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Journal and News Scan

Source: Journal of Thoracic Oncology
Author(s): Jeantieu, Morgana; Gaillat, Françoise; Antonini, François; Azoulay, Elie; Martin, Claude; Thomas, Pascal; Leone, Marc
The authors hypothesized that major lung surgery may predispose patients to post-traumatic stress disorder (PTSD). 47 pts were evaluated prospectively. 50% were identified as having an elevated PTSD risk score 3 months posteroperatively. Predictors included excess preoperative anxiety and increased acute postoperative pain.
Source: European Journal of Cardio-Thoracic Surgery
Author(s): Daniela Föll, Michael Markl, Marius Menza, Asad Usman, Tobias Wengenmayer, Anna Lena Anjarwalla, Christoph Bode, James Carr, and Bernd Jung
Systolic and diastolic myocardial motion was determined using magnetic resonance tissue phase mapping (n=27). Cold ischemic time of the transplanted heart >155 min is associated with decreased myocardial velocities whereas longer postoperative time has a positive influence. The future aim is to develop a non-invasive method to diagnose transplant rejection.
Source: European Journal of Cardio-Thoracic Surgery
Author(s): Simona Celi and Sergio Berti
Computational models based on data from computed tomography show that maximal wall shear stress is associated with the maximal diameter in large aortic aneurysms whereas eccentricity of the bulge is more important in small aneurysms.
Source: European Journal of Cardio-Thoracic Surgery
Author(s): Martin Czerny, Holger Eggebrecht, Gottfried Sodeck, Ernst Weigang, Ugolino Livi, Fabio Verzini, Jürg Schmidli, Roberto Chiesa, Germano Melissano, Andrea Kahlberg, Philippe Amabile, Wolfgang Harringer, Michael Horacek, Raimund Erbel, Kay-Hyun Park, Friedhelm Beyersdorf, Bartosz Rylski, Philipp Blanke, Ludovic Canaud, Ali Khoynezhad, Lars Lonn, Hervè Rousseau, Santi Trimarchi, Jan Brunkwall, Michael Gawenda, Zhihui Dong, Weiguo Fu, Ingrid Schuster, and Michael Grimm
Aorto-oesophageal fistulation following thoracic endovascular aortic repair occurred in 36 of 2387 patients with a mean interval of 90 days according to the European Registry of Endovascular Aortic Repair Complications. Key symptoms included fever, haematemesis and shock. Aggressive therapy with radical oesophagectomy and aortic replacement achieved the best 1-year survival.
Source: Multimedia manual of cardiothoracic surgery
Author(s): Patrick G. Chan, Awori J. Hayanga and Vinay Badhwar
There is growing interest in reparative techniques that durably improve the mitral orifice while preserving the subvalvular apparatus. Many of these techniques are technically challenging and require complex resections with intricate chordal adjustments, which may have limited their global acceptance. In this report, a three-step technique is outlined that does not require significant resection or involve the use of neochords. This offers a potentially simplified approach to the repair of rheumatic mitral stenosis.
Source: Circulation
Author(s): Kagiyama N, Okura H, Nezuo S, Kawamoto T, Murakami T, Hashimoto Y, Tanemoto K, Yoshida K.
In this manuscript the authors present two cases of early thrombosis of biological prosthesis following mitral valve replacement. Both patients were on venous arterial extracorporeal membrane oxygenation (ECMO), which could be the factor responsible for this unusual event. The authors advocate the use of more aggressive anticoagulation on patients on ECMO and prosthetic cardiac valves.
Source: American Journal of Cardiology
Author(s): Hoffmann R, Altiok E, Reith S, Brehmer K, Almalla M.
This interesting study evaluates the hemodynamic effect of the residual ASD produced by the transeptal approach for MitraClip implantation. The new left to right shunt could contribute to the reduction in mitral regurgitation following MitraClip implantation
Source: Journal of Clincal Oncology
Author(s): L Eng, J Su, X Qui, PR Palepu, H Hon, E Fadhel, L Harland, A La Delfa, S Habbous, A Kashigar, S Cuffe, FA Shepherd, NB Leighl, AF Pierre, P Selby, DP Goldstein, W Xu, G Liu
Over 700 lung cancer patients were surveyed at diagnosis and a mean of 54 months later regarding smoking status. 56% of those smoking at the time of diagnosis and stopped smoking 1 year later. Smoking cessation was adversely affected by second hand smoke exposure from housemates, spouses, and peers; these effects were cumulative.
Source: Journal of Thoracic and Cardiovascular Surgery
Author(s): HS Maniar, JM Bell, MR Moon, BF Meyers, J Marsala, JS Lawton, RJ Damiano Jr
Patients requiring readmission after cardiac surgery were compared to time-matched patients who did not require readmission to evaluate factors associated with this adverse event. Predictors of readmission included COPD, decreased EF, prolonged length of stay, and lower educational level. Failure to see a physician early after discharge increased the risk of readmission by 6-fold.
Source: Journal of Thoracic and Cardiovascular Surgery
Author(s): FH McCarthy, ND Desai, Z Fox, J George, P Moeller, P Vallabhajosyula, WY Szeto, JF Bavaria
Pts undergoing aortic root replacement who moderate MR preoperatively were evaluated for outcomes after mitral repair vs no repair. Mitral repair was associated with longer crossclamp times, and postoperative renal failure. Root replacement improved MR without mitral repair, but mitral repair further improved the degree of regurgitation. There was no difference in long-term survival.

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