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Journal and News Scan
A brief, useful editorial advancing the position of watchful waiting in selected aneurysmopathic patients, on the occasion of new AATS guideline on bicuspid aortic valve (BAV) aortopathy.
This video and article detail the author’s technique for the classic hybrid arch debranching procedure. It is performed for patients who have had a prior type A dissection repair with aortic arch and descending thoracic aortic dilation but who are not felt to be candidates for more extensive hybrid repairs that require total arch replacement. Hughes emphasizes the importance of appropriate patient selection for the success of this type I hybrid arch repair and discusses his center’s selection criteria.
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.
This cautionary article outlines new trends in how the courts view surgeon responsibility for obtaining informed consent.
This provocative editorial outlines concepts that thoracic surgeons should understand in the era of immunotherapy for potentially resectable N2 disease.
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.
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.
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.
A well-referenced, exhaustive review.
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).