Si-Jia Zhou, Qiang Chen, Hua Cao
Objective A retrospective study was conducted to explore the efficacy of bioabsorbable poly-L-lactic acid sternal pins in sternal closure in infants after cardiac surgery. Methods A total of 170 infantile patients who underwent cardiac surgery were divided into the steel wire group (group A), the PDS cord group (group B), and the steel wire + sternal pin group (group C). The occurrence of the thoracic
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Cardiac Surgery 2022 Reviewed Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-05-17 Torsten Doenst, Ulrich Schneider, Tulio Caldonazo, Sultonbek Toshmatov, Mahmoud Diab, Thierry Siemeni, Gloria Färber, Hristo Kirov
PubMed displayed almost 37,000 hits for the search term “cardiac surgery AND 2022.” As before, we used the PRISMA approach and selected relevant publications for a results-oriented summary. We focused on coronary and conventional valve surgery, their overlap with interventional alternatives, and briefly assessed surgery for aorta or terminal heart failure. In the field of coronary artery disease (CAD)
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Changes in Therapy and Outcome of Patients Requiring Veno-Venous Extracorporeal Membrane Oxygenation for COVID-19 Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-05-05 Moritz Benjamin Immohr, Vincent Hendrik Hettlich, Detlef Kindgen-Milles, Timo Brandenburger, Torsten Feldt, Hug Aubin, Igor Tudorache, Payam Akhyari, Artur Lichtenberg, Hannan Dalyanoglu, Udo Boeken
Background Coronavirus disease 2019 (COVID-19)-related acute respiratory distress syndrome requiring veno-venous extracorporeal membrane oxygenation (vv-ECMO) is related with poor outcome, especially in Germany. We aimed to analyze whether changes in vv-ECMO therapy during the pandemic were observed and lead to changes in the outcome of vv-ECMO patients. Methods All patients undergoing vv-ECMO support
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Surgical Treatment of Another Sequalae of COVID-19: Post-COVID CTEPH Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-05-03 Nezih Onur Ermerak, Sehnaz Olgun Yildizeli, Derya Kocakaya, Bulent Mutlu, Koray Ak, Serpil Tas, Bedrettin Yildizeli
Background Coronavirus disease 2019 (COVID-19) is still an ongoing entity and every day we face new sequalae of the disease. We hereby present surgical results of patients who are treated for post-COVID chronic thromboembolic pulmonary hypertension. Methods Data were collected among patients who underwent pulmonary endarterectomy and had a diagnosis of post-COVID chronic thromboembolic pulmonary hypertension
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Computed Tomography Scan of the Aorta to Predict Type B Aortic Dissection Thorac. Cardiovasc. Surg. (IF 1.5) Pub Date : 2023-05-03 Han Lee, Qing Zhou, Haitao Zhang, Min Jin, XinLong Tang, Kai Li, Tayierjiang Tuoerxun
Background The purpose of this study is to find the high-risk morphological features in type B aortic dissection (TBAD) population and to establish an early detection model. Methods From June 2018 to February 2022, 234 patients came to our hospital because of chest pain. After examination and definite diagnosis, we excluded people with previous cardiovascular surgery history, connective tissue disease