Articles

Modification in aortic arch replacement surgery

We modified the conventional aortic arch replacement procedure to avoid circulation arrest and a prolonged extracorporeal circulation time, especially in cases of acute aortic dissection. We herein present our...

Authors: Feng Gao, Yongjie Ye, Yongheng Zhang and Bo Yang

Ground-glass opacity heralding invasive lung adenocarcinoma with prodromal dermatomyositis: a case report

Dermatomyositis, an inflammatory myopathy with cutaneous involvement, is associated with malignancy and often manifests paraneoplastically. While co-occurrence with small cell carcinoma is well attested, prima...

Authors: Andrew J. Beel, David S. Demos, Alfred Chung, Charles Liao and Natalie S. Lui

Vena cava anomalies in thoracic surgery

Vena cava anomalies are a rare group of anatomical variations due to an incorrect development of the superior or inferior vena cava during fetal life. They generally show no clinical relevance and the diagnosi...

Authors: Andreina Pagini, Massimiliano Bassi, Daniele Diso, Michele Anzidei, Sara Mantovani, Camilla Poggi, Federico Venuta and Marco Anile

Patients want more information after surgery: a prospective audit of satisfaction with perioperative information in lung cancer surgery

Receiving information about their disease and treatment is very important to patients with cancer. There is an association between feeling appropriately informed and better quality of life. This audit aimed to...

Authors: Nicola Oswald, John Hardman, Amy Kerr, Ehab Bishay, Richard Steyn, Pala Rajesh, Maninder Kalkat and Babu Naidu

Modified double patch repair with infarct exclusion technique for ventricular septal perforation: a case study

Ventricular septal perforation (VSP) after acute myocardial infarction (AMI) is accompanied by the worsening of rapid hemodynamics, resulting in a poor prognosis. In our department, infarct lesions are preoper...

Authors: Takuma Yamasaki, Shuhei Fujita, Yuji Kaku, Junko Katagiri and Takeshi Hiramatsu

Supraclavicular Subclavian access for Sapien Transcatheter aortic valve replacement- a novel approach

Within the trans-subclavian approach, procedural techniques can vary widely, and reported access generally refers to an infraclavicular axillary approach. We describe and report the use of a novel supraclavicu...

Authors: Thom G. Dahle, Nathaniel J. Castro, Brian M. Stegman, Jacob R. Dutcher, John M. Teskey, Wade T. Schmidt, Daren S. Danielson, Sara J. Dezell, Virginia B. Daniels and Daniel J. Tiede

Case report of an unusual combination of purulent pericarditis and false aneurysm of the ascending aorta

Purulent pericarditis is an uncommon entity, which is, in very rare cases, associated to infection of the aorta.

Authors: David Meier, Matthias Kirsch, Salah Dine Qanadli, Olivier Muller, Daniel Fishman and Catalina Trana

Surgical strategies protecting against right ventricular dilatation following tetralogy of Fallot repair

Right ventricular (RV) volume overload increases morbidity and mortality after tetralogy of Fallot (TOF) repair. Surgical strategies like pulmonary leaflets sparing and tricuspid valve repair at time of primar...

Authors: Amr A. Arafat, Elatafy E. Elatafy, Sahar Elshedoudy, Mahmoud Zalat, Neamet Abdallah and Ahmed Elmahrouk

Salvage thoracic surgery in patients with lung cancer: potential indications and benefits

To investigate the feasibility and efficacy of salvage lung resection and describe the possible indications and contraindications in patients with primary lung cancer.

Authors: Erkan Kaba, Mehmet Oguzhan Ozyurtkan, Kemal Ayalp, Tugba Cosgun, Mazen Rasmi Alomari and Alper Toker

Correlation of structural defects in the ascending aortic wall to ultrasound parameters: benefits for decision-making process in aortic valve surgery

Histopathological changes in the ascending aorta wall in patients with severe tricuspid aortic valve (TAV) stenosis were graded and correlated to echocardiographic parameters. Objective was to associate thresh...

Authors: Saša D. Borović, Milica M. Labudović Borović, Ivan V. Zaletel, Vera N. Todorović, Petar A. Dabić, Jelena T. Rakočević, Jelena M. Marinković-Erić and Predrag S. Milojević

Clinical outcomes of a combined transcatheter and minimally invasive atrial septal defect repair program using a 'Heart Team' approach

Contemporary transcatheter and minimally invasive approaches allow for improved cosmesis and eliminate sternotomy; however, access to a ‘Heart Team’ approach to minimally invasive atrial septal defect (ASD) re...

Authors: Shahrukh N. Bakar, Daniel J. P. Burns, Pantelis Diamantouros, Kumar Sridhar, Bob Kiaii and Michael W. A. Chu

Effect of glycaemic control on complications following cardiac surgery: literature review

No uniform consensus in the UK or Europe exists, for glycaemic management of patients with Diabetes or pre-diabetes undergoing cardiac surgery.

Authors: M. Navaratnarajah, R. Rea, R. Evans, F. Gibson, C. Antoniades, A. Keiralla, M. Demosthenous, G. Kassimis and G. Krasopoulos

Identification of preoperative prediction factors of tumor subtypes for patients with solitary ground-glass opacity pulmonary nodules

Recent wide spread use of low-dose helical computed tomography for the screening of lung cancer have led to an increase in the detection rate of very faint and smaller lesions known as ground-glass opacity nod...

Authors: Meishuang Li, Yanan Wang, Yulong Chen and Zhenfa Zhang

Pulmonary valve replacement after right ventricular outflow tract reconstruction with homograft vs Contegra®: a case control comparison of mortality and morbidity

Repair of congenital heart defects involving the right ventricular outflow tract may require the implantation of a right ventricle to pulmonary artery conduit. This conduit is likely to be replaced during chil...

Authors: Nicolas Poinot, Jean-Francois Fils, Hélène Demanet, Hugues Dessy, Dominique Biarent and Pierre Wauthy

Risk factors and treatment of pneumothorax secondary to granulomatosis with polyangiitis: a clinical analysis of 25 cases

To investigate the risk factors and treatment strategies for pneumothorax secondary to granulomatosis with polyangiitis (GPA).

Authors: Xuhua Shi, Yongfeng Zhang and Yuewu Lu

Reoperation for a giant arch anastomotic pseudoaneurysm eleven years after total arch replacement with island reconstruction

The long-term effects of some surgical treatment procedures of arch replacement for aortic dissection or aortic aneurysm are unknown.

Authors: Ryohei Matsuura, Yasushi Tsutsumi, Osamu Monta, Hisazumi Uenaka, Kenji Tanaka, Takaaki Samura and Hirokazu Ohashi

Near-infrared dye marking for thoracoscopic resection of small-sized pulmonary nodules: comparison of percutaneous and bronchoscopic injection techniques

Minimally invasive video-assisted thoracoscopic surgery for small-sized pulmonary nodules is challenging, and image-guided preoperative localisation is required. Near-infrared indocyanine green fluorescence is...

Authors: Takashi Anayama, Kentaro Hirohashi, Ryohei Miyazaki, Hironobu Okada, Nobutaka Kawamoto, Marino Yamamoto, Takayuki Sato and Kazumasa Orihashi

Chest-wall reconstruction with a customized titanium-alloy prosthesis fabricated by 3D printing and rapid prototyping

As 3D printing technology emerge, there is increasing demand for a more customizable implant in the repair of chest-wall bony defects. This article aims to present a custom design and fabrication method for re...

Authors: Xiaopeng Wen, Shan Gao, Jinteng Feng, Shuo Li, Rui Gao and Guangjian Zhang

Dalbavancin treatment in a deep sternal wound MRSA infection after coronary artery bypass surgery: a case report

A deep sternal wound infection (DSWI) can become a severe complication after cardiac surgery, with in-hospital mortality rates reaching up to 35%. Staphylococci, particularly methicillin resistant Staphylococcus ...

Authors: Aneta GUZEK, Grzegorz SUWALSKI, Dariusz TOMASZEWSKI and Zbigniew RYBICKI

Total arterial revascularization in patients with acute myocardial infarction – feasibility and outcomes

In acute situations such as acute myocardial infarction (AMI) with indication for coronary artery bypass grafting (CABG), total arterial revascularization (TAR) is often rejected in favour of saphenous vein (S...

Authors: Philippe Grieshaber, Lukas Oster, Tobias Schneider, Victoria Johnson, Coskun Orhan, Peter Roth, Bernd Niemann and Andreas Böning

Which factor is the most effective one in metabolic Sydrome on the outcomes after coronary artery bypass graft surgery? A cohort study of 5 Years

Metabolic Syndrome and diabetes mellitus are risk factors for cardiovascular disease. However, the effects of Metabolic Syndrome with or without diabetes on perioperative and long-term morbidity and mortality ...

Authors: Lijuan Wang, Xiangyang Qian, Mingya Wang, Xinran Tang and Hushan Ao

Should high risk patients with concomitant severe aortic stenosis and mitral valve disease undergo double valve surgery in the TAVR era?

Significant mitral regurgitation in patients undergoing transcatheter aortic valve replacement (TAVR) is associated with increased mortality. The aim of this study is to determine if surgical correction of bot...

Authors: Pey-Jen Yu, Allan Mattia, Hugh A. Cassiere, Rick Esposito, Frank Manetta, Nina Kohn and Alan R. Hartman

Abnormal elevation of myocardial necrosis biomarkers after coronary artery bypass grafting without established myocardial infarction assessed by cardiac magnetic resonance

The diagnosis of peri-procedural myocardial infarction is complex, especially after the emergence of high-sensitivity markers of myocardial necrosis.

Authors: Fernando Teiichi Costa Oikawa, Whady Hueb, Cesar Higa Nomura, Alexandre Ciappina Hueb, Alexandre Volney Villa, Leandro Menezes Alves da Costa, Rodrigo Morel Vieira de Melo, Paulo Cury Rezende, Carlos Alexandre Wainrober Segre, Cibele Larrosa Garzillo, Eduardo Gomes Lima, Jose Antonio Franchini Ramires and Roberto Kalil Filho

Quantifying the learning curve for pulmonary thromboendarterectomy

Pulmonary thromboendarterectomy (PTE) is an effective treatment for chronic thromboembolic pulmonary hypertension (CTEPH), but is a technically challenging operation for cardiothoracic surgeons. Starting a new...

Authors: Smita Sihag, Bao Le, Alison S. Witkin, Josanna M. Rodriguez-Lopez, Mauricio A. Villavicencio, Gus J. Vlahakes, Richard N. Channick and Cameron D. Wright

The correlation between the coaptation height of mitral valve and mitral regurgitation after mitral valve repair

To investigate the association between the coaptation height of mitral valve and mitral regurgitation after mitral valve repair.

Authors: Dan Wei, Jie Han, Haibo Zhang, Yan Li, Chunlei Xu and Xu Meng

The role of epithelial-mesenchymal transition in the post-lung transplantation bronchiolitis obliterans

Many patients who receive lung transplantation (LT) operations develop varying degrees of bronchiolitis obliterans (BO) after the surgeries. Epithelial-mesenchymal transition (EMT) is considered to be related ...

Authors: Chong Zhang, Yuequn Niu, Li Yu, Wang Lv, Haichao Xu, Abudumailamu Abuduwufuer, Jinlin Cao and Jian Hu

Refractory ventricular fibrillations after surgical repair of atrial septal defects in a patient with CACNA1C gene mutation - case report

Congenital long QT syndrome (LQTS) can cause ventricular arrhythmic events with syncope and sudden death resulting from malignant torsades de pointes (TdP) followed by ventricular fibrillations (VFs). However,...

Authors: Ai Kojima, Fumiaki Shikata, Toru Okamura, Takashi Higaki, Seiko Ohno, Minoru Horie, Shunji Uchita, Yujiro Kawanishi, Kenji Namiguchi, Takumi Yasugi and Hironori Izutani

Case report: osteogenesis imperfecta, internal mammary artery graft & nitinol clips

Osteogenesis imperfecta is a genetic disorder of connective tissue causing mostly left-sided heart valves and aortic root pathologies, but a coronary artery involvement reflecting an increased sensitivity to c...

Authors: Ludovic Melly, Anne-Sophie Dincq, Claude Hanet and Benoît Rondelet

Postcardiotomy VA-ECMO for refractory cardiogenic shock

Postcardiotomy cardiogenic shock (PCCS) is a rare but catastrophic syndrome that can occur following separation from cardiopulmonary bypass or at any time during the immediate postoperative course. The managem...

Authors: Michael Charlesworth, Rajamiyer Venkateswaran, Julian M. Barker and Lee Feddy

Myocardial inflammation, injury and infarction during on-pump coronary artery bypass graft surgery

Myocardial inflammation and injury occur during coronary artery bypass graft (CABG) surgery. We aimed to characterise these processes during routine CABG surgery to inform the diagnosis of type 5 myocardial in...

Authors: Shirjel R. Alam, Colin Stirrat, Nick Spath, Vipin Zamvar, Renzo Pessotto, Marc R. Dweck, Colin Moore, Scott Semple, Ahmed El-Medany, Divya Manoharan, Nicholas L. Mills, Anoop Shah, Saeed Mirsadraee, David E. Newby and Peter A. Henriksen

Abstracts of the 27th Congress of the World Society of Cardiovascular and Thoracic Surgeons (WSCTS)

Authors:

Emergency transapical mitral valve-in-valve implantation for bioprosthesis failure: transapical implantation of an Edwards Sapien-XT in a dysfunctional mitral bioprosthesis in a critical patient

Valve-in-Valve (VIV) Transcatheter Aortic Valve Replacement (TAVR) is now the treatment of choice in high-surgical-risk patients with failing aortic bioprosthesis. Although less performed, VIV-Transcatheter Mi...

Authors: Marco Zanobini, Sabrina Manganiello, Giorgia Bonalumi, Raoul Biondi, Marco Russo, Massimo Mapelli, Francesco Alamanni and Matteo Saccocci

Mid-term results of mitral valve repair using flexible bands versus complete rings in patients with degenerative mitral valve disease: a prospective, randomized study

We aimed to compare the outcomes of mitral valve repair with flexible band (FB) versus complete semirigid ring (SR) in degenerative mitral valve disease patients.

Authors: Alexandr V. Bogachev-Prokophiev, Alexandr V. Afanasyev, Sergei I. Zheleznev, Vladimir M. Nazarov, Ravil M. Sharifulin and Alexandr M. Karaskov

Pulmonary inflammatory Myofibroblastic tumor indistinguishable from tuberculosis: a case report in a five-year-old child with hemoptysis

Pulmonary inflammatory myofibroblastic tumor (PIMT) is a rare disease in China and its incidence is much lower than that of tuberculosis. PIMT accounts for only 0.04–1.2% of all lung tumors. PIMT can occurs in...

Authors: Tao Zuo, Jun Fu, Zhengyi Ni and Baojun Chen

Folate receptor-targeted molecular imaging improves identification of malignancy during pulmonary resection: a case report

During minimally invasive pulmonary resection, both limited visualization and tactile feedback can make localization of pulmonary nodules and assessment for synchronous disease challenging. Intraoperative mole...

Authors: Jarrod D. Predina, Andrew Newton, Courtney Connolly and Sunil Singhal

Spontaneous hemothorax caused by ruptured multiple mycotic aortic aneurysms: a case report and literature review

Mycotic aortic aneurysm (MAA) is a rare clinical entity with an incidence of 1-3%, but it is a life-threatening infection of aorta characterized by dilatation of aorta with false lumen. Multiple MAAs have been...

Authors: Po-Sung Li, Chung-Lin Tsai, Sung-Yuan Hu, Tzu-Chieh Lin and Yao-Tien Chang

Robotic sleeve lobectomy with four arms for lung cancer centrally located in the right lower lobe: a case report

Sleeve lobectomy can preserve healthy lung parenchyma in centrally located lung cancer surgery. Video-assisted thoracoscopic surgery (VATS) lobectomy has been shown to have better results for postoperative com...

Authors: Min Seop Jo, Do Yeon Kim, Jin Yong Jeong and Geun Dong Lee

Use of a flowable haemostat versus an oxidised regenerated cellulose agent in primary elective cardiac surgery: economic impact from a UK healthcare perspective

Flowable haemostatic agents have been shown to be superior to non-flowable agents in terms of haemostatic control and need for transfusion products in patients undergoing cardiac surgery. We investigated the e...

Authors: Mayur R. Joshi, Jacqueline Latham and Gabriel Okorogheye

Open stent graft repair with upper-half Sternotomy for blunt thoracic aortic injury: a case report

Thoracic endovascular aortic repair is now widely applied to the treatment of blunt aortic injury. However, its long-term outcomes remain unclear. Endoleakage and migration might occur in the long term, especi...

Authors: Toshinori Komatsu, Tamaki Takano, Hiromu Kehara, Megumi Fuke, Takamitsu Terasaki and Masayuki Sakaguchi

Primary tracheal schwannoma a review of a rare entity: current understanding of management and followup

Neurogenic tumors of the tracheobronchial tree are extremely rare and include neurofibroma and schwannoma. We report a case of primary recurrent tracheal schwannoma causing obstructive airway symptoms.

Authors: Shadi Hamouri and Nathan M. Novotny

Four successful pregnancies in a patient with Fontan palliation and congenital heart disease: a case report

Fontan is a palliative procedure in patients with single ventricle. Single ventricle supports systemic cardiac output and pulmonary blood flow is passively directed to the right pulmonary artery. Women with Fo...

Authors: Khalid S. Al Najashi, Syed Mehdi, Shazia Mohsin, Merna Atiyah, Hafez A. Abdullah, Jassim Abdulhameed and Ahmed M. Al Zahrani

Primary and metastatic cardiac tumors: echocardiographic diagnosis, treatment and prognosis in a 15-years single center study

The frequency of primary cardiac tumors is rare at about 0.3% by autopsy. Our objective was to investigate the characteristics and locations of cardiac tumors and to provide a prognostic analysis in our hospital.

Authors: Natsumi Nomoto, Tomoko Tani, Toshiko Konda, Kitae Kim, Takeshi Kitai, Mitsuhiko Ota, Shuichiro Kaji, Yukihiro Imai, Yukikatsu Okada and Yutaka Furukawa

Prognostic significance of preoperative plasma D-dimer level in patients with surgically resected clinical stage I non-small cell lung cancer: a retrospective cohort study

Plasma D-dimer level, a marker of hypercoagulation, has been reported to be associated with survival in several types of cancers. The present study aimed to evaluate the prognostic significance of preoperative...

Authors: Kaoru Kaseda, Keisuke Asakura, Akio Kazama and Yukihiko Ozawa

Development and in vivo validation of tissue-engineered, small-diameter vascular grafts from decellularized aortae of fetal pigs and canine vascular endothelial cells

Tissue engineering has emerged as a promising alternative for small-diameter vascular grafts. The aim of this study was to determine the feasibility of using decellularized aortae of fetal pigs (DAFPs) to cons...

Authors: Xu Ma, Zhijuan He, Ling Li, Guofeng Liu, Qingchun Li, Daping Yang, Yingbo Zhang and Ning Li

Double lung, unlike single lung transplantation might provide a protective effect on mortality and bronchiolitis obliterans syndrome

Survival after lung transplantation (LTx) is often limited by bronchiolitis obliterans syndrome (BOS).

Authors: Mohammed Fakhro, Ellen Broberg, Lars Algotsson, Lennart Hansson, Bansi Koul, Ronny Gustafsson, Per Wierup, Richard Ingemansson and Sandra Lindstedt

The wearable cardioverter defibrillator as a bridge to reimplantation in patients with ICD or CRT-D-related infections

The approach to treat device infection in patients with implantable cardioverter defibrillator (ICD) or cardiac resynchronization therapy defibrillator (CRT-D) is a challenging procedure. Optimal treatment is ...

Authors: L. Castro, S. Pecha, M. Linder, J. Vogler, N. Gosau, C. Meyer, S. Willems, H. Reichenspurner and S. Hakmi

Surgical resection of advanced non-small cell lung cancer after a response to EGFR-TKI: presentation of two cases and a literature review

The usefulness of residual tumor resection after epidermal growth factor receptor tyrosine kinase inhibitor (EGFR-TKI) treatment remains unclear. We describe two patients who underwent residual tumor resection...

Authors: Yoko Yamamoto, Ken Kodama, Tomohiro Maniwa and Masashi Takeda

Impact of connective tissue disease on the surgical outcomes of aortic dissection in patients with cystic medial necrosis

A retrospective analysis was performed to determine the impact of genetically diagnosed connective tissue disease (CTD) on the early and late outcomes of surgical treatment for aortic dissection in patients ha...

Authors: Toshiki Fujiyoshi, Kenji Minatoya, Yoshihiko Ikeda, Hatsue Ishibashi-Ueda, Takayuki Morisaki, Hiroko Morisaki and Hitoshi Ogino

Acceleration sensors in abdominal wall position as a non-invasive approach to detect early breathing alterations induced by intolerance of increased airway resistance

Early detection of respiratory overload is crucial to mechanically ventilated patients, especially during phases of spontaneous breathing. Although a diversity of methods and indices has been established, ther...

Authors: Thomas Breuer, Christian S. Bruells, Rolf Rossaint, Henning Steffen, Catherine Disselhorst-Klug, Michael Czaplik and Norbert Zoremba

Epicardial left ventricular leads via minimally invasive technique: a role of steroid eluting leads

We retrospectively assessed two types of sutureless screw-in left ventricular (LV) leads (steroid eluting vs. non-steroid eluting) in cardiac resynchronization therapy (CRT) implantation with regards to their ...

Authors: Etem Caliskan, Florian Fischer, Felix Schoenrath, Maximilian Y. Emmert, Francesco Maisano, Volkmar Falk, Christoph T. Starck and Tomas Holubec