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General Thoracic and Cardiovascular Surgery OnlineFirst articles

26.05.2023 | How to Do It

Novel reinforcement technique using pre-glued felt strip with Hydrofit® for a distal anastomotic site in acute type A aortic dissection

In the surgical treatment of acute type A aortic dissection, performing the anastomosis in the dissected aorta is technically challenging due to the fragility of the dissected aortic wall. This study describes the reinforcement technique for the …

verfasst von:
Shintaro Takago, Satoru Nishida, Kazunori Koyama

22.05.2023 | Original Article

Postoperative nomogram and risk calculator of acute renal failure for Stanford type A aortic dissection surgery

Aortic dissection (AD) is a common cardiovascular emergency and critical disease, with the characteristics of acute onset, high mortality, many complications and seriously threatening human health [ 1 ]. In recent years, the incidence rate and …

verfasst von:
Chong Zhang, Song Chen, Jianguo Yang, Gaofeng Pan

Open Access 17.05.2023 | Original Article

Investigation of real-world heparin resistance and anticoagulation management prior to cardiopulmonary bypass: report from a nationwide survey by the Japanese Association for Thoracic Surgery heparin resistance working group

Heparin resistance (HR) is often encountered before the initiation of cardiopulmonary bypass (CPB), a prerequisite procedure for the majority of cardiovascular surgeries. HR is defined as the failure to achieve the desired activated clotting time …

verfasst von:
Koki Ito, Konosuke Sasaki, Minoru Ono, Takaaki Suzuki, Kisaburo Sakamoto, Hirotsugu Okamoto, Nobuyuki Katori, Naoki Momose, Yasuyuki Araki, Keiichi Tojo, Masahiro Ieko, Yutaka Komiyama, Yoshikatsu Saiki

16.05.2023 | Original Article

Comparison of radiological and pathological tumor sizes in resected non-small cell lung cancer

Lung cancer is the leading cause of cancer death worldwide [ 1 ]. The tumor, lymph nodes, and metastases (TNM) classification, which is used to determine clinical and pathological staging [ 1 ], was revised (8th edition) in 2017. In this version …

verfasst von:
Taichi Nagano, Shinkichi Takamori, Asato Hashinokuchi, Kyoto Matsydo, Mikihiro Kohno, Naoko Miura, Tomoyoshi Takenaka, Takeshi Kamitani, Mototsugu Shimokawa, Kousei Ishigami, Yoshinao Oda, Tomoharu Yoshizumi

14.05.2023 | Original Article

Upfront surgery for N2 NSCLC: a large retrospective multicenter cohort study

Lung cancer is the leading cause of cancer death worldwide, accounting for nearly 2 million new diagnoses per year [ 1 ]. Non-small cell lung cancer (NSCLC) accounts for 80% of lung cancers, and only 26% of all patients with NSCLC are alive 5 years …

verfasst von:
Alessio Campisi, Chiara Catelli, Piotr Gabryel, Riccardo Giovannetti, Andrea Dell’Amore, Mariusz Kasprzyk, Cezary Piwkowski, Maurizio Infante

14.05.2023 | Original Article

Modification of the Nuss procedure: the crossed bar technique for new subtypes of pectus excavatum

Pectus excavatum (PE) is the most common anterior chest wall deformity with an occurrence of 0.3% of all births [ 1 , 2 ]. In a recent publication, Biavati and friends published the population-based prevalence of pectus excavatum in adults as 0.4% …

verfasst von:
Nezih Onur Ermerak, Mustafa Yuksel

12.05.2023 | Original Article

Thromboelastographic evaluation after cardiac surgery optimizes transfusion requirements in the intensive care unit: a single-center retrospective cohort study using an inverse probability weighting method

Impaired hemostasis can contribute to intra- and postoperative bleeding and is associated with increased morbidity and mortality [ 1 ]. In general, standard laboratory tests include the activated partial thromboplastin time, prothrombin time …

verfasst von:
Takahiro Tamura, Shogo Suzuki, Tasuku Fujii, Takahiro Hirai, Takahiro Imaizumi, Yoko Kubo, Yasuyuki Shibata, Yuji Narita, Masato Mutsuga, Kimitoshi Nishiwaki

11.05.2023 | Review Article

The role of cardiac surgery in radiation-associated heart disease: a scoping review

The advent and widespread use of radiotherapy has vastly improved survival of patients with cancers of the thorax and chest wall. While cardiotoxic effects of chemotherapeutic agents have long been documented, direct effects of radiotherapy on the …

verfasst von:
Daniel Shell

10.05.2023 | How to Do It

A novel approach to the lung apex avoiding dissection of severe pleural adhesions

A 70-year-old man was incidentally diagnosed with left pneumothorax. Primary surgery via the caudal thoracic cavity found severe pleural adhesions causing narrowing of the tunnel leading to the lung apex. The point of air leakage was located at …

verfasst von:
Kazuto Sugai, Naohiro Kobayashi, Tomoyuki Kawamura, Yukinobu Goto, Hideo Ichimura, Yukio Sato

15.04.2023 | Original Article

Therapeutic strategy aiming at R0 resection for borderline-resectable esophageal squamous cell carcinoma using induction chemotherapy with docetaxel, cisplatin, and 5-fluorouracil

Esophageal cancer is one of the most aggressive malignancies of the gastrointestinal tract, and many patients are diagnosed with advanced cancer [ 1 , 2 ]. Unfortunately, the overall survival (OS) rate remains low [ 3 ], and esophageal cancer is …

verfasst von:
Masanobu Nakajima, Hiroto Muroi, Maiko Kikuchi, Tsukasa Kubo, Noboru Inoue, Keisuke Ihara, Masatoshi Nakagawa, Shinji Morita, Takatoshi Nakamura, Kazuyuki Kojima

03.04.2023 | Original Article

The role and timing of cardiopulmonary bypass in the surgical repair of traumatic cardiac injury

Trauma is one of the leading causes of death, and traumatic cardiac injuries (TCI) classified as either blunt or penetrating are among the leading causes of death from trauma [ 1 – 3 ]. Penetrating cardiac injuries can be particularly lethal, with …

verfasst von:
Mayo Kondo, Shinichi Ijuin, Tomonori Haraguchi, So Izumi, Reiko Kanno, Kazunori Sakaguchi, Kazumasa Edono, Haruki Nakayama, Satoshi Ishihara, Takuro Tsukube

31.03.2023 | Original Article

An independent prognostic factor in surgical cases of pleural empyema caused by common bacteria is the presence of a fistula

Parapneumonic effusions and empyema are relatively common complications of pneumonia. Empyema can also develop in the absence of adjacent pneumonia. Rates are, with one report suggesting, that 20–40% of patients hospitalized with pneumonia …

verfasst von:
Yasoo Sugiura, Morio Nakamura, Hiroyuki Fujimoto, Hiroko Ochiai, Yasuyuki Ohkubo, Hisae Fusegawa, Osamu Kawai, Norito Araki, Toshinori Hashizume

30.03.2023 | Original Article

Blood flow characteristics of the bilateral internal thoracic artery: implications of optimal graft configuration for coronary artery bypass grafting to maximize blood supply

With the aging of society, there are increasing numbers of not only candidates for coronary artery bypass grafting (CABG), but also cases with multivessel/complex lesions. Therefore, multiple conduits are often necessary for CABG, but as patency …

verfasst von:
Takashi Kunihara, Yasushige Shingu, Satoru Wakasa, Hiroshi Sugiki, Yasuhiro Kamikubo, Norihiko Shiiya, Yoshiro Matsui

30.03.2023 | Original Article

Impact of sarcopenia on early and mid-term outcomes of surgery for acute type A aortic dissection in octogenarians

The number of older adult patients with acute type A aortic dissection (AAAD) is increasing as the population ages [ 1 ]. Surgical repair is the first-line treatment for AAAD, and surgical outcomes have improved as diagnostic tools, surgical …

verfasst von:
Takahiro Ishigaki, Satoru Wakasa, Yasushige Shingu, Yohei Ohkawa, Akira Yamada

28.03.2023 | Original Article

Late outcome of coronary artery bypass grafting with or without mitral repair for moderate or moderate–severe ischemic mitral regurgitation

The effectiveness of mitral valve surgery for a complicating moderate ischemic mitral regurgitation (MR) in the setting of coronary artery bypass grafting (CABG) is not still clear. In 2012, John Chan et al. performed the randomized trial of CABG …

verfasst von:
Kaoru Matsuura, Hiraku Kumamaru, Goro Matsumiya, Noboru Motomura

25.03.2023 | Original Article

A prospective randomized controlled study to assess the effectiveness of super FIXSORB WAVE® for sternal stabilization after sternotomy

Median sternotomy remains the most common incision in cardiovascular surgery because of its rapid accessibility and broad exposure to the heart. However, complications such as wound infection, sternal dehiscence, and sternal instability leading to …

verfasst von:
Kiyotoshi Oishi, Hirokuni Arai, Hidehito Kuroki, Tomoyuki Fujioka, Makoto Tomita, Dai Tasaki, Keiji Oi, Eiki Nagaoka, Tatsuki Fujiwara, Masashi Takeshita, Tomoya Yoshizaki, Takeshi Someya, Tomohiro Mizuno

22.03.2023 | How to Do It

Uniportal left S1 + 2 segmentectomy

The left upper lobe is one of the largest lobes of the lung; left upper segmentectomy is well established among thoracic surgeons. In uniportal left S1 + 2 segmentectomy, dissection of the vasculature, bronchus, and intersegmental plane can be …

verfasst von:
Shinya Tane, Yuki Nishioka, Yugo Tanaka, Kazuya Uchino, Wataru Nishio, Yoshimasa Maniwa

Open Access 20.03.2023 | Original Article

Stagnating blood flow related to thrombus formation in pulmonary vein stump after left upper lobectomy

Lung cancer is the leading cause of cancer mortality worldwide, and surgery for lung cancer is widely performed with curative intent. Cerebral infarction can occur after surgery for lung cancer. According to a recent survey reported from Japan in …

verfasst von:
Takahito Nakano, Hiroyuki Kaneda, Tomohiro Murakawa

Open Access 14.03.2023 | Original Article

A sealant with a hemostatic mechanism independent of the blood coagulation function was effective in both elective and emergency surgery for thoracic aorta

Effective hemostasis is key to the success of aortic surgery. Numerous surgical sealants had been developed for controlling bleeding [ 1 – 4 ]. However, currently available sealants have several limitations, such as risk of contamination with …

verfasst von:
Shigeki Morita, Hitoshi Yaku

13.03.2023 | Original Article

Clinical outcome of intraoperative hemodialysis using a hemoconcentrator during cardiopulmonary bypass for dialysis-dependent patients

Intraoperative hemodialysis (IHD) during cardiopulmonary bypass (CPB) is thought to improve the clinical outcomes of patients with end-stage renal dysfunction who undergo open-heart surgery [ 1 – 7 ]. However, IHD is not commonly used in the …

verfasst von:
Satoshi Ohtsubo, Takahito Itoh, Yujiro Kawai, Kanako Kobayashi, Shuichiro Yoshitake, Naoki Fujimura, Yuta Shoji, Shuichi Ishii