Journal of Cardiothoracic Surgery

http://www.cardiothoracicsurgery.org/

List of Papers (Total 2,260)

Therapeutic hypothermia in adult patients receiving extracorporeal life support: early results of a randomized controlled study

Cardiac arrest with cerebral ischaemia frequently leads to severe neurological impairment. Extracorporeal life support (ECLS) has emerged as a valuable adjunct in resuscitation of cardiac arrest. Despite ECLS, the incidence of permanent neurological injury remains high. We hypothesize that patients receiving ECLS for cardiac arrest treated with therapeutic hypothermia at 34 °C have ...

“Extroverted Cuff”, a novel modification of the elephant trunk technique for distal anastomosis of ragged descending aorta

Background The elephant trunk technique has been applied in various situations including distal aortic dissection, entire aortic replacement, proximal aortic aneurysm, proximal aortic dissection, and Marfan’s syndrome. The elephant trunk technique remains a challenge in cardiac surgery. Here we report a modification of this surgical approach. Case presentation The “extroverted ...

Respiratory muscle strength is not decreased in patients undergoing cardiac surgery

Background Postoperative pulmonary impairments are significant complications after cardiac surgery. Decreased respiratory muscle strength could be one reason for impaired lung function in the postoperative period. The primary aim of this study was to describe respiratory muscle strength before and two months after cardiac surgery. A secondary aim was to describe possible ...

Surgical correction of persistent truncus arteriosus on a 33-year-old male with unilateral pulmonary hypertension from migration of pulmonary artery band

Background Persistent truncus arteriosus is a rare congenital condition with which survival into adulthood is dismal without surgery. This is the oldest patient reported to our knowledge demonstrating the feasibility of assessing operability in persistent truncus arteriosus with unilateral pulmonary stenosis, and performing full corrective surgery in adulthood. Case presentation We ...

Unique nonstructural dysfunction of the omnicarbon valve: case report

Background Pannus formation may disturb the leaflet movement of the prosthetic valve. Case presentation A 61-year-old woman presented with exertional dyspnea. She had undergone mitral valve replacement with a bioprosthetic valve 31 years ago, which was replaced with a tilting disc valve 22 years ago. The present laboratory findings revealed hemolytic anemia. Echocardiography showed ...

Survival and quality of life after surgical aortic valve replacement in octogenarians

Background In patients with symptomatic severe aortic stenosis, advanced age is often a reason for a transcatheter rather than surgical aortic valve replacement. In this pre-transcathter cohort we had the unique oportunity to study outcomes after surgical aortic valve replacement for severe aortic stenosis in patients who might currently be triaged to a percutaneous approach. ...

Left middle lobectomy for bronchiectasis in a patient with Kartagener syndrome: a case report

Background Kartagener syndrome (KS) is a rare disorder characterized by the triad of chronic sinusitis, bronchiectasis, and situs inversus. Case presentation A 23-year-old man was admitted to our hospital because of recurrent cough with purulent expectoration, which had occurred intermittently for the past ten years. During the past 3 years, the episode frequency was 3–4 times per ...

Asymptomatic costal exostosis with thickening in the pericardium: a case report

Background Costal exostosis is a benign condition that sometimes requires emergent surgery because of associated hemothorax; in addition, there have been cases with malignant transformation to chondrosarcoma. Here, we describe an asymptomatic patient who underwent thoracoscopic resection for primary costal exostosis. Case presentation A 16-year-old male was found to have a ...

Outcomes after surgical resection of pulmonary carcinoid tumors

Background Pulmonary carcinoid tumors make up approximately one percent of all pulmonary tumors, and controversy exists regarding management and prognosis. We undertook a retrospective analysis of all patients who underwent surgical resection of pulmonary carcinoid tumors at our institution. Methods From 1992 through 2014, 121 patients who underwent surgical resection of pulmonary ...

Current expectations of the arterial switch operation in a small volume center: a 20-year, single-center experience

Background We reviewed our 20-year experience with arterial switch operation (ASO) for transposition of the great arteries (TGA) or double outlet right ventricle with subpulmonary ventricular septal defect (Taussig-Bing anomaly) to assess the early and long-term outcomes. Methods Between January 1995 and December 2014, 139 consecutive patients who underwent ASO for TGA or ...

Outcomes of post-cardiac surgery patients with persistent hyperlactatemia in the intensive care unit: a matched cohort study

Background Higher morbidity and mortality rates are seen amongst patients presenting with hyperlactatemia in the postoperative period. The purpose of this study was to determine the relationship between persistent elevations in lactate and poor ICU outcome in post-cardiac surgery patients. Methods This was a retrospective matched cohort analysis of cardiac surgery patients ...

Reviewer acknowledgment 2015

Contributing reviewers The Editors of the Journal of Cardiothoracic Surgery would like to thank all of our reviewers who have contributed to the journal in Volume 10 (2015) and whose valuable support is fundamental to its success.

Surgical treatment of primary cardiac valve tumor: early and late results in eight patients

Background To report early and late outcomes of patients with the primary cardiac valve tumor undergoing surgical treatment over a 30-year period in our cardiovascular center. Methods From January 1980 to December 2014, a total of 211 patients with primary cardiac tumors accepted surgical treatments, of which only 8 (3.8 %) were primary cardiac valve tumor patients in our surgical ...

Advanced mechanical circulatory support for post-cardiotomy cardiogenic shock: a 20-year outcome analysis in a non-transplant unit

Background Post-cardiotomy cardiogenic shock (PCCS) has an incidence of 2–6 % after routine adult cardiac surgery. 0.5–1.5 % are refractory to inotropic and intra-aortic balloon pump (IABP) support. Advanced mechanical circulatory support (AMCS) can be used to salvage carefully selected number of such patients. High costs and major complication rates have lead to centralization and ...

Impact of mild preoperative renal insufficiency on in-hospital and long-term outcomes after off-pump coronary artery bypass grafting: a retrospective propensity score matching analysis

Background Mild preoperative renal insufficiency is not rare in patients receiving isolated off-pump coronary artery bypass grafting surgery (OPCAB) surgery. However, there is less study aimed to evaluate the impact of mild preoperative renal insufficiency on in-hospital and follow-up outcomes after isolated OPCAB surgery. This single-centre, retrospective propensity score matching ...

Lymph node micrometastases are associated with disease recurrence and poor survival for early-stage non-small cell lung cancer patients: a meta-analysis

Background We performed a meta-analysis to clarify whether the molecular detection of tumor cells or micrometastases in the lymph node (LN) indicates a high risk of disease recurrence and poor survival in negative pathologic lymph node status non-small cell lung cancer (NSCLC). Methods A literature search was performed using relevant keywords. We searched relevant studies from ...

Uniportal thoracoscopic lobectomy for intralobar pulmonary sequestration

Background Pulmonary sequestration is an uncommon congenital condition for which surgical resection is usually indicated – either via open thoracotomy or conventional multi-port Video-Assisted Thoracoscopic Surgery (VATS). Of the two types of sequestration, intralobar sequestration is technically more challenging to resect. Case Presentation We report the management of a 34 year ...

Long-term results of minimally invasive stand-alone bi-atrial surgical ablation with a bipolar ablation device for persistent and longstanding persistent AF: a single-center case series of 91 patients

Background Minimally invasive surgical treatment of lone atrial fibrillation (AF) is an alternative for AF that is refractory to medical treatment. We present long-term results of standalone surgical ablation of AF using a bipolar ablation device in 91 consecutive patients. Methods This was an observational, retrospective study of 91 patients (77 % males; mean age, 53 ± 10 years ...

Transfemoral transcatheter aortic valve implantation in a patient with multiple endovascular aortic stents – a case report

Background In patients undergoing transfemoral transcatheter aortic valve implantation, previous endovascular interventions bear a risk for the valve frame to get stucked to the aortic stents. Case Presentation We report on a 75-year-old frail patient with severe aortic stenosis and a rapid increase of an infra-renal aneurysm. He had a history of multiple endovascular interventions ...

Chest wall mechanics before and after diaphragm plication

Background Following diaphragmatic plication for unilateral paralysis, the effect on global chest wall function are unknown. Our hypothesis was that chest wall function would improve in both sides of the chest after plication of the paralysed side. Case Presentation Using Optoelectronic Plethysmography, total and regional chest wall volumes were measured in one patient before and ...

Risk prediction for emboli and recurrence of primary cardiac myxomas after resection

Background Risk factors for embolism and recurrence of primary cardiac myxoma are not well established. This study aimed to assess the risk factors for embolism and recurrence of cardiac myxoma, as well as the survival of the patients. Methods The medical records of 207 consecutive patients treated for primary cardiac myxoma between September 1988 and October 2014 were ...

Bronchoscopic balloon dilatation for tuberculosis-associated tracheal stenosis: a two case report and a literature review

Background Bronchoscopic balloon dilatation (BBD) is a common strategy in the treatment of bronchostenosis. However, the longer dilating time in each inflation cycle (approximately 3–5 min) without mechanical ventilation is not possible for the treatment of tracheal stenosis. Case presentation In this study, we reported our experience of BBD with shorter dilating time (10 s or ...

The Carpentier-Edwards Perimount Magna mitral valve bioprosthesis: intermediate-term efficacy and durability

Background The Carpentier-Edwards Perimount Magna mitral valve bioprosthesis (Edwards Lifesciences, Irvine, CA) is a low-profile version of the earlier Perimount valve that uses the ThermaFix process for enhanced calcium removal. The Magna valve has been in use since 2008, yet no publication, until now, has verified its intermediate-term safety and efficacy. Methods From 2008 ...

Bentall procedure: quarter century of clinical experiences of a single surgeon

Background We retrospectively analyzed 25 years of experiences with the button Bentall procedure in patients with aortic root pathologies. Even though this procedure has become widespread, there are only a few very long term follow-ups available in the clinical literature, especially regarding single surgeon results. Methods Between 1988 and 2013, a total of 147 patients underwent ...