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Journal and News Scan

Source: The Annals of Thoracic Surgery
Author(s): Justin A. Drake, David C. Portnoy, Kurt Tauer, Benny Weksler

This analysis of the National Cancer Database included over 2000 eligible patients resected with N2 disease who did not receive induction therapy. The addition of radiotherapy to postoperative chemotherapy did not affect survival in either the unmatched or the matched groups. 

Source: Annals of Cardiothoracic Surgery
Author(s): Piroze M. Davierwala, Sergey Leontyev, Jens Garbade, Sven Lehmann, David Holzhey, Martin Misfeld, Michael A. Borger

This institutional series from Leipzig Heart Centre presents results from 15 years of bilateral internal thoracic artery usage in off-pump CABG (OPCABG). Survival analysis as well as detailed postoperative outcomes are presented to demonstrate that OPCABG with bilateral internal thoracic artery grafting is a safe operation with low mortality and morbidity.

Source: Critical Care Medicine
Author(s): Robert H Bartlett

A brief viewpoint article (by the savior of baby Esperanza) from a widely read non-surgical journal on the debate on ECMO/EOLIA. I assume  'thoracotomy' implies 'sternotomy' as the standard surgical approach for ECMO cannulation in adults and larger children. 

The surgical reader will of course realize that this paper is focusing on non-arterial ECMO ( V-V), although the distinction between VV and V-A is not discussed explicitly by Dr. Bartlett on this occasion.

Source: The Lancet
Author(s): Richard Smith

This is a damning article about profiteering in academic publishing at the expense of researchers, institutions, and other interested parties.  

Source: The Annals of Thoracic Surgery
Author(s): Daniel H. Buitrago, Sidhu P. Gangadharan, Adnan Majid, Michael S. Kent, Daniel Alape, Jennifer L. Wilson, Mihir S. Parikh, Dae H. Kim

Patients undergoing tracheobronchoplasty for diffuse tracheobronchial malacia were retrospectively stratified as severely frail or other based on a cumulative deficits model score.  Severe frailty was associated with an increased risk of respiratory failure (OR 13.1), pneumonia (OR 20.1), and overall respiratory complications (OR 17.4).  

Source: European Journal of Cardio-Thoracic Surgery
Author(s): Tadashi Kitamura, Shinzo Torii, Kensuke Kobayashi, Yuki Tanaka, Akihiro Sasahara, Yuki Ohtomo, Rihito Horikoshi, Kagami Miyaji

There are several different strategies for arterial cannulation in patients with acute aortic dissection type A. Kitamura and colleagues compared results of direct true-lumen cannulation (Samurai cannulation) with other cannulation options. The retrospective review includes 100 patients undergoing surgery for acute type A aortic dissection, 61 of whom underwent Samurai cannulation. Samurai and other cannulation site patients had in-hospital mortality rates of 5% and 7%, respectively. Seven percent of Samurai cannulation patients and 10% of other cannulation site patients experienced disabling stroke. There was no difference between the groups regarding survival and freedom from aorta-related death at follow-up. The authors conclude that Samurai cannulation is a safe and reasonable option in patients with type A dissection.

Source: DG News
Author(s): Lorraine L. Janeczko after Phillip M. King et al.

Will await the full paper to test the titular preliminary assertion. 

Source: News from around the web.
Author(s): Emily Robinson

Patient Care and General Interest

Saturday, September 29 is World Heart Day! This year’s theme is “My Heart, Your Heart.”

Gerald D. Buckberg, MD, a renowned heart surgeon who made a major contribution in the field of myocardial protection, recently passed away.

Team Heart, a group of medical volunteers, visits Rwanda once a year to perform life-saving valve replacement procedures caused by rheumatic heart disease, which is prevalent in many African and Asian countries.

An atrial fibrillation procedure performed on a keen Hong Kong-based marathon runner saved him from a life-threatening abnormal heart rhythm and gave him renewed energy when training.

 

Research

Data presented at the recent TCT 2018 conference indicates that patients with severe symptomatic aortic stenosis and high risk of operative mortality who underwent TAVR had similar 5-year survival and stroke rates compared with those who underwent SAVR.

A study published in Pediatric Research indicates that neonates with congenital heart disease tend to have enlarged kidneys.

The BMI journal Heart has published research suggesting a link between mitral valve prolapse – a common condition – and sudden cardiac death.

Source: The Annals of Thoracic Surgery
Author(s): Gabie K.B. Ong, Richard K. Freeman, Anthony J. Ascioti, Raja S. Mahidhara, Vijay Nuthakki, Megan Dake, Daryl Eckstein

This single institution summary of treatment of failed stenting for esophageal perforation included 26 patients over an eight year period. Management included primary closure, esophagectomy, and observation. The overall prognosis was very good, supporting the use of stents as initial therapy for esophageal perforation in appropriate patients.

Source: Annals of Surgery
Author(s): McMurry TL, Stukenborg GJ, Kessler LG, Colditz GA, Wong ML, Francescatti AB, Jones DR, Schumacher JR, Greenberg CC, Chang GJ, Winchester DP, McKellar DP, Kozower BD

Using the National Cancer Database, the effect of the timing of computed tomography (CT) surveillance after resection of non-small cell lung cancer on survival was investigated.  Survival was similar for patients undergoing CTs every three months or every six months compared to those undergoing annual surveillance CTs.  More frequent imaging also had no impact on survival after recurrence.

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