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Journal and News Scan

Source: MEDTV
Author(s): Sean Liao, and Guobing Xu

Have a look at V.MED.TV ( link below) and there are some amazing videos from china


This is one of the best. a wonderful subseg,mental resection with immaculate preoperative planning. Well done. We need to continue to learn segmental surgery from these amazing chinese surgeons



Source: News from around the web.
Author(s): Claire Vernon

Patient Care and General Interest

A congenital heart surgeon in Boston, Massachusetts, was once a patient himself.

A team at the ADK hospital in the Maldives has performed the country’s first coronary artery bypass surgery.

A woman receiving a heart-lung transplant was also able to donate her heart, and she met the woman who received her heart at the Transplant Games of America.

The American University of Beirut Medical Center in Lebanon became the first in the country to perform a pulmonary thromboendarterectomy.


Drugs and Devices

Boston Scientific has announced progress toward new US Food and Drug Administration (FDA) approval of its Lotus Edge valve.

An investigational treatment for bronchiolitis obliterans, which can occur in patients who receive a lung transplant, has been granted Orphan Drug Designation by the US FDA.


Research, Trials, and Funding

An analysis of the Canadian Cystic Fibrosis Registry found diabetes to be a predictor of poor transplant-free survival in patients diagnosed with cystic fibrosis as adults.

Source: Th e New England Journal o f Medicine
Author(s): Barry J. Maron

A well-referenced exhaustive review

Source: European Journal of Cardio-Thoracic Surgery
Author(s): Cristina Barbero, SimonMesser, Ayyaz Ali, David P. Jenkins, John Dunning, Steven Tsui, Jasvir Parmar

A useful if somewhat belated account of the Papworth experience in lung donation after circulatory determined death (DCD) until 2015. There are no data on heart AND lung transplants in that 6-year period. No DCD recipient required extracorporeal membrane oxygenation, and DCD single lung recipients did badly. Quite interesting to see that total ischemic time was NOT higher in DCD, as if its warm ischemic time was somewhat factored in the planning (eg, considering DCD donation from only short distances from Papworth Hospital).

Author(s): Abel Kavanagh

As a specialized agency of the United Nations concerned with international public health, the World Health Organization (WHO) supports the mission to treat congenital heart disease in Libya. Yet since most of the international medical staff working in Libyan hosptials have left the country since 2011, nongovernmental organizations working with Libyan heart surgeons, nurses, perfusionists, and other medical professionals have the opportunity to share skills required to operate independently in the future.

This multimedia article features Dr William Novick of the Novick Cardiac Alliance:

Source: European Journal of Cardio-Thoracic Surgery
Author(s): Naonori Kawamoto, Tomoyuki Fujita, Satsuki Fukushima, Yusuke Shimahara, Yuta Kume, Yorihiko Matsumoto, Kizuku Yamashita, Koko Asakura, Junjiro Kobayashi

The authors reviewed their experience with 602 patients who underwent mitral repair for type II mitral regurgitation. Mitral stenosis was defined as a mean transmitral pressure gradient (MTPG) of > 5 mm Hg, and 51 patients (8.5%) had mitral stenosis by this criterion. The authors found  on postoperative echocardiography that annuloplasty with a smaller-sized ring was associated with a higher MTPG, PA pressures, residual TR gradient, and incidence of new-onset atrial fibrillation.

Source: European Journal of Cardio-Thoracic Surgery
Author(s): Guanghui Wang, Wei Ma, Yun Li, Yuanzhu Jiang, Guoyuan Ma, Xiangwei Zhang, Long Meng, Jiajun Du

The 5-year survival rate in patients after curative surgery for N0 nonsmall cell lung cancer (NSCLC) is reduced by recurrence and metastasis, and there is evidence that the epithelial–mesenchymal transition in cancer cells is associated with metastasis. Wang and colleagues analyzed the expression of epithelial–mesenchymal transition regulators Twist and Snail, and their target E‑cadherin, in resected tissue from 78 patients diagnosed with pathological N0 NSCLC. They found that high expression of Twist and Snail and low expression of E-cadherin were associated with worse recurrence-free survival.

Source: The Journal of Thoracic and Cardiovascular Surgery
Author(s): Nirmal Veeramachaneni

A brief readable commentary on the Robiscek technique on the occasion of a meta-analysis of an expensive alternative.

Source: Proceedings of the National Academy Sciences of the United States of America
Author(s): Brad N. Greenwood, Seth Carnahan, Laura Huang

The latest instalment in the gender discordance saga, this one proferred by business/management school academics. I am not convinced that the coarse gender comparison takes into account the size discrepancy in coronary arteries and other, well-known to medical practitioners, anatomico-physiological differences of human genders. I do not see any discussion of age groups in the abstract. The article is already attracting considerable attention in the electronic media and, unless further scrutiny contests its titular conclusion, may affect insurance policies. I doubt that the esteemed authors are familiar with the EuroSCORE...

Source: News from around the web.
Author(s): Claire Vernon

Patient Care and General Interest

A New Zealand woman with cystic fibrosis who is a lung transplant recipient prepares to compete in swimming, biking, and running events in the Australian Transplant Games, held at the end of September.

China’s National Health Commission has launched a congenital heart disease screening project in 24 provincial-level regions, as part of the goal to reduce the country’s neonatal mortality rate.

A Canadian man received a new heart in the 500th heart transplant performed in British Columbia.


Research, Trials, and Funding

Researchers from the University of Maryland in the US find that the development of a subspecialized coronary surgery program resulted in improved mortality rates at their center.

If recent trends continue, researchers from Spain report that global lung cancer mortality among women could increase by over 40% by 2030.

Mitral valve procedures in the US increased by more than double the rate of cardiac procedures as a whole between 2011 and 2016, say researchers.

Researchers in Seattle, Washington, US, find that many smokers have misconceptions about lung cancer and lung cancer screening.