The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Sep 2017
Reoperative aortic root replacement: Outcome in a contemporary series.
Reoperative aortic root replacement is a challenging procedure associated with significant mortality and morbidity. The purpose of this study was to investigate the outcomes of reoperative aortic root replacement when performed in a number of complex clinical settings and to identify risk factors for operative mortality and long-term survival. ⋯ Reoperative aortic root replacement represents complex procedures carrying significant morbidity and mortality. Chronic lung disease, prior myocardial infarction, and concomitant mitral valve surgery were risk factors for operative mortality. Age, peripheral artery disease, emergency, and concomitant mitral valve surgery were risk factors for long-term mortality.
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J. Thorac. Cardiovasc. Surg. · Sep 2017
Comparative StudyOutcomes after lobar versus sublobar resection for clinical stage I non-small cell lung cancer in patients with interstitial lung disease.
Since the prognosis after standard lobectomy for non-small cell lung cancer (NSCLC) in patients with interstitial lung disease (ILD) is poor, we investigated the possibility of sublobar resection for the improvement of the surgical results in such patients. ⋯ Sublobar resection may be a potential alternative choice for clinical stage I NSCLC with ILD on HRCT.
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J. Thorac. Cardiovasc. Surg. · Sep 2017
Indications for sublobar resection of clinical stage IA radiologic pure-solid lung adenocarcinoma.
The aim of this study was to identify clinical factors associated with lepidic growth in resected clinical stage IA radiologic pure-solid lung adenocarcinoma for identifying a possible sublobar resection candidate in the population. ⋯ Higher maximum standardized uptake value may be useful for identifying patients with clinical stage IA radiologic pure-solid lung adenocarcinoma in whom sublobar resection should not be considered, even if technically feasible.
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J. Thorac. Cardiovasc. Surg. · Sep 2017
Multicenter StudyCognitive outcomes and health-related quality of life in adults two decades after the arterial switch operation for transposition of the great arteries.
The study objective was to evaluate the cognitive and psychosocial outcomes of young adults who underwent an arterial switch operation for transposition of the great arteries. ⋯ Despite satisfactory outcomes in most adults with transposition of the great arteries, a substantial proportion has cognitive or psychologic difficulties that may reduce their academic success and quality of life. Further studies are needed to better understand the long-term outcome of this population to provide prevention, surveillance, and care strategies.
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J. Thorac. Cardiovasc. Surg. · Sep 2017
Observational StudyImpaired cerebral autoregulation in preoperative newborn infants with congenital heart disease.
To characterize cerebral autoregulation (CA) in preoperative newborn infants with congenital heart disease (CHD). ⋯ Term newborns with CHD display time-varying CA abnormalities. Associations seen between abnormal CA and greater FTOE, lack of sedation, and lower hemoglobin suggest that impaired oxygen delivery and increased cerebral metabolic demand may overwhelm autoregulatory capacity in these infants. Further studies are needed to determine the significance of impaired CA in this population.