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Are there recognized prognostic factors for patients undergoing pulmonary metastasectomy for colorectal carcinoma?
In conclusion, the prognostic factors for patients undergoing pulmonary metastasectomy for CRC include the size and number of metastases, intra-thoracic lymph node involvement, pre-thoracotomy CEA levels and the response to induction chemotherapy. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Tsitsias, T., Toufektzian, L., Routledge, T., Pilling, J. Tags: Pleura Thoracic Source Type: research

Do external support devices reduce sternal wound complications after cardiac surgery?
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether external support devices reduce sternal wound complications after cardiac surgery with sternotomy. Altogether 116 papers were found using the reported search, of which six presented the best evidence to answer the clinical question. The author, year, journal, study type, patient group studied, relevant outcomes, results and study weaknesses are tabulated. Six randomized controlled trials investigating the effect of external chest support devices on sternal wound complications in adult patients undergo...
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Tsang, W., Modi, A., Ahmed, I., Ohri, S. K. Tags: Electrophysiology - arrhythmias, Chest wall Adult Cardiac Source Type: research

Atrio-oesophageal fistula: dismal outcome of a rare complication with no common solution
Atrio-oesophageal fistula caused by diffusion of ablative energy through the left atrial wall to the oesophagus is a lethal complication. A high level of suspicion, rapid diagnosis and early correction are of crucial importance. In this review, we highlight the key points that will aid in the thought processes and provide guidance in the prevention, early diagnosis and management to reduce complications and improve outcome when atrio-oesophageal fistula is suspected. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Al-Alao, B., Pickens, A., Lattouf, O. Tags: Electrophysiology - arrhythmias, Esophagus - other Adult Cardiac Source Type: research

How can cardiothoracic and vascular medical devices stay in the market?
Surgeons, as the consumers, must engage in commercial activity regarding medical devices since it directly has impacts on surgical practice and patient outcomes. Unique features defy traditional economic convention in this specific market partly because consumers do not usually pay directly. Greater involvement with commercial activity means better post-market surveillance of medical devices which leads to improved patient safety. The medical device industry has exhibited astonishing levels of growth and profitability reaching $398 billion on a global scale with new product development focusing on unmet clinical need. The ...
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Wong, K. A., Hodgson, L., Garas, G., Malietzis, G., Markar, S., Rao, C., von Segesser, L. K., Athanasiou, T. Tags: Electrophysiology - arrhythmias, Professional affairs Adult Cardiac Source Type: research

Performance of stented biological valves for right ventricular outflow tract reconstruction
CONCLUSIONS SBVs in the pulmonary position showed encouraging long-term results in mature patients. The design of SBVs enables interventional valve implantation, postponing the need for reoperation. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Buchholz, C., Mayr, A., Purbojo, A., Glöckler, M., Toka, O., Cesnjevar, R. A., Rüffer, A. Tags: Basic research vascular Congenital Source Type: research

Bailout shunt/banding for backward left heart failure after adequate neonatal coarctectomy in borderline left hearts
CONCLUSIONS Reversed surgical shunt with bilateral banding of the branch pulmonary arteries after neonatal coarctectomy can be successfully employed as a bailout procedure in cases where a borderline left heart with growth potential cannot tolerate a biventricular circulation. It may act as an acute life-saving measure as well as a bridge to later repair. If high risk for backward failure exists in a borderline left heart with catch-up growth potential, a primary hybrid procedure is probably a more elegant and predictable strategy. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Brown, S. C., Eyskens, B., Boshoff, D., Cools, B., Heying, R., Rega, F., Meyns, B., Gewillig, M. Tags: Minimally invasive surgery Congenital Source Type: research

Minimally invasive surgical closure for doubly committed subarterial ventricular septal defects through a right subaxillary thoracotomy
CONCLUSIONS A right subaxillary thoracotomy, providing a feasible alternative to median sternotomy, can be performed with favourable cosmetic and satisfactory clinical results for closure of doubly committed subarterial ventricular septal defects. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: An, G., Zhang, H., Zheng, S., Wang, W., Wu, Q., Xing, Q. Tags: Transplantation - heart Congenital Source Type: research

Cardiac index assessment by the pressure recording analytical method in infants after paediatric cardiac surgery: a pilot retrospective study
CONCLUSIONS CI estimated by PRAM after paediatric cardiac surgery was reliably associated with clinical indicators of tissue perfusion, with vasoactive and diuretic drug requirements, and predicted longer mechanical ventilation duration. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Favia, I., Rizza, A., Garisto, C., Haiberger, R., Di Chiara, L., Romagnoli, S., Ricci, Z. Tags: Anesthesia, Electrophysiology - arrhythmias, Mechanical Circulatory Assistance Congenital Source Type: research

eComment. Can we really infer anything from this cohort?
(Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Carr, M. D. Tags: E-Comment Source Type: research

Early outcomes of lung transplantation for bronchiolitis obliterans syndrome after allogeneic haematopoietic stem cell transplantation: a single-centre experience
CONCLUSIONS LTx could be a reasonable therapeutic option in selected patients with refractory BOS not responsive to conventional therapy. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Jung, H. S., Lee, J. G., Yu, W. S., Lee, C. Y., Haam, S. J., Paik, H. C. Tags: Trachea and bronchi Thoracic Source Type: research

A 20-year review of pectus surgery: an analysis of factors predictive of recurrence and outcomes
CONCLUSIONS Life-transforming pectus surgery can be performed with low morbidity and good long-term outcomes. Recurrence of PE deformity is associated with the development of postoperative complications. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Tikka, T., Kalkat, M. S., Bishay, E., Steyn, R. S., Rajesh, P. B., Naidu, B. Tags: Chest wall Thoracic Source Type: research

Epidermal growth factor receptor and v-Ki-ras2 Kirsten rat sarcoma viral oncogen homologue-specific amino acid substitutions are associated with different histopathological prognostic factors in resected non-small-cell lung cancer
CONCLUSIONS We observed a correlation between mKRAS and negative histopathological prognostic factors and between mEGFR and positive prognostic factors. One can wonder whether histopathological prognostic factors are only clinical reflections of molecular alterations. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Seitlinger, J., Renaud, S., Falcoz, P.-E., Schaeffer, M., Olland, A., Reeb, J., Santelmo, N., Legrain, M., Voegeli, A.-C., Weingertner, N., Chenard, M.-P., Beau-Faller, M., Massard, G. Tags: Lung - other Thoracic Source Type: research

eComment. Could the definitive chemoradiated stage III non-small-cell-lung cancer N3 patient be "saved" by salvation lung resection?
(Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Motas, N., Horvat, T. Tags: E-Comment Source Type: research

Feasibility and efficacy of salvage lung resection after definitive chemoradiation therapy for Stage III non-small-cell lung cancer
CONCLUSIONS In the highly selected Stage III NSCLC after curative-intent chemoradiation therapy, salvage surgery was safely performed and contributed to satisfactory long-term survival. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Shimada, Y., Suzuki, K., Okada, M., Nakayama, H., Ito, H., Mitsudomi, T., Saji, H., Takamochi, K., Kudo, Y., Hattori, A., Mimae, T., Aokage, K., Nishii, T., Tsuboi, M., Ikeda, N. Tags: Mediastinum, History Thoracic Source Type: research

Performance of wider parenchymal lung resection than preoperatively planned in patients with low preoperative lung function performance undergoing video-assisted thoracic surgery major lung resection
CONCLUSIONS Wider lung parenchymal resection than preoperatively anticipated may be performed, even in patients with low lung functional status, without increased adverse outcome when compared with patients with good lung function. This finding indicates that the preoperative risk stratification based on lung function tests is questionable. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - December 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Kouritas, V. K., Kefaloyannis, E., Milton, R., Chaudhuri, N., Papagiannopoulos, K., Brunelli, A. Tags: Mediastinum Thoracic Source Type: research