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Intrapericardial left-sided ectopic thyroid mass supplied by the left circumflex artery
We report a 47-year old female patient with an intrapericardial mass mounting the left atrial wall. Two prominent vessels, both originating from the left circumflex artery (LCX), supplied the tumour. Owing to the compression of the left atrium and the left upper pulmonary vein, the patient was highly symptomatic with exertional dyspnoea and ventricular extrasystoles. Histopathological examination showed regressive thyroid adenoma with no signs of malignancy. Complete resection was feasible. The evaluation of thyroid hormone levels was not indicative for diagnosis. Postoperative hormone substitution appeared to be unnecessa...
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Schneider, B., Holfeld, J., Grimm, M., Müller, L. Tags: Electrophysiology - arrhythmias Adult Cardiac Source Type: research

Non-anastomotic rupture of the Valsalva graft 6 years after undergoing the Bentall procedure
A 72-year old man with an unruptured aneurysm of the right sinus of Valsalva and aortic insufficiency underwent aortic root replacement using a valved composite graft created with a 28-mm woven Dacron graft (Gelweave Valsalva™ graft, Vascutek Terumo, Renfrewshire, Scotland) and a 25-mm stented bioprosthetic aortic valve (Carpentier-Edwards PERIMOUNT pericardial bioprosthesis, Edwards Lifesciences, Irvine, CA, USA). His postoperative course was uneventful. He had undergone a follow-up CT scan once a year. Although no abnormal signs were detected 5 years after surgery, a CT scan performed in the sixth postoperative yea...
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Oshima, H., Abe, T., Narita, Y., Usui, A. Tags: Pericardium Adult Cardiac Source Type: research

Selective, segmental decalcification: a safe alternative to extensive debridement of a severely calcified annulus during repair of mitral regurgitation
We describe a safe limited segmental annular debridement away from the coronary arteries that allows enough flexibility of the remaining calcified annulus to perform reduction annuloplasty in a young female patient with severe mitral regurgitation and a highly dilated and severely calcified mitral annulus. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Carrel, T. P., Weber, A. Tags: Basic research vascular Adult Cardiac Source Type: research

Totally endoscopic robotic repair of coronary sinus atrial septal defect
We report an adult patient, who presented with coronary sinus atrial septal defect. A totally endoscopic robotic repair was successfully done through a right atriotomy approach in this patient. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Onan, B., Aydin, U., Basgoze, S., Bakir, I. Tags: Transplantation - heart Adult Cardiac Source Type: research

Split-graft technique in neonatal heart transplant for aortic atresia
We describe a neonate with aortic atresia and hypoplastic aorta, listed for heart transplant after extracorporeal membrane oxygenation resuscitation and ductal stenting. The donor aorta was detached from the graft, after an isolated arch reconstruction prior to the transplant itself in a routine fashion. To the best of our knowledge, this is the first reported case of neonatal arch reconstruction before transplantation performed with grafts from the same donor in a split-way strategy. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Gil-Jaurena, J.-M., Gonzalez-Lopez, M.-T., Pita-Fernandez, A., Perez-Caballero, R. Tags: Minimally invasive surgery, Aorto-iliac disease Congenital Source Type: research

An unusual fenestration in single-stage Fontan operation
We present one such child with situs solitus, dextrocardia, DORV, hypoplastic right ventricle, large ventricular septal defect, severe pulmonic stenosis, extremely small right atrium and left juxtaposed atrial appendages, who underwent Fontan operation. We created an unusual fenestration between left pulmonary artery and juxtaposed right atrial appendage on the left side, due to anatomic complexity. Short-term results are encouraging. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Salve, G. G., Jain, S. A., Adnaik, A., Shivaprakash, K. Tags: Mechanical Circulatory Assistance Congenital Source Type: research

The experimental validation of free fat grafts in thoracic surgery
We evaluated the viability of free fat grafts in the thoracic cavity using 3-month old male swine (n = 2). After left caudal lobectomy, 1–3 g of subcutaneous fat tissue harvested via the thoracotomy site was implanted in the chest cavity. At re-thoracotomy 6 weeks after implantation, all of the implanted fat grafts (n = 15) were found to have closely adhered to the parietal pleura and visceral pleura. There was a significant decrease by ~30% in the weight of the fat grafts after implantation. Regardless of the weight loss, the implanted fat graft showed normal structuring without scar formation in the central area. O...
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Murakami, J., Ueda, K., Hayashi, M., Kondo, T., Hamano, K. Tags: Mediastinum, Cardiac - pharmacology Thoracic Source Type: research

Does positron emission tomography/computed tomography aid the diagnosis of prosthetic valve infective endocarditis?
A best evidence topic was constructed according to a structured protocol. The question addressed was whether 18F-fluorodeoxyglucose positron emission tomography/computed tomography (PET/CT) aids the diagnosis of prosthetic valve endocarditis (PVE)? A total of 107 publications were found using the reported search, of which 6 represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. The reported outcome of all studies was a final diagnosis of confirmed endocarditis on fol...
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Balmforth, D., Chacko, J., Uppal, R. Tags: Basic research vascular Adult Cardiac Source Type: research

eReply. Phosphocreatine in cardiovascular disease: how can we relate the evidence to clinical practice?
(Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Fominskiy, E., Landoni, G. Tags: E-Reply Source Type: research

eComment. Phosphocreatine in cardiovascular disease: how can we relate the evidence to clinical practice?
(Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Brown, O. I. Tags: E-Comment Source Type: research

Cardiac protection with phosphocreatine: a meta-analysis
Phosphocreatine (PCr) plays an important role in the energy metabolism of the heart and a decrease in its intracellular concentration results in alteration of myocardium energetics and work. We conducted a meta-analysis of all randomized and matched trials that compared PCr with placebo or standard treatment in patients with coronary artery disease or chronic heart failure or in those undergoing cardiac surgery. We systematically searched PubMed/Medline, Embase, Cochrane Central Register of Controlled Trials and Google Scholar up to 1 November 2015, for pertinent trials. The primary outcome was all-cause mortality. Seconda...
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Landoni, G., Zangrillo, A., Lomivorotov, V. V., Likhvantsev, V., Ma, J., De Simone, F., Fominskiy, E. Tags: Adult Cardiac Source Type: research

Improved cognitive flexibility after aortic valve replacement surgery
CONCLUSIONS There was a marked improvement in cognitive performance following AVR surgery, specifically in executive control functions indicating improved cognitive flexibility. Cognitive improvement, as opposed to the typical trajectory of cognitive decline in an elderly population with vascular disease, emphasizes the importance of these results and points to AVR surgery as having potential benefits on brain health in general. Clinical Trials identifier NCT01953068. https://www.clinicaltrials.gov/ct2/show/NCT01953068?term=NCT01953068&rank=1. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Liimatainen, J., Peräkylä, J., Järvelä, K., Sisto, T., Yli-Hankala, A., Hartikainen, K. M. Tags: History Adult Cardiac Source Type: research

Partial replacement of left hemidiaphragm in dogs by either cryopreserved or decellularized heterograft patch
CONCLUSIONS The gross healing process in the decellularized heterograft is similar to the cryopreserved diaphragm but with fewer inflammatory cells and foreign body granulomas on histology. Both of them can be used instead of bioprostheses with regard to the fact that the decellularized patch technique is more complex and expensive. It is recommended to compare them with commercial bioprostheses. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Davari, H. R., Rahim, M. B., Tanideh, N., Sani, M., Tavakoli, H. R., Rasekhi, A. R., Monabati, A., Koohi-Hosseinabadi, O., Gholami, S. Tags: Chest wall, Diaphragm, Lung - basic science Thoracic Source Type: research

Pressure level required during prolonged cerebral perfusion time has no impact on neurological outcome: a propensity score analysis of 800 patients undergoing selective antegrade cerebral perfusion
CONCLUSIONS We hereby present SACP data as a real-time curve, based on a large patient cohort containing a total of 800 patients. Our perfusion strategy employing a lower selective cerebral perfusion pressure (~50 vs ~80 mmHg) is not associated with a higher rate of neurological complications during aortic surgery. This finding demonstrates that this perfusion strategy is a safe protocol in a clinical setting for a large cohort. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Li, Y., Siemeni, T., Optenhoefel, J., Martens, A., Boethig, D., Haverich, A., Shrestha, M. Tags: Pericardium Adult Cardiac Source Type: research

Early and mid-term results after hybrid total arch repair of DeBakey type I dissection without deep hypothermic circulatory arrest
CONCLUSIONS For patients with DeBakey type I dissection, the hybrid total arch procedure can be safely adopted with good mid-term results and with low morbidity and mortality. Longer-term follow-up is required to confirm the viability of this technique. (Source: Interactive CardioVascular and Thoracic Surgery)
Source: Interactive CardioVascular and Thoracic Surgery - September 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Liu, P., Chang, Q., Qian, X., Sun, X., Yu, C., Tian, C., Li, Y., Pei, H. Tags: Pericardium Adult Cardiac Source Type: research