The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Aug 2017
Revisiting the utility of technical performance scores following tetralogy of Fallot repair.
Although an important quality metric, current technical performance scores may not be generalizable and may omit operative factors that influence outcomes. We examined factors not included in current technical performance scores that may contribute to increased postoperative length of stay, major complications, and cost after primary repair of tetralogy of Fallot. ⋯ Current tetralogy of Fallot technical performance scores were not associated with selected outcomes in our postoperative population. Although returning to bypass and bypass length are not included as components in the current score, these are important factors influencing complications and resource use in our population. Revisions anticipated from a prospective trial should consider including these variables.
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J. Thorac. Cardiovasc. Surg. · Aug 2017
Comparative Study Observational StudyThe no-touch saphenous vein graft in elderly coronary bypass patients with multiple comorbidities is a promising conduit to substitute the left internal thoracic artery.
We investigated the patency rates of no-touch saphenous vein grafts anastomosed to the left anterior descending artery compared with the left internal thoracic artery. Further, we compared the patency of no-touch vein grafts to the left anterior descending artery with the patency of no-touch vein grafts to other coronary arteries. ⋯ In elderly coronary bypass patients with multiple comorbidities, a no-touch saphenous vein graft is a promising substitute for the left internal thoracic artery.
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J. Thorac. Cardiovasc. Surg. · Aug 2017
miRNA profiling of primary lung and head and neck squamous cell carcinomas: Addressing a diagnostic dilemma.
To determine whether microRNA (miRNA) profiling of primary lung and head and neck squamous cell carcinomas could be useful to identify a specific miRNA signature that can be used to further discriminate between primary lung squamous carcinomas and metastatic lesions in patients with a history of head and neck squamous cell cancer. ⋯ MicroRNA expression may be useful for discriminating between head and neck and lung squamous cell carcinomas, including miR-34a and the miR-10a:miR-10b ratio. This differentiation has clinical importance because it could help determine the appropriate therapeutic approach.
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J. Thorac. Cardiovasc. Surg. · Aug 2017
Computational fluid dynamics simulation of the right subclavian artery cannulation.
The purpose of this study was to evaluate the efficacy of right subclavian artery cannulation using computational fluid dynamics. ⋯ Right subclavian artery cannulation was cerebroprotective, especially on the right side.