Showing papers in "The Journal of Thoracic and Cardiovascular Surgery in 2020"
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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
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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
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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
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TL;DR: Representatives from multiple cancer, surgical and research organizations have come together to provide a guide for triaging patients with thoracic malignancies, as the impact of COVID-19 evolves as each hospital.
95 citations
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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
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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
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TL;DR: In patients with postcardiotomy shock treated with VA-ECMO, central cannulation was associated with greater in-hospital mortality than peripheral cannulation and Adjustments for important confounders did not alter results.
83 citations
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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
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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
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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
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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.
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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.
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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.
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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.
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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.
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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.
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University of Oulu1, Turku University Hospital2, Karolinska University Hospital3, Sahlgrenska University Hospital4, University of Hamburg5, University of Bologna6, Golden Jubilee National Hospital7, Lund University8, Glenfield Hospital9, University of Münster10, University of Lorraine11, Istituto Superiore di Sanità12
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.
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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.
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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.
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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.
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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.
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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.
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TL;DR: Anomalous aortic origin of a coronary artery surgery may relieve ischemia with low mortality; however, it can result in a variety of important morbidities, varying by the group evaluated.
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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.
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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.
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University of Alabama at Birmingham1, University of Michigan2, Albert Einstein College of Medicine3, University of Minnesota4, Duke University5, University of Pennsylvania6, University of Arizona7, University of British Columbia8, University of Chicago9, New York University10, Columbia University11, Mount Sinai Hospital12, University of Utah13, University of Louisville14, Mayo Clinic15, Stanford University16, University of Cincinnati Academic Health Center17, Freeman Hospital18, Harvard University19
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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.
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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.
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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.
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TL;DR: Levosimendan was associated with lower 90-day mortality and LCOS in patients undergoing isolated CABG, but not in those undergoing isolated valve or combined CABg/valve procedures.