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Showing papers in "The Annals of Thoracic Surgery in 2006"


Journal ArticleDOI
TL;DR: V VATS lobectomy with anatomic dissection can be performed with low morbidity and mortality rates, and the risk of intraoperative bleeding or recurrence in an incision seems minimal.

934 citations


Journal ArticleDOI
TL;DR: Complete mediastinal lymphadenectomy adds little morbidity to a pulmonary resection for lung cancer, and a new baseline with which to compare results in the future is established.

576 citations


Journal ArticleDOI
TL;DR: This study confirms that thoracic aortic aneurysm is a lethal disease, and a novel measurement of relative aorta size allows for the stratification of patients into three levels of risk, enabling appropriate surgical decision-making.

499 citations


Journal ArticleDOI
TL;DR: Perioperative PRBC transfusion is associated with adverse long-term sequela in isolated CABG and attention should be directed toward blood conservation methods and a more judicious use of PRBC.

485 citations


Journal ArticleDOI
TL;DR: In this paper, the authors investigated the profile and survival patterns of patients with severe aortic stenosis who did not have AVR and found that the Aortic valve replacement (AVR) is not offered to many patients for various reasons, including advanced age, low LV ejection fraction, heart failure, elevated serum creatinine level, severe mitral regurgitation, and pulmonary hypertension.

479 citations


Journal ArticleDOI
TL;DR: It is proposed that the RIFLE classification is a valuable method to evaluate acute renal failure after cardiac surgery and its association with mortality may be associated with increased 90-day mortality rate.

414 citations


Journal ArticleDOI
TL;DR: TAAs are frequently familial diseases, exemplifying a more aggressive clinical entity and Screening of first-order relatives of probands with TAA is essential.

389 citations


Journal ArticleDOI
TL;DR: Mitral repair affords superior long-term survival, with permanence comparable with mechanical valve replacement, in all categories of mitral leaflet prolapse; durability of valve repair has improved over the past decade.

380 citations


Journal ArticleDOI
TL;DR: Although sublobar resection is thought to be associated with increased incidence of local recurrence when compared with lobectomy, a long-term analysis of the outcomes of these resections for stage I non-small cell lung cancer found no difference in disease-free survival between the two types of resection for stage IA patients but slightly worse disease- free survival for stage IB.

327 citations


Journal ArticleDOI
TL;DR: Effects of LVRS are durable, and it can be recommended for upper-lobe-predominant emphysema patients with low exercise capacity and should be considered for palliation in patients with upper- lobe emphySEma and high exercise capacity.

322 citations


Journal ArticleDOI
TL;DR: Over the last 5-year period, diagnosis of earlier pathologic cancer stages resulting in lesser pulmonary resection as well as provision of continuous thoracic epidural analgesia have contributed to improved surgical outcome.

Journal ArticleDOI
TL;DR: This research presents a novel and scalable approach to cardiothoracic surgery called “SmartCardiacSurgery,” which aims to provide real-time information about the activity of the autonomic nervous system during surgery and its consequences.

Journal ArticleDOI
TL;DR: The incidence of respiratory failure is lower than previously reported and may relate to the use of rigid repair for defects likely to cause a flail segment.

Journal ArticleDOI
TL;DR: Although limited surgical resection may be enough for type 1 to 4 tumors, anatomic pulmonary resection should be recommended for type 5 or 6 tumor.

Journal ArticleDOI
TL;DR: In this article, the authors propose refinements to the definition of operative mortality which specifically meet the needs of their professional societies' multi-institutional registry databases, and at the same time are relevant and appropriate with respect to the goals and purposes of administrative databases, government agencies, and the general public.


Journal ArticleDOI
TL;DR: The observational data indicate that the natural history of asymptomatic AS is not benign and that survival is dramatically improved by AVR, and the benefit of AVR was further supported by sensitivity and propensity score analyses.

Journal ArticleDOI
TL;DR: Thoracic endometriosis syndrome includes four well-recognized clinical entities, namely catamenial pneumothorax,Catamenial hemothorAX, catamenia hemoptysis and lung nodules, as well as some exceptional presentations.

Journal ArticleDOI
TL;DR: A review of the myriad surgical options for IMR with a focus on clinical outcomes will examine the myriad procedures developed without clear improvement in patient outcomes.

Journal ArticleDOI
TL;DR: In this review the components of the inflammatory response to cardiopulmonary bypass are reviewed with special reference to the pediatric age group, including the age-specific impact on organ systems.

Journal ArticleDOI
TL;DR: Although invasive, mediastinoscopy identified locally advanced disease in a significant percentage of this lung cancer population and was associated with a low false negative rate.

Journal ArticleDOI
TL;DR: Immediate insertion of a self-expandable metal stent enables an excellent outcome with minimal mortality and morbidity without the need for operation, even in cases of old esophageal perforations.

Journal ArticleDOI
TL;DR: This experience suggests that routine surgical implantation of segmental vessels is not indicated, and that, with evolving understanding of spinal cord perfusion, endovascular repair of the entire thoracic aorta should ultimately be possible without spinal cord injury.

Journal ArticleDOI
TL;DR: Robotic TECAB was accomplished with no mortality, low morbidity, and angiographic patency and reintervention rates comparable with published data, and represents a step toward more advanced procedures, such as multivessel or off-pump T ECAB.

Journal ArticleDOI
TL;DR: The higher the maxSUV of the primary mass the more likely the nodes are to be involved with either malignancy or infection, and this may help direct nodal biopsy instead of pulmonary resection.

Journal ArticleDOI
TL;DR: Total pericardiectomy is associated with lower perioperative and late mortality, and confers significant long-term advantage by providing superior hemodynamics that appear to be independent of the etiology of constrictive pericarditis.

Journal ArticleDOI
TL;DR: This study suggests that in cardiac surgical patients with permanent atrial fibrillation the left atrial lesion set should include wide pulmonary vein isolation, at least one connection between right and left pulmonary veins, and a connection to the mitral anulus.

Journal ArticleDOI
TL;DR: Elevated carcinoembryonic antigen level and multiple metastases are preoperative predictors of poor prognosis after resection of pulmonary metastases from colorectal cancer.

Journal ArticleDOI
TL;DR: Survival significantly improved in all groups for all degrees of CAD, despite increasing severity of illness, and initial revascularization strategies result in significant survival advantage over MED for all CAD levels.