Showing papers in "The Journal of Thoracic and Cardiovascular Surgery in 2010"

TL;DR: The incidence of right ventricular failure in patients with a HeartMate II ventricular assist device is comparable or less than that of patients with pulsatile-flow devices and might benefit from preoperative optimization of right heart function or planned biventricular support.

TL;DR: Video-assisted thoracoscopic lobectomy is associated with a lower incidence of complications compared with lobectomy via thoracotomy, and may be the preferred strategy for appropriately selected patients with lung cancer.

TL;DR: Extracorporeal membrane oxygenation support is an acceptable option for patients with postcardiotomy cardiogenic shock who otherwise would die and is justified by good long-term outcome of hospital survivors.

TL;DR: Tissue-engineered vascular grafts can be used as conduits in patients with single ventricle physiology and further follow-up and investigation for the mechanism of stenosis are warranted.

TL;DR: The data suggest video-assisted thoracoscopic lobectomy is safe in patients with resectable lung cancer and longer follow-up is needed to determine the oncologic equivalency of video- assisted versus open lobectomy.

TL;DR: Catheter embolization or needle interruption of the thoracic duct is safe, feasible, and successful in eliminating a high-output chyle leak in the majority (71%) of patients.

TL;DR: A significant incidence of both pre- and postoperative magnetic resonance imaging abnormality and an association with brain immaturity is observed before and after neonatal cardiac surgery with cardiopulmonary bypass.

TL;DR: Robotic lobectomy with lymph node dissection is practicable, safe, and associated with shorter postoperative hospitalization than open surgery, and from the number of lymph nodes removed it appears oncologically acceptable for early lung cancer.

TL;DR: Rigid prosthetic ring annuloplasty, standard or 3-dimensional, provides early and sustained reduction of tricuspid regurgitation secondary to left-sided valve disease without need for an additional leaflet procedure.

TL;DR: Surgical management was still associated with significantly lower in-hospital mortality rates compared with medical management until the age of 80 years, and surgery may decrease the in- hospital mortality rate for octogenarians with type A aortic dissection.

TL;DR: Laroscopic repair provided excellent patient satisfaction and symptom improvement, even with small radiographic recurrences, and perioperative morbidity and mortality remain low, despite increased comorbid disease in the current era.

TL;DR: Compared with patients requiring pretransplant mechanical ventilation or extracorporeal membrane oxygenation with that of patients not requiring mechanical support, survival after lung transplantation is markedly worse when preoperative mechanical support is necessary but it is not dismal.

TL;DR: In an unmatched comparison of clinical stage IA disease, surgical patients were healthier and had better local tumor control compared with those receiving stereotactic body radiation therapy.

TL;DR: Intermediate-term results with multiple methods of endovascular repair of thoracoabdominal aneurysm indicate the technical feasibility of the procedure and show great promise in patients considered at high risk for open surgery, and mortality and spinal cord ischemia risks are still considerable.

TL;DR: Within that portion of the spectrum of mitral valve surgery in which propensity matching was possible, minimally invasive mitral valves surgery had cosmetic, blood product use, respiratory, and pain advantages over conventional surgery, and no apparent detriments.

TL;DR: Hybrid arch procedures provide a safe alternative to open repair in patients with complex aortic arch pathology previously considered prohibitively high risk for conventional open total arch repair, and are extended in patients aged more than 75 years.

TL;DR: Thromboelastometrically guided transfusion is associated with a decreased use of allogeneic blood units and reduced incidence of massive transfusion in patients undergoing aortic surgery with circulatory arrest.

TL;DR: Echocardiographic particle image velocimetry offers new insights into cardiac function and might be of importance to optimize valve replacement therapy.

TL;DR: A multidisciplinary Crisis Resource Management training course was created in a pediatric cardiac intensive care unit to teach technical resuscitation skills and improve team function.

TL;DR: Longer duration of extracorporeal membrane oxygenator support, low pH and urine output in the first 24 hours, and renal failure are significant factors associated with mortality during extracorporation membrane oxygenation.

TL;DR: A staged approach to extensive thoracoabdominal aortic aneurysm repair may reduce the incidence of spinal cord injury, of particular importance in designing strategies involving hybrid or entirely endovascular procedures.

TL;DR: The nationwide data on TEVAR for descending thoracic aortic aneurysms have associated this procedure with better in-hospital outcomes than OAR, even thoughTEVAR was selectively performed in patients who were almost 1 decade older than the OAR patients.

TL;DR: At mean 5-year angiography in largely asymptomatic patients, the selection of arterial or venous conduit for the second graft has not significantly affected patency, and this finding offers surgeons, for now, enhanced flexibility in planning revascularization.

TL;DR: Investigation of nosocomial infection surveillance of 334 patients aged 16 years or more undergoing their first extracorporeal membrane oxygenation for more than 48 hours at a university hospital from 1996 to 2007 found bloodstream infection was the most common infection during extracORM oxygenation use.

TL;DR: Post-cardiac transplant survival in patients supported with continuous-flow devices such as the HeartMate II LVAD is equivalent to that with conventional transplantation, and posttransplant survival is not influenced by the duration of LVAD support.

TL;DR: The homograft remains the preferred valve substitute in active infective endocarditis with periannular abscess formation and is associated with a low recurrence rate, although the risk of structural valve deterioration increases over time, especially in young patients, and reoperation remains a challenge.

TL;DR: Repairs of bicuspid valves for aortic insufficiency is a feasible and attractive alternative to mechanical valve replacement in young patients and yields good early and midterm results.

TL;DR: A systematic review and meta-analysis of propensity score analyses finds off-pump surgery superior to on-p pump surgery in all of the assessed short-term outcomes, especially for mortality, the most valid criterion.

TL;DR: Four-hour focused training with porcine model and task station resulted in improved ability to perform anastomoses, and Boot Camp may be useful in preparing residents for coronaryAnastomosis in the clinical setting, but emphasis on simulation development and deliberate practice is necessary.

TL;DR: It is suggested that the seeding of both epithelial and mesenchymal stem cell-derived chondrocytes is necessary for optimal graft survival, and the clinical potential of autologous cell- and tissue-engineered tracheal grafts is confirmed.