MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'The Journal of Thoracic and Cardiovascular Surgery' source. Tue, 07 Feb 2012 03:52:40 +0100 http://www.medworm.com/index.php?rid=5605343&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311014127%2Fabstract%3Frss%3Dyes (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605343 Thu, 19 Jan 2012 09:10:17 +0100 5605343 http://www.medworm.com/index.php?rid=5605342&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311014115%2Fabstract%3Frss%3Dyes (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605342 Thu, 19 Jan 2012 09:10:17 +0100 5605342 http://www.medworm.com/index.php?rid=5605341&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311014048%2Fabstract%3Frss%3Dyes (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605341 Thu, 19 Jan 2012 09:10:17 +0100 5605341 http://www.medworm.com/index.php?rid=5605340&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311014024%2Fabstract%3Frss%3Dyes (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605340 Thu, 19 Jan 2012 09:10:17 +0100 5605340 http://www.medworm.com/index.php?rid=5605339&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311014346%2Fabstract%3Frss%3Dyes Diplomates of the American Board of Thoracic Surgery (ABTS) who plan to participate in the Maintenance of Certification (MOC) process must hold an unrestricted medical license in the locale of their practice and privileges in a hospital accredited by the JCAHO (or other organization recognized by the ABTS). In addition, a valid ABTS certificate is an absolute requirement for entrance into the Maintenance of Certification process. If your certificate has expired, the only pathway for renewal of a certificate is to take and pass the Part I (written) and the Part II (oral) certifying examinations. The names of individuals who have not maintained their certificate will no longer be published in the American Board of Medical Specialties Directories. Diplomates’ names will be published upon su... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605339 Thu, 19 Jan 2012 09:10:17 +0100 5605339 http://www.medworm.com/index.php?rid=5605338&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311014334%2Fabstract%3Frss%3Dyes The part I (written) examination was held on December 3. It is planned that this examination will be given at multiple sites throughout the United States using an electronic format. The closing date for registration is August 1 each year. Those wishing to be considered for examination must apply online at www.abts.org. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605338 Thu, 19 Jan 2012 09:10:17 +0100 5605338 http://www.medworm.com/index.php?rid=5605337&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311014322%2Fabstract%3Frss%3Dyes Save the Date! June 27–30, 2012 (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605337 Thu, 19 Jan 2012 09:10:17 +0100 5605337 http://www.medworm.com/index.php?rid=5605336&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311014310%2Fabstract%3Frss%3Dyes The WTSA Application for Membership is now online and must be submitted electronically. A candidate’s application must include the following uploads: A photo, a complete curriculum vitae with bibliography, and the three most significant articles that s/he personally wrote. The candidate’s electronic membership application must be completed and submitted online by March 1, 2012, and all support letters uploaded by that candidate’s sponsors by March 31, 2012, in order for the candidate to be considered for election to membership at the 2012 Annual Meeting. Visit the WTSA Web site at www.westernthoracic.org to read membership eligibility requirements and to initiate an online application. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605336 Thu, 19 Jan 2012 09:10:17 +0100 5605336 http://www.medworm.com/index.php?rid=5605335&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311014309%2Fabstract%3Frss%3Dyes Now Available at www.aats.org, Deadline July 1, 2012 Second John W. Kirklin Research Scholarship 2013–2015 provides an opportunity for research, training, and experience for North American surgeons committed to pursuing an academic career in cardiothoracic surgery. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605335 Thu, 19 Jan 2012 09:10:17 +0100 5605335 http://www.medworm.com/index.php?rid=5605334&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311014292%2Fabstract%3Frss%3Dyes (Immediately following the Aortic Symposium 2012 in New York, NY) April 28–May 2, 2012 (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605334 Thu, 19 Jan 2012 09:10:17 +0100 5605334 http://www.medworm.com/index.php?rid=5605333&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311014280%2Fabstract%3Frss%3Dyes April 26–27, 2012 Sheraton Hotel & Towers (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605333 Thu, 19 Jan 2012 09:10:17 +0100 5605333 http://www.medworm.com/index.php?rid=5605328&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311012414%2Fabstract%3Frss%3Dyes We report a rare case of intraoperative cardiac herniation. Our patient had herniation develop in response to strong positive ventilation to the left lung. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605328 Thu, 19 Jan 2012 09:10:17 +0100 5605328 http://www.medworm.com/index.php?rid=5605327&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311012499%2Fabstract%3Frss%3Dyes This case report highlights the occurrence of a free left atrial myxoma with concomitant mitral stenosis (). Myxomas, although rare, are the most common benign cardiac tumors. They are generally located in the left atria (75%), most often attached by a stalk to the endocardium and growing toward 1 or more of the heart’s cavities. Their average size is 5 cm in diameter. Although most are pedunculated, attached by a broad base, and relatively immobile, a small portion are attached by a long stalk or even unattached, leading to many possible complications, which are separated into (1) obstructive complications, (2) embolization, and (3) constitutional symptoms. The dislodgement of the mass near on orifice is a cause for obstruction. When this occurs near the mitral valve, it leads to a mitr... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605327 Thu, 19 Jan 2012 09:10:17 +0100 5605327 http://www.medworm.com/index.php?rid=5605315&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS002252231101155X%2Fabstract%3Frss%3Dyes Objectives: The aim of the present study was to identify the predictors of 5-year survival in elderly patients undergoing orthotopic heart transplantation (OHT).Methods: A review of the United Network for Organ Sharing database was conducted of recipients 60 years old or older undergoing OHT from 1995 to 2004. The variables were compared between the 5-year survivors and the patients who died within 5 years of OHT. A multivariate logistic regression model was constructed using the covariates significantly associated with 5-year survival on univariate analysis.Results: A total of 5330 elderly patients underwent OHT during the study period. Of these patients, 3492 (65.5%) were 5-year survivors, 1580 (29.6%) had died within 5 years of OHT and were considered controls, and 258 (4.8%) were lost ... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605315 Thu, 19 Jan 2012 09:10:17 +0100 5605315 http://www.medworm.com/index.php?rid=5605304&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311011469%2Fabstract%3Frss%3Dyes Dr Michael Mulligan (Seattle, Wash). Congratulations on your paper and a very nice presentation. I always appreciate seeing a lot of effort put into work, and clearly you did that. I noticed the article that your group put out via e-publication last month evaluating ICAM regulation with sPLA2 in esophageal cancer cells, and this is a nice extension of that work. It is always difficult to know what the next great research question is and you seem to be onto something here. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605304 Thu, 19 Jan 2012 09:10:17 +0100 5605304 http://www.medworm.com/index.php?rid=5605303&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311011445%2Fabstract%3Frss%3Dyes Conclusions: sPLA2 plays a significant role in mediating the inflammatory signals that induce ICAM-1 expression in lung cancer cells. Inhibition of the enzyme can significantly decrease ICAM-1 expression and subsequent cancer cell invasion. This lays the groundwork for further investigation into the cellular mechanisms of sPLA2 and its role in lung cancer. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605303 Thu, 19 Jan 2012 09:10:17 +0100 5605303 http://www.medworm.com/index.php?rid=5605275&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS002252231101172X%2Fabstract%3Frss%3Dyes Dr T. Bruce Ferguson (Greenville, NC). This nice analysis of major patient risk factor observational processes and outcomes compared between 2000 and 2009 (>1.4 million patients) is an excellent update. They did a nice job of handling different versions of the STS database data in their trends over time analysis. The study clearly documented continued improvement in CABG outcomes, particularly in the CABG PCI era of the last decade. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605275 Thu, 19 Jan 2012 09:10:16 +0100 5605275 http://www.medworm.com/index.php?rid=5605274&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311011482%2Fabstract%3Frss%3Dyes Conclusions: Over the past decade, the risk profile of patients undergoing CABG has changed, with fewer smokers, more diabetic patients, and better medical therapy characterizing patients referred for surgical coronary revascularization. The left internal thoracic artery is nearly universally used and outcomes have improved substantially, with a significant decline in postoperative mortality and morbidity. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605274 Thu, 19 Jan 2012 09:10:16 +0100 5605274 http://www.medworm.com/index.php?rid=5605272&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311012347%2Fabstract%3Frss%3Dyes Alfred Blalock, the 30th president of The American Association for Thoracic Surgery (AATS), was born on April 5, 1899, in the small town of Culloden, Georgia. Located in Monroe County in central Georgia, Culloden is approximately 0.8 square miles in size and, according to the United States Census of 1900, had a population of 334. Blalock was the eldest of 5 children born to George Z. Blalock and Martha (Davis) Blalock. The elder Blalock was a merchant and the owner of a cotton plantation. Often referenced as a firm disciplinarian, Blalock’s father placed a significant value on education. According to his sister, Alfred would “…rather [his] mother use the hairbrush on him than [his] father look at him hard.” When Alfred was a youth, the family moved to nearby Jonesboro owing to his ... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605272 Thu, 19 Jan 2012 09:10:16 +0100 5605272 http://www.medworm.com/index.php?rid=5605271&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311013985%2Fabstract%3Frss%3Dyes As I write this editorial, we are coming to the end of 2011 and looking forward to a happy, healthy, and productive 2012. The past year has seen some new developments in the Journal of Thoracic and Cardiovascular Surgery, which we believe has not only enhanced the quality of the JTCVS but also the entire profession of cardiothoracic surgery. No better example is the Cardiothoracic Surgical Education and Training section introduced in May 2011 under the capable direction of Ara Vaporciyan. Education and training at the resident and postgraduate level are crucial to the future of our specialty especially with reduced work hours. The purpose of this section is to highlight articles central to the evolution of thoracic and cardiovascular surgery as it relates to education and training, includ... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605271 Thu, 19 Jan 2012 09:10:16 +0100 5605271 http://www.medworm.com/index.php?rid=5513458&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311013225%2Fabstract%3Frss%3Dyes (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513458 Sat, 17 Dec 2011 21:02:15 +0100 5513458 http://www.medworm.com/index.php?rid=5513457&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311013237%2Fabstract%3Frss%3Dyes (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513457 Sat, 17 Dec 2011 21:02:15 +0100 5513457 http://www.medworm.com/index.php?rid=5513456&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311013213%2Fabstract%3Frss%3Dyes (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513456 Sat, 17 Dec 2011 21:02:15 +0100 5513456 http://www.medworm.com/index.php?rid=5513455&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311013146%2Fabstract%3Frss%3Dyes (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513455 Sat, 17 Dec 2011 21:02:15 +0100 5513455 http://www.medworm.com/index.php?rid=5513454&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311013122%2Fabstract%3Frss%3Dyes (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513454 Sat, 17 Dec 2011 21:02:15 +0100 5513454 http://www.medworm.com/index.php?rid=5513453&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311013481%2Fabstract%3Frss%3Dyes Diplomates of the American Board of Thoracic Surgery (ABTS) who plan to participate in the Maintenance of Certification (MOC) process must hold an unrestricted medical license in the locale of their practice and privileges in a hospital accredited by the JCAHO (or other organization recognized by the ABTS). In addition, a valid ABTS certificate is an absolute requirement for entrance into the Maintenance of Certification process. If your certificate has expired, the only pathway for renewal of a certificate is to take and pass the Part I (written) and the Part II (oral) certifying examinations. The names of individuals who have not maintained their certificate will no longer be published in the American Board of Medical Specialties Directories. Diplomates’ names will be published upon su... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513453 Sat, 17 Dec 2011 21:02:15 +0100 5513453 http://www.medworm.com/index.php?rid=5513452&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS002252231101347X%2Fabstract%3Frss%3Dyes The part I (written) examination was held on December 3. It is planned that this examination will be given at multiple sites throughout the United States using an electronic format. The closing date for registration is August 1 each year. Those wishing to be considered for examination must apply online at www.abts.org. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513452 Sat, 17 Dec 2011 21:02:15 +0100 5513452 http://www.medworm.com/index.php?rid=5513451&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311013468%2Fabstract%3Frss%3Dyes Save the Date! June 27–30, 2012 (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513451 Sat, 17 Dec 2011 21:02:15 +0100 5513451 http://www.medworm.com/index.php?rid=5513450&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311013456%2Fabstract%3Frss%3Dyes The WTSA Application for Membership is now online and must be submitted electronically. A candidate’s application must include the following uploads: A photo, a complete curriculum vitae with bibliography, and the three most significant articles that s/he personally wrote. The candidate’s electronic membership application must be completed and submitted online by March 1, 2012, and all support letters uploaded by that candidate’s sponsors by March 31, 2012, in order for the candidate to be considered for election to membership at the 2012 Annual Meeting. Visit the WTSA Web site at www.westernthoracic.org to read membership eligibility requirements and to initiate an online application. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513450 Sat, 17 Dec 2011 21:02:15 +0100 5513450 http://www.medworm.com/index.php?rid=5513449&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311013444%2Fabstract%3Frss%3Dyes The 37th Annual Meeting of the Western Thoracic Surgical Association (WTSA) was held at the Broadmoor Hotel, June 22 to 25, 2011. The meeting included oral presentation of 22 original articles, panel discussions, a postgraduate course, and 24 additional articles presented during concurrent forums in the disciplines of adult cardiac, general thoracic, and congenital heart disease. The Annual Meeting attracted approximately 200 physicians and allied health professionals and provided an outstanding educational program with ample opportunities for open discussion, scientific debate, and the collegiality characteristic of the WTSA Annual Meeting. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513449 Sat, 17 Dec 2011 21:02:15 +0100 5513449 http://www.medworm.com/index.php?rid=5513448&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311013432%2Fabstract%3Frss%3Dyes April 28–May 2, 2012 (Immediately following the Aortic Symposium 2012 in New York, NY) (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513448 Sat, 17 Dec 2011 21:02:15 +0100 5513448 http://www.medworm.com/index.php?rid=5513447&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311013420%2Fabstract%3Frss%3Dyes April 26–27, 2012 Sheraton Hotel & Towers (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513447 Sat, 17 Dec 2011 21:02:14 +0100 5513447 http://www.medworm.com/index.php?rid=5513446&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311012165%2Fabstract%3Frss%3Dyes Re: Chu LM, Osipov RM, Robich MP, Feng J, Oyamada S, Bianchi C, Sellke FW. Is hyperglycemia bad for the heart during acute ischemia? J Thorac Cardiovasc Surg. 2010;140:1345-52. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513446 Sat, 17 Dec 2011 21:02:14 +0100 5513446 http://www.medworm.com/index.php?rid=5513445&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010877%2Fabstract%3Frss%3Dyes We thank Dr Kestelli and colleagues for their comments and am glad they appreciate our study. The 2 groups of patients were comparable in terms of body surface area (1.76 ± 0.2 m2 in the untreated group vs 1.78 ± 0.2 m2 in the treated group), and no patient showed echocardiographic or clinical signs of tricuspid stenosis (mean gradient, 2.4 ± 0.6). We follow what Frater proposed only because our results are satisfying. If we had been aware of an increased gradient across the tricuspid valve, Frater’s concept (tricuspid annulus to be reduced to fit a number 25 size) would have been abandoned. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513445 Sat, 17 Dec 2011 21:02:14 +0100 5513445 http://www.medworm.com/index.php?rid=5513444&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010889%2Fabstract%3Frss%3Dyes To the Editor: Congratulations to the authors for this study. We benefited from this report, but we want to emphasize some points that should be taken into consideration by the authors. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513444 Sat, 17 Dec 2011 21:02:14 +0100 5513444 http://www.medworm.com/index.php?rid=5513443&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS002252231101066X%2Fabstract%3Frss%3Dyes We thank Edelman and colleagues for their comments and additions to our article. The ROOBY trial, as the largest available prospective, randomized trial has been criticized for its limitations with regard to its significant selection bias, for mainly including low-risk patients. The low off-pump coronary artery bypass grafting (OPCAB) case load of the involved surgeons was reflected by a conversion rate as much as 10-fold higher, less complete revascularization, and lower patency rates than the data from high-volume OPCAB centers. Another randomized trial focusing on graft patency after OPCAB and on-pump coronary artery bypass grafting confirmed that OPCAB was associated with a significantly lower overall graft patency rate and did not rule out a potential benefit for OPCAB with regard to... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513443 Sat, 17 Dec 2011 21:02:14 +0100 5513443 http://www.medworm.com/index.php?rid=5513442&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010658%2Fabstract%3Frss%3Dyes We congratulate Emmert and colleagues on their study, which shows that avoiding manipulation of the ascending aorta is the most effective method of minimizing neurologic injury during coronary artery bypass grafting (CABG). (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513442 Sat, 17 Dec 2011 21:02:14 +0100 5513442 http://www.medworm.com/index.php?rid=5513441&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311009809%2Fabstract%3Frss%3Dyes We read with interest the letter of Mineo and Ambrogi concerning our novel technique for the surgical management with local and epidural anesthesia of intractable pneumothorax after pneumonectomy. We appreciate all the useful comments that we have received in response to the submission of our article. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513441 Sat, 17 Dec 2011 21:02:14 +0100 5513441 http://www.medworm.com/index.php?rid=5513440&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311009792%2Fabstract%3Frss%3Dyes We greatly appreciated reading the simple but clear case report by Noda and colleagues of awake thoracoscopic surgery for intractable pneumothorax. Noda and colleagues demonstrated the benefits of local and epidural anesthesia in treating a particular patient who had right pneumothorax after left pneumonectomy for cancer. The procedure was both well tolerated and successful in completely controlling the air leakage. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513440 Sat, 17 Dec 2011 21:02:14 +0100 5513440 http://www.medworm.com/index.php?rid=5513439&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311009743%2Fabstract%3Frss%3Dyes On the basis of their own recent meta-analysis on this topic, Nijjer and colleagues commented on the results of our meta-analysis about the effects of preoperative exposure to clopidogrel before coronary artery bypass grafting. Nijjer and colleagues raised concerns regarding our methodology, which could have affected the results of our meta-analysis. In our study, we used a fixed-effects model when heterogeneity was considered unimportant. We do agree with Nijjer and colleagues that a random-effects model is more appropriate when analyzing nonrandomized studies. In fact, we used the latter method in our most recent meta-analyses. Here, we report the results of using a random-effects model in all outcome end points (). The use of this method provided similar results to those published, but ... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513439 Sat, 17 Dec 2011 21:02:14 +0100 5513439 http://www.medworm.com/index.php?rid=5513438&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311009755%2Fabstract%3Frss%3Dyes We read with interest the recent meta-analysis by Biancari and colleagues. The use of clopidogrel before coronary artery bypass grafting remains a controversial issue. Our own recent meta-analysis used a similar series of studies but focused specifically on the effects of acute coronary syndrome and case urgency. We showed that both acute coronary syndrome status and urgency influenced mortality and adverse outcomes. Biancari and colleagues suggested that aggregation of randomized, controlled trials identified a reduction in postoperative mortality with preoperative clopidogrel exposure, whereas observational studies produced an opposite finding. They also showed that emergency cases had a nonsignificant impact on mortality, which is clinically unexpected. (Source: The Journal of Thoracic... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513438 Sat, 17 Dec 2011 21:02:14 +0100 5513438 http://www.medworm.com/index.php?rid=5513437&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010798%2Fabstract%3Frss%3Dyes Health care systems around the world are under stress and are being reformed. New models of care are required for a rapidly aging population. Care that is currently hospital based must be transferred to the community. Cardiothoracic surgery provides treatments that may be very effective but remain very invasive and expensive. The specialty lags behind general surgery, which has changed dramatically during the past 10 to 15 years. Many cardiac treatments, previously undertaken through open surgery, are now available with a catheter, carried out by cardiologists. Although percutaneous coronary intervention numbers remain stable, numbers of coronary artery bypass grafting operations, for many years staple fare for cardiac surgeons, are falling precipitously in both the United States and the U... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513437 Sat, 17 Dec 2011 21:02:14 +0100 5513437 http://www.medworm.com/index.php?rid=5513436&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010646%2Fabstract%3Frss%3Dyes To the Editor: We read with great interest Hu’s report in the June issue of the Journal on the status of surgical and interventional cardiovascular hybrid procedures in China. The hybrid concept combines the treatments traditionally available only in the catheterization laboratory with those traditionally available only in the operating room to offer patients the best available combination of treatments for any given set of cardiovascular lesions. Since their introduction, these hybrid procedures have been increasing in China with the opening of more than 30 hybrid operating rooms. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513436 Sat, 17 Dec 2011 21:02:14 +0100 5513436 http://www.medworm.com/index.php?rid=5513434&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010944%2Fabstract%3Frss%3Dyes Bleeding from apical access early after transapical transcatheter aortic valve implantation (TAVI) is a known complication, reported in 4.8% of the patients in the TRAVERCE trial. A case of delayed bleeding has been reported by Masson and associates, but it is not clear when the complication happened (weeks to months). (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513434 Sat, 17 Dec 2011 21:02:13 +0100 5513434 http://www.medworm.com/index.php?rid=5513411&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010749%2Fabstract%3Frss%3Dyes Dr R. Duane Davis (Durham, NC). First, I congratulate you on an excellent presentation. This is not a shocking finding, in a team sport like heart transplant, that better outcomes are associated with higher volumes. I want to focus a little bit more on how you defined what was a large-volume versus a small-volume center. There was a recent report in the Journal that used essentially the same UNOS data set that you did. They divided it into quartiles; in fact, the low volume was approximately 15 and less, and then marched it up, with the high-volume centers approximately 34 and over. For each of the groups, there was a reduction in the actual mortality risk. You have added recipient risk, as quantified by your IMPACT score, to the analysis. High‑risk recipients would seem to do better in ... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513411 Sat, 17 Dec 2011 21:02:11 +0100 5513411 http://www.medworm.com/index.php?rid=5513410&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010543%2Fabstract%3Frss%3Dyes This study examined the relationship between institutional volume and recipient risk on post-OHT mortality.Methods: We used United Network for Organ Sharing (UNOS) data to identify primary OHT recipients between January 2000 and April 2010. Centers were stratified by mean annual volume. Preoperative Index for Mortality Prediction After Cardiac Transplantation risk scores were calculated for each patient with our validated 50-point system. Primary outcomes were 30-day and 1-year survivals. Multivariable logistic regression analysis included interaction terms to examine effect modification of risk and volume on mortality.Results: In all, 18,226 patients underwent transplant at 141 centers: 1173 (6.4%) recipients at low-volume centers (15 procedures/y). Low center volume was associated with w... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513410 Sat, 17 Dec 2011 21:02:11 +0100 5513410 http://www.medworm.com/index.php?rid=5513385&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311011408%2Fabstract%3Frss%3Dyes Conclusions: These data give a clear profile of the specialty at this time. The major challenges remain length of training and educational debt of the thoracic surgeon. Case volume, scope of practice, malpractice costs, and career satisfaction remain major elements to provide a positive environment to recruit new surgeons in to the specialty. The resident pool has contracted while the workforce ages and retirement looms. Significant shortages may develop as the US population ages in the environment of health care reform. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513385 Sat, 17 Dec 2011 21:02:02 +0100 5513385 http://www.medworm.com/index.php?rid=5513384&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS002252231101302X%2Fabstract%3Frss%3Dyes The US Social Security Administration’s (SSA) Death Master File (SSDMF) has been an important source of vital status for clinical researchers. It is sensitive and specific, reasonably up to date, and inexpensive. On November 1, 2011, this resource disappeared as a tool for biomedical research. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513384 Sat, 17 Dec 2011 21:02:02 +0100 5513384 http://www.medworm.com/index.php?rid=5513383&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311013511%2Fabstract%3Frss%3Dyes The American College of Cardiology Foundation and the American Heart Association have now updated the Practice Guidelines for coronary artery bypass grafting (CABG) surgery. These guidelines were developed with, and endorsed by, the American Association for Thoracic Surgery, the Society of Cardiovascular Anesthesiologists, and the Society for Thoracic Surgeons (STS). (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513383 Sat, 17 Dec 2011 21:02:02 +0100 5513383 http://www.medworm.com/index.php?rid=5513382&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS002252231101124X%2Fabstract%3Frss%3Dyes The medical profession should play a central role in evaluating the evidence related to drugs, devices, and procedures for the detection, management, and prevention of disease. When properly applied, expert analysis of available data on the benefits and risks of these therapies and procedures can improve the quality of care, optimize patient outcomes, and favorably affect costs by focusing resources on the most effective strategies. An organized and directed approach to a thorough review of evidence has resulted in the production of clinical practice guidelines that assist physicians in selecting the best management strategy for an individual patient. Moreover, clinical practice guidelines can provide a foundation for other applications, such as performance measures, appropriate use criter... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513382 Sat, 17 Dec 2011 21:02:01 +0100 5513382 http://www.medworm.com/index.php?rid=5605306&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311011688%2Fabstract%3Frss%3Dyes Dr Gail E. Darling (Toronto, Ontario, Canada). I want to thank Dr Harvin for an excellent presentation and for providing me with the manuscript well in advance of the meeting. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605306 Thu, 15 Dec 2011 05:00:00 +0100 5605306 http://www.medworm.com/index.php?rid=5605305&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311011639%2Fabstract%3Frss%3Dyes Objectives: The incidence and consequence of an isolated involved circumferential radial margin (CRM) after resection for esophageal adenocarcinoma in the setting of neoadjuvant chemoradiotherapy (CRT) has not been reported. We aimed to determine the frequency and significance of a close ( (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605305 Thu, 15 Dec 2011 05:00:00 +0100 5605305 http://www.medworm.com/index.php?rid=5605310&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311012463%2Fabstract%3Frss%3Dyes Dr Alessandro Brunelli (Ancona, Italy). Mr Chairmen, colleagues. I have no conflicts of interest to disclose. Dr Puri, I want to congratulate you and your colleagues from St Louis for this timely and interesting contribution. As usual, your group has performed this very accurate analysis in the context of a nonrandomized observational investigation. SBRT is emerging as an effective treatment for functionally inoperable NSCLC. However, you have demonstrated with a decision model that surgical intervention remains cost-effective, even for these high–risk patients. I have 3 comments and questions, and I will ask you one at a time. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605310 Mon, 12 Dec 2011 05:00:00 +0100 5605310 http://www.medworm.com/index.php?rid=5605309&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311012438%2Fabstract%3Frss%3Dyes Conclusions: In our analysis stereotactic body radiation therapy appears to be less costly than surgical intervention in high-risk patients with early stage non–small cell lung cancer. However, surgical intervention appears to meet the standards for cost-effectiveness because of a longer expected overall survival. Should this advantage not be confirmed in other studies, the cost-effectiveness decision would be likely to change. Prospective randomized studies are necessary to strengthen confidence in these results. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605309 Mon, 12 Dec 2011 05:00:00 +0100 5605309 http://www.medworm.com/index.php?rid=5605300&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311011706%2Fabstract%3Frss%3Dyes Dr Paul Schipper (Portland, Ore). I appreciate what you and your coauthors have done to evaluate the surgical treatment of these early-stage tumors. Your historical data applied to the new system get information out there quicker. However, you have to be cautious when you are making prospective or clinical decisions using retrospective pathologic data. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605300 Mon, 12 Dec 2011 05:00:00 +0100 5605300 http://www.medworm.com/index.php?rid=5605299&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS002252231101141X%2Fabstract%3Frss%3Dyes Objective: Anatomic segmentectomy may achieve results comparable to lobectomy for early-stage non–small cell lung cancer. The 7th edition of the AJCC Cancer Staging Handbook stratified the previous T1 tumor designation into T1a and T1b subsets, which still define stage 1A node-negative non–small cell lung cancer. We are left to hypothesize whether this classification may aid in directing the extent of surgical resection. We retrospectively reviewed our anatomic segmentectomy and lobectomy management of stage 1A non–small cell lung cancer to determine differences in survival and local recurrence rates based on the new stratification.Methods: We performed a retrospective review of 429 patients undergoing resection of pathologically confirmed stage 1A non–small cell lung cancer via lo... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605299 Mon, 12 Dec 2011 05:00:00 +0100 5605299 http://www.medworm.com/index.php?rid=5605282&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311012256%2Fabstract%3Frss%3Dyes Dr Ralph Damiano (St. Louis, Mo). Dr Schaff, I congratulate you and your coauthors on an important contribution. This is a landmark report that will have a significant impact on the clinical management of patients with symptomatic HCM. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605282 Mon, 12 Dec 2011 05:00:00 +0100 5605282 http://www.medworm.com/index.php?rid=5605281&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311012219%2Fabstract%3Frss%3Dyes Objective: Many patients with symptomatic hypertrophic cardiomyopathy have minimal left ventricular outflow tract gradients, and there is uncertainty whether their limitation is due to diastolic dysfunction or labile outflow tract obstruction. The purpose of this study was to characterize the clinical presentation and outcome of septal myectomy in patients with hypertrophic cardiomyopathy and latent obstruction.Methods: Among 749 patients who underwent septal myectomy, 249 had latent obstruction with minimal (0–30 mm Hg) resting gradients preoperatively. All were symptomatic and had more severe left ventricular outflow tract obstruction provoked by Valsalva maneuver or amyl nitrite inhalation during Doppler echocardiography or by stimulation with isoproterenol during catheterization. Cli... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605281 Mon, 12 Dec 2011 05:00:00 +0100 5605281 http://www.medworm.com/index.php?rid=5605321&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311012311%2Fabstract%3Frss%3Dyes We report a case of dual mitral valve clefts in both the anterior and posterior leaflets of the mitral valve. Three-dimensional transesophageal echocardiography (TEE) facilitates visualization of the mitral leaflet pathology and assists with accurate surgical planning. This rare mitral valve anomaly is confirmed surgically and corrected with minimally invasive robotic technique. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605321 Fri, 09 Dec 2011 05:00:00 +0100 5605321 http://www.medworm.com/index.php?rid=5605293&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311012451%2Fabstract%3Frss%3Dyes Dr Carl L. Backer (Chicago, Ill). I want to congratulate Dr Chen and his colleagues from Children's Hospital of Boston on their outstanding results with PVR in children and young adults with repaired TOF. A total of 229 operations with no mortality and no significant morbidity is truly a notable achievement. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605293 Fri, 09 Dec 2011 05:00:00 +0100 5605293 http://www.medworm.com/index.php?rid=5605292&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS002252231101244X%2Fabstract%3Frss%3Dyes Conclusions: Younger age at the time of pulmonary valve replacement and valve oversizing in patients less than 20 years of age at the time of pulmonary valve replacement were significant predictors of structural valve deterioration and could potentially affect the timing of pulmonary valve replacement and the extent of valve oversizing in small children. No statistically significant difference in valve performance was seen between bioprosthetic valve types at short-term follow-up. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605292 Fri, 09 Dec 2011 05:00:00 +0100 5605292 http://www.medworm.com/index.php?rid=5605317&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010919%2Fabstract%3Frss%3Dyes Dr James Brevig (Everett, Wash). I work in Everett, Washington, at a community hospital. I thank the membership for the opportunity to discuss this presentation. This is a difficult issue to study because it is hard to get a control group, which is evident to us from the presentation. Nevertheless, having worked in a similar model since 2004, which is when we opened our single-stay unit, a similar concept to the UB model, I am convinced this is a better model of care than the traditional model of care that involves a critical care unit and a variety of step-down, progressive care, or telemetry units. I am delighted to see this article and the concept getting some attention from our peers. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605317 Thu, 08 Dec 2011 05:00:00 +0100 5605317 http://www.medworm.com/index.php?rid=5605316&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010841%2Fabstract%3Frss%3Dyes Conclusions: The universal bed patient care model allows for expedient and efficacious care as measured by decreased length of intensive care unit and hospital stay, improved postoperative outcomes, patient satisfaction, and cost savings. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605316 Thu, 08 Dec 2011 05:00:00 +0100 5605316 http://www.medworm.com/index.php?rid=5605291&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311012360%2Fabstract%3Frss%3Dyes Dr J. William Gaynor (Philadelphia, Pa). I congratulate Dr Chen and his co–investigators on a very interesting presentation and thank them for allowing me to review the manuscript. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605291 Tue, 06 Dec 2011 05:00:00 +0100 5605291 http://www.medworm.com/index.php?rid=5605290&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311012359%2Fabstract%3Frss%3Dyes Conclusions: Both VAD and ECMO support are highly effective means of bridging patients to transplantation and supporting patients after transplanatation. Ideally, the availability of smaller devices for children will have a favorable impact on the morbidity related to anticoagulation in the smallest patients. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605290 Tue, 06 Dec 2011 05:00:00 +0100 5605290 http://www.medworm.com/index.php?rid=5605286&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311012372%2Fabstract%3Frss%3Dyes Dr Harold Lazar (Boston, Mass). I enjoyed your presentation and appreciate you sending me the manuscript well ahead of time. My only conflict is that I have received grant support from the Eli Lilly Company to study the effects of glycemic control during cardiac surgery. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605286 Mon, 05 Dec 2011 05:00:00 +0100 5605286 http://www.medworm.com/index.php?rid=5605285&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311012335%2Fabstract%3Frss%3Dyes Objective: The purpose of this study was to test the hypothesis that a liberal blood glucose strategy (121–180 mg/dL) is not inferior to a strict blood glucose strategy (90–120 mg/dL) for outcomes in patients after first-time isolated coronary artery bypass grafting and is superior for glucose control and target blood glucose management.Methods: A total of 189 patients undergoing coronary artery bypass grafting were investigated in this prospective randomized study to compare 2 glucose control strategies on patient perioperative outcomes. Three methods of analyses (intention to treat, completer, and per protocol) were conducted. Observed power was robust (>80%) for significant results.Results: The groups were similar on preoperative hemoglobin A1c and number of diabetic patients. The l... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605285 Mon, 05 Dec 2011 05:00:00 +0100 5605285 http://www.medworm.com/index.php?rid=5605284&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311012244%2Fabstract%3Frss%3Dyes Dr Gregory Fontana (Los Angeles, Calif). Dr Bleiziffer, your program in Munich is unique in that this is one of the largest TAVI experiences in the world but includes both the balloon-expandable and self-expanding devices, and, arguably, the most surgeon-driven program that I am aware of. Drs. Bleiziffer and Lange work as surgeons with all access approaches along with their cardiologists as primary operators and should serve as a model for other surgical programs. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605284 Mon, 05 Dec 2011 05:00:00 +0100 5605284 http://www.medworm.com/index.php?rid=5605283&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311012220%2Fabstract%3Frss%3Dyes We report on 2-year follow-up clinical and echocardiographic results after transcatheter aortic valve implantation in 227 patients.Methods: Patients’ mean age was 81 ± 7 years, 59% were female, mean European System for Cardiac Operative Risk Evaluation was 21% ± 14%, mean Society of Thoracic Surgeons score was 7% ± 5%, and access routes were transfemoral (n = 164), transapical (n = 54), axillary (n = 5), or transaortic (n = 4). A CoreValve (Medtronic Inc, Minneapolis, Minn) prosthesis was implanted in 174 patients, and a SAPIEN prosthesis (Edwards Lifesciences, Irvine, Calif) was implanted in 53 patients. Clinical and echocardiographic investigations were performed at 6 months, 1 year, and 2 years.Results: Survival was 88.5% at 30 days, 75.9% at 6 months, 74.5% at 1 year, and ... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605283 Mon, 05 Dec 2011 05:00:00 +0100 5605283 http://www.medworm.com/index.php?rid=5605331&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311011615%2Fabstract%3Frss%3Dyes We present a case of early-onset aortocoronary conduit bronchopulmonary fistula diagnosed by coronary angiography and immediate noncontrast computed tomography (CT) in a patient with massive hemoptysis 8 weeks after CABG. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605331 Mon, 21 Nov 2011 05:00:00 +0100 5605331 http://www.medworm.com/index.php?rid=5605330&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311011603%2Fabstract%3Frss%3Dyes We present here 2 case reports of early structural valve dysfunction after implantation of the Mosaic valve in the aortic position. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605330 Mon, 21 Nov 2011 05:00:00 +0100 5605330 http://www.medworm.com/index.php?rid=5605329&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311012323%2Fabstract%3Frss%3Dyes Aortic valve dysfunction in relatively young adults may indicate congenital valve malformation. There have been occasional reports of anomalous monocuspid, bicuspid, and quadricuspid valves. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605329 Mon, 21 Nov 2011 05:00:00 +0100 5605329 http://www.medworm.com/index.php?rid=5605308&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311011676%2Fabstract%3Frss%3Dyes Dr Daniel Kreisel (St Louis, Mo). Congratulations on a very nice presentation and a nice study. Thank you for allowing me to review your manuscript in a timely fashion. Your study addresses an important issue in thoracic oncology, the identification of biomarkers, which would ideally allow us to accurately identify patients with lung cancer in a cost-effective and practical manner. Your study extends numerous previous studies that have used profiling of serum markers in an attempt to detect patients who harbor malignancies, including ovarian cancers. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605308 Mon, 21 Nov 2011 05:00:00 +0100 5605308 http://www.medworm.com/index.php?rid=5605307&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311011652%2Fabstract%3Frss%3Dyes Conclusions: We confirmed that a new diagnostic method using 5 serum biomarkers profiling constructed by multivariate classification algorithms could distinguish NSCLC from healthy controls with high accuracy. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605307 Mon, 21 Nov 2011 05:00:00 +0100 5605307 http://www.medworm.com/index.php?rid=5605302&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311011470%2Fabstract%3Frss%3Dyes Dr Sean C. Grondin (Calgary, Alberta, Canada). I thank the Association for the opportunity to review this paper and I thank Drs Carrott and Low and their coauthors for providing me with the manuscript in a timely fashion for review. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605302 Mon, 21 Nov 2011 05:00:00 +0100 5605302 http://www.medworm.com/index.php?rid=5605301&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311011433%2Fabstract%3Frss%3Dyes This study assesses the effect of paraesophageal hernia repair on respiratory function.Methods: All patients undergoing repair of giant paraesophageal hernia were prospectively entered into a database approved by the institutional review board. Patients had symptoms documented preoperatively, including dyspnea. Pulmonary function tests (PFTs) were done preoperatively and repeated a median of 106 days after repair (range, 16-660 days).Results: Preoperative and postoperative PFTs were obtained in 120 unselected patients treated for paraesophageal hernia between 2000 and 2010. Patients’ median age was 74 years (range, 45-91 years), 74 (62%) were female, and median body mass index was 28.0 (range, 16.8-46.6). Median length of stay was 4 days (range, 3-10 days), and perioperative mortality wa... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605301 Mon, 21 Nov 2011 05:00:00 +0100 5605301 http://www.medworm.com/index.php?rid=5605298&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS002252231101227X%2Fabstract%3Frss%3Dyes Dr Thomas A. D'Amico (Durham, NC). Robotics has been used in numerous surgical procedures, but, with few exceptions, this technologic advance has not translated into improved outcomes. Many robotic applications have been unveiled as the manifestation of a tool—sometimes a marketing tool—in search of an application. The principal advantages of robotic assistance in surgery are the greater degree of instrumental articulation and motion scaling. However, despite these recognized technical advantages, the demonstration of superior outcomes has been disappointing. As well, several disadvantages of the robotic system have been proven, including the lack of tactile feedback, personnel commitment, cost of the robot and its instruments, and the length of the procedures. In addition, the instrum... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605298 Mon, 21 Nov 2011 05:00:00 +0100 5605298 http://www.medworm.com/index.php?rid=5605297&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311012177%2Fabstract%3Frss%3Dyes Conclusions: Robotic lobectomy for early-stage NSCLC can be performed with low morbidity and mortality. Long-term stage-specific survival is acceptable and consistent with prior results for VATS and thoracotomy. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605297 Mon, 21 Nov 2011 05:00:00 +0100 5605297 http://www.medworm.com/index.php?rid=5605280&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311012268%2Fabstract%3Frss%3Dyes Dr Tirone E. David (Toronto, Ontario, Canada). I have no conflicts to disclose. I commend you, Paul, for these excellent clinical outcomes in patients with a variety of proximal aortic aneurysms with and without aortic insufficiency. Contrary to what your second slide showed, isolated aneurysms of the aortic sinuses do not cause aortic insufficiency. Aortic insufficiency is obviously caused by cusp disease, annular dilatation, and/or sinotubular junction dilation. Isolated sinus of Valsalva aneurysm causes no aortic valve dysfunction. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605280 Mon, 21 Nov 2011 05:00:00 +0100 5605280 http://www.medworm.com/index.php?rid=5605279&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311012189%2Fabstract%3Frss%3Dyes Conclusions: Aortic root repair with replacement of isolated sinuses adjusted to the existing aortic annulus leads to excellent, durable results and can be recommended. Cusp disease is a leading aspect affecting functional results of repair. Therefore, establishment of reproducible cusp repair techniques is of utmost importance for further development of reconstructive aortic valve surgery. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605279 Mon, 21 Nov 2011 05:00:00 +0100 5605279 http://www.medworm.com/index.php?rid=5605278&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS002252231101169X%2Fabstract%3Frss%3Dyes Dr Thoralf Sundt (Boston, Mass). Thanks, Paul, beautifully presented, and I would like to say thanks for getting your slides and your manuscript to me much earlier than I ever do for my invited discussants. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605278 Mon, 21 Nov 2011 05:00:00 +0100 5605278 http://www.medworm.com/index.php?rid=5605277&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311011627%2Fabstract%3Frss%3Dyes Objectives: The present study examined the relationship between hospital and surgeon coronary artery bypass grafting procedural volume, mortality, morbidity, and National Quality Forum care processes in a university-based community hospital quality improvement program.Methods: The study population consisted of 2218 consecutive patients undergoing isolated coronary artery bypass grafting from 2007 to 2009 in a university-based quality improvement program that emphasizes involvement of all surgeons in the academic quality endeavor. The endpoints included operative mortality, major morbidity, and National Quality Forum-endorsed process measures as defined by the Society of Thoracic Surgeons. The procedural volume was analyzed as a categorical and continuous variable using general estimating e... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605277 Mon, 21 Nov 2011 05:00:00 +0100 5605277 http://www.medworm.com/index.php?rid=5605276&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311011421%2Fabstract%3Frss%3Dyes Conclusions: For patients with Marfan syndrome, failed aortic surveillance and consequent emergency dissection repair have important long-term implications with regard to the status of the distal aorta, need for multiple procedures, and quality of life. These findings emphasize the importance of aortic surveillance and timely elective aortic root aneurysm repair for patients with Marfan syndrome. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605276 Mon, 21 Nov 2011 05:00:00 +0100 5605276 http://www.medworm.com/index.php?rid=5419224&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS002252231101186X%2Fabstract%3Frss%3Dyes (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419224 Fri, 18 Nov 2011 11:18:33 +0100 5419224 http://www.medworm.com/index.php?rid=5419223&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311011858%2Fabstract%3Frss%3Dyes (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419223 Fri, 18 Nov 2011 11:18:33 +0100 5419223 http://www.medworm.com/index.php?rid=5419222&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311011780%2Fabstract%3Frss%3Dyes (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419222 Fri, 18 Nov 2011 11:18:33 +0100 5419222 http://www.medworm.com/index.php?rid=5419221&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311011767%2Fabstract%3Frss%3Dyes (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419221 Fri, 18 Nov 2011 11:18:33 +0100 5419221 http://www.medworm.com/index.php?rid=5419220&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311012153%2Fabstract%3Frss%3Dyes Diplomates of the American Board of Thoracic Surgery (ABTS) who plan to participate in the Maintenance of Certification (MOC) process must hold an unrestricted medical license in the locale of their practice and privileges in a hospital accredited by the JCAHO (or other organization recognized by the ABTS). In addition, a valid ABTS certificate is an absolute requirement for entrance into the Maintenance of Certification process. If your certificate has expired, the only pathway for renewal of a certificate is to take and pass the Part I (written) and the Part II (oral) certifying examinations. The names of individuals who have not maintained their certificate will no longer be published in the American Board of Medical Specialties Directories. Diplomates’ names will be published upon su... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419220 Fri, 18 Nov 2011 11:18:33 +0100 5419220 http://www.medworm.com/index.php?rid=5419219&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311012141%2Fabstract%3Frss%3Dyes The part I (written) examination was held on December 3. It is planned that this examination will be given at multiple sites throughout the United States using an electronic format. The closing date for registration is August 1 each year. Those wishing to be considered for examination must apply online at www.abts.org. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419219 Fri, 18 Nov 2011 11:18:33 +0100 5419219 http://www.medworm.com/index.php?rid=5419218&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS002252231101213X%2Fabstract%3Frss%3Dyes Save the Date! June 27–30, 2012 (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419218 Fri, 18 Nov 2011 11:18:33 +0100 5419218 http://www.medworm.com/index.php?rid=5419217&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311012128%2Fabstract%3Frss%3Dyes The WTSA Application for Membership is now online and must be submitted electronically. A candidate’s application must include the following uploads: A photo, a complete curriculum vitae with bibliography, and the three most significant articles that s/he personally wrote. The candidate’s electronic membership application must be completed and submitted online by March 1, 2012, and all support letters uploaded by that candidate’s sponsors by March 31, 2012, in order for the candidate to be considered for election to membership at the 2012 Annual Meeting. Visit the WTSA Web site at www.westernthoracic.org to read membership eligibility requirements and to initiate an online application. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419217 Fri, 18 Nov 2011 11:18:33 +0100 5419217 http://www.medworm.com/index.php?rid=5419216&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311012116%2Fabstract%3Frss%3Dyes Application Deadline: January 15, 2012 The American Association for Thoracic Surgery (AATS) Summer Intern Scholarship program introduces the field of cardiothoracic surgery to first- and second-year medical students from North American medical institutions. By providing an opportunity to spend 8 weeks during the summer working in an AATS member's cardiothoracic surgery department, the summer intern scholarship provides medical students with insight into the scientific investigation and study of cardiothoracic surgery. For more information and to submit an application, please visit www.aats.org. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419216 Fri, 18 Nov 2011 11:18:33 +0100 5419216 http://www.medworm.com/index.php?rid=5419215&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311012104%2Fabstract%3Frss%3Dyes April 28–May 2, 2012 (Immediately following the Aortic Symposium 2012 in New York, NY) (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419215 Fri, 18 Nov 2011 11:18:33 +0100 5419215 http://www.medworm.com/index.php?rid=5419214&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311012098%2Fabstract%3Frss%3Dyes April 26–27, 2012 Sheraton Hotel & Towers (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419214 Fri, 18 Nov 2011 11:18:33 +0100 5419214 http://www.medworm.com/index.php?rid=5419213&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311012086%2Fabstract%3Frss%3Dyes To best serve the interests of the specialty and its practitioners, the American Association for Thoracic Surgery requires the volunteer leadership, including its editors, associate editors, and section editors, to publicly disclose the existence and nature of any financial or other relationships that might influence, or appear to influence, their actions. In keeping with this policy, the following disclosures have been made by the editors and editorial board members responsible for making decisions about manuscripts submitted to and published in the official publications of the Association: (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419213 Fri, 18 Nov 2011 11:18:33 +0100 5419213 http://www.medworm.com/index.php?rid=5419212&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311009688%2Fabstract%3Frss%3Dyes We appreciate Argiriou’s comments. The heterotopic porcine model described in our study is useful for screening antithrombotic therapy for mechanical valves. The procedure is less costly in terms of time and equipment than heterotopic valve replacement, and mortality among experimental animals is relatively low. Rapid, robust thrombus formation is important in the swine model because of somatic growth and the considerable expense of housing animals for long periods. It is true that the tilting discs of the bileaflet valves do not open and close normally; however, we actually consider this an advantage of the model in that lack of leaflet washing might actually be expected to increase thrombogenicity of the valve. Indeed, we previously compared thrombus formation on mechanical valve pros... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419212 Fri, 18 Nov 2011 11:18:33 +0100 5419212 http://www.medworm.com/index.php?rid=5419211&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS002252231100969X%2Fabstract%3Frss%3Dyes To the Editor: I read with interest the recently published study of McKellar and colleagues regarding the effectiveness of dabigatran etexilate for thromboprophylaxis of mechanical heart valves. In this animal study, McKellar and colleagues used a model of heterotopic aortic valve replacement in which, as described previously, the valve within the modified valved conduit remains open continuously throughout the cardiac cycle. Surprisingly, this very important information regarding the valve function after this extra-anatomic valved conduit placement is missing from their recent study as a possible major limitation. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419211 Fri, 18 Nov 2011 11:18:33 +0100 5419211 http://www.medworm.com/index.php?rid=5419210&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311009299%2Fabstract%3Frss%3Dyes We thank Ji and colleagues for their insightful comments on the technique of innominate artery cannulation during surgery to correct Stanford type A aortic dissection as described in our recently published article. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419210 Fri, 18 Nov 2011 11:18:33 +0100 5419210 http://www.medworm.com/index.php?rid=5419209&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311009305%2Fabstract%3Frss%3Dyes To the Editor: We read with great interest the recent published paper by Shi and colleagues. They introduced a case series with the use of innominate cannulation during repair of Stanford type A aortic dissection with ascending aorta and hemiarch replacement combined with stent–graft elephant trunk. We congratulate them for their excellent clinical results and also would like to discuss a few questions regarding cannulation during antegrade cerebral perfusion (ACP). (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419209 Fri, 18 Nov 2011 11:18:33 +0100 5419209 http://www.medworm.com/index.php?rid=5419208&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311009275%2Fabstract%3Frss%3Dyes We appreciate Tarzia and colleagues’ letter regarding our article. They take exception to comparing reexploration with pharmacologic management using recombinant activated factor VII (rFVIIa) in the intensive care unit because the source of bleeding is not known. They also elucidate a well–thought out algorithm for the management of postoperative bleeding. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419208 Fri, 18 Nov 2011 11:18:33 +0100 5419208 http://www.medworm.com/index.php?rid=5419207&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311009287%2Fabstract%3Frss%3Dyes We read with interest the article by Uber and colleagues regarding the use of recombinant activated clotting factor VII (rFVIIa) after complex cardiovascular surgery and would like to raise the following issues. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419207 Fri, 18 Nov 2011 11:18:33 +0100 5419207 http://www.medworm.com/index.php?rid=5419187&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311003850%2Fabstract%3Frss%3Dyes Conclusions: This large experience in the TEE era strongly supports femoral cannulation for aortic surgery, with good survival, low stroke rate, minimal perfusion-related rupture or dissection, and minimal limb ischemia. If intraoperative TEE shows mobile atheroma, axillary cannulation is preferred. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419187 Fri, 18 Nov 2011 11:18:33 +0100 5419187 http://www.medworm.com/index.php?rid=5419173&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010440%2Fabstract%3Frss%3Dyes Dr David R. Jones (Charlottesville, Va). I thank the Association for the opportunity to discuss this fine paper. I have no disclosures related to the discussion. It is a pleasure to review and then discuss yet another paper from Dr Raja and colleagues from the Cleveland Clinic Foundation. As we are all aware, the Cleveland Clinic and, in particular, the senior author of this paper, Dr Rice, have been leaders in the surgical treatment of esophageal cancer, and this presentation certainly adds value to our understanding of the pathobiology of the disease. Dr Raja, I have 3 questions for you, and I will ask them 1 at a time. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419173 Fri, 18 Nov 2011 11:18:33 +0100 5419173 http://www.medworm.com/index.php?rid=5419172&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010415%2Fabstract%3Frss%3Dyes Objectives: Submucosal esophageal cancers (pT1b) are considered superficial, implying good survival. However, some are advanced, metastasizing to regional lymph nodes. Interplay of cancer characteristics and lymphatic anatomy may create a watershed, demarcating low-risk from high-risk cancers. Therefore, we characterized submucosal cancers according to depth of invasion and identified those with high likelihood of lymph node metastases and poor survival.Methods: From 1983 to 2010, 120 patients underwent esophagectomy for submucosal cancers at Cleveland Clinic. Correlations were sought among cancer characteristics (location, dimensions, histopathologic cell type, histologic grade, and lymphovascular invasion [LVI]), and their associations with lymph node metastasis were identified by logist... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419172 Fri, 18 Nov 2011 11:18:33 +0100 5419172 http://www.medworm.com/index.php?rid=5419171&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311011263%2Fabstract%3Frss%3Dyes For approximately 50 years, mediastinoscopy has been a pivotal part of the pretreatment staging of lung cancer. At one time, respected thoracic surgical groups in North America and Europe considered mediastinoscopy mandatory before proceeding to resection of a non–small cell lung cancer (NSCLC). However, during the past 30 years, improvements in noninvasive imaging modalities, first computed tomography and then positron emission tomography, led to more selective use of mediastinoscopy focusing on patients with enlarged or hypermetabolic mediastinal lymph nodes. During the past decade, the technology for endobronchial ultrasound (EBUS) has become widely available, and EBUS-guided transbronchial needle aspiration (EBUS-TBNA) of hilar and mediastinal lymph nodes has been shown to be feasibl... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419171 Fri, 18 Nov 2011 11:18:33 +0100 5419171 http://www.medworm.com/index.php?rid=5419159&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS002252231101138X%2Fabstract%3Frss%3Dyes It is essential that the medical profession play a central role in critically evaluating the evidence related to drugs, devices, and procedures for the detection, management, or prevention of disease. Properly applied, rigorous, expert analysis of the available data documenting absolute and relative benefits and risks of these therapies and procedures can improve the effectiveness of care, optimize patient outcomes, and favorably fnect the cost of care by focusing resources on the most effective strategies. One important use of such data is the production of clinical practice guidelines that, in turn, can provide a foundation for a variety of other applications such as performance measures, appropriateness use criteria, clinical decision support tools, and quality improvement tools. (Sourc... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419159 Fri, 18 Nov 2011 11:18:33 +0100 5419159 http://www.medworm.com/index.php?rid=5419158&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311011287%2Fabstract%3Frss%3Dyes It is essential that the medical profession play a central role in critically evaluating the evidence related to drugs, devices, and procedures for the detection, management, or prevention of disease. Properly applied, rigorous, expert analysis of the available data documenting absolute and relative benefits and risks of these therapies and procedures can improve the effectiveness of care, optimize patient outcomes, and favorably affect the cost of care by focusing resources on the most effective strategies. One important use of such data is the production of clinical practice guidelines that, in turn, can provide a foundation for a variety of other applications such as performance measures, appropriateness use criteria, clinical decision support tools, and quality improvement tools. (Sour... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419158 Fri, 18 Nov 2011 11:18:33 +0100 5419158 http://www.medworm.com/index.php?rid=5419156&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311006076%2Fabstract%3Frss%3Dyes I am just as surprised to be standing here today as you are to see me here. I just hope I will not become dumbstruck like the man who had both déjà vu and amnesia at the same time. Two years ago when the association met in New Orleans and Herb Sloan called to tell me I was to be the vice president, I had no idea that it was tantamount to being president-elect. I thought it was like being a vice president of the American College of Surgeons or, perhaps even worse, Vice President of the United States. My confusion was compounded further by the fact none of my training was at the Johns Hopkins. This seemed almost always a prerequisite for the office. At any rate, it is a qualified pleasure to have this opportunity to reflect on three decades of experience in surgery of the heart. There have... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419156 Fri, 18 Nov 2011 11:18:33 +0100 5419156 http://www.medworm.com/index.php?rid=5419155&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311011391%2Fabstract%3Frss%3Dyes “The only way to predict the future … is to invent it yourself.”—Norman E. Shumway, Jr In this issue, you will notice an interesting article that should have been printed 24 years ago: the presidential address of Norman E. Shumway, Jr, the 67th president of the American Association for Thoracic Surgery. His address titled, “Some thoughts from the other side of the table, or the last presidential address” is one of great insight, humor, and education. This address has been lying fallow for some time because it was never really completed and had some interesting sections that required carefully editing. His daughter, Dr Sara Shumway, a cardiac surgeon at the University of Minnesota, did a great job editing her father’s manuscript and was in favor of us publishing this article ... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5419155 Fri, 18 Nov 2011 11:18:33 +0100 5419155 http://www.medworm.com/index.php?rid=5605273&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010981%2Fabstract%3Frss%3Dyes Conclusions: By providing the necessary tools, such as task trainers and assessment instruments, the Senior Tour may be one means to enhance simulation-based learning in cardiothoracic surgery. The Senior Tour members can provide regular programmatic evaluation and critical analyses to ensure that proposed simulators are of educational value. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605273 Fri, 11 Nov 2011 05:00:00 +0100 5605273 http://www.medworm.com/index.php?rid=5513425&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010956%2Fabstract%3Frss%3Dyes Dr W. Randolph Chitwood, Jr (Greenville, NC). I think the next step should be a randomized study between a laparoscopic Nissen operation and this procedure. Do these patients have the same postoperative characteristics as those having a laparoscopic Nissen as far as failure to eructate? (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513425 Thu, 10 Nov 2011 05:00:00 +0100 5513425 http://www.medworm.com/index.php?rid=5513424&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010932%2Fabstract%3Frss%3Dyes We report our initial experience with this minimally invasive approach.Methods: Over a 24-month period, 46 patients (mean age, 49 years; 50% female) underwent 48 TIF procedures. All procedures were performed under general anesthesia. Two surgeons participated in all cases; one served as the endoscopist, and the other performed the partial fundoplication. Heartburn severity was measured using the GERD health-related quality of life (GERD-HRQL) instrument (best score = 0, worst score = 45), which includes an additional question assessing overall satisfaction.Results: Preoperatively, 33 (72%) of 46 patients had small ( (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513424 Thu, 10 Nov 2011 05:00:00 +0100 5513424 http://www.medworm.com/index.php?rid=5513435&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311011251%2Fabstract%3Frss%3Dyes An 86-year-old woman with a medical history of hypertension was transferred to the Hennepin County Medical Center for severe substernal chest pain radiating to her back, associated with coughing. Physical examination revealed normal heart sounds with irregular heart rate, symmetric pulses, and intact neurologic examination. Electrocardiogram on admission showed atrial fibrillation. Chest computed tomography (CT) with contrast obtained before her transfer demonstrated soft tissue surrounding her ascending aorta, which was diagnosed as an aortic intramural hematoma () and a small pericardial effusion. An aortic dissection flap was not observed. Transthoracic echocardiography before emergency surgical exploration showed a soft tissue collection posterior to the ascending aorta without a disse... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513435 Mon, 07 Nov 2011 05:00:00 +0100 5513435 http://www.medworm.com/index.php?rid=5513422&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010701%2Fabstract%3Frss%3Dyes Dr Joseph Schmoker (Burlington, Vt). I have no disclosures. My questions pertain to the miR-1 and 133 that you studied. In the mouse model, the transverse aortic constriction (TAC) model, both are actually antihypertrophic and overexpression of miR-133 is associated with down-regulation of collagen in cultured fibroblasts. So I'm curious how you interpret this relative to the opposite findings in your large animal model. In addition, did you perform microarray analysis on myocardium to broaden your miR phenotype? (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513422 Mon, 07 Nov 2011 05:00:00 +0100 5513422 http://www.medworm.com/index.php?rid=5513421&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010464%2Fabstract%3Frss%3Dyes Conclusions: In a progressive model of left ventricular pressure overload, which recapitulates the phenotype of aortic stenosis, increased extracellular matrix accumulation and subsequently increased myocardial stiffness were not due to increased fibrillar collagen expression but rather to determinants of post-translational control that included increased collagen stability (thereby resistant to matrix metalloproteinase degradation) and increased endogenous matrix metalloproteinase inhibition. Targeting these extracellular matrix post-translational events with left ventricular pressure overload may hold both diagnostic and therapeutic relevance. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513421 Mon, 07 Nov 2011 05:00:00 +0100 5513421 http://www.medworm.com/index.php?rid=5513398&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010920%2Fabstract%3Frss%3Dyes Dr David McGiffin (Birmingham, Ala). The investigators in the ROOBY trial and the authors of this substudy are to be congratulated for taking on this important project, the results of which will be of benefit to all of us. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513398 Mon, 07 Nov 2011 05:00:00 +0100 5513398 http://www.medworm.com/index.php?rid=5513397&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010865%2Fabstract%3Frss%3Dyes Objective: The study objective was to determine the predictors of postoperative atrial fibrillation (POAF) in patients randomized to conventional coronary artery bypass graft (on-pump coronary artery bypass [ONCAB]) versus beating heart coronary surgery (off-pump coronary artery bypass [OPCAB]).Methods: The subgroup of 2103 patients (of 2203 enrollees) in the Randomized On Versus Off Bypass trial with no POAF was studied (1056 patients in the ONCAB group and 1047 patients in the OPCAB group). Univariate and multivariate analyses were used to identify the predictors of POAF and the impact of POAF on outcomes.Results: Use of ONCAB versus OPCAB was not associated with increased rates of POAF. Older age (P  (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513397 Mon, 07 Nov 2011 05:00:00 +0100 5513397 http://www.medworm.com/index.php?rid=5513388&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311009706%2Fabstract%3Frss%3Dyes Objective: Pneumonectomy after neoadjuvant therapy remains controversial.Methods: A systematic PubMed search was performed for original articles from 1990 through 2010 describing pneumonectomy after neoadjuvant therapy. Specific data on 30-day and 90-day perioperative mortalities were abstracted from these articles. Meta-analysis compared 30-day mortality between right and left pneumonectomy with a fixed-effects model. Comparison between 30-day and 90-day mortalities was also performed.Results: The search strategy yielded 27 studies. Overall, 30-day and 90-day perioperative mortalities were 7% and 12%, respectively. Among 15 studies providing side-specific 30-day mortality, cumulative mortalities were 11% and 5% for right and left pneumonectomies, respectively. In the meta-analysis that in... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513388 Mon, 07 Nov 2011 05:00:00 +0100 5513388 http://www.medworm.com/index.php?rid=5513387&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010695%2Fabstract%3Frss%3Dyes Dr Bryan Meyers (St Louis, Mo). The authors have provided us with a noteworthy trial comparing 2 alternative strategies for LVRS in patients with advanced emphysema. The degree of impairment in these patients is consistent with that seen in other reports, and the amount of FEV1 improvement of approximately 37% at 6 months is certainly comparable or even better than often seen with unilateral volume reduction surgery. So the clinical care is to be commended. The study is prospective and randomized, which is certainly what caught the attention of the program committee. I commend the authors on the ability to initiate and complete a prospective randomized study, particularly when the 2 arms of therapy are as disparate as awake versus nonawake anesthetic. That’s quite a challenge, and I comm... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513387 Mon, 07 Nov 2011 05:00:00 +0100 5513387 http://www.medworm.com/index.php?rid=5513386&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010683%2Fabstract%3Frss%3Dyes Conclusions: In this randomized study, awake nonresectional lung volume reduction surgery resulted in significantly shorter hospital stay than the nonawake procedure. There were no differences between study groups in physiologic improvements, freedom from contralateral treatment, and survival. We speculate that compared with the nonawake procedure, awake lung volume reduction surgery can offer similar clinical benefit but a faster postoperative recovery. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513386 Mon, 07 Nov 2011 05:00:00 +0100 5513386 http://www.medworm.com/index.php?rid=5605320&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010373%2Fabstract%3Frss%3Dyes Objective: The study objective was to examine the utility of using proteinuria in preoperative risk stratification for acute kidney injury. Acute kidney injury is a common and important complication for patients undergoing cardiac surgery. Proteinuria, which reflects structural damage to the glomeruli or renal tubules, may aid the prediction of acute kidney injury.Methods: The urine albumin to creatinine ratio and dipstick proteinuria concentration were prospectively measured in 1159 patients undergoing cardiac surgery. The cohort was organized into 4 clinical risk categories based on the preoperative urine albumin to creatinine ratio: 10 mg/g or less (≤1.1 mg/mmol), 11 to 29 mg/g (1.2–3.3 mg/mmol), 30 to 299 mg/g (3.4–33.8 mg/mmol), and 300 mg/g or greater (≥33.9 mg/mmol). The pri... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605320 Fri, 04 Nov 2011 04:00:00 +0100 5605320 http://www.medworm.com/index.php?rid=5513408&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010737%2Fabstract%3Frss%3Dyes Dr Frank Hanley (Stanford, Calif). Your management approach to patients with pulmonary artery sling is both logical and clearly effective. It's an excellent study. I agree, and I suspect there is probably widespread agreement that both bronchoscopy and CT imaging are the preferred diagnostic procedures as well, in this day and age. I also tend to agree that the midline sternotomy approach with bypass, or at least with bypass standby, should be used in all cases. I have a few questions, and they cluster around some technical aspects of both the pulmonary artery reconstruction and then around the tracheal reconstruction. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513408 Fri, 04 Nov 2011 04:00:00 +0100 5513408 http://www.medworm.com/index.php?rid=5513407&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS002252231101052X%2Fabstract%3Frss%3Dyes Conclusions: Pulmonary artery sling is best repaired with median sternotomy, cardiopulmonary bypass, and left pulmonary artery reimplantation. This resulted in uniformly patent left pulmonary arteries in all patients. Preoperative computed tomography imaging, echocardiography, and bronchoscopy are essential for precise operative planning. The frequently associated tracheal stenosis is best repaired with slide tracheoplasty. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513407 Fri, 04 Nov 2011 04:00:00 +0100 5513407 http://www.medworm.com/index.php?rid=5513390&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010750%2Fabstract%3Frss%3Dyes Dr Vinod H. Thourani (Atlanta, Ga). My disclosure is I am an investigator and on the steering committee for the Edwards PARTNER trial. I appreciate the opportunity to discuss this important and timely paper by Dr Conradi and his colleagues from Hamburg, Germany. I also want to thank the authors for providing me a copy of their manuscript and the slides in advance. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513390 Fri, 04 Nov 2011 04:00:00 +0100 5513390 http://www.medworm.com/index.php?rid=5513389&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010555%2Fabstract%3Frss%3Dyes Objectives: Transcatheter aortic valve implantation (TAVI) has recently been advocated to decrease perioperative risk in high-risk patients. In this propensity-score analysis we compared outcomes after TAVI to those after surgical aortic valve replacement (AVR).Methods: From June 2009 through June 2010, 82 consecutive patients underwent TAVI via a transapical (n = 60) or transfemoral (n = 22) approach using the Edwards Sapien prosthesis (Edwards Lifesciences, Irvine, Calif). Mean patient age was 81.9 ± 5.2 years, 64.6% were women. Logistic EuroSCORE was 23.6% ± 1.4% and Society of Thoracic Surgeons score was 8.7% ± 1.3%. A group of 82 patients after surgical AVR was retrieved from our database, yielding a control group that was matched to the cases with respect to baseline demograph... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513389 Fri, 04 Nov 2011 04:00:00 +0100 5513389 http://www.medworm.com/index.php?rid=5513423&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010609%2Fabstract%3Frss%3Dyes Objective: Our objective was to evaluate the effects of glutaraldehyde (GA) concentration, time of pretreatment, and type of tissue (porcine vs bovine) on quantitative and qualitative postimplant calcification of tissues.Methods: Freshly obtained porcine and bovine pericardial tissues were each treated with increasing concentrations of GA (controls, 0.3125%, 0.625%, and 1.2%) for a fixed time (15 minutes) or increasing exposure times (5, 10, 20, and 30 minutes) at a fixed concentration of GA (0.625%). Pretreated tissues were subcutaneously implanted in 10-week-old Sprague-Dawley rats for 45 days before explantation. Quantitative calcium analysis was performed by flame atomic spectrophotometry. Histologic examination of tissue samples with hematoxylin and eosin and von Kossa staining was pe... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513423 Thu, 03 Nov 2011 04:00:00 +0100 5513423 http://www.medworm.com/index.php?rid=5513418&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010907%2Fabstract%3Frss%3Dyes Conclusions: Results indicate that tissue-engineered heart valve replacement constructs can be made quickly and therefore may be a clinically relevant option for patients needing heart valve surgery in a timely fashion. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513418 Thu, 03 Nov 2011 04:00:00 +0100 5513418 http://www.medworm.com/index.php?rid=5513413&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010762%2Fabstract%3Frss%3Dyes Dr Charles B. Huddleston (St Louis, Mo). Thanks very much for providing me the manuscript and the slides and illustrations. It is an excellent presentation and analysis of the data. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513413 Mon, 31 Oct 2011 04:00:00 +0100 5513413 http://www.medworm.com/index.php?rid=5513412&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010580%2Fabstract%3Frss%3Dyes Conclusions: This study demonstrates that despite size disparity of a transplanted heart, it undergoes normal growth in diastolic dimensions, volumes, and myocardial mass over time as appropriate for body growth after cardiac transplantation in infants and children. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513412 Mon, 31 Oct 2011 04:00:00 +0100 5513412 http://www.medworm.com/index.php?rid=5513409&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010592%2Fabstract%3Frss%3Dyes Conclusions: Prophylactic amiodarone is well tolerated and significantly associated with a decreased incidence of junctional ectopic tachycardia after tetralogy repair. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513409 Mon, 31 Oct 2011 04:00:00 +0100 5513409 http://www.medworm.com/index.php?rid=5513402&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311009895%2Fabstract%3Frss%3Dyes Dr James S. Tweddell (Milwaukee, Wis). My thanks to the authors for sending me their manuscript well in advance of this meeting. The authors have performed a prospective observational study of infants less than 1 year of age looking for factors predicting neurodevelopmental outcome and have included intraoperative NIRS among those factors tested. They have found that the Bayley scores were predicted by a large number of factors such as hospital length of stay, prematurity, birth weight, length of stay in the cardiac intensive care unit, and comorbidities. Only in the area of receptive communication was the cerebral saturation found to be predictive. Just for everyone's benefit, could you explain to us what that particular domain, receptive communication, measures and its prognostic import... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513402 Mon, 31 Oct 2011 04:00:00 +0100 5513402 http://www.medworm.com/index.php?rid=5513401&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311009767%2Fabstract%3Frss%3Dyes Conclusions: In a contemporary cohort of infants undergoing surgery for congenital heart disease, neurodevelopmental outcomes at 2 years of age are largely influenced by patient-related characteristics. Although receptive communication appears to be influenced by rSO2 nadir, the predictive value of NIRS remains unclear. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513401 Mon, 31 Oct 2011 04:00:00 +0100 5513401 http://www.medworm.com/index.php?rid=5513396&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010725%2Fabstract%3Frss%3Dyes Dr Marc Moon (St Louis, Mo). The on-pump versus off-pump debate has been going on for more than a decade, and we really aren't reaching any resolution anytime soon. Although your study demonstrated no difference in the incidence of renal dysfunction, there was a study yesterday [Presented by Lemma M, et al. On-pump vs off-pump coronary artery bypass surgery in high-risk patients: operative results of a prospective randomized trial (on-off study).] that showed the opposite result, and I think most of the studies have been one way or the other and haven't come to a strong conclusion. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513396 Mon, 31 Oct 2011 04:00:00 +0100 5513396 http://www.medworm.com/index.php?rid=5513395&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS002252231101049X%2Fabstract%3Frss%3Dyes This study focuses on this clinical controversy.Methods: We studied 5589 consecutive patients from a single center who underwent off-pump or on-pump coronary artery bypass grafting between 2002 and 2010. All preoperative, intraoperative, and postoperative data were prospectively collected. Patients were matched by using a nearest neighbor matching estimation method for average treatment effects, with bias correction (Stata 11.2, StataCorp, College Station, Tex). The matching characteristics were age, gender, body mass index, hypertension, diabetes, peripheral vascular disease, cerebrovascular disease, left ventricular grade, preoperative serum creatinine, operative priority, and Cardiac Anesthesia Risk Evaluation score.Results: The mean patient age was 64.9 ± 10.0 years, and 4387 (78.5%) ... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513395 Mon, 31 Oct 2011 04:00:00 +0100 5513395 http://www.medworm.com/index.php?rid=5513394&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010713%2Fabstract%3Frss%3Dyes Dr A. Marc Gillinov (Cleveland, Ohio). That was an excellent and timely article. You present results in 202 patients receiving the MitraClip device. Your 30-day mortality was only 1%. The mean decrease in MR grade with the procedure was 1.7, and, remarkably, at 1 year, 72% of surviving patients are in functional class I or II. So I will ask you 3 fairly straightforward questions, that is, who, how, and when. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513394 Mon, 31 Oct 2011 04:00:00 +0100 5513394 http://www.medworm.com/index.php?rid=5513393&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010476%2Fabstract%3Frss%3Dyes Objective: Surgical mitral valve repair carries an elevated perioperative risk in the presence of severely reduced ventricular function and relevant comorbidities. We sought to assess the feasibility of catheter-based mitral valve repair using a clip-based percutaneous edge-to-edge repair system in selected patients at high surgical risk with mitral regurgitation grade 3 or worse.Methods: Between 2002 and January 2011, 202 consecutive patients without prior mitral valve surgery (age 75 ± 9 years; 63% were male) with symptomatic functional (65%), degenerative (27%), or mixed (8%) mitral regurgitation were treated with a percutaneous clip system for approximation of the anterior and posterior mitral leaflets. Risk for mitral valve surgery was considered high in terms of a mean logistic Euro... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513393 Mon, 31 Oct 2011 04:00:00 +0100 5513393 http://www.medworm.com/index.php?rid=5513404&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311009883%2Fabstract%3Frss%3Dyes Dr Scott M. Bradley (Charleston, SC). That was an excellent presentation on a topic that is clearly a challenge to everyone in the room. I thought that the information on the relative importance of low birth weight versus prematurity was particularly interesting, as was the growth velocity that can be expected in these low-birth-weight babies. I do have a couple of questions about the ways in which you have chosen to analyze your data. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513404 Mon, 24 Oct 2011 04:00:00 +0100 5513404 http://www.medworm.com/index.php?rid=5513403&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311009779%2Fabstract%3Frss%3Dyes Background: Low birth weight and prematurity and are known risks for mortality in congenital heart lesions. It is not known whether risks of delayed intervention are offset by benefits of growth and maturation. We explored this question.Methods: All 1618 infants admitted to our institution within 30 days after birth for a congenital heart defect since 2000 were analyzed. Birth details and admission progress notes were detailed on all. For infants requiring cardiac interventions, clinical conference records and progress notes enabled their management to be classified as either USUAL (normal timing and mode of intervention) or DELAYED (intentional delay for growth/maturation). The survival implications of birth weight and prematurity were examined via parametric multiphase methodology with b... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513403 Mon, 24 Oct 2011 04:00:00 +0100 5513403 http://www.medworm.com/index.php?rid=5605332&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010506%2Fabstract%3Frss%3Dyes Left atrial appendage aneurysm (LAAA) is a rare cardiac anomaly. Its cause is believed to be a congenital dysplasia of the left atrial muscle. LAAA is different from acquired enlargement of the left atrium secondary to other cardiac diseases. In the second to third decades of life, some patients with LAAA experience palpitation, atrial tachyarrhythmia, progressive dyspnea, or atypical chest pain. LAAA usually appears as an isolated anomaly, and resultant mitral regurgitation (MR) has not been reported in the literature. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5605332 Fri, 21 Oct 2011 04:00:00 +0100 5605332 http://www.medworm.com/index.php?rid=5513392&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311009871%2Fabstract%3Frss%3Dyes Dr W. Randolph Chitwood, Jr (Greenville, NC). How do you think this is going to compare with stent–grafting? This technique seems to be an old innovation. Gerald Lemole developed a “tie-in” prosthesis many years ago. Actually, around the early part of the last century, Payr used vitallium tubes to perform sutureless end-to-end-anastomoses. So it is an old technique that you have revised. How is your method going to compare with stent–grafting? (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513392 Fri, 21 Oct 2011 04:00:00 +0100 5513392 http://www.medworm.com/index.php?rid=5513391&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311009834%2Fabstract%3Frss%3Dyes Conclusions: Use of vascular ring connectors in surgical repair for aortic dissection might reduce risks and improve early and midterm results. With addition of elephant trunk, most type B dissections could be repaired through sternotomy. With the improved surgical results, we can suggest open repair for most uncomplicated type B dissections; however, more long-term follow-up is needed. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5513391 Fri, 21 Oct 2011 04:00:00 +0100 5513391 http://www.medworm.com/index.php?rid=5332502&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010051%2Fabstract%3Frss%3Dyes (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5332502 Thu, 20 Oct 2011 23:17:38 +0100 5332502 http://www.medworm.com/index.php?rid=5332501&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS002252231101004X%2Fabstract%3Frss%3Dyes (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5332501 Thu, 20 Oct 2011 23:17:38 +0100 5332501 http://www.medworm.com/index.php?rid=5332500&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311009974%2Fabstract%3Frss%3Dyes (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5332500 Thu, 20 Oct 2011 23:17:38 +0100 5332500 http://www.medworm.com/index.php?rid=5332499&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311009950%2Fabstract%3Frss%3Dyes (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5332499 Thu, 20 Oct 2011 23:17:38 +0100 5332499 http://www.medworm.com/index.php?rid=5332498&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010324%2Fabstract%3Frss%3Dyes Diplomates of the American Board of Thoracic Surgery (ABTS) who plan to participate in the Maintenance of Certification (MOC) process must hold an unrestricted medical license in the locale of their practice and privileges in a hospital accredited by the JCAHO (or other organization recognized by the ABTS). In addition, a valid ABTS certificate is an absolute requirement for entrance into the Maintenance of Certification process. If your certificate has expired, the only pathway for renewal of a certificate is to take and pass the Part I (written) and the Part II (oral) certifying examinations. The names of individuals who have not maintained their certificate will no longer be published in the American Board of Medical Specialties Directories. Diplomates’ names will be published upon su... The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5332498 Thu, 20 Oct 2011 23:17:38 +0100 5332498 http://www.medworm.com/index.php?rid=5332497&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010312%2Fabstract%3Frss%3Dyes The part I (written) examination was held on December 3. It is planned that this examination will be given at multiple sites throughout the United States using an electronic format. The closing date for registration is August 1 each year. Those wishing to be considered for examination must apply online at www.abts.org. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5332497 Thu, 20 Oct 2011 23:17:38 +0100 5332497 http://www.medworm.com/index.php?rid=5332496&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010300%2Fabstract%3Frss%3Dyes Save the Date! June 27–30, 2012 (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5332496 Thu, 20 Oct 2011 23:17:38 +0100 5332496 http://www.medworm.com/index.php?rid=5332495&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS0022522311010294%2Fabstract%3Frss%3Dyes The WTSA Application for Membership is now online and must be submitted electronically. A candidate’s application must include the following uploads: A photo, a complete curriculum vitae with bibliography, and the three most significant articles that s/he personally wrote. The candidate’s electronic membership application must be completed and submitted online by March 1, 2012, and all support letters uploaded by that candidate’s sponsors by March 31, 2012, in order for the candidate to be considered for election to membership at the 2012 Annual Meeting. Visit the WTSA Web site at www.westernthoracic.org to read membership eligibility requirements and to initiate an online application. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5332495 Thu, 20 Oct 2011 23:17:38 +0100 5332495 http://www.medworm.com/index.php?rid=5332494&cid=s_32944_157_f&fid=32944&url=http%3A%2F%2Fwww.jtcvsonline.org%2Farticle%2FPIIS002252231101035X%2Fabstract%3Frss%3Dyes Application Deadline: January 15, 2012 The American Association for Thoracic Surgery (AATS) Summer Intern Scholarship program introduces the field of cardiothoracic surgery to first- and second-year medical students from North American medical institutions. By providing an opportunity to spend 8 weeks during the summer working in an AATS member's cardiothoracic surgery department, the summer intern scholarship provides medical students with insight into the scientific investigation and study of cardiothoracic surgery. For more information and to submit an application, please visit www.aats.org. (Source: The Journal of Thoracic and Cardiovascular Surgery) The Journal of Thoracic and Cardiovascular Surgery journals http://www.medworm.com/rss/comments.php?id=5332494 Thu, 20 Oct 2011 23:17:38 +0100 5332494