MedWorm: Cardiovascular & Thoracic Surgery Top 20

Use of Oral Budesonide in the Management of Protein-Losing Enteropathy After the Fontan Operation.

The Annals of Thoracic Surgery — Tue, 23 Feb 2010 13:10:41 +0100

CONCLUSIONS: Oral budesonide is an effective therapy for treating protein-losing enteropathy after the Fontan operation. To maintain response, low-dose therapy must be continued. PMID: 20172140 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)

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Harlequin syndrome.

The Annals of Thoracic Surgery — Tue, 30 Jun 2009 23:00:00 +0100

Authors: Biondi A, Persiani R, Zoccali M, Rausei S, Cananzi F, D'Ugo D PMID: 19559258 [PubMed - in process] (Source: The Annals of Thoracic Surgery)

Use of Oral Budesonide in the Management of Protein-Losing Enteropathy After the Fontan Operation [ORIGINAL ARTICLES: PEDIATRIC CARDIAC]

The Annals of Thoracic Surgery — Tue, 23 Feb 2010 22:46:26 +0100

Conclusions Oral budesonide is an effective therapy for treating protein-losing enteropathy after the Fontan operation. To maintain response, low-dose therapy must be continued. (Source: The Annals of Thoracic Surgery)

Apical myectomy: A new surgical technique for management of severely symptomatic patients with apical hypertrophic cardiomyopathy

The Journal of Thoracic and Cardiovascular Surgery — Mon, 22 Feb 2010 17:07:59 +0100

Conclusions: Apical myectomy improves functional status by decreasing left ventricular end-diastolic pressure, improving operative compliance, and increasing stroke volume. This procedure might be of value in other patients with hypertrophic cardiomyopathy who have severe hypertrophy and small left ventricular end-diastolic volume. (Source: The Journal of Thoracic and Cardiovascular Surgery)

Sentinel Node Mapping in Lung Cancer: The Japanese Experience

Seminars in Thoracic and Cardiovascular Surgery — Thu, 11 Mar 2010 18:09:36 +0100

In this study, the following topics regarding SN identification in lung cancer patients will be introduced: (1) devices for SN identification using a radioisotope tracer; (2) movement of Tc-99 tin colloid after injection; (3) characteristics of patients in whom SNs could not be identified; (4) results of ex vivo SN identification; (5) reliability of in vivo SN identification; (6) algorithm for reducing mediastinal lymph node dissection; (7) SN identification using SPECT/CT; (8) differences in SN identification between large and small radioisotope particles; (9) size of metastatic and nonmetastatic mediastinal lymph nodes in non-small cell lung cancer; (10) SN navigation segmentectomy for clinical stage IA non-small cell lung cancer; and (11) lymphatic flow at segmental lymph nodes. (Source...

Pneumonectomy after induction radiochemotherapy: Is it time for a meta-analysis?

The Journal of Thoracic and Cardiovascular Surgery — Mon, 22 Feb 2010 17:08:11 +0100

To the Editor: The discussion regarding the safety and feasibility of pneumonectomy for non–small cell lung cancer after induction chemoradiotherapy (IT) is a long-standing, widely debated issue, in particular, in the past 2 decades. (Source: The Journal of Thoracic and Cardiovascular Surgery)

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Primary sarcoma of the clavicle.

The Annals of Thoracic Surgery — Tue, 23 Feb 2010 13:08:39 +0100

Authors: De Giacomo T, Diso D, Tsagkaropoulos S, Francioni F, Venuta F PMID: 20172182 [PubMed - in process] (Source: The Annals of Thoracic Surgery)

Evaluation of mediastinal lymph nodes with endobronchial ultrasound: The thoracic surgeon's perspective

The Journal of Thoracic and Cardiovascular Surgery — Mon, 22 Feb 2010 17:07:58 +0100

Conclusion: Thoracic surgeons who perform endobronchial ultrasound-guided fine-needle aspiration can achieve excellent sensitivity, specificity, and diagnostic accuracy while adhering to sound oncologic principles. Endobronchial ultrasound-guided fine-needle aspiration adds to the thoracic surgeon's unique capacity to expedite a diagnostic workup and treatment, thereby streamlining patient care. (Source: The Journal of Thoracic and Cardiovascular Surgery)

Masaoka Stage and Histologic Grade Predict Prognosis in Patients With Thymic Carcinoma.

The Annals of Thoracic Surgery — Tue, 23 Feb 2010 13:10:02 +0100

CONCLUSIONS: The surgical outcome of patients with thymic carcinoma depends on the Masaoka stage and histologic grade. Patients with early Masaoka stage and low or intermediate histologic grade had favorable prognoses. PMID: 20172153 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)

Transition From Mediastinoscopy to Endoscopic Ultrasound for Lung Cancer Staging.

The Annals of Thoracic Surgery — Tue, 23 Feb 2010 13:10:17 +0100

CONCLUSIONS: Introduction of EUS and EBUS reduced use of mediastinoscopy. Discovery of N2 disease at surgery was higher than expected initially, but with experience results proved comparable to those of mediastinoscopy. PMID: 20172149 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)

Superselective Segmentectomy for Deep and Small Pulmonary Nodules Under the Guidance of Three-Dimensional Reconstructed Computed Tomographic Angiography.

The Annals of Thoracic Surgery — Tue, 23 Feb 2010 13:10:22 +0100

CONCLUSIONS: Superselective segmentectomy is an applicable optional strategy for the surgical management of indeterminate small and deep pulmonary nodules. PMID: 20172147 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)

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Microscopic Residual Disease After Resection for Lung Cancer: A Multifaceted but Poor Factor of Prognosis.

The Annals of Thoracic Surgery — Tue, 23 Feb 2010 13:10:27 +0100

CONCLUSIONS: Long-term survival is possible in case of an R1 margin, but 5-year survival rates are jeopardized. Poor efficacy of adjuvant therapy and global outcome indicate advanced disease or reflect tumor cell aggressiveness, rather than surgical insufficiency, when prevention of R1 margins is guided by frozen-section examination and scrupulously respected. PMID: 20172145 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)

Prognostic Significance of Intratumoral Blood Vessel Invasion in Pathologic Stage IA Non-Small Cell Lung Cancer.

The Annals of Thoracic Surgery — Tue, 23 Feb 2010 13:10:30 +0100

CONCLUSIONS: BVI is an independent poor prognostic factor in patients with pathologic stage IA NSCLC. These T1a and T1b patients with BVI both might benefit from adjuvant chemotherapy. PMID: 20172144 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)

Nael Martini: A Leader in Thoracic Surgical Oncology.

The Annals of Thoracic Surgery — Tue, 23 Feb 2010 13:08:22 +0100

Authors: Rusch VW, Bains MS Nael Martini was one of the leading academic general thoracic surgeons of the late 20th century. His most notable contributions related to the surgical and multimodality treatment of lung cancer. PMID: 20172188 [PubMed - as supplied by publisher] (Source: The Annals of Thoracic Surgery)

Synovial sarcoma of the chest wall

General Thoracic and Cardiovascular Surgery — Sat, 13 Feb 2010 06:53:09 +0100

Abstract We here report a rare case of synovial sarcoma of the chest wall. A 71-year-old Japanese woman noticed a left anterior chest wall mass after twice having had surgery for lung cancer. An aspiration biopsy diagnosed synovial sarcoma. She then underwent a surgical resection. Pathology examination revealed a biphasic-type synovial sarcoma. When the prepared RNA from the tumor was subjected to a polymerase chain reaction, SYT-SSX1 fusion gene transcripts were demonstrated. Patients with the SYT-SSX1 fusion gene have a worse clinical outcome than patients with SYT-SSX2-positive tumors. After a second surgery, performed in 1 year later, there was no evidence of recurrence for 30 months; however, careful observation may be required. Content Type Journal ArticleCategory C...

Primary Sarcoma of the Clavicle [IMAGES IN CARDIOTHORACIC SURGERY]

The Annals of Thoracic Surgery — Tue, 23 Feb 2010 22:46:26 +0100

(Source: The Annals of Thoracic Surgery)

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Cavo-atrial thrombectomy combined with left hemi-hepatectomy for vascular invasion from hepatocellular carcinoma on diseased liver under hypothermic cardio-circulatory arrest [Case report - Cardiopulmonary bypass]

Interactive CardioVascular and Thoracic Surgery — Fri, 26 Feb 2010 01:18:45 +0100

We reported a successful cavo-atrial thrombectomy, along with left hemi-hepatectomy, under hypothermic cardio-circulatory arrest (HCA). To our knowledge, this technique has been used only once for primary liver cancer on chronic liver disease, this being the second case reported in literature. We conclude that this technique should be considered for atrial thrombi removal in patients affected by liver tumours in the presence of a healthy liver or of a well compensated liver cirrhosis in order to prolong the patient's life span. (Source: Interactive CardioVascular and Thoracic Surgery)

Giant Coronary Artery Aneurysm With Pulmonary Artery Fistula in a Patient on Chronic Hemodialysis.

The Annals of Thoracic Surgery — Tue, 23 Feb 2010 13:09:19 +0100

Authors: Tokunaga C, Imai A, Enomoto Y, Tanaka YO, Matsushita S, Hiramatsu Y, Sakakibara Y The combination of coronary artery aneurysm and pulmonary artery fistula is extremely rare and its common cause is atherosclerosis. A 61- year-old woman presented with a giant coronary artery aneurysm with pulmonary artery fistula and intramyocardial calcifications of the left ventricle associated with progressive atherosclerosis due to chronic hemodialysis. The coronary artery aneurysm was resected under cardiopulmonary bypass because of hemodynamic instability due to restrictive cardiac dysfunction. The patient's restrictive cardiac dysfunction was improved after aneurysm resection. Surgical resection should be considered for giant coronary artery aneurysm with restrictive cardiac dysfunction. ...

Is conventional aortic arch surgery justifiable in octogenarians?

The Journal of Thoracic and Cardiovascular Surgery — Mon, 22 Feb 2010 17:07:59 +0100

Conclusions: The outcome of conventional aortic arch surgery in octogenarians is improving. The operations were performed with an acceptable operative risk even under emergency situations, including acute aortic dissection. The conventional surgical option for aortic arch diseases should not be abandoned only because of the high chronologic age of the patient. (Source: The Journal of Thoracic and Cardiovascular Surgery)

Short- and long-term outcomes of acute upper extremity arterial thromboembolism.

Annals of Thoracic and Cardiovascular Surgery — Tue, 02 Mar 2010 19:36:31 +0100

Conclusion: Because of the high recurrence rates of thromboembolism, it seems necessary to severe anticoagulant therapy. Upper extremity thromboembolism should also be considered as one manifestation of a systemic embolism. (Ann Thorac Cardiovasc Surg 2010; 16: 31-34). PMID: 20190707 [PubMed - in process] (Source: Annals of Thoracic and Cardiovascular Surgery)