Publisher: Sage Publications   (Total: 1166 journals)

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Showing 1 - 200 of 1166 Journals sorted alphabetically
AADE in Practice     Hybrid Journal   (Followers: 6)
Abstracts in Anthropology     Full-text available via subscription   (Followers: 29)
Academic Pathology     Open Access   (Followers: 6)
Accounting History     Hybrid Journal   (Followers: 18, SJR: 0.527, CiteScore: 1)
Acta Radiologica     Hybrid Journal   (Followers: 1, SJR: 0.754, CiteScore: 2)
Acta Radiologica Open     Open Access   (Followers: 2)
Acta Sociologica     Hybrid Journal   (Followers: 39, SJR: 0.939, CiteScore: 2)
Action Research     Hybrid Journal   (Followers: 53, SJR: 0.308, CiteScore: 1)
Active Learning in Higher Education     Hybrid Journal   (Followers: 396, SJR: 1.397, CiteScore: 2)
Adaptive Behavior     Hybrid Journal   (Followers: 9, SJR: 0.288, CiteScore: 1)
Administration & Society     Hybrid Journal   (Followers: 18, SJR: 0.675, CiteScore: 1)
Adoption & Fostering     Hybrid Journal   (Followers: 25, SJR: 0.313, CiteScore: 0)
Adsorption Science & Technology     Open Access   (Followers: 9, SJR: 0.258, CiteScore: 1)
Adult Education Quarterly     Hybrid Journal   (Followers: 260, SJR: 0.566, CiteScore: 2)
Adult Learning     Hybrid Journal   (Followers: 51)
Advances in Dental Research     Hybrid Journal   (Followers: 11, SJR: 1.791, CiteScore: 4)
Advances in Developing Human Resources     Hybrid Journal   (Followers: 35, SJR: 0.614, CiteScore: 2)
Advances in Mechanical Engineering     Open Access   (Followers: 156, SJR: 0.272, CiteScore: 1)
Advances in Methods and Practices in Psychological Science     Full-text available via subscription   (Followers: 20)
Advances in Structural Engineering     Full-text available via subscription   (Followers: 51, SJR: 0.599, CiteScore: 1)
AERA Open     Open Access   (Followers: 14)
Affilia     Hybrid Journal   (Followers: 6, SJR: 0.496, CiteScore: 1)
Africa Spectrum     Open Access   (Followers: 17)
Agrarian South : J. of Political Economy     Hybrid Journal   (Followers: 3)
Air, Soil & Water Research     Open Access   (Followers: 13, SJR: 0.214, CiteScore: 1)
Alexandria : The J. of National and Intl. Library and Information Issues     Full-text available via subscription   (Followers: 68)
Allergy & Rhinology     Open Access   (Followers: 5)
AlterNative : An Intl. J. of Indigenous Peoples     Full-text available via subscription   (Followers: 39, SJR: 0.194, CiteScore: 0)
Alternative Law J.     Hybrid Journal   (Followers: 12, SJR: 0.176, CiteScore: 0)
Alternatives : Global, Local, Political     Hybrid Journal   (Followers: 12, SJR: 0.351, CiteScore: 1)
Alternatives to Laboratory Animals     Full-text available via subscription   (Followers: 11, SJR: 0.297, CiteScore: 1)
American Behavioral Scientist     Hybrid Journal   (Followers: 26, SJR: 0.982, CiteScore: 2)
American Economist     Hybrid Journal   (Followers: 7)
American Educational Research J.     Hybrid Journal   (Followers: 260, SJR: 2.913, CiteScore: 3)
American J. of Alzheimer's Disease and Other Dementias     Hybrid Journal   (Followers: 23, SJR: 0.67, CiteScore: 2)
American J. of Cosmetic Surgery     Hybrid Journal   (Followers: 9)
American J. of Evaluation     Hybrid Journal   (Followers: 18, SJR: 0.646, CiteScore: 2)
American J. of Health Promotion     Hybrid Journal   (Followers: 35, SJR: 0.807, CiteScore: 1)
American J. of Hospice and Palliative Medicine     Hybrid Journal   (Followers: 47, SJR: 0.65, CiteScore: 1)
American J. of Law & Medicine     Full-text available via subscription   (Followers: 12, SJR: 0.204, CiteScore: 1)
American J. of Lifestyle Medicine     Hybrid Journal   (Followers: 7, SJR: 0.431, CiteScore: 1)
American J. of Medical Quality     Hybrid Journal   (Followers: 13, SJR: 0.777, CiteScore: 1)
American J. of Men's Health     Open Access   (Followers: 9, SJR: 0.595, CiteScore: 2)
American J. of Rhinology and Allergy     Hybrid Journal   (Followers: 11, SJR: 0.972, CiteScore: 2)
American J. of Sports Medicine     Hybrid Journal   (Followers: 248, SJR: 3.949, CiteScore: 6)
American Politics Research     Hybrid Journal   (Followers: 36, SJR: 1.313, CiteScore: 1)
American Review of Public Administration     Hybrid Journal   (Followers: 28, SJR: 2.062, CiteScore: 2)
American Sociological Review     Hybrid Journal   (Followers: 357, SJR: 6.333, CiteScore: 6)
American String Teacher     Full-text available via subscription   (Followers: 3)
Analytical Chemistry Insights     Open Access   (Followers: 26, SJR: 0.224, CiteScore: 1)
Angiology     Hybrid Journal   (Followers: 5, SJR: 0.849, CiteScore: 2)
Animation     Hybrid Journal   (Followers: 15, SJR: 0.197, CiteScore: 0)
Annals of Clinical Biochemistry     Hybrid Journal   (Followers: 10, SJR: 0.634, CiteScore: 1)
Annals of Otology, Rhinology & Laryngology     Hybrid Journal   (Followers: 20, SJR: 0.807, CiteScore: 1)
Annals of Pharmacotherapy     Hybrid Journal   (Followers: 59, SJR: 1.096, CiteScore: 2)
Annals of the American Academy of Political and Social Science     Hybrid Journal   (Followers: 51, SJR: 1.225, CiteScore: 3)
Annals of the ICRP     Hybrid Journal   (Followers: 4, SJR: 0.548, CiteScore: 1)
Anthropocene Review     Hybrid Journal   (Followers: 8, SJR: 3.341, CiteScore: 7)
Anthropological Theory     Hybrid Journal   (Followers: 48, SJR: 0.739, CiteScore: 1)
Antitrust Bulletin     Hybrid Journal   (Followers: 14)
Antiviral Chemistry and Chemotherapy     Open Access   (Followers: 2, SJR: 0.635, CiteScore: 2)
Antyajaa : Indian J. of Women and Social Change     Hybrid Journal   (Followers: 1)
Applied Biosafety     Hybrid Journal   (Followers: 1, SJR: 0.131, CiteScore: 0)
Applied Psychological Measurement     Hybrid Journal   (Followers: 21, SJR: 1.17, CiteScore: 1)
Applied Spectroscopy     Full-text available via subscription   (Followers: 27, SJR: 0.489, CiteScore: 2)
Armed Forces & Society     Hybrid Journal   (Followers: 25, SJR: 0.29, CiteScore: 1)
Arthaniti : J. of Economic Theory and Practice     Full-text available via subscription  
Arts and Humanities in Higher Education     Hybrid Journal   (Followers: 49, SJR: 0.305, CiteScore: 1)
Asia Pacific Media Educator     Hybrid Journal   (Followers: 1, SJR: 0.23, CiteScore: 0)
Asia-Pacific J. of Management Research and Innovation     Full-text available via subscription   (Followers: 3)
Asia-Pacific J. of Public Health     Hybrid Journal   (Followers: 15, SJR: 0.558, CiteScore: 1)
Asia-Pacific J. of Rural Development     Hybrid Journal   (Followers: 2)
Asian and Pacific Migration J.     Full-text available via subscription   (Followers: 8, SJR: 0.324, CiteScore: 1)
Asian Cardiovascular and Thoracic Annals     Hybrid Journal   (Followers: 2, SJR: 0.305, CiteScore: 0)
Asian J. of Comparative Politics     Hybrid Journal   (Followers: 5)
Asian J. of Legal Education     Full-text available via subscription   (Followers: 4)
Asian J. of Management Cases     Hybrid Journal   (Followers: 6, SJR: 0.101, CiteScore: 0)
ASN Neuro     Open Access   (Followers: 2, SJR: 1.534, CiteScore: 3)
Assessment     Hybrid Journal   (Followers: 19, SJR: 1.519, CiteScore: 3)
Assessment for Effective Intervention     Hybrid Journal   (Followers: 15, SJR: 0.578, CiteScore: 1)
Australasian J. of Early Childhood     Hybrid Journal   (Followers: 7, SJR: 0.535, CiteScore: 1)
Australasian Psychiatry     Hybrid Journal   (Followers: 18, SJR: 0.433, CiteScore: 1)
Australian & New Zealand J. of Psychiatry     Hybrid Journal   (Followers: 30, SJR: 1.801, CiteScore: 2)
Australian and New Zealand J. of Criminology     Hybrid Journal   (Followers: 545, SJR: 0.612, CiteScore: 1)
Australian J. of Career Development     Hybrid Journal   (Followers: 5)
Australian J. of Education     Hybrid Journal   (Followers: 51, SJR: 0.403, CiteScore: 1)
Australian J. of Management     Hybrid Journal   (Followers: 13, SJR: 0.497, CiteScore: 1)
Autism     Hybrid Journal   (Followers: 356, SJR: 1.739, CiteScore: 4)
Autism & Developmental Language Impairments     Open Access   (Followers: 17)
Avian Biology Research     Hybrid Journal   (Followers: 6, SJR: 0.401, CiteScore: 1)
Behavior Modification     Hybrid Journal   (Followers: 14, SJR: 0.877, CiteScore: 2)
Behavioral and Cognitive Neuroscience Reviews     Hybrid Journal   (Followers: 27)
Behavioral Disorders     Hybrid Journal   (Followers: 1)
Beyond Behavior     Hybrid Journal   (Followers: 2)
Bible Translator     Hybrid Journal   (Followers: 13)
Biblical Theology Bulletin     Hybrid Journal   (Followers: 24, SJR: 0.184, CiteScore: 0)
Big Data & Society     Open Access   (Followers: 55)
Biochemistry Insights     Open Access   (Followers: 7)
Bioinformatics and Biology Insights     Open Access   (Followers: 12, SJR: 1.141, CiteScore: 2)
Biological Research for Nursing     Hybrid Journal   (Followers: 7, SJR: 0.685, CiteScore: 2)
Biomarker Insights     Open Access   (Followers: 1, SJR: 0.81, CiteScore: 2)
Biomarkers in Cancer     Open Access   (Followers: 11)
Biomedical Engineering and Computational Biology     Open Access   (Followers: 14)
Biomedical Informatics Insights     Open Access   (Followers: 8)
Bioscope: South Asian Screen Studies     Hybrid Journal   (Followers: 4, SJR: 0.235, CiteScore: 0)
BMS: Bulletin of Sociological Methodology/Bulletin de Méthodologie Sociologique     Hybrid Journal   (Followers: 4, SJR: 0.226, CiteScore: 0)
Body & Society     Hybrid Journal   (Followers: 29, SJR: 1.531, CiteScore: 3)
Bone and Tissue Regeneration Insights     Open Access   (Followers: 2)
Brain and Neuroscience Advances     Open Access  
Brain Science Advances     Open Access  
Breast Cancer : Basic and Clinical Research     Open Access   (Followers: 12, SJR: 0.823, CiteScore: 2)
British J. of Music Therapy     Hybrid Journal   (Followers: 9)
British J. of Occupational Therapy     Hybrid Journal   (Followers: 253, SJR: 0.323, CiteScore: 1)
British J. of Pain     Hybrid Journal   (Followers: 31, SJR: 0.579, CiteScore: 2)
British J. of Politics and Intl. Relations     Hybrid Journal   (Followers: 39, SJR: 0.91, CiteScore: 2)
British J. of Visual Impairment     Hybrid Journal   (Followers: 14, SJR: 0.337, CiteScore: 1)
British J.ism Review     Hybrid Journal   (Followers: 18)
BRQ Business Review Quarterly     Open Access   (Followers: 1)
Building Acoustics     Hybrid Journal   (Followers: 4, SJR: 0.215, CiteScore: 1)
Building Services Engineering Research & Technology     Hybrid Journal   (Followers: 3, SJR: 0.583, CiteScore: 1)
Bulletin of Science, Technology & Society     Hybrid Journal   (Followers: 9)
Business & Society     Hybrid Journal   (Followers: 15)
Business and Professional Communication Quarterly     Hybrid Journal   (Followers: 9, SJR: 0.348, CiteScore: 1)
Business Information Review     Hybrid Journal   (Followers: 17, SJR: 0.279, CiteScore: 0)
Business Perspectives and Research     Hybrid Journal   (Followers: 3)
Cahiers Élisabéthains     Hybrid Journal   (Followers: 1, SJR: 0.111, CiteScore: 0)
Calcutta Statistical Association Bulletin     Hybrid Journal   (Followers: 1)
California Management Review     Hybrid Journal   (Followers: 37, SJR: 2.209, CiteScore: 4)
Canadian Association of Radiologists J.     Full-text available via subscription   (Followers: 2, SJR: 0.463, CiteScore: 1)
Canadian J. of Kidney Health and Disease     Open Access   (Followers: 8, SJR: 1.007, CiteScore: 2)
Canadian J. of Nursing Research (CJNR)     Hybrid Journal   (Followers: 15)
Canadian J. of Occupational Therapy     Hybrid Journal   (Followers: 167, SJR: 0.626, CiteScore: 1)
Canadian J. of Psychiatry     Hybrid Journal   (Followers: 28, SJR: 1.769, CiteScore: 3)
Canadian J. of School Psychology     Hybrid Journal   (Followers: 12, SJR: 0.266, CiteScore: 1)
Canadian Pharmacists J. / Revue des Pharmaciens du Canada     Hybrid Journal   (Followers: 3, SJR: 0.536, CiteScore: 1)
Cancer Control     Open Access   (Followers: 2)
Cancer Growth and Metastasis     Open Access   (Followers: 1)
Cancer Informatics     Open Access   (Followers: 4, SJR: 0.64, CiteScore: 1)
Capital and Class     Hybrid Journal   (Followers: 10, SJR: 0.282, CiteScore: 1)
Cardiac Cath Lab Director     Full-text available via subscription   (Followers: 1)
Cardiovascular and Thoracic Open     Open Access   (Followers: 1)
Career Development and Transition for Exceptional Individuals     Hybrid Journal   (Followers: 10, SJR: 0.44, CiteScore: 1)
Cartilage     Hybrid Journal   (Followers: 6, SJR: 0.889, CiteScore: 3)
Cell Transplantation     Open Access   (Followers: 5, SJR: 1.023, CiteScore: 3)
Cephalalgia     Hybrid Journal   (Followers: 8, SJR: 1.581, CiteScore: 3)
Cephalalgia Reports     Open Access   (Followers: 4)
Child Language Teaching and Therapy     Hybrid Journal   (Followers: 34, SJR: 0.501, CiteScore: 1)
Child Maltreatment     Hybrid Journal   (Followers: 11, SJR: 1.22, CiteScore: 3)
Child Neurology Open     Open Access   (Followers: 6)
Childhood     Hybrid Journal   (Followers: 19, SJR: 0.894, CiteScore: 2)
Childhood Obesity and Nutrition     Open Access   (Followers: 12)
China Information     Hybrid Journal   (Followers: 9, SJR: 0.767, CiteScore: 2)
China Report     Hybrid Journal   (Followers: 11, SJR: 0.221, CiteScore: 0)
Chinese J. of Sociology     Full-text available via subscription   (Followers: 5)
Christian Education J. : Research on Educational Ministry     Hybrid Journal   (Followers: 1)
Chronic Illness     Hybrid Journal   (Followers: 6, SJR: 0.672, CiteScore: 2)
Chronic Respiratory Disease     Hybrid Journal   (Followers: 12, SJR: 0.808, CiteScore: 2)
Chronic Stress     Open Access  
Citizenship, Social and Economics Education     Full-text available via subscription   (Followers: 6, SJR: 0.145, CiteScore: 0)
Cleft Palate-Craniofacial J.     Hybrid Journal   (Followers: 8, SJR: 0.757, CiteScore: 1)
Clin-Alert     Hybrid Journal   (Followers: 1)
Clinical and Applied Thrombosis/Hemostasis     Open Access   (Followers: 32, SJR: 0.49, CiteScore: 1)
Clinical and Translational Neuroscience     Open Access   (Followers: 1)
Clinical Case Studies     Hybrid Journal   (Followers: 3, SJR: 0.364, CiteScore: 1)
Clinical Child Psychology and Psychiatry     Hybrid Journal   (Followers: 45, SJR: 0.73, CiteScore: 2)
Clinical EEG and Neuroscience     Hybrid Journal   (Followers: 8, SJR: 0.552, CiteScore: 2)
Clinical Ethics     Hybrid Journal   (Followers: 13, SJR: 0.296, CiteScore: 1)
Clinical Medicine Insights : Arthritis and Musculoskeletal Disorders     Open Access   (Followers: 3, SJR: 0.537, CiteScore: 2)
Clinical Medicine Insights : Blood Disorders     Open Access   (Followers: 1, SJR: 0.314, CiteScore: 2)
Clinical Medicine Insights : Cardiology     Open Access   (Followers: 8, SJR: 0.686, CiteScore: 2)
Clinical Medicine Insights : Case Reports     Open Access   (Followers: 1, SJR: 0.283, CiteScore: 1)
Clinical Medicine Insights : Circulatory, Respiratory and Pulmonary Medicine     Open Access   (Followers: 4, SJR: 0.425, CiteScore: 2)
Clinical Medicine Insights : Ear, Nose and Throat     Open Access   (Followers: 2)
Clinical Medicine Insights : Endocrinology and Diabetes     Open Access   (Followers: 33, SJR: 0.63, CiteScore: 2)
Clinical Medicine Insights : Oncology     Open Access   (Followers: 3, SJR: 1.129, CiteScore: 3)
Clinical Medicine Insights : Pediatrics     Open Access   (Followers: 3)
Clinical Medicine Insights : Psychiatry     Open Access   (Followers: 10)
Clinical Medicine Insights : Reproductive Health     Open Access   (Followers: 1, SJR: 0.776, CiteScore: 0)
Clinical Medicine Insights : Therapeutics     Open Access   (Followers: 1, SJR: 0.172, CiteScore: 0)
Clinical Medicine Insights : Trauma and Intensive Medicine     Open Access   (Followers: 4)
Clinical Medicine Insights : Urology     Open Access   (Followers: 3)
Clinical Medicine Insights : Women's Health     Open Access   (Followers: 4)
Clinical Nursing Research     Hybrid Journal   (Followers: 34, SJR: 0.471, CiteScore: 1)
Clinical Pathology     Open Access   (Followers: 5)
Clinical Pediatrics     Hybrid Journal   (Followers: 25, SJR: 0.487, CiteScore: 1)
Clinical Psychological Science     Hybrid Journal   (Followers: 16, SJR: 3.281, CiteScore: 5)
Clinical Rehabilitation     Hybrid Journal   (Followers: 78, SJR: 1.322, CiteScore: 3)
Clinical Risk     Hybrid Journal   (Followers: 5, SJR: 0.133, CiteScore: 0)
Clinical Trials     Hybrid Journal   (Followers: 22, SJR: 2.399, CiteScore: 2)
Clothing and Textiles Research J.     Hybrid Journal   (Followers: 28, SJR: 0.36, CiteScore: 1)
Collections : A J. for Museum and Archives Professionals     Full-text available via subscription   (Followers: 3)
Common Law World Review     Full-text available via subscription   (Followers: 17)
Communication & Sport     Hybrid Journal   (Followers: 8, SJR: 0.385, CiteScore: 1)
Communication and the Public     Hybrid Journal   (Followers: 2)
Communication Disorders Quarterly     Hybrid Journal   (Followers: 15, SJR: 0.458, CiteScore: 1)
Communication Research     Hybrid Journal   (Followers: 24, SJR: 2.171, CiteScore: 3)
Community College Review     Hybrid Journal   (Followers: 8, SJR: 1.451, CiteScore: 1)
Comparative Political Studies     Hybrid Journal   (Followers: 292, SJR: 3.772, CiteScore: 3)
Compensation & Benefits Review     Hybrid Journal   (Followers: 8)
Competition & Change     Hybrid Journal   (Followers: 12, SJR: 0.843, CiteScore: 2)

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Similar Journals
Journal Cover
Asian Cardiovascular and Thoracic Annals
Journal Prestige (SJR): 0.305
Number of Followers: 2  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 0218-4923 - ISSN (Online) 1816-5370
Published by Sage Publications Homepage  [1166 journals]
  • Blood-filled, pouch-forming tricuspid septal leaflet in a patient with
           tricuspid valve dysplasia

    • Free pre-print version: Loading...

      Authors: Yuchen Cao, Hidetsugu Asai, Takuya Okamoto, Jin Ikarashi, Tsuyoshi Tachibana
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.

      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-10-16T07:07:50Z
      DOI: 10.1177/02184923211053711
       
  • Aortic valve replacement using Konno procedure for prior Yasui procedure

    • Free pre-print version: Loading...

      Authors: Yuki Nakayama, Yusuke Iwata, Takashi Kuwahara, Naoki Kuwabara, Kentaro Omoya, Takamasa Takeuchi
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      A 2-year-old girl underwent conversion to the Konno procedure by removing the Damus–Kaye–Stansel anastomosis after the neonatal Yasui procedure for an interrupted aortic arch with left ventricular outflow tract stenosis. Her postoperative course was uneventful. However, left ventricular outflow tract restenosis occurred due to narrowed ventricular septal defect and moderate neoaortic regurgitation from the old pulmonary valve. The Konno procedure was performed by removing the Damus–Kaye–Stansel anastomosis for left ventricular outflow tract restenosis and neoaortic regurgitation and performing right ventricular outflow tract reconstruction and ventricular septal defect closure. Left ventricular outflow tract restenosis was not observed.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-10-06T02:18:27Z
      DOI: 10.1177/02184923211052340
       
  • Innovative techniques of left atrial exposure in minimally invasive mitral
           valve repair

    • Free pre-print version: Loading...

      Authors: Dat T Pham, Thanh N Le, Hung Q Doan
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Various atrial retractors have been developed to achieve optimal exposure of mitral valve in minimally invasive surgery. We introduce our technique of only using retraction sutures to expose mitral valve. This method is simple, efficient, and provides good exposure of the left atrium without causing traumatic injury.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-10-04T10:42:00Z
      DOI: 10.1177/02184923211046698
       
  • Open-sleeve technique: A new approach for aortic valve leaflet
           reconstruction in small children

    • Free pre-print version: Loading...

      Authors: Motonori Ishidou, Keiichi Hirose, Akio Ikai, Kisaburo Sakamoto
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      A boy was diagnosed with a unicuspid aortic valve with severe stenosis at birth. Percutaneous balloon aortic valvuloplasty was performed four times; however, he had severe heart and growth failure. Thus, aortic valve repair was performed at age 2 years and 6 months. He weighed 6.6 kg. The aortic valve annulus diameter was 9.8 mm (z value = 0.43). We report on a small toddler with congenital aortic stenosis who was successfully treated with autologous pericardial aortic valve leaflet reconstruction using the open-sleeve technique.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-10-04T10:41:50Z
      DOI: 10.1177/02184923211050486
       
  • Ventricular septal defect with anomalous origin of the left descending
           

    • Free pre-print version: Loading...

      Authors: Guillaume Carles, Marianne Peyre, Alexia Dabadie, Loïc Macé, Marien Lenoir
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Patients with anomalous aortic origin of the left anterior descending coronary artery (AAOCA) from the right sinus of Valsava, and associated with a trans-septal course, are recommended for surgery only when symptoms of ischemia are present. The transconal unroofing method is straightforward and provides good anatomic result. In absence of significant coronary compression, surgical management of the trans-septal coronary course is proposed if the patient is a candidate to cardiac surgery for another reason, such as congenital heart disease. We describe a transconal approach in a patient with a trans-septal coronary artery and a ventricular septal defect.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-10-04T10:41:30Z
      DOI: 10.1177/02184923211047054
       
  • Comprehensive left ventricular outflow tract management beyond septal
           reduction to relieve obstruction

    • Free pre-print version: Loading...

      Authors: Lara Gharibeh, Nicholas G Smedira, Juan B Grau
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      The surgical management of patients with hypertrophic obstructive cardiomyopathy can be extremely challenging. Relieving the left ventricular outflow tract obstruction in these patients is often achieved by performing a septal myectomy. However, in many instances, septal reduction alone is not enough to relieve the obstruction. Interventions on the sub-valvular apparatus, including the anomalous chordae tendineae and the abnormal papillary muscles, are often required. In this review, we summarize the embryology and the pathophysiology of the different elements that may contribute to the left ventricular outflow tract obstruction in the setting of hypertrophic obstructive cardiomyopathy. In addition, we highlight the different surgical procedures that a surgeon may adopt to relieve the left ventricular outflow tract obstruction, beyond the septal myectomy.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-10-04T10:30:01Z
      DOI: 10.1177/02184923211034689
       
  • Lambert–Eaton myasthenic syndrome revealed after surgery of lung
           adenocarcinoma

    • Free pre-print version: Loading...

      Authors: El Hassane Kabiri, Massine El Hammoumi, Yassir Sbitti
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      We report a very rare case of cT1N0M0 lung adenocarcinoma reveling Lambert-Eaton myasthenic syndrome (LEMS). A 69-year-old nonsmoking woman, with several comorbidities consulted for cough and dyspnea. Chest radiograph and CT scanning detected a left lower lobe mass; Needle biopsy confirmed differentiated adenocarcinoma; 18FDG-PET scan and Brain MRI eliminated metastatic disease dissemination. Our patient underwent a left lower lobectomy with mediastinal lymphadenectomy (pT1N0M0), no adjuvant chemotherapy was administrated. One month later patient present a muscle weakness in both lower limbs and fatigability followed by an inability to walk. The diagnosis of LEMS was made from the distinctive electromyogram (EMG) findings and a treatment with Amifampridine (3, 4-diaminopyridine phosphate [3, 4-DAP]) was prescribed with evident efficacy for symptoms.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-10-04T10:29:47Z
      DOI: 10.1177/02184923211051796
       
  • Surgical Septal Myectomy for Hypertrophic cardiomyopathy. The Iranian
           Experience

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      Authors: Alireza Alizadeh Ghavidel, Azin Alizadehasl, Ehsan Khalilipur, Ahmadali Amirghofran, Hanieh Nezhadbahram, Rasoul Azarfarin
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      IntroductionHypertrophic obstructive cardiomyopathy (HOCM) is a hereditary heart muscle disorder characterized by significant myocardial hypertrophy. we assessed perioperative and long-term follow-up data of Iranian HOCM patients who underwent SM in 2 pioneering centers.MethodsClinical data of patients with HOCM septal myectomy are collected. Thirty-day outcome and long-term follow-up data for recurrence of gradient and mortality are reported.ResultsNinety-six patients in two different centers enrolled in the study. Most patients of 52 patients in center 1 were male (34/52 [65.3%]).and the mean age was of 36.7  ±  19 years. Syncope before admission was reported in 5.7%, the mean left ventricular ejection fraction on admission was 53  ±  8%, the mean left ventricular outflow tract gradient was 66.3  ±  20.4 mm Hg, and the mean preoperativeseptal thickness was 25.4  ±  6.7 mm. A redo SM was performed in 3 patients (5.8%), mitral valve repair in 5 patients (9.6%), and atrioventricular repair in 5 patients (9.6%). A residual systolic anterior motion was detected in 4 patients (7.7%), the mean postoperative septal thickness was 19  ±  6 mm (25.1% septal thickness reduction), and in-hospital mortality was 5.8% (n  =  3). A longer-term follow-up showed death in 3 patients (5.8%) and late recurrent left ventricular outflow tract obstruction in 1 patient.ConclusionsTransaortic myectomy is an effective surgery with acceptable early and late mortality rates. Improvements in functional status are seen in almost all patients. Appropriate SM is crucial to a good clinical outcome. Long-term survival is excellent and cardiac sudden death is extremely rare after a good surgical treatment.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-10-04T03:03:16Z
      DOI: 10.1177/02184923211044582
       
  • Hypertrophic cardiomyopathy in children

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      Authors: Shuiyun Wang, Changsheng Zhu
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Hypertrophic cardiomyopathy (HCM) characterized by asymmetric ventricular septal hypertrophy, is the commonest cause of sudden cardiac death (SCD) in the young. The underlying etiology of HCM in the childhood and adolescent patients is diverse. Moreover, the prognosis of pediatric HCM depends on the age of presentation and etiology. Despite the complexity of children with obstructive HCM, surgical treatment results in a favorable outcome for carefully selected patients in experienced tertiary referral center in contemporary era. Implantable cardioverter-defibrillator (ICD) remains the most effective and reliable treatment to prevent SCD. New pediatric SCD risk prediction model, which has good discrimination and calibration and can distinguish patients who are most benefit from an ICD implantation, is expected to be further refined in the future.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-09-27T10:03:58Z
      DOI: 10.1177/02184923211041285
       
  • One-stage thoracoscopic resection of bilateral bronchiectasis

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      Authors: Ming-Ho Wu, Han-Yun Wu
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      ObjectiveTo evaluate the results of one-stage thoracoscopic resection of bilateral bronchiectasis.MethodsBetween June 2009 and December 2020, there were 23 patients selected for one-stage thoracoscopic resection of bilateral bronchiectasis. Their average age was 58.5 (36–73). Female patients were more common, accounting for 17 (74%). Preoperatively, 17 (74%) patients mainly presented with hemoptysis and the other 6 (26%) patients with purulent sputum.ResultsIn these 23 patients, a total of 121 segments were resected, with an average of 5.26 segments, ranging from 3 to 9 segments. Five of 17 patients with massive hemoptysis underwent ligation of bronchial arteries in addition to lung resections. The average operating time was 271 min, ranging from 145 to 500 min. The average blood loss was 108 ml, ranging from 20 to 600 ml. The average postoperative hospital stay was 8 days, ranging from 3 to 20 days. There was no surgical morbidity or surgical death. Hemoptysis and purulent sputum of all patients was almost controlled after surgery.ConclusionOne-stage thoracoscopic resections of bilateral localized bronchiectasis could be well-tolerated and safe for these selected patients. The one-stage operation could shorten the course of treatment.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-09-24T10:28:56Z
      DOI: 10.1177/02184923211044399
       
  • Prognostic impact of tumor-infiltrating lymphocytes in non-small cell lung
           carcinomas

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      Authors: Mona Mlika, Ayoub Saidi, Nesrine Mejri, Mehdi Abdennadher, Chokri Haddouchi, Soumeya Labidi, Hyem Khiari, Hamouda Boussen, Mohamed Hsairi, Faouzi Mezni
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      IntroductionTumor-infiltrating lymphocytes represent a pivotal component of the host anti-tumor response. Thus, they considerably influence the evolution of cancers including non-small cell lung carcinomas. Even if, this important role is consensual, many discordant results are published in the literature about the prognostic role of the different populations of tumor-infiltrating lymphocytes. The aim of our work was to evaluate the prognostic impact of CD8+, CD4+, and forkhead box protein P3+ lymphocytes in the tumor microenvironment of non-small cell lung carcinomas.MethodsWe conducted a retrospective descriptive study, which included non-small cell lung carcinomas diagnosed in the department of pathology and followed in the medical oncology department of the same hospital between 2011 and 2015. Tumor-infiltrating lymphocytes were analyzed by the immunohistochemical method for forkhead box protein P3, CD4, and CD8. Intratumoral and stromal-labeled lymphocytes were quantified by manual counting at high magnification (×400). Forkhead box protein P3+/CD8+, forkhead box protein P3+/CD4+, and CD8+/CD4+ ratios were subsequently calculated. The prognostic value of tumor-infiltrating lymphocytes was assessed in respect of overall survival, recurrence-free survival, and relapse-free survival.ResultsThirty-nine patients were included. The mean age of patients was 59.6 years. A complete surgical resection (p = 0.009), and a CD8/CD4 ratio (p = 0.008) were prognostic factors for overall survival. Complete surgical resection (p = 0.003), the forkhead box protein P3/CD8 (p = 0.005), and forkhead box protein P3/CD4 (p = 0.037) ratios were prognostic factors for recurrence-free survival. The CD8+ tumor-infiltrating lymphocytes rate (p = 0.037) was a prognostic factor for relapse-free survival with a threshold of 67.8/high power field. Microscopic subtype (p = 0.037) was a prognostic factor for relapse-free survival when only adenocarcinoma and squamous cell carcinoma were considered. In multivariate analysis, age (p = 0.004) and a CD8/CD4 ratio (p = 0.016) were independent predictors of overall survival.ConclusionDespite the limitations of our study, our results confirm the prognostic value of tumor-infiltrating lymphocytes in non-small cell lung carcinomas and the importance of the combined quantification of their different subpopulations.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-09-24T10:26:25Z
      DOI: 10.1177/02184923211042129
       
  • Preintervention imaging and intraoperative management care of the
           hypertrophic obstructive cardiomyopathy patient

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      Authors: Jacobo Moreno Garijo, Cristina Ibáñez, Juan M Perdomo, Martin D Abel, Massimiliano Meineri
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      With an estimated overall mortality of less than 1 percent per year, hypertrophic cardiomyopathy, is the most common genetic cardiomyopathy. Intraoperative transesophageal echocardiography is the standard of care for assessing patients with hypertrophic obstructive cardiomyopathy undergoing surgical septal myectomy, allowing surgical planning, intraoperative hemodynamic monitoring, and postprocedural assessment of the repair, including detection of immediate complications. At various phases during surgical septal myectomy, the changing hemodynamic conditions may lead to worsening or improvement in left ventricle outflow tract obstruction by change in preload or afterload, systolic anterior motion of the mitral valve, or sympathetic stimulation. These characteristics represent unique challenges in the management of these patients, requiring a comprehensive understanding of the management of all the conditions required to decrease the left ventricle outflow tract gradient avoiding obstruction, which include the maintenance of sinus rhythm, adequate rate avoiding tachycardia and bradycardia, and avoidance of systemic hypotension preserving preload and afterload, with adequate vasoactive agents. The aim of this review is to summarize the perioperative assessment and management of patients undergoing hypertrophic obstructive myopathy surgery.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-09-24T02:50:19Z
      DOI: 10.1177/02184923211047126
       
  • Modified del Nido versus blood cardioplegia in congenital cardiac surgery

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      Authors: Pitipong Sithiamnuai, Teerapong Tocharoenchok
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundLactated Ringer-based del Nido cardioplegia has been reported to be safe for acquired cardiac surgery. The original Plasma-Lyte-based solution has been proved for congenital cardiac surgery but its modification has not been adequately examined. We compared the clinical outcomes of congenital cardiac surgery using lactated Ringer-based del Nido cardioplegia versus cold blood cardioplegia.MethodsBetween September 2018 and November 2020, 116 consecutive patients with congenital heart disease undergoing operations with cardioplegic arrest performed by a single surgeon at Faculty of Medicine Siriraj hospital; 66 with modified del Nido solution and 50 with institutional's blood cardioplegia. The patient risk profiles, operative details, mortality rates, care durations, inotrope use, blood transfusion and complications were compared.ResultsPreoperative characteristics were similar between groups, including median age (2.5 vs. 3.1 years; p = 0.49), size, and gender. The Society of Thoracic Surgeons-European Association for Cardio-Thoracic Surgery score of 3 to 5 was more prevalent in the del Nido group (24.2% vs. 10%; p = 0.049). There were 4 deaths in the modified del Nido group (risk category score of 4) but none in the cold blood group (p = 0.13). There was no significant difference in median intubation duration, length of intensive care unit stay, and vasoactive medications immediately and 24 h after the operation. The del Nido group required 70 to 100 ml less blood transfusion (p = 0.04). All complications were similar between the two groups.ConclusionsClinical outcomes of lactated Ringer-based del Nido cardioplegia were comparable to those of blood cardioplegia in congenital cardiac surgery.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-09-23T12:26:39Z
      DOI: 10.1177/02184923211048332
       
  • Superior vena cava duplication associated with carcinoid tumor of the left
           lower lobe of the lung

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      Authors: El Hassane Kabiri, Massine El Hammoumi
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.

      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-09-22T11:17:30Z
      DOI: 10.1177/02184923211048330
       
  • Primary signet ring cell histology does not portend worse survival for
           early stage lung cancer following lobectomy

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      Authors: Terrance Peng, Anita Yau, Li Ding, Elizabeth A. David, Sean C. Wightman, Scott M. Atay, Anthony W. Kim
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      IntroductionSignet ring cell (SRC) histology is considered a poor prognostic factor in various cancers. However, primary SRC lung adenocarcinoma is rare and poorly understood.MethodsThe National Cancer Database was queried to identify treatment-naïve patients who received lobectomy for primary SRC or non-SRC pT1-2N0 lung adenocarcinoma
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-09-22T11:16:37Z
      DOI: 10.1177/02184923211045910
       
  • Proposition of quantitative parameters for pre- and early post-operative
           assessment in pulmonary thromboendarterectomy – An Indian prospective
           study

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      Authors: Krishnarao N Bhosle, Saptarshi Paul, Suraj W Nagre
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      IntroductionChronic thromboembolic pulmonary hypertension results from the incomplete resolution of the vascular obstruction associated with pulmonary embolism. Symptoms are exertional dyspnoea and fatigue, and over a period of time, right ventricular dysfunction sets in. Pulmonary thromboendarterectomy is an effective surgical remedy for this condition. Our study is an initial post-operative experience of pulmonary thromboendarterectomy and we have also tried to formulate quantitative parameters for the prediction of the post-operative course in patients who are undergoing surgery.MethodsTwenty patients with chronic thromboembolic pulmonary hypertension underwent pulmonary thromboendarterectomy between July 2017 and January 2020. Pre-operatively, each patient was subjected to the (i) 6-min walk test, (ii) pre-operative brain natriuretic peptide values and (iii) pulmonary artery systolic pressure. Following the surgery and subsequent discharge, the patients were followed up at intervals of 15 days, 1, 3, 6, 9 months and at 1 year. At one year post-operatively, the same three quantitative tests were performed on each subject.ResultsPost-operatively, the mean 6-min walk distance was 499.75 m as against 341.35 m pre-operatively (p 
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-09-20T09:34:26Z
      DOI: 10.1177/02184923211042183
       
  • Pseudoaneurysm following a neonatal coarctation repair; a dreadful
           complication

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      Authors: Subramanian Chellappan, Krishna Manohar, Yogesh Sathe, Arya James, Radha Joshi, Ameer Hamza
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Aneurysms of descending thoracic aorta following surgical repair of coarctation have been reported in literature. Almost always, they are seen in repairs involving prosthetic patch aortoplasty. We report a neonate who underwent resection and an extended end to end anastomosis repair of coarctation and subsequently developed a huge pseudoaneurysm at a 3-month follow-up. He underwent a repair of the same through a sternotomy approach under hypothermic low flow cardiopulmonary bypass. An autologous pericardial patch aortoplasty was done successfully.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-09-15T05:27:20Z
      DOI: 10.1177/02184923211042414
       
  • Primary central pulmonary artery plasty for right atrial isomerism with
           pulmonary coarctation

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      Authors: Motonori Ishidou, Keiichi Hirose, Akio Ikai, Kisaburo Sakamoto
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      ObjectivePatients with unbalanced pulmonary artery growth resulting from pulmonary coarctation are considered unsuitable candidates for the Fontan procedure. Particularly, patients with right isomerism pose a challenge. We aimed to investigate the use of primary central pulmonary artery plasty at initial palliation in patients with right isomerism.MethodsWe recruited 34 right isomerism patients with pulmonary atresia and pulmonary coarctation who underwent modified Blalock-Taussig shunt with or without primary central pulmonary artery plasty between 1998 and 2014. We classified them into the primary central pulmonary artery plasty (group P) and no primary central pulmonary artery plasty (group N) groups. We retrospectively analyzed reintervention for pulmonary artery after initial palliation, difference in size between the left and right pulmonary arteries, overall survival, success of the Fontan procedure.ResultsThe group P and group N included 25 and 9 patients, respectively. Five (20%) and six (67%) patients in group P and group N, respectively, required reintervention for pulmonary artery after initial palliation (p = 0.017). No patient underwent reintervention for the pulmonary artery before bidirectional cavopulmonary shunt in group P. There was a significant difference in the bilateral pulmonary artery size balance between the groups before bidirectional cavopulmonary shunt (p = 0.041). The two-lung Fontan procedure was successful in 14 (56%) and 1 (11%) patient in group P and group N.ConclusionPrimary central pulmonary artery plasty may contribute toward improving the balance in the size of the PA and preclude the need for reintervention for PA.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-09-15T04:47:57Z
      DOI: 10.1177/02184923211045216
       
  • Single-lobe transplantation with contralateral pneumonectomy: Long-term
           survival

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      Authors: Masaki Ikeda, Hideki Motoyama, Makoto Sonobe, Hiroshi Date
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      We report two cases of long-term survival after single living-donor lobar lung transplantation with contralateral pneumonectomy. An 8-year-old female with pulmonary graft-versus-host disease after cord-blood transplantation underwent single living-donor lobar lung transplantation with simultaneous contralateral pneumonectomy due to an oversized graft. She has been performing daily life activities for ≥11 years with limited physical development. A 41-year-old female with short stature underwent single living-donor lobar lung transplantation due to pulmonary graft-versus-host disease after peripheral blood stem cell transplantation. Contralateral pneumonectomy was required 7 years following living-donor lobar lung transplantation due to pneumonia in the native lung. Eleven years after living-donor lobar lung transplantation, she is able to perform daily life activities.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-09-13T03:53:56Z
      DOI: 10.1177/02184923211044398
       
  • Tunnelling a calcified total occlusion

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      Authors: Jogendra Singh, Dibyasundar Mahanta, Rudra P Mahapatra, Ramachandra Barik
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Among the complex and high-risk coronary intervention cases, a calcified total occlusion of coronary artery poses a great challenge. We came across a 48 years old male who had calcified total occlusion of the right coronary artery. The chronic total occlusion was crossed using Nic-Nano balloon and the calcific plaque was modified using intravascular lithotripsy as an alternative technique to rotational atherectomy which we felt as an evolving alternative approach to treat the calcified total occlusion.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-09-08T04:16:52Z
      DOI: 10.1177/02184923211041078
       
  • Experience with pulmonary endarterectomy: Lessons learned across 17 years

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      Authors: Varun Shetty, Julius Punnen, Pooja Natarajan, Sanjay Orathi, Basha Khan, Deviprasad Shetty
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundPulmonary endarterectomy is potential curative therapy for chronic thromboembolic pulmonary hypertension patients. Here, we present our experience with pulmonary endarterectomy spanning 17 years and detail our management strategy.MethodsThis is a single-centre retrospective study conducted on chronic thromboembolic pulmonary hypertension patients who underwent pulmonary endarterectomy at our centre across 17 years.ResultsBetween 2004 and 2020, 591 patients underwent pulmonary endarterectomy. Amongst them 429 (72.4%) were males with a male to female ratio of 2.6:1, the median age was 38 (range, 14–73) years. The median length of hospital stay was 11 days (IQR, 8–16). Extra corporeal membranous oxygenation was used in 82 (13.9%) patients during/after surgery, out of whom 28 (34.1%) survived. There were 70 (11.8%) in-hospital deaths. Female gender (p 100 mmHg (p 
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-09-08T01:48:33Z
      DOI: 10.1177/02184923211044035
       
  • Balloon angioplasty: A promising adjunct to arteriovenous fistula creation
           compared with hydrostatic dilatation in small-caliber cephalic veins

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      Authors: Santosh K Tiwari, Rajendra P Basavanthappa, Ranjith K Anandasu, Sanjay C Desai, Chandrasekhar A Ramswamy, Luv Luthra, Vivek V Jayaprakash, Ashwini N Gangadharan, Adarsh K Maradupandian
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundTo maintain the patency and longevity of arteriovenous fistula, the availability of a venous segment with adequate diameter is important. In Indian population, many chronic kidney disease patients have poor caliber veins. The study aimed to evaluate the efficacy of hydrostatic dilatation versus Primary balloon angioplasty of small caliber cephalic veins of (≤2.5 mm) preoperatively in terms of patency rate and maturation time of arteriovenous fistula.MethodsPatients (n = 80) with an end-stage renal disease requiring arteriovenous access surgery for hemodialysis with small caliber cephalic veins were randomized into two groups, i.e., hydrostatic dilatation and primary balloon angioplasty, each with 40 patients. All patients underwent a thorough clinical examination as well as duplex ultrasound vein mapping of both upper extremities. Patients were followed up for six months and primary patency, maturation time, and complications were noted.ResultsImmediate technical success with good palpable thrill was achieved in 97.5% of patients in the primary balloon angioplasty group and 87.5% in the hydrostatic dilatation group. The fistula maturation time in the primary balloon angioplasty group was 34.41 days and 46.18 days in the hydrostatic dilatation group. In the primary balloon angioplasty group, the primary patency of the fistula was 97.5% and 87.5% in the hydrostatic dilatation group, at six months. The arteriovenous fistula functioning rate was 77.5% in the hydrostatic dilatation group as compared to 92.5% in the primary balloon angioplasty group at six months. The incidence of surgical site infection was 5% in the primary balloon angioplasty group as compared to 10% in the hydrostatic dilatation group.ConclusionPrimary balloon angioplasty of small caliber cephalic veins (≤2.5 mm) performed prior to arteriovenous fistula creation for hemodialysis is a beneficial procedure.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-09-08T01:47:38Z
      DOI: 10.1177/02184923211041502
       
  • Atrial fibrillation management during septal myectomy for hypertrophic
           cardiomyopathy: A systematic review

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      Authors: Michael Seco, Jonathan CL Lau, Caroline Medi, Paul G Bannon
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      IntroductionAtrial fibrillation is common in patients with hypertrophic cardiomyopathy, and significantly impacts mortality and morbidity. In patients with atrial fibrillation undergoing septal myectomy, concomitant surgery for atrial fibrillation may improve outcomes.MethodsA systematic review was performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. All studies reporting the outcomes of combined septal myectomy and atrial fibrillation surgery were included.ResultsA total of 10 observational studies were identified, including 644 patients. Most patients had paroxysmal atrial fibrillation. The proportion with prior unsuccessful ablation ranged from 0 to 19%, and preoperative left atrial diameter ranged from 44 ± 17 to 52 ± 8 mm. Cox–Maze IV (n = 311) was the most common technique used, followed by pulmonary vein isolation (n = 222) and Cox–Maze III (n = 98). Patients with persistent or longstanding atrial fibrillation more frequently received Cox–Maze III/IV. Ranges of early postoperative outcomes included: mortality 0 to 7%, recurrence of atrial tachyarrhythmias 4.4 to 48%, cerebrovascular events 0 to 1.5%, and pacemaker insertion 3 to 21%. Long-term data was limited. Freedom from atrial tachyarrhythmias at 1 year ranged from 74% to 96%, and at 5 years from 52% to 100%. Preoperative predictors of late atrial tachyarrhythmia recurrence included left atrial diameter>45 mm, persistent or longstanding preoperative atrial fibrillation and longer atrial fibrillation duration.ConclusionIn patients with atrial fibrillation undergoing septal myectomy, the addition of ablation surgery adds low overall risk to the procedure, and likely reduces the risk of recurrent atrial fibrillation in the long term. Future randomised studies comparing septal myectomy with or without concomitant AF ablation are needed.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-09-06T09:22:23Z
      DOI: 10.1177/02184923211042136
       
  • Successful surgical repair of traumatic aortic dissection utilizing the
           Najuta stent graft in a patient with pre-existing situs inversus and
           anomalous neck vessels

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      Authors: Koki Eto, Yosuke Miyamoto, Yukio Kioka, Mitsuhito Kuriyama
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      We report the case of a 39-year-old man who underwent surgical repair for traumatic Stanford type B acute aortic dissection. He was involved in a traffic accident, resulting in multiple rib fractures and a sternum fracture. On investigation, he was also found to have anatomical anomalies, namely, situs inversus and abnormality in the aortic arch and neck vessels. Thoracic endovascular aortic repair was performed as it is a less invasive procedure, thus recommended in such cases. A fenestrated thoracic endovascular aortic repair using the Najuta stent graft was found to be effective in this case where the anomalous anatomy was pre-existing.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-09-06T06:45:55Z
      DOI: 10.1177/02184923211042242
       
  • Surgical management in tetralogy of Fallot with rare unilateral pulmonary
           anomalies: A literature review

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      Authors: Ghitha Z Haifa, Suprayitno Wardoyo
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Tetralogy of Fallot with unilateral pulmonary anomalies such as the unilateral absence of pulmonary artery or unilateral pulmonary agenesis is an extremely rare complex congenital heart anomaly. There is no established surgical algorithm for tetralogy of Fallot with concomitant unilateral pulmonary anomalies. This condition is still challenging, especially in the surgical field. In this review we also present our experiences in our center, Dr Cipto Mangunkusumo General Hospital, Jakarta, Indonesia. This literature review aimed to discuss systematic treatment options and hoped to help the decision-making process when surgeons face these rare anomalies.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-09-06T06:40:45Z
      DOI: 10.1177/02184923211039732
       
  • Intraoperative angiography for visceral arteries originating from false
           lumen

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      Authors: Shintaro Takago, Satoru Nishida, Yukihiro Noda, Yu Nosaka, Ryo Yamamura, Hiromasa Katoh
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      A 70-year-old man had an acute type B aortic dissection 9 years before his admission. The last enhanced computed tomography that was performed revealed an aneurysm that extended from the ascending aorta to the aortic arch, associated with a chronic aortic dissection, which extended from the aortic arch to the left external iliac artery. His visceral arteries originated from the false lumen. We performed a total arch replacement with a frozen elephant trunk in the hybrid operating room. Immediately after the circulatory arrest termination, using intraoperative angiography, we verified that the blood supply to the visceral arteries was patent.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-09-06T04:55:12Z
      DOI: 10.1177/02184923211041457
       
  • Risk factors and long-term outcomes after tetralogy of Fallot repair at an
           Asian tertiary referral center

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      Authors: Paweena Chungsomprasong, Pimonrat Somkittithum, Prakul Chanthong, Chodchanok Vijarnsorn, Kritvikrom Durongpisitkul, Jarupim Soongswang, Thaworn Subtaweesin, Somchai Sriyodchartti
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundTetralogy of Fallot is the most common type of cyanotic congenital heart disease. More postoperative tetralogy of Fallot patients grow up than in the past, and these patients need to be followed-up.ObjectiveTo investigate the survival and long-term outcomes of patients who underwent total repair of tetralogy of Fallot, and to identify the risk factors for reoperation with pulmonic valve replacement.MethodA total of 403 patients who underwent total tetralogy of Fallot repair at our center during 1997 to 2016 were retrospectively included. Demographic, clinical, treatment, outcome, and follow-up data were collected and analyzed.ResultsMedian age and body weight at the time of tetralogy of Fallot repair was 4.41 years (range: 0.85–55.28) and 13.58 kg (range: 5.5–68), respectively. The median follow-up was 9.0 years, and overall mortality was 3.2%. The actuarial survival rates at 10 and 20 years were 96.4% and 95.2%, respectively, and the freedom from pulmonic valve replacement was 93.4% and 57.4%, respectively. The median time to indicate pulmonic valve replacement was 13.9 years (range: 6.2–20.5). Multivariate analysis revealed transannular patch technique (hazard ratio: 3.023, 95% confidence interval: 1.34–6.83; p = 0.008) and palliative shunt (hazard ratio: 2.39, 95% confidence interval: 1.16–4.91; p = 0.018) to be independent risk factors for reoperation with pulmonic valve replacement.ConclusionThe rates of overall survival and freedom from pulmonic valve replacement were both high in this study, and both were comparable to the rates reported from other studies. Overall mortality was as low as 3.47%. The need for a transannular patch or palliative shunt should be considered risk factors for a consequent reoperation.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-08-23T02:37:55Z
      DOI: 10.1177/02184923211039795
       
  • Relieving bronchial compression due to cardiomegaly: The role of aortopexy
           when left ventricular assist device support just is not enough

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      Authors: Maruti Haranal, Jessica Laks, Sharon L Cushing, Mjaye Mazwi, Aamir Jeewa, Osami Honjo
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Enlarged cardiac structures, especially those on left side have the potential to cause airway compression in pediatric patients with chronic heart failure, owing to their proximity to and impact on the trachea-bronchial tree. Ventricular assist devices are effective in decompressing such hearts thereby alleviating airway problems. Aortopexy serves as an effective airway decompressive measure in cases with persistent airway compression despite effective cardiac decompression by ventricular assist devices. We report a case of 1-year-old male patient with dilated cardiomyopathy in whom airway compression persisted despite ventricular assist device implantation. Aortopexy was effective in relieving airway compression allowing for subsequent extubation and successful heart transplantation.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-08-18T11:37:08Z
      DOI: 10.1177/02184923211034677
       
  • Diversity in cardiothoracic surgery: The time has come

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      Authors: Marc R. Moon
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Historically, cardiothoracic surgery has been one of the least diverse specialties in medicine. There has been progress during the last 20 years, but we are far from equality in regard to gender or racial and ethnic makeup of the cardiothoracic surgical workforce. This phenomenon is not isolated to America, but exists throughout the globe. Diversity has been shown to improve productivity and profits in manufacturing and other fields. In addition, diversity has been shown to improve outcomes in select patient populations with a wide range of chronic and acute medical conditions. So, what can we do about it' This article summarizes the current situation in regard to equality and equity in cardiothoracic surgery and proposes solutions to bring about lasting change. Diversity in cardiothoracic surgery will not occur passively. It will require a concerted effort and a commitment to change.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-08-02T12:47:08Z
      DOI: 10.1177/02184923211033669
       
  • Air leak with COVID-19 – A meta-summary

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      Authors: Prashant Nasa, Deven Juneja, Ravi Jain
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      IntroductionThere are various reports of air leaks with coronavirus disease 2019 (COVID-19). We undertook a systematic review of all published case reports and series to analyse the types of air leaks in COVID-19 and their outcomes.MethodsThe literature search from PubMed, Science Direct, and Google Scholar databases was performed from the start of the pandemic till 31 March 2021. The inclusion criteria were case reports or series on (1) laboratory-confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, (2) with the individual patient details, and (3) reported diagnosis of one or more air leak syndrome (pneumothorax, subcutaneous emphysema, pneumomediastinum, pneumoperitoneum, pneumopericardium).ResultsA total of 105 studies with 188 patients were included in the final analysis. The median age was 56.02 (SD 15.53) years, 80% males, 11% had previous respiratory disease, and 8% were smokers. Severe or critical COVID-19 was present in 50.6% of the patients. Pneumothorax (68%) was the most common type of air leak. Most patients (56.7%) required intervention with lower mortality (29.1% vs. 44.1%, p = 0.07) and intercostal drain (95.9%) was the preferred interventional management. More than half of the patients developed air leak on spontaneous breathing. The mortality was significantly higher in patients who developed air leak with positive pressure ventilation (49%, p 
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-07-12T04:20:52Z
      DOI: 10.1177/02184923211031134
       
  • Brief overview of surgical aspect of autologous arterio-venous fistula for
           dialysis access

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      Authors: Nitin K Kashyap, Ahmad F Danish, Kishan Magatapalli, Klein Dantis
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Patients with the end-stage renal disease require renal replacement therapy in renal transplant, peritoneal dialysis, and intermittent hemodialysis. Hemodialysis remains the primary modality for renal replacement therapy. Excellent vascular access is a mainstay for performing hemodialysis. Here we present a brief review of the various surgical aspects of AV fistula creation. Preoperative physical examination and judicious use of the imaging modalities to define the artery and venous mapping provide a good outcome of the fistula formation. Surgical creation of RC-AVF is preferred for the end-stage renal disease patient. The end-to-side anastomosis between the radial artery and cephalic vein has shown very good results.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-07-08T04:51:45Z
      DOI: 10.1177/02184923211029496
       
  • Early outcome and mid-term survival after open arch repair using selective
           antegrade cerebral perfusion

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      Authors: Luca Di Marco, Marianna Berardi, Giacomo Murana, Alessandro Leone, Luca Botta, Ciro Amodio, Maria Letizia Bacchi Reggiani, Roberto Di Bartolomeo, Davide Pacini
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      ObjectivesThe introduction of selective antegrade cerebral perfusion technique as method of cerebral protection improved the outcome of open arch surgery. The aim of this study was to report early outcomes using this technique.MethodsBetween 1997 and 2017, data were collected retrospectively for all patients who underwent surgical replacement of the aortic arch using selective antegrade cerebral perfusion (n = 938). To confirm the effectiveness of this cerebral protection method, early outcome and results were evaluated.ResultsThe incidence of postoperative permanent neurological dysfunction was 6.4%. Overall hospital mortality was 11.9% (n = 112). On multivariable analysis, age>75 years, female gender, euroscore at increment of 1 point, chronic renal failure, extension of thoracic aorta replacement and CPB time emerged as independent risk factors for hospital mortality. The mid-term survival at 1, 5, 10 and 15 years was 92%, 78%, 60% and 49%, respectively. The competing risk analysis for permanent neurological dysfunction and aortic reoperations was performed excluding the patients who died during the hospital stay. The cumulative incidence of permanent neurological dysfunction and aortic reoperations was 2% at 3 years, 3% at 5 years, 6% at 10 years, 12% at 3 years, 15% at 5 years and 19% at 10 years, respectively.ConclusionsFrom the early 90s to the present day, the selective antegrade cerebral perfusion has confirmed to be a useful and “safe” method of brain protection in aortic arch surgery in terms of postoperative neurological complications.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-07-07T05:10:03Z
      DOI: 10.1177/02184923211028782
       
  • Outflow graft foreign body reaction and thrombosis in HeartMate 3 left
           ventricular assist device

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      Authors: Paulino Alvarez, Robert Humble, Dennis Firchau, Alexandros Briasoulis
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Outflow cannula occlusion is an infrequent complication occurring among recipients of continuous flow left ventricular assist devices. Hereby, we present a case of a 66-year-old man with a HeartMate 3 left ventricular assist device that presented 18 months after implantation and during his admission, evidence of poor left ventricular unloading and forward flow uncovered intrinsic and extrinsic outflow cannula obstruction. The patient’s course was complicated by cardiogenic shock, diffuse alveolar hemorrhage and multiorgan failure. Post-mortem examination suggested foreign body reaction as a potential contributor of outflow graft obstruction at the level of the bend relief.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-07-06T04:56:11Z
      DOI: 10.1177/02184923211031343
       
  • Neonatal right mini thoracotomy for repair of critical pulmonary stenosis

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      Authors: Naruhito Watanabe, Oleg Kovalenko, Ashley Hapak, Teimour Nasirov
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Over the last few decades, due to evolving surgical techniques and medical management, there has been a significant decrease in the rate of mortality and complications for neonates born with critical pulmonary valve stenosis. Median sternotomy is the standard approach; however, this longitudinal midline incision is invasive and leaves a significant scar. A right mini thoracotomy approach to this surgical repair decreases recovery time and the chance of possible future psychological distress from a visible median sternotomy scar. This is the first article to describe a right mini thoracotomy approach for critical pulmonary stenosis during the neonatal period.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-07-06T04:56:10Z
      DOI: 10.1177/02184923211029391
       
  • Two-dimensional-Wilkins and real-time transesophageal three-dimensional
           scoring systems: Which one is preferred to mitral valve morphological
           assessment'

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      Authors: Mehrnoush Toufan, Zahra Jabbary, Naser Khezerlou aghdam
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundTo quantify valvular morphological assessment, some two-dimensional (2D) and three-dimensional (3D) scoring systems have been developed to target the patients for balloon mitral valvuloplasty; however, each scoring system has some potential limitations. To achieve the best scoring system with the most features and the least restrictions, it is necessary to check the degree of overlap of these systems. Also the factors related to the accuracy of these systems should be studied. We aimed to determine the correlation between the 2D Wilkins and real-time transesophageal three-dimensional (RT3D-TEE) scoring systems.MethodsThis cross-sectional study was performed on 156 patients with moderate to severe mitral stenosis who were candidates for percutaneous balloon valvuloplasty. To morphologic assessment of mitral valve, patients were examined by 2D-transthoracic echocardiography and RT3D-TEE techniques on the same day.ResultsA strong association was found between total Wilkins and total RT3D-TEE scores (r = 0.809, p 
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-07-06T04:56:10Z
      DOI: 10.1177/02184923211030424
       
  • Role of trans-radial band protocols in radial artery occlusion: Randomized
           trial

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      Authors: Nasir Rahman, Azmina Artani, Farhala Baloch, Moiz Artani, Huma Fatima, Abdus Salam, Sher Ahmed
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundRadial artery occlusion is a common complication of coronary angiography via radial artery, attributed to the prolonged use of trans-radial band post procedure. Literature suggests there is no standard protocol for radial band deflation, and it varies across institutions. However, the protocol suggested by Cohen and Alfonso is widely used globally. This study aims to test whether our hospital’s radial band deflation protocol is non-inferior to the protocol of Cohen and Alfonso, which affirms lesser complications.MethodsThis is an outcome assessor blinded, non-inferiority trial conducted at a tertiary care hospital in Karachi. We enrolled 100 patients who underwent coronary angiography from radial access and gave written informed consent. The intervention group received protocol A, that is in practice at the institution, while the control group received protocol B, developed by Cohen and Alfonso. The primary outcome was occurrence of radial artery occlusion at 24 h. The secondary outcomes included hematoma and bleeding after radial band removal.ResultsThe mean age of the participants in the trial was 58.3 ± 11.5 years, while 63% of them were men. Participants in both the groups had similar baseline characteristics. Radial artery occlusion was not significantly different between protocol A and protocol B (10% vs. 14%, p = 0.49, respectively). Similarly, hematoma and bleeding after trans-radial band removal showed no statistical difference between the groups.ConclusionTrans-radial band deflation practice at our institution was non-inferior to Cohen and Alfonso’s protocol in the incidence of radial artery occlusion after coronary angiography.Trial Registration NumberThis trial is registered at clinicaltrials.gov (https://clinicaltrials.gov) with registration number NCT03298126.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-06-29T08:11:27Z
      DOI: 10.1177/02184923211027790
       
  • Axillary artery: An unanticipated choice of access in the cath lab!

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      Authors: Puneet Varma, Bharath A Paraswanath, Anand Subramanian, Jayaranganath Mahimarangaiah
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Ventricular septal defects are increasingly being closed by transcatheter technique, with lesser morbidity and shorter hospital stay compared to open heart surgery. We report a case of embolization of a duct occluder deployed in a posterior muscular septal defect. The rare site of embolization necessitated an unusual approach for retrieval prior to subsequent closure using a double-disc device.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-06-26T06:21:08Z
      DOI: 10.1177/02184923211026445
       
  • “Do alternative approaches work in surgical septal
           myectomy'”

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      Authors: Praveen Kerala Varma, Neethu Krishna, Rajesh Jose, Kirun Gopal, Hisham Ahamed
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Trans-aortic septal myectomy is the gold standard for septal reduction therapy. This technique has low peri-procedural mortality and excellent long-term survival. Moreover, it relieves the heart failure symptoms and improves the quality of life. Secondary chordal cutting along with septal myectomy has shown to improve the outcome but can potentially cause deterioration of left ventricular function. In patients with relatively thin inter-ventricular septum, abnormalities of mitral valve apparatus may be the main reason for systolic anterior motion and left ventricular outflow tract obstruction. These patients may require additional procedures on the mitral valve to shift the coaptation plane away from outflow tract. Mitral valve replacement should be performed only in patients with intrinsic mitral valve abnormalities that are not suitable for repair and its routine use along with limited septal myectomy should be discouraged. Minimal access surgery although attractive in concept requires more robust data before universal application.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-06-12T11:15:27Z
      DOI: 10.1177/02184923211025396
       
  • Sleep disturbance: The overlooked side after open heart surgery in adults

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      Authors: Ahmed MA Bakry, Hysam Abdelmohty, Ahmed E Badawy, Mohammed S Shorbagy, Osama S Eldib
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundSleep is essential for full mental and physical renewal. Cardiac surgery improves the life expectancy and quality. But unfortunately, some patients lacked that merit as they suffered sleep disturbance. We used validated questionnaire applied to 153 cardiac surgery patients to assess the sleep disturbances after surgery.ResultsAbout 70 (45.8%) had valve procedure, 55 (36%) had revascularization, 19 (12.4%) had both procedures and 9 (5.8%) had other procedures. The majority had no post-operative bleeding nor infection. About 78% had sleeping difficulty for one month. About 50% used different medications to fall asleep, mostly analgesics. About 76% slept after 2–6 h irrespective of sleep quality. Some patients had poor sleep quality in the form of nightmares and night terrors.ConclusionSleep quality was disturbed immediately following cardiac surgery. There was a reduction of night sleep compensated by increased daytime sleepiness. These changes almost reverted one month after surgery.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-06-11T04:31:12Z
      DOI: 10.1177/02184923211024099
       
  • Thiamine levels in Indonesian children with congenital heart diseases
           undergoing surgery using cardiopulmonary bypass machine

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      Authors: Eva M Marwali, Putri Caesa, Yoel Purnama, Muhammad Rayhan, Novik Budiwardhana, Liza Fitria, Dicky Fakhri, Michael A Portman
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundThis study evaluated thiamine levels in Indonesian children with congenital heart diseases before and after cardiopulmonary bypass and their relationship with clinical and surgical outcomes.MethodA prospective, single center cross-sectional study was conducted to evaluate thiamine levels in 25 children undergoing congenital heart diseases surgery with cardiopulmonary bypass procedure. Thiamine levels were quantified using a high-performance liquid chromatography method.ResultPreoperative thiamine deficiency was observed in one subject. Thiamine levels did not differ statistically between nutritional status and clinical outcomes categories. There were no significant changes in thiamine levels before and after cardiopulmonary bypass (median pre versus post (P25–75): 50 ng/mL (59.00–116.00) and 83.00 ng/mL (70.00–101.00), p = 0.84), although a significant reduction in thiamine levels were observed with longer cardiopulmonary bypass duration (p = 0.017, R = −0.472).ConclusionThiamine levels were not significantly impacted by cardiac surgery except in patients undergoing extremely long cardiopulmonary bypass duration. However, clinical outcome was not affected by thiamine levels.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-06-09T06:19:46Z
      DOI: 10.1177/02184923211024103
       
  • Stenotic lesions of aorta: Imaging evaluation using multidetector computed
           tomography angiography

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      Authors: Arun Sharma, Vineeta Ojha, Niraj N Pandey, Mumun Sinha, Amarinder S Malhi, SH Chandrashekhara, Sanjeev Kumar, Gautam Sharma
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Aortic involvement can be secondary to various pathologic disease processes. These may result in stenotic or aneurysmal aortic lesions with a varied spectrum of imaging findings including intra-luminal, mural, and periaortic changes along with associated loco-regional or distal changes, depending on the etiology. Multidetector computer tomography with its recent advances has become the frontline imaging modality for the evaluation of aortic pathologies. Comprehensive evaluation of the aortic pathology with simultaneous evaluation of lungs, bones, and visceral organs is possible with a single multidetector computer tomography acquisition. It allows accurate primary diagnosis, identifies important anatomic landmarks and relationships, and identifies associated cardiovascular anomalies. Moreover, it serves as an adjunct in diagnosis of various complications, helps in treatment planning and detection of disease progression during follow-up.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-06-09T06:19:33Z
      DOI: 10.1177/02184923211024094
       
  • Traumatic brachial artery injury successfully treated with a stent-graft:
           A case report

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      Authors: Yohei Kawatani, Takeshi Mochizuki, Takaki Hori
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      There are few reports on brachial artery injury treated with stent-grafts. A 69-year-old man presented with a crush injury to the left upper arm. Enhanced computed tomography revealed left humerus fracture and disruption of the blood flow of the brachial artery along with paresis of the forearm. Following external fixation of the fracture, we performed endovascular therapy for brachial artery injury. Using real-time ultrasound imaging guidance, the injured lesion was crossed by the wire, and Viabahn endoprosthesis was placed in the left brachial artery. Hemostasis was achieved, and blood flow to the forearm was restored. Subsequently, the paresis improved.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-05-26T05:28:53Z
      DOI: 10.1177/02184923211019850
       
  • Impact of postoperative hypothermia on outcomes after off-pump coronary
           artery bypass grafting

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      Authors: Vasileios Ntinopoulos, Nestoras Papadopoulos, Achim Haeussler, Dragan Odavic, Patricia Fodor, Omer Dzemali
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundEven though the physiological derangements caused by hypothermia are well described, there is no consensus about its impact on postoperative outcomes. The aim of this study is to assess the effect of postoperative hypothermia on outcomes after off-pump coronary artery bypass surgery.MethodsA total of 1979 patients undergoing isolated off-pump coronary artery bypass surgery in a single center in the period 2007–2018 were classified according to their axillary temperature measurement at intensive care unit admission postoperatively to either hypothermic (
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-05-26T05:28:04Z
      DOI: 10.1177/02184923211019530
       
  • Aortic valve replacement and coronary artery bypass grafting through a
           right thoracotomy for a patient with a left chest wall tumor

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      Authors: Masaomi Fukuzumi, Ryoi Okano, Yuko Gatate, Tadamasa Miyauchi, Takeo Tedoriya
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      A 68-year-old man was diagnosed with severe aortic stenosis and right coronary artery occlusion on preoperative examination for total extirpation of a giant left breast liposarcoma. Prior to the intervention for the liposarcoma, he underwent successful aortic valve replacement and coronary artery bypass grafting via a right anterolateral thoracotomy to avoid the tumor close to the sternum. On postoperative day 28, the patient underwent a successful wide excision of the left chest wall tumor.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-05-22T09:48:18Z
      DOI: 10.1177/02184923211019541
       
  • An unusual case of type IIIB endoleak after repeat thoracic endovascular
           aortic repair at acute-angled arch: A case of fabric tear by bare-metal
           stent

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      Authors: Atsushi Nemoto, Akihiro Yoshitake, Hideyuki Shimizu
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      We report a case of an unusual case of type IIIB endoleaks after repeat thoracic endovascular aortic repair that was not visualized on computed tomography, first diagnosed during open conversion surgery, and successfully treated. A 69-year-old man had undergone repeat thoracic endovascular aortic repair for an enlarged thoracic aortic aneurysm six months before. His repeat computed tomography showed an acutely enlarged aneurysm, which had expanded from 80 to 96 mm in diameter, without any endoleaks. A type IIIB endoleak resulted from a small tear in fabric caused by a bare-metal stent of the previous endograft. The tip of the bare-metal of smaller outer endograft had penetrated a fabric portion of the inner larger endograft. The aneurysmal sac pressure was 58/46 mmHg, compared with a systemic pressure of 79/35 mmHg. The endografts were explanted and replaced with a vascular graft.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-05-21T12:33:16Z
      DOI: 10.1177/02184923211019839
       
  • Durability of suture versus ring tricuspid annuloplasty: Looking at very
           long term (18 years)

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      Authors: Davide Carino, Edoardo Zancanaro, Alessandra Sala, Stefania Ruggeri, Elisabetta Lapenna, Benedetto Del Forno, Alessandro Verzini, Davide Schiavi, Alessandro Castiglioni, Ottavio Alfieri, Michele De Bonis
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundSeveral papers already reported better outcomes of tricuspid valve repair with ring annuloplasty compared to suture techniques. However, the follow-up is usually limited to 10 years. With this study, we aim to analyze the results of tricuspid valve repair according to the technique employed when the follow-up is extended to more than 15 years.Materials and methodsA retrospective review of our institutional database was carried on to find all patients who underwent tricuspid valve repair between January 1998 and December 2004. Kaplan–Meier method was employed to estimate survival and log-rank test was used to make intergroup comparison. Cox regression was employed to identify risk factor for mortality. Cumulative incidence function using death as competitive outcome was used to estimate cardiac death. To describe the time course of tricuspid regurgitation, a longitudinal analysis using generalized estimating equations with random intercept for correlated data was performed.ResultsOne hundred forty-six patients were identified: 89 in the suture group and 57 in the ring group. No difference in term of long-term survival and cardiac death was evident between the two groups. A significant higher rate of tricuspid regurgitation ≥2+ and ≥3+ recurrence was evident in the suture group during the whole follow-up (p 
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-05-20T08:58:23Z
      DOI: 10.1177/02184923211019533
       
  • Real world coronary artery ostia full accessibility after last generation
           transcatheter aortic valve implantation

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      Authors: Gianluca Rigatelli, Marco Zuin, Loris Roncon, Aravinda Nanjiundappa, Ramesh Daggubati
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      AimWe evaluate, performing a pooled meta-analysis, the current coronary artery accessibility rate in transcatheter aortic valve implantation (TAVI) patients during the follow-up. Full coronary artery accessibility after TAVI has not been adequately addressed by the current literature.Methods According to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, data on coronary artery access were obtained from the ratio between in the full coronary engagement (n) and the number of coronary angiography and/or percutaneous coronary intervention (N). Data were synthesized using random-effects meta-analyses.ResultsOut of 7048 TAVI patients, 276 (3.9%) (mean age 76.8 years, 111 (40.2%) females) were analysed. Full coronary artery accessibility for coronary angiographies and percutaneous coronary interventions were obtained in 83.0% (95% confidence interval (CI): 0.66–0.92, p = 0.001, I2: 88.2%) and 96.0% (95% CI: 0.90–0.98, p 
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-05-18T05:05:06Z
      DOI: 10.1177/02184923211018041
       
  • Long-term results of triple valve repair in rheumatic heart disease

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      Authors: Ameya Kaskar, Rahul Rao, Siddhant Mehra, Deepak Bohra, Rohan Makwana, V Rao Parachuri
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundThe aim of this study is to analyze the clinical outcomes of triple valve repair for rheumatic heart disease in terms of both early results and long-term benefits.MethodsBetween January 2008 and December 2016, all the patients who underwent triple valve repair for rheumatic heart disease were included in this study.ResultsThirty-eight patients underwent triple valve repair procedure for rheumatic heart disease at our institute. Mean age was 33 years; 60.5% were females. Techniques used to achieve mitral valve repair were: commisurotomy (n = 26), prosthetic ring annuloplasty (n = 9), posterior teflon annuloplasty (n = 23), leaflet shaving (n = 14), implantation of neochordae (n = 5) and pericardial patch augmentation of mitral valve leaflets (n = 6). For aortic valve repair, the techniques used were: commisurotomy (n = 23), leaflet shaving (n = 16), pericardial patch augmentation (n = 3), subcommisural plication (n = 10), free margin plication (n = 2) and free margin resuspension (n = 1). Tricuspid valve repair was performed using modified Devega's technique (n = 32), commisurotomy (n = 9) and posterior annular plication (bicuspidization) (n = 5). The operative mortality was 0%. There was no primary repair failure. Estimated survival at the end of 1 year, 5 years and 10 years was 100%, 91.6% and 65.8%, respectively. Overall freedom from reintervention at 1, 5 and 10 years was 100%, 96.4% and 61.4, respectively.ConclusionTriple valve repair provided satisfactory early and long-term results in this challenging subset of patients and can be considered as an acceptable option for significant triple valve disease due to the absence of anticoagulation-related events.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-05-15T02:08:51Z
      DOI: 10.1177/02184923211018030
       
  • Invasive thymoma – Which patients benefit from post-operative
           radiotherapy'

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      Authors: Zaid Muslim, Mirza Zain Baig, Joanna F Weber, Frank C Detterbeck, Cliff P Connery, John A Spera, Faiz Y Bhora
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundThe aim of this study is to identify patients with thymoma who should receive post-operative radiotherapy.MethodsThe Surveillance, Epidemiology, and End Results database was queried for stage IIB–IV thymoma patients diagnosed during 1988–2015. We analyzed the prognostic implications of various clinical–pathological factors by comparing the outcomes of those who received surgery with and without post-operative radiotherapy.ResultsA total of 1120 patients were identified; 62% received post-operative radiotherapy and 38% underwent surgery alone. In a propensity-matched cohort of 812 patients, no survival difference was seen in World Health Organization A, AB, B1, B2, or B3 tumors with the addition of post-operative radiotherapy to surgery (p>0.05). Post-operative radiotherapy also did not improve survival over surgery alone for tumors ≥ or 0.05. Post-operative radiotherapy was an independent, positive prognostic indicator only in the subgroup with stage III disease and in those receiving chemotherapy in addition to post-operative radiotherapy, both p
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-05-12T05:46:37Z
      DOI: 10.1177/02184923211017094
       
  • Venous drainage for minithoracotomy approach in an adult with interrupted
           inferior vena cava

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      Authors: Toshitaka Watanabe, Kazuma Okamoto, Nobuyuki Yoshitani, Ryo Tohma, Takuya Misato, Taro Hayashi
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      For atrial septal defect closure via right minithoracotomy in an adult patient with infra-hepatic interruption of the inferior vena cava with azygos connection, an alternative venous cannulation strategy was applied. In addition to bicaval cannulations to the femoral vein and the internal jugular vein, a 20 Fr straight cannula draining the hepatic vein was added to the proximal IVC through the right atrium wall via a working port. A bloodless operative field in the right atrium was afforded with bicaval encircling. Preoperative imaging test of the continuity of the IVC was important planning cardiac surgery with peripheral cannulations.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-05-12T05:46:36Z
      DOI: 10.1177/02184923211017096
       
  • Circumflex aorta: An uncharted territory

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      Authors: Maruti Haranal, Balaji Srimurugan, Sivakumar Sivalingam
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundVascular rings are aortic arch anomalies with a spectrum of manifestations ranging from asymptomatic lesions detected incidentally to an acute presentation secondary to tracheo-esophageal compression. Circumflex retro-esophageal aortic arch is an extreme form of true vascular ring. It remains an uncharted territory to many surgeons.MethodsA comprehensive search of peer reviewed journals was completed based on the key words, “Circumflex aorta,” “Circumflex retro-esophageal aorta” and “circumflex arch” using Google scholar, Scholars Portal Journals and PubMed. The reference section for each article found was searched to obtain additional articles. Literature on the circumflex aorta was reviewed starting from the embryogenesis to the latest management strategies.ResultsRight circumflex aorta is more prevalent compared to left circumflex aorta. It can occur in isolation or in association with other intracardiac lesions. Mainly presents in children, however reported in adults too. The presentation may vary from asymptomatic lesion to acute respiratory distress secondary to airway compression. Computerized tomography (CT) and magnetic resonance imaging (MRI) are important tools in delineating the vascular anatomy. Aortic uncrossing is the definitive procedure. However, the role of concomitant tracheobronchopexy is emerging. Native tissue-to-tissue anastomosis is commonly preferred, but cases of extra-anatomic grafts are reported.ConclusionCircumflex aorta is amenable to complete repair. Preoperative delineation of anatomy is important for successful surgical outcome. Division of the retro-esophageal segment is crucial in relieving the compressive symptoms. In addition, tracheobronchopexy is helpful in addressing residual tracheomalacia but this accounts for a high-risk surgery.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-05-07T04:40:33Z
      DOI: 10.1177/02184923211015092
       
  • Single-stage open repair of severe asymmetric pectus excavatum and mitral
           valve replacement in connective tissue disease

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      Authors: Cheong Ping Pau, Kee Soon Chong, Mohd Azhari Yakub, Alizan Abdul Khalil
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      We present a 14-year-old boy with Loey–Dietz syndrome with severe mitral regurgitation, pectus excavatum and scoliosis. The Haller index was 25. The heart was displaced into the left hemithorax. The right inferior pulmonary vein was very close to the sternum and vertebral body. Single-stage surgery was performed. An osseo-myo-cutaneous pedicled flap was created by sterno-manubrial junction dislocation and rib resection with bilateral internal mammary arteries supplying the flap. Cardiopulmonary bypass and mitral valve replacement was performed. The defect was bridged with three straight plates. The flap was laid on top and anchored. Early outcome at three months was good.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-05-05T04:39:34Z
      DOI: 10.1177/02184923211014004
       
  • Sex-stratified outcomes of primary percutaneous coronary intervention: A
           tertiary care experience

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      Authors: Azmina Artani, Farhala Baloch, Abid Laghari, Faraz Siddiqui, Moiz Artani, Khawar Kazmi
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundST elevation myocardial infarction (STEMI) is an acute cardiac manifestation that requires immediate revascularization preferably through primary percutaneous coronary intervention (PCI). This study aims to describe gender stratified outcomes and epidemiological profile of STEMI patients undergoing treatment at a tertiary care hospital in Karachi, Pakistan.MethodsA 5-year, retrospective analysis of hospital records was undertaken on confirmed STEMI patients admitted between 2010 and 2014, undergoing primary PCI. Information was retrieved on demographic variables, risk factors, total ischemia time, door to balloon time, angiographic findings, and treatment strategy and in-hospital outcomes.ResultsA total of 603 patients were available for analysis. Mean age of the participants was 58 ± 11 years, with 78.6% being males. The most common risk factors were hypertension (48.1%), diabetes (37%), and smoking (22.2%). Gender stratified analysis revealed poorer clinical presentation and prolonged ischemia time among women when compared to men (410 vs. 310 min, respectively). Total in-hospital mortality was 9.6% and was higher in women (19.3%), patients with non-anterior infarction (12%), Killip class>2 (39%), advanced age (14.6%), and multi-vessel disease (12%).ConclusionOur study describes the common risk factors and treatment outcomes for STEMI patients undergoing primary PCI at a tertiary care hospital in Karachi. In-hospital mortality and total ischemia time were higher among women compared to men in our study. Moreover, the risk profile, treatment related complications, and outcomes were poorer in women compared to men. We suggest further research to investigate the effect of prolonged ischemia time on long-term clinical outcomes.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-05-05T04:39:33Z
      DOI: 10.1177/02184923211014001
       
  • Early safety performance of a modified technique of aorta replacement with
           sinotubular stabilization

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      Authors: Marco Moscarelli, Nicola Di Bari, Giuseppe Nasso, Khalil Fattouch, Thanos Athanasiou, Raffaele Bonifazi, Giuseppe Speziale
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundWe sought to determine if a modified technique for ascending aorta replacement with sinotubular junction reduction and stabilization was safe.MethodsThis technique was performed by suspension of the three commissures, invagination of the aortic Dacron graft and advancing the graft into the ventricles. We included patients with dilatation of the ascending aorta, normal sinuses of Valsalva dimension (25 mm) and with various degree of aortic insufficiency (from grade 1 to 3).ResultsFrom April to October 2019, 20 patients were recruited from two centers; mean age was 66.9 ± 12.8 years, 13 were male; grade 1, 2 and 3 was present in 12, 2 and 6 patients, respectively. All patients underwent ascending aorta replacement with modified technique; an additional open subvalvular ring was used in 8 patients with aortic insufficiency ≥ 2; cusps repair was performed in 6 patients (5 plicating central stitches/1 shaving); concomitant coronary artery bypass grafting was performed in 10 patients. There was no 30-day mortality. One patient was re-explored for bleeding. All patients completed six-month follow-up; at the transthoracic echocardiography, there was no aortic insufficiency ≥ 1 except one patient with aortic insufficiency grade 1 who underwent ascending aorta replacement and subvalvular ring; no patients underwent reintervention.ConclusionsThis modified technique for ascending aorta replacement and sinotubular junction stabilization was safe. It could be associated with other aortic valve sparing techniques. However, such remodeling approach has to be validated in a larger cohort of patients with longer follow-up.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-05-05T04:39:33Z
      DOI: 10.1177/02184923211015094
       
  • Successful treatment of refractory empyema using dual sheet covering

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      Authors: Takahiro Uchida, Yugo Tanaka, Sanae Kuroda, Daisuke Hokka, Yoshimasa Maniwa
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Managing thoracic empyema with massive air leakage can be challenging. We present a case with thoracic empyema with multiple bronchopleural fistulae and extensive lung parenchymal necrosis due to drain injury. Emergency surgery was performed for respiratory distress due to massive air leakage. As direct sutures could not be achieved due to extensive parenchymal necrosis, polyglycolic acid and oxidized regenerated cellulose sheets were packed into the lesion. Although open-window thoracostomy was required for bronchopleural fistulae, the stoma closure was achieved via vacuum-assisted closure therapy. The dual sheet coverings contributed to the successful recovery by resolving multiple bronchopleural fistulae.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-04-30T04:40:07Z
      DOI: 10.1177/02184923211015078
       
  • Cardiac calcified amorphous tumor with sustained ventricular tachycardia

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      Authors: Fumio Yamana, Keitaro Domae, Yukitoshi Shirakawa, Toshiki Takahashi, Hiroyuki Hao
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Cardiac calcified amorphous tumors are rare non-neoplastic intracavitary masses with unknown cause. A 60-year-old man presented with sustained ventricular tachycardia. Transthoracic echocardiography and contrast-enhanced angio-computed tomography demonstrated an expanding 73 × 40 mm sized calcified mass in the left ventricle. He underwent successful total removal of the mass and cryo-ablation at the normal myocardial border. Histopathological examination confirmed a diagnosis of cardiac calcified amorphous tumors. The postoperative course was uneventful, without ventricular tachycardia recurrence. To our knowledge, this is the first reported case of confirmed cardiac calcified amorphous tumors causing ventricular tachycardia and treated by surgical resection combined with cryo-ablation.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-04-30T04:40:06Z
      DOI: 10.1177/02184923211013999
       
  • Intrapulmonary artery septation for unilateral absence of the pulmonary
           artery

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      Authors: Junichi Koizumi, Tomoyuki Iwase, Shigeto Tsuji, Takuya Goto, Kotaro Oyama, Hajime Kin
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      We describe a seven-month-old boy with tetralogy of Fallot and an absent left pulmonary artery. Due to the diminutive size of the left pulmonary artery, we performed a native tissue left pulmonary artery reconstruction and intrapulmonary artery septation procedure with a left modified Blalock-Taussig shunt. After confirming left pulmonary artery growth, the patient underwent tetralogy of Fallot repair, removal of septation patch, and division of the Blalock-Taussig shunt. Nine months post-surgery, we confirmed his balanced lung perfusion (R/L ratio 6:4). The intrapulmonary artery septation procedure would be suitable for both the resuscitation and reconstruction of the hypoplastic absent pulmonary artery.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-04-30T04:40:05Z
      DOI: 10.1177/02184923211013998
       
  • Aorto-left common carotid artery bypass with off-pump coronary artery
           bypass

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      Authors: Tomoki Nagata, Takashi Yamada, Hiroyuki Johno
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundAlthough carotid artery disease can occur in patients who have coronary artery disease (CAD), ostial stenosis of a left common carotid artery (CCA) along with CAD is a rarely reported condition.Case reportWe describe a rare case of severe stenosis of the left CCA ostium and CAD, which were successfully treated with an off-pump coronary artery bypass and aorto-left CCA bypass. This strategy minimizes the risk of perioperative strokes. Furthermore, an aorto-supra aortic trunk bypass provides a more physiological blood flow pattern than cerebral approaches. This approach would be a safe and effective treatment option.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-04-15T05:09:06Z
      DOI: 10.1177/02184923211010084
       
  • Assessment of factors affecting short-term pulmonary functions following
           cardiac surgery: A prospective observational study

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      Authors: Neetika Katiyar, Sandeep Negi, Sunder Lal Negi, Goverdhan Dutt Puri, Shyam Kumar Singh Thingnam
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundPulmonary complications after cardiac surgery are very common and lead to an increased incidence of post-operative morbidity and mortality. Several factors, either modifiable or non-modifiable, may contribute to the associated unfavorable consequences related to pulmonary function. This study was aimed to investigate the degree of alteration and factors influencing pulmonary function (forced expiratory volume in one second (FEV1) and forced vital capacity), on third, fifth, and seventh post-operative days following cardiac surgery.MethodsThis study was executed in 71 patients who underwent on-pump cardiac surgery. Pulmonary function was assessed before surgery and on the third, fifth, and seventh post-operative days. Data including surgical details, information about risk factors, and assessment of pulmonary function were obtained.ResultsThe FEV1 and forced vital capacity were significantly impaired on post-operative days 3, 5, and 7 compared to pre-operative values. The reduction in FEV1 was 41%, 29%, and 16% and in forced vital capacity was 42%, 29%, and 19% consecutively on post-operative days 3, 5, and 7. Multivariate analysis was done to detect the factors influencing post-operative FEV1 and forced vital capacity.DiscussionThis study observed a significant impairment in FEV1 and forced vital capacity, which did not completely recover by the seventh post-operative day. Different factors affecting post-operative FEV1 and forced vital capacity were pre-operative FEV1, age ≥60, less body surface area, lower pre-operative chest expansion at the axillary level, and having more duration of cardiopulmonary bypass during surgery. Presence of these factors enhances the chance of developing post-operative pulmonary complications.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-04-15T05:09:05Z
      DOI: 10.1177/02184923211010079
       
  • Tricuspid valve repair via partial sternotomy for traumatic valve
           insufficiency

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      Authors: Motohiro Maeda, Jiro Honda, Yosuke Ishi
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Tricuspid valve insufficiency rarely follows a blunt chest trauma. When the tricuspid valve is solely injured, the cardiac trauma may stay asymptomatic and tolerable, which often makes it difficult to determine the indication for surgery. We report a case of a patient with tricuspid regurgitation secondary to trauma due to a motorcycle accident. The patient was initially asymptomatic, but shortness of breath emerged two years after the accident. He underwent the tricuspid valve repair with chordae reconstruction and annuloplasty via lower partial sternotomy. We advocate that early surgical intervention prevents right heart failure, atrial fibrillation, and valve replacement.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-04-13T05:03:39Z
      DOI: 10.1177/02184923211010080
       
  • Valve-sparing thrombectomy for aortic-valve bio-prosthetic thrombosis

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      Authors: Darío Andrade, Eric E Vinck, Jose F Zuluaga
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.

      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-04-12T05:09:43Z
      DOI: 10.1177/02184923211010098
       
  • Coronary endarterectomy in coronary artery disease: Factors affecting
           graft patency and survival

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      Authors: Simon CY Chow, Jacky YK Ho, Micky WT Kwok, Takuya Fujikawa, Kevin Lim, Song Wan, Randolph HL Wong
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundCoronary endarterectomy aims to improve completeness of revascularization in patients with occluded coronary vessels. The benefits of coronary endarterectomy remain uncertain. The aim of this study was to evaluate short-term surgical outcomes and factors affecting graft patency post-coronary endarterectomy.MethodsBetween 2009 and 2019, 81 consecutive patients who had coronary endarterectomy done were evaluated for their perioperative and early results. A total of 36 patients with follow-up coronary studies were included in patency analysis. Mortality rates, major adverse cardiac and cerebrovascular events, and graft patency were outcomes of interest. Survival and risk factor analysis were performed with Kaplan–Meier and logistic regression analysis.ResultsThe average age of the cohort was 61.9 ± 9.29 years. Complete revascularization rate was 95.4% post-coronary endarterectomy. The 30-day and 1-year mortality was 2.5 and 6.2%, respectively. One-year major adverse cardiac and cerebrovascular events rate was 11.1%. Periprocedural myocardial infarction rate was 7.4%. Three patients required repeat revascularization within a mean follow-up duration of 49.6 ± 36.5 months. Overall graft patency was 89.2% at 20.2 months and graft patency post-coronary endarterectomy was 85.4%. Arterial grafts showed 100% patency. Vein grafts to endarterectomized obtuse marginal branch had patency rates of 33.3%. Multiple endarterectomies were associated with worse one-year major adverse cardiac and cerebrovascular events (OR: 28.6 ± 1.16; P = 0.003).ConclusionsCoronary endarterectomy facilitates completeness of revascularization and does not increase early mortality. Graft patency post-coronary endarterectomy on obtuse marginal artery was suboptimal. Judicious use of coronary endarterectomy should be practiced to balance the need of completeness of revascularization against the risk of myocardial infarction.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-04-07T06:51:39Z
      DOI: 10.1177/02184923211006851
       
  • Isolated reversal of flow in the vertebral artery – A missed entity

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      Authors: Koushik Kannan, Ramanish Ravishankar, Srinivasan Muralidharan
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Isolated reversal of flow in the vertebral artery is a rare phenomenon occurring in the general population and is due to intrinsic anatomical defects. The most common cause is subclavian stenosis; however, reversal of flow in the vertebral artery can occur regardless of any detection of anatomic deterioration. In this series, we report three asymptomatic cases where the extracranial Doppler scan preceding off-pump coronary arterial bypass grafting showed isolated reversal of flow in the vertebral artery. No signs of subclavian stenosis or steal syndrome were elicited. However, all patients subsequently suffered from a posterior circulation stroke following off-pump coronary arterial bypass grafting but recovered fully with medical management. We conclude that a detailed pre-operative neurological investigation can mitigate this risk and improve neurological outcomes following off-pump coronary arterial bypass grafting.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-04-04T05:43:37Z
      DOI: 10.1177/02184923211006322
       
  • Skin cancer at median sternotomy scar

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      Authors: Elsayed Elmistekawy, Vidhya Nair, Fraser D Rubens
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.

      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-04-04T05:43:37Z
      DOI: 10.1177/02184923211006864
       
  • Collateral pathways to the artery of Adamkiewicz

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      Authors: Daiki Saitoh, Kunihiro Yoshioka, Hajime Kin
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.

      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-04-01T05:04:46Z
      DOI: 10.1177/02184923211006854
       
  • Unusual association of isolation of right pulmonary artery in absent
           pulmonary valve syndrome

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      Authors: Kothandam Sivakumar, Asish Ranjan Mohakud, Ravi Agarwal
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Absence of arterial duct, a sixth aortic arch derivative, plays an important etiologic role in Tetralogy of Fallot with absent pulmonary valve syndrome. When fetal ductus is absent, the large right ventricular stroke volume dilates the pulmonary trunk leading to pulmonary regurgitation. A proximal extension of the embryonic insult to the entire left sixth arch causes absence of the left pulmonary artery, a common association of absent pulmonary valve syndrome. On the contrary, absence of right pulmonary artery is not reported in absent pulmonary valve syndrome. A rare combination of tetralogy, absent pulmonary valve syndrome and isolation of a hypoplastic right pulmonary artery offered challenges to diagnosis and management.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-04-01T05:04:45Z
      DOI: 10.1177/02184923211006309
       
  • A case of paragonimiasis inducing bilateral pneumothorax with lung and
           liver involvement

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      Authors: Ji Sung Ha, Jang Young Lee, Won Young Sung, Sang Won Seo, Won Suk Lee
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Pulmonary paragonimiasis can occasionally induce bilateral pneumothorax and cause lesions in ectopic organs such as the liver. We report the case of a 26-year-old man who had been treated for bilateral hydropneumothorax one month earlier and returned to the emergency center complaining of epigastric pain that had persisted for four months. After being diagnosed with pulmonary and hepatic paragonimiasis, he was treated with praziquantel and his condition improved without complications.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-03-29T06:29:30Z
      DOI: 10.1177/02184923211006334
       
  • Should pulmonary radiographs be taken routinely following paediatric
           tracheostomy'

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      Authors: Nazik Yener, Muhammed Üdürgücü, Fatma Alaçam, Muhammed Şükrü Paksu, İrem Sarı, Meltem Ceyhan Bilgici
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      AimAs the rates of complications related to tracheostomy procedures have fallen in recent years, the routine taking of pulmonary radiographs following tracheostomy has become a matter of debate. The aim of this study was to compare the incidence of complications developing in 120 children who had pulmonary radiographs taken following surgical tracheostomy and to thereby evaluate the necessity of routine pulmonary radiographs after tracheostomy.MethodsThe data were retrospectively reviewed of 120 children who had pulmonary radiographs taken following surgical tracheostomy between January 2012 and January 2018. The pulmonary radiographs taken before and immediately after tracheostomy were evaluated independently by two paediatric radiology specialists and the results were recorded.ResultsThe incidence of complications after tracheostomy was determined as 23.3%, and no pneumothorax was determined in any patient. An increase was not seen in the complication incidence in those who had undergone emergency tracheostomy and patients aged 
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-03-29T06:28:14Z
      DOI: 10.1177/02184923211006312
       
  • Mitral valve repair using the daVinci surgical system after MitraClip
           failure

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      Authors: Kosuke Nakamae, Takashi Oshitomi, Kentaro Takaji, Hideyuki Uesugi
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Reports of mitral valve replacement after MitraClip removal have increased; however, surgical re-intervention is risky due to patients’ frailty and comorbidities. We report a case of mitral valve repair after MitraClip failure using the daVinci surgical system for a 55-year-old man with many comorbidities and two previous cardiac surgeries. The daVinci surgical system allows detailed handling with high-resolution visualization and endowrist instruments that provide surgeons with clear three-dimensional images and stabilized handling. This procedure enables us to remove the MitraClip precisely while preserving the mitral valve leaflet.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-03-29T05:03:49Z
      DOI: 10.1177/02184923211006853
       
  • Outcomes following coronary artery bypass surgery in diabetic treatment
           sub-groups. A propensity matched analysis of>7000 patients over 18 years

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      Authors: Yama Haqzad, James Hobkirk, Priyadharshanan Ariyaratnam, Mubarak Chaudhry, Sean Carroll, and Mahmoud Loubani
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundEuropean System for Cardiac Operative Risk Evaluation II incorporates insulin-controlled diabetes whilst omitting tablet-controlled diabetes. Differences in adverse clinical outcomes following coronary artery bypass graft between these groups are poorly established. Therefore, a propensity matched comparison of short and longer term mortality and morbidity in insulin-controlled diabetes, tablet-controlled diabetes and non-diabetic patients was undertaken.MethodsIsolated first-time coronary artery bypass graft surgeries between April 1999 and April 2017 were propensity score matched by pre- and intra-operative variables.Results8241 patients; 23.5% diabetics and 76.5% non-diabetics. The groups’ demographical and clinical characteristics were comparable after matching. Insulin-controlled diabetes patients had significantly higher in-hospital mortality (3.8% vs. 1.7%, p 
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-03-18T05:07:04Z
      DOI: 10.1177/0218492321999551
       
  • A rare cause of complete heart block in an adult: Primary cardiac lymphoma

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      Authors: Ahmad Amin, Mitra Chitsazan, Alireza Alizadeh Ghavidel, Hamidreza Pouraliakbar, Mozhgan Parsaee, Hamideh Khesali
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Primary cardiac lymphoma (PCL) is a rare primary cardiac neoplasm with a relatively poor prognosis despite confinement to the heart and/or pericardium. We report a 54-year-old man who had presented with complete heart block for which he had undergone permanent pacemaker implantation, and six months later he was referred to us for evaluation of progressive exertional dyspnea. Multislice spiral computed tomography angiography of the heart and major vasculature showed infiltrative tumoral lesion that has involved interatrial septum, right atrium, left atrium, and left ventricle with invasion into the pulmonary artery. Tissue samples were taken using uniportal video-assisted thoracoscopic surgery, and the histologic examination revealed diffuse large B-cell lymphoma. Chemoimmunotherapy was effective in inducing tumor regression and the patient was still in remission during the next six months after treatment.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-03-17T05:27:01Z
      DOI: 10.1177/02184923211001697
       
  • Thymoma with a feeding vessel from coincident coronary–pulmonary
           artery fistulas

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      Authors: Kanji Matsuzaki, Akito Imai, Taisuke Konishi, Hideo Ichimura, Keisuke Kobayashi, Yasunori Watanabe
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      We report a rare case of a 68-year-old man with thymoma and coronary–pulmonary artery fistulas. The thymoma was 66 × 51 × 88 mm in size and accompanied by a feeding vessel originating from the coronary–pulmonary artery fistulas. We performed total thymectomy and resection of coronary–pulmonary artery fistulas at the same time, which has not been reported in the literature. The fistulas along with the left main trunk were successfully resected while temporarily transecting the main pulmonary artery. This strategy was a useful option for obtaining a good field of vision around the left main trunk behind the main pulmonary artery.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-03-11T04:21:27Z
      DOI: 10.1177/02184923211001669
       
  • Surgical approaches in juxtarenal and pararenal aortic aneurysms repair

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      Authors: Eduard R Charchyan, Anna B Stepanenko, Andrey P Gens, Nail A Galeev, Yuri V Belov
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundIn this study, surgical tactic features and juxtarenal and pararenal treatment immediate results were analyzed depending on the use of various surgical approaches.MethodsBetween 2015 and 2019, a total of 89 patients received surgical treatment, of which 52(58%) had juxtarenal aneurysms and 37 (42%) – pararenal aneurysms. During repairs, three types of surgical approaches were used: midline laparotomy, extended retroperitoneal approach and thoraco-phreno-retroperitoneal approach. The patients were divided into three groups accordingly.ResultsAt the immediate postoperative period, mortality rate equaled 2 (2.2%). The reasons were pulmonary embolism and sepsis. Statistically reliable data were obtained, confirming the advantages of midline laparotomic approach over the lateral retroperitoneal ones, which consisted in a shorter operative time, less pronounced pain syndrome, lesser blood loss, fewer postoperative days. The disadvantages were that enteroparesis occurred more often when the midline laparotomy was used in comparison to extended retroperitoneal or thoraco-phrenoretroperitoneal approaches.ConclusionThus, open repairs of juxtarenal and pararenal aortic aneurysms have some specific technical and strategical features which are associated with intraoperative renal ischemia. During open surgical intervention, it is important to first consider the possibility of repair with midline laparotomy. However, lateral retroperitoneal approaches can also be used on a case-by-case basis noting their advantages and disadvantages.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-03-04T05:32:37Z
      DOI: 10.1177/0218492321997384
       
  • Atrial fibrillation – Can HbA1c levels really predict the risk'

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      Authors: Pradeep Narayan, Chandan Kumar Mandal, Rajlakshmi Das, Debasis Das, Paramita Auddya Ghorai, Saibal Roy Chowdhury, Mrinalendu Das
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundDiabetes is associated with higher mortality and worse post-operative outcomes in patients undergoing coronary artery bypass grafting and HbA1c levels have consistently been reported to be associated with adverse post-operative outcomes. However, the role of HbA1c still remains unclear with regards to the occurrence of atrial fibrillation.MethodData for the patients undergoing off-pump coronary artery bypass grafting was analysed in a retrospective fashion. Patients were divided into–those with HbA1c 
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-03-03T04:47:24Z
      DOI: 10.1177/0218492321998933
       
  • Is a fixed low-dose protamine better at reducing postoperative bleeding in
           off pump coronary artery bypass grafting'

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      Authors: Wali R Murugesh, Shetty Shyam Prasad, K Ramachandrappa Sujay, Uyyamballi S Dinesh Kumar
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      ContextProtamine is used ubiquitously in all cardiac surgeries for reversal of heparin. Risk of postoperative bleeding is increased with inadequate heparin reversal or due to anticoagulant side effects of protamine; hence, it is important to dose protamine properly. This study compares 80% protamine dose with full dose on postoperative bleeding and transfusion needs in OPCAB.AimsThe aim of our study was to find whether lower dose of protamine could reduce postoperative bleeding and need for blood product transfusions in off pump coronary artery bypass grafting as compared to the regular dose of protamine.Settings and designThis was a double-blinded randomised controlled trial where patients posted for off pump CABG meeting the inclusion criteria were included in the study.Methods and materialNinety patients were randomised to two groups, group F receiving full dose of protamine of 1 mg per mg heparin used, and group L received 0.8 mg per mg. Postoperative activated clotting time, bleeding at 1 h, 4 h, 24 h and total drainage till drains removal and blood product transfusion requirements were noted.Statistical analysis used: SPSS software.ResultsBoth groups were matched in demographics, preoperative cessation of heparin and aspirin and platelet counts. Both groups received equal heparin dose, activated clotting time before protamine, activated clotting time post protamine in OT and ICU were equal as were the conduits used. There was no significant difference between the groups in post-operative drainage over time or in the need for blood product transfusions.ConclusionsEighty per cent of the dose of protamine can adequately reverse the heparin used during off pump cardiac surgery without any increase in incidence of postoperative bleeding or need for blood product transfusions.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-02-25T05:12:28Z
      DOI: 10.1177/0218492321997393
       
  • Survival benefit from a second arterial conduit to the circumflex
           circulation persists in elderly after coronary artery bypass surgery

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      Authors: Suvitesh Luthra, Miguel M Leiva-Juárez, Pietro G Malvindi, John S Billing, Sunil K Ohri
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundThis retrospective propensity matched study investigated the impact of age on the survival benefit from a second arterial conduit to the left-sided circulation.MethodsData for isolated coronary artery bypass surgery were collected from October 2004 to March 2014. All patients with an internal mammary artery graft to left anterior descending artery and additional arterial or venous graft to the circumflex circulation were included. Propensity matching was used to balance co-variates and generate odds of death for each observation. Odds ratios (venous vs. arterial) were charted against age.ResultsThe in-hospital mortality rate was 1.12% (arterial) vs. 1.24% (venous) (p = 0.77). The overall 10-year survival was 74.6% (venous) vs. 82.6% (arterial) (p = 0.001). A total of 1226 patients were successfully matched to the venous or arterial (second conduit to circumflex territory after left internal mammary artery to left anterior descending artery) cohorts. Odds ratio for death (venous to arterial) showed a linear decremental overall survival benefit for the second arterial graft to circumflex circulation with increasing age.ConclusionsThe survival benefit of a second arterial graft persists through all age groups with a gradual decline with increasing age over the decades. Elderly patients should not be denied a second arterial graft to the circumflex circulation based on age criterion alone.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-02-22T09:42:23Z
      DOI: 10.1177/0218492321997077
       
  • An unusual penetrating shrapnel in the heart

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      Authors: Prabhat Khakural, Ravi Baral, Anil Bhattarai, Bhagawan Koirala
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Penetrating heart trauma is a surgical emergency and can be fatal. However, cardiac penetration occurring due to non-explosive shrapnel is a rare occurrence. We report a case of a 20-year-old man, who sustained a laceration in his left chest, while he was breaking a rock with a chisel and a hammer. He was diagnosed to have an intramyocardial foreign body in his left ventricle. He underwent left ventriculotomy, foreign body localization under fluoroscopic guidance and successful extraction of the shrapnel from the left ventricular cavity.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-02-22T09:42:22Z
      DOI: 10.1177/0218492321996512
       
  • Prediction value of EuroSCORE II in total arterial revascularization and
           its usage in the evaluation of postoperative complications: Single-center
           experience

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      Authors: Aleksandar V Milutinovic, Stasa D Krasic, Igor S Zivkovic, Andja M Cirkovic, Slobodan Z Lokas, Milos M Jovanovic, Predrag S Milojevic, Miodrag S Peric
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundTotal arterial revascularization is the most durable and technically the most demanding type of coronary artery bypass grafting procedure. It has proven long-term supremacy in comparison to conventional coronary artery bypass grafting. In our study, we investigated the reliability of EuroSCORE II as a predictor of intrahospital death. We showed its impact on adverse perioperative events.MethodsIn this nonrandomized prospective study, we analyzed 116 consecutive patients who underwent the total arterial revascularization procedure at our Institute from January 2011 until the present. For myocardial revascularization, the most suitable combinations with left internal mammary artery, right internal mammary artery, and radial artery grafts were used. Main fact in this research was intrahospital mortality value in comparison with the value predicted.ResultsThere were 104 (89.7%) males and 12 (10.3%) females. Mean preoperative EuroSCORE II prediction value was 1.98% and postoperative we obtained 1.72%. Postoperative redo for bleeding was 6%. Positive correlation was proven between the EuoroSCORE II value and intensive care unit stay (0.452; p 
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-02-21T04:21:41Z
      DOI: 10.1177/0218492321997057
       
  • Minimally invasive (mini-thoracotomy) versus median sternotomy in redo
           mitral valve surgery: A meta-analysis of observational studies

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      Authors: Azhar Hussain, Jacob Chacko, Mohsin Uzzaman, Osama Hamid, Salman Butt, Saad Badar Zakai, Habib Khan
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      ObjectiveRedo mitral valve surgery has traditionally been performed via a median sternotomy. It is often challenging and is associated with increased perioperative mortality. Advances in cardiac surgical techniques over the last two decades have led to an increase in the use of a minimally invasive approach via a right anterolateral mini-thoracotomy as opposed to a repeat median sternotomy. However, despite these advances, there is no general consensus on the best form of entry, and as of yet, there are no randomized controlled trials. We performed a meta-analysis of observational studies to aid in determining the best approach for redo mitral valve surgery.MethodThe MEDLINE and EMBASE databases were conducted up until 1 June 2020. Data regarding mortality, stroke, reoperation for bleeding and length of hospital stay, wound infection and cardiopulmonary bypass time were extracted and submitted to a meta-analysis using random effects modelling and the I2-test for heterogeneity. Seven retrospective observational studies were included, enrolling a total of 1070 patients.ResultsThere were a total of 1070 patients. Of these 364 had non-sternotomy approach compared with 707 patients who had median sternotomy. Further subgroup analysis revealed that 327 of the 364 patients had a mini-thoracotomy approach while the remaining 37 patients had a full thoracotomy approach. In-hospital mortality and length of stay were less in non-sternotomy group compared to median sternotomy group. There were no differences in stroke, CPB time and wound infections between the two groups.ConclusionRedo mitral valve surgery can be performed safely with satisfactory outcomes via a mini-thoracotomy approach. This meta-analysis shows comparable results with reduced in-hospital mortality and hospital length of stay with a mini-thoracotomy approach.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-02-21T04:21:40Z
      DOI: 10.1177/0218492321997084
       
  • Risk factors and outcomes of pediatric extracorporeal membrane oxygenation

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      Authors: Hiroshi Taka, Yasuhiro Kotani, Yosuke Kuroko, Susumu Iwadou, Tatsuo Iwasaki, Shingo Kasahara
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundCongenital heart disease (CHD) is the most common neonatal and pediatric cardiac indication for extracorporeal membrane oxygenation (ECMO). Risk factors of survival and neurologic complication were different in many centers. We sought to evaluate survival and neurological outcome after ECMO in patients with CHD.MethodsWe retrospectively reviewed the medical records of 37 patients (1 week and urine output
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-02-21T04:21:40Z
      DOI: 10.1177/0218492321997379
       
  • Case report: Pulmonary artery thrombosis in cyanotic congenital heart
           disease

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      Authors: Ali Shan, Suha Zubairi, Hassan Mirza, Muneer Amanullah, Mubashir Zareen Khan
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Cyanotic congenital cardiac anomalies increase the risk of thrombosis. In pediatric congenital heart disease, the diagnosis of pulmonary artery thrombosis is rare. We reported an 11-year-old male child who developed progressive shortness of breath over six months. He was subsequently referred to the National Institute of Cardiovascular Diseases, Karachi, Pakistan. The child was diagnosed as a case of double outlet left ventricle, levo-transposition of the great arteries, pulmonary stenosis, ventricular septal defect and thrombus in the main pulmonary artery with extension into the branch pulmonary arteries. He underwent thromboendarterectomy with a Glenn shunt and made an uneventful postoperative recovery.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-02-21T04:21:38Z
      DOI: 10.1177/0218492321996519
       
  • Malignant solitary fibrous tumors of the left atrial endocardium

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      Authors: Yamato Suzuki, Yasushi Matsuda, Ryoko Saito, Osamu Adachi, Yoshinori Okada
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Solitary fibrous tumors are typically benign and usually develop in the pleura. We herein report the first case of a solitary fibrous tumor that was pathologically malignant and developed in the left atrial endocardium. A 24-year-old woman underwent resection of a malignant solitary fibrous tumor in her right forearm at another hospital. Computed tomography demonstrated a mass in her right pleura 2 months after the surgery. She was referred to our hospital, and a tumor in her left atrium was subsequently found. She underwent resection of these tumors, and pathological examination showed that they were both malignant solitary fibrous tumors.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-01-26T05:54:43Z
      DOI: 10.1177/0218492321989206
       
  • Aspergillus flavus costochondritis following coronary artery bypass
           grafting: a case report and a brief review of literature

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      Authors: Aamir Mohammad, Santhosh Regini Benjamin, Sameer Mallampati, Birla Roy Gnanamuthu, Anne Jennifer Prabhu, Marilyn Mary Ninan
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Bacterial sternal wound infections following cardiac surgery are not uncommon. However, sternal wound infection by a fungus is a rarity, and it warrants a correct diagnosis followed by specific treatment. We report a case of Aspergillus sternal wound infection with costochondritis following cardiac surgery, and briefly review the relevant literature.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-01-14T06:07:05Z
      DOI: 10.1177/0218492320988458
       
  • Infective endocarditis of a native quadricuspid aortic valve

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      Authors: María Ascaso, Robert Pruna-Guillen, Marta Hernández-Meneses, Elena Sandoval, Eduard Quintana
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Quadricuspid aortic valve complicated with infective endocarditis is an uncommon clinical scenario. The indications for surgery and medical management do not differ from other types of aortic valve endocarditis. Commonly present structural abnormalities pose an increased risk of complete heart block and coronary occlusion during valve replacement. We present a case of quadricuspid aortic valve complicated with infective endocarditis, with surgical images of the valve.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-01-14T06:07:04Z
      DOI: 10.1177/0218492321989208
       
  • Cardiac hydatid cyst interposed between the right atrium and right
           ventricle on the tricuspid valve

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      Authors: Hicham Harmouchi, Mustapha El Kouache, Marwane Lakranbi, Yassine Ouadnouni, Mohammed Smahi
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Hydatidosis disease is commonly localized in the lungs and liver and the radical treatment remains surgery. Cardiac hydatid cyst is a rare and particular location disease that can be associated with serious complications. The most common site in the heart according to the is the left ventricle. We describe a case of cardiac hydatid cyst localized between the right atrium and right ventricle on the tricuspid valve in a 15-year-old patient.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-01-13T04:29:08Z
      DOI: 10.1177/0218492320988444
       
  • Methylene blue for vasoplegic syndrome in cardiopulmonary bypass surgery:
           A systematic review and meta-analysis

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      Authors: Fajar Perdhana, Nabila A Kloping, Andro P Witarto, David Nugraha, Niwanda Yogiswara, Kevin Luke, Yudhistira P Kloping, Nancy M Rehatta
      First page: 717
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundTo evaluate the benefit of methylene blue as an adjunct treatment by assessing hemodynamic, morbidity rate, intensive care unit length of stay, and mortality rate outcomes in adult patients with vasoplegic syndrome.MethodsA systematic search through electronic databases including Pubmed, Embase, Scopus, and Medline for studies assessing the use of methylene blue in patients with vasoplegic syndrome compared to control treatments. The Newcastle–Ottawa Scale tool was used for observational studies, and Jadad Scale was used for controlled trials to assess the risk of bias.ResultsThis systematic review included six studies for qualitative synthesis and five studies for quantitative synthesis. Pooled analysis revealed that mean arterial pressure, systemic vascular resistance, heart rate, and hospital stay were not statistically significant in methylene blue administration compared to control. However, administration of methylene blue in vasoplegic syndrome patients significantly reduces renal failure (OR = 0.25; 95% CI = 0.08–0.75), development of multiple organ failure (OR = 0.09; 95% CI = 0.02–0.51), and mortality rate (OR = 0.12; 95% CI = 0.03–0.46).ConclusionAdjunct administration of methylene blue for vasoplegic syndrome patients significantly reduces renal failure, multiple organ failure, and mortality.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-03-03T04:47:26Z
      DOI: 10.1177/0218492321998523
       
  • United in earnest: First pilot sites for increased surgical capacity for
           rheumatic heart disease announced by Cardiac Surgery Intersociety Alliance
           

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      Authors: Zachary O Enumah, Ralph M Bolman, Peter Zilla, Percy Boateng, Barry Wilson, AS Kumar, Taweesak Chotivatanapong, Friedhelm Beyersdorf, Jose Pomar, Karen Sliwa, Jean-Luc Eiselé, Joseph Dearani, Robert Higgins
      First page: 729
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundRheumatic heart disease affects more than 33,000,000 individuals, mostly from low- and middle-income countries. The Cape Town Declaration on Access to Cardiac Surgery in the Developing World was published in August 2018, signaling the commitment of the global cardiac surgery and cardiology communities to improving care for rheumatic heart disease patients.MethodsAs the Cape Town Declaration formed the basis for which the Cardiac Surgery Intersociety Alliance was formed, the purpose of this article is to describe the history of the Cardiac Surgery Intersociety Alliance, its formation, ongoing activities, and future directions, including the announcement of selected pilot sites.ResultsThe Cardiac Surgery Intersociety Alliance is an international alliance consisting of representatives from major cardiothoracic surgical societies and the World Heart Federation. Activities have included meetings at annual conferences, exhibit hall participation for advertisement and recruitment, and publication of selection criteria for cardiac surgery centers to apply for Cardiac Surgery Intersociety Alliance support. Criteria focused on local operating capacity, local championing, governmental and facility support, appropriate identification of a specific gap in care and desire to engage in future research. Eleven applications were received for which three finalist sites were selected and site visits conducted. The two selected sites were Hospital Central Maputo (Mozambique) and King Faisal Hospital Kigali (Rwanda).ConclusionsSubstantial progress has been made since the passing of the Cape Town Declaration and the formation of the Cardiac Surgery Intersociety Alliance, but ongoing efforts with collaboration of all committed parties—cardiac surgery, cardiology, industry, and government—will be necessary to improve access to life-saving cardiac surgery for rheumatic heart disease patients.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-04-08T01:00:04Z
      DOI: 10.1177/02184923211005667
       
  • Prognostic role of procalcitonin in ST-elevation myocardial infarction
           complicated by cardiogenic shock

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      Authors: Yash Paul Sharma, Ganesh Kasinadhuni, Krishna Santosh, Nitin Kumar Parashar, Rakesh Sharma, Dinakar Bootla, Kewal Kanabar, Darshan Krishnappa
      First page: 751
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      ObjectiveCardiogenic shock accounts for the majority of deaths amongst patients with ST-elevation myocardial infarction. Procalcitonin is elevated in acute myocardial infarction, especially when complicated by left heart failure, cardiogenic shock, resuscitated cardiac arrest, and bacterial infections. However, the prognostic utility of procalcitonin in ST-elevation myocardial infarction complicated by cardiogenic shock has not been systematically evaluated.MethodsWe performed a retrospective registry review of 125 patients with ST-elevation myocardial infarction and cardiogenic shock over 2 years at a tertiary referral hospital to examine the prognostic value of serum procalcitonin measurement at 24 hours after the onset of infarction for in-hospital mortality.ResultsThe mean age of the study population was 57.75 ± 11.1 years, and the median delay from onset to hospital admission was 15 hours. The in-hospital mortality was 28.8%. Receiver operating characteristic analysis revealed a strong relationship between elevated procalcitonin and in-hospital mortality (area under the curve = 0.676; p = 0.002). Although procalcitonin was found to be higher in non-survivors in univariate analysis, it was not an independent predictor of mortality in multivariate regression analysis. Acute kidney injury, left ventricular ejection fraction, and non-revascularization were independently associated with mortality after adjusting for covariates.ConclusionAlthough procalcitonin was higher in non-survivors, static procalcitonin measurement at 24 hours after the onset of ST-elevation myocardial infarction complicated by cardiogenic shock was not an independent predictor of in-hospital mortality. Additional prospective studies are required to assess the role of serial procalcitonin monitoring in ST-elevation myocardial infarction complicated by cardiogenic shock.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-01-14T06:07:03Z
      DOI: 10.1177/0218492320987918
       
  • Left or bilateral internal mammary artery employment in coronary artery
           bypass grafting: midterm results

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      Authors: Mikhail Sergeevich Fomenko, Yuri Alexandrovich Schneider, Victor Gennadievich Tsoi, Alexander Anatolyevich Pavlov, Pavel Alexandrovich Shilenko
      First page: 758
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundThe gold standard for coronary artery bypass grafting to the left anterior descending artery is use of the left internal mammary artery. Better long-term survival has been reported using bilateral internal mammary arteries compared to left internal mammary artery only, but many surgeons are reluctant to employ bilateral internal mammary arteries in coronary artery bypass grafting. This study aimed to evaluate the effectiveness and safety of bilateral internal mammary artery use.MethodsFrom 2014 to 2017, 1703 patients underwent coronary artery bypass grafting in our institute. Of these, 772 met the inclusion criteria and were randomly assigned to receive bilateral (n = 387) or left (n = 385) internal mammary artery grafts. The mean age was 67.1 ± 6.0 years (range 48–85 years) and 474 (61.4%) were male. The mean number of diseased vessels was 3.1 ± 0.9, and mean EuroSCORE II was 3.4% ± 1.1%.ResultsHospital mortality was 1.2% in the left internal mammary artery group vs. 1.8% in the bilateral internal mammary artery group (p = 0.55). There was no difference in procedure-related complications between groups. Mean follow-up was 65.9 months. Survival in the bilateral internal mammary artery group at 1, 3, and 5 years was 98.7%, 98.7%, and 94.8% vs. 98.1%, 98.1%, and 90.9%, respectively, in the left internal mammary artery group (p = 0.63).ConclusionApplication of bilateral internal mammary arteries in coronary artery bypass grafting is safe and effective, with comparable midterm results to those with the left internal mammary artery only.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-01-22T06:11:12Z
      DOI: 10.1177/0218492321990764
       
  • Preoperative nutritional status is associated with the prognosis for lung
           cancer

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      Authors: Ayaka Asakawa, Hironori Ishibashi, Yusuke Matsuyama, Takeo Fujiwara, Masashi Kobayashi, Kenichi Okubo
      First page: 763
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundWe investigated whether preoperative nutritional indicators predicted the prognosis for patients with early-stage non-small cell lung cancer.MethodsData for stage I or stage IIA non-small cell lung cancer without lymph node metastasis patients who received anatomical lung resection and were followed-up at least five years after surgery (n = 286) were analyzed. We calculated geriatric nutritional risk index, prognostic nutritional index, controlling nutritional status score, and modified Glasgow prognostic score. Multivariate Cox proportional hazard model adjusting for age, BMI, complication, pathological stage, histology of squamous cell carcinoma, T factor, diffusing capacity for carbon monoxide, surgery and smoking status was fitted to evaluate the association between these nutritional indicators and mortality and recurrence within five years.ResultsAfter adjusted for covariates other than type of surgery and diffusing capacity for carbon monoxide, controlling nutritional status of ≥3 was significantly associated with mortality (hazard ratio (HR) = 2.68, 95% confidence interval (CI) = 1.02, 7.01). The association remained marginally significant by adjusting for type of surgery and diffusing capacity for carbon monoxide (HR = 2.44, 95% CI = 0.92, 6.45). controlling nutritional status of ≥3 was significantly associated with recurrence (HR = 2.60; 95% CI: 1.20, 5.61) after adjusting for all covariates. Other nutritional indices did not predict the prognosis in multivariate analysis.ConclusionPreoperative high controlling nutritional status score was marginally and significantly associated with mortality and recurrence of non-small cell lung cancer patients after lung resection.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-05-07T04:40:35Z
      DOI: 10.1177/02184923211014002
       
  • Clinical and surgical analysis of lobectomy for destroyed lobe of the
           lung: A series of 47 patients

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      Authors: El Hassane Kabiri, Massine El Hammoumi, Mohamed Bhairis, Faycal El Oueriachi, Omar Slaoui, Mouaad Amraoui
      First page: 772
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      ObjectiveDestroyed lobe of the lung is always secondary to chronic or recurrent lung infections with irreversible damage of pulmonary parenchyma. In this study, we analyzed surgical technique, post-operative complications, mortality, and long-term outcomes of patients undergoing lobectomy of pulmonary lobe destruction.Materials and methodsA retrospective study of 47 patients that underwent lobectomy due to a destroyed lung parenchyma between January 2010 and December 2019 were reviewed with an average follow-up period of 39 months.ResultsThe study included 47 patients with a mean age of 39.4 years. The etiology of lobe destroyed was tuberculosis in 15 (31.9%), non-tuberculosis bronchiectasis in 20 (42.5%), aspergilloma in 09 (19.1%), hydatid cyst in 2 (4.3%), and a mis-diagnosed intrabronchic foreign body in 1 (2.1%). Surgical approach was through posterolateral thoracotomy in 44 (93.6%) patients and video-assisted thoracoscopic surgery in only 3 patients. Mean operative time was 153 min and mean post-operative hospital stay was 7.9 days. The post-operative complications occurred in five (10.6%): atelectasis (n  =  2), wound site infection (n = 1), prolonged air leak (n = 1), and hemothorax in one case. No post-operative mortality was noted. A good clinical result was observed in 87.2% of cases.ConclusionSurgical treatment of destroyed lobe is a high risk associated surgery. Tuberculosis and aspergilloma are the most common etiologies. Favorable result was obtained in selected patient with an excellent perioperative care.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-05-12T05:46:37Z
      DOI: 10.1177/02184923211017101
       
  • Operative results after xiphoidectomy in patients with xiphodynia

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      Authors: Frank P Garssen, Margot B Aalders, Marcel J van der Poel, Wietse P Zuidema
      First page: 779
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundXiphodynia, the painful xiphoid process, is a rare condition with an atypical presentation. Symptoms differ in severity and site, and can consist of chest, throat, and upper abdominal pain. Primarily, other more severe causes of these symptoms need to be excluded. After this exclusion as xiphodynia is diagnosed, treatment can consist of a multitude of options, since there is no consensus regarding the optimal treatment. The aim of this study was to describe the outcomes and efficacy of one of the options, namely surgical resection of the xiphoid in patients with xiphodynia.MethodsIn this retrospective case series, all consecutive patients that underwent xiphoidectomy for xiphodynia between January 2014 and December 2017 were included. Patients’ medical files including pre-operative work up, NRS scores, surgical outcomes, and follow up were reviewed. All patients received a questionnaire with follow-up questions.ResultsA total of 19 patients were included. None of the patients had surgery-related complications. Response rate of the questionnaire was 84% and showed that 94% of patients had an improvement of complaints after surgery, with 10 patients (63%) being totally pain free, after a mean follow-up from 34 months after surgery.ConclusionsXiphoidectomy is feasible and safe for the treatment of patients with xiphodynia with an improvement of complaints in nearly all patients.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-05-20T08:58:22Z
      DOI: 10.1177/02184923211019179
       
  • Correlation between outcomes and tumor size in>7 cm T4 non-small cell
           lung cancer patients: A tumor size-based comparison study

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      Authors: Volkan Erdoğu, Necati Çitak, Celal B Sezen, Levent Cansever, Cemal Aker, Selin Onay, Mustafa V Doğru, Özkan Saydam, Mehmet A Bedirhan, Muzaffer Metin
      First page: 784
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundWe investigated whether all size-based pathological T4N0–N1 non-small cell lung cancer patients with tumors at any size>7 cm had the same outcomes.MethodsWe reviewed non-small cell lung cancer patients with tumors>7 cm who underwent anatomical lung resection between 2010 and 2016. A total of 251 size-based T4N0–N1 patients were divided into two groups based on tumor size. Group S (n = 192) included patients with tumors of 7.1–9.9 cm and Group L (n = 59) as tumor size ≥10 cm.ResultsThe mean tumor size was 8.83 ± 1.7 cm (Group S: 8.06 ± 0.6 cm, Group L: 11.3 ± 1.6 cm). There were 146 patients with pathological N0 and 105 patients with pathological N1 disease. Mean overall survival and disease-free survival were 64.2 and 51.4 months, respectively. The five-year overall survival and disease-free survival rates were 51.2% and 43.5% (five-year OS; pT4N0:52.7%, pT4N1:47.9%, DFS; pT4N0:44.3%, pT4N1: 42.3%). No significant differences were observed between T4N0 and T4N1 patients in terms of five-year OS or DFS (p = 0.325, p = 0.505 respectively). The five-year overall survival and disease-free survival rates were 52% and 44.6% in Group S, and 48.5% and 38.9% in Group L. No significant difference was observed between the groups in terms of five-year overall survival or disease-free survival (p = 0.699, p = 0.608, respectively).ConclusionsAbove 7 cm, any further increase in tumor size in non-small cell lung cancer patients had no significant effect on survival, confirming it is not necessary to further discriminate among patients with tumors in that size class.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-08-23T01:46:07Z
      DOI: 10.1177/02184923211025429
       
  • Mutual checking system for assessing trainee skills of thoracic surgery

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      Authors: Naoko Miura, Taichi Matsubara, Shinkichi Takamori, Takaki Akamine, Naoki Haratake, Yasunori Shikada, Masafumi Yamaguchi, Tatsuro Okamoto, Mitsuhiro Takenoyama
      First page: 792
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundVideo-assisted surgery helps surgeons learn surgical skills efficiently. The aim of this study was to evaluate the effect of mutual evaluation of trainees’ surgical techniques using tabulated common evaluation criteria.MethodsWe created a check sheet in which a standard pulmonary lobectomy procedure was divided into six parts and the checkpoints to note listed. Both the trainees and trainers used tabulated common evaluation criteria to evaluate lobectomies performed by the trainees.ResultsFrom September 2019 to March 2020, 30 lobectomies were performed by three trainees. The trainee’s evaluations of their own procedures were relatively high at first, then decreased, then gradually increased; however, the trainers’ evaluations showed no such tendency.ConclusionsMutual evaluation of surgery using tabulated common evaluation criteria enables trainees to review their own surgery objectively and receive evaluations by trainers, thus helping them to avoid the Dunning–Kruger effect and efficiently acquire basic surgical skills.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-06-25T05:04:16Z
      DOI: 10.1177/02184923211025439
       
  • Late traumatic ventricular septal rupture

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      Authors: Shaji Palangadan, Narayanan Nair Padmavati Amma Padmaja, Ameer Karavathukudy Azeez, Subash Sundarsingh, Vijay Thomas Cherian, Govindan Vijayaraghavan
      First page: 804
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Traumatic ventricular septal rupture is a rare complication of blunt trauma to the chest and is lethal if unidentified. Although majority of these present early, late presentation can also occur. We describe a patient with severe head injury who deteriorated three weeks after trauma due to late development of ventricular septal rupture.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-02-26T05:08:05Z
      DOI: 10.1177/0218492321997382
       
  • Aortic root replacement in a patient with previous coronary artery bypass

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      Authors: Juan F Parra, Eric E Vinck, Jessica N González, Hernando Santos
      First page: 807
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Acute type A thoracic aortic dissection is a life-threatening condition that requires rapid diagnosis and prompt surgical intervention. Prior cardiac surgery is recognized as a predisposing risk factor. Here, we report a rare case and successful surgical repair of a late presenting acute type A thoracic aortic dissection four years after a three-vessel coronary artery bypass grafting. Resection of the aortic valve and aneurysmal tissue was required, reconstruction was done with a composite graft, and the native coronary ostia and aorto-saphenous buttons were preserved.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-02-21T04:21:38Z
      DOI: 10.1177/0218492321997387
       
  • Isolated left subclavian with a compensatory ductus in a child with
           Tetralogy of Fallot

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      Authors: Subramanian Chellappan, Krishna Manohar, Yogesh Sathe, Siddharth Amboli, Radha Joshi, Naveen Hiremath
      First page: 810
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Tetralogy of Fallot is a cyanotic heart disease wherein aortopulmonary collaterals serve as source of pulmonary blood flow to maintain oxygenation. We report an incidentally detected isolated left subclavian artery supplying a compensatory ductus in a child with Tetralogy of Fallot that effectively contributed as a de novo palliative systemic to pulmonary artery shunt. Clinically, the entity could not be suspected, as the child did not have symptoms suggestive of arterial insufficiency of the left arm or weak pulses or neurological symptoms. The child underwent successful intracardiac repair with a reimplantation of left subclavian artery to left common carotid artery.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-02-21T04:21:39Z
      DOI: 10.1177/0218492321997385
       
  • Solitary fibrous renal tumor with thrombus extension into the inferior
           vena cava and right atrium

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      Authors: Farouk Almohammad, Mohammad M Bakour
      First page: 813
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      A solitary fibrous tumor of the kidney with thrombus extended into the inferior vena cava and right atrium is very rare. The current surgical approach is to combine intra-abdominal and cardiac surgery with cardiopulmonary bypass. We describe a rare case of renal solitary fibrous tumor extended to the inferior vena cava and right atrium, treated with urgent cardiac surgery using deep hypothermic circulatory arrest one month after an inappropriate right nephrectomy because of the development of cavo-atrial obstruction symptoms.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-02-21T04:21:41Z
      DOI: 10.1177/0218492321997391
       
  • A rare cause of left ventricular outflow tract mass in infancy: Cardiac
           papillary fibroelastoma

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      Authors: Maruti Haranal, Zul Febrianti, Haifa A Latiff, Sabariah A Rahman, Sivakumar Sivalingam
      First page: 816
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Primary cardiac tumors are one of the rare causes of intracardiac masses in pediatric population. Cardiac papillary fibroelastomas are benign cardiac tumors with predilection for valvular endocardium, and the presentation is dictated by the cardiac structure involved and the tumor characteristics. We report an infant with cardiac papillary fibroelastoma manifesting as an asymptomatic left ventricular outflow tract mass. This case is being presented to emphasize the rare occurrence of cardiac papillary fibroelastoma in pediatric population and to be cognizant of this entity when considering differential diagnosis of intracardiac masses in this subgroup.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-02-28T04:21:56Z
      DOI: 10.1177/0218492321998500
       
  • Percutaneous closure of native anterior mitral leaflet perforation under
           three-dimensional transesophageal echocardiography guidance

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      Authors: Hemant Chaturvedi, Ravinder Singh Rao
      First page: 819
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      We are presenting a unique case of native anterior mitral leaflet (AML) perforation with severe mitral regurgitation leading to progressive dyspnea. Using real time three-dimensional transesophageal echocardiography, this case was accurately diagnosed and percutaneous closure has been done successfully with the device. Review of the literature showed successful transcatheter closure of AML perforation of only four cases, all post-operative status. So, it seems to be the first case of native AML perforation closure till date.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-03-10T05:01:12Z
      DOI: 10.1177/02184923211001691
       
  • Acquired submitral aneurysms may be associated with mitral paravalvular
           leaks

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      Authors: Palaparti Raghuram, Kothandam Sivakumar, Ejaz Ahamed Sheriff
      First page: 822
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Acquired submitral aneurysm after mitral valve replacement is caused by weakness of the annular tissues induced by inflammation, scarring, and ischemia from surgical trauma. The asynchronous stretch of the annulus caused by the submitral aneurysm may cause recurrent paravalvular leaks. In patients with acquired submitral aneurysms and paravalvular leaks, ideal solution is a repeat surgery to address both the aneurysm and the leak. However, when patients are at high risk for repeat surgeries on cardiopulmonary bypass through sternotomy, transcatheter closure of these paravalvar leaks may offer an alternative solution. Four such procedures in three patients are detailed in this report.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-04-01T05:04:45Z
      DOI: 10.1177/02184923211006310
       
  • Congenital absence of the left circumflex artery: Case series and review

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      Authors: Pankaj Jariwala, Kartik Jadhav, Satya Sridhar Kale
      First page: 826
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Congenital absence of the left circumflex artery (CALCx) or an anomalous origin of the left circumflex artery from the right coronary artery is a unique anomaly in the literature that has been incidentally diagnosed with coronary angiography. CALCx is characterized by an angiographical absence of the left circumflex artery, with a super-dominant right coronary artery that provides the postero-lateral wall of the left ventricle. We present a review of the literature of a total of 52 CALCx cases reported so far including our case. In our study, the average age of patients was 52.83 years (median – 55 years; standard deviation – 13.05 years; range 12–76 years) with a male to female ratio of 1.93:1. The chronic coronary syndrome was the most common clinical presentation followed by the acute coronary syndrome. In 45.5% of cases, the associated coronary artery disease was documented. A comprehensive anatomical and functional assessment is required for the appropriate management strategy.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-03-04T05:32:38Z
      DOI: 10.1177/0218492321997378
       
  • Transcatheter aortic valve implantation in low-risk patients: A case of
           rational over exuberance. The time is not now

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      Authors: Manoraj Navaratnarajah, Suvitesh Luthra, Sunil Ohri
      First page: 836
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      BackgroundReview of evidence and concerns, relating to extension of transcatheter aortic valve implantation usage to low–risk patients.MethodsComprehensive literature review was conducted identifying articles relating to transcatheter aortic valve implantation.ResultsTranscatheter aortic valve implantation is effective in patients with aortic stenosis. Currently, long-term durability and cost-effectiveness are unproven, anticoagulation requirement undefined, permanent pacemaker implantation and paravalvular leak rates higher than following surgical aortic valve replacement.ConclusionsCurrent evidence supporting transcatheter aortic valve implantation usage in low-risk patients is insufficient. Extending use now, to this large young patient population is premature, and should be delayed.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-05-26T05:26:59Z
      DOI: 10.1177/02184923211018589
       
  • Pulmonary mucormycosis causing a mycotic pulmonary artery aneurysm

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      Authors: Richard Saldanha, Ravi Ghatanatti, Mohan D Gan, Kiran Kurkure, Gautam Suresh, Vijayalaxmi M Dhorigol
      First page: 848
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Mycotic pulmonary artery aneurysms requiring pneumonectomy are extremely rare. We present a severely breathless immunocompromised diabetic middle-aged female patient. CT pulmonary angiogram revealed a giant pulmonary artery aneurysm with impending rupture in the right lung. We did an emergency right pneumonectomy under cardiopulmonary bypass support. Histopathology report of the lung specimen confirmed mucormycosis. She received amphotericin B after the procedure. The patient had a prolonged postoperative hospital stay and succumbed to sepsis. Mycotic pulmonary artery aneurysm portends very high morbidity and mortality in immunocompromised patients.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-02-25T05:12:27Z
      DOI: 10.1177/0218492321998495
       
  • Misplaced hemodialysis catheter in aortic root

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      Authors: Pradeep R, Mansi Verma, Shiv Kumar Choudhary
      First page: 852
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.

      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-05-27T05:37:04Z
      DOI: 10.1177/02184923211019853
       
  • Internal thoracic arteries with early postoperative arteritis

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      Authors: Socrates Fragoulis, Aikaterini Gavalaki, Constantinos Contrafouris
      First page: 853
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.

      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-07-01T05:09:10Z
      DOI: 10.1177/02184923211025427
       
  • “Laundry dryer” sign associated with venous thromboembolism

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      Authors: Takuya Hashimoto, Osamu Sato, Juno Deguchi
      First page: 854
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.

      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-03-11T04:21:27Z
      DOI: 10.1177/02184923211001678
       
  • Two similar patient instances for a rare disease: “Bronchitis
           plastica”

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      Authors: Sercan Aydin, Ayse Gül Ergönül, Ufuk Cagirici
      First page: 856
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.

      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-06-14T10:07:25Z
      DOI: 10.1177/02184923211025414
       
  • Large intrathoracic lipoblastoma

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      Authors: Moeinadin Safavi, Narges Akhlaghi, Bahar Ashjaei
      First page: 858
      Abstract: Asian Cardiovascular and Thoracic Annals, Ahead of Print.
      Lipoblastoma is a rare benign tumor of primitive white fat in children, which usually involves the trunk and extremities. It rarely involves retroperitoneum, head, neck, and mediastinum. Herein, the authors introduce a rare presentation of lipoblastoma as a large intrathoracic mass.
      Citation: Asian Cardiovascular and Thoracic Annals
      PubDate: 2021-08-19T12:23:31Z
      DOI: 10.1177/02184923211038407
       
 
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