Showing papers in "The Annals of Thoracic Surgery in 2000"

TL;DR: CABG on the beating heart is associated with a significant reduction in inflammatory response and postoperative infection when compared with conventional revascularization with CPB and cardioplegic arrest.

TL;DR: The off-pump technique appears to be promising in order to eliminate the source of these neuropyschologic impairments following CABG operation, which seems to be strongly associated to CPB and the occurrence of micro-emboli.

TL;DR: VATS lobectomy is associated with reduced postoperative release of both proinflammatory and antiinflammatory cytokines compared with the open approach, and the clinical significance of these findings remains to be fully elucidated.

TL;DR: Preliminary findings at 1-year follow-up shows a trend of increased recurring angina and reinterventional procedures in the OPCAB patients, which is an important finding in this study, but it is not conclusive at this time.

TL;DR: In this nonrandomized comparison, SS was as efficacious as complete MLND in staging patients with NSCLC, however,complete MLND identified significantly more levels of N2 disease.

TL;DR: Clinical impact of reperfusion injury in lung transplant recipients from June 1990 until June 1998 increased in-hospital mortality and morbidity resulting in prolonged ventilation, length of stay in the intensive care unit, and cost of hospitalization.

TL;DR: These risk models may assist in decisions regarding elective TAAA operations and for patients who are acceptable candidates, contemporary surgical management provides favorable results.

TL;DR: Pulmonary function and prognosis were far better after video-assisted thoracic surgery lobectomy than after open thoracotomy.

TL;DR: Mobilization of EPCs with resultant postnatal vasculogenesis, may play a role in revascularizing ischemic myocardium following human gene transfer with VEGF165.

TL;DR: Selective cerebral perfusion allows increased ease of performance of total arch replacement, a complex and time-consuming procedure, and helps reduce periprocedural mortality and morbidity in patients with aortic arch aneurysm and those with acute aortIC dissection.

TL;DR: Off-pump coronary bypass graft operation on a beating heart significantly reduces oxidative stress and suppresses the inflammatory reaction associated with the use of CPB.

TL;DR: Minimally invasive esophagectomy is technically feasible and safe in the center, which has extensive minimally invasive and open esophageal experience, and should remain the standard until future studies conclusively demonstrate advantages of minimallyvasive approaches.

TL;DR: Patients with N2-positive NSCLC whose nodal disease is eradicated after neoadjuvant therapy and surgery enjoy significantly improved cancer-free survival; however, patients who are not downstaged do not benefit from surgical resection.

TL;DR: FloSeal Matrix demonstrated efficacy superior to that of Gelfoam-Thrombin and had a safety profile similar to that when used as a topical hemostatic agent during cardiac surgery procedures, and there was no difference in the adverse event profile between the two groups.

TL;DR: In this paper, the authors showed that chronic indwelling pleural catheter (PC) safely and effectively relieved dyspnea, maintained quality of life, and reduced hospitalization in patients with malignant pleural effusions.

TL;DR: A technique of measuring the required chordal length and making a "premeasured" Gore-Tex chordal loop is described that improves the reproducibility of chordal replacement surgery, and can be used both via conventional and minimally invasive approaches.

TL;DR: The National Database for Cardiac Surgery (NDB) as discussed by the authors has been one of the pioneers in the analysis and reporting of risk-adjusted outcomes in cardiothoracic surgery.

TL;DR: The size of central fibrosis is an independent prognostic factor in peripheral lung adenocarcinoma, as significant as the well-established prognostic factors vascular invasion and lymph node metastasis.

TL;DR: The extant nomenclature for coronary artery anomalies is reviewed for the purpose of establishing a unified reporting system and a comprehensive database set is presented which is based on a hierarchical scheme.

TL;DR: A simple approximation of a logistic regression model has been found to be helpful in discussions between physicians and patients contemplating aortocoronary bypass or valve-related surgery.

TL;DR: Female gender was not an independent predictor of early mortality but was a weak independent predictor for the prespecified composite endpoint of death, perioperative myocardial infarction, intraaortic balloon counterpulsation pump insertion, or stroke.

TL;DR: Polyhydroxyalkanoates can be used to fabricate a porous, biodegradable heart valve scaffold and the cells appear to be viable and extracellular matrix formation was induced after pulsatile flow exposure.

TL;DR: None of the prognostic factors studied (mode of presentation, smoking history, bilateral disease, postoperative stage, complete resection, adjuvant chemotherapy, histology) significantly influenced patient survival.

TL;DR: An early diagnosis (less than 1 month), expeditious thrombolytic therapy, and prompt first rib resection are critical for the best results.

TL;DR: LFTPs show a benign outcome in most of the cases, and video-assisted thoracic surgery, with intraoperative assessment of the surgical margins, represents the treatment of choice.

TL;DR: A randomized, prospective, double-blind study of 29 children was performed to evaluate the hypothesis that dexamethasone administration prior to cardiopulmonary bypass would decrease the inflammatory mediator release and improve the postoperative clinical course.

TL;DR: Patients that underwent pulmonary resection at the Royal Brompton Hospital between 1991 and 1997 were included and the case notes of all patients developing postoperative complications were retrospectively reviewed.

TL;DR: Several risk factors can be identified, and some of these factors are potentially amenable to intervention, either before or during coronary revascularization, and should also influence patient selection.

TL;DR: Off-pump coronary bypass significantly reduced the incidence of transfusion requirement compared to the CPB counterparts and had a consistent trend in reducing morbidity and mortality overall and in all high-risk subsets.