Comparison of logistic EuroSCORE and EuroSCORE II in predicting operative mortality of 1125 total arterial operations [ADULT CARDIAC]
CONCLUSIONS In 1125 consecutive TAG CABG patients, neither LES nor ESII performed well enough to be used as a consistent risk stratification tool; LES overestimated risk but was highly accurate for the highest of 10 risk groups and ESII consistently underestimated risk in all patients. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - August 30, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Kieser, T. M., Rose, M. S., Head, S. J. Tags: Molecular biology, History ADULT CARDIAC Source Type: research

Mid-term results of leaflet augmentation in severe tricuspid functional tethering [ADULT CARDIAC]
CONCLUSIONS Tricuspid leaflet augmentation combined with annuloplasty is feasible and leads to excellent clinical and echocardiographical mid-term results even in the presence of severe leaflet tethering and right ventricular failure. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - August 30, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Pettinari, M., Bertrand, P., Van Kerrebroeck, C., Vandervoort, P., Gutermann, H., Dion, R. Tags: Basic research vascular ADULT CARDIAC Source Type: research

Bicuspid aortic valve increases risk of permanent pacemaker implant following aortic root replacement [ADULT CARDIAC]
CONCLUSIONS Significantly higher incidence of PPM implantation or LBBB may exist after ARR in bicuspid patients and BAV was confirmed to be an independent predictor for postoperative conduction disturbances by multivariable regression. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - August 30, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Guglielmetti, L., Nazif, T., Sorabella, R., Akkoc, D., Kantor, A., Gomez, A., Wang, C., Takayama, H., Dizon, J., Borger, M., George, I. Tags: Myocardial infarction, Pericardium, Basic research vascular ADULT CARDIAC Source Type: research

MitraClip and surgery should not compete [ADULT CARDIAC]
(Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - August 30, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Dreyfus, G. D. Tags: Basic research vascular ADULT CARDIAC Source Type: research

Optimal results immediately after MitraClip therapy or surgical edge-to-edge repair for functional mitral regurgitation: are they really stable at 4 years? [ADULT CARDIAC]
CONCLUSIONS In patients with FMR and optimal mitral competence after MitraClip implantation, the recurrence of significant MR at 4 years is not uncommon. This study does not confirm previous observations reported in the Everest II randomized controlled trial indicating that, if the MitraClip therapy was initially successful, the results were sustained at 4 years. When compared with the surgical EE combined with annuloplasty, MitraClip therapy provides lower efficacy at 4 years. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - August 30, 2016 Category: Cardiovascular & Thoracic Surgery Authors: De Bonis, M., Lapenna, E., Buzzatti, N., La Canna, G., Denti, P., Pappalardo, F., Schiavi, D., Pozzoli, A., Cioni, M., Di Giannuario, G., Alfieri, O. Tags: Basic research vascular ADULT CARDIAC Source Type: research

Male-female differences and survival in patients undergoing isolated mitral valve surgery: a nationwide cohort study in the Netherlands [ADULT CARDIAC]
CONCLUSIONS There are substantial male–female differences in patient presentation and procedural aspects in isolated MV surgery in the Netherlands. Female patients are older, have more severe disease at the time of surgery and undergo valve repair less often. Future studies are needed to identify potentially modifiable patient factors to improve the outcome of female patients with MV disease. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - August 30, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Mokhles, M. M., Siregar, S., Versteegh, M. I. M., Noyez, L., van Putte, B., Vonk, A. B. A., Roos-Hesselink, J. W., Bogers, A. J. J. C., Takkenberg, J. J. M., on behalf of the data registry committee of the Netherlands Association for Cardio-Thoracic Surge Tags: History, Basic research vascular ADULT CARDIAC Source Type: research

Valve-sparing root replacement in children [CONGENITAL]
CONCLUSIONS Our data show that valve-sparing root surgery using the reimplantation technique can be performed safely in children. Mid-term follow-up yields stable and favourable results. When leaflet reconstruction is necessary on top of the reimplantation procedure, rate of recurrent AR seems to be higher. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - August 30, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Kluin, J., Koolbergen, D. R., Sojak, V., Hazekamp, M. G. Tags: Pericardium, Basic research vascular CONGENITAL Source Type: research

Outcomes of redo pulmonary valve replacement for bioprosthetic pulmonary valve failure in 61 patients with congenital heart disease [CONGENITAL]
CONCLUSIONS A substantial number of the patients experienced mortality or morbidities after redo PVR. Higher preoperative right ventricular systolic pressure and longer cardiopulmonary bypass time were associated with PAEs. By 10 years after the redo PVR, approximately two-thirds of patients will require PV reintervention or manifest SVD. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - August 30, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Lee, C., Lee, C.-H., Kwak, J. G. Tags: Mechanical Circulatory Assistance, Basic research vascular CONGENITAL Source Type: research

Factors associated with progression of right ventricular enlargement and dysfunction after repair of tetralogy of Fallot based on serial cardiac magnetic resonance imaging [CONGENITAL]
CONCLUSIONS In patients with rapid RV dilatation, restrictive RV physiology might be frequently noted at the initial MRI assessment. Therefore, careful follow-up may be necessary in patients with restrictive RV physiology to determine the optimal timing of pulmonary valve implantation. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - August 30, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Shin, Y. R., Jung, J. W., Kim, N. K., Choi, J. Y., Kim, Y. J., Shin, H. J., Park, Y.-H., Park, H. K. Tags: Mechanical Circulatory Assistance CONGENITAL Source Type: research

Follow-up after tricuspid valve surgery in adult patients with systemic right ventricles [CONGENITAL]
CONCLUSIONS In this patient group, TV surgery showed stabilization of RV function and improvement of NYHA functional class for at least several years. In this series, TVR appears superior to TVP with respect to occurrence of recurrent TR. Early and late mortality after TV surgery is substantial, and we believe that patients with significant TR should be referred earlier for surgery for better outcome. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - August 30, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Koolbergen, D. R., Ahmed, Y., Bouma, B. J., Scherptong, R. W. C., Bruggemans, E. F., Vliegen, H. W., Holman, E. R., Mulder, B. J. M., Hazekamp, M. G. Tags: Minimally invasive surgery, Basic research vascular CONGENITAL Source Type: research

Challenges in developing a reseeded, tissue-engineered aortic valve prosthesis [EXPERIMENTAL]
CONCLUSIONS A comparison of different techniques for increasing interstitial repopulation of detergent dECM revealed that an additional limited trypsin treatment was most effective. Nevertheless, a complete interstitial repopulation of decellularized heart valves remains a challenging endeavour. Additional experimental fine-tuning may improve the in vitro results of heart valve tissue engineering. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - August 30, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Hof, A., Raschke, S., Baier, K., Nehrenheim, L., Selig, J. I., Schomaker, M., Lichtenberg, A., Meyer, H., Akhyari, P. Tags: History, Basic research vascular EXPERIMENTAL Source Type: research

Proposing a novel technique to exclude the left ventricle with an assist device: insights from 4-dimensional flow magnetic resonance imaging [EXPERIMENTAL]
CONCLUSIONS For the first time, intracardiac flows in an LVAD setting have been shown in vitro based on a mock porcine ex vivo heart failure model by applying 4D flow MRI. Differences in flow characteristics of the same model using a prosthesis sparing the LV cavity are encouraging to further investigate their potential to reduce potential LVAD-associated side-effects, such as intracavitary clotting and its sequelae. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - August 30, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Klotz, S., Meyer-Saraei, R., Frydrychowicz, A., Scharfschwerdt, M., Putman, L. M., Halder, S., Sievers, H.-H. Tags: History, Peripheral vascular EXPERIMENTAL Source Type: research

Impact of induction therapy on postoperative outcome after extrapleural pneumonectomy for malignant pleural mesothelioma: does induction-accelerated hemithoracic radiation increase the surgical risk? [THORACIC]
CONCLUSIONS In this large single-centre series of EPP for MPM, the implementation of induction IMRT was not associated with any significant increase in the surgical risks above and beyond induction CT. The switch from induction CT to induction IMRT was associated with resection in older patients with more advanced tumours, less transfusion requirements, comparable postoperative morbidity and 90-day mortality. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - August 30, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Mordant, P., McRae, K., Cho, J., Keshavjee, S., Waddell, T. K., Feld, R., de Perrot, M. Tags: Cardiac - physiology, Congenital - acyanotic THORACIC Source Type: research

Risk of the preoperative underestimation of tumour size of lung cancer in patients with idiopathic interstitial pneumonias [THORACIC]
CONCLUSIONS IIPs pose a high risk for underestimating tumour size of LCs in preoperative measurements. Thus, tumour extent should be assessed carefully in order to maintain adequate surgical margins. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - August 30, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Fukui, M., Takamochi, K., Matsunaga, T., Oh, S., Ando, K., Suzuki, K., Arakawa, A., Uekusa, T., Suzuki, K. Tags: Mediastinum THORACIC Source Type: research

Results of surgical treatment and impact on T staging of non-small-cell lung cancer adjacent lobe invasion [THORACIC]
CONCLUSIONS In our study, a tumour with ALI (T-ALI) represented a separate stage of cancer between T2 and T3. The survival rate in the T-ALI-A group was significantly poorer than that in the T-ALI-D group. Overall treatment results were similar for stage T3, suggesting that it may be necessary to divide this group into T3a and T3b. We would suggest that all tumours between 5 and 7 cm be classified as T3b, and any tumour smaller than 5 cm but with ALI be classified as T3a. Treatment of choice should include lobectomy or bilobectomy. Pneumonectomy should be performed only in a selected group of patients. (Source: European Jo...
Source: European Journal of Cardio-Thoracic Surgery - August 30, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Dziedzic, D., Rudzinski, P., Langfort, R., Orlowski, T., on behalf of the Polish Lung Cancer Study Group (PLCSG) Tags: Lung - transplantation THORACIC Source Type: research