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 Thoracic and Cardiovascular Surgeon' source. Sun, 14 Mar 2010 16:28:15 +0100 http://www.medworm.com/index.php?rid=3244895&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20101532%26dopt%3DAbstract Authors: Klotz S, Drees G PMID: 20101532 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3244895 Mon, 01 Feb 2010 00:00:00 +0100 3244895 http://www.medworm.com/index.php?rid=3244894&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20101533%26dopt%3DAbstract We describe the first case worldwide of an infant suffering from Bland-White-Garland syndrome successfully treated with a left ventricular assist device (Berlin Heart(R); Excor(R) Pediatric) as a bridge to heart transplantation for a period of more than one year. PMID: 20101533 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3244894 Mon, 01 Feb 2010 00:00:00 +0100 3244894 http://www.medworm.com/index.php?rid=3244893&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20101534%26dopt%3DAbstract Authors: Mörike K, Sindermann JR Drug treatment of chronic systolic heart failure usually includes angiotensin-converting enzyme inhibitor, or an angiotensin II receptor blocker, and a beta blocker, as prognostic benefit of these agents has been demonstrated in a large body of clinical trials. Depending on the stage of the disease and concomitant factors, an aldosterone antagonist and/or a digitalis glycoside may provide additional benefit. Most patients also receive a diuretic for symptomatic relief. Conversely, some drugs may precipitate or aggravate chronic systolic heart failure. PMID: 20101534 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3244893 Mon, 01 Feb 2010 00:00:00 +0100 3244893 http://www.medworm.com/index.php?rid=3244892&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20101535%26dopt%3DAbstract CONCLUSIONS: The CircuLite Synergy device is a partial support pump, which is easy to implant and which provides hemodynamic benefits in bridging heart failure patients to cardiac transplant. PMID: 20101535 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3244892 Mon, 01 Feb 2010 00:00:00 +0100 3244892 http://www.medworm.com/index.php?rid=3244891&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20101536%26dopt%3DAbstract This study used data from the Eurotransplant registry. The population consisted of all patients who registered for heart transplantation in Germany between January 1990 and May 2009. Patients were followed up to the earliest of the following events: heart transplantation, death, or end of the observation period. The actual mortality rates were calculated using a competing risk methodology. The proportion of patients on the waiting list aged 65 years or older has increased from 1.9 % in 1990 to 8.3 % in 1997, 7.8 % in 2000 and 12.6 % on December 31, 2008. The 1-year waiting list mortality rate, expressed as the proportion of patients who die within 1 year after being listed for heart transplantation decreased in the period 2001-2009 compared to the period 1991-2000. Patients registered in t... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3244891 Mon, 01 Feb 2010 00:00:00 +0100 3244891 http://www.medworm.com/index.php?rid=3244890&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20101537%26dopt%3DAbstract CONCLUSIONS: Our data suggest that pulsatile as well as non-pulsatile left ventricular assist devices are equally able to treat chronic heart failure. However pulsatile devices seem to have a greater impact on reversing the changes in plasma renin activity and might thus offer a greater advantage when recovery of left ventricular function is expected. PMID: 20101537 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3244890 Mon, 01 Feb 2010 00:00:00 +0100 3244890 http://www.medworm.com/index.php?rid=3244889&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20101538%26dopt%3DAbstract Authors: Sindermann JR, Klotz S, Rahbar K, Hoffmeier A, Drees G The German Disease Management Guideline "Chronic Heart Failure" intends to guide physicians working in the field of diagnosis and treatment of heart failure. The guideline provides a tool on the background of evidence based medicine. The following short review wants to give insights into the role of some surgical treatment options to improve heart failure, such as revascularization, ventricular reconstruction and aneurysmectomy, mitral valve reconstruction, ventricular assist devices and heart transplantation. PMID: 20101538 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3244889 Mon, 01 Feb 2010 00:00:00 +0100 3244889 http://www.medworm.com/index.php?rid=3244888&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20101539%26dopt%3DAbstract Authors: Schneider SR, Scheld HH, Hoffmeier A, Drees G, Rukosujew A, Stege D, Klotz S, Sindermann JR The Eurotransplant International Foundation in Leiden, the Netherlands, is responsible for mediation and allocation of organ donation procedures to its member countries Austria, Belgium, Croatia, Germany, Luxembourg, the Netherlands and Slovenia. To provide organs for the patients who require urgent transplantation, the "high urgent (HU)" status was introduced in 2001 in Germany . This new HU allocation system is applicable to neonates as well as adults. However, waiting times on HU status exceed several weeks to months. Therefore an increasing number of pediatric patients has to undergo implantation of a ventricular assist device (VAD). In the present report we discuss the current Euro... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3244888 Mon, 01 Feb 2010 00:00:00 +0100 3244888 http://www.medworm.com/index.php?rid=3244887&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20101540%26dopt%3DAbstract CONCLUSION: The VentrAssist is a powerful and effective LVAD; its use can considerably reduce hemolysis. Long-term follow-up is necessary to determine whether the VentrAssist is appropriate as a bridge to transplant as well as feasible for long-term application. PMID: 20101540 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3244887 Mon, 01 Feb 2010 00:00:00 +0100 3244887 http://www.medworm.com/index.php?rid=3208141&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1240685 We present the VentrAssist® LVAD, a centrifugal pump, and focus on a surgical implantation technique that may help reduce the complications typically associated with VAD surgery. 412 patients underwent VentrAssist LVAD® implantation between June 2003 and January 2009 worldwide. The overall rate of success was 81 % (i.e., ongoing, HTX, or recovery). Interestingly hemolysis is greatly reduced with this intracorporeal centrifugal LVAD compared to other VAD systems with other pump designs. Our surgical implantation technique and strategy may contribute to reducing complications. The VentrAssist® is a powerful and effective LVAD; its use can considerably reduce hemolysis. Long-term follow-up is necessary to determine whether the VentrAssist® is appropriate as a bridge to transplant as... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3208141 Tue, 26 Jan 2010 16:49:09 +0100 3208141 http://www.medworm.com/index.php?rid=3208140&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1240740 Thorac cardiovasc Surg 2010; 58: S194-S197DOI: 10.1055/s-0029-1240740AbstractThe Eurotransplant International Foundation in Leiden, the Netherlands, is responsible for mediation and allocation of organ donation procedures to its member countries Austria, Belgium, Croatia, Germany, Luxemburg, the Netherlands and Slovenia. To provide organs for the patients who require urgent transplantation, the “high urgent (HU)” status was introduced in 2001 in Germany . This new HU allocation system is applicable to neonates as well as adults. However, waiting times on HU status exceed several weeks to months. Therefore an increasing number of pediatric patients has to undergo implantation of a ventricular assist device (VAD) . In the present report we discuss the current Eurotransplant heart... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3208140 Tue, 26 Jan 2010 16:49:09 +0100 3208140 http://www.medworm.com/index.php?rid=3208139&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1240684 Thorac cardiovasc Surg 2010; 58: S189-S193DOI: 10.1055/s-0029-1240684AbstractThe German Disease Management Guideline “Chronic Heart Failure” intends to guide physicians working in the field of diagnosis and treatment of heart failure. The guideline provides a tool on the background of evidence based medicine. The following short review wants to give insights into the role of some surgical treatment options to improve heart failure, such as revascularization, ventricular reconstruction and aneurysmectomy, mitral valve reconstruction, ventricular assist devices and heart transplantation.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3208139 Tue, 26 Jan 2010 16:49:09 +0100 3208139 http://www.medworm.com/index.php?rid=3208138&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1240709 Thorac cardiovasc Surg 2010; 58: S185-S188DOI: 10.1055/s-0029-1240709Abstract Left ventricular assist devices have been successfully used as a bridge to cardiac transplantation. Because many patients exhibit marked clinical improvement of their heart failure after LVAD implantation, we studied the physiological effect of pulsatile and non-pulsatile devices on the neurohormonal axis and exercise capacity. We prospectively included 20 patients (17 men, 3 women) undergoing LVAD implantation between November 2001 and January 2004. Ten patients (1 woman and 9 men) were treated with the non-pulsatile INCOR-LVAD (Berlin Heart©) and ten patients received the pulsatile EXCOR LVAD (Berlin Heart©). Blood samples for plasma renin activity (PRA) were taken once a week over a period of ten weeks. All ... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3208138 Tue, 26 Jan 2010 16:49:09 +0100 3208138 http://www.medworm.com/index.php?rid=3208137&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1240655 This study used data from the Eurotransplant registry. The population consisted of all patients who registered for heart transplantation in Germany between January 1990 and May 2009. Patients were followed up to the earliest of the following events: heart transplantation, death, or end of the observation period. The actual mortality rates were calculated using a competing risk methodology. The proportion of patients on the waiting list aged 65 years or older has increased from 1.9 % in 1990 to 8.3 % in 1997, 7.8 % in 2000 and 12.6 % on December 31, 2008. The 1-year waiting list mortality rate, expressed as the proportion of patients who die within 1 year after being listed for heart transplantation decreased in the period 2001–2009 compared to the period 1991&... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3208137 Tue, 26 Jan 2010 16:49:09 +0100 3208137 http://www.medworm.com/index.php?rid=3208136&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1240687 Thorac cardiovasc Surg 2010; 58: S173-S178DOI: 10.1055/s-0029-1240687Abstract Full mechanical support with a left ventricular assist device (LVAD) is often limited to very sick patients, as the only survival option. This European multicenter study analyzes the effect of partial mechanical support as bridge-to-transplant in a less sick heart failure patient group. The CircuLite® Synergy® device is implanted via a small right-sided thoracotomy with an inflow cannula in the left atrium and an outflow graft connected to the right subclavian artery without the use of extracorporeal circulation. The pump itself sits in a “pacemaker” pocket subcutaneously in the right clavicular groove. It is able to pump up to 3.0 l/min and partially unload the left ventricle. The device was ... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3208136 Tue, 26 Jan 2010 16:49:09 +0100 3208136 http://www.medworm.com/index.php?rid=3208135&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1240711 Thorac cardiovasc Surg 2010; 58: S170-S172DOI: 10.1055/s-0029-1240711AbstractDrug treatment of chronic systolic heart failure usually includes angiotensin-converting enzyme inhibitor, or an angiotensin II receptor blocker, and a beta blocker, as prognostic benefit of these agents has been demonstrated in a large body of clinical trials. Depending on the stage of the disease and concomitant factors, an aldosterone antagonist and/or a digitalis glycoside may provide additional benefit. Most patients also receive a diuretic for symptomatic relief. Conversely, some drugs may precipitate or aggravate chronic systolic heart failure.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeo... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3208135 Tue, 26 Jan 2010 16:49:09 +0100 3208135 http://www.medworm.com/index.php?rid=3208134&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1240708 We describe the first case worldwide of an infant suffering from Bland-White-Garland syndrome successfully treated with a left ventricular assist device (Berlin Heart®; Excor® Pediatric) as a bridge to heart transplantation for a period of more than one year.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3208134 Tue, 26 Jan 2010 16:49:09 +0100 3208134 http://www.medworm.com/index.php?rid=3208133&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1240686 Thorac cardiovasc Surg 2010; 58: S165-S166DOI: 10.1055/s-0029-1240686© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Full text (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3208133 Tue, 26 Jan 2010 16:49:09 +0100 3208133 http://www.medworm.com/index.php?rid=3208132&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2Fejournals%2Ftoc%2Fthoracic%2F99318%2Fgrouping%2F99319 The Thoracic and Cardiovascular Surgeon 2010; S 02Get connected:Table of contents  |  Congress (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3208132 Tue, 26 Jan 2010 02:47:54 +0100 3208132 http://www.medworm.com/index.php?rid=3179229&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20072968%26dopt%3DAbstract Authors: Cui Y This review updates the knowledge in the research field of cardiac lymphatic vessels by collecting both scientific evidence and hypotheses, including cardiac lymphatic vessel anatomy and lymph flow, the mechanism of cardiac lymphatic pumping, pathological findings and mechanisms of cardiac injury caused by lymph flow impairment, cardiac functional improvement by increasing lymph flow in the heart in patients with myocardial infarction, and the mechanisms of lymphangiogenesis. PMID: 20072968 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3179229 Sat, 16 Jan 2010 23:17:06 +0100 3179229 http://www.medworm.com/index.php?rid=3179228&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20072969%26dopt%3DAbstract Authors: Christiansen S Doxorubicin-induced heart failure is a rare, but serious illness and is well-known to be difficult to treat. Prevention strategies have not demonstrated the expected success and unfortunately, this specific type of heart failure does not respond to the usual medical therapies as do other kinds of heart failure. Therefore, surgical procedures may be necessary in some patients. Cardiac transplantation is performed in most cases but this requires cure of the neoplastic disease. This usually requires a recurrence-free interval of several years which is associated with a high attrition rate in these patients due to their cardiac disease. Therefore, ventricular assist devices may be implanted in selected patients as a bridge to transplantation or destination therapy. ... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3179228 Sat, 16 Jan 2010 23:17:03 +0100 3179228 http://www.medworm.com/index.php?rid=3179227&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20072970%26dopt%3DAbstract CONCLUSIONS: In this small patient cohort, intramyocardial CD 133+ cell injection combined with transmyocardial laser revascularization led to an improvement in clinical symptomatology in all patients and in left ventricular function in 4 out of 5 patients, with an unclear effect on myocardial perfusion. Caution is advised when employing this therapy in patients with severely depressed left ventricular function. PMID: 20072970 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3179227 Sat, 16 Jan 2010 23:17:00 +0100 3179227 http://www.medworm.com/index.php?rid=3179226&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20072971%26dopt%3DAbstract CONCLUSION: Minimal DHCA results in fewer adverse events and a reduced length of stay, compared with prolonged DHCA. Therefore, during aortic arch surgery in infants, DHCA should be minimized by using antegrade cerebral perfusion. PMID: 20072971 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3179226 Sat, 16 Jan 2010 23:16:57 +0100 3179226 http://www.medworm.com/index.php?rid=3179225&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20072972%26dopt%3DAbstract CONCLUSIONS: Our results demonstrate that in patients with end-stage RF, the use of mechanical valves is associated with a significant risk of complications. Because of the poor overall survival of patients on dialysis, bioprosthesis degeneration will not be a limiting factor. Therefore, preference should be given to biological valves in these patients. PMID: 20072972 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3179225 Sat, 16 Jan 2010 23:16:54 +0100 3179225 http://www.medworm.com/index.php?rid=3179224&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20072973%26dopt%3DAbstract CONCLUSION: Vascular invasion can be an important factor for predicting unfavorable prognosis in stage I NSCLC patients. PMID: 20072973 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3179224 Sat, 16 Jan 2010 23:16:51 +0100 3179224 http://www.medworm.com/index.php?rid=3179223&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20072974%26dopt%3DAbstract CONCLUSIONS: In properly selected patients, traumatic bronchial ruptures, localized malign or benign disease can be safely resected without parenchymal loss. Excellent morbidity and mortality rates and a good long-term outcome can be achieved. PMID: 20072974 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3179223 Sat, 16 Jan 2010 23:16:48 +0100 3179223 http://www.medworm.com/index.php?rid=3179222&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20072975%26dopt%3DAbstract CONCLUSION: Regardless of its favorable effects on preoperative pulmonary function, we could not establish a significant benefit of tiotropium for postoperative outcomes overall. Nonetheless, our data suggested that tiotropium might have improved the postoperative outcomes of major responders. PMID: 20072975 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3179222 Sat, 16 Jan 2010 23:16:45 +0100 3179222 http://www.medworm.com/index.php?rid=3179221&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20072976%26dopt%3DAbstract We describe a case of severe acute aortic regurgitation in a 60-year-old woman due to spontaneous avulsion of an aortic valve commissure. She presented with spontaneous bleeding and a platelet count of 4 000/microl caused by idiopathic thrombocytopenic purpura and developed acute heart failure and respiratory insufficiency. Preoperative transesophageal echocardiography was not diagnostic for the exact mechanism of aortic regurgitation. She received a 2-day course of intravenous immunoglobulin (0.5 mg/kg/d) to increase platelet count. At operation detachment (avulsion) of the commissure between the left and the right coronary cusp was evident. Aortic valve repair was performed with resuspension of the commissure. The postoperative course was uneventful. During a 24-month follow-up period, t... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3179221 Sat, 16 Jan 2010 23:16:43 +0100 3179221 http://www.medworm.com/index.php?rid=3179220&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20072977%26dopt%3DAbstract Authors: Yang HS, Park SY, Park HK, Park YH A 2-year-old boy was diagnosed as having transposition of the great arteries (TGA) and ventricular septal defect (VSD) and underwent pulmonary artery banding. The patient showed slow progression of cyanosis and dyspnea on exertion. Oxygen saturation was 70-75 % and cardiac catheterization showed severe pulmonary hypertension. At the age of 22, the patient underwent a palliative atrial switch operation; oxygen saturation increased to around 95 % and the patient experienced relief of symptoms. Atrial fibrillation and right side pleural effusion occurred but resolved and the patient was discharged. PMID: 20072977 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3179220 Sat, 16 Jan 2010 23:16:40 +0100 3179220 http://www.medworm.com/index.php?rid=3179219&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20072978%26dopt%3DAbstract We present a case of an 80-year-old male patient who complained of recurrent angina 2 years after coronary bypass grafting using a left mammary artery (LIMA). This was caused by a new subtotal subclavian artery stenosis before the origin of the LIMA. The left subclavian artery was stented and the patient experienced complete relief. PMID: 20072978 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3179219 Sat, 16 Jan 2010 23:16:34 +0100 3179219 http://www.medworm.com/index.php?rid=3179218&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20072979%26dopt%3DAbstract We report on the case of a 65-year-old female presenting with symptomatic type B aortic dissection with aneurysm of the ascending aorta and the aortic root. The patient was treated with a flanged composite graft custom made from a branched 24-mm Dacron graft for entire prosthetic transposition of the supra-aortic branches. Metachronously, the patient underwent endovascular stent-grafting of the descending aorta. She was discharged free of complications on day 10. PMID: 20072979 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3179218 Sat, 16 Jan 2010 23:16:24 +0100 3179218 http://www.medworm.com/index.php?rid=3179217&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20072980%26dopt%3DAbstract CONCLUSION: Management of prolonged air leak with autologous blood patch pleurodesis is a safe, easy and effective method. To our knowledge, this is the first report in the literature on the use of this method after hydatid cyst surgery. PMID: 20072980 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3179217 Sat, 16 Jan 2010 23:16:17 +0100 3179217 http://www.medworm.com/index.php?rid=3179216&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20072981%26dopt%3DAbstract Authors: Tezel C, Okur E, Baysungur V Iatrogenic tracheal rupture after intubation with a double-lumen endotracheal tube is rare. An endobronchial tube positioning guide stylet, which is generally used during intubations with a double-lumen tube, may tear the trachea. A 76-year-old patient with right upper lobe carcinoma was scheduled for videothoracoscopic lobectomy. Mediastinal lymph node dissection was performed after a right upper lobectomy. When the mediastinal pleura in the right paratracheal region were opened, a tracheal cuff was noticed in the mediastinum. The tear in the membranous part of the trachea was repaired. Use of stylets during intubation may cause tracheal injury. To prevent such an injury, the stylet should be withdrawn after the tip of the tube has passed through ... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3179216 Sat, 16 Jan 2010 23:16:14 +0100 3179216 http://www.medworm.com/index.php?rid=3179215&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20072982%26dopt%3DAbstract Authors: Gürkök S, Gozubuyuk A, Coskun U, Yucel O, Caylak H, Dakak M, Genc O Post-intubation tracheal stenosis is a clinical problem caused by regional ischemic necrosis of the airway. The outcome of a long tracheal segment resection (6.2 cm) in a patient with post-intubation stenosis is presented. PMID: 20072982 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3179215 Sat, 16 Jan 2010 23:16:11 +0100 3179215 http://www.medworm.com/index.php?rid=3179214&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20072983%26dopt%3DAbstract Authors: Fisher RL PMID: 20072983 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3179214 Sat, 16 Jan 2010 23:16:09 +0100 3179214 http://www.medworm.com/index.php?rid=3179213&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20072984%26dopt%3DAbstract Authors: Harris W PMID: 20072984 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3179213 Sat, 16 Jan 2010 23:16:06 +0100 3179213 http://www.medworm.com/index.php?rid=3171650&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1240550 Thorac cardiovasc Surg 2010; 58: 60-60DOI: 10.1055/s-0029-1240550© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Full text (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171650 Thu, 14 Jan 2010 16:42:21 +0100 3171650 http://www.medworm.com/index.php?rid=3171649&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1186270 Thorac cardiovasc Surg 2010; 58: 59-59DOI: 10.1055/s-0029-1186270© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Full text (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171649 Thu, 14 Jan 2010 16:42:21 +0100 3171649 http://www.medworm.com/index.php?rid=3171648&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1039207 Thorac cardiovasc Surg 2010; 58: 56-58DOI: 10.1055/s-2008-1039207AbstractPost-intubation tracheal stenosis is a clinical problem caused by regional ischemic necrosis of the airway. The outcome of a long tracheal segment resection (6.2 cm) in a patient with post-intubation stenosis is presented.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171648 Thu, 14 Jan 2010 16:42:21 +0100 3171648 http://www.medworm.com/index.php?rid=3171647&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1186150 Thorac cardiovasc Surg 2010; 58: 54-56DOI: 10.1055/s-0029-1186150AbstractIatrogenic tracheal rupture after intubation with a double-lumen endotracheal tube is rare. An endobronchial tube positioning guide stylet, which is generally used during intubations with a double-lumen tube, may tear the trachea. A 76-year-old patient with right upper lobe carcinoma was scheduled for videothoracoscopic lobectomy. Mediastinal lymph node dissection was performed after a right upper lobectomy. When the mediastinal pleura in the right paratracheal region were opened, a tracheal cuff was noticed in the mediastinum. The tear in the membranous part of the trachea was repaired. Use of stylets during intubation may cause tracheal injury. To prevent such an injury, the stylet should be withdrawn after the tip ... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171647 Thu, 14 Jan 2010 16:42:21 +0100 3171647 http://www.medworm.com/index.php?rid=3171646&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1186200 In this study, the efficacy of autologous blood patch pleurodesis for prolonged air leak in spontaneous pneumothorax and secondary to pulmonary hydatid cyst operations was evaluated. Between 1997 and 2007, autologous blood patch pleurodesis was used to treat prolonged air leak in 24 patients. Prolonged air leak was due to spontaneous pneumothorax in 17 patients and secondary to pulmonary hydatid cyst operation in 7 patients. Venous blood (2 mL/kg) was withdrawn from the patient's antecubital vein and given into the chest tube. The chest tube was unclamped and kept at 60 cm above the patient's chest. After the procedure, the tube was left in its natural position. The procedure was repeated 24 hours after the first attempt in cases of persistent air leak. The chest tube was remov... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171646 Thu, 14 Jan 2010 16:42:21 +0100 3171646 http://www.medworm.com/index.php?rid=3171645&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185875 We report on the case of a 65-year-old female presenting with symptomatic type B aortic dissection with aneurysm of the ascending aorta and the aortic root. The patient was treated with a flanged composite graft custom made from a branched 24-mm Dacron graft for entire prosthetic transposition of the supra-aortic branches. Metachronously, the patient underwent endovascular stent-grafting of the descending aorta. She was discharged free of complications on day 10.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171645 Thu, 14 Jan 2010 16:42:21 +0100 3171645 http://www.medworm.com/index.php?rid=3171644&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1186239 We present a case of an 80-year-old male patient who complained of recurrent angina 2 years after coronary bypass grafting using a left mammary artery (LIMA). This was caused by a new subtotal subclavian artery stenosis before the origin of the LIMA. The left subclavian artery was stented and the patient experienced complete relief.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171644 Thu, 14 Jan 2010 16:42:21 +0100 3171644 http://www.medworm.com/index.php?rid=3171643&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1039232 Thorac cardiovasc Surg 2010; 58: 45-47DOI: 10.1055/s-2008-1039232AbstractA 2-year-old boy was diagnosed as having transposition of the great arteries (TGA) and ventricular septal defect (VSD) and underwent pulmonary artery banding. The patient showed slow progression of cyanosis and dyspnea on exertion. Oxygen saturation was 70–75 % and cardiac catheterization showed severe pulmonary hypertension. At the age of 22, the patient underwent a palliative atrial switch operation; oxygen saturation increased to around 95 % and the patient experienced relief of symptoms. Atrial fibrillation and right side pleural effusion occurred but resolved and the patient was discharged.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  | ... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171643 Thu, 14 Jan 2010 16:42:21 +0100 3171643 http://www.medworm.com/index.php?rid=3171642&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1039057 We describe a case of severe acute aortic regurgitation in a 60-year-old woman due to spontaneous avulsion of an aortic valve commissure. She presented with spontaneous bleeding and a platelet count of 4 000/µl caused by idiopathic thrombocytopenic purpura and developed acute heart failure and respiratory insufficiency. Preoperative transesophageal echocardiography was not diagnostic for the exact mechanism of aortic regurgitation. She received a 2-day course of intravenous immunoglobulin (0.5 mg/kg/d) to increase platelet count. At operation detachment (avulsion) of the commissure between the left and the right coronary cusp was evident. Aortic valve repair was performed with resuspension of the commissure. The postoperative course was uneventful. During a 24-month follow-up ... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171642 Thu, 14 Jan 2010 16:42:21 +0100 3171642 http://www.medworm.com/index.php?rid=3171641&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1186269 Thorac cardiovasc Surg 2010; 58: 38-42DOI: 10.1055/s-0029-1186269Abstract Tiotropium, a long-acting bronchodilator, can be used perioperatively in patients with lung cancer and airway obstruction, although its benefits for the perioperative outcome remain unclear. We prospectively collected the perioperative data of 44 patients with resectable lung cancer and untreated airway obstruction. Tiotropium was not used before September 2007 (control group, n = 24) but was used routinely thereafter (treated group, n = 20). We estimated a propensity score to adjust comparisons between the groups. Tiotropium improved preoperative global pulmonary function significantly, especially in four patients. Postoperative outcomes in these major responders were significantly better tha... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171641 Thu, 14 Jan 2010 16:42:21 +0100 3171641 http://www.medworm.com/index.php?rid=3171640&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1186241 Thorac cardiovasc Surg 2010; 58: 32-37DOI: 10.1055/s-0029-1186241Abstract We evaluated our experience with parenchyma-sparing bronchial sleeve resections in trauma, benign and malign disease to determine the operative morbidity, mortality and long-term outcome. We retrospectively reviewed our prospective database of all patients who underwent bronchial sleeve resection without parenchymal loss. Clinical data, morbidity, mortality and survival were analyzed. From January 1999 through December 2008, 19 patients (11 male) underwent bronchial sleeve resection without removal of pulmonary parenchyma. Median age was 42.2 ± 12.2 years (range 18 to 70 years). Indications were carcinoid tumors (n = 14), adenoid cystic carcinoma (n = 1), non-small cell lung cance... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171640 Thu, 14 Jan 2010 16:42:21 +0100 3171640 http://www.medworm.com/index.php?rid=3171639&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185881 Thorac cardiovasc Surg 2010; 58: 28-31DOI: 10.1055/s-0029-1185881Abstract A retrospective study was conducted to identify the effect of blood vessel invasion on prognosis in surgically treated stage I non-small cell lung cancer patients. A total of 71 consecutive patients who had undergone complete resection for stage I primary non-small cell lung cancer (NSCLC) between 1998 and 2007 were evaluated. All pathological specimens were examined for evidence of blood vessel invasion. The follow-up period was 5–118 months. Survival data were analyzed for all patients using the Kaplan-Meier test. There were 63 men and 8 women (mean age 59.2, age range 35–86). The most common tumor types were adenocarcinoma (35 patients, 49 %) and squamous cell carcinoma (26 patients, 37 %).... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171639 Thu, 14 Jan 2010 16:42:21 +0100 3171639 http://www.medworm.com/index.php?rid=3171638&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1186201 Thorac cardiovasc Surg 2010; 58: 23-27DOI: 10.1055/s-0029-1186201Abstract It is still unclear whether biological or mechanical valves should be preferred in patients on chronic dialysis therapy. We retrospectively analyzed data from 104 patients (66.5 ± 8.6 years) with end-stage renal failure (RF) who underwent aortic or mitral valve replacement between 2002 and 4/2008. Mechanical valves were implanted in 44 (42 %) patients and bioprostheses in 60 (58 %). The two groups were comparable with regard to preoperative data, age and incidence of additional CABG procedures. We studied in-hospital morbidity and mortality, major postoperative complications and length of ICU and hospital stay. Additionally, parameters predicting a poor outcome were analyzed with multivariate... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171638 Thu, 14 Jan 2010 16:42:21 +0100 3171638 http://www.medworm.com/index.php?rid=3171637&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1186242 Thorac cardiovasc Surg 2010; 58: 17-22DOI: 10.1055/s-0029-1186242Abstract Because deep hypothermic circulatory arrest (DHCA) carries a risk for neurological damage, antegrade cerebral perfusion (ACP) is used increasingly for aortic arch surgery in infants. We assessed the short-term effects of minimal DHCA (< 30 minutes) versus prolonged DHCA (> 30 minutes) during biventricular aortic arch reconstruction. Twenty-six infants (< 3 months of age) who had undergone aortic arch reconstruction were retrospectively analyzed: 15 infants without DHCA (group A) and 11 infants with DHCA (group B). Group B was further divided into < 30 minutes DHCA (group B1, n = 6), and ≥ 30 minutes DHCA (group B2, n = 5). Additionally, minimal D... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171637 Thu, 14 Jan 2010 16:42:21 +0100 3171637 http://www.medworm.com/index.php?rid=3171636&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1186199 Thorac cardiovasc Surg 2010; 58: 11-16DOI: 10.1055/s-0029-1186199Abstract Transmyocardial laser revascularization for angina relief and intramyocardial autologous endothelial progenitor cell injection for neoangiogenesis may offer a new treatment strategy for patients with intractable ischemic heart disease. Transmyocardial laser revascularization and intramyocardial injection of bone marrow-derived CD133+ cells was performed in six highly symptomatic patients. Transmyocardial laser channels were created and isolated CD133+ cells were injected intramyocardially. All patients were followed up for a minimum of 6 months postoperatively. One patient died shortly after the operation due to refractory heart failure. In the five survivors, CCS class improved as well as left ventricular ejection f... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171636 Thu, 14 Jan 2010 16:42:21 +0100 3171636 http://www.medworm.com/index.php?rid=3171635&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1186068 Thorac cardiovasc Surg 2010; 58: 8-10DOI: 10.1055/s-0029-1186068AbstractDoxorubicin-induced heart failure is a rare, but serious illness and is well-known to be difficult to treat. Prevention strategies have not demonstrated the expected success and unfortunately, this specific type of heart failure does not respond to the usual medical therapies as do other kinds of heart failure. Therefore, surgical procedures may be necessary in some patients. Cardiac transplantation is performed in most cases but this requires cure of the neoplastic disease. This usually requires a recurrence-free interval of several years which is associated with a high attrition rate in these patients due to their cardiac disease. Therefore, ventricular assist devices may be implanted in selected patients as a bridge... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171635 Thu, 14 Jan 2010 16:42:21 +0100 3171635 http://www.medworm.com/index.php?rid=3171634&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1240553 Thorac cardiovasc Surg 2010; 58: 1-7DOI: 10.1055/s-0029-1240553AbstractThis review updates the knowledge in the research field of cardiac lymphatic vessels by collecting both scientific evidence and hypotheses, including cardiac lymphatic vessel anatomy and lymph flow, the mechanism of cardiac lymphatic pumping, pathological findings and mechanisms of cardiac injury caused by lymph flow impairment, cardiac functional improvement by increasing lymph flow in the heart in patients with myocardial infarction, and the mechanisms of lymphangiogenesis.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171634 Thu, 14 Jan 2010 16:42:21 +0100 3171634 http://www.medworm.com/index.php?rid=3171633&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1240692 Thorac cardiovasc Surg 2009; 57: 504-504DOI: 10.1055/s-0029-1240692© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  FREE: Full text (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171633 Thu, 14 Jan 2010 16:42:21 +0100 3171633 http://www.medworm.com/index.php?rid=3171632&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185392 Thorac cardiovasc Surg 2009; 57: 501-503DOI: 10.1055/s-0029-1185392AbstractMassive pulmonary embolism (PE) is characterized by hypotension and cardiogenic shock due to right ventricular failure, and is associated with a high mortality rate. In this case study, we report a simultaneous pulmonary embolectomy and aortic root replacement in a 71-year-old woman with a known ascending aortic aneurysm who sustained a massive PE following a VATS left upper lobectomy for non-small cell lung cancer.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171632 Thu, 14 Jan 2010 16:42:21 +0100 3171632 http://www.medworm.com/index.php?rid=3171631&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185391 Thorac cardiovasc Surg 2009; 57: 500-501DOI: 10.1055/s-0029-1185391AbstractInfection of the sternoclavicular joint (SJI) is a rare problem accounting for approximately 1 % of cases of septic arthritis. Patients typically present with symptoms of localized pain lasting a period of several weeks with or without systemic signs of fever and chills. Confirmation is made by aspirating the joint, and broad spectrum antibiotics should be tailored to treat the identified organisms. SJI can be treated conservatively with intravenous antibiotics and repeat imaging, but surgical intervention is required if patients present with an abscess, osteomyelitis or mediastinitis.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (Source:... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171631 Thu, 14 Jan 2010 16:42:21 +0100 3171631 http://www.medworm.com/index.php?rid=3171630&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1039219 This report describes a case of pulmonary sclerosing hemangioma which presented with an increase of uptake of FDG‐PET after about one years' follow-up.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171630 Thu, 14 Jan 2010 16:42:21 +0100 3171630 http://www.medworm.com/index.php?rid=3171629&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1039058 This report presents an extremely rare case of a type A thymoma with Masaoka's stage IV b due to lymph node metastasis. In 1997, a 59-year-old man underwent complete resection of a stage IV b type A thymoma with postoperative radiotherapy to the mediastinum. In 2006, small nodules were detected in the anterior mediastinum and above the right diaphragm and tumor resection was performed. The two lesions were both histologically diagnosed as recurrences of the type A thymoma. There has been no evidence of recurrence 15 months after the second surgery.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171629 Thu, 14 Jan 2010 16:42:21 +0100 3171629 http://www.medworm.com/index.php?rid=3171628&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185572 In this report, the different methods of management are also discussed and the indications for the surgical technique are briefly outlined.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171628 Thu, 14 Jan 2010 16:42:21 +0100 3171628 http://www.medworm.com/index.php?rid=3171627&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1039221 Thorac cardiovasc Surg 2009; 57: 491-493DOI: 10.1055/s-2008-1039221AbstractA 69-year-old male underwent implantation of a cardioverter-defibrillator with cardiac resynchronization therapy (CRT) for symptomatic ventricular tachyarrhythmia (VT) and severe left ventricular (LV) dysfunction with an ejection fraction (EF) of 30 % and dyssynchrony via a left subclavian venous access. Twenty days after the procedure, the patient complained of shortness of breath and was found to have a 30 % apical left pneumothorax on chest X‐ray as a not unusual complication of the subclavian venous access. A computed axial tomography of the chest revealed pneumopericardium and associated pneumomediastinum as a complication of the CRT implantation and persisting microscopic pleuro-pericardial f... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171627 Thu, 14 Jan 2010 16:42:21 +0100 3171627 http://www.medworm.com/index.php?rid=3171626&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185337 We report a rare case of hemangioma of the vena cava that was detected incidentally in a 30-year-old female patient.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171626 Thu, 14 Jan 2010 16:42:21 +0100 3171626 http://www.medworm.com/index.php?rid=3171625&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185850 Thorac cardiovasc Surg 2009; 57: 484-488DOI: 10.1055/s-0029-1185850Abstract We evaluated the clinical outcomes of patients after lung resection with pulmonary artery (PA) plasty for non-small cell lung cancer (NSCLC). From 1995 to 2006, 36 patients (26 males and 10 females) with NSCLC underwent lobectomy or segmentectomy with PA plasty at our institution. The mean age of the patients was 65.9 years old (range 45–87 years old). There were 17 left upper lobectomies, 10 right upper lobectomies, five left lower lobectomies, two right upper-and-middle bilobectomies, one right lower lobectomy, and one left upper division segmentectomy. Both bronchoplasty and PA plasty were performed in 15 patients. Six patients received preoperative chemotherapy, and one had preoperative radiotherapy. The ... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171625 Thu, 14 Jan 2010 16:42:21 +0100 3171625 http://www.medworm.com/index.php?rid=3171624&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1186066 Thorac cardiovasc Surg 2009; 57: 480-483DOI: 10.1055/s-0029-1186066Abstract Chest wall tuberculosis is a rare disease. After reviewing cases previously treated by surgical resection, the methods of resection, results, perioperative complications, and recurrence of the disease were analyzed. The clinical and radiological data of 21 patients with chest wall tuberculosis treated between March 1998 and May 2007 were reviewed retrospectively. Symptoms included growing chest wall mass, with the time intervals of surgical resection from symptoms ranging from one to eight months (mean 2.3 months). Fourteen patients had a past history of tuberculosis. Preoperative needle aspiration was performed in 10 patients. The lesion was confined to the chest wall without a pleural lesion in 4 patients; 14 pat... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171624 Thu, 14 Jan 2010 16:42:21 +0100 3171624 http://www.medworm.com/index.php?rid=3171623&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185913 Thorac cardiovasc Surg 2009; 57: 476-479DOI: 10.1055/s-0029-1185913Abstract Air leak is a well-known problem, often leading to great discomfort and prolonged hospitalization. Many methods have been proposed for the prevention or treatment of prolonged air leak, but none of them turned out to offer the perfect solution. The purpose of this study was to evaluate the results of blood pleurodesis in patients with persistent air leak. From February 2005 through March 2007, 20 patients (14 male and 6 female) ranging in age from 41 to 81 years underwent blood pleurodesis in our department due to persistent air leak (> 7 days). In the majority of patients the underlying disease was emphysema (n = 14). Lobectomy was performed in 10 cases, LVRS in 4 and 3 patients suffered from ... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171623 Thu, 14 Jan 2010 16:42:21 +0100 3171623 http://www.medworm.com/index.php?rid=3171622&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185734 Thorac cardiovasc Surg 2009; 57: 472-475DOI: 10.1055/s-0029-1185734Abstract Early recurrence is observed even in patients who undergo complete resection and had pathological (p-) stage I. Therefore, we focused on early recurrence, and attempted to elucidate the relationship between early recurrence and clinicopathological factors. Between May 1993 and December 2005, 1201 patients with non-small cell lung cancer (NSCLC) underwent surgical treatment at our institution. Of these, 402 patients who underwent complete resection and had p-stage I NSCLC were retrospectively analyzed for clinicopathological factors. Patients were divided into four groups according to the period between surgery and recurrence (R): no recurrence (NR, n = 331), late recurrence (LR, n = 28, R&#8... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171622 Thu, 14 Jan 2010 16:42:21 +0100 3171622 http://www.medworm.com/index.php?rid=3171621&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185819 Thorac cardiovasc Surg 2009; 57: 468-471DOI: 10.1055/s-0029-1185819Abstract Aim of this study was to determine the clinical characteristics, morbidity and mortality in patients with a sternum fracture (SF). From October 1998 to December 2008, 80 patients with sternal fractures were admitted to the Thoracic Surgery Department of the University Hospital. The records of all patients were reviewed retrospectively. Patients' age and gender, extent of sternal and thoracic injury, types of associated injuries, treatment and outcome, the length of hospital stay, morbidity and mortality were collected. We divided our patients into two groups: Group I with an isolated sternum fracture and Group II with a sternum fracture and additional injury. Patients' ages ranged from 18 to 83 years with an averag... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171621 Thu, 14 Jan 2010 16:42:21 +0100 3171621 http://www.medworm.com/index.php?rid=3171620&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1186069 Thorac cardiovasc Surg 2009; 57: 464-467DOI: 10.1055/s-0029-1186069Abstract Postoperative atrial fibrillation (AF) is the most common complication after coronary artery bypass grafting (CABG). We have reported that the intra- and perioperative administration of landiolol has a preventive effect on postoperative AF in the early postoperative period after CABG surgery. The purpose of this study was to investigate the prophylactic effect of postoperative treatment with carvedilol following landiolol against postoperative AF. We reviewed all patients who underwent CABG from December 2005 and February 2009. Fifty-three patients underwent scheduled isolated CABG and were divided two groups; carvedilol group (n = 31), and control group (n = 22). Incidences of postoperative... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171620 Thu, 14 Jan 2010 16:42:21 +0100 3171620 http://www.medworm.com/index.php?rid=3171619&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185877 In this study, we evaluated perioperative risk factors for the development of postoperative renal dysfunction (PRD), and the impact of such an event on the perioperative course. Additionally, we investigated the influence of preoperatively mildly increased serum creatinine on perioperative mortality and morbidity. We retrospectively analyzed data of 2511 patients undergoing isolated CABG between 2004 and 2007 with a preoperative serum creatinine ≤ 2.2 mg/dL. There were 592 patients with a preoperative serum creatinine of between 1.4 and 2.2 mg/dl (mild renal dysfunction group) and 1919 patients with a serum creatinine < 1.4 mg/dl. Perioperative risk factors for PRD were analyzed by multivariate regression analysis. Global in-hospital mortality was 3.1... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171619 Thu, 14 Jan 2010 16:42:21 +0100 3171619 http://www.medworm.com/index.php?rid=3171618&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1186067 Thorac cardiovasc Surg 2009; 57: 455-459DOI: 10.1055/s-0029-1186067Abstract Little data is available regarding the safety of using the serine protease inhibitor aprotinin in off-pump cardiac surgery. We retrospectively assessed the risks of administering the drug to adult patients undergoing off-pump coronary artery bypass grafting (OPCABG). Aprotinin was administered as a bolus of 1 or 2 million kallikrein inhibiting units to 391 patients following median sternotomy; 370 control patients underwent surgery during the same time period without receiving aprotinin. No other antifibrinolytic agents were administered. Preoperative characteristics, length of ICU and hospital stay were similar between the mostly medium-risk aprotinin and the control patients. Postoperative cardiac, renal, neurolo... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171618 Thu, 14 Jan 2010 16:42:21 +0100 3171618 http://www.medworm.com/index.php?rid=3171617&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1186149 Thorac cardiovasc Surg 2009; 57: 449-454DOI: 10.1055/s-0029-1186149AbstractExtracorporeal life support is becoming increasingly popular with the miniaturization of the devices necessary for cardiac and pulmonary support. In the present report, the current systems, indications for placement and limitations are reviewed.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171617 Thu, 14 Jan 2010 16:42:21 +0100 3171617 http://www.medworm.com/index.php?rid=3171616&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1186070 Thorac cardiovasc Surg 2009; 57: 441-448DOI: 10.1055/s-0029-1186070Abstract Previous large animal heart failure models led to inhomogeneous results. Therefore, we developed a novel model combining rapid pacing with forced ventricular desynchronization. Heart failure was induced in 20 pigs during a pacing period of 21 days. Group A (n = 10) received one right ventricular lead (220 bpm). In group B (n = 10), two leads were implanted in different right ventricular regions with beat-to-beat alternation of activation sites (each lead 110 bpm). Sham-operated pigs (n = 6) served as controls. Hemodynamics were invasively evaluated and tissue was analyzed by immunohistochemistry and zymography. Hemodynamics were significantly more impaired in group B with an incr... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=3171616 Thu, 14 Jan 2010 02:57:13 +0100 3171616 http://www.medworm.com/index.php?rid=2851414&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1038982 We present a case of surgically resected multifocal NLH which was differently identified by chest computed (CT) tomography appearance and FDG‐PET findings.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2851414 Thu, 01 Oct 2009 18:44:01 +0100 2851414 http://www.medworm.com/index.php?rid=2851413&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1038984 We present a liver tumor-mimicking schwannoma of the intercostal nerves. A 58-year-old woman presented with a painful lesion in the right subphrenic area and abdominal pain in the right upper quadrant for two months. Abdominal ultrasonography and magnetic resonance imaging revealed a tumor, 9.1 × 7.1 × 8.9 cm in size, with an inner cystic change in segment V and VI of the liver. The tumor was completely resected together with part of the 9th rib. Pathology confirmed a schwannoma and showed a tumor composed of spindle cells with oval to wavy nuclei. The patient was still asymptomatic at follow-up after 36 months, with no sign of recurrence.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (S... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2851413 Thu, 01 Oct 2009 18:44:01 +0100 2851413 http://www.medworm.com/index.php?rid=2851412&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1038990 Thorac cardiovasc Surg 2009; 57: 434-436DOI: 10.1055/s-2008-1038990AbstractA centrally located large pulmonary arteriovenous malformation (PAVM) with aneurysmal formation is uncommon and the optimal treatment remains unclear. Here we report a 63-year-old female with a large PAVM located in the pulmonary hilum presenting with dyspnea and a brain abscess. A muscle-sparing thoracotomy with lobectomy of the left upper lobe was successfully performed under the guidance of three-dimensional reconstruction imaging of the thoracic vasculature.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2851412 Thu, 01 Oct 2009 18:44:01 +0100 2851412 http://www.medworm.com/index.php?rid=2851411&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1038962 Thorac cardiovasc Surg 2009; 57: 432-434DOI: 10.1055/s-2008-1038962AbstractAn intrathoracic gossypiboma (surgical sponge retained within the thoracic cavity during surgery) is rare but causes serious surgical complications and presents with difficulties in the differential diagnosis. In this article, we describe three cases of intrathoracic gossypiboma identified with the help of exploratory surgery 22, 10 and 3 years after they had been retained after surgery. The radiological findings varied in these cases and were insufficient for an accurate preoperative diagnosis. Marked deterioration in the neighboring lung tissue was observed over time, and the patients who had gossypibomas for 22, 10 and 3 years required pneumonectomy, lobectomy and partial decortication, respectively.[...]© Georg... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2851411 Thu, 01 Oct 2009 18:44:01 +0100 2851411 http://www.medworm.com/index.php?rid=2851410&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185880 Thorac cardiovasc Surg 2009; 57: 427-431DOI: 10.1055/s-0029-1185880Abstract The aim of this study was to compare the outcome of a novel hybrid technique with the results of conventional approaches when treating tumor-induced superior vena cava syndrome (SVCS). The failure of a thrombectomy via transjugular aspiration led to an interdisciplinary approach to treat malignant SVCS. The technique is relatively unknown but is performable if vascular surgeons and interventional radiologists work side by side in the operating room. We give an in-depth description of the hybrid technique, including surgical thrombectomy of the SVC, left brachiocephalic vein and left subclavian vein, occlusion balloon placement, stenting of the SVC and left brachiocephalic vein and the imaging controls. The equipmen... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2851410 Thu, 01 Oct 2009 18:44:01 +0100 2851410 http://www.medworm.com/index.php?rid=2851409&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185338 Thorac cardiovasc Surg 2009; 57: 424-426DOI: 10.1055/s-0029-1185338AbstractThe prevalence of coronary artery anomalies is reported to be around 0.3–1 %. An anomalous origin of the right coronary artery (RCA) is a rare condition but may lead to myocardial ischemia and sudden death. Diagnosis is mainly made by conventional coronary arteriography. Nowadays, multislice computed tomography is a new noninvasive imaging technique with excellent spatial resolution which can detect the origin and course of an anomalous coronary vessel. Here we report on a 67-year-old woman with an anomalous origin of the RCA arising from the pulmonary trunk. The anomaly was diagnosed by cardiac catheterization and confirmed by multislice computed tomography.[...]© Georg Thieme Verlag KG Stuttgart · Ne... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2851409 Thu, 01 Oct 2009 18:44:01 +0100 2851409 http://www.medworm.com/index.php?rid=2851408&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1039268 Thorac cardiovasc Surg 2009; 57: 422-424DOI: 10.1055/s-2008-1039268AbstractAn uncommon case of traumatic arteriovenous fistula of the left internal mammary artery following penetrating chest trauma is presented. The patient developed a left parasternal machinery murmur six days after thoracotomy to repair a pericardial tamponade after a penetrating left parasternal stab wound. Selective digital subtraction angiography revealed pseudoaneurysm formation with fistulous connection of the left internal mammary artery to the adjacent vein. The fistula was successfully occluded with coil embolization.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2851408 Thu, 01 Oct 2009 18:44:01 +0100 2851408 http://www.medworm.com/index.php?rid=2851407&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1039055 We report on a case of successful surgical management of a paravalvular communication between the left ventricle and the left atrium via an abscess cavity.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2851407 Thu, 01 Oct 2009 18:44:01 +0100 2851407 http://www.medworm.com/index.php?rid=2851406&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185907 We report our initial experience of the intrathoracic application of the VAC system after extended thoracic surgery. Thirteen patients (11 men, 2 women) with a median age of 60 years (range 41 to 82 years) with deep wound infections after thoracotomy (empyema = 3; lobectomy = 5; Pancoast = 1; pneumonectomy = 4) were treated primarily with the VAC system after initial surgical debridement. All patients had an increased risk for impaired wound healing (e.g., diabetes, obesity, empyema, steroids). The VAC system was removed when systemic signs of infection resolved and quantitative cultures were negative. After a mean period of 64 ± 45 days (range 7 to 134 days) the VAC system was removed in all patients. It was used as a bridge to ... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2851406 Thu, 01 Oct 2009 18:44:01 +0100 2851406 http://www.medworm.com/index.php?rid=2851405&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185733 Thorac cardiovasc Surg 2009; 57: 413-416DOI: 10.1055/s-0029-1185733Abstract We assessed whether the standard uptake of 18-fluorodeoxyglucose (18-FDG) in non-small cell lung cancers (NSCLC) differed between stage I and non-stage I tumors. We reviewed 163 patients with NSCLC who underwent surgical lymph node dissection after tumor resection in 2002–2003. Patients with clinical stage I NSCLC who were investigated with preoperative positron emission tomography integrated computed tomography (PET‐CT) scans using 18-FDG uptake were included; those with N2 disease were excluded. We reviewed 55 patients with a mean follow-up of 68 months. We analyzed 36 patients with stage I (Group 1) and 19 patients with non-stage I NSCLC (Group 2; 8 stage II, 7 stage III and 4 stage IV). There were n... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2851405 Thu, 01 Oct 2009 18:44:01 +0100 2851405 http://www.medworm.com/index.php?rid=2851403&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185721 Thorac cardiovasc Surg 2009; 57: 409-412DOI: 10.1055/s-0029-1185721Abstract The aim of this study was to investigate the relationship between weather conditions and pneumothorax episodes in the patients with spontaneous pneumothorax (SP) admitted to our hospitals. One hundred and seventy-five patients diagnosed with SP and admitted to two hospitals in our area between January 2004 and January 2007 were included in this study. Data comparison was made between the days with and without pneumothorax. 159 of the patients (91 %) were male and 16 (9 %) were female. During the study a total of 202 SP episodes were observed. Pneumothorax episodes were observed mostly in autumn and in June and November out of all twelve months. There was no statistical difference in atmospheric pressure... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2851403 Thu, 01 Oct 2009 18:44:01 +0100 2851403 http://www.medworm.com/index.php?rid=2851402&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185820 Thorac cardiovasc Surg 2009; 57: 403-408DOI: 10.1055/s-0029-1185820Abstract Although aggressive resection of pulmonary metastases prolongs the survival of patients with metastatic colorectal cancer, there is a need for predictive pathologic parameters to understand the key molecular events of metastatic progression. The aim of this study was to verify immunohistochemical markers in addition to established clinical parameters after surgery. From our subset of patients undergoing resection of pulmonary metastases from metastatic colorectal carcinoma, we analyzed 39 patients (23 men and 16 women) between 2003 and 2007. Only patients who met the criteria for a potentially curative operation were included. All patients were analyzed with regard to age and sex, primary tumor location, stage of t... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2851402 Thu, 01 Oct 2009 18:44:01 +0100 2851402 http://www.medworm.com/index.php?rid=2851401&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185851 Thorac cardiovasc Surg 2009; 57: 399-402DOI: 10.1055/s-0029-1185851Abstract Valve competence in valve-sparing aortic root replacement has been described as being influenced by commissural height as well as graft size. The aim of this study was to investigate the impact of a gradual reduction of commissural height and graft diameter on aortic insufficiency under physiological conditions in an model. Porcine aortic valves were reimplanted into a tubular graft and a native commissural height was obtained. Subsequently the height was reduced by 10 % and 20 %, respectively. To investigate the impact of graft size, a 30 % reduction of the prosthesis diameter was carried out in valves with both native and reduced commissural heights. All conditions were investigated under pulsat... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2851401 Thu, 01 Oct 2009 18:44:01 +0100 2851401 http://www.medworm.com/index.php?rid=2851400&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185869 Thorac cardiovasc Surg 2009; 57: 395-398DOI: 10.1055/s-0029-1185869Abstract To manage aortic root aneurysms and right ventricular outflow tract (RVOT) graft dysfunction in adult patients after repeated surgery for congenital heart disease, we performed combined prosthetic aortic root and RVOT replacement. The procedure was performed in 5 patients (2 truncus arteriosus, 2 variants of tetralogy of Fallot, and 1 congenital aortic stenosis), aged 23, 24, 27, 29, and 34 years, who presented with progressive dilation of the aortic root and aortic regurgitation as well as RVOT graft dysfunction. All patients had undergone a median of 3 previous operations and this procedure was their third (in 1), fourth (in 3), or fifth (in 1) operation. The mean interval since the previous operation was 8.2 (3&... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2851400 Thu, 01 Oct 2009 18:44:01 +0100 2851400 http://www.medworm.com/index.php?rid=2851399&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185852 Thorac cardiovasc Surg 2009; 57: 391-394DOI: 10.1055/s-0029-1185852Abstract Readmission to the intensive care unit (ICU) after cardiac surgery is associated with higher costs and may be correlated with an increased mortality. We wanted to evaluate predictors of ICU readmission and to analyze the outcome of those patients. 3523 patients who underwent CABG and/or valve surgery between 2004 and 2007 were reviewed retrospectively. The reasons for readmission and the postoperative course were analyzed. Furthermore, perioperative risk factors for readmission were determined by multivariate regression analysis. Of the 3374 patients discharged from the ICU, 5.9 % (198) of patients required a second stay in the intensive care (group r). The readmission rate was 4.8 % following CABG and ... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2851399 Thu, 01 Oct 2009 18:44:01 +0100 2851399 http://www.medworm.com/index.php?rid=2851398&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185876 Thorac cardiovasc Surg 2009; 57: 386-390DOI: 10.1055/s-0029-1185876Abstract Inflammation plays a major role in the pathogenesis of coronary artery disease (CAD) and myocardial infarction (MI). CD14 is the receptor for bacterial lipopolysaccharide in monocytes and mediates the production of proinflammatory cytokines. The promoter of the CD14 gene has a polymorphic site in position − 159 (C→T) and T-homozygotes have been shown to express higher amounts of CD14 by some investigators. We and others have found an association of the T-allele with past MI in former studies, but reports in the literature are contradictory. We investigated a study group with an assumed high genetic risk by selecting 200 patients suffering from angiographically verified CAD or MI who were younger t... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2851398 Thu, 01 Oct 2009 18:44:01 +0100 2851398 http://www.medworm.com/index.php?rid=2851397&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185873 Thorac cardiovasc Surg 2009; 57: 379-385DOI: 10.1055/s-0029-1185873Abstract Nitric oxide (NO) production by both coronary endothelial cells and cardiomyocytes is thought to play a significant role in myocardial pathophysiology following ischemia/reperfusion (I/R). In thirteen pigs subjected to 1 hour cardioplegic arrest (CA) on CPB, left ventricular (LV) biopsies were collected prior to CPB (baseline), at 60 min CPA, at 15 and 30 min reperfusion on CPB, and at 120 min post CPB. LV specimens were immunocytochemically stained against phospho-eNOS, phospho-eNOS, phosphorylated ERK1/2, and AKT/PKB. Four additional pigs without CA served as controls. Cardiomyocytes were quantitatively investigated using TV densitometry (gray units: U). After 60 min CA phosphorylation of ... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2851397 Thu, 01 Oct 2009 00:37:58 +0100 2851397 http://www.medworm.com/index.php?rid=2856227&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19795322%26dopt%3DAbstract CONCLUSIONS: ENOS activation during ischemia occurs through phosphorylation at Ser1177 mediated by Akt/PKB. ERK1/2 does not seem to be involved in myocardial eNOS regulation especially not via phosphorylation at eNOS (Thr495). PMID: 19795322 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2856227 Wed, 30 Sep 2009 23:00:00 +0100 2856227 http://www.medworm.com/index.php?rid=2856226&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19795323%26dopt%3DAbstract CONCLUSIONS: The assumed weak association of the TT-genotype of the CD14 promoter polymorphism with MI could not be not established in a well-defined group of young patients with a high genetic risk. The association of the polymorphism with expression of sCD14 or mCD14 was not confirmed. PMID: 19795323 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2856226 Wed, 30 Sep 2009 23:00:00 +0100 2856226 http://www.medworm.com/index.php?rid=2856225&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19795324%26dopt%3DAbstract CONCLUSIONS: Patients after valve/combined surgery are more likely to require readmission to the ICU. Respiratory complications were the most common reasons for readmission. To reduce the readmission rate, it is necessary to treat cardio-respiratory problems early, particularly in patients showing predictive risk factors. PMID: 19795324 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2856225 Wed, 30 Sep 2009 23:00:00 +0100 2856225 http://www.medworm.com/index.php?rid=2856224&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19795325%26dopt%3DAbstract CONCLUSIONS: Combined aortic root and RVOT replacement with mechanical conduits in adult patients after repeated surgery for congenital heart disease is a complex operation requiring long CPB time. However, this procedure has the potential to avoid a predictable reoperation associated with conventional biological graft replacement. PMID: 19795325 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2856224 Wed, 30 Sep 2009 23:00:00 +0100 2856224 http://www.medworm.com/index.php?rid=2856223&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19795326%26dopt%3DAbstract CONCLUSIONS: Valve competence is impaired both by the reduction of commissural height and by reduced graft size. In particular, reimplantation of aortic valves into undersized grafts promotes valve insufficiency even if commissural height is well adjusted. PMID: 19795326 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2856223 Wed, 30 Sep 2009 23:00:00 +0100 2856223 http://www.medworm.com/index.php?rid=2856222&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19795327%26dopt%3DAbstract CONCLUSIONS: Our results suggest that in addition to clinically prognostic factors, FOS-B expression has a debatable impact on patient survival. We conclude that the evaluation of molecular and clinical prognostic parameters at the time of pulmonary metastasectomy offers a greater understanding of the metastatic process and provides important information for patient selection. PMID: 19795327 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2856222 Wed, 30 Sep 2009 23:00:00 +0100 2856222 http://www.medworm.com/index.php?rid=2856221&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19795328%26dopt%3DAbstract CONCLUSION: In our area, no relationship was observed between pneumothorax episodes and meteorological conditions in cases with SP, but attacks were found to occur more often in certain seasons and months. We believe that more significant results could be obtained if similar studies are conducted in other regions or maybe all over the country. PMID: 19795328 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2856221 Wed, 30 Sep 2009 23:00:00 +0100 2856221 http://www.medworm.com/index.php?rid=2856220&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19795329%26dopt%3DAbstract CONCLUSIONS: High preoperative 18-FDG uptake of tumors was significantly associated with reduced overall patient survival. The SUVmax of the tumor and serum CEA levels demonstrated aggressive tumors and could be helpful preoperatively when considering patients for induction therapy or resection. PMID: 19795329 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2856220 Wed, 30 Sep 2009 23:00:00 +0100 2856220 http://www.medworm.com/index.php?rid=2856219&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19795330%26dopt%3DAbstract CONCLUSION: Intrathoracic vacuum therapy after extended thoracic surgery seems to be an effective and safe adjunct to conventional treatment modalities for the therapy of intrathoracic infections or deep wound infections. PMID: 19795330 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2856219 Wed, 30 Sep 2009 23:00:00 +0100 2856219 http://www.medworm.com/index.php?rid=2856218&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19795331%26dopt%3DAbstract We report on a case of successful surgical management of a paravalvular communication between the left ventricle and the left atrium via an abscess cavity. PMID: 19795331 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2856218 Wed, 30 Sep 2009 23:00:00 +0100 2856218 http://www.medworm.com/index.php?rid=2856217&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19795332%26dopt%3DAbstract Authors: Yerebakan C, Westphal B, Kröger JC, Steinhoff G An uncommon case of traumatic arteriovenous fistula of the left internal mammary artery following penetrating chest trauma is presented. The patient developed a left parasternal machinery murmur six days after thoracotomy to repair a pericardial tamponade after a penetrating left parasternal stab wound. Selective digital subtraction angiography revealed pseudoaneurysm formation with fistulous connection of the left internal mammary artery to the adjacent vein. The fistula was successfully occluded with coil embolization. PMID: 19795332 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2856217 Wed, 30 Sep 2009 23:00:00 +0100 2856217 http://www.medworm.com/index.php?rid=2856216&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19795333%26dopt%3DAbstract Authors: Baskurt M, Yýldýz A, Caglar IM, Kýlýckesmez K, Okcun B, Ozkan AA, Ersanlý M, Gurmen T The prevalence of coronary artery anomalies is reported to be around 0.3-1 %. An anomalous origin of the right coronary artery (RCA) is a rare condition but may lead to myocardial ischemia and sudden death. Diagnosis is mainly made by conventional coronary arteriography. Nowadays, multislice computed tomography is a new noninvasive imaging technique with excellent spatial resolution which can detect the origin and course of an anomalous coronary vessel. Here we report on a 67-year-old woman with an anomalous origin of the RCA arising from the pulmonary trunk. The anomaly was diagnosed by cardiac catheterization and confirmed by multislice computed tomography. PMID... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2856216 Wed, 30 Sep 2009 23:00:00 +0100 2856216 http://www.medworm.com/index.php?rid=2856215&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19795334%26dopt%3DAbstract CONCLUSION: Treatment provided the advantages associated with limited invasiveness, i.e., a faster and complication-free recovery period. The procedure may be a suitable alternative to open surgical intervention, as it involves less invasive trauma and has a reasonable risk-benefit ratio with a good chance of technical and clinical success. Further studies are warranted to better assess the complication rates with this hybrid technique. PMID: 19795334 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2856215 Wed, 30 Sep 2009 23:00:00 +0100 2856215 http://www.medworm.com/index.php?rid=2856214&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19795335%26dopt%3DAbstract Authors: Okur HK, Okur E, Baran R An intrathoracic gossypiboma (surgical sponge retained within the thoracic cavity during surgery) is rare but causes serious surgical complications and presents with difficulties in the differential diagnosis. In this article, we describe three cases of intrathoracic gossypiboma identified with the help of exploratory surgery 22, 10 and 3 years after they had been retained after surgery. The radiological findings varied in these cases and were insufficient for an accurate preoperative diagnosis. Marked deterioration in the neighboring lung tissue was observed over time, and the patients who had gossypibomas for 22, 10 and 3 years required pneumonectomy, lobectomy and partial decortication, respectively. PMID: 19795335 [PubMed - in process] (Source:... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2856214 Wed, 30 Sep 2009 23:00:00 +0100 2856214 http://www.medworm.com/index.php?rid=2856213&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19795336%26dopt%3DAbstract Authors: Hsu PK, Hsu WH, Wu YC A centrally located large pulmonary arteriovenous malformation (PAVM) with aneurysmal formation is uncommon and the optimal treatment remains unclear. Here we report a 63-year-old female with a large PAVM located in the pulmonary hilum presenting with dyspnea and a brain abscess. A muscle-sparing thoracotomy with lobectomy of the left upper lobe was successfully performed under the guidance of three-dimensional reconstruction imaging of the thoracic vasculature. PMID: 19795336 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2856213 Wed, 30 Sep 2009 23:00:00 +0100 2856213 http://www.medworm.com/index.php?rid=2856212&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19795337%26dopt%3DAbstract We present a liver tumor-mimicking schwannoma of the intercostal nerves. A 58-year-old woman presented with a painful lesion in the right subphrenic area and abdominal pain in the right upper quadrant for two months. Abdominal ultrasonography and magnetic resonance imaging revealed a tumor, 9.1 x 7.1 x 8.9 cm in size, with an inner cystic change in segment V and VI of the liver. The tumor was completely resected together with part of the 9th rib. Pathology confirmed a schwannoma and showed a tumor composed of spindle cells with oval to wavy nuclei. The patient was still asymptomatic at follow-up after 36 months, with no sign of recurrence. PMID: 19795337 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2856212 Wed, 30 Sep 2009 23:00:00 +0100 2856212 http://www.medworm.com/index.php?rid=2856211&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19795338%26dopt%3DAbstract We present a case of surgically resected multifocal NLH which was differently identified by chest computed (CT) tomography appearance and FDG-PET findings. PMID: 19795338 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2856211 Wed, 30 Sep 2009 23:00:00 +0100 2856211 http://www.medworm.com/index.php?rid=2742240&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19707971%26dopt%3DAbstract Authors: Gummert JF, Funkat A, Beckmann A, Schiller W, Hekmat K, Ernst M, Haverich A All cardiac surgical procedures performed in 79 German cardiac surgical units throughout the year 2008 are illustrated in this report, based on a voluntary registry which is organized by the German Society for Thoracic and Cardiovascular Surgery. In 2008 a total of 99 176 cardiac surgical procedures (ICD and pacemakers procedures excluded) have been collected. More than 10.3 % of the patients were older than 80 years compared to 9.8 % in 2007. Hospital mortality in 47 337 isolated CABG procedures (11.3 % off-pump) was 2.8 %. In 22 243 isolated valve procedures a mortality of 4.7 % has been observed. This voluntary registry of the German Society for Thoracic and Cardiovascular Surgery continues to be an... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2742240 Sat, 29 Aug 2009 07:56:41 +0100 2742240 http://www.medworm.com/index.php?rid=2742239&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19707972%26dopt%3DAbstract CONCLUSIONS: In patients with IABP support for postcardiotomy cardiogenic shock, elevated serum lactate, elevated base deficit, hypotension, oliguria and large vasopressor doses are all predictors of mortality. In these patients, the use of another mechanical assist device should be considered in good time. Our study additionally shows that LCOS caused by predominantly right ventricular failure - particularly after CABG - may be an additional indication for IABP. PMID: 19707972 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2742239 Sat, 29 Aug 2009 07:56:38 +0100 2742239 http://www.medworm.com/index.php?rid=2742238&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19707973%26dopt%3DAbstract CONCLUSIONS: Left ventricular epicardial lead implantation via left anterior minithoracotomy is safe and effective. PMID: 19707973 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2742238 Sat, 29 Aug 2009 07:56:36 +0100 2742238 http://www.medworm.com/index.php?rid=2742237&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19707974%26dopt%3DAbstract CONCLUSIONS: It is suggested that supporting vein grafts externally with PTFE sufficiently protects the vein walls against damage from exposure to arterial pressure. If varicose veins are used as arterial grafts, supporting them with PTFE may be useful because of the good protection of endothelial and medial connective tissues, resulting in similar parameters to those of normal vein walls. PMID: 19707974 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2742237 Sat, 29 Aug 2009 07:56:33 +0100 2742237 http://www.medworm.com/index.php?rid=2742236&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19707975%26dopt%3DAbstract CONCLUSION: Patients with stage IA NSCLC and severe COPD may undergo curative surgical resection; however, postoperative complications and long-term survival remain unsolved problems. IP is a contraindication for surgery in patients with severe COPD. PMID: 19707975 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2742236 Sat, 29 Aug 2009 07:56:31 +0100 2742236 http://www.medworm.com/index.php?rid=2742235&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19707976%26dopt%3DAbstract CONCLUSION: IMTs are a rare clinical entity. An accurate preoperative diagnosis is difficult and complete resection remains the treatment of choice and leads to an excellent survival. PMID: 19707976 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2742235 Sat, 29 Aug 2009 07:56:29 +0100 2742235 http://www.medworm.com/index.php?rid=2742234&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19707977%26dopt%3DAbstract CONCLUSIONS: Surgical intervention is recommended in selected elderly COPD patients with SSP, with hypercapnia known as an operative contraindication. Additionally, surgery offers the advantage of intraoperative pleurodesis for the prevention of prolonged postoperative air leaks, while intrapleural injection of human fibrinogen is an effective procedure in the treatment of air leaks. PMID: 19707977 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2742234 Sat, 29 Aug 2009 07:56:27 +0100 2742234 http://www.medworm.com/index.php?rid=2742233&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19707978%26dopt%3DAbstract CONCLUSION: Surgery has a role in the multidisciplinary approach, especially when we consider long-term survival. A multidisciplinary approach using neoadjuvant chemo and radiotherapy has a high rate of complete pathological response. It is also associated with a high incidence of postoperative distress syndrome. The 5-year survival is acceptable. PMID: 19707978 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2742233 Sat, 29 Aug 2009 07:56:24 +0100 2742233 http://www.medworm.com/index.php?rid=2742232&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19707979%26dopt%3DAbstract CONCLUSION: A high index of suspect is vital for the diagnosis of diaphragmatic injuries in an emergency setting. The type of approach is closely related to the associated injuries. PMID: 19707979 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2742232 Sat, 29 Aug 2009 07:56:22 +0100 2742232 http://www.medworm.com/index.php?rid=2742231&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19707980%26dopt%3DAbstract We report the successful management of a 27-month-old girl with ALCAPA and severe mitral regurgitation using a biodegradable mitral annuloplasty ring. It could represent a novel tool for mitral valve repair in ALCAPA-associated ischemic mitral regurgitation. PMID: 19707980 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2742231 Sat, 29 Aug 2009 07:56:20 +0100 2742231 http://www.medworm.com/index.php?rid=2742230&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19707981%26dopt%3DAbstract We present here the case of a quadricuspid aortic valve discovered by intraoperative transesophageal echocardiography and successfully replaced with a mechanical aortic valve. PMID: 19707981 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2742230 Sat, 29 Aug 2009 07:56:17 +0100 2742230 http://www.medworm.com/index.php?rid=2742229&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19707982%26dopt%3DAbstract Authors: Emmert MY, Salzberg SP, Plass A, Behjati S, Felix C, Falk V, Siclari F, Gruenenfelder J In a 70-year-old patient with severe aortic valve stenosis, preoperative standard imaging (transthoracic echocardiography and angiography) detected an unclear subannular cavity structure. Initially interpreted as an aneurysm of Valsalva, the structure was identified intraoperatively as a huge chronic abscess cavity and exclusion was carried out by pericardial patch plasty. This case draws attention to the importance of a differential diagnosis of an abscess due to infective endocarditis in cases of unclear subannular structures rashly diagnosed as aneurysm of Valsalva. PMID: 19707982 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2742229 Sat, 29 Aug 2009 07:56:15 +0100 2742229 http://www.medworm.com/index.php?rid=2742228&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19707983%26dopt%3DAbstract CONCLUSION: Although PAI-1 activity levels are reduced after short-term treatment with ACE inhibitors in patients with stable angina pectoris while TPA antigen is unaffected, treatment with ACE inhibitors does not lead to a marked change in plasmin activation. PMID: 19707983 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2742228 Sat, 29 Aug 2009 07:56:13 +0100 2742228 http://www.medworm.com/index.php?rid=2742227&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19707984%26dopt%3DAbstract Authors: Ichimura H, Kikuchi S, Siotani S During lung cancer surgery, a lack of appropriate anatomical landmarks makes the determination of lymph node stations arbitrary. With the aim of remedying this situation, we have focused on the confluence of the internal mammary vein (IMV) to the superior vena cava. Preoperative multidetector computed tomography (MDCT) makes it possible to accurately measure the distance between the caudal border of station 1 and the confluence of the IMV. This preoperative measurement makes the determination of station 1 more objective. PMID: 19707984 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2742227 Sat, 29 Aug 2009 07:56:10 +0100 2742227 http://www.medworm.com/index.php?rid=2742226&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19707985%26dopt%3DAbstract We report here a case of special paradoxical brain embolism in a 40-year-old woman with neurological events who was diagnosed with medulla oblongata infarction. Contrast-enhanced pulmonary CT discovered that the patient had a pulmonary arteriovenous fistula (PAVF). The PAVF was later surgically resected. We conclude that if a patent foramen ovale cannot be confirmed by echocardiography, contrast-enhanced pulmonary CT scan could prove to be a helpful tool to detect another origin of a right-to-left shunt such as pulmonary arteriovenous fistula. PMID: 19707985 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2742226 Sat, 29 Aug 2009 07:56:07 +0100 2742226 http://www.medworm.com/index.php?rid=2742225&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19707986%26dopt%3DAbstract We present the case of a 21-year-old man who was treated with chemotherapy for Hodgkin's lymphoma. Only a partial response was noted so he underwent additional chemotherapy and involved field radiotherapy. PET-CT showed pathological activity in the lung parenchyma. Subsequent bronchoscopic biopsy showed paraganglioma and the patient underwent a left lower lobectomy. PMID: 19707986 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2742225 Sat, 29 Aug 2009 07:56:05 +0100 2742225 http://www.medworm.com/index.php?rid=2733865&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1038878 We present the case of a 21-year-old man who was treated with chemotherapy for Hodgkin's lymphoma. Only a partial response was noted so he underwent additional chemotherapy and involved field radiotherapy. PET‐CT showed pathological activity in the lung parenchyma. Subsequent bronchoscopic biopsy showed paraganglioma and the patient underwent a left lower lobectomy.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2733865 Wed, 26 Aug 2009 13:46:41 +0100 2733865 http://www.medworm.com/index.php?rid=2733864&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-2008-1038896 We report here a case of special paradoxical brain embolism in a 40-year-old woman with neurological events who was diagnosed with medulla oblongata infarction. Contrast-enhanced pulmonary CT discovered that the patient had a pulmonary arteriovenous fistula (PAVF). The PAVF was later surgically resected. We conclude that if a patent foramen ovale cannot be confirmed by echocardiography, contrast-enhanced pulmonary CT scan could prove to be a helpful tool to detect another origin of a right-to-left shunt such as pulmonary arteriovenous fistula.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2733864 Wed, 26 Aug 2009 13:46:41 +0100 2733864 http://www.medworm.com/index.php?rid=2733863&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185366 Thorac cardiovasc Surg 2009; 57: 372-373DOI: 10.1055/s-0029-1185366AbstractDuring lung cancer surgery, a lack of appropriate anatomical landmarks makes the determination of lymph node stations arbitrary. With the aim of remedying this situation, we have focused on the confluence of the internal mammary vein (IMV) to the superior vena cava. Preoperative multidetector computed tomography (MDCT) makes it possible to accurately measure the distance between the caudal border of station 1 and the confluence of the IMV. This preoperative measurement makes the determination of station 1 more objective.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2733863 Wed, 26 Aug 2009 13:46:41 +0100 2733863 http://www.medworm.com/index.php?rid=2733862&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185596 We examined the effect of a short-term treatment with the ACE inhibitor enalapril in 47 patients with severe coronary artery disease requiring coronary artery bypass grafting (CABG). Patients received either 20 mg/d enalapril or placebo for 6 days. Tissue-type plasminogen activator (TPA), plasminogen activator inhibitor-1 (PAI-1), plasmin-a2-antiplasmin-complex (PAP) and D-dimers were measured initially and after treatment. In the enalapril group PAI-1 levels were significantly reduced after treatment (11.9 ± 2.3 U/ml vs. 17.1 ± 3.0 U/l;  < 0.05). In the placebo group PAP levels were significantly higher ( < 0.05) after treatment compared to initial values. No differences could be detected between the study groups wi... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2733862 Wed, 26 Aug 2009 13:46:41 +0100 2733862 http://www.medworm.com/index.php?rid=2733861&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185735 Thorac cardiovasc Surg 2009; 57: 367-368DOI: 10.1055/s-0029-1185735AbstractIn a 70-year-old patient with severe aortic valve stenosis, preoperative standard imaging (transthoracic echocardiography and angiography) detected an unclear subannular cavity structure. Initially interpreted as an aneurysm of Valsalva, the structure was identified intraoperatively as a huge chronic abscess cavity and exclusion was carried out by pericardial patch plasty. This case draws attention to the importance of a differential diagnosis of an abscess due to infective endocarditis in cases of unclear subannular structures rashly diagnosed as aneurysm of Valsalva.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardi... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2733861 Wed, 26 Aug 2009 13:46:41 +0100 2733861 http://www.medworm.com/index.php?rid=2733860&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185563 We present here the case of a quadricuspid aortic valve discovered by intraoperative transesophageal echocardiography and successfully replaced with a mechanical aortic valve.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2733860 Wed, 26 Aug 2009 13:46:41 +0100 2733860 http://www.medworm.com/index.php?rid=2733859&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185562 We report the successful management of a 27-month-old girl with ALCAPA and severe mitral regurgitation using a biodegradable mitral annuloplasty ring. It could represent a novel tool for mitral valve repair in ALCAPA-associated ischemic mitral regurgitation.[...]© Georg Thieme Verlag KG Stuttgart · New YorkGet connected:Table of contents  |  Abstract  |  Full text (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2733859 Wed, 26 Aug 2009 13:46:41 +0100 2733859 http://www.medworm.com/index.php?rid=2733858&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185579 We present a discussion of the management of diaphragmatic injury and the factors that influence the choice of surgical approach based on our experience and a review of the literature. Data of 41 patients with diaphragmatic injuries treated between 1996 and 2007 were analyzed retrospectively. A total of 29 men and 12 women between 15 and 56 years of age (mean age 34) were included in the study. Twenty-one patients had penetrating injuries and 20 patients had blunt injuries. The diagnosis was done preoperatively in 21 cases and intraoperatively in 20 cases. Thoracotomy was used in 23 cases, laparotomy in 11 cases, laparotomy-thoracotomy in 5 cases, sternotomy-laparotomy in 1 case, and sternotomy in 1 case. Emergency surgery was performed in 30 cases. Five cases were operated within 24 hours... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2733858 Wed, 26 Aug 2009 13:46:41 +0100 2733858 http://www.medworm.com/index.php?rid=2733857&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185786 Thorac cardiovasc Surg 2009; 57: 353-357DOI: 10.1055/s-0029-1185786Abstract Optimal management of SST is still controversial several years after the proposal of a multidisciplinary approach including neoadjuvant chemotherapy and external radiation. Our objective is to report our experience of this multidisciplinary approach from the surgical point of view. From January 1997 to January 2008, 24 patients were treated surgically (18 with induction chemotherapy and 15 with radiotherapy). The surgical approach was thoracic (14 cases, 1 with a spinal approach) or cervical (10 patients, 2 thoracotomies). Pulmonary surgery performed consisted of 11 wedge resections, 10 lobectomies, 1 pneumonectomy and 2 cases without lung resection (1 exploratory thoracotomy and 1 local progression after a previou... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2733857 Wed, 26 Aug 2009 13:46:41 +0100 2733857 http://www.medworm.com/index.php?rid=2733856&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185767 Thorac cardiovasc Surg 2009; 57: 347-352DOI: 10.1055/s-0029-1185767Abstract Aim of the study was to assess the results of surgery for secondary spontaneous pneumothorax (SSP) in the elderly with COPD at Shanghai Pulmonary Disease Hospital. From 1 January 1993 to 30 June 2007, the operation for SSP was performed in 107 elderly patients (≥ 60y) with COPD. All patient data was reviewed retrospectively. Morbidity was 25.2 % and mortality was 4.7 %. The total effective rate of intrapleural injection of human fibrinogen for the treatment of postoperative persistent air leaks was 86.7 %. Multivariate analyses of postoperative air leaks suggest that patients undergoing pleurodesis (OR 0.189, 95 % CI 0.045–0.790,  = 0.022) have a decreased risk ... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2733856 Wed, 26 Aug 2009 13:46:41 +0100 2733856 http://www.medworm.com/index.php?rid=2733855&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185574 Thorac cardiovasc Surg 2009; 57: 343-346DOI: 10.1055/s-0029-1185574Abstract Inflammatory myofibroblastic tumors (IMT) are a rare clinical entity. We retrospectively reviewed the clinicopathological characteristics and prognosis for all patients with surgically resected IMTs of the lung at our institution. From January 1995 through February 2007, 16 patients, 9 men and 7 women ranging in age from 18 to 64 years with a median age of 46 years, were admitted to our hospital for IMT of the lung, mediastinum and thoracic outlet. Nine of them (56.3 %) had a history of pneumonia, while in the rest it was documented as an incidental finding on chest X‐ray. Five of our patients (31.3 %) were under immunosuppressive therapy. CT scan was the diagnostic tool routinely used and PET per... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2733855 Wed, 26 Aug 2009 13:46:41 +0100 2733855 http://www.medworm.com/index.php?rid=2733854&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185571 Thorac cardiovasc Surg 2009; 57: 339-342DOI: 10.1055/s-0029-1185571Abstract The functional criteria for curative surgery for patients with non-small cell lung cancer (NSCLC) and coexisting chronic obstructive pulmonary disease (COPD) remain controversial. We aimed to clarify long-term outcomes after resection. Between January 1990 and April 2005, 36 consecutive patients with NSCLC and severe COPD underwent pulmonary resection. All had severe (30–50 % pred FEV1) or very severe COPD (30 % > pred FEV1) preoperatively. Survival, short- and long-term complications were analyzed retrospectively. Prognostic factors were also analyzed. The 5-year survival rate of these patients was significantly worse than that of patients with better pulmonary function (50 %... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2733854 Wed, 26 Aug 2009 13:46:41 +0100 2733854 http://www.medworm.com/index.php?rid=2733853&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185597 Thorac cardiovasc Surg 2009; 57: 333-338DOI: 10.1055/s-0029-1185597Abstract Reoperations for bypass surgery increase the need for new grafts. We investigated early changes in both the normal human saphenous vein and in ectatic varicose veins externally supported by PTFE (polytetrafluoroethylene) graft and exposed to arterial pressure in an non-pulsatile flow model. A total of 24 saphenous vein pieces (11 of them normal, the other 13 with varicosities) with a length of 6 centimeters were divided into equal parts; half of these parts were wrapped in PTFE grafts. All vein parts were placed in a perfusion circuit. Tissue biopsies were obtained from the vein segments. Light and electron microscopy examinations were performed, and endothelial continuity, elastic laminate continuity, medial conne... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2733853 Wed, 26 Aug 2009 13:46:41 +0100 2733853 http://www.medworm.com/index.php?rid=2733852&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185731 This study assesses the surgical outcomes of left anterior minithoracotomy for the implantation of left ventricular epicardial pacing leads in cardiac resynchronization therapy. Eleven patients were referred for open left ventricular epicardial lead placement. Mean patient age was 66.2 (59–77) years. The patients had New York Heart Association class III (II–IV) heart failure, a mean left ventricular ejection fraction of 18 ± 5 % and mean QRS duration of 177 ± 29 milliseconds. Left ventricular epicardial leads were successfully placed in all patients. Mean surgery time was 101 ± 33 minutes and intraoperative lead parameters were: R wave 14.5 ± 9.8 millivolts, lead threshold 1.4 ± 0.9 volts at 0.5 milliseconds... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2733852 Wed, 26 Aug 2009 13:46:41 +0100 2733852 http://www.medworm.com/index.php?rid=2733851&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185766 Thorac cardiovasc Surg 2009; 57: 324-328DOI: 10.1055/s-0029-1185766Abstract The indications for intra-aortic balloon pump (IABP) in the case of a failing right ventricle after operations with extracorporeal circulation (ECC) are still discussed controversially. We investigated the benefit of IABP in patients with a predominantly right ventricular dysfunction after ECC. Additionally, we wanted to identify early and easily available prognostic markers for outcome in all patients receiving IABP support. Between 1/2004 and 1/2008, 4550 patients underwent cardiac surgical procedures with ECC, 223 of whom (4.9 %) had an IABP inserted intra- or postoperatively (group 1). 79 of these patients were treated intraoperatively with IABP for early postoperative low cardiac output syndrome (LCOS) c... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2733851 Wed, 26 Aug 2009 13:46:41 +0100 2733851 http://www.medworm.com/index.php?rid=2733850&cid=s_36629_157_f&fid=36629&url=http%3A%2F%2Fwww.thieme-connect.com%2FDOI%2FDOI10.1055%2Fs-0029-1185915 Thorac cardiovasc Surg 2009; 57: 315-323DOI: 10.1055/s-0029-1185915AbstractAll cardiac surgical procedures performed in 79 German cardiac surgical units throughout the year 2008 are illustrated in this report, based on a voluntary registry which is organized by the German Society for Thoracic and Cardiovascular Surgery. In 2008 a total of 99 176 cardiac surgical procedures (ICD and pacemakers procedures excluded) have been collected. More than 10.3 % of the patients were older than 80 years compared to 9.8 % in 2007. Hospital mortality in 47 337 isolated CABG procedures (11.3 % off-pump) was 2.8 %. In 22 243 isolated valve procedures a mortality of 4.7 % has been observed. This voluntary registry of the German Society for Thoracic and Cardiov... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2733850 Wed, 26 Aug 2009 13:46:41 +0100 2733850 http://www.medworm.com/index.php?rid=2640406&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19629886%26dopt%3DAbstract Authors: Kowert A, Meiser B, Ueberfuhr P, Reichart B PMID: 19629886 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2640406 Mon, 27 Jul 2009 03:58:40 +0100 2640406 http://www.medworm.com/index.php?rid=2640405&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19629887%26dopt%3DAbstract CONCLUSIONS: The performance of the Contegra conduit compares well with that of homografts when used to reconstruct paediatric right ventricular outflow tracts. PMID: 19629887 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2640405 Mon, 27 Jul 2009 03:58:38 +0100 2640405 http://www.medworm.com/index.php?rid=2640404&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19629888%26dopt%3DAbstract CONCLUSION: The results for both established surgical methods (BT and Sano) for the palliation of HLHS and its variants have improved over time and are reaching acceptable early mortality rates. There was a trend towards a favorable early outcome for Sano patients, which did not reach statistical significance in this study due to the low patient numbers. PMID: 19629888 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2640404 Mon, 27 Jul 2009 03:58:35 +0100 2640404 http://www.medworm.com/index.php?rid=2640403&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19629889%26dopt%3DAbstract CONCLUSIONS: Perioperative intravenous infusion of PUFA reduces the incidence of AF after CABG and leads to a shorter stay in the ICU and in hospital. Our data suggest that perioperative intravenous infusion of PUFA should be recommended for patients undergoing CABG. PMID: 19629889 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2640403 Mon, 27 Jul 2009 03:58:33 +0100 2640403 http://www.medworm.com/index.php?rid=2640402&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19629890%26dopt%3DAbstract CONCLUSION: Aspirin resistance is encountered during the early postoperative period in the majority of patients undergoing CABG. None of the factors studied were found to be causative for resistance formation. Further studies are required to clarify this entity. PMID: 19629890 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2640402 Mon, 27 Jul 2009 03:58:31 +0100 2640402 http://www.medworm.com/index.php?rid=2640401&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19629891%26dopt%3DAbstract CONCLUSION: At training hospitals the incidence of IPnx will increase in parallel to the increase in invasive procedures. Invasive procedures should be performed by experienced personnel or under their supervision when risk factors are involved. PMID: 19629891 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2640401 Mon, 27 Jul 2009 03:58:28 +0100 2640401 http://www.medworm.com/index.php?rid=2640400&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19629892%26dopt%3DAbstract CONCLUSION: VEGF-C and -D may play important roles in lymphangiogenesis and lymph node metastasis in lung adenocarcinoma. PMID: 19629892 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2640400 Mon, 27 Jul 2009 03:58:26 +0100 2640400 http://www.medworm.com/index.php?rid=2640399&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19629893%26dopt%3DAbstract CONCLUSION: Surgical treatment of lung hydatid disease is safe, with a good outcome and a low mortality rate. The lung resection rate was higher than most published series and reflects the relatively high proportion of patients with giant and ruptured infected cysts. PMID: 19629893 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2640399 Mon, 27 Jul 2009 03:58:23 +0100 2640399 http://www.medworm.com/index.php?rid=2640398&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19629894%26dopt%3DAbstract We report a case of a 22-year-old woman with a known history of homozygous familial hypercholesterolemia. The patient was admitted to our hospital with the chief complaints of chest discomfort and dyspnea on exertion. Preoperative echocardiography revealed highly echogenic aortic and mitral valves as well as a narrowed aortic root. A surgical procedure consisting of both aortic and mitral valve replacement with reconstruction of the intervalvular fibrous body was performed. PMID: 19629894 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2640398 Mon, 27 Jul 2009 03:58:21 +0100 2640398 http://www.medworm.com/index.php?rid=2640397&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19629895%26dopt%3DAbstract Authors: Usta E, Hofbeck M, Kaulitz R, Sieverding L, Greil G, Ziemer G Cardiac fibromas are rare lesions which occur predominantly in infants and children. In a 2-week-old premature infant with progressive exertional dyspnea, a huge cardiac tumor (5.0 x 4.5 x 5.0 cm) obstructing the right ventricle was diagnosed. Due to tumor progression with resulting obstruction of the right ventricular outflow tract (RVOT), surgery became necessary at 6 months. The tumor was partially resected, creating a crater-like defect, and the resection margins were subsequently plicated. Histological examination confirmed infantile fibroma. The combination of early diagnosis, the time and opportunity for cardiac development and immediate excision once symptoms occur is supposed to improve survival. PMID: ... The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2640397 Mon, 27 Jul 2009 03:58:18 +0100 2640397 http://www.medworm.com/index.php?rid=2640396&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19629896%26dopt%3DAbstract Authors: Nezic D, Knezevic A, Cirkovic M, Vukovic P, Jovic M Five years ago, the left internal thoracic artery free segment was used as a coronary-coronary bypass over a single, distal lesion of the large left anterior descending coronary artery in a patient with triple vessel disease. The patient has recently been readmitted, complaining of chest discomfort. Although he was scheduled for percutaneous coronary intervention due to disease progression on the circumflex coronary artery, the perfect angiographic patency of the arterial coronary-coronary conduit has been confirmed. PMID: 19629896 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2640396 Mon, 27 Jul 2009 03:58:14 +0100 2640396 http://www.medworm.com/index.php?rid=2640395&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19629897%26dopt%3DAbstract Authors: Torres RL, Martins LK, Picoral M, Auzani J, Fernandes TR, Torres IL, Ferreira MB, Andrade CF, Belló-Klein A, Cardoso PF The overproduction of reactive oxygen species plays an important role in the cascade of events during lung ischemia-reperfusion leading to graft failure. An evaluation of the peripheral markers of oxidative stress and antioxidant enzyme activities was carried out after reperfusion in a rat lung transplant model. The decrease in lipid peroxidation immediately after transplantation ( P < 0.05) may suggest an adaptative response and/or a protective effect of low potassium dextran against lipid peroxidation through natural scavenging mechanisms. PMID: 19629897 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2640395 Mon, 27 Jul 2009 03:58:12 +0100 2640395 http://www.medworm.com/index.php?rid=2640394&cid=s_36629_157_f&fid=36107&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19629898%26dopt%3DAbstract We report the rare complication of airway obstruction leading to respiratory arrest caused by retropharyngeal and cervicomediastinal hematomas due to rebleeding of an ascending cervical artery 3 days after stellate ganglion block. PMID: 19629898 [PubMed - in process] (Source: The Thoracic and Cardiovascular Surgeon) The Thoracic and Cardiovascular Surgeon journals http://www.medworm.com/rss/comments.php?id=2640394 Mon, 27 Jul 2009 03:58:09 +0100 2640394