Journal of Cardiothoracic Surgery

http://www.cardiothoracicsurgery.org/

List of Papers (Total 2,274)

Dynamic monitoring of platelet activation and its role in post-dissection inflammation in a canine model of acute type A aortic dissection

Background To confirm the activation of platelets (PLT) and explore the role of activated PLT in post-dissection inflammation. Method An acute type A aortic dissection (AAD) canine model was established. Mean platelet volume/platelet count (MPV/PTC), platelet size distribution width (PDW), and inflammatory cytokines (tumor necrosis factor-α [TNF-α] and interleukin-6 [IL-6]) were ...

Short-term clinical outcomes after off-pump coronary artery bypass grafting at a single Veterans Affairs Medical Center

Background We retrospectively assessed the outcomes after coronary revascularization at a single Veterans Affairs Medical Center when a strategy of assigning higher risk patients to off-pump coronary artery bypass grafting (CABG) was employed. Methods Over a 5 year period all consecutive patients that underwent CABG at our VA Medical Center were assigned to a surgeon who either ...

Undifferentiated sarcoma originating from the mitral valve: a case report

Background Primary cardiac sarcomas are quite uncommon. Among them, sarcomas originating from the mitral valve are exceedingly rare. They are often misdiagnosed due to non-specific symptoms. The prognosis of cardiac sarcomas remains poor, and finding a more effective therapy poses a big challenge for the doctors. Currently, complete surgical resection of the tumor is still the most ...

Mid-term results of mitral valve palsty in patients with mitral sclerotic lesion

Background Mitral valve repair is preferred over prosthetic replacement. We surgically repaired mitral valve with degenerated sclerotic lesion and demonstrated mid-term results. Methods Mitral valve plasty (MVP) was performed with several procedures including ring annuloplasty, leaflet slicing and decalcification. Results There were 19 males and 19 females with a mean age of ...

Systemic air embolism causing acute stroke and myocardial infarction after percutaneous transthoracic lung biopsy – a case report

The air embolism in this case was likely to have been caused by positioning the patient in a prone position, which was associated with the lesion to be biopsied being at a maximum height over the left atrium. Due to the resulting negative pressure, air entered through a fistula that formed between the airspace and the pulmonary vein. The air could have been trapped in the left ...

Frozen elephant trunk reconstruction for right-sided aortic arch with aberrant left subclavian artery and aneurysm of the descending aorta: a case report

Background A 59-year old man being investigated for back pain was found to have aneurysmal dilatation of a right-sided aortic arch and descending thoracic aorta together with an aberrant left subclavian artery. Case Presentation He underwent repair of this utilising the frozen elephant trunk technique, which dealt with all three pathologies in one-stage. He made an unremarkable ...

Intradiaphragmatic Bronchogenic Cysts: Case Report and Systematic Review

Bronchogenic cysts (BC) are congenital abnormalities that occur most commonly within the mediastinum, and rarely occur within the diaphragm. We present the 21st case of an intradiaphragmatic bronchogenic cyst in the English literature, and review all previous published cases. Analysis includes presenting clinical symptoms, relevant radiologic studies, surgical approaches to ...

Idiopathic bronchial hemorrhage: a rare but catastrophic complication in cardiac surgery

Background Hemoptysis is a common complication in all kinds of surgery. However, it is rarely critical because it resolves with or without intervention. Case presentation Here the authors present what is believed to be an unprecedented report of a case involving a fatal idiopathic bronchial hemorrhage complication during cardiac surgery. Eighty-five-year-old female with severe ...

Central extracorporeal membrane oxygenation for treatment of reperfusion oedema following pulmonary thromboendarterectomy: a case report

One of the most severe and frequent complication of pulmonary thromboendarterectomy is reperfusion pulmonary oedema. The only effective treatment for this complication is extracorporeal membrane oxygenation. A case of successful treatment of reperfusion pulmonary oedema with prolonged veno-arterial extracorporeal membrane oxygenation complicated by several episodes of bleeding and ...

Does sinus rhythm conversion after cardiac surgery affect postoperative health- related quality of life?

Background We investigated the impact and the predictive value of sinus rhythm at 12 months (SR 12 ) on subscales of three different HrQoL questionnaires: SF-36., EuroQoL and MFI 20. Methods Data of 125 cardiac surgery patients with pre-operative AF from our previous randomized trial were used. Based on their rhythm outcome patients were divided in two groups: SR 12 or AF at ...

Influence of body mass index on outcomes after minimal-access aortic valve replacement through a J-shaped partial upper sternotomy

Background Minimal-access aortic valve replacement (MAAVR) may reduce post-operative blood loss and transfusion requirements, decrease post-operative pain, shorten length stay and enhance cosmesis. This may be particularly advantageous in overweight/obese patients, who are at increased risk of post-operative complications. Obese patients are however often denied MAAVR due to the ...

Contemporary outcomes after pericardial window surgery: impact of operative technique

Background The optimal window procedure for drainage of a large pericardial effusion has yet to be established. The purpose of this study was to compare the outcomes associated with the subxiphoid and thoracotomy pericardial window techniques, with a focus on perioperative pain and effusion recurrence rates. Methods A retrospective single-center observational study of all ...

Pectus patient information website has improved access to care and patient reported outcomes

Background Pectus is the most common congenital disorder. Awareness amongst primary care physicians and the general public is poor. NHS commissioning bodies plan to withdraw funding for this surgery because they deem a lack of sufficient evidence of benefit. The purpose of this study is to assess the effects of introducing a patient information website on referral and activity ...

Anterograde catheterization of severe tracheal stenosis as a difficult airway management option, followed by emergent tracheostomy (a case report)

Background To describe the successful management of a patient with severe dyspnea and hypoxia due to tracheal stenosis by the application of a novel bridging technique—anterograde tracheal catheterization—prior to tracheostomy. Case presentation A 55-year-old woman entered the Emergency Department with severe dyspnea, tachypnea, and stridor and a pulse oximetry reading of 60 %. An ...

Ministernotomy for correction of ventricular septal defect

Background The development of minimally invasive surgery in the adult has created motivation for similar approaches in the congenital heart domain. Over the past 20 years, this type of surgery has been advocated in an effort to reduce costs related to hospital stay, and to improve the cosmetic results. We report our experience with ventricular septal defect repair utilizing a ...

Intrathoracic splenosis – lesson learned: a case report

Background Intrathoracic splenosis presents an extremely rare thoracic lesion occurring after a simultaneous rupture of the spleen and diaphragm as a consequence of heterotopic autotransplantation and implantation of splenic tissue. Intrathoracic splenosis is usually an asymptomatic, incidental finding, which should be ideally managed without surgical intervention. Case ...

Evaluation of new classifications of N descriptor in non-small cell lung cancer (NSCLC) based on the number and the ratio of metastatic lymph nodes

Background The aim of the study was to evaluate the prognostic power of new classifications of N descriptor created basing on the number (NLN) and the ratio of metastatic lymph nodes (RLN) in NSCLC compared to the current classification (CLN). Methods The data of 529 patients with NSCLC operated with the intention of radical resection, were analyzed. The new categories of N ...

Video-assisted pulmonary lobectomy combined with transmanubrial approach for anterior Pancoast tumor resection: case report

Background The mini-ivasive approach to superior sulcus tumors is an uncommon procedure that is still far from standardization. We describe a hybrid surgical technique to approach “en block” chest resection and pulmonary lobectomy for anterior superior sulcus tumors. Case Presentation A patient affected by right anterior Pancoast tumor surgically staged as cT4N0M0 (suspected ...

Hormonal therapy after the operation for catamenial pneumothorax – is it always necessary?

Background Our recent clinical observations put into question the routine hormonal therapy for pneumothorax recurrence prevention, in patients operated for catamenial pneumothorax (CP). Methods Retrospective review of the treatment of four women operated for CP in a recent 32-months period. Results The four presented patients with CP represent 4.8 % of the overall number of ...

Outcomes from cardiac surgery in Jehovah’s witness patients: experience over twenty-one years

Background Cardiac surgery in Jehovah’s Witnesses may be challenging during the operation and postoperative period given their refusal of blood products. The aim of this study was to document our center’s experience with Jehovah’s Witnesses undergoing major cardiac surgery and to compare surgical outcomes with a matched control group. Methods We retrospectively reviewed the ...

One-stage complete resection of giant intracardiac leiomyomatosis with moderate hypothermia extracorporeal circulation and beating heart technique with 36 months follow-up—a case report

Background Intracardiac leiomyomatosis (ICL) is a rare benign neoplasm of the smooth muscle in the uterus extending into the heart. Complete resection is difficult because of the extensive range. Case Presentation We report a case of one-stage complete resection of a giant ICL with moderate hypothermia extracorporeal circulation and beating heart technique. Conclusions The outcome ...

Traumatic ventricular septal rupture associated with rapid progression of heart failure despite low Qp/Qs ratio: a case report

Background Ventricular septal rupture (VSR) secondary to blunt chest trauma is rare and associated with a diverse range of symptoms and clinical courses as well as disease severity. We present a case of traumatic VSR in which rapid progression of heart failure was observed in spite of relatively low pulmonary to systemic blood flow (Qp/Qs) ratio. Case presentation A 40-year-old ...

Hemorrhoids screening and treatment prior to LVAD: is it a necessity?

Continuous-flow left ventricle assist devices (CF-LVADs) has become an essential modality in the management of stage D heart failure (HF) with significant improvement in survival and quality of life. Due to the durability of such devices and long term support complications such as bleeding and aortic insufficiency has emerged. Bleeding accounts for more than 20 % with the majority ...

Left lower lobe sleeve lobectomy for lung cancer using the Da Vinci surgical system

Background Despite the robotic surgery is widely applied, sleeve lobectomy for lung cancer using the Da Vinci surgical system is still less performed. We described a sleeve lobectomy for adenocarcinoma located at the left lower lobe using the Da Vinci surgical system. Case presentation A case of 57-year old female referred to our hospital. Computed tomography scan showed an ...

Is hyperlipidemia a potential protective factor against intraoperative awareness in cardiac surgery?

Background Intraoperative awareness is a dreaded complication that leads to psychological sequelae such as posttraumatic stress disorder, especially in patients undergoing cardiac surgery. This study investigated the incidence of awareness among patients receiving cardiac surgery and sought to identify the risk factors contributing to intraoperative awareness. Methods Patients with ...