Cardiovascular & Thoracic SurgeryThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

This page shows you the most recent publications within this specialty of the MedWorm directory.

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Bentall Procedure 39 years after Implantation of a Starr-Edwards Aortic Caged- Ball-Valve ProsthesisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of a male patient who received an implantation of a Starr-Edwards-caged-ball-valve-prosthesis in 1967. The surgery and postoperative course were without complications and the patient recovered well after the operation. For the next four decades, the patient remained asymptomatic - no restrictions on his lifestyle and without any complications. In 2006, 39 years after the initial operation, we performed a Bentall-Procedure to treat an aortic ascendens aneurysm with diameters of 6.0 x 6.5 cm: we explanted the old Starr-Edwards-aortic-caged-ball-valve-prosthesis and replaced the ascending aorta with a 29mm St...
Source: Journal of Cardiothoracic Surgery - March 18, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Jan SchmittoPhilipp OrtmannAron PopovKasim CoskunHanna SchotolaMartin FriedrichChristoph WieseChristian SohnsSuyog MokashiVassilios DidilisFriedrich Schoendube Source Type: journals

Repair of Aorto-Left Ventricular Tunnel Arising from the Left Sinus of ValsalvaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Aortico-left ventricular tunnel (ALVT) is a rare congenital cardiac defect that bypasses the aortic valve via a para-valvular connection from the left ventricle to the aorta. In most cases, the tunnel arises from the right aortic sinus. In this case report, we are presenting a case of ALVT, of which the aortic orifice arose from the left aortic sinus, requiring special attention to avoid the left coronary artery injury at the time of surgical repair. (J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - March 18, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Mohammad Hassan Nezafati, Mahmood Hosseinzadeh Maleki, Mohammad Abbasi, Hadi Javan, Nahid Zirak Source Type: journals

Spontaneous chylous cardiac tamponade: a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Chylous pericardial effusion and subsequent tamponade is a rare entity. Endoscopic surgery is offering a safe and effective treatment. (Source: Journal of Cardiothoracic Surgery)
Source: Journal of Cardiothoracic Surgery - March 17, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Nikolaos BarbetakisChristos AsteriouDimitrios KonstantinouDimitrios GiannoglouChristodoulos TsilikasGeorgios Giannoglou Source Type: journals

Percutaneous valvuloplasty for mitral valve restenosis: Postballoon valvotomy patients fare better than postsurgical closed valvotomy patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: In conclusion, following BMV for mitral restenosis, patients with PRIOR BMV are found to have lesser event rates on follow-up compared to patients with PRIOR CMV, though procedural success rates are similar. © 2010 Wiley-Liss, Inc. (Source: Catheterization and Cardiovascular Interventions)
Source: Catheterization and Cardiovascular Interventions - March 16, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Krishnakumar Nair, Harikrishnan Sivadasanpillai, P. Sivasubramonium, Padmakumar Ramachandran, Jaganmohan A. Tharakan, Thomas Titus, V.K. Ajit Kumar, Sivasankaran Sivasubramonian, K. Mahadevan Krishnamoorthy, Santosh Dora Source Type: journals

The American "College" of CardiologyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American College of Cardiology: Cardiovascular Interventions)
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Authors: King, S. B. Tags: Editor's Page Source Type: journals

Intravascular Ultrasound for Assessment of Coronary Drug-Eluting Stent Deployment: An Evolving Field in Need of New CriteriaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American College of Cardiology: Cardiovascular Interventions)
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Eshtehardi, P., Samady, H. Tags: Letter to the Editor Source Type: journals

Massive Left Pulmonary Artery Pseudoaneurysm in a Young ChildEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American College of Cardiology: Cardiovascular Interventions)
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Ramakrishnan, S., Kothari, S. S., Sharma, S. Tags: Images in Intervention Source Type: journals

A Vanishing LesionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American College of Cardiology: Cardiovascular Interventions)
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Chen, J. P., Srivastava, S. Tags: Images in Intervention Source Type: journals

Adjunctive Transcutaneous Ultrasound With Thrombolysis: Results of the PLUS (Perfusion by ThromboLytic and UltraSound) TrialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Thrombolysis plus TUS failed to improve 60-min TIMI flow grade or ST-segment resolution versus thrombolysis alone. (Source: Journal of the American College of Cardiology: Cardiovascular Interventions)
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Hudson, M., Greenbaum, A., Brenton, L., Gibson, C. M., Siegel, R., Reeves, L. R., Sala, M. F., McKendall, G., Bluguermann, J., Echt, D., Ohman, E. M., Weaver, W. D. Tags: Clinical Research Source Type: journals

Prior Coronary Artery Bypass Graft Patients With ST-Segment Elevation Myocardial Infarction Treated With Primary Percutaneous Coronary InterventionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Prior CABG patients with STEMI are less likely to undergo acute reperfusion, have worse angiographic outcomes following primary PCI, and higher 90-day mortality. These findings are especially applicable when the IRA was a bypass graft. (Source: Journal of the American College of Cardiology: Cardiovascular Interventions)
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Welsh, R. C., Granger, C. B., Westerhout, C. M., Blankenship, J. C., Holmes, D. R., O'Neill, W. W., Hamm, C. W., Van de Werf, F., Armstrong, P. W., on behalf of APEX AMI Investigators Tags: Clinical Research Source Type: journals

High-Dose Atorvastatin in Acute Coronary and Cerebrovascular SyndromesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American College of Cardiology: Cardiovascular Interventions)
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Lavie, C. J., Milani, R. V. Tags: Editorial Comment Source Type: journals

Efficacy of High-Dose Atorvastatin Loading Before Primary Percutaneous Coronary Intervention in ST-Segment Elevation Myocardial Infarction: The STATIN STEMI TrialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions High-dose atorvastatin pre-treatment before PCI did not show a significant reduction of MACEs compared with low-dose atorvastatin but did show improved immediate coronary flow after primary PCI. High-dose atorvastatin may produce an optimal result for STEMI patients undergoing PCI by improving microvascular myocardial perfusion. (Efficacy of High-Dose AtorvaSTATIN Loading Before Primary Percutaneous Coronary Intervention in ST-Elevation Myocardial Infarction [STATIN STEMI]; NCT00808717). (Source: Journal of the American College of Cardiology: Cardiovascular Interventions)
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Kim, J.-S., Kim, J., Choi, D., Lee, C. J., Lee, S. H., Ko, Y.-G., Hong, M.-K., Kim, B.-K., Oh, S. J., Jeon, D. W., Yang, J.-Y., Cho, J. R., Lee, N.-H., Cho, Y.-H., Cho, D.-K., Jang, Y. Tags: Clinical Research Source Type: journals

Mortality and Morbidity Reduction by Primary Percutaneous Coronary Intervention Is Independent of the Patient's AgeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions In this analysis of randomized trials, the reduction in clinical end points by PPCI was not influenced by age. Hence, age per se should not be considered an exclusion criterion for the application of PPCI. (Source: Journal of the American College of Cardiology: Cardiovascular Interventions)
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Authors: de Boer, S. P.M., Westerhout, C. M., Simes, R. J., Granger, C. B., Zijlstra, F., Boersma, E., for the PCAT-2 (Primary Coronary Angioplasty Versus Thrombolysis-2) Trialists Collaborators Group Tags: Clinical Research Source Type: journals

Point-of-Care Assessment of Platelet Reactivity After Clopidogrel to Predict Myonecrosis in Patients Undergoing Percutaneous Coronary InterventionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Easily assessed by a point-of-care assay, HPR after clopidogrel is a frequent finding and is associated with increased risk of myonecrosis in low-to-intermediate risk patients undergoing planned PCI. (Source: Journal of the American College of Cardiology: Cardiovascular Interventions)
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Mangiacapra, F., Barbato, E., Patti, G., Gatto, L., Vizzi, V., Ricottini, E., D'Ambrosio, A., Wijns, W., Di Sciascio, G. Tags: Clinical Research Source Type: journals

Decision Making in Multivessel Coronary Disease: The Need for Physiological Lesion AssessmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American College of Cardiology: Cardiovascular Interventions)
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Beller, G. A., Ragosta, M. Tags: Editorial Comment Source Type: journals

Fractional Flow Reserve and Myocardial Perfusion Imaging in Patients With Angiographic Multivessel Coronary Artery DiseaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Myocardial perfusion imaging with single-photon emission computed tomography has poor concordance with FFR and tends to underestimate or overestimate the functional importance of coronary stenosis seen at angiography in comparison with FFR in patients with multivessel disease. These findings might have important consequences in using MPI to determine the optimal revascularization strategy in patients with multivessel coronary disease. (Source: Journal of the American College of Cardiology: Cardiovascular Interventions)
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Melikian, N., De Bondt, P., Tonino, P., De Winter, O., Wyffels, E., Bartunek, J., Heyndrickx, G. R., Fearon, W. F., Pijls, N. H.J., Wijns, W., De Bruyne, B. Tags: Clinical Research Source Type: journals

Functional Occlusions of the Carotid Artery (String Signs): To Treat or Not to Treat?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American College of Cardiology: Cardiovascular Interventions)
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Yadav, J. S. Tags: Editorial Comment Source Type: journals

Carotid Artery Stenting With Proximal Cerebral Protection for Patients With Angiographic Appearance of String SignEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Carotid stenting under proximal cerebral protection seems to be a feasible and safe procedure to manage patients with severe carotid stenosis in presence of angiographic string sign. Further prospective trials are required to prove efficacy of CAS in larger study populations. (Source: Journal of the American College of Cardiology: Cardiovascular Interventions)
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Nikas, D. N., Ghany, M. A., Stabile, E., Sorropago, G., Sacca, S., Favero, L., Zakaryan, N., Reimers, B., Rubino, P. Tags: Clinical Research Source Type: journals

Indications and Outcomes of Surgical Closure of Ventricular Septal Defect in AdultsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Associated heart defects and AR were common indications for VSD closure in adults, which was performed with low mortality and morbidity. Patch closure and use of intraoperative transesophageal echocardiography improve surgical outcomes. Important residua emphasize the need for life-long informed follow-up. (Source: Journal of the American College of Cardiology: Cardiovascular Interventions)
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Mongeon, F.-P., Burkhart, H. M., Ammash, N. M., Dearani, J. A., Li, Z., Warnes, C. A., Connolly, H. M. Tags: Clinical Research Source Type: journals

Patent Foramen Ovale Closure for Migraine Prevention: The Subject Is Still OpenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American College of Cardiology: Cardiovascular Interventions)
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Dodick, D. W. Tags: Editorial Comment Source Type: journals

Primary Transcatheter Patent Foramen Ovale Closure Is Effective in Improving Migraine in Patients With High-Risk Anatomic and Functional Characteristics for Paradoxical EmbolismEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Primary transcatheter PFO closure resulted in a very significant reduction in migraine in patients satisfying our criteria. (Source: Journal of the American College of Cardiology: Cardiovascular Interventions)
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Rigatelli, G., Dell'Avvocata, F., Ronco, F., Cardaioli, P., Giordan, M., Braggion, G., Aggio, S., Chinaglia, M., Rigatelli, G., Chen, J. P. Tags: Clinical Research Source Type: journals

The Impact of Transcatheter Atrial Septal Defect Closure in the Older Population: A Prospective StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Our data demonstrated that ASD closure at advanced age results in favorable cardiac remodeling and improvement of functional class. (Source: Journal of the American College of Cardiology: Cardiovascular Interventions)
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Khan, A. A., Tan, J.-L., Li, W., Dimopoulos, K., Spence, M. S., Chow, P., Mullen, M. J. Tags: Clinical Research Source Type: journals

Recommendations for Successful Training on Methods of Delivery of Biologics for Cardiac Regeneration: A Report of the International Society for Cardiovascular Translational ResearchEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The field of myocardial regeneration (angiogenesis and myogenesis) might prove to play an important role in the future management of cardiovascular disease. Stem cells are currently undergoing testing in Phase I and Phase II clinical trials. Methods of delivery will affect the outcome of such therapies, perhaps significantly. This document provides suggested guidance in 4 methods of delivery: endocardial, intracoronary, coronary sinus, and epicardial. (Source: Journal of the American College of Cardiology: Cardiovascular Interventions)
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Dib, N., Menasche, P., Bartunek, J. J., Zeiher, A. M., Terzic, A., Chronos, N. A., Henry, T. D., Peters, N. S., Fernandez-Aviles, F., Yacoub, M., Sanborn, T. A., DeMaria, A., Schatz, R. A., Taylor, D. A., Fuchs, S., Itescu, S., Miller, L. W., Dinsmore, J. Tags: State-of-the-Art Paper Source Type: journals

Subject IndexEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas)
Source: Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Source Type: journals

Author IndexEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas)
Source: Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Source Type: journals

Technique and Application of Transcervical Extended Mediastinal Lymphadenectomy in Thoracic SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
It is our institution's policy to propose primary radical surgery to patients with stage I and II non-small-cell lung cancer (NSCLC). However, patients with stage III N2 disease that is discovered preoperatively should be treated with neoadjuvant chemotherapy or chemo-radiotherapy and subsequently operated on. We believe that lymphadenectomy improves the results of surgery, but we lack definitive evidence for this conclusion. To optimally improve preoperative staging of the mediastinal lymph nodes, our team introduced transcervical extended mediastinal lymphadenectomy (TEMLA) in 2004. We have performed this procedure on mo...
Source: Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Marcin Zieliński Tags: General Thoracic Surgery - David R. Jones, Associate Editor Source Type: journals

Single-Port Video-Assisted Thoracic Surgery (Uniportal) in the Routine General Thoracic Surgical PracticeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In the last 15 years, video-assisted thoracic surgery (VATS) has rapidly become a milestone in the thoracic surgical armamentarium because it enables the surgeon to offer minimally invasive procedures as part of structured diagnostic and therapeutic pathways of intrathoracic diseases with the same outcomes as after open techniques. In turn, minimal invasiveness is reported to yield reduced postoperative morbidity, duration of hospitalizations, and prompt return to routine daily activities. VATS performed through a single port (“uniportal”) pursues the same objectives of standard VATS with even less invasiveness due to ...
Source: Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Gaetano Rocco Tags: General Thoracic Surgery - David R. Jones, Associate Editor Source Type: journals

The Arterial Switch Operation: The “Open” Technique for Coronary TransferEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
At Children's Medical Center Dallas, the arterial switch operation is routinely performed with bicaval cannulation, continuous cardiopulmonary bypass (CPB), and moderate hypothermia of 25 to 28°C. Methylprednisolone (10 mg/kg IV) is administered 8 to 12 hours preoperatively. A pH stat strategy is typically employed with a hematocrit target of 35%. Phentolamine (0.2 g/kg) is administered for [alpha]-adrenergic blockade after initiating CPB. Flow rates vary between 150 and 200 mL/kg/min at normothermia, and 75 and 125 mL/kg/min at hypothermia. Cerebral and flank near-infrared spectroscopy indices are monitored routinely and...
Source: Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Joseph M. Forbess Tags: Congenital Surgery - Scott M. Bradley, Associate Editor Source Type: journals

The Arterial Switch Procedure: Closed Coronary Artery TransferEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The arterial switch operation has been the accepted procedure for the repair of transposition of the great arteries (TGA) with or without associated defects for over 2 decades. Many of the technical intricacies have been developed and modified over these years such that this procedure is now associated with very low risk even in the neonate with complex forms of TGA. From the earliest experience, the surgical techniques involved for the transfer of the coronary arteries have received the most scrutiny. In the most common coronary artery pattern, the right coronary artery arises from the right aortic sinus of Valsalva and t...
Source: Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Edward L. Bove Tags: Congenital Surgery - Scott M. Bradley, Associate Editor Source Type: journals

Valve-Sparing Aortic Root Replacement With the Valsalva GraftEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Valve-sparing aortic root replacement (VSRR) at the Johns Hopkins Hospital evolved from a long institutional experience with aortic root replacement in the setting of Marfan syndrome. As such, our experience is skewed toward young patients with aortic root aneurysm, competent aortic valves, and good ventricular function without other major comorbidities. Valve preservation is attractive to these young patients primarily because it avoids long-term anticoagulation associated with mechanical valves. (Source: Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas)
Source: Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Duke Cameron, Luca Vricella Tags: Cardiac Surgery - R. Morton Bolman, III, Associate Editor Source Type: journals

Valve-Sparing Aortic Root Replacement—“T. David V” MethodEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Approximately 30% of patients who undergo aortic root replacement have a morphologically normal aortic valve. An additional subset of patients have regurgitant bicuspid aortic valve disease where, although there is turbulent flow across the bicuspid valve, the lesion itself is not flow-limiting and there is little evidence of excessive calcification within the valve. Historically, all patients requiring aortic root replacement underwent complete excision of the aneurysm, including excision of the valve, and reconstruction of the aortic root with a composite valve graft. The technique of this operation is well described and...
Source: Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Authors: John S. Ikonomidis Tags: Cardiac Surgery - R. Morton Bolman, III, Associate Editor Source Type: journals

Aortic Valve RepairEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Aortic valve replacement remains the gold standard for the treatment of severe aortic valve disease. However, valve repair is emerging as a feasible and attractive alternative to valve replacement in selected patients. Valve repair can reduce or eliminate the risks of prosthesis-related complications including thromboembolism, endocarditis, anticoagulant-related hemorrhage, and reoperation due to structural valve deterioration, among others. Analogous to the mitral valve, a reconstructive approach to the aortic valve requires a thorough and detailed understanding of the valve anatomy, valve function, assessment, and classi...
Source: Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Munir Boodhwani, Gebrine El Khoury Tags: Cardiac Surgery - R. Morton Bolman, III, Associate Editor Source Type: journals

IntroductionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
For the cardiac surgery portion of the Winter issue of Operative Techniques in Thoracic and Cardiovascular Surgery, we have three excellent articles detailing approaches to aortic valve repair. Professor Gebrine El Khoury presents a detailed treatise on his approach to aortic valve repair. He presents a systematic approach to the various types of valve and aortic pathologic conditions encountered and describes an approach of tailoring the repair approach to the pathologic condition encountered. Drs. Ikonomidis and Cameron focus on the valve-sparing aortic root replacement, describing their approach to aneurysms associated ...
Source: Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Fred A. Crawford Source Type: journals

Table of ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas)
Source: Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Source Type: journals

2010 TopicsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas)
Source: Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Source Type: journals

Association OfficersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas)
Source: Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Source Type: journals

Mechanical Circulatory Support for AMI and Cardiogenic ShockEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Cardiogenic shock following acute myocardial infarction affects 5% to10% of patients and carries a grave prognosis. The dismal prognosis associated with post-MI cardiogenic shock, allied with surgical and technological advancements, has shifted the treatment paradigm toward wider use of mechanical circulatory support devices (MCSD). Current experience demonstrates that better outcomes may be achieved with early MCSD deployment (prior to the onset of end-organ dysfunction). However, perceived limitations with existing devices mean that they remain infrequently applied. There is an urgent need for increased awareness of MCSD...
Source: Journal of Cardiac Surgery - March 15, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Yasir Abu-Omar, Steven S. L. Tsui Source Type: journals

[Factors Associated with Asthma Control in Primary Care Patients: The CHAS Study.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: In Spain asthma is still uncontrolled and some factors leading to this situation appear to be modifiable by the health system. PMID: 20227808 [PubMed - as supplied by publisher] (Source: Archivos de Bronconeumologia)
Source: Archivos de Bronconeumologia - March 12, 2010 Category: Cardiovascular & Thoracic Surgery Authors: González Barcala FJ, de la Fuente-Cid R, Alvarez-Gil R, Tafalla M, Nuevo J, Caamaño-Isorna F Tags: Arch Bronconeumol Source Type: journals

[Mortality Risk Factors in Descending Necrotizing Mediastinitis.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: MND is a disease of low incidence and should be suspected clinically and confirmed immediately with a computed tomography (CT). Multidisciplinary and early treatment has allowed us to reduce mortality by 40% in the first initial period to 4.3% today. PMID: 20227809 [PubMed - as supplied by publisher] (Source: Archivos de Bronconeumologia)
Source: Archivos de Bronconeumologia - March 12, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Deu-Martín M, Saez-Barba M, López Sanz I, Alcaraz Peñarrocha R, Romero Vielva L, Solé Montserrat J Tags: Arch Bronconeumol Source Type: journals

[Prevalence and Distribution of Asbestos Lung Residue in a Spanish Urban Population.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The results of this study show that the urban population of Barcelona have asbestos levels in the lung that vary between 0 and 300AB/g dry tissue. No differences in the asbestos residues were detected in the lung areas studied in this population. PMID: 20227810 [PubMed - as supplied by publisher] (Source: Archivos de Bronconeumologia)
Source: Archivos de Bronconeumologia - March 12, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Velasco-García MI, Recuero R, Cruz MJ, Panades R, Martí G, Ferrer J Tags: Arch Bronconeumol Source Type: journals

Total Aortic Arch Replacement for the Treatment of Kommerell's Diverticulum in a Jehovah's WitnessEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The treatment of Kommerell's diverticulum continues to evolve given advances in aortic surgery, cardiopulmonary bypass management, and endovascular techniques. This case report details the repair of a diverticulum of Kommerell in a Jehovah's witness with a right-sided aortic arch and reviews the surgical literature.(J Card Surg ****;**:**-**) (Source: Journal of Cardiac Surgery)
Source: Journal of Cardiac Surgery - March 12, 2010 Category: Cardiovascular & Thoracic Surgery Authors: William Brent Keeling, Faraz Kerendi, Edward P. Chen Source Type: journals

Endovascular Repair of Blunt Thoracic Aortic InjuriesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the current treatment of blunt thoracic aortic injury and the use of thoracic aortic stent grafting for this patient population. (Source: Seminars in Thoracic and Cardiovascular Surgery)
Source: Seminars in Thoracic and Cardiovascular Surgery - March 11, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Derek R. Brinster Tags: Advances in Thoracic Endovascular Aortic Repair- Wilson Y. Szeto, MD, and Joseph E. Bavaria, MD, Guest Editors Source Type: journals

Distal Aortic Remodeling Using Endovascular Repair in Acute DeBakey I Aortic DissectionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DeBakey type I aortic dissections pose significant challenges in operative and long-term management of the arch and distal thoracic aorta. Concerns regarding management of complex tears extending to the arch and descending thoracic aorta, malperfusion syndromes, and late aortic dilatation have provided an impetus to explore aortic repairs that involve stent-graft placement into the descending thoracic aorta in combination with conventional hemi-arch or total arch repairs. Early results with these techniques are promising but further study is warranted. (Source: Seminars in Thoracic and Cardiovascular Surgery)
Source: Seminars in Thoracic and Cardiovascular Surgery - March 11, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Nimesh D. Desai, Alberto Pochettino Tags: Advances in Thoracic Endovascular Aortic Repair- Wilson Y. Szeto, MD, and Joseph E. Bavaria, MD, Guest Editors Source Type: journals

Acute Complicated and Uncomplicated Type III Aortic Dissection: An Endovascular PerspectiveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Type III aortic dissection is associated with high morbidity and mortality. There is a shifting paradigm in the treatment of complicated and uncomplicated acute type III aortic dissection toward earlier endovascular repair. In this review, the authors present the current perspective on the endovascular management of acute complicated and uncomplicated type III aortic dissection. (Source: Seminars in Thoracic and Cardiovascular Surgery)
Source: Seminars in Thoracic and Cardiovascular Surgery - March 11, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Castigliano M. Bhamidipati, Gorav Ailawadi Tags: Advances in Thoracic Endovascular Aortic Repair- Wilson Y. Szeto, MD, and Joseph E. Bavaria, MD, Guest Editors Source Type: journals

Endoleaks After Endovascular Aortic Stent-Grafting: Impact, Diagnosis, and ManagementEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Endoleaks and endotension remain the primary limitation of endovascular aortic repair with stent-grafts. Consequently, all endovascular surgeons performing thoracic or abdominal endovascular aortic repairs require a comprehensive knowledge and understanding of how to survey and manage endoleaks. The derivation of the current endoleak classification scheme, the clinical impact of endoleaks, the diagnostic tools relevant to endoleak detection, an endoleak surveillance protocol, and the strategies in use for their management are outlined in this review. (Source: Seminars in Thoracic and Cardiovascular Surgery)
Source: Seminars in Thoracic and Cardiovascular Surgery - March 11, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Thomas G. Gleason Tags: Advances in Thoracic Endovascular Aortic Repair- Wilson Y. Szeto, MD, and Joseph E. Bavaria, MD, Guest Editors Source Type: journals

Hybrid Thoracoabdominal Aortic Aneurysm Repair: Concomitant Visceral Revascularization and Endovascular Aneurysm ExclusionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Thoracoabdominal aortic aneurysms (TAAA) remain a formidable surgical challenge, with conventional open repair associated with significant rates of mortality and morbidity. Furthermore, many of these patients are elderly with significant comorbidities and may not be candidates for repair. Consequently, the availability of a “hybrid” option, including open visceral debranching with concomitant endovascular aneurysm exclusion, may have advantages in these high-risk patients, including the potential to offer therapy to those ineligible for conventional repair. Our technique for hybrid TAAA repair is performed by means of ...
Source: Seminars in Thoracic and Cardiovascular Surgery - March 11, 2010 Category: Cardiovascular & Thoracic Surgery Authors: G. Chad Hughes, Richard L. McCann Tags: Advances in Thoracic Endovascular Aortic Repair- Wilson Y. Szeto, MD, and Joseph E. Bavaria, MD, Guest Editors Source Type: journals

Hybrid Repair of Aortic Arch Aneurysms: Combined Open Arch Reconstruction and Endovascular RepairEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Surgical management of aortic arch aneurysms remains a clinical challenge associated with significant perioperative morbidity and mortality. For the increasingly aging population with significant comorbidities, innovative hybrid aortic arch reconstructive techniques using thoracic endograft technology have been developed in an attempt to improve surgical outcome. With these hybrid arch reconstructive techniques, surgeons have extended the indications and provided an alternative surgical option to patients previously considered prohibitively high risk for conventional open repair of aortic arch aneurysms. Multiple technique...
Source: Seminars in Thoracic and Cardiovascular Surgery - March 11, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Wilson Y. Szeto, Joseph E. Bavaria Tags: Advances in Thoracic Endovascular Aortic Repair- Wilson Y. Szeto, MD, and Joseph E. Bavaria, MD, Guest Editors Source Type: journals

Endovascular Repair of Descending Thoracic Aortic Aneurysm: Review of LiteratureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Descending thoracic aortic aneurysmal disease is associated with poor 5-year survival rates as low as 10%-15% if untreated. This is probable because of a combination of the aneurysmal disease, comorbidities, and in many patients advanced age. In the search for better outcomes and newer techniques, the endovascular approach for the treatment of these aneurysms has developed over the last 20 years. Many advances in the materials and techniques have been made since the first reports of abdominal and thoracic aortic endovascular repair in the early 1990s. Currently, clinical trials have proven that several different commercial...
Source: Seminars in Thoracic and Cardiovascular Surgery - March 11, 2010 Category: Cardiovascular & Thoracic Surgery Authors: James E. Davies Tags: Advances in Thoracic Endovascular Aortic Repair- Wilson Y. Szeto, MD, and Joseph E. Bavaria, MD, Guest Editors Source Type: journals

Advances in Thoracic Endovascular Aortic Repair: IntroductionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Since US Food and Drug Administration approval in 2005 for the treatment of descending thoracic aortic aneurysms, thoracic endovascular aortic repair (TEVAR) has revolutionized the field of thoracic aortic surgery. Although no randomized studies exist to this point, accumulating clinical experience from around the world has confirmed the feasibility and the safety of this new treatment paradigm, with results comparable to conventional open repair. Furthermore, TEVAR provides patients previously considered prohibitively high risk for conventional repair an alternative surgical option. With its widespread acceptance in the t...
Source: Seminars in Thoracic and Cardiovascular Surgery - March 11, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Wilson Y. Szeto, Joseph E. Bavaria Tags: Advances in Thoracic Endovascular Aortic Repair- Wilson Y. Szeto, MD, and Joseph E. Bavaria, MD, Guest Editors Source Type: journals

Therapeutic Sentinel Lymph Node ImagingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Improving existing means of sentinel lymph node identification in non-small cell lung cancer will allow for molecular detection of occult micrometastases that may cause recurrence in early stage non-small cell lung cancer. Furthermore, targeted application of chemical and biological cytotoxic agents can potentially improve outcomes in patients with lymph node (LN) metastases. “Therapeutic Sentinel Lymph Node Imaging” incorporates these modalities into a single agent thereby identifying which LNs harbor tumor cells and simultaneously eradicating metastatic disease. In this review, we summarize the novel preclinical agen...
Source: Seminars in Thoracic and Cardiovascular Surgery - March 11, 2010 Category: Cardiovascular & Thoracic Surgery Authors: Stefan S. Kachala, Elliot L. Servais, Bernard J. Park, Valerie W. Rusch, Prasad S. Adusumilli Tags: Sentinel Node Mapping in Lung Cancer- Michael J. Liptay, MD, FACS, Guest Editor Source Type: journals