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Journal and News Scan

Source: The Annals of Thoracic Surgery
Author(s): Rishindra M. Reddy, Madhu Lalitha Gorrepati, Daniel S. Oh, Shilpa Mehendale, Michael F. Reed

For high volume surgeons (defined as 20 or more annual lobectomies), the use of a robotic approach had a lower conversion to open rate  and a lower complication rate, while having a mean operating time that was 25 min longer on average compared to a VATS approach.

Source: The Annals of Thoracic Surgery
Author(s): Darren S. Bryan, Robert M. Sade

This cautionary article outlines new trends in how the courts view surgeon responsibility for obtaining informed consent.

Source: The Journal of Thoracic and Cardiovascular Surgery
Author(s): Harvey I. Pass

This provocative editorial outlines concepts that thoracic surgeons should understand in the era of immunotherapy for potentially resectable N2 disease.

Source: The Journal of Thoracic and Cardiovascular Surgery
Author(s): Elizabeth H. Stephens, Amy G. Fiedler

This is an instructive editorial that reminds us of the challenges women face in CT surgery.  It describes how to go beyond the social online movement to achieve practical changes in training, hiring, and mentoring.

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

Have a look at V.MED.TV ( link below), including more amazing videos from China.

This is one of the best videos. It demonstrates a wonderful subsegmental resection with immaculate preoperative planning. 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: The New England Journal of Medicine
Author(s): Barry J. Maron

A well-referenced, exhaustive review.

Source: European Journal of Cardio-Thoracic Surgery
Author(s): Cristina Barbero, Simon Messer, 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.