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Showing papers in "The Journal of Thoracic and Cardiovascular Surgery in 2020"


Journal ArticleDOI
TL;DR: The frozen elephant trunk technique is associated with (nonsignificantly) more adverse events overall in acute type A dissection cases and stent length of 10 cm was associated with significantly less risk of spinal cord ischemia.

134 citations


Journal ArticleDOI
TL;DR: Sublobar resection with enough surgical margin offered sufficient local control and relapse-free survival for lung cancer clinically resectable N0 staged by computed tomography with 3 or fewer peripheral lesions.

115 citations


Journal ArticleDOI
TL;DR: Disparities exist between and within world regions, with a positive correlation between a nation's economic status and access to cardiac surgery, with the possibility of high-quality cardiac surgery in low- and middle-income countries.

106 citations



Journal ArticleDOI
TL;DR: Axillary cannulation was associated with lower incidence of stroke, whereas femoral cannulation significantly increased the risk of stroke regardless of the cerebral perfusion strategy or the degree of hypothermia.

88 citations


Journal ArticleDOI
TL;DR: Routine use of intraoperative ECMO resulted in excellent primary graft function and mid-term outcome in patients undergoing lung transplantation, and the herein measured PGD rates are the lowest reported in the literature to date.

87 citations



Journal ArticleDOI
TL;DR: There is value in developing phase-specific enhanced recovery programs guidelines, which improve rates of early extubation and affect the duration of stay after cardiac surgery, and further prospective study is necessary to identify clinical impact of further program expansion.

77 citations


Journal ArticleDOI
TL;DR: The routine measurement of UB and subsequent activation of an AKRT are useful post-cardiac surgery therapeutic adjuncts associated with early detection of kidney stress, allowing for targeted proactive intervention, and a significant decrease in postoperative stage 2/3 AKI without increases in cost or length of stay.

74 citations


Journal ArticleDOI
TL;DR: LDCT detected lung cancer in a significant proportion of young, female, and nonsmoking employees, and the vast majority of these lung cancers were early stage, with extremely good prognosis.

73 citations


Journal ArticleDOI
TL;DR: The frozen elephant trunk technique is a treatment option for all complex pathologies of the thoracic aorta and in patients with acute aortic dissection, the malperfusion syndrome still remains a catastrophic complication.

Journal ArticleDOI
TL;DR: Dynamic symptom monitoring, serial chest CTs, and tests for viral RNA and serum antibody improve the chance for prompt detection of COVID-19.

Journal ArticleDOI
TL;DR: Aortic reinterventions are common and likely after FET implantation, but this study did not identify independent predictors and predicted the risk for reintervention.

Journal ArticleDOI
TL;DR: The Distressed Communities Index is a useful, holistic measure of socioeconomic status that may help identify high-risk patients for quality improvement and should be considered when building risk models or comparing hospitals.

Journal ArticleDOI
TL;DR: The impact of the Covid-19 pandemic on the wellbeing, practice and progression of all trainees in cardiothoracic surgery in the United Kingdom is established.

Journal ArticleDOI
TL;DR: Aortic leaflet reconstruction provides acceptable short-term hemodynamic outcomes and proves the utility of this technique as an adjunctive strategy for surgical treatment of aortic valve disease in children and young adults.

Journal ArticleDOI
TL;DR: Age, female gender, prior cardiac surgery, preoperative acute neurologic events, aortic arch surgery, and increased arterial lactate were associated with increased risk of early mortality after postcardiotomy venoarterial extracorporeal membrane oxygenation.

Journal ArticleDOI
TL;DR: Preischemic MT by single or serial intracoronary injections provides prophylactic myocardial protection from IRI, significantly decreasing infarct size and enhancing global and regional function.

Journal ArticleDOI
TL;DR: Use of mechanical AVR declined significantly from 2004 to 2016 and was decreasing before the introduction or the approval of TAVR in the United States.

Journal ArticleDOI
TL;DR: The del Nido cardioplegia protocol is an acceptable alternative for cold bloodCardioprotective efficacy in patients undergoing aortic valve replacement and postoperative troponin and creatine kinase (CK-MB isoenzyme) values appeared to be lower in the DN group.

Journal ArticleDOI
TL;DR: Targeted therapy to optimize cerebral oxygenation was associated with better memory outcome in a group of cardiac surgical patients and some aspects of the protocol other than desaturation duration and severity contributed to the observed neuroprotective effect.

Journal ArticleDOI
TL;DR: Patients with acute type B aortic dissection with malperfusion can be managed with endovascular fenestration/stenting with excellent short- and long-term outcomes.


Journal ArticleDOI
TL;DR: Chordal replacement with expanded polytetrafluoroethylene sutures provides stable MV function in most patients during the first 2 decades of follow-up, and is associated with increased hazard of MV reoperation.

Journal ArticleDOI
TL;DR: The CMP-IV had an excellent long-term efficacy at maintaining sinus rhythm and remained superior to those reported for catheter ablation and other forms of surgical ablation for AF at late follow-up.


Journal ArticleDOI
TL;DR: When compared with SAG, both MAG and TAG represent valuable strategies to improve clinical outcomes following coronary artery bypass grafting but TAG can potentially provide further benefit.

Journal ArticleDOI
TL;DR: The use of the "zone 0 arch repair" strategy can eliminate the need for invasive aortic arch resection and produces satisfactory early and midterm postoperative results, and can be an alternative to hemiarch and total arch replacements.

Journal ArticleDOI
TL;DR: Although medical students report early interest in cardiothoracic surgery because of intellectual stimulation and patient care attributes, lack of early exposure and perceived poor lifestyle negatively affect interest in the field.