Showing papers in "The Annals of Thoracic Surgery in 2013"

TL;DR: Anastomotic leak after esophagectomy is an important cause of postoperative mortality and increased length of stay, and factors associated with leak on univariate analysis include obesity, heart failure, coronary disease, vascular disease, diabetes, renal insufficiency, tobacco use, procedure duration greater than 5 hours, and type of procedure.

TL;DR: Single-incision video-assisted thoracoscopic anatomic resection is a feasible and safe procedure with good perioperative results, especially when performed by surgeons experienced with the double-port technique and anterior thoracotomy.

TL;DR: Greater attention to management practices that limit RBC use, including cell salvage, small priming volumes, vacuum-assisted venous return with rapid autologous priming, and ultrafiltration, and preoperative and intraoperative measures to elevate hematocrit could potentially reduce occurrence of major postoperative infections.

TL;DR: Major bleeding is per se a risk factor for operative mortality, however, its deleterious effects are strongly enhanced by RBC transfusions and, to a lesser extent, preoperative anemia.

TL;DR: The data suggest that tricuspid valve repair when technically feasible, together with early elective surgical intervention, should be emphasized as potential candidates for continued outcome improvement.

TL;DR: Porcine lungs can be decellularized with CHAPS to produce LECM scaffolds with properties resembling those of human lungs, for pulmonary tissue engineering.

TL;DR: National data confirm that nodal upstaging was lower after VATS than after open lobectomy for clinical stage I NSCLC, and multivariate survival analysis showed no difference in survival, indicating that differences in nodalUpstaging result from patient selection for reasons not captured in the registry.

TL;DR: A highly sensitive and easy to use risk score for determining RV failure was generated that outperformed other established risk stratification tools.

TL;DR: Patients undergoing emergency repair of acute aortic dissection by lower-volume surgeons and centers have approximately double the risk-adjusted mortality of patients undergoing repair by the highest volume care providers.

TL;DR: Measures Aortic Valve and Ascending Aorta Guidelines for Management and Quality located on the World Wide Web at: the online version of this article, along with updated information and services, is available at www.ctsnetjournals.org.

TL;DR: Wireless monitoring of mobility after major surgery creates an opportunity for early identification and intervention in individual patients and could serve as a tool to evaluate and improve the process of care and to affect postdischarge outcomes.

TL;DR: The risk of deep sternal wound infection can be minimized in diabetic patients undergoing coronary artery bypass graft surgery by performing ITA harvested in a skeletonized manner with meticulous attention to preserving sternal blood flow.

TL;DR: Uniportal VATS is an underappreciated procedure that can be reliably used in the diagnostic pathways of several intrathoracic conditions and to resect small pulmonary nodules with either diagnostic or therapeutic purposes and represents a consolidated addition to the surgical armamentarium.

TL;DR: The experience shows that mini-access isolated aortic valve surgery is a reproducible, safe, and effective procedure and reduces assisted ventilation duration, the need for blood product transfusion, and incidence of post-surgery atrial fibrillation.

TL;DR: The safety, reliability, and convenience of CT-guided hook wire localization are acceptable, and localization for lesions with a ground-glass opacity component may be performed when the lesions are relatively large and shallow.

TL;DR: Nonintubated thoracoscopic lobectomy without tracheal intubation during anesthesia is a valid alternative for managing selected geriatric patients with non-small cell lung cancer.

TL;DR: The effects of age influence reoperation rate and survival as well as a concomitant coronary artery bypass procedure, and Carpentier-Edwards pericardial valve implantation in the aortic position is secure and durable.

TL;DR: For patients with clinical stage I NSCLC, VATS lobectomy offered similar OS and DFS compared with thoracotomy, and may be appropriate for patients with more advanced clinical disease.

TL;DR: Care for patients with acute respiratory distress syndrome is supportive, with low tidal volume ventilation being the mainstay of therapy and rescue therapies such as recruitment maneuvers, high-frequency oscillatory ventilation, and extracorporeal membrane oxygenation may preserve life.

TL;DR: Single-vessel and multivessel TECAB procedures can be safely performed with good reproducible results and Predictors of success include procedure simplicity and non-learning curve cases, whereas predictors of safety are mainly associated with patient selection.

TL;DR: Meticulous surgical technique, which necessitates creating an adequately sized pump pocket and appropriately directing the inflow cannula at the time of operation, may reduce the risk of Pump thrombosis of the HeartMate II.

TL;DR: Successful closure of benign tracheoesophageal fistula is achieved with several surgical techniques based on buttressed repair and restoration of normal breathing and swallowing.

TL;DR: HeartMate II device failure requiring pump replacement is infrequent, but when required can be done safely, and these data continue to provide encouraging evidence supporting HeartMATE II use for long-term circulatory support.

TL;DR: CompleteThymic excision is the preferred primary treatment for thymic carcinoma and Masaoka stage has significant prognostic implications for all patients, including those who undergo complete thymi excision.

TL;DR: When performing an esophagogastric anastomosis, clinically significant leaks occur with similar frequency in both cervical and intrathoracic locations and the HS technique has the highest leak rate and the LS technique had the lowest rate of stricture formation.

TL;DR: Sutureless implantation of the Perceval valve is associated with shorter cross-clamp and cardiopulmonary bypass times, resulting in improved clinical outcome, and compares favorably with conventional valves in terms of mortality and outcome variables.

TL;DR: The BIMA grafting increases the risk of SWI when compared with single internal mammary artery grafting, and this adverse effect further extends to diabetic and elderly patients.

TL;DR: AI develops over time in a significant number of Heart Mate II LVAD patients and is more common in patients with closed aortic valves and in the older age group.

TL;DR: Readmissions tend to be of short duration and the most common reason is for gastrointestinal bleeding and following discharge after implant procedure, 51 patients spent at least 90% of days OOH.

TL;DR: There was a high agreement between the on-site and final pathologic evaluation during EBUS-TBNA; however immediate diagnosis should be approached with caution.