Articles

Video-Assisted Thoracoscopic Surgery vs Thoracotomy for Non-Small Cell Lung Cancer Greater Than 5 cm: Is VATS a feasible approach for large tumors?

VATS lobectomy is a recommended surgical approach for patients with early-stage lung cancer. However, it is still controversial in locally advance disease. This study was conducted to compare intraoperative an...

Authors: Güntuğ Batihan, Kenan Can Ceylan, Ozan Usluer and Şeyda Örs Kaya

Clinical performance of decellularized heart valves versus standard tissue conduits: a systematic review and meta-analysis

Valve replacement surgery is the definitive management strategy for patients with severe valvular disease. However, valvular conduits currently in clinical use are associated with significant limitations. Tiss...

Authors: Steve W. F. R. Waqanivavalagi, Sameer Bhat, Marcus B. Ground, Paget F. Milsom and Jillian Cornish

The functional limits of the aneurysmal aortic root. A unique pressure testing apparatus

The aortic root has unique embryological development and is a highly sophisticated and complex structure. In studies that report on the biomechanical characteristics of the thoracic aorta, distinction between ...

Authors: Timothy Luke Surman, John Matthew Abrahams, Dermot O’Rourke, Karen Jane Reynolds, James Edwards, Michael George Worthington and John Beltrame

Pacemaker-generated stress fracture of the second rib: a case report

Pocket-related complications following the implantation of cardiovascular implantable electronic devices primarily include pocket hematoma, infection, skin erosion or decubitus, device migration, and Twiddler'...

Authors: Jus Ksela, Mark Racman, Rok Zbacnik, Anze Djordjevic and Matevz Jan

Concomitant surgery for aortic valve and lung cancer patients in an elder

The treatment strategy for aortic valve and lung cancer patients includes concomitant or two-stage procedures. Conventional simultaneous operations are usually performed under the median sternotomy.

Authors: Hongfei Xu, Tingting Tao, Liang Ma, Weidong Li and Yiming Ni

Effect of using the WeChat platform on the perioperative health education of parents of children who underwent transthoracic device closure of VSDs

To explore the effects of using the WeChat platform on the perioperative health education of parents of children who underwent transthoracic device closure of ventricular septal defects (VSDs).

Authors: Qi-Liang Zhang, Ning Xu, Shu-Ting Huang, Qiang Chen and Hua Cao

Echocardiographic guided, transatrial closure of a patent foramen ovale

The management of an incidental patent foramen ovale found during planned cardiac surgery remains a challenge, and current guidelines are not helpful. Although evidence is accumulating, that closure of an inci...

Authors: Felix Fleissner, Paul Frank, Axel Haverich and Issam Ismail

Left upper lung cancer with persistent left superior vena cava and left azygos vein: a case report

With the popularization of thoracoscopic surgery, more and more macrovascular malformations have been reported. Understanding some vascular malformations with relatively fixed anatomical site and their range o...

Authors: Zhongben Tang, Yin Teng, Jian Li, Xiaojun Du, Jiarong Xiao and Gongshun Tang

New acute respiratory management in tracheal rupture caused by chest trauma

We report a case who is a 33-year-old man admitted to our Emergency room for chest trauma caused by the factory’s mechanical arm. Despite the endotracheal tube, the patient’s respiratory state was poor and the...

Authors: Cheng Shen and Lin Ma

Ganglioneurofibroma arising within the extralobar pulmonary sequestration

Neurogenic tumor arising within the pulmonary sequestration (PS) is rare.

Authors: Yuanyuan Liu, Wenbin Wu, Longbo Gong and Miao Zhang

Surgical treatment for secondary aortoesophageal fistula

Aortoesophageal fistula (AEF) is a relatively rare condition that is often life-threatening. Secondary AEF is a complication of previous surgery, which can be more critical and challenging than primary AEF. Th...

Authors: Kayo Sugiyama, Toru Iwahashi, Nobusato Koizumi, Toshiya Nishibe, Toshiki Fujiyoshi and Hitoshi Ogino

The use of the Scar Cosmesis Assessment and rating scale to evaluate the cosmetic outcomes of totally thoracoscopic cardiac surgery

Conventional median sternotomy is widely used in cardiac surgery, while thoracoscopic cardiac surgery, which is considered to have aesthetic advantages, is being performed increasingly more often in China beca...

Authors: Ling-chen Huang, Dao-zhong Chen, Liang-wan Chen, Qi-chen Xu, Zi-he Zheng and Xiao-fu Dai

Perioperative risk factors predict one-year mortality in patients with acute type-A aortic dissection

The goal of this study was to analyze perioperative risk factors to predict one- year mortality after operation for acute type A aortic dissection (AAD).

Authors: Yanwei Yang, Jiayi Xue, Huixian Li, Jiaqi Tong and Mu Jin

Is the flap reinforcement of the bronchial stump really necessary to prevent bronchial fistula?

The development of bronchopleural fistula (BPF) remains the most severe complication of lung resection, especially after pneumonectomy. Studies provide controversial reports regarding the benefits of flap rein...

Authors: Fatmir Caushi, Gentiana Qirjako, Ilir Skenduli, Daniela Xhemalaj, Hasan Hafizi, Silva Bala, Alban Hatibi and Arian Mezini

Primary malignant peripheral nerve sheath tumour of the trachea: a case report and literature review

Malignant peripheral nerve sheath tumours (MPNSTs) of the trachea are extremely uncommon neoplasms with unknown genetic and clinical profiles. Only individual cases have been reported in the literature to date.

Authors: Yan Hu, Siying Ren, Wei Han, Boyou Zhang, Lu Shu, Yi Sun, Fenglei Yu and Wenliang Liu

Comment on “The diagnostic value of D-dimer with simplified Geneva score (SGS) pre-test in the diagnosis of pulmonary embolism (PE)”

Any decision in clinical practice needs to evaluate both reliability (precision) and validity (accuracy) of a diagnostic test. Without knowledge about the reliability, any judgment would be wrong. In diagnosti...

Authors: Siamak Sabour

Detailed mechanism and impact of new-onset late right heart failure during LVAD support

Not applicable.

Authors: Teruhiko Imamura

Safety and efficacy of transaxillary transcatheter aortic valve replacement using a current-generation balloon-expandable valve

Transaxillary access (TAx) has shown promise as an excellent alternative TAVR option, but data on the Edwards SAPIEN 3 in TAx-TAVR is limited. We sought to study the safety and efficacy of TAx-TAVR using this ...

Authors: Yong Zhan, Nicholas Toomey, Jamel Ortoleva, Masashi Kawabori, Andrew Weintraub and Frederick Y. Chen

Meta-analysis of association between CT-based features and tumor spread through air spaces in lung adenocarcinoma

Spread through air space (STAS) is a novel invasive pattern of lung adenocarcinoma and is also a risk factor for recurrence and worse prognosis of lung adenocarcinoma after sublobar resection. The aims of this...

Authors: Qifan Yin, Huien Wang, Hongshang Cui, Wenhao Wang, Guang Yang, Peng Qie, Xuejiao Xun, Shaohui Han and Huining Liu

Primary and secondary aortopathy associated with adult congenital heart disease - retrospective study

Primary and secondary aortopathy are frequently encountered in patients with congenital heart disease. The aim of this study is to present our experience and the incidence of primary and secondary adult CHD-as...

Authors: Ingrid Schusterova, Alžbeta Banovcinova, Marianna Vachalcova, Marta Jakubova and Panagiotis Artemiou

Evaluation of right ventricle pulmonary artery coupling on right ventricular function in post operative tetralogy of Fallot patients underwent for pulmonary valve replacement

To evaluate RV-PA coupling in post operative TOF patients with ventricular dilatation underwent for PVR and investigate the correlation between ventricular functions measuring Ea/Emax ratio using cardio magnet...

Authors: Bhushan Sandeep, Xin Huang, Yuan Li, Xiaowei Wang, Long Mao, Yue Kan, Dan Xiong, Ke Gao and Xiao Zongwei

A novel three-dimensional printed vacuum bell for pectus excavatum treatment: a preliminary study

Conservative treatment with a vacuum bell (VB) for pectus excavatum (PE) has now been gradually popularized as an alternative to surgery. We describe our initial experience with a novel three dimensional (3D) ...

Authors: Xicheng Deng, Peng Huang, Jinwen Luo, Jinghua Wang, Liwen Yi, Guangxian Yang, Siping He, Xun Li and Shiting Xiang

COVID-19: an update and cardiac involvement

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infects host cells through angiotensin converting enzyme 2 receptors, leading to coronavirus disease (COVID-19)-related pneumonia, and also causing ...

Authors: Nizar R. Alwaqfi and Khalid S. Ibrahim

Uniportal versus multiportal video-assisted thoracoscopic anatomical resection for NSCLC: a meta-analysis

Uniportal video-assisted thoracoscopic surgery (U-VATS) has recently emerged as an alternative procedure for non-small cell lung cancer (NSCLC); however, whether U-VATS has advantages over multiportal VATS (M-...

Authors: Yueren Yan, Qingyuan Huang, Han Han, Yang Zhang and Haiquan Chen

Impact of 6% balanced hydroxyethyl starch following cardiopulmonary bypass on renal function: a retrospective study

We aimed to evaluate the effect of limited volume of hydroxyethyl starch (HES) administration on postoperative renal function in patients undergoing cardiac surgery under cardiopulmonary bypass (CPB).

Authors: Ju Yong Lim, Yun Seok Kim and Joon Bum Kim

Different hypothermic and cerebral perfusion strategies in extended arch replacement for acute type a aortic dissection: a retrospective comparative study

The optimal hypothermic level in total arch replacement with stented elephant trunk implantation for acute type A aortic dissection (aTAAD) has not been established, and the superiority of unilateral or bilate...

Authors: Song-Bo Dong, Jian-Xian Xiong, Kai Zhang, Jun Zheng, Shang-Dong Xu, Yong-Min Liu, Li-Zhong Sun and Xu-Dong Pan

An in-vitro evaluation of the flow haemodynamic performance of Gore-Tex extracardiac conduits for univentricular circulation

The Fontan procedure is a common palliative intervention for sufferers of single ventricle congenital heart defects that results in an anastomosis of the venous return to the pulmonary arteries called the tota...

Authors: Shane McHugo, Lars Nolke, Patrick Delassus, Eugene MacCarthy, Liam Morris and Colin Joseph McMahon

Determinants of non-recovery in physical health-related quality of life one year after cardiac surgery: a prospective single Centre observational study

Recent studies show that substantial percentage of patients experienced worsening of health related quality of life (HRQoL) 1 year after cardiac surgery. The aim of this study is to identify risk factors that ...

Authors: Hilda Rijnhart-de Jong, Jo Haenen, Goris Bol Raap, Lilian Jekel, Tessel Vossenberg, Olga Bondarenko and Christiaan Boerma

Longitudinal observation of solitary fibrous tumor translation into malignant pulmonary artery intimal sarcoma

Pulmonary artery intimal sarcoma (PAIS) is a rare malignant tumor that was usually misdiagnosed as chronic pulmonary thromboembolism.

Authors: Rui Luo, Yingshuo Jiang, Yue Huang, Xin Chen and Feng Wang

Congenital intrathoracic accessory spleen is a very rare trick of nature: a case report

Congenital intrathoracic accessory spleen (CIAS) refers to a developmental anomaly resulting in the presence of splenic tissue within the chest. The differential diagnoses for the resulting mass are pulmonary ...

Authors: Mohammed O. Suraju, Nicole Peyton, Brian Mooers, Chris Jensen and Joel Shilyansky

A contemporary approach to a young female patient with Loeys-Dietz syndrome and an uncomplicated type B aortic dissection: a case report

Aortic dissection is a relatively uncommon, but often catastrophic disease that requires early and accurate diagnosis. It often presents in patients with congenital connective tissue disorders. The current aor...

Authors: Petko Prodanov, Hana Linkova, Robert Petr, Richard Fojt, Zuzana Motovska, Jiri Knot, Filip Rohac, Boris Koznar, Mariwan Majid, Petr Widimsky and Petr Kacer

Angioleiomyoma of the pulmonary artery: a case report and literature review

Angioleiomyoma of the pulmonary artery is rare in the literature and few studies have been reported. Here we present a rare case of angioleiomyoma arising from the pulmonary artery in a young patient.

Authors: Yan Hu, Siying Ren, Sichuang Tan, Chen Chen, Xiang Wang, Qingchun Liang, Fenglei Yu and Wenliang Liu

Preoperative identification of clinicopathological prognostic factors for relapse-free survival in clinical N1 non-small cell lung cancer: a retrospective single center-based study

Given the difficulty in preoperatively diagnosing lymph node metastasis, patients with Stage I–III non-small cell lung cancer (NSCLC) are likely to be included in the clinical N1 (cN1) group. However, better t...

Authors: Masato Aragaki, Tatsuya Kato, Aki Fujiwara-Kuroda, Yasuhiro Hida, Kichizo Kaga and Satoru Wakasa

Preservation solutions to improve graft patency: The devil is in the detail

Authors: Etem Caliskan, Catherine J. Pachuk, Louis P. Perrault and Maximilian Y. Emmert

Bilateral-pectoral major muscle advancement flap combined with vacuum-assisted closure therapy for the treatment of deep sternal wound infections after cardiac surgery

The median sternotomy is the most common surgical approach for cardiac surgery. Deep sternal wound infection is a fatal complication after median sternotomy. The aim of this study was to evaluate the therapeut...

Authors: Feng Song and Zhenzhong Liu

Benefits of rapid deployment aortic valve replacement with a mini upper sternotomy

Surgical aortic valve replacement (AVR) is currently deemed the gold standard of care for patients with severe aortic stenosis. Currently, most AVRs are safely performed through a full median sternotomy approa...

Authors: Siobhan Chien, Callum Clark, Saumya Maheshwari, Charilaos-Panagiotis Koutsogiannidis, Vipin Zamvar, Vincenzo Giordano, Kelvin Lim and Renzo Pessotto

Antiphospholipid syndrome with chronic thromboembolic pulmonary hypertension and coronary artery disease: a case report

Antiphospholipid syndrome (APS) is characterized by the production of antiphospholipid antibodies associated with recurrent vascular thrombosis. There have been few reports of combination of chronic thromboemb...

Authors: Kayo Sugiyama, Shun Suzuki, Nobusato Koizumi and Hitoshi Ogino

Sternal reconstruction using locking compression plates (LCP): our experience in Egypt, a case series

Sternal fractures are rare accounting for about 3–8% of traumatic chest. There are many lines of treatments for sternal fractures which can be classified as conservative or surgical. Surgical techniques includ...

Authors: Kareem Ahmed and Mohamed Alaa Nady

Intraoperative intra-aortic balloon pump improves 30-day outcomes of patients undergoing extensive coronary endarterectomy

The efficacy of intra-aortic balloon pump (IABP) has been proven in high-risk patients undergoing coronary artery bypass grafting (CABG). However, data on the timing and benefits of IABP support in diffuse cor...

Authors: Zhen Wu, Changcheng Liu, Ying Fang, Hua Wei and Chengxiong Gu

The impact of closed incision negative pressure therapy on prevention of median sternotomy infection for high risk cases: a single centre retrospective study

Sternal wound infection (SWI) following cardiothoracic surgery is a major complication. It may significantly impact patient recovery, treatment cost and mortality rates. No universal guideline exists on SWI ma...

Authors: Rona Lee Suelo-Calanao, Richard Thomson, Maxine Read, Euan Matheson, Emmanuel Isaac, Mubarak Chaudhry and Mahmoud Loubani

Endovascular treatment with in-vitro fenestration and sac filling technique for ruptured thoracoabdominal aortic aneurysm with Behcet’s disease

We provided an endovascular strategy of treating ruptured aortic aneurysm with Behcet’s Disease.

Authors: Shibo Xia, Chao Song, Lei Zhang, Wenping Hu, Haiyan Li, Yu Shen and Qingsheng Lu

Atrial fibrillation and alteration of heart rate variability after video-assisted pulmonary lobectomy versus thoracotomy pulmonary lobectomy

To compare the incidence of atrial fibrillation (AF) and alteration of heart rate variability (HRV) after pulmonary lobectomy through video assisted thoracic surgery or thoracotomy, and to explore the role of ...

Authors: Gengxu He, Tong Yao, Lei Zhao, Hong Geng, Qiang Ji, Kun Zuo and Yuanzhi Luo

Intra-aortic balloon pump placement in coronary artery bypass grafting patients by day of admission

Intra-Aortic Balloon Pumps (IABPs) can be utilized to provide hemodynamic support in high risk patients awaiting coronary artery bypass grafting (CABG). There are many indications for IABP and institutional pr...

Authors: Gabriel A. del Carmen, Andrea Axtell, David Chang, Serguei Melnitchouk, Thoralf M. Sundt III and Amy G. Fiedler

The role of the axillary Impella 5.0 device on patients with acute cardiogenic shock

Acute cardiogenic shock is associated with high mortality rates. The Impella device is a microaxial left ventricular assist device that can be inserted through the axillary artery. The purpose of our study is ...

Authors: Saeed Tarabichi, Hirohisa Ikegami, Mark J. Russo, Leonard Y. Lee and Anthony Lemaire

Perioperative observations of different bypass modes of a right coronary system based on instantaneous blood flow during the operation

With the ageing of China’s population, the incidence and mortality of coronary atherosclerotic heart disease (CAD) is increasing year by year, which brings a heavy burden to the family and society [1]. We aime...

Authors: Zhou Zhao, Chun Fu, Li-xue Zhang, Guo-dong Zhang and Yu Chen

Network construction of aberrantly expressed miRNAs and their target mRNAs in ventricular myocardium with ischemia–reperfusion arrhythmias

Hypothermic ischemia-reperfusion arrhythmia remains the main factor affecting cardiac resuscitation under cardiopulmonary bypass. Existing research shows that certain miRNAs exhibit significantly different exp...

Authors: Jian Tang, Hong Gao, Yanqiu Liu, Jing Song, Yurong Feng, Guilong Wang and Youqin He

Risk factors for lymph node metastasis and surgical methods in patients with early-stage peripheral lung adenocarcinoma presenting as ground glass opacity

It is difficult to predict lymph node metastasis in patients with early lung cancer. Pure ground glass opacity (GGO) on computed tomography indicates an early-stage adenocarcinoma that can be removed by limite...

Authors: Yongming Wang, Lijun Jing and Gongchao Wang

Prognostic role of neutrophil-to-lymphocyte ratio in aortic disease: a meta-analysis of observational studies

Recent studies have reported that neutrophil-to-lymphocyte ratio (NLR) is associated with cardiovascular disease. The aim of the present study was to investigate the prognostic value of NLR in aortic disease.

Authors: Yan Xu, Haiyang Fang, Zhiqiang Qiu and Xiaoshu Cheng

Efficacy of Glyceryl trinitrate (GTN) to facilitate the rewarming process during cardiopulmonary bypass

Does Glyceryl trinitrate (GTN) administered during rewarming on cardiopulmonary bypass (CPB) impact: time to completion of rewarming prior to separation from CPB circuit, early post-op patient peripheral – cor...

Authors: Darren Mullane, Martin Lenihan, Ciara Hanley, Tom Wall, Irmina Bukowska, Michael Griffin and Georgina Flood

Risk factors analysis of acute kidney injury following open thoracic aortic surgery in the patients with or without acute aortic syndrome: a retrospective study

The acute kidney injury (AKI) remains a frequent complication following open thoracic aortic surgery (OTAS) and worsens the postoperative prognosis. It remains unclear that whether the predictors of AKI follow...

Authors: Xiaochun Ma, Jinzhang Li, Yan Yun, Diming Zhao, Shanghao Chen, Huibo Ma, Zhengjun Wang, Haizhou Zhang, Chengwei Zou and Yuqi Cui