Showing papers in "The Journal of Thoracic and Cardiovascular Surgery in 2014"

TL;DR: Patients deemed frail, determined using an objective assessment tool, have a higher likelihood of experiencing mortality, morbidity, functional decline, and MACCE following cardiac surgery, regardless of definition.

TL;DR: The proposed universal definition for perioperative bleeding (UDPB) in adult cardiac surgery provides a precise classification of bleeding that is useful in everyday practice as well as in clinical research.

TL;DR: Sublobar resection and lobectomy have equivalent survival for patients with clinical stage IA non-small cell lung cancer in the context of computed tomography screening for lung cancer.

TL;DR: The feasibility and safety of the endovascular repair of arch aneurysms in selected patients who may not have other conventional options are confirmed and being part of the early experience group and ascending aortic diameter≥38 mm were found to be associated to higher rates of combined early mortality and neurologic complications.

TL;DR: Pulmonary resection for patients with lung cancer with interstitial lung diseases may provoke acute exacerbation at a substantially high rate and has high associated mortality.

TL;DR: With low-dose aspirin, this resulted in a significantly lower risk of bleeding, without a significant increase in thromboembolism, and in this first limb of the PROACT, INR can be safely maintained between 1.5 and 2.0 after aortic valve replacement with this approved bileaflet mechanical prosthesis.

TL;DR: Hospital costs and clinical outcomes for VATS lobectomies and wedge resections versus RATS seem to have higher hospital costs and longer operating times, without any differences in adverse events.

TL;DR: The EXCOR Pediatric VAD can provide a bridge to transplant for children with SV anatomy or physiology, albeit less successfully than in children with BV.

TL;DR: Blood pressure management during cardiopulmonary bypass using physiologic endpoints such as cerebral autoregulation monitoring might provide a method of optimizing organ perfusion and improving patient outcomes from cardiac surgery.

TL;DR: Aortic valve-sparing operations continue to provide excellent clinical outcomes, although a slow but progressive deterioration of aortic valves function seems to occur during the first 2 decades of follow-up.

TL;DR: Remote ischemic preconditioning during prop ofol anesthesia did not evoke either signal transducer and activator of transcription 5 activation or cardioprotection, implying interaction of propofol with cardiop rotective signaling upstream of signal transducers and activators of transcription5.

TL;DR: Survival after the Ross procedure in this cohort was similar to the general population, and Dilated aortic annulus and aorti insufficiency were associated with increased risk of developing aorto-heart disease and reoperation on the pulmonary autograft.

TL;DR: Original aortic valve reconstruction was feasible in patients with various aortIC valve diseases and there were no conversions to prosthetic valve replacement.

TL;DR: Micropapillary and solid subtypes are common in tumors greater than stage I, with size ≥2.5 cm, pure solid type, and maximal standardized uptake value of ≥7, which were predictors for poor DFS and was a single prognostic factor for OS.

TL;DR: The St Jude Medical Trifecta valve is a unique pericardial bioprosthesis with design elements that provide excellent hemodynamic performance while providing ease of implantation and long-term follow-up continues to confirm the promising results.

TL;DR: In this article, the authors compared differences in patient outcomes and operative parameters for extracorporeal membrane oxygenation (ECMO) versus cardiopulmonary bypass (CPB) in patients undergoing lung transplants.

TL;DR: STP is a versatile and reliable technique associated with low morbidity and mortality when compared with previous strategies for children with long segment tracheal stenosis and is a significant risk factor for death and postoperative stenting.

TL;DR: 3-dimensional virtual images were used and multiple markings made on the lung surface to provide "geometric" information, and this technique "virtual assisted lung mapping" (VAL-MAP) was safely conducted with satisfactory outcomes in early experience.

TL;DR: Perioperative complications are significantly less likely to occur when patients with stage I lung cancers undergo resection using the VATS approach, according to data from the Society of Thoracic Surgeons database.

TL;DR: Preoperative severe left ventricular hypertrophy and left atrial dilatation reduced long-term survival, independent of symptom status, and could be indications for early aortic valve replacement if supported by findings from an appropriate prospective study.

TL;DR: Minimally invasive AVR using RT was associated with lower postoperative morbidities and a shorter hospital stay than MS and no difference was found in terms of cardiopulmonary time, crossclamping time, postoperative stroke, re-exploration for bleeding, or blood transfusion.

TL;DR: Combining the advantage of standard diseased valve removal with shorter procedural times, minimally invasive sutureless aortic valve replacement may be the first-line treatment for high-risk patients considered in the "gray zone" between TAVI and conventional surgery.

TL;DR: A longer time to surgery was associated with new postoperative white matter injury in otherwise healthy neonates with HLHS, and the results suggest that earlier Norwood palliation might decrease the likelihood of acquiring postoperativewhite matter injury.

TL;DR: Genetically engineered pig hearts with modified targeted immunosuppression (anti-CD40 monoclonal antibody) achieved long-term cardiac xenograft survival and potentially paves the way for clinical xenotransplantation if similar survival can be reproduced in an orthotopic transplantation model.

TL;DR: The interaction between structure and function to cause RV failure and how these factors become corrected is defined for RV failure, RV relationship to LV failure, resynchronization, pacing, RV dysplasia, left ventricular assist device, intraoperative septal injury during myocardial protection, and the sePTal role in tricuspid insufficiency are considered.

TL;DR: This large multicenter study suggests that a strategy of total arterial revascularization is associated with improved long-term survival compared with the use of only a single arterial and saphenous vein grafts.

TL;DR: In wedge resection for small non-small cell lung cancer, increasing the margin distance ≤15 mm significantly decreased the local recurrence risk, with no evidence of additional benefit beyond 15 mm.

TL;DR: Minimally invasive aortic valve replacement with the Perceval S sutureless valve in high-risk patients is a safe and reproducible procedure associated with excellent hemodynamic results, postoperative outcomes, and 1-year survival.