The Journal of Thoracic and Cardiovascular Surgery
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Information for Readers
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Communications regarding original articles and editorial management should be addressed to Lawrence H. Cohn, MD, Editor, The Journal of Thoracic and Cardiovascular Surgery, American Association for Thoracic Surgery, 900 Cummings Center, Suite 221-U, Beverly, MA 01915; telephone: 978-299-4505; fax: 978-524-8890. Information for authors appears in each issue. Authors should consult these instructions before submitting manuscripts to this Journal. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Tags: The American Board of Thoracic Surgery Source Type: journals
JTCVS Disclosure Statement
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(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Tags: The American Board of Thoracic Surgery Source Type: journals
Table of Contents
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(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Tags: Frontmatter Source Type: journals
Condensed Contents
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(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Tags: Frontmatter Source Type: journals
Requirements for Maintenance of Certification
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Diplomates of the American Board of Thoracic Surgery (ABTS) who plan to participate in the Maintenance of Certification (MOC) process must hold an unrestricted medical license in the locale of their practice and privileges in a hospital accredited by the JCAHO (or other organization recognized by the ABTS). In addition, a valid ABTS certificate is an absolute requirement for entrance into the Maintenance of Certification process. If your certificate has expired, the only pathway for renewal of a certificate is to take and pass the Part I (written) and the Part II (oral) certifying examinations. (Source: The Journal of Thor...
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Tags: The American Board of Thoracic Surgery Source Type: journals
Notices
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The part I (written) examination was held on December 3. It is planned that this examination will be given at multiple sites throughout the United States using an electronic format. The closing date for registration is August 1 each year. Those wishing to be considered for examination must apply online at www.abts.org. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Tags: The American Board of Thoracic Surgery Source Type: journals
Applications for Membership
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Applications for membership in the Association must be received by the Membership Committee Chair no later than March 1, 2010 to be considered at the 2010 Annual Meeting. Applicants must be sponsored by three members of the Association who are not members of the Membership Committee. Application forms will be issued only to sponsoring members. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Tags: The Western Thoracic Surgical Association Source Type: journals
2010 Summer Intern Scholarship Applications Now Available
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The American Association for Thoracic Surgery (AATS) Summer Intern Scholarship program introduces the field of cardiothoracic surgery to first- and second-year medical students from North American medical institutions. By providing an opportunity to spend 8 weeks during the summer working in an AATS member's cardiothoracic surgery department, the summer intern scholarship provides medical students with insight into the scientific investigation and study of cardiothoracic surgery. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Tags: The American Association for Thoracic Surgery Source Type: journals
AATS Meetings and Sponsored Events
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February February 6–9, 2010 (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Tags: The American Association for Thoracic Surgery Source Type: journals
Aortic Symposium 2010
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April 29–30, 2010 Sheraton New York Hotel and Towers (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Tags: The American Association for Thoracic Surgery Source Type: journals
AATS 90th Annual Meeting
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May 1–5, 2010 Metro Toronto Convention Centre (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Tags: The American Association for Thoracic Surgery Source Type: journals
Meetings and Courses
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The Kuala Lumpur Valve Summit 2009 will be held December 3-5, 2009, at the Shangri-La Hotel, Kuala Lumpur, Malaysia. For information, contact: Secretariat - Marini Kamarudin (telephone: +603 26178515; Fax: +603 26928418; E-mail: klvs2009@ijn.com.my). Additional information: http://www.ijn.com.my/klvs2009/klvs/ (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Tags: Meetings and Courses Source Type: journals
Reply to the Editor
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We would like to thank Soueidi and colleagues for their thoughtful comments on our work. We agree that the decision to proceed with a Fontan operation is a delicate one with major implications for the child's future course. It is standard clinical practice to perform cardiac catheterization for preoperative evaluation. However, this practice is based on data from the 1970s and does not take into consideration advances in noninvasive imaging and changes in the characteristics of subjects presenting for a Fontan operation. Although cardiac catheterization is the reference standard for hemodynamic assessment, it is invasive a...
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Ashwin Prakash Tags: Letters to the Editor Source Type: journals
A new diagnostic algorithm for assessment of patients with single ventricle before a Fontan operation
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To the Editor: We read with interest the article of Prakash and associates entitled “A new diagnostic algorithm for assessment of patients with single ventricle before Fontan operation.” We found it appealing to spare these children invasive and costly procedures in the era of rampant health care costs. In their retrospective study the authors developed an algorithm that identifies high-risk patients for the completion of partial cavopulmonary connection. This algorithm is based on clinical and noninvasive imaging criteria and limits cardiac catheterization only to high-risk patients. (Source: The Journal of Thoracic ...
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Antoine Soueidi, Issam El-Rassi, Daniele Khater Tags: Letters to the Editor Source Type: journals
Reply to the Editor
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We thank Dr Durandy very much for her comments. We completely agree that performing transfusion-free surgery cannot be a goal in itself. There are convincing data from the adult world and first data from the pediatric world of cardiac surgery showing that transfusion of allogeneic blood impairs clinical outcomes. However, the small scale of our investigation and the great heterogeneity of cardiac malformations meant that the study was not powered to perform an assessment in this regard. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Andreas Koster, Michael Huebler, Roland Hetzer Tags: Letters to the Editor Source Type: journals
Pediatric cardiac surgery: Effect of a miniaturized bypass circuit in reducing homologous blood transfusion
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To the Editor: I read with great interest the excellent article by Koster and colleagues. We have recently published our experience in treating 150 pediatric patients with a 120-mL prime volume miniaturized bypass circuit, vacuum-assisted venous drainage, and intermittent warm blood microplegia. Our results, although less impressive than those of Koster and colleagues, confirmed the efficiency of a small prime volume for reduction of allogeneic blood transfusion. With a nadir hemoglobin value of 8 g/dL during cardiopulmonary bypass, we demonstrated the good tolerance of hemodilution using 2 markers: preoperative and posto...
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Yves Dominique Durandy Tags: Letters to the Editor Source Type: journals
Posttransplant survival is not diminished in heart transplant recipients bridged with implantable left ventricular assist devices
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Conclusion: The use of implantable left ventricular assist devices as bridges to transplantation, including both intracorporeal and paracorporeal devices, is not associated with diminished posttransplant survival. However, 90-day survival was diminished in recipients bridged with extracorporeal devices. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Mark J. Russo, Kimberly N. Hong, Ryan R. Davies, Jonathan M. Chen, Robert A. Sorabella, Deborah D. Ascheim, Mathew R. Williams, Annetine C. Gelijns, Allan S. Stewart, Michael Argenziano, Yoshifumi Naka Tags: Cardiothoracic Transplantation Source Type: journals
Discussion
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Dr Michael Mulligan (Seattle, Wash). I would like to thank the association for inviting me to discuss this paper and Dr Khan and his colleagues for sending me the manuscript in advance. Congratulations on a fine presentation and for conducting a prospective randomized trial in an attempt to answer a timely question. You added 50% more patients between submission of the abstract and the manuscript, so I paid attention and I think I understand your take-home message but let's work through this. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Tags: Cardiothoracic Transplantation Source Type: journals
A prospective, randomized, crossover pilot study of inhaled nitric oxide versus inhaled prostacyclin in heart transplant and lung transplant recipients
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Conclusion: In heart transplant and lung transplant recipients, nitric oxide and prostacyclin similarly reduce pulmonary artery pressures and central venous pressure, and improve cardiac index and mixed venous oxygen saturation. Inhaled prostacyclin may offer an alternative to nitric oxide in the treatment of pulmonary hypertension in thoracic transplantation. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Tanveer A. Khan, Gabriel Schnickel, David Ross, Sam Bastani, Hillel Laks, Fardad Esmailian, Daniel Marelli, Ramin Beygui, Richard Shemin, Larry Watson, Irina Vartapetian, Abbas Ardehali Tags: Cardiothoracic Transplantation Source Type: journals
Discussion
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Dr John S. Ikonomidis (Charleston, SC). I have no relationships to disclose. Gorav, this was a very interesting presentation. I have several questions for you. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Tags: Evolving Technology/Basic Science Source Type: journals
Smooth muscle phenotypic modulation is an early event in aortic aneurysms
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Conclusions: Aneurysms demonstrate smooth muscle cell phenotypic modulation characterized by downregulation of smooth muscle cell marker genes and upregulation of matrix metalloproteinases. These events in experimental models occur before aneurysm formation. Targeting smooth muscle cells to a reparative phenotype might provide a novel therapy in the treatment of aortic aneurysms. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Gorav Ailawadi, Christopher W. Moehle, Hong Pei, Sandra P. Walton, Zequan Yang, Irving L. Kron, Christine L. Lau, Gary K. Owens Tags: Evolving Technology/Basic Science Source Type: journals
Aspirin and clopidogrel use in the early postoperative period following on-pump and off-pump coronary artery bypass grafting
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Conclusions: Early postoperative clopidogrel combined with aspirin may be safe and beneficial compared with perioperative aspirin treatment alone, in both on-pump and off-pump coronary artery bypass grafting. However, a possibility of selection bias calls for randomized controlled trials to confirm our findings. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Dae Hyun Kim, Constantine Daskalakis, Scott C. Silvestry, Mital P. Sheth, Andrew N. Lee, Suzanne Adams, Sam Hohmann, Sofia Medvedev, David J. Whellan Tags: Perioperative Management Source Type: journals
Discussion
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Dr Giancarlo Roviaro (Milan, Italy). I would like to thank Dr Schuchert and coworkers for presenting this good experience in anatomic segmentectomies, which once again seems to confirm the validity of VATS in the treatment of early-stage lung cancer. The paper is good, well done, and the analysis of the patients, of the outcomes and of survival, is totally correct. Before asking you my questions, I would like to make some personal observations regarding the so-called VATS lobectomies and anatomic resections. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic Surgery Source Type: journals
Anatomic segmentectomy for stage I non–small-cell lung cancer: Comparison of video-assisted thoracic surgery versus open approach
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Conclusions: Video-assisted thoracic surgery segmentectomy can be performed with acceptable morbidity, mortality, recurrence, and survival. The video-assisted thoracic surgery approach affords a shorter length of stay and fewer postoperative pulmonary complications compared with open techniques. The potential benefits and limitations of segmentectomy will need to be further evaluated by prospective, randomized trials. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Matthew J. Schuchert, Brian L. Pettiford, Arjun Pennathur, Ghulam Abbas, Omar Awais, John Close, Arman Kilic, Robert Jack, James R. Landreneau, Joshua P. Landreneau, David O. Wilson, James D. Luketich, Rodney J. Landreneau Tags: General Thoracic Surgery Source Type: journals
Discussion
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Dr Michael Weyant (Aurora, Colo). Good morning. I would like to first thank the Western for inviting me to discuss this paper, and I would also like to thank the authors for sending me the manuscript well in advance. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Tags: General Thoracic Surgery Source Type: journals
Recurrence after neoadjuvant chemoradiation and surgery for esophageal cancer: Does the pattern of recurrence differ for patients with complete response and those with partial or no response?
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Conclusions: Most esophageal cancer recurrences after neoadjuvant therapy and surgery are distant, and survival time after recurrence is short regardless of pathologic response. Fewer patients achieving complete response had recurrences, and distant recurrences in these patients manifest later than in patients showing partial response and those showing no response. Only pathologic response is significantly associated with disease recurrence, suggesting that tumor biology and chemosensitivity are critical in long-term patient outcome. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Robert A. Meguid, Craig M. Hooker, Joshua T. Taylor, Laurence R. Kleinberg, Stephen M. Cattaneo, Marc S. Sussman, Stephen C. Yang, Richard F. Heitmiller, Arlene A. Forastiere, Malcolm V. Brock Tags: General Thoracic Surgery Source Type: journals
Morphologic spectrum of truncal valvar origin relative to the ventricular septum: Correlation with the size of ventricular septal defect
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Conclusion: Origin of the truncal valve demonstrated a morphologic spectrum and correlated with the size of ventricular septal defect that was the main or even sole exit from the left ventricle in hearts with right ventricular origin. Truncal origin, therefore, requires recognition to optimize surgery. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Iki Adachi, Anna Seale, Hideki Uemura, Karen P. McCarthy, Philip Kimberley, Siew Yen Ho Tags: Congenital Heart Disease Source Type: journals
Discussion
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Dr Yves d'Udekem (Melbourne, Australia). We reviewed all the results with Christian Brizard, and all the comments and questions were discussed. What is your median time of follow-up? (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - October 21, 2009 Category: Cardiovascular & Thoracic Surgery Tags: Congenital Heart Disease Source Type: journals
Unifocalization of major aortopulmonary collateral arteries in pulmonary atresia with ventricular septal defect is essential to achieve excellent outcomes irrespective of native pulmonary artery morphology
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Conclusion: By using a strategy of unifocalization, intrapericardial pulmonary artery reconstruction, and right ventricle-pulmonary artery conduit, excellent long-term survival can be achieved in this group of patients even in the absence of native intrapericardial pulmonary arteries. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - October 21, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Ben Davies, Shafi Mussa, Paul Davies, John Stickley, Timothy J. Jones, David J. Barron, William J. Brawn Tags: Congenital Heart Disease Source Type: journals
Information for Readers
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Communications regarding original articles and editorial management should be addressed to Lawrence H. Cohn, MD, Editor, The Journal of Thoracic and Cardiovascular Surgery, American Association for Thoracic Surgery, 900 Cummings Center, Suite 221-U, Beverly, MA 01915; telephone: 978-299-4505; fax: 978-524-8890. Information for authors appears in each issue. Authors should consult these instructions before submitting manuscripts to this Journal. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - October 19, 2009 Category: Cardiovascular & Thoracic Surgery Tags: The American Board of Thoracic Surgery Source Type: journals
JTCVS Disclosure Statement
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(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - October 19, 2009 Category: Cardiovascular & Thoracic Surgery Tags: The American Board of Thoracic Surgery Source Type: journals
Table of Contents
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(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - October 19, 2009 Category: Cardiovascular & Thoracic Surgery Tags: Frontmatter Source Type: journals
Condensed Contents
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(Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - October 19, 2009 Category: Cardiovascular & Thoracic Surgery Tags: Frontmatter Source Type: journals
Requirements for Maintenance of Certification
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Diplomates of the American Board of Thoracic Surgery (ABTS) who plan to participate in the Maintenance of Certification (MOC) process must hold an unrestricted medical license in the locale of their practice and privileges in a hospital accredited by the JCAHO (or other organization recognized by the ABTS). In addition, a valid ABTS certificate is an absolute requirement for entrance into the Maintenance of Certification process. If your certificate has expired, the only pathway for renewal of a certificate is to take and pass the Part I (written) and the Part II (oral) certifying examinations. (Source: The Journal of Thor...
Source: The Journal of Thoracic and Cardiovascular Surgery - October 19, 2009 Category: Cardiovascular & Thoracic Surgery Tags: The American Board of Thoracic Surgery Source Type: journals
Notices
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The part I (written) examination was held on December 3. It is planned that this examination will be given at multiple sites throughout the United States using an electronic format. The closing date for registration is August 1 each year. Those wishing to be considered for examination must apply online at www.abts.org. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - October 19, 2009 Category: Cardiovascular & Thoracic Surgery Tags: The American Board of Thoracic Surgery Source Type: journals
Applications for Membership
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Applications for membership in the Association must be received by the Membership Committee Chair no later than March 1, 2010 to be considered at the 2010 Annual Meeting. Applicants must be sponsored by three members of the Association who are not members of the Membership Committee. Application forms will be issued only to sponsoring members. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - October 19, 2009 Category: Cardiovascular & Thoracic Surgery Tags: The Western Thoracic Surgical Association Source Type: journals
2010 Summer Intern Scholarship Applications Now Available
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The American Association for Thoracic Surgery (AATS) Summer Intern Scholarship program introduces the field of cardiothoracic surgery to first- and second-year medical students from North American medical institutions. By providing an opportunity to spend 8 weeks during the summer working in an AATS member's cardiothoracic surgery department, the summer intern scholarship provides medical students with insight into the scientific investigation and study of cardiothoracic surgery. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - October 19, 2009 Category: Cardiovascular & Thoracic Surgery Tags: The American Association for Thoracic Surgery Source Type: journals
Applications for Membership Now Available Online
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Applications for 2010 AATS Membership are now available with a deadline for submission of November 30, 2009. Applications received after the deadline will be automatically deferred until 2011. To apply for membership, a current member of the Association must act as the primary sponsor by initiating the application process in the Members Only area of the AATS Web site. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - October 19, 2009 Category: Cardiovascular & Thoracic Surgery Tags: The American Association for Thoracic Surgery Source Type: journals
2010 AATS Academy Applications Now Available
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Thursday Evening and Friday, April 29 & 30, 2010, Toronto, ON, Canada (Held immediately prior to the AATS Annual Meeting) Applications are now available for the 2010 AATS Academy. The AATS Academy is an intensive didactic and interactive program for surgeons showing significant promise as potential future division chiefs or who have recently assumed the role of division chief. For additional information regarding the Academy please visit www.aats.org. Interested applicants should meet the following qualifications before applying: (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - October 19, 2009 Category: Cardiovascular & Thoracic Surgery Tags: The American Association for Thoracic Surgery Source Type: journals
AATS Meetings and Sponsored Events
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February 6–9, 2010 The 10th Annual International Symposium on Congenital Heart Disease (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - October 19, 2009 Category: Cardiovascular & Thoracic Surgery Tags: The American Association for Thoracic Surgery Source Type: journals
Aortic Symposium 2010
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April 29–30, 2010 Sheraton New York Hotel and Towers (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - October 19, 2009 Category: Cardiovascular & Thoracic Surgery Tags: The American Association for Thoracic Surgery Source Type: journals
AATS 90th Annual Meeting
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May 1–5, 2010 Metro Toronto Convention Centre (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - October 19, 2009 Category: Cardiovascular & Thoracic Surgery Tags: The American Association for Thoracic Surgery Source Type: journals
Meetings and Courses
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The Fifty-Sixth Southern Thoracic Surgical Association Annual Meeting will be held November 4-7, 2009, at Marco Island, Florida, USA. For information, contact: Nancy Gray Puckett, 633 North Saint Clair, Chicago, IL (telephone: 1-800-685-7872; Fax: 1-312-202-5801; E-mail: stsa@stsa.org). Additional information: http://www.stsa.org/ (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - October 19, 2009 Category: Cardiovascular & Thoracic Surgery Tags: Meetings and Courses Source Type: journals
Highlights of the 2009 Society of Vascular Surgery annual meeting
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The annual meeting for the Society of Vascular Surgery (SVS) took place June 11 to 14, 2009, in Denver, Colorado. A highlight of the meeting was the presidential address of G. Patrick Clagett, who raised the question: “Does Vascular Surgery Cost Too Much?” He reviewed the staggering cost of healthcare in our country and stressed that the rate of growth in healthcare expenditures is not sustainable and that the huge disparity in healthcare spending among a variety of industrialized nations has not translated into better healthcare outcomes. Dr Clagett described the unusual paradox that higher healthcare spending has oft...
Source: The Journal of Thoracic and Cardiovascular Surgery - October 19, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Michael Belkin Tags: Meeting Proceedings Source Type: journals
Transcatheter heart valve optimal size
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To the Editor: We read with interest the comments of Zegdi and colleagues on our article entitled “Surgical aortic valve replacement after percutaneous aortic valve implantation: what have we learned?” The authors raised several important questions about transcatheter heart valve (THV) size selection according to the aortic annular diameter and the issue of oversizing. In the case reported a 23-mm balloon expandable Cribier–Edwards THV had been selected for an aortic annulus measured to 20 mm by using echocardiographic analysis (2 mm of oversizing), which was in agreement with the Edwards company's recommendations...
Source: The Journal of Thoracic and Cardiovascular Surgery - October 19, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Pierre-Yves Litzler, Alain Cribier Tags: Letters to the Editor Source Type: journals
Reply to the Editor
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We appreciate the comments by Vedamurthy and associates on our meta-analysis. The standardized mean difference (SMD) is used as a summary statistic in meta-analyses when the studies all assess the same outcome but measure it in a variety of ways (eg, all studies measure depression, but they use different psychometric scales). Vedamurthy and colleagues stated that there were some errors in the calculation of the summary estimate: the units for aortic valve area (AVA) and peak aortic jet velocity (PAJV) had been mixed in the calculations. Similar summary estimates, however, can be commonly found in published meta-analyses. I...
Source: The Journal of Thoracic and Cardiovascular Surgery - October 19, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Hisato Takagi, Takuya Umemoto Tags: Letters to the Editor Source Type: journals
Aortic stenosis and statins
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To the Editor: The meta-analysis by Takagi and coworkers addresses the effect of statins on aortic stenosis. The authors conclude that statins do retard the progression of aortic stenosis by retarding the increase in peak aortic jet velocity (PAJV) but not reducing the decrease in aortic valve area (AVA). The recent publication of the Simvastatin and Ezetimibe in Aortic Stenosis (SEAS) study prompted us to do a meta-analysis on the same question to see whether there is any difference in the summary estimate. During this process, we realized that there were some errors in the calculation of the summary estimate. In brief, ...
Source: The Journal of Thoracic and Cardiovascular Surgery - October 19, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Deepak Vedamurthy, Janos Molnar, Rohit Arora Tags: Letters to the Editor Source Type: journals
Reply to the Editor
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Gomes hypothesizes that percutaneous coronary interventions (PCIs) with coronary stents aggravate local and systemic inflammatory reactions, which might be responsible for major coronary events, such as plaque rupture and myocardial infarction. Based on our findings, 33% of the patients studied had a history of myocardial infarction during the interval between PCI and coronary artery bypass grafting. According to the results of the SYNTAX trial, 4.4% of the patients treated with PCI had a periprocedural major adverse cardiac event. Long-term events could be attributed to stent thrombosis as a result of inflammatory reactio...
Source: The Journal of Thoracic and Cardiovascular Surgery - October 19, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Nikolaos Bonaros, Dominik Wiedemann, Thomas Schachner, Alfred Kocher Tags: Letters to the Editor Source Type: journals
Increased perioperative mortality in elective coronary artery bypass grafting after previous percutaneous coronary intervention
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To the Editor: The article by Bonaros and colleagues, which clearly establishes the relationship between increased perioperative complications and mortality in patients with previous elective percutaneous coronary intervention (PCI) who underwent further elective coronary artery bypass grafting (CABG), reinforces the hypothesis stemming from pathophysiologic changes elicited by stent insertion. The study findings are very remarkable, and some additional explanations for these outcomes are offered herein. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - October 19, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Walter J. Gomes Tags: Letters to the Editor Source Type: journals
The novel use of Nuss bars for reconstruction of a massive flail chest
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We present the case of a patient who sustained a massive flail chest from a snowmobile accident. All ribs of the right side of the chest were fractured. Nonoperative management was unsuccessful. Previously reported methods of rib stabilization were precluded given the lack of stable chest wall elements to fixate or anchor the flail segments. We present a novel surgical treatment in which Nuss bars can be used for stabilization of the most severe flail chest injuries, when reconstruction of the chest is necessary and fixation of fractured segments is infeasible owing to adjacent chest wall instability. (Source: The Journal ...
Source: The Journal of Thoracic and Cardiovascular Surgery - October 19, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Paul E. Pacheco, Alex R. Orem, Ravindra K. Vegunta, Richard C. Anderson, Richard H. Pearl Tags: Brief Technique Reports Source Type: journals
