Cardiovascular & Thoracic Surgery This is an OPML file. It can be used to export all the MedWorm RSS feeds on this topic into your personal RSS reader (usually you have to save this file to your own computer before clicking on an Import OPML command in your own feed reader to upload the file which will then import all the feeds) or it can be used by webmasters to integrate MedWorm feeds with their own website. This 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. This is page number 12.

Tips and tricks to avoid periprocedural neurological complications in carotid artery stenting.
Abstract Execution of carotid artery stenting (CAS) requires not only excellent manual dexterity, and a high level of competence, but also in-depth knowledge of the carotid pathology, of the materials available on the market and of the different techniques to apply in given situations. Actually each individual moment of the procedure can be determining for the final result. This review describes each individual step of CAS, including arterial access, carotid engagement, pre-dilatation, the characteristics and use of cerebral protection devices, stent selection and deployment, and post-dilatation. Technical notes an...
Source: The Journal of Cardiovascular Surgery - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Setacci C, de Donato G, Setacci F, Sirignano P, Galzerano G, Kamargianni V, Cappelli A Tags: J Cardiovasc Surg (Torino) Source Type: research

How to simplify the approach to the supra-aortic trunks.
Abstract Carotid artery stenting (CAS) represents a valid alternative to carotid endarterectomy (CEA). Possible embolization during the approach and the cannulation of the supra-aortic arterial trunks remains an important obstacle to CAS. This risk is increased in elderly patients and complex anatomies. In order to achieve satisfactory technical and clinical outcomes, a thorough understanding of the patients' individual anatomy of the arch and the access vessels is essential. The cannulation of the common carotid artery represents the key maneuver for the entire CAS procedure. This review article will present the c...
Source: The Journal of Cardiovascular Surgery - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Moratto R, Veronesi J, Silingardi R, Nicolosi E, Gennai S, Coppi G Tags: J Cardiovasc Surg (Torino) Source Type: research

Carotid artery stenting with filters.
Abstract Filters are a valuable aid for safe carotid artery stenting, but require good knowledge of their function, and their shortcomings. Filters capture visible particles in 5-20% and microscopically in about 70% of the cases. Transcranial Doppler ultrasound and diffusion weighted MRI investigations have shown that particles are released during filter placement and also during the next steps of the procedure. They can pass through the filter pores when they are small enough and through unprotected areas when the filter is not completely apposed to the arterial wall. Therefore, they do not reliably prevent transi...
Source: The Journal of Cardiovascular Surgery - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Mathias K Tags: J Cardiovasc Surg (Torino) Source Type: research

Proximal endovascular occlusion for carotid artery stenting.
This study also demonstrates that the excellent outcomes achieved using proximal EPDs are independent of patient gender, symptomatic status, and other baseline clinical characteristics including the presence of a contralateral carotid occlusion. PMID: 23296414 [PubMed - in process]
Source: The Journal of Cardiovascular Surgery - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Stabile E, Biamino G, Sorropago G, Rubino P Tags: J Cardiovasc Surg (Torino) Source Type: research

Current concepts on the management of concomitant carotid and coronary disease.
Abstract In the absence of randomized data, the optimal management of patients with severe carotid and coronary artery disease (CAD), especially those undergoing coronary bypass grafting (CABG), remains unsettled. As a general rule, in patients with multilevel atherosclerotic disease the symptomatic vascular discrict should be treated first. The entirely surgical approach with carotid endarterectomy (CEA) and CABG is associated with high event rates. Therefore, whenever in the work-up prior to cardiac surgery severe carotid disease is identified, the indication for CABG should be reassessed and the feasibility of p...
Source: The Journal of Cardiovascular Surgery - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Roffi M, Cremonesi A Tags: J Cardiovasc Surg (Torino) Source Type: research

Carotid stenting in asymptomatic patients: how to identify patients without symptoms and at high risk for neurologic events.
Abstract During the last 20 years, asymptomatic patients with high-grade carotid stenosis have been treated with carotid endarterectomy and more recently with carotid artery stenting in order to prevent stroke. New, best medical treatment including statins, beta-blockers, antiplatelet therapies, and better diabetes and blood pressure control might reduce the incidence of stroke in this patient population making invasive treatment unnecessary. However, patients with asymptomatic carotid stenosis cannot be considered a homogenous population, and therefore, the therapeutic approach should take into consideration a sub...
Source: The Journal of Cardiovascular Surgery - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Yamada R, Anderson MB, Guimaraes M, Schönholz C Tags: J Cardiovasc Surg (Torino) Source Type: research

Carotid artery stenting in recently symptomatic patients.
Abstract Treatment of acute stroke is time-dependent, with the best outcomes resulting from the earliest interventions. However, for patients with acute ischemic stroke due to a high-grade stenosis of the internal carotid artery, despite maximal medical treatment, an effective intervention to improve their neurologic symptoms and clinical outcome has not yet been established. There are two major concerns: first, cerebral revascularization in the acute stage remains challenging because of the possibility that hemorrhagic infarction or hyperperfusion syndrome will occur after revascularization; second, alarms about c...
Source: The Journal of Cardiovascular Surgery - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Setacci C, de Donato G, Setacci F, Sirignano P, Galzerano G, Borrelli MP, Cappelli A Tags: J Cardiovasc Surg (Torino) Source Type: research

Complications during carotid artery stenting.
Abstract Carotid stenting has become a commonly used procedure for the treatment of carotid artery stenosis. Though equipment and techniques have improved tremendously over the recent 3 decades, complications do occur. It is important for carotid operators to be familiar with potential complications and adverse events. In this article complications and adverse events of carotid stenting including those that are related to the vascular access site, vessel spasm, dissection, perforation, thrombotic occlusion and hemodynamic instability and arrhythmias are reviewed. In addition, management strategies are discussed. ...
Source: The Journal of Cardiovascular Surgery - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Bertog SC, Grunwald IQ, Kühn AL, Franke J, Vaskelyte L, Hofmann I, Id D, Hornung M, Sievert H Tags: J Cardiovasc Surg (Torino) Source Type: research

New ischemic brain lesions after carotid artery stenting.
Abstract Carotid artery stenting is associated with the risk of periprocedural stroke. Moreover, modern magnetic resonance (MR) imaging techniques have found high rates of clinically silent ischemic brain lesions on post-treatment diffusion-weighted MR imaging (DWI) scans. The clinical significance of procedure-related DWI lesions, however, is still a matter of debate. This review article considers the frequency, location and pathophysiology of new DWI lesions on post-treatment MR images and summarizes available data on their clinical significance. PMID: 23296419 [PubMed - in process]
Source: The Journal of Cardiovascular Surgery - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Rosenkranz M, Gerloff C Tags: J Cardiovasc Surg (Torino) Source Type: research

Endovascular management of acute stroke.
Abstract Ischemic stroke is the third leading cause of death and most common cause of permanent disability in industrialized nations. Eighty-five percent of strokes are ischemic in nature, with an associated mortality between 53% and 92%. The focus of treatment for acute stroke starts with prompt and accurate diagnosis of ischemic brain tissue at risk, followed by time sensitive delivery of therapy that effectively and safely restores flow to that vascular territory. Time-dependent reperfusion therapy is the only proven treatment for Acute Ischemic Stroke. In this paper, we review the clinical and imaging factors t...
Source: The Journal of Cardiovascular Surgery - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Simonetti G, Stefanini M, Konda D, Marziali S, Da Ros V, Chiaravalloti A, Pampana E, Gandini R Tags: J Cardiovasc Surg (Torino) Source Type: research

The Zilver® PTX® Single Arm Study: 12-month results from the TASC C/D lesion subgroup.
CONCLUSION: The primary patency rates in the analysis of the TASC C/D de novo lesion subgroup of the Zilver PTX Single Arm Study indicate that endovascular therapy outcomes with a paclitaxel eluting stent may equal those of bypass surgery. Endovascular treatment with DES may play an important role for treatment of patients who present with TASC C or D femoropopliteal lesions. PMID: 23296421 [PubMed - in process]
Source: The Journal of Cardiovascular Surgery - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Bosiers M, Peeters P, Tessarek J, Deloose K, Strickler S Tags: J Cardiovasc Surg (Torino) Source Type: research

Single-center experience with endovascular treatment of acute blunt thoracic aortic injuries.
CONCLUSION: In our experience, endovascular treatment of acute traumatic thoracic aortic injuries using different commercially available stent-grafts allows to obtain satisfactory short term results. PMID: 23296422 [PubMed - in process]
Source: The Journal of Cardiovascular Surgery - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Marone EM, Kahlberg A, Tshomba Y, Chiesa R Tags: J Cardiovasc Surg (Torino) Source Type: research

Are there fewer complications with third generation endografts in endovascular aneurysm repair?
In conclusion, the third generation endografts in challenging anatomy has yielded encouraging results. With regards to short and midterm outcome and need for secondary interventions, evaluations shows comparable results with all devices performing well. PMID: 23296423 [PubMed - in process]
Source: The Journal of Cardiovascular Surgery - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Jayia P, Constantinou J, Morgan-Rowe L, Schroeder TV, Lonn L, Ivancev K Tags: J Cardiovasc Surg (Torino) Source Type: research

An original technique for the treatment of symptomatic common carotid artery occlusion and concomitant ipsilateral internal carotid artery stenosis.
Abstract Successful hybrid treatment of the total symptomatic acute occlusion of a common carotid artery (CCA) concomitant to ipsilateral internal carotid artery (ICA) stenosis has only been described once in the literature to date. The management of this anatomic distribution of disease can be a challenge both to plan and perform. The aim of this paper is to report an original hybrid revascularization technique for the treatment of two patients with symptomatic CCA acute occlusion and ipsilateral ICA stenosis. Details of the surgical technique and mid-term follow-up are provided. PMID: 23296424 [PubMed - in process]
Source: The Journal of Cardiovascular Surgery - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Chisci E, Michelagnoli S, Frosini P, Ercolini L, Romano E, Setacci C Tags: J Cardiovasc Surg (Torino) Source Type: research

Sanofi Launches Breakthrough Technology for Cardiovascular and Vascular Surgery Procedures
LeGoo® proprietary gel technology provides clear surgical field for cardiothoracic and vascular surgeons without trauma to blood vessels BRIDGEWATER, N.J., Jan. 29, 2013 -- (Healthcare Sales & Marketing Network) -- Sanofi US announced the commercia... Devices, SurgerySanofi, LeGoo, biopolymer gel, atraumatic occlusion, occlusion gel
Source: HSMN NewsFeed - January 29, 2013 Category: Pharmaceuticals Source Type: news

Serglycin is a Novel Adipocytokine Highly Expressed in Epicardial Adipose Tissue.
In this study, we sought to characterize EAT by comparing gene expression profiles of EAT, omental adipose tissue (OAT), and subcutaneous adipose tissue (SCAT) in patients who underwent elective coronary artery bypass graft surgery for critical coronary artery disease (CAD) and identify molecules involved in inflammation. A total of 20,427 probes were detected in all depots, and 9,946 probes were differentially expressed. Significantly higher expression of pro-inflammatory genes such as interleukin-1β, -6, and -8, and chemokine receptor 2 was observed in EAT, even when compared with OAT. Among them, serglycin was one of t...
Source: Biochemical and Biophysical Research communications - January 29, 2013 Category: Biochemistry Authors: Imoto-Tsubakimoto H, Takahashi T, Ueyama T, Ogata T, Adachi A, Nakanishi N, Mizushima K, Naito Y, Matsubara H Tags: Biochem Biophys Res Commun Source Type: research

Surgical excision with left atrial reconstruction of a primary functioning retrocardiac paraganglioma
About 2% of all paragangliomas are located in the chest, and a few have been described to be found in the heart. Primary cardiac paragangliomas are extremely uncommon tumors and surgical experience with this neoplasm is limited. Treatment strategies described in the literature have included simple excision, excision with reconstruction, autotransplantation after excision of the tumor and even orthotopic cardiac transplantation, depending on the extent of disease. A primary retrocardiac paraganglioma catecholamine-productive was identified in an asymptomatic 49-year old female associated to familial pheochromocytoma-paragan...
Source: Journal of Cardiothoracic Surgery - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: María LópezSergio GonzálezEsteban GarcíaStella RomeroJulio de Loma Source Type: research

Public reporting of cardiovascular care: An opportunity to shape the future
Source: Catheterization and Cardiovascular Interventions - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: J. Jeffrey Marshall, William A. Zoghbi, Anne M. Gillis Tags: SCAI President's Page Source Type: research

PTCA with drug‐coated balloons is associated with immediate decrease of coronary flow reserve
ConclusionsWe describe a novel phenomenon of acute decrease in CFR after the use of DCB. This phenomenon is temporary and spontaneously improves after approximately 10 min. The exact pathophysiological mechanism remains unclear and further studies are warranted to study the long‐term effects of acute CFR drop after use of DCB. © 2012 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Mabelle Young, Florim Cuculi, Paul Erne Tags: Coronary Artery Disease Source Type: research

Synergistic effect of thrombus aspiration and abciximab in primary percutaneous coronary intervention
Conclusions.The combination of pharmacologic and mechanic antithrombotic treatment during pPCI was associated with better 1‐year clinical outcome. © 2013 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Stylianos A. Pyxaras, Fabio Mangiacapra, Katia Verhamme, Luigi Di Serafino, Frederic De Vroey, Gabor Toth, Andrea Perkan, Alessandro Salvi, Jozef Bartunek, Bernard De Bruyne, William Wijns, Gianfranco Sinagra, Emanuele Barbato Tags: Original Study Source Type: research

Stent angioplasty to relieve left pulmonary artery obstruction caused by patent ductus arteriosus device occlusion: Bipartisan teamwork by two interventional devices
Abstract A 7 month old patient in congestive heart failure due to a moderate sized patent ductus arteriosus (PDA) underwent uncomplicated implantation of an Amplatzer Ductal Occluder (ADO1). Two months after percutaneuous device PDA closure, left pulmonary artery (LPA) stenosis was discovered. Rather than spontaneous improvement as reported in previous cases, our patient's LPA stenosis progressed in severity 7 months after ADO1 placement. A catheterization demonstrated a 32 mmHg peak gradient from her main pulmonary artery to her LPA. She underwent successful stent angioplasty of her LPA with an excellent result and preser...
Source: Catheterization and Cardiovascular Interventions - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Peter N. Dean, Michael C. Slack Tags: Case Report Source Type: research

Physiological impact of CTO recanalization assessed by coronary pressure measurement‐A case report
Abstract In this case report, physiological changes of myocardial perfusion in the collateral recipient right coronary artery (RCA) and the collateral donor left anterior descending artery (LAD) with an intermediate lesion were assessed using intracoronary pressure measurement, before and after revascularization of chronic total occlusion (CTO). A 44 year old male was referred for a catheter examination due to silent myocardial ischemia. An invasive coronary angiogram revealed diffuse narrowing of the RCA with focal occlusive segments in addition to intermediate stenosis in the LAD. A well developed collateral channel from...
Source: Catheterization and Cardiovascular Interventions - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Hitoshi Matsuo, Yoshiaki Kawase Tags: Case Report Source Type: research

Frequency‐domain optical coherence tomography assessment of unprotected left main coronary artery disease – a comparison with intravascular ultrasound
Conclusions:FD‐OCT assessment of ULM is feasible and safe. Direct comparisons with IVUS reveals that FD‐OCT achieved imaging completeness less often, while it was more sensitive in detecting malapposition and edge dissections, and similar to IVUS in the assessment of lumen and stent dimensions. © 2013 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Yusuke Fujino, Hiram G. Bezerra, Guilherme F. Attizzani, Wei Wang, Hirosada Yamamoto, Daniel Chamié, Tomoaki Kanaya, Emile Mehanna, Satoko Tahara, Sunao Nakamura, Marco A. Costa Tags: Original Study Source Type: research

Head‐to‐head comparison of sirolimus‐eluting stent vs. bare metal stent: Evaluation of the coronary endothelial dysfunction in the same patient presenting with multiple coronary artery lesions
Conclusions:in the same patients, but treating different coronary segments, SES implantation induces a higher rate of vasoconstriction compared to BMS. The increased vasoconstriction after iiAch is an indicator of ED. © 2013 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Alexandru Nicolae Mischie, Marco Stefano Nazzaro, Rosario Fiorilli, Francesco De Felice, Carmine Musto, Pierpaolo Confessore, Antonio Parma, Carla Boschetti, Roberto Violini Tags: Original Study Source Type: research

Women treated with second‐generation zotarolimus‐eluting resolute stents and everolimus‐eluting Xience V stents: Insights from the gender‐stratified, randomized, controlled twente trial
Conclusion:This gender‐stratified TWENTE trial analysis resulted in no significant difference in safety and efficacy outcomes between Resolute and Xience V treated females. © 2013 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Kenneth Tandjung, Mounir W.Z. Basalus, Hanim Sen, Martin G. Stoel, K. Gert van Houwelingen, J. (Hans) W. Louwerenburg, Frits H.A.F. de Man, Gerard C.M. Linssen, Salah A.M. Saïd, Miep A.W.J. Kleijne, Job van der Palen, Clemens von Birgelen Tags: Original Study Source Type: research

Subclavian artery pseudoaneurysm complicating central venous catheterization: Endovascular treatment with amplatzer vascular plug 4 and covered stent
We report a case of a 41‐year‐old female that developed an iatrogenic left subclavian pseudoaneurysm complicating the attempt of left internal jugular vein cannulation for temporary haemodialysis therapy. The patient underwent urgent endovascular treatment with deployment of covered stent into the left subclavian artery after embolization of the origin of the left internal mammary artery with Amplatzer Vascular Plug 4. The patient's recovery was unremarkable. Follow‐up till 24 months reveals total exclusion of the pseudoaneurysm of the left subclavian artery with patency of the distal branches. © 2013 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Umberto G. Rossi, Francesco Petrocelli, Carlo Ferro Tags: Case Report Source Type: research

A case of CTO treated with minimum use of contrast media
Abstract The retrograde approach is a novel technique for improving the success rate of guidewire passage through chronic total occlusion (CTO). In addition, this technique, especially when intravascular ultrasound‐guided reverse controlled antegrade and retrograde subintimal tracking is employed, may help the operator to save on the contrast media used. In the case reported here, only 10 milliliters of contrast media was used in percutaneous coronary intervention for CTO. © 2013 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Yoshiki Uehara, Mitsuyuki Shimizu, Michihiro Yoshimura Tags: Case Report Source Type: research

Management of paravalvular regurgitation after edwards sapien transcatheter aortic valve replacement
Conclusion:The management of PVR in the TAVR era is a technical challenge. We present our experience and propose a management approach. © 2013 Wiley‐Liss, Inc.
Source: Catheterization and Cardiovascular Interventions - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Claudia A. Martinez, Vikas Singh, Brian O'Neill, Carlos E. Alfonso, Martin S. Bilsker, Pedro Martinez Clark, Donald Williams, Mauricio G. Cohen, Alan W. Heldman, William W. O'Neill Tags: Original Study Source Type: research

Staged total percutaneous treatment of aortic valve pathology and mitral regurgitation: Institutional experience
Conclusions:Percutaneous treatment of AVS and MVR is feasible and safe. A tailored approach should be considered to treat firstly the AVS and subsequently the MVR when severe MV dysfunction and symptoms persist. Short‐term durability of this combined percutaneous approach seems encouraging and justifies the economical burden to treat patients that have no other option. © 2013 Wiley‐Liss, Inc.
Source: Catheterization and Cardiovascular Interventions - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Stephan Kische, Giuseppe D'Ancona, Liliya Paranskaya, Jochen Schubert, Nicole Arsoy, Karl‐Heinz Hauenstein, Anthony Alozie, Bojan Jovanovich, Christoph Nienaber, Hüseyin Ince Tags: Original Study Source Type: research

Impact of advanced age on the safety and effectiveness of paclitaxel‐eluting stent implantation in patients with ST‐segment elevation myocardial infarction undergoing primary angioplasty: The HORIZONS‐AMI trial
Conclusions: For STEMI patients undergoing primary PCI, the implantation of PES as compared with BMS reduced ischemic TVR, and this effect was independent of age. [NCT00433966] © 2013 Wiley‐Liss, Inc.
Source: Catheterization and Cardiovascular Interventions - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Dariusz Dudek, Roxana Mehran, Artur Dziewierz, Bernhard Witzenbichler, Bruce R. Brodie, Ran Kornowski, Martin Fahy, Alexandra J. Lansky, Tomasz Rakowski, Jacek Legutko, Leszek Bryniarski, Gregg W. Stone Source Type: research

The medtronic melody® transcatheter pulmonary valve implanted AT 24mm Diameter….IT Works
Conclusions:The Melody valve can be implanted at 24mm in the stenotic/regurgitant bioprosthetic pulmonary, tricuspid, and aortic valve, dysfunctional right ventricle to pulmonary artery conduit, and the native right ventricular outflow tract, while the valve remains competent with only mild regurgitation. © 2013 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Sharon L. Cheatham, Ralf J. Holzer, Joanne L. Chisolm, John P. Cheatham Source Type: research

Circumferential Left Atrium Resection for Treating a Giant Left Atrium
ConclusionCLAR significantly reduced the LA volume. CLAR had an additional beneficial effect with the maze procedure of a relative rate of sinus rhythm restoration. To clarify the role of CLAR in marked symptom improvements after mitral valve surgery in patients with a giant LA, well‐designed comparative studies are required.
Source: Journal of Cardiac Surgery - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Jae Hyun Kim, Chan‐Young Na, Sook Jin Lee, Sam Sae Oh Tags: Original Article Source Type: research

Volumetric and Functional Assessment Using Cardiac Magnetic Resonance Imaging in Young Children Exposed to Acute Pulmonary Regurgitation: Is Pulmonary Regurgitation Just a Long‐Term Matter?
ConclusionsBoth ventricular volumes increased and left ventricular function was compromised, but right ventricular function was preserved early after the exposure to PR in children. Right ventricular volume was associated with both ventricular functions.
Source: Journal of Cardiac Surgery - January 29, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Chun Soo Park, Woong‐Han Kim, Jae Suk Yoo, Eun‐Ah Park, Whal Lee, Sang Yoon Lee, Gi‐Beom Kim Tags: Original Article Source Type: research

First-Generation Drug-Eluting Stents for Chronic Total Occlusion In Danger of Extinction? ⁎ ⁎
An attempt to recanalize a chronic total occlusion (CTO) is only made in one-half of the patients presenting with an occluded vessel during angiography (1). Possible reasons for hesitating to perform a percutaneous coronary intervention (PCI) for a CTO may be the length and complexity of the procedure and the accordingly lower procedural success rate (2). Hence, patients with CTO are, in case of single-vessel disease, often managed medically or, in case of multivessel disease, are likely scheduled for bypass graft surgery even if the remaining lesions are suitable for PCI. In 2 randomized trials comparing coronary artery b...
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - January 28, 2013 Category: Cardiology Source Type: research

Handling ability of gaseous microemboli of two pediatric arterial filters in a simulated CPB model.
CONCLUSION: Our study confirmed that both the Sorin KIDS D131 and the Terumo Capiox AF02 were equivalent in their ability to remove significant numbers of GME, the amount of pressure drop and the total hemodynamic energy loss across the arterial filters at the various flow rates. An arterial filter is not an option, but a necessity for removing microemboli delivered to the patient. PMID: 23359037 [PubMed - as supplied by publisher]
Source: Perfusion - January 28, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Strother A, Wang S, Kunselman A, Undar A Tags: Perfusion Source Type: research

Evaluation of Current Eligibility Criteria for Bariatric Surgery: Diabetes prevention and risk factor changes in the Swedish Obese Subjects (SOS) study.
CONCLUSIONSBariatric surgery drastically reduced the incidence of type 2 diabetes both in noneligible and eligible patients and improved cardiovascular risk factors in both groups. Our results show that strict BMI cutoffs are of limited use for bariatric surgery prioritization if the aim is to prevent diabetes and improve cardiovascular risk factors. PMID: 23359358 [PubMed - as supplied by publisher]
Source: Diabetes Care - January 28, 2013 Category: Endocrinology Authors: Sjöholm K, Anveden A, Peltonen M, Jacobson P, Romeo S, Svensson PA, Sjöström L, Carlsson LM Tags: Diabetes Care Source Type: research

Bariatric surgery: a best practice article
We describe the literature on outcomes after bariatric surgery, including the results for mortality, weight loss, remission of diabetes and associated endocrine disorders such as hypogonadism. Within this review, we will illustrate the impact of bariatric surgery on self-image, psychological health and perceived health and functional status. Finally, we briefly detail the potential complications of bariatric surgery, and offer advice on post-operative care and surveillance.
Source: Journal of Clinical Pathology - January 28, 2013 Category: Pathology Authors: Neff, K. J. H., le Roux, C. W. Tags: ACP best practice Source Type: research

Left Ventricular Thrombectomy Using Video‐Assisted Thoracoscopy
We report a case of a 40‐year‐old male who had a left ventricular thrombus with impaired cardiac function. The thrombus was completely removed using a video‐assisted thoracoscopy via a right mini‐thoracotomy. This approach is less invasive, avoiding sternotomy and ventriculotomy which can cause postoperative complications.
Source: Journal of Cardiac Surgery - January 28, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Koyu Tanaka, Taichi Sakaguchi, Genta Chikazawa, Toshinori Totsugawa, Hidenori Yoshitaka Tags: Surgical Technique Source Type: research

Hybrid Repair of Simultaneous Multiple Mycotic Aortic Aneurysms
We describe the technique of one stage hybrid open debranching and endovascular repair using three thoracic stent‐graft devices deployed to cover the whole aorta to exclude multiple mycotic aneurysms.
Source: Journal of Cardiac Surgery - January 28, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Che‐An Lin, Chih‐Yang Chan, I‐Hui Wu Tags: Surgical Technique Source Type: research

Continuous intravenous anaesthesia with sufentanil and midazolam in medetomidine premedicated New Zealand White rabbits
Conclusions: TIVA with sufentanil-midazolam provided smooth induction and recovery of anaesthesia in rabbits but with marked hypotension and respiratory depression, requiring mechanical ventilation. Further evaluation is needed to establish if the protocol is useful for rabbits undergoing surgery.
Source: BMC Veterinary Research - Latest articles - January 28, 2013 Category: Veterinary Research Authors: Patricia HedenqvistAnna EdnerÅsa FahlmanMarianne Jensen-Waern Source Type: research

[Ex situ tracheobronchoplastic operations using the organ care system.]
The objective of this work was to investigate the feasibility of ex situ pulmonary surgery within the OCS.In the first procedure a large tracheobronchial leakage was covered with a pericardial patch. The procedure was authorized by the local committee of animal welfare. In the second surgery a replacement of the distal trachea using an aortic graft was performed after removal of the heart-lung segment from a pig from the slaughterhouse. The postoperative ventilation of both lungs was free of problems. The mean pressure of the pulmonary artery remained steady during the whole experiment. The setup to prevent lung edema was ...
Source: Der Chirurg - January 27, 2013 Category: Surgery Authors: Krüger M, Zinne N, Höffler H, Zhang R, Kropivnitskaja I, Schmitto J, Ciubotaru A, Haverich A Tags: Chirurg Source Type: research

Midterm results after treatment of gram-positive deep sternal wound infections with daptomycin for cardiac surgery patients
Daptomycin in combination with surgical therapy shown to be effective for treatment of deep sternal wound infection in cardiac surgery. However, till now midterm results in terms of re-infection or re-operation in patients who were successfully treated with daptomycin for gram-positive deep sternal wound infection are not published. Herein, we present midterm results in patients treated successfully with daptomycin after cardiac surgery.
Source: Journal of Cardiothoracic Surgery - January 26, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Katharina OrtFawad JebranChristian BiretaBernhard DannerIoannis BougioukasFriedrich SchoendubeAron Popov Source Type: research

Influence of Comorbidity on Racial Differences in Receipt of Surgery Among US Veterans With Early-Stage Non-Small-Cell Lung Cancer [Thoracic Oncology]
Conclusion Blacks had a greater prevalence of several comorbid conditions and poor performance status; however, the overall comorbidity score did not differ by race. In general, the effect of comorbidity on receipt of surgery was similar in blacks and whites. Racial differences in comorbidity do not fully explain why blacks undergo lung cancer surgery less often than whites.
Source: Journal of Clinical Oncology - January 25, 2013 Category: Cancer & Oncology Authors: Williams, Stechuchak, Zullig, Provenzale, Kelley Tags: Epidemiology, Surgery Thoracic Oncology Source Type: research

Aortic valve replacement via right anterolateral thoracotomy in the case of a patient with extreme mediastinal right-shift following pneumonectomy
We report on the case of a 68-year-old male patient with the history of right pneumonectomy due to bronchial carcinoma, who was referred for aortic valve replacement due to severe calcified aortic stenosis. Pre-operative chest X-ray and computed tomography (CT) revealed an unusually pronounced mediastinal shift to the right. Despite this unusual anatomy, we decided to perform surgery using the right anterolateral thoracotomy following thorough pre-operative planning using 3D-volume rendering of the CT data-set. This approach yielded excellent exposure of the aortic root and the ascending aorta, respectively. Following an u...
Source: Journal of Cardiothoracic Surgery - January 25, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Mathias WilhelmiThomas RodtIssam IsmailAxel Haverich Source Type: research

Inhibitory Phosphorylation of TASK-1 in Peri-op AF [Signal Transduction]
Peri-operative atrial fibrillation (peri-op AF) is a common complication following thoracic surgery. This arrhythmia is thought to be triggered by an inflammatory response and can be reproduced in various animal models. Previous work has shown that the lipid inflammatory mediator, platelet-activating factor (PAF), synthesized by activated neutrophils, can induce atrial and ventricular arrhythmias as well as repolarization abnormalities in isolated ventricular myocytes. We have previously shown that carbamylated PAF-induced repolarization abnormalities result from the protein kinase C (PKC) ϵ-dependent phosphorylation of t...
Source: Journal of Biological Chemistry - January 25, 2013 Category: Chemistry Authors: Harleton, E., Besana, A., Comas, G. M., Danilo, P., Rosen, T. S., Argenziano, M., Rosen, M. R., Robinson, R. B., Feinmark, S. J. Tags: Molecular Bases of Disease Source Type: research

Cardiovascular and respiratory effects of the degree of head‐down angle during robot‐assisted laparoscopic radical prostatectomy
ConclusionsThis study demonstrated that the degree of the head‐down angle at RALP affected the cardiovascular and respiratory parameters. Pneumoperitoneum with head‐down position in RALP influenced the cardiovascular and respiratory system to a greater extent than RRP, and these effects were stronger with deeper head‐down angle. Copyright © 2013 John Wiley & Sons, Ltd.
Source: The International Journal of Medical Robotics and Computer Assisted Surgery - January 25, 2013 Category: Surgery Authors: Yoshifumi Kadono, Hiroshi Yaegashi, Kazuaki Machioka, Satoru Ueno, Sotaro Miwa, Yuji Maeda, Tohru Miyagi, Atsushi Mizokami, Yuka Fujii, Tsunehisa Tsubokawa, Ken Yamamoto, Mikio Namiki Tags: Original Article Source Type: research

Split cord malformation with dorsally located bony spur: Report of four cases and review of literature
GL Prasad, Sachin A Borkar, GD Satyarthee, AK MahapatraJournal of Pediatric Neurosciences 2012 7(3):167-170Split cord malformations (SCM) with a dorsally located bony spur are a very rare entity. The authors report a series of four such cases. The literature is reviewed regarding the pathogenesis and management of this uncommon variant of SCM. The presenting features include - scoliosis with motor and autonomic dysfunction (n = 1), scoliosis with cutaneous patch (n = 1), hypertrichotic area (n = 1), and motor deficits alone (n = 1). The location of spur was thoracic and lumbar in two patients (50%) each. Low-lying c...
Source: Journal of Pediatric Neurosciences - January 25, 2013 Category: Neuroscience Authors: GL PrasadSachin A BorkarGD SatyartheeAK Mahapatra Source Type: research

Aortic sclerosis is associated with mortality and major morbidity in patients undergoing coronary artery bypass surgery
Conclusions Aortic sclerosis is a common finding in patients undergoing CABG. In these patients, its presence is associated with a higher risk of inhospital mortality or major morbidity, and is associated with a higher risk of all-cause long-term mortality independent of other risk factors.
Source: Heart - January 25, 2013 Category: Cardiology Authors: Flynn, A. W., Afilalo, J., Agnihotri, A. K., Castrillo, C., Shahian, D. M., Picard, M. H. Tags: Editor's choice, Drugs: cardiovascular system, Echocardiography, Interventional cardiology, Clinical diagnostic tests, Epidemiology Valvular heart disease Source Type: research

Principles and Practice of Interventional Pulmonology
Source: Springer Medicine titles - January 24, 2013 Category: Databases & Libraries Tags: Thoracic Surgery Source Type: news

Primary Pulmonary Sarcomatoid Carcinomas.
CONCLUSIONS: Complete surgery in the initial stages of primary PSC can improve survival. PMID: 23352486 [PubMed - as supplied by publisher]
Source: Archivos de Bronconeumologia - January 24, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Avila Martínez RJ, Marrón Fernández C, Hermoso Alarza F, Zuluaga Bedoya M, Meneses Pardo JC, Gámez García AP Tags: Arch Bronconeumol Source Type: research