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Characterization of serum matrix metalloproteinase 2/9 levels in patients with ascending aortic aneurysms
CONCLUSIONS The distinct correlation patterns in patients with and without hyperlipidaemia have to be considered when defining the potential of MMP2 as a biomarker in future studies. The relation between MMP9 and hyperlipidaemia has to be further investigated. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Meffert, P., Tscheuschler, A., Beyersdorf, F., Heilmann, C., Kocher, N., Uffelmann, X., Discher, P., Rylski, B., Siepe, M., Kari, F. A. Tags: History, Pericardium, Lymphatic disease, Vascular malformations Source Type: research

Prognostic value of preoperative total psoas muscle area on long-term outcome in surgically treated oesophageal cancer patients
CONCLUSIONS Decreased PMA was an adverse significant prognostic factor for OS in patients with oesophageal cancer. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Park, S. Y., Yoon, J.-K., Lee, S. J., Haam, S., Jung, J. Tags: Esophagus - cancer THORACIC Source Type: research

Efficacy of Ramelteon for delirium after lung cancer surgery
CONCLUSIONS Ramelteon is likely to reduce the incidence and intensity of delirium after surgery for lung cancer in elderly patients. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Miyata, R., Omasa, M., Fujimoto, R., Ishikawa, H., Aoki, M. Tags: Pleura THORACIC Source Type: research

eComment. Surgery for isolated adrenal metastasis from non-small-cell lung cancer: the role of preoperative PET/CT scan"
(Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Lococo, F., Patricelli, G., Galeone, C., Rapicetta, C. Tags: THORACIC Source Type: research

Pooled analysis for surgical treatment for isolated adrenal metastasis and non-small cell lung cancer
CONCLUSIONS NSCLC patients with isolated adrenal metastasis undergoing surgical treatment for the primary tumour and adrenal metastasis could achieve a significant survival benefit, especially if they have metachronous adrenal metastasis or are negative for lymph node metastasis. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - January 3, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Gao, X.-L., Zhang, K.-W., Tang, M.-B., Zhang, K.-J., Fang, L.-N., Liu, W. Tags: Mediastinum THORACIC Source Type: research

Spotlight on recently published EJCTS articles
(Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Tags: SPOTLIGHT - EJCTS RECENT ARTICLES Source Type: research

Pectus excavatum in mummies from ancient Egypt
Pectus excavatum is one of the common congenital anomalies, yet there seems to be a suspicious absence of any cases or descriptions of this deformity from antiquity. This could represent a real change in disease prevalence but is more likely just due to an inadequate reporting in medico-historical literature. The current study reviews reports of computed tomography (CT) scans of 217 ancient Egyptian mummies, revealing 3 presumed cases of this deformity. Therefore, pectus excavatum was in fact present already in ancient times, with prevalence roughly similar to the modern one. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Kwiecinski, J. Tags: History, Chest wall Thoracic Source Type: research

Aberrant origin of left subclavian artery from the pulmonary artery and right aortic arch in an aortopulmonary window
Aortopulmonary window (APW) is a rare congenital anomaly that occurs in 0.2–0.6% of congenital heart diseases. APW often coexists with other cardiac malformations. However, APW together with aberrant origin of the left subclavian artery (LSA) from the main pulmonary artery is rarely seen. Here, we report an infant with right aortic arch in APW, who was found to have aberrant origin of the LSA from the main pulmonary artery. We confirmed its origin in the anatomical settings and modified a repair technique according to his individual situation, which brought successful results to the patient. (Source: Interactive Card...
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Zhu, C., Wang, T., Zhu, Z., Liu, K. Tags: Congenital Source Type: research

HeartWare ventricular assist device as a bridge to heart transplantation in a patient with congenitally corrected transposition of the great arteries and dextrocardia
Congenitally corrected transposition of the great arteries (ccTGA) is a rare condition with prevalence of <0.5%. Dextrocardia is reported among 20% of them. Among patients with ccTGA, heart failure is a common presentation, especially in the fourth or fifth decade of life and survival is dismal without heart transplantation. A left ventricular assist device (LVAD) is considered for bridge to transplantation if early heart transplantation is not available or as destination therapy for patients ineligible for heart transplant. Our patient had ccTGA and dextrocardia, after which he developed failure of a systemic ventricle...
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Soofi, M. A., Ignaszewski, A. P., Cheung, A. W., Bashir, J. G. Tags: Minimally invasive surgery, Peripheral vascular, Aorto-iliac disease Congenital Source Type: research

eComment: More with less: the role of minimally invasive surgery as a bridging procedure in the treatment of aorto-oesophageal fistula
(Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Karaolanis, G., Schizas, D., Moris, D. Tags: E-Comment Source Type: research

Surgical management without resection of the oesophagus for aorto-oesophageal fistula secondary to aortic arch aneurysm rupture
A 79-year-old moderately frail man with a history of graft replacement for descending thoracic aortic aneurysm and chronic kidney disease presented with the onset of haemoptysis. Computed tomography demonstrated aorto-oesophageal fistula secondary to aortic arch aneurysm rupture. Emergency surgery was performed through a median sternotomy. Cardiopulmonary bypass was established via femoral artery inflow and bicaval venous drainage. After establishing circulatory arrest, the aortic arch was excised. Resection of the aortic aneurysm and debridement were performed during antegrade cerebral perfusion and lower body perfusion f...
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Omura, A., Yoshida, M., Koda, Y., Mukohara, N. Tags: Vascular malformations Source Type: research

Azygos vein aneurysm resection concomitant with heart valve repair via right thoracotomy
We report a case of recurrent pleural effusion caused by an azygos vein aneurysm in a patient with moderate mitral valve regurgitation (MR) and tricuspid valve regurgitation (TR). Since valve disease is considered a significant precipitating factor for both dyspnoea and pleural effusion, we decided to study the aetiologies of these conditions concomitantly. Azygos vein aneurysm resection in combination with tricuspid and mitral valve repair using cardiopulmonary bypass was performed successfully through a right anterior thoracotomy. The postoperative course was uneventful, and the patient reported improved exercise capacit...
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Suzuki, Y., Kaji, M., Hirose, S., Ohtsubo, S. Tags: Basic research vascular Adult Cardiac Source Type: research

Left ventricular assist device implantation in patients after left ventricular reconstruction
Left ventricular assist device (LVAD) implantation can be challenging in patients with a prior surgical ventricular restoration (SVR). In this case series of heart failure patients with a history of SVR, we describe the surgical technique and outcome of a customized approach for inflow cannula orientation. Seven patients with a history of SVR with end-stage chronic heart failure were accepted for long-term LVAD support. In all patients, the Dacron patch was removed through left ventriculotomy and a Hegar 22 dilator was inserted at the estimated optimal position of the LVAD inflow cannula. The left ventricle was reconstruct...
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Palmen, M., Braun, J., Beeres, S. L. M. A., Klautz, R. J. M. Tags: Peripheral vascular Adult Cardiac Source Type: research

Applicability of cardiogoniometry as a non-invasive screening tool for the detection of graft vasculopathy in heart transplant recipients
Currently available diagnostic modalities for the detection of graft vasculopathy following orthotopic heart transplantation are subject to various restrictions. We hypothesized that cardiogoniometry, a novel non-invasive diagnostic tool for the detection of atherosclerotic coronary vessel disease, is applicable in the graft vasculopathy setting. Cardiogoniometric results were obtained during routine follow-up in 49 consecutive, unselected heart transplant recipients and then retrospectively correlated blindly by an independent reader to recent angiographic findings. Sensitivity of cardiogoniometry was 100%, specificity 62...
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Spiliopoulos, S., Hergesell, V., Fischer, D., Dapunt, O., Krueger, U., Koerfer, R., Tenderich, G. Tags: Aorto-iliac disease Adult Cardiac Source Type: research

When and how should we manage thoracic aortic injuries in the modern era?
A best evidence topic in cardiovascular surgery was written according to a structured protocol. The question addressed was what are the optimum treatment modality and timing of intervention for blunt thoracic aortic injury (BTAI) in the modern era? Of the 697 papers found using the reported search, 14 (5 meta-analyses, 2 prospective and 7 retrospective studies) represented the best evidence to answer the clinical question. The author, journal, country, date of publication, patient group studied, study type, relevant outcomes, results and weakness of these papers are tabulated. All five meta-analyses reported a reduction in...
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Bottet, B., Bouchard, F., Peillon, C., Baste, J.-M. Tags: History, Vascular malformations Source Type: research