Articles

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

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

Sternal reconstruction after post-sternotomy mediastinitis

Deep sternal wound complications are uncommon after cardiac surgery. They comprise sternal dehiscence, deep sternal wound infections and mediastinitis, which will be treated as varying expressions of a singula...

Authors: Pankaj Kaul

Intimal spindle cell sarcoma masquerading as adult-onset symptomatic pulmonic stenosis: a case report and review of the literature

Pulmonary artery intimal spindle cell sarcomas are rare and carry with them a poor prognosis and high rate of recurrence. In extremely rare cases, this tumor can infiltrate the pulmonic valve and manifest as a...

Authors: Arun Manmadhan, Sunil P. Malhotra, Catherine R. Weinberg, Alex Reyentovich, Larry A. Latson Jr, Puneet Bhatla and Muhamed Saric

Visceral subpleural hematoma of the left diaphragmatic surface following left upper division segmentectomy

Pulmonary visceral subpleural hematoma is rare. We report visceral subpleural hematoma of the left diaphragmatic surface following left upper division segmentectomy. This very rare case was difficult to distin...

Authors: Yasushi Mizukami, Nobuhito Ueda, Hirofumi Adachi and Jun Arikura

Home-based preoperative rehabilitation (prehab) to improve physical function and reduce hospital length of stay for frail patients undergoing coronary artery bypass graft and valve surgery

Evidence suggests that elective cardiac patients are at risk of functional and psychological deterioration in the time preceding surgery. This poses a risk to successful post-operative rehabilitation. This pro...

Authors: Iain Waite, Ranjit Deshpande, Max Baghai, Tania Massey, Olaf Wendler and Sharlene Greenwood

Concomitant aorto-right subclavian artery bypass with off-pump coronary artery bypass grafting: a case report

Atherosclerotic stenosis of the brachiocephalic artery sometimes occurs in patients with coronary artery disease, and can cause stroke during the perioperative period of coronary artery bypass grafting.

Authors: Hirokazu Tazume, Ken Okamoto and Toshihiro Fukui

Right ventricular functional analysis utilizing first pass radionuclide angiography for pre-operative ventricular assist device planning: a multi-modality comparison

Advanced heart failure treated with a left ventricular assist device is associated with a higher risk of right heart failure. Many advanced heart failures patients are treated with an ICD, a relative contraind...

Authors: Ryan Avery, Kevin Day, Clinton Jokerst, Toshinobu Kazui, Elizabeth Krupinski and Zain Khalpey

Impact of prosthesis-patient mismatch after mitral valve replacement in rheumatic population: Does mitral position prosthesis-patient mismatch really exist?

Prosthesis-patient mismatch (PPM) is characterised by the effects of inadequate prosthesis size relative to body surface area (BSA).The purpose of this study was to determine the impact of PPM on late clinical...

Authors: Seung Hyun Lee, Byung Chul Chang, Young-Nam Youn, Hyun Chel Joo, Kyung-Jong Yoo and Sak Lee

Impact of severe left ventricular dysfunction on in-hospital and mid-term outcomes of Chinese patients undergoing first isolated off-pump coronary artery bypass grafting

Few studies focused on evaluating the impacts of preoperative severe left ventricular dysfunction on clinical outcomes of patients undergoing off-pump coronary artery bypass grafting surgery (OPCAB). This sing...

Authors: Qiang Ji, Li Min Xia, Yun Qing Shi, Run Hua Ma, Jin Qiang Shen, Wen Jun Ding and Chun Sheng Wang