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Journal Thorac Cardiovasc Surg

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Outcomes after Contralateral Anatomic Surgical Resection in Multiple Lung Cancer.

Alex Fourdrain, Patrick Bagan, Olivier Georges, Sophie Lafitte, Florence De Dominicis, Jonathan Meynier, Pascal Berna,

BACKGROUND: Patients treated surgically for lung cancer may present synchronous or metachronous lung cancers. The aim of this study was to evaluate outcomes after a second contralateral anatomic surgical resection for lung cancer. METHODS: We performed a retrospective two-center study, based on a prospective indexed database. Included patients were treated surgically by ... Read more >>

Thorac Cardiovasc Surg (The Thoracic and cardiovascular surgeon)
[2020, :]

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Use of Organs for Heart Transplantation after Rescue Allocation: Comparison of Outcome with Regular Allocated High Urgent Recipients.

Moritz Immohr, Udo Boeken, Arash Mehdiani, Charlotte Boettger, Hug Aubin, Hannan Dalyanoglu, Sophia Erbel, Daniel Scheiber, Ralf Westenfeld, Payam Akhyari, Artur Lichtenberg,

BACKGROUND: The number of patients waiting for heart transplantation (HTx) is exceeding the number of actual transplants. Subsequently, waiting times are increasing. One possible solution may be an increased acceptance of organs after rescue allocation. These organs had been rejected by at least three consecutive transplant centers due to medical reasons. ... Read more >>

Thorac Cardiovasc Surg (The Thoracic and cardiovascular surgeon)
[2020, :]

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German Heart Surgery Report 2019: The Annual Updated Registry of the German Society for Thoracic and Cardiovascular Surgery.

A Beckmann, R Meyer, J Lewandowski, A Markewitz, J Gummert,

Based on a longtime voluntary registry, founded by the German Society for Thoracic and Cardiovascular Surgery (GSTCVS) in 1980, well-defined data of all cardiac, thoracic, and vascular surgery procedures performed in 78 German heart surgery departments during the year 2019 are analyzed. For this period, a total of 175,705 procedures ... Read more >>

Thorac Cardiovasc Surg (The Thoracic and cardiovascular surgeon)
[2020, :]

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Access to Cardiac Surgery Services in Sub-Saharan Africa: Quo Vadis?

Charles Yankah,

Thorac Cardiovasc Surg (The Thoracic and cardiovascular surgeon)
[2020, :]

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T-shaped Transseptal Approach for Mitral Valve Surgery.

Hazem El Beyrouti, Angela Kornberger, Martin Oberhoffer, Christian-Friedrich Vahl,

We present a T-shaped transseptal approach for mitral valve surgery that makes adequate exposure possible under challenging anatomic and surgical circumstances, hence eliminating the need for forceful retraction on potentially fragile tissues. Particularly suited for patients with complex mitral pathology, it also facilitates juxta-annular transseptal right atrial anchoring, especially in ... Read more >>

Thorac Cardiovasc Surg (The Thoracic and cardiovascular surgeon)
[2020, :]

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Methylene Blue versus Coil-Based Computed Tomography-Guided Localization of Lung Nodules.

Ze-Dong Zhang, Hua-Long Wang, Xian-Yan Liu, Feng-Fei Xia, Yu-Fei Fu,

BACKGROUND: Preoperative computed tomography (CT)-guided localization has been shown to significantly improve lung nodule video-assisted thoracoscopic surgery (VATS)-based wedge resection technical success rates. However, at present, there was insufficient research regarding the optimal approaches to localization of these nodules prior to resection. We aimed to compare the relative clinical efficacy of ... Read more >>

Thorac Cardiovasc Surg (The Thoracic and cardiovascular surgeon)
[2020, :]

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Surgical Thoracoabdominal Aortic Aneurysm Repair in a Non-High-Volume Institution.

Takashi Kunihara, Claudia Vukic, Fumihiro Sata, Hans-Jaochim Schäfers,

 Surgical thoracoabdominal aortic aneurysm (TAAA) repair remains challenging. Apart from mortality, spinal cord injury (SCI) is a dreaded complication. We analyzed our experience to identify predictors for SCI in a nonhigh-volume institution.  All patients who underwent TAAA repair between February 1996 and November 2016 (n = 182) were enrolled. Most were male ... Read more >>

Thorac Cardiovasc Surg (The Thoracic and cardiovascular surgeon)
[2020, :]

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Commentary on "Sterilization and Cross-Linking Combined with Ultraviolet Irradiation and Low-Energy Electron Irradiation Procedure: New Perspectives for Bovine Pericardial Implants in Cardiac Surgery".

Neil J Smart, Alexander H Petter-Puchner,

Thorac Cardiovasc Surg (The Thoracic and cardiovascular surgeon)
[2020, :]

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Video-Assisted Thoracic Surgery in Early Stage of Pediatric Pleural Empyema Improves Outcome.

Zenon Pogorelić, Dora Bjelanović, Ružica Gudelj, Miro Jukić, Jasna Petrić, Dubravko Furlan,

 The aim of this study was to observe outcomes of early decortication in a treatment of pleural empyema using video-assisted thoracoscopic surgery (VATS).  The case records of 21 pediatric patients who underwent VATS for empyema between 2009 and 2019 were retrospectively reviewed. Patients were observed based on demographic, laboratory, and ... Read more >>

Thorac Cardiovasc Surg (The Thoracic and cardiovascular surgeon)
[2020, :]

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Use of Extracorporeal Membrane Oxygenation for Major Cardiopulmonary Resections.

Aris Koryllos, Alberto Lopez-Pastorini, Thomas Galetin, Jerome Defosse, Stephan Strassmann, Christian Karagiannidis, Erich Stoelben,

 In thoracic surgery, utilization of extracorporeal membrane oxygenation (ECMO) is mainly established for patients undergoing lung transplantation. The aim of our study was to summarize our single-center experience with intraoperative use of veno-venous- or veno-arterial-ECMO in patients undergoing complex lung surgery involving the main carina, or the left atrium or ... Read more >>

Thorac Cardiovasc Surg (The Thoracic and cardiovascular surgeon)
[2020, :]

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Combined Use of CytoSorb and ECMO in Patients with Severe Pneumogenic Sepsis.

Ali Akil, Stephan Ziegeler, Jan Reichelt, Stephanie Rehers, Omer Abdalla, Michael Semik, Stefan Fischer,

 High morbidity and mortality are frequently reported in intensive care patients suffering from severe sepsis with systemic inflammation. With the development of severe respiratory failure, extracorporeal membrane oxygenation (ECMO) is often required. In this study, cytokine adsorption therapy in combination with ECMO is applied in patients with acute respiratory distress ... Read more >>

Thorac Cardiovasc Surg (The Thoracic and cardiovascular surgeon)
[2020, :]

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Alternative Access Transcatheter Aortic Valve Replacement in Nonagenarians versus Younger Patients.

Nicole Lin, Marcos A Nores, Taylor M James, Mark Rothenberg, Sotiris C Stamou,

 Numerous studies have documented the safety of alternatives access (AA) transcatheter aortic valve replacement (TAVR) for patients who are not candidates for transfemoral or surgical approach. There is a scarcity of studies relating use of AA TAVR in nonagenarian patients, a high-risk, frail group. Our study sought to investigate the ... Read more >>

Thorac Cardiovasc Surg (The Thoracic and cardiovascular surgeon)
[2020, :]

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Blue Lena - An Epitaph.

Markus K Heinemann,

Thorac Cardiovasc Surg (The Thoracic and cardiovascular surgeon)
[2020, 68(3):199]

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Perioperative Beta-Blocker for Atrial Fibrillation after Cardiac Surgery: A Meta-Analysis.

Sue Hyun Kim, Myoung-Jin Jang, Ho Young Hwang,

 This meta-analysis was conducted to evaluate the impact of perioperative use of beta-blocker (BB) on postoperative atrial fibrillation (POAF) after cardiac surgery other than isolated coronary artery bypass grafting (CABG).  Five online databases were searched. Studies were included if they (1) enrolled patients who underwent cardiac surgery other than isolated ... Read more >>

Thorac Cardiovasc Surg (The Thoracic and cardiovascular surgeon)
[2020, :]

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Serratus Anterior Plane Block and Intercostal Nerve Block after Thoracoscopic Surgery.

Saeyoung Kim, Chae-Min Bae, Young Woo Do, Suyoung Moon, Seung Ik Baek, Deok Heon Lee,

BACKGROUND: This study aimed to compare the postoperative analgesic effect between ultrasound-guided serratus anterior plane block (Group S, SAPB) and intercostal nerve block (Group I, ICNB) after single port video-assisted thoracoscopic surgery (S-VATS) in primary spontaneous pneumothorax. METHODS: In this prospective randomized controlled study, 54 patients were randomly assigned to two groups. ... Read more >>

Thorac Cardiovasc Surg (The Thoracic and cardiovascular surgeon)
[2020, :]

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Pneumothorax and Pregnancy: A Systematic Review of the Current Literature and Proposal of Treatment Recommendations.

Apostolos C Agrafiotis, Jalal Assouad, Inès Lardinois, Georges A Markou,

INTRODUCTION: Spontaneous pneumothorax occurs rarely during pregnancy with less than 100 cases reported in the English literature. There is no strong evidence concerning the treatment of spontaneous pneumothorax during pregnancy and labor. The aim of this study is to systematically review all the reported cases and to suggest recommendations for its ... Read more >>

Thorac Cardiovasc Surg (The Thoracic and cardiovascular surgeon)
[2020, :]

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Risk and Consequences of Postoperative Delirium in Cardiac Surgery.

Yukiharu Sugimura, Nihat Firat Sipahi, Arash Mehdiani, Georgi Petrov, Mareike Awe, Jan Philipp Minol, Udo Boeken, Bernhard Korbmacher, Artur Lichtenberg, Hannan Dalyanoglu,

BACKGROUND: Delirium is a common complication after cardiac surgery that leads to increased costs and worse outcomes. This retrospective study evaluated the potential risk factors and postoperative impact of delirium on cardiac surgery patients. METHODS: One thousand two hundred six patients who underwent open-heart surgery within a single year were included. Uni- ... Read more >>

Thorac Cardiovasc Surg (The Thoracic and cardiovascular surgeon)
[2020, :]

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Establishing the Safety of Training in Off-Pump Coronary Artery Bypass Surgery: A Retrospective Comparison of Outcomes between Trainees and a Consultant Surgeon.

Soumik Pal, Philip Hartley, Yousuf Salmasi, George Asimakopoulos,

BACKGROUND: The safety of training in off-pump coronary artery bypass (OPCAB) surgery and the stage at which trainees should be exposed to this technique remain controversial. This single-center retrospective study aimed to compare outcomes of OPCAB surgery in consultant and trainee cases. METHODS: Between 2014 and 2018, all isolated OPCAB operations performed ... Read more >>

Thorac Cardiovasc Surg (The Thoracic and cardiovascular surgeon)
[2020, :]

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20/20 Vision.

Markus K Heinemann,

Thorac Cardiovasc Surg (The Thoracic and cardiovascular surgeon)
[2020, 68(2):95]

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Preoperative Computed Tomography-Guided Localization for Pulmonary Nodules with Glue and Dye.

Tian Jiang, Miao Lin, Mengnan Zhao, Cheng Zhan, Ming Li, Mingxiang Feng, Qun Wang,

BACKGROUND: This study was aimed to describe a new localization technique developed using medical glue and methylene blue dye, and characterized the localization results and postoperative outcome to evaluate its safety and usefulness. METHODS: This retrospective study was conducted at our center from January 2016 to April 2018. Totally 346 consecutive patients ... Read more >>

Thorac Cardiovasc Surg (The Thoracic and cardiovascular surgeon)
[2020, :]

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TAVI in Patients with Mitral Annular Calcification and/or Mitral Stenosis.

Andreas Schaefer, Harun Sarwari, Niklas Schofer, Yvonne Schneeberger, Dirk Westermann, Gerhard Schoen, Stefan Blankenberg, Hermann Reichenspurner, Ulrich Schäfer, Lenard Conradi,

BACKGROUND: We herein aimed for analysis of influence of mitral annular calcification (MAC) and mitral stenosis (MS) on outcomes in transcatheter aortic valve implantation (TAVI). METHODS: Between 11/2009 and 06/2017, 1,058 patients underwent TAVI in the presence of concomitant MAC or MS at our center. Subgroups were built and multivariate logistic regression, ... Read more >>

Thorac Cardiovasc Surg (The Thoracic and cardiovascular surgeon)
[2020, :]

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Rapid Response in Type A Aortic Dissection: Is There a Decisive Time Interval for Surgical Repair?

Simone Gasser, Lukas Stastny, Markus Kofler, Christoph Krapf, Nikolaos Bonaros, Michael Grimm, Julia Dumfarth,

BACKGROUND AND AIM OF THE STUDY: The objective was to evaluate whether there is a decisive time interval for patients to undergo surgery and to analyze if a rapid response in acute aortic dissection type A (AADA) affects patient selection. METHODS: In 283 patients undergoing surgery for AADA, median time from onset ... Read more >>

Thorac Cardiovasc Surg (The Thoracic and cardiovascular surgeon)
[2020, :]

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Management of Nonmalignant Tracheo- and Bronchoesophageal Fistula after Esophagectomy.

Daniel Palmes, Linus Kebschull, Ralf Bahde, Norbert Senninger, Andreas Pascher, Mike G Laukötter, Ann-Kathrin Eichelmann,

BACKGROUND: Tracheo- or bronchoesophageal fistula (TBF) occurring after esophagectomy represent a rare but devastating complication. Management remains challenging and controversial. Therefore, the purpose of this study was to evaluate the outcome of different treatment approaches and to propose recommendations for the management of TBF. METHODS: From 2008 to 2018, 15 patients were ... Read more >>

Thorac Cardiovasc Surg (The Thoracic and cardiovascular surgeon)
[2020, :]

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National Survey on Training in Pediatric Cardiology by the "Junges Forum" of the DGPK.

Jan-Pit Horst, Miriam Michel, Rouven Kubicki, Nora Lang, Martin Zschirnt, Julia Moosmann,

BACKGROUND: This is the first national survey of residents and fellows in pediatric cardiology in Germany evaluating training, research activity, and the general working environment. METHODS: An online questionnaire including 62 questions (SurveyMonkey) was developed by the "Junges Forum" of the German Society of Pediatric Cardiology. Fellows and residents during training and ... Read more >>

Thorac Cardiovasc Surg (The Thoracic and cardiovascular surgeon)
[2020, 68(S 03):e1-e8]

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National Surgical, Obstetric, and Anesthesia Plans: Bridging the Cardiac Surgery Gap.

Dominique Vervoort,

Six billion people worldwide lack access to safe, timely, and affordable cardiac surgical care when needed, despite cardiovascular diseases remaining the world's leading cause of mortality. The large surgical backlog of rheumatic heart disease, stable and high incidence of congenital heart disease, and growing burden of ischemic heart disease around ... Read more >>

Thorac Cardiovasc Surg (The Thoracic and cardiovascular surgeon)
[2020, :]

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