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Effect of hemoadsorption during cardiac surgery for S. aureus endocarditis – a REMOVE trial post-hoc analysis Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2024-03-08 Tulio Caldonazo, Jef Van den Eynde, Torsten Doenst, Hristo Kirov, Marcus Franz, Stefan Hagel, Thomas Lehmann, Mahmoud Diab
OBJECTIVES Multi-organ failure is one of the leading causes of mortality after cardiac surgery for infective endocarditis (IE). Although the randomized evidence does not support the use of hemoadsorption during cardiac surgery for IE, observational studies suggest a beneficial effect in selected patient groups. S. aureus is the most common pathogen, and its presence is an independent mortality predictor
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Complete anatomic segmentectomy shows improved oncologic outcomes compared to incomplete anatomic segmentectomy Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2024-03-06 Miles A McAllister, Matthew M Rochefort, Paula Ugalde Figueroa, Rachel Leo, Evert A Sugarbaker, Anupama Singh, Julio Herrera-Zamora, Rafael R Barcelos, Emanuele Mazzola, Hillary Heiling, Michael T Jaklitsch, Raphael Bueno, Scott J Swanson
OBJECTIVE To compare oncologic outcomes after segmentectomy with division of segmental bronchus, artery, and vein (complete anatomic segmentectomy) versus segmentectomy with division of < 3 segmental structures (incomplete anatomic segmentectomy). METHODS We conducted a single-center, retrospective analysis of patients undergoing segmentectomy from 03/2005-05/2020. Operative reports were audited to
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Time between imaging and surgery is not a risk factor for upstaging of clinical stage IA non-small-cell lung cancer Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2024-02-26 Rafael R Barcelos, Evert Sugarbaker, Kelvin F Kennedy, Miles McAllister, Sangmin Kim, Julio Herrera-Zamora, Rachel Leo, Scott Swanson, Paula Ugalde Figueroa
OBJECTIVES The timing of preoperative imaging in patients with lung cancer is a debated topic, as there are limited data on cancer progression during the interval between clinical staging by imaging and pathological staging after resection. We quantified disease progression during this interval in patients with early stage non-small-cell lung cancer (NSCLC) to better understand if its length impacts
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Postoperative catheter thrombaspiration to open an occluded right Ventricle-To-Pulmonary artery conduit in child Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2024-02-17 Raymond N Haddad, Regis Gaudin, Damien Bonnet, Sophie Malekzadeh-Milani
We report on a 6-year-old girl (18 kg/120 cm) who was diagnosed on day 6 postoperative with an occlusive thrombosis of a right ventricle-to-pulmonary artery conduit in the setting of a Ross procedure that was performed for severe native aortic valve insufficiency secondary to late diagnosis of bacterial endocarditis. We applied the Indigo® aspiration system from Penumbra® (Alameda, USA) to mechanically
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Thick endothelialiation of self-expandable valve causes delayed coronary obstruction Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2024-02-15 Takaaki Samura, Eiki Fujimoto, Takayuki Ise, Hiroki Hata
Delayed coronary obstruction (DCO) is a rare complication occurring after transcatheter aortic valve replacement (TAVR). Although TAVR has become popular, in some cases, the therapeutic strategy should be carefully selected depending on the patient’s anatomical and/or functional restrictions. We report a rare case of DCO in which coronary obstruction was caused by thick endothelialization of the nitinol
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Interposition of right internal iliac artery free-graft for left coronary artery reimplantation in adults with anomalous left coronary artery originating from the pulmonary artery: Case series and long-term results Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2024-02-07 Jan Pirk, Dushan Michael Kolesar, Jozef Kovac, Peter Ivak
Anomalous origin of the left coronary artery arising from the pulmonary artery (ALCAPA) is an infrequent congenital anomaly. Presentation of this syndrome is rare in adults. Nevertheless, adult patients are at risk of ischaemia, arrhythmias or sudden cardiac death, and always require surgical intervention. At our institution, a specific technique of interposition of the right internal iliac artery
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One-year outcomes of total arch replacement and frozen elephant trunk using the E-vita open NEO Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2024-01-19 Chong Hoon Kim, Tae-Hoon Kim, Ha Lee, Myeong Su Kim, Woon Heo, Kyung-Jong Yoo, Bum-Koo Cho, Suk-Won Song
OBJECTIVES In this cohort study, we aimed to assess the 1-year clinical outcomes of using the E-vita Open NEO™ hybrid prosthesis for total arch replacement with frozen elephant trunk to repair extensive aortic pathologies. METHODS A total of individuals who underwent thoracic aortic surgery between April 2021 and March 2023 were identified from the review of the Gangnam Severance Aortic Registry. Exclusion
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Initial thickness of the crescent may not be a reliable predictor of complications in type A intramural haematoma Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2024-01-12 Tadashi Kitamura, Fumiaki Shikata, Shinzo Torii, Toshiaki Mishima, Masaomi Fukuzumi, Yusuke Motoji, Yoshimi Tamura, Sakura Kaneda, Daiki Ishiwaki, Kagami Miyaji
OBJECTIVES This study aimed to investigate changes in haematoma thickness during the early period and their association with disease progression in patients who received initial medical treatment for type A intramural haematoma (IMH). METHODS Medical records and serial computed tomography angiography (CTA) images of patients who did not undergo emergency aortic repair for type A IMH upon presentation
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Comparison of ductus stent versus surgical systemic to pulmonary shunt as initial palliation in patients with univentricular heart Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2024-01-12 Dimitrij Grozdanov, Takuya Osawa, Kristina Borgmann, Thibault Schaeffer, Helena Staehler, Chiara Di Padua, Paul Philipp Heinisch, Nicole Piber, Stanimir Georgiev, Alfred Hager, Peter Ewert, Jürgen Hörer, Masamichi Ono
OBJECTIVES In this study, we aimed to compare infants with univentricular hearts who underwent an initial ductus stenting to those receiving a surgical systemic to pulmonary shunt. METHODS All infants with univentricular heart and ductal-dependent pulmonary blood flow who underwent initial palliation with either a ductus stenting or a surgical systemic to pulmonary shunt between 2009 and 2022 were
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Comparison of 4 mortality scores for surgical repair of type A aortic dissection: a multicenter external validation Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2024-01-09 Francesco Pollari, Paolo Nardi, Elisa Mikus, Francesco Ferraro, Marco Gemelli, Ilaria Franzese, Ilaria Chirichilli, Claudia Romagnoni, Giuseppe Santarpino, Salvatore Nicolardi, Roberto Scrofani, Francesco Musumeci, Enzo Mazzaro, Gino Gerosa, Massimo Massetti, Carlo Savini, Giovanni Ruvolo, Michele Di Mauro, Luca Di Marco, Fabio Barili, Alessandro Parolari, Theodor Fischlein
OBJECTIVES In last decades, 4 different scores for prediction of mortality following surgery for type A acute aortic dissection (TAAD) were proposed. We aimed to validate these scores in a large external multicentre cohort. METHODS We retrospectively analyzed patients who underwent surgery for TAAD between 2000 and 2020. Patients were enrolled from 10 centers from 2 European countries. Outcomes were
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Use of Aprotinin Versus Tranexamic Acid in Cardiac Surgery Patients with High-Risk for Excessive Bleeding (APACHE trial): A multicentre retrospective comparative non-randomised historical study Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2024-01-05 Eloïse Gallo, Philippe Gaudard, Sophie Provenchère, Fouzia Souab, Anaïs Schwab, Damien Bedague, Hugues de La Barre, Christian de Tymowski, Laysa Saadi, Bertrand Rozec, Bernard Cholley, Bruno Scherrer, Jean-Luc Fellahi, Alexandre Ouattara
OBJECTIVES Following the reintroduction of aprotinin into the European market, the French Society of Cardiovascular and Thoracic Anaesthesiologists recommended its prophylactic use at half-dose for high-risk cardiac surgery patients. We examined whether the use of aprotinin instead of tranexamic acid could significantly reduces severe perioperative bleeding. METHODS This multicentre, retrospective
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In Vitro Investigation of Axial Mechanical Support Devices Implanted in the Novel Convergent Cavopulmonary Connection Fontan Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2024-01-05 Vincent Cleveland, Jacqueline Contento, Paige Mass, Priyanka Hardikar, Qiyuan Wu, Xiaolong Liu, Seda Aslan, Yue-Hin Loke, Axel Krieger, Scott Lunos, Laura Olivieri, Pranava Sinha
OBJECTIVES The two opposing inflows and two outflows in a total cavopulmonary connection (TCPC) makes mechanical circulatory support (MCS) extremely challenging. We have previously reported a novel convergent cavopulmonary connection (CCPC) Fontan design that improves baseline characteristics and provides a single inflow and outflow, thus simplifying MCS. This study aims to assess the feasibility of
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Post-Mortem Examination of Fatal Acute Type A Aortic Dissection: What does it teach us? Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2024-01-04 Anastasiia Karadzha, Hartzell V Schaff, Robert L Frye, Melanie C Bois, Juan A Crestanello, Gabor Bagameri, Kevin L Greason, Malakh L Shrestha
OBJECTIVES Acute type A aortic dissection remains a highly life-threatening condition. This study investigates factors associated with fatal acute type A aortic dissection prior to surgical treatment. METHODS We reviewed autopsy reports of acute type A aortic dissection decedents who died before surgical intervention and underwent postmortem examination at our Clinic from 1994 to 2022. RESULTS Among
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Effects of nonintubated thoracoscopic surgery on postoperative neurocognitive function: A randomized controlled trial Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2024-01-04 Ping-Yan Hsiung, Po-Yuan Shih, Yi-Luen Wu, Hsin-Ting Chen, Hsao-Hsung Hsu, Mong-Wei Lin, Ya-Jung Cheng, Chun-Yu Wu
OBJECTIVE Postoperative neurocognitive disorder following thoracoscopic surgery with general anaesthesia may be linked to reduced intraoperative cerebral oxygenation and perioperative inflammation, which can potentially be exacerbated by mechanical ventilation. However, nonintubated thoracoscopic surgery, which utilizes regional anaesthesia and maintains spontaneous breathing, provides a unique model
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Analysis of Factors Affecting Outcome in Acute Type A Aortic Dissection Complicated by preoperative Cardio-pulmonary Resuscitation Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2024-01-04 Matteo Montagner, Markus Kofler, Leonard Pitts, Simone Gasser, Lukas Stastny, Stephan D Kurz, Michael Grimm, Volkmar Falk, Jörg Kempfert, Julia Dumfarth
OBJECTIVES Cardiopulmonary resuscitation (CPR) aggravates the pre-existing dismal prognosis of patients suffering from acute type A aortic dissection (ATAAD). We aimed to identify factors affecting survival and outcome in ATAAD patients requiring CPR at presentation at two European aortic centers. METHODS Data on 112 surgical candidates and undergoing preoperative CPR were retrospectively evaluated
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Predictive Performance of Surgical Mortality Risk Scores in Infective Endocarditis Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2024-01-04 Safwane El Hatimi, Marie-Line Erpelding, Christine Selton-Suty, Jean-Baptiste Botros, François Goehringer, Emmanuelle Berthelot, Mazen Elfarra, Laurence Deconinck, Marylou Para, Sophie Provenchere, Bruno Hoen, Nelly Agrinier, Xavier Duval, Bernard Iung
OBJECTIVE This observational study aimed to evaluate AEPEI (Association pour l'Etude et la Prévention de l'Endocardite Infectieuse) surgery score predictive performance in comparison to general (EuroSCORE I, II) and specific (De Feo, PALSUSE) surgical risk scores for infective endocarditis (IE). METHODS The study included patients who underwent surgery for IE during the acute phase at Bichat Hospital
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Neurological Prognosis in Surgically Treated Acute Aortic Dissection with Brain Computed Tomography Perfusion Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2024-01-03 Hongliang Zhao, Chengxiang Li, Weixun Duan, Dong Wei, Ruijia Xue, Mengqi Wei, Yingjuan Chang, Lei Shang, Shushen Lin, Jian Xu, Minwen Zheng
OBJECTIVES To explore the prognostic value of brain computed tomography perfusion for postoperative new stroke in acute type A aortic dissection patients. METHODS Patients with acute type A aortic dissection and suspected cerebral malperfusion who underwent brain computed tomography perfusion and surgical repair were retrospectively analyzed. Brain perfusion was quantified mainly with the averaged
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Secondary retensioning of a tether-based device for transapical transcatheter mitral valve implantation Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-12-28 Martin Beyer, David Muller, Federico De Marco, Vinay Badhwar, Jean-Francois Obadia, Fabien Praz, Thomas Modine, Pim Tonino, Gry Dahle, Alfredo Cerillo, Sebastian Ludwig, Lenard Conradi
OBJECTIVES Relevant paravalvular leakage (PVL) due to prothesis dislodgement is a rare but potentially severe complication after transcatheter mitral valve implantation (TMVI). Due to the epicardial anchoring mechanism of the Tendyne® TMVI-system, repositioning of the valve stent may be possible by retensioning of the tether. This multicentre-study aimed to investigate the procedural and short-term
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Long-term results after the REV (réparation à l'étage ventriculaire) procedure for transposition of the great arteries and double outlet right ventricle with pulmonary stenosis Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-12-26 Margaux Pontailler, Alexander Moiroux-Sahraoui, Ségolène Bernheim, Régis Gaudin, Lucile Houyel, Damien Bonnet, Pascal Vouhe, Olivier Raisky
Objective The purpose of this study is to describe the long-term results of the « réparation à l’étage ventriculaire » (REV) technique for double outlet right ventricle (DORV) and transposition of the great arteries (TGA) with pulmonary stenosis (PS). Methods Between 1980 and 2021, 157 patients underwent a REV procedure (median age and weight: 20.8 months and 7.7 kg). The most frequent anatomical presentation
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Sublobar resection is associated with less lymph nodes examined and lower delivery of adjuvant therapy in patients with 1.5-2.0 cm clinical IA2 non-small cell lung cancer. A retrospective cohort study Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-12-26 Jorge Humberto Rodriguez-Quintero, Mohamed K Kamel, Rajika Jindani, Marc Vimolratana, Neel P Chudgar, Brendon M Stiles
Objectives CALGB140503, in which nodal sampling was mandated, reported non-inferior disease-free survival for patients undergoing sublobar resection compared to lobectomy. Outside of trial settings, the adequacy of lymphadenectomy during sublobar resection has been questioned. We sought to evaluate whether sublobar resection is associated with suboptimal lymphadenectomy, differences in pathologic-upstaging
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Multicenter study on late outcomes of bi-ventricular repair of double outlet right ventricle Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-12-22 François Lacour-Gayet, Joy Zoghbi, Marielle Gouton, Régine Roussin, Olivier Bical, Vincent Lucet, Marion Saint-Pick, Francine Leca
Summary OBJECTIVES This retrospective multicentre study aims to present late surgical outcomes of Double Outlet Right Ventricle (DORV) coming from emerging countries. METHODS Mécénat Chirurgie Cardiaque brings to France for surgery selected children with simple and complex congenital diseases, including DORV. The patients are operated in nine hospitals, specialized in paediatric cardiac surgery. heart
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Myocardial Protection in Cardiac Surgery—Hindsight from the 2020ies Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-12-19 Murat Mukharyamov, Ulrich Schneider, Hristo Kirov, Tulio Caldonazo, Torsten Doenst
Myocardial protection and specifically cardioplegia have been extensively investigated in the beginnings of cardiac surgery. After cardiopulmonary bypass had become routine, more and more cardiac operations were possible, requiring reliable and reproducible protection for times of blood flow interruptions to the most energy-demanding organ of the body. The concepts of hypothermia and cardioplegia evolved
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Perfusion management during cardiopulmonary bypass in a patient with high cardiac output due to arteriovenous malformations Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-12-19 Fabio Pregaldini, Vladimir Makaloski, Gabor Erdoes, Florian S Schoenhoff
We present a case of a 37-year-old woman diagnosed with Parkes-Weber syndrome characterized by high-flow arterio-venous malformations of the pelvic region with an estimated cardiac output of 7.2 to 8.5 L/min. Due to concomitant Marfan syndrome, the patient also presented an aortic root aneurysm needing surgical treatment under cardiopulmonary bypass. Concerns arose regarding the ability to maintain
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Transapical beating-heart septal myectomy for hypertrophic cardiomyopathy with latent obstruction Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-12-19 Jiangtao Li, Xiang Wei
Objectives A novel transapical beating-heart septal myectomy (TA-BSM) procedure was performed for patients with latent obstruction through the left intercostal incision and without cardiopulmonary bypass. This study aims to demonstrate the experience of the TA-BSM procedure for patients with latent obstruction and compare outcomes to patients with resting obstruction. Methods We studied 120 symptomatic
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Validation of the GERAADA Score to Predict 30-day Mortality in Acute Type A Aortic Dissection in a Single High-Volume Aortic Center Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-12-18 Mikolaj Berezowski, Saiesh Kalva, Joseph E Bavaria, Yu Zhao, William L Patrick, John J Kelly, Wilson Y Szeto, Joshua C Grimm, Nimesh D Desai
Background This study aimed to evaluate employing the German Registry of Acute Aortic Dissection Type A (GERAADA) score to predict 30-day mortality in an aortic center in the United States. Methods Between January 2010 and June 2021, 689 consecutive patients underwent surgery for acute type A dissection at a single institution. Excluded were patients with missing clinical data (N = 4). The GERAADA
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Aortic arch redo surgery: early and mid-term outcomes in 120 patients Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-12-18 Zara Dietze, Jagdip Kang, Khadzhimurad Madomegov, Christian D Etz, Martin Misfeld, Michael A Borger, Sergey Leontyev
Objectives To analyze the indications, surgical extent and results of treatment, as well as determine the risk factors for adverse outcomes after redo arch surgery. Methods Between January 1996 and December 2022, 120 patients underwent aortic arch reoperations after primary proximal aortic surgery. We retrospectively analyzed perioperative data, as well as early and mid-term outcomes in these patients
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Sympathicotomy for Isolated Facial Blushing: Long-term Follow-up of a Randomized Trial Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-12-12 Finn Amundsen Dittberner, Ole Dan Jørgensen, Hans Kristian Pilegaard, Lars Ladegaard, Peter Bjørn Licht
Objectives Thoracoscopic sympathicotomy may be an effective treatment for disabling facial blushing in selected patients. Short- and midterm results are good but very long-term results are scarce in the medical literature and there is no knowledge which extent of sympathicotomy is better long-term for isolated facial blushing. Methods We previously randomized 100 patients between a rib-oriented R2
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Long-term outcomes after heart transplantation in adult patients with univentricular versus biventricular congenital heart disease Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-12-11 Nabil Dib, Laurence Iserin, Shaida Varnous, Romain Guillemain, Sebastien Hascoet, Emre Belli, Sarah Cohen
OBJECTIVE Heart transplantation (HT) is the only life-extending therapy in adults with congenital heart disease (CHD) and end-stage heart failure. HT is considered at high risk in complex CHD given the anatomical complexity and past medical history. Little is known about long-term outcomes after HT in these patients. We aimed to evaluate early and long-term outcomes after HT in adult patients with
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Perioperative Outcomes of Bi-Pigtail Catheters Drainage Strategy Versus Conventional Chest Tube after Uni-Portal Video-Assisted Thoracic Lung Surgery Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-12-11 Liwei Song, Xingshi Chen, Li Zhu, Gang Qian, Yanhui Xu, Zuodong Song, Jiantao Li, Tianxiang Chen, Jia Huang, Qingquan Luo, Xinghua Cheng, Yunhai Yang
Background Chest tube drainage is a main cause of postoperative pain in lung surgery. Here, we introduced a novel drainage strategy with bi-pigtail catheters and conducted a randomized controlled trial to compare with conventional chest tube drainage after uniportal VATS lung surgery. Methods A single-center, prospective, open-labelled, randomized controlled trial (ChiCTR2000035337) was conducted with
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Bex-Nikaidoh operation and the impact of double root translocation on outcomes Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-12-10 Antonia Schulz, Edward Buratto, Shuta Ishigami, Igor E Konstantinov, Michael M H Cheung, Christian P Brizard
OBJECTIVES The Bex-Nikaidoh operation can effectively relieve left ventricular outflow tract obstruction. However, if a conduit is used for right ventricular outflow tract reconstruction, late reoperation can be anticipated. We examined the impact of double root translocation on outcomes. METHODS This is a retrospective single-center study of patients who underwent aortic root translocation between
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Homocysteine Impairs the Anticontractile/Vasorelaxing Activity of Perivascular Adipose Tissue Surrounding Human Internal Mammary Artery Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-12-09 Jia-Hui Wei, Hang Qi, Yang Zhou, Hai-Tao Hou, Guo-Wei He, Qin Yang
OBJECTIVES Perivascular adipose tissue surrounding human internal mammary artery possesses anticontractile property. Its function under pathological conditions is barely studied. We previously reported that homocysteine impairs the vasodilator function of internal mammary artery through endothelium and smooth muscle-dependent mechanisms. This study investigated the effect of homocysteine on the function
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Impact of aortopulmonary collaterals on adverse events after total cavopulmonary connection Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-12-08 Takuya Osawa, Thibault Schaeffer, Kristina Borgmann, Mervin Schmiel, Helena Staehler, Chiara Di Padua, Paul Philipp Heinisch, Nicole Piber, Masato Mutsuga, Alfred Hager, Peter Ewert, Jürgen Hörer, Masamichi Ono
Background Effects of aortopulmonary collaterals (APCs) on outcomes after the total cavopulmonary connection (TCPC) are unclear. This study evaluated the incidence of APCs before and after TCPC and analyzed the impacts of APCs on adverse outcomes. Methods A total of 585 patients, who underwent TCPC from 1994 to 2020 and whose preoperative angiographies were available, were included. Pre-TCPC angiograms
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Effect of esaxerenone on ischemia and reperfusion injury in rat hearts Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-12-07 Hiromasa Yamashita, Masahiro Fujii, Ryuzo Bessho, Yosuke Ishii
Objective In myocardial infarction, the addition of mineralocorticoid receptor blockers (MRBs) to standard therapies, such as angiotensin-converting enzyme inhibitors or beta-blockers, reportedly reduces mortality and cardiac events. We investigated whether the non-steroidal MRB esaxerenone has cardioprotective effects and its protective mechanisms. Methods Isolated rat hearts were Langendorff-perfused
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Type A aortic dissection in very young patients: screen accordingly and treat aggressively. Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-12-01 David Reineke,Selim Mosbahi,Matthias Siepe
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Is There an "Ideal" Material for Chest Wall Reconstruction? Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-11-28 Larry R Kaiser
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Early-stage lung cancer surgery: does the reduction of pulmonary function is really threatening? Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-11-25 Beatrice Trabalza Marinucci,Mohsen Ibrahim
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Mid-term outcomes of aortic valve repair using an anatomically shaped internal annuloplasty ring Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-11-25 Omar A Jarral, Christopher W Jensen, Julie W Doberne, Peter S Downey, J D Serfas, Andrew M Vekstein, G Chad Hughes
Objectives The Hemispherical Aortic Annuloplasty Reconstructive Technology (HAART) ring is a rigid, internal, and geometric device. The objective of this paper is to assess the mid-term outcomes of aortic valve repair using this prosthesis. Methods A prospectively maintained database was used to obtain outcomes for adult patients undergoing aortic valve repair using the HAART ring between September
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Metabolic Signatures of Thymomas: Potential Biomarkers and Treatment Targets Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-11-25 James W Miller, Brandon M Faubert, Thomas P Mathews, John K Waters, Ralph J DeBerardinis, Kemp H Kernstine
OBJECTIVES Study of tumour metabolic reprogramming has revealed disease biomarkers and avenues for therapeutic intervention. Metabolic reprogramming in thymoma is currently understudied and largely unknown. This study utilized metabolomics and isotope tracing with 13C-glucose to metabolically investigate thymomas, adjacent thymic tissue and benign thymic lesions. METHODS From 2017 to 2021, 20 patients
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Late Clinical and Echocardiographic Results with the Magna Ease© Pericardial Aortic Bioprosthesis Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-11-23 Amedeo Anselmi, Marie Aymami, Jacques Tomasi, Gemma D’Alessandro, Thierry Langanay, Hervé Corbineau, Julien Mancini, Erwan Flecher, Jean-Philippe Verhoye
OBJECTIVES The population of candidates to surgical aortic valve replacement (SAVR) is evolving. The Perimount Magna Ease© bioprosthesis has been introduced relatively recently in the practice. We aimed at evaluating its long-term results. METHODS Single-center cohort of 1,016 consecutive SAVRs with the Magna Ease© valve (2008–2014), all-comers population. Prospective collection of in-hospital data
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Prognostic Outcomes and Recurrence Patterns in Resected Stage I Lung Adenocarcinoma Harboring Atypical Epidermal Growth Factor Receptor Mutation Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-11-23 Tao Chen, Jialiang Wen, Yingze Li, Jiajun Deng, Yifan Zhong, Likun Hou, Yunlang She, Dong Xie, Chang Chen
OBJECTIVES Limited data exist on the characteristics of atypical EGFR mutation in early stage lung cancer. We aim to elucidate the associations with outcomes and recurrence patterns in resected stage I lung adenocarcinoma harboring atypical EGFR mutation. METHODS Eligible patients between 2014 and 2019 were retrospectively identified and grouped into exon20 insertion mutation and major atypical mutation
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Transcatheter versus Surgical Mitral Valve Repair in Patients with Mitral Regurgitation Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-11-23 Monil Majmundar, Kunal Nitinkumar Patel, Rajkumar Doshi, Ashish Kumar, Shilpkumar Arora, Sidakpal Panaich, Ankur Kalra
OBJECTIVES To compare clinical outcomes of transcatheter and surgical mitral valve repair in primary mitral regurgitation and mitral regurgitation with heart failure with reduced ejection fraction. METHODS In this retrospective cohort study, we used Nationwide Readmission Database to identify primary mitral regurgitation and mitral regurgitation with heart failure with reduced ejection fraction patients
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Surgical Training of Minimally Invasive Mitral Valve Repair on a Patient-Specific Simulator Improves Surgical Skills Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-11-21 Christina Wang, Roger Karl, Lalith Sharan, Andela Grizelj, Samantha Fischer, Matthias Karck, Raffaele De Simone, Gabriele Romano, Sandy Engelhardt
OBJECTIVES Minimally invasive mitral valve repair is considered one of the most challenging operations in cardiac surgery and requires much practice and experience. Simulation-based surgical training might be a method to support the learning progress and help to flatten the steep learning curve of novices. The purpose of this study is to show possible learning effects of surgical training on a high-fidelity
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Relationship between false lumen morphology and entry tear in acute type A aortic dissection Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-11-20 Masato Furui, Noriko Uesugi, Hitoshi Matsumura, Yoshio Hayashida, Go Kuwahara, Mitsuru Fujii, Masayuki Shimizu, Yuichi Morita, Chihaya Ito, Masato Hayama, Hideichi Wada
OBJECTIVES This study aimed to investigate the relationship between false lumen morphology and the size, aortic segment, and position of the entry tear for acute type A aortic dissection. METHODS The records of patients who underwent emergency operation for acute type A aortic dissection in our institution between April 2011 and May 2022 were examined. Data regarding size, location, and position of
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Lack of Incremental Value of Three-Dimensional Measurement in Assessing Invasiveness for Lung Cancer Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-11-16 Meng-Min Wang, Jia-Qi Li, Shi-Hua Dou, Hong-Ji Li, Zhen-Bin Qiu, Chao Zhang, Xiong-Wen Yang, Jia-Tao Zhang, Xin-Hua Qiu, Hong-Sheng Xie, Wen-Fang Tang, Mei-Ling Cheng, Hong-Hong Yan, Xue-Ning Yang, Yi-Long Wu, Xue-Gong Zhang, Lin Yang, Wen-Zhao Zhong
OBJECTIVE To evaluate the performance of consolidation tumour ratio and the radiomic models in two- and three-dimensional modalities for assessing radiological invasiveness in early-stage lung adenocarcinoma. METHODS A retrospective analysis was conducted on patients with early-stage lung adenocarcinoma from Guangdong Provincial People's Hospital and Shenzhen People's Hospital. Manual delineation of
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Long term outcomes of bioprosthetic valves in the mitral position. A systematic review of studies published over the last 20 years Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-11-14 Marinos Koulouroudias, Michele Di Mauro, Roberto Lorusso
Structured abstract OBJECTIVES Although the use of bioprostheses for mitral valve replacement(bMVR) is on the rise, their long- term durability is not well described. Defining bMVR durability will be instrumental in setting the standard against which the performance of transcatheter mitral replacement is to be judged against. The authors of this systematic review aimed to identify, assess the quality
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Octreotide Improves Human Lymphatic Fluid Transport a Translational Trial Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-11-12 Thomas Holm-Weber, Frederik Skov, Sheyanth Mohanakumar, Lene Thorup, Troels Riis, Mikkel Bring Christensen, David Peick Sonne, Per Bo Jensen, Donna Briggs Bødtkjer, Vibeke Elisabeth Hjortdal
Objective Chylothorax is a complex condition and many different pharmacological agents have been tried as treatment. Octreotide is used off-label to treat chylothorax, but the efficacy of octreotide remains unclear. A decrease in lymph production is suggested as the mechanism. In this cross-over study, we explore the direct effect of octreotide on human lymphatic drainage. Methods Pre-clinical: The
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Statistical Primer: Using Prognostic Models to Predict the Future: What Cardiothoracic Surgery Can Learn from Strictly Come Dancing Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-11-12 Jamie A Mawhinney, Craig A Mounsey, Alastair O'Brien, J Rafael Sádaba, Nick Freemantle
Prognostic models are widely used across medicine and within cardiothoracic surgery, where predictive tools such as EuroSCORE are commonplace. Such models are a useful component of clinical assessment but may be misapplied. In this article, we demonstrate some of the major issues with risk scores by using the popular BBC television programme Strictly Come Dancing (SCD; known as Dancing with the Stars
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Repairable ex vivo model of functional and degenerative mitral regurgitation Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-11-12 Hayato Morimura, Yusei Okamoto, Jumpei Takada, Minoru Tabata, Kiyotaka Iwasaki
OBJECTIVES Transcatheter mitral valve repair is an emerging alternative to the surgical repair. This technology requires preclinical studies to assess efficacy in mitigating mitral regurgitation. However, ex vivo mitral regurgitation models are not established. We developed two novel repairable models, functional and degenerative, which can quantitatively assess regurgitation and effect of intervention
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"Is Underutilization of Adjuvant Therapy in Resected Non-small Cell Lung Cancer Associated with Socioeconomic Disparities?" Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-11-11 Jorge Humberto Rodriguez-Quintero,Mohamed K Kamel,Rajika Jindani,Roger Zhu,Patricia Friedmann,Marc Vimolratana,Neel P Chudgar,Brendon Stiles
OBJECTIVES Although adjuvant systemic therapy (AT) has demonstrated improved survival in patients with resected non-small cell lung cancer, it remains underutilized. Recent trials demonstrating improved outcomes with adjuvant immunotherapy and targeted treatment imply that low uptake of systemic therapy in at-risk populations may widen existing outcome gaps. We, therefore, sought to determine factors
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Ultrasound-guided percutaneous puncturing technique: novel radiofrequency ablation technique for thoracic sympathectomy in treatment of palmar hyperhidrosis Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-11-10 Rong Hu, Qiao Wang, Qianxi Liu, Yi Zhou, Dong Huang, Haocheng Zhou
Radiofrequency thoracic sympathectomy is routinely conducted under computed tomography or fluoroscopy in treatment of palmar hyperhidrosis. However, it remains a great challenge to perform thoracic paravertebral puncture precisely and safely, that is associated with repeated exposure of radiation and risk of pneumothorax. Alternatively, ultrasound-guided technique can provide high-resolution and real-time
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Video-Assisted Thoracic Surgery (VATS) or Thoracotomy for Lung Cancer Surgery in Obese Patients? An Analysis of the European Society of Thoracic Surgeons Database Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-11-07 Francesco Guerrera, Alessandro Brunelli, Pierre-Emmanuel Falcoz, Pier Luigi Filosso, Claudia Filippini, Zalan Szanto, Paolo Olivo Lausi, Paraskevas Lyberis, Giulio Luca Rosboch, Enrico Ruffini
Objectives There is a lack of evidence on whether perioperative outcomes differ in obese patients after video-assisted thoracic surgery (VATS) or open lobectomy. We queried the European Society of Thoracic Surgeons database to assess morbidity and postoperative length of hospital stay in obese patients submitted to VATS and open pulmonary lobectomy for non-small cell lung cancer. Methods We collected
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Risk factors for loss of pulmonary function after wedge resection for peripheral ground-glass opacity dominant lung cancer Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-11-06 Tomohiro Miyoshi, Hiroyuki Ito, Masashi Wakabayashi, Tadayoshi Hashimoto, Yuta Sekino, Kenji Suzuki, Masahiro Tsuboi, Yasumitsu Moriya, Ichiro Yoshino, Tetsuya Isaka, Aritoshi Hattori, Takahiro Mimae, Mitsuhiro Isaka, Tomohiro Maniwa, Makoto Endo, Hiroshige Yoshioka, Kazuo Nakagawa, Ryu Nakajima, Yasuhiro Tsutani, Hisashi Saji, Morihito Okada, Keiju Aokage, Haruhiko Fukuda, Shun-Ichi Watanabe
OBJECTIVES This study aimed to identify the risk factors for pulmonary functional deterioration after wedge resection for early-stage lung cancer with ground-glass opacity, which remain unclear, particularly in low-risk patients. METHODS We analyzed 237 patients who underwent wedge resection for peripheral early-stage lung cancer in JCOG0804/WJOG4507L, a Phase III, single-arm confirmatory trial. The
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Frozen Elephant Trunk technique using hybrid grafts: 15-years outcomes from a single center experience Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-11-06 Giacomo Murana, Gregorio Gliozzi, Luca Di Marco, Francesco Campanini, Silvia Snaidero, Chiara Nocera, Paola Rucci, Giuseppe Barberio, Alessandro Leone, Luigi Lovato, Davide Pacini
Objective The purpose of the study is to compare the short and long-term outcomes of the Frozen Elephant Trunk (FET) technique based on two different hybrid grafts implanted from January 2007 to July 2022. Methods The study includes patients who underwent an elective or emergency FET procedure. Short-term, long-term mortality and freedom from thoracic endovascular aortic repair (TEVAR) were the primary
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The real-life treatments and surgeons' opinions on aortic valve diseases in non-elderly patients. Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-11-01 Yujiro Yokoyama,Shinichi Fukuhara
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Quality indicators and proactive approach in cardiac surgery before and after cardiopulmonary bypass. Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-11-01 Ignazio Condello
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Editorial comment: medial-basal pulmonary segment right lower lobe-is it unique? Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-11-01 Shilpa Gandhi
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Then comes the robot. In theaters soon. Eur. J. Cardiothorac. Surg. (IF 3.4) Pub Date : 2023-11-01 Alper Toker,Stuart Campbell