The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Nov 2020
Management of acute type B aortic dissection with malperfusion via endovascular fenestration/stenting.
The study objective was to evaluate the management of malperfusion in acute type B aortic dissection with endovascular fenestration/stenting. ⋯ Patients with acute type B aortic dissection with malperfusion can be managed with endovascular fenestration/stenting with excellent short- and long-term outcomes. This approach is particularly helpful to patients with static malperfusion of aortic branch vessels.
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J. Thorac. Cardiovasc. Surg. · Nov 2020
Resection following concurrent chemotherapy and high-dose radiation for stage IIIA non-small cell lung cancer.
Concern exists regarding surgery after thoracic radiation. We aimed to assess early results of anatomic resection following induction therapy with platinum-based chemotherapy and full-dose thoracic radiation for resectable N2+ stage IIIA non-small cell lung cancer. ⋯ Lobectomy was performed safely following full-dose concurrent chemoradiotherapy in these multi-institutional prospective trials; however, increased mortality was noted with extended resections.
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J. Thorac. Cardiovasc. Surg. · Nov 2020
Management of the aortic arch in patients with Loeys-Dietz syndrome.
We sought to develop strategies for management of the aortic arch in patients with Loeys-Dietz syndrome (LDS) through a review of our clinical experience with these patients and a comparison with our experience in patients with Marfan syndrome (MFS). ⋯ In the absence of dissection, patients with LDS have a greater rate of arch intervention after root surgery than patients with MFS. After a dissection, arch reintervention rates are similar in the 2 groups. Arch intervention portends greater late mortality in LDS.