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FONTAN ON STAGE: THE YEAR 2020 We have mastered unprecedented challenges during the 2020 pandemic, with uninterrupted and steadily excelling service to our patients and community. Our profession in adult and congenital heart surgery has rapidly overcome the severe initial impact of the pandemic on our daily work and absorbed several aftershocks in the rapidly evolving preoperative clinical presentation of our patients due A SINGLE-ARM STUDY OF SUBLOBAR RESECTION FOR GROUND-GLASS Current JCOG strategy for stage I lung cancer: The strategy is decided by considering the maximum tumor dimension and CTR. JCOG0804/WJOG4607L is a 1-arm study with sublobar resection for radiologic noninvasive lung cancer based on the criteria of JCOG0201, which defined radiologic noninvasive lung cancer as tumor 2.0 cm or less in size with CTR 0.25 or less. MEDICAL MANAGEMENT OF THORACIC AORTIC ANEURYSM DISEASE Medical management of thoracic aortic aneurysm disease Alan C. Braverman, MD The patient with thoracic aortic aneurysm disease requires careful evaluation and management over his or ACTUARIAL AND KAPLAN-MEIER SURVIVAL ANALYSIS: THERE IS A There are two general types of analysis for survival information: actuarial and Kaplan-Meier. An actuarial analysis should be performed when the actual date of a survival event is unknown. A CLASSIFICATION SYSTEM FOR THE BICUSPID AORTIC VALVE FROM partially or totally. The characteristic appearance of a raphe is a ridge with 12many elastic fibers. The commissure of the aortic valve is the space between the two coronet-shaped, lateral, and HOW TO BRIDGE? MANAGEMENT OF ANTICOAGULATION IN PATIENTS bleeding profile and its cost efficiency, which is due to the ability to administer it on an outpatient basis. The dosing of the more commonly used LMWH enoxaparin should IMPROVING HEALTH CARE BY EMBRACING SYSTEMS THEORY Improving health care by embracing Systems Theory Brett R. Anderson, MD, MBA, MS/POR The development of Systems Theory is largely accredited to Austrian biologist Karl Ludwig von Bertalanffy. PREVENTION AND MANAGEMENT OF STERNAL WOUND INFECTIONS Prevention and management of sternal wound infections Harold L. Lazar, MD,a Thomas Vander Salm, MD,b Richard Engelman, MD,c Dennis Orgill, MD,d and Steven Gordon, MDe Although the incidence of sternal woundinfections has
HOME PAGE: THE JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERYHOMEADULTCONGENITALTHORACICGUIDELINESWTSA The Journal of Thoracic and Cardiovascular Surgery presents original, peer-reviewed articles on diseases of the heart, great vessels, lungs and thorax with emphasis on surgical interventions. An official publication of The American Association for Thoracic Surgery and The Western Thoracic Surgical Association, the Journal focuses on techniques and developments in acquired cardiac surgery THE JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY AATS Journals. JTCVS Open. JTCVS Techniques. Operative Techniques in Thoracic and Cardiovascular Surgery. Seminars in Thoracic and Cardiovascular Surgery. Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual. JTCVS Chinese Edition.Submit Manuscript.
FONTAN ON STAGE: THE YEAR 2020 We have mastered unprecedented challenges during the 2020 pandemic, with uninterrupted and steadily excelling service to our patients and community. Our profession in adult and congenital heart surgery has rapidly overcome the severe initial impact of the pandemic on our daily work and absorbed several aftershocks in the rapidly evolving preoperative clinical presentation of our patients due A SINGLE-ARM STUDY OF SUBLOBAR RESECTION FOR GROUND-GLASS Current JCOG strategy for stage I lung cancer: The strategy is decided by considering the maximum tumor dimension and CTR. JCOG0804/WJOG4607L is a 1-arm study with sublobar resection for radiologic noninvasive lung cancer based on the criteria of JCOG0201, which defined radiologic noninvasive lung cancer as tumor 2.0 cm or less in size with CTR 0.25 or less. MEDICAL MANAGEMENT OF THORACIC AORTIC ANEURYSM DISEASE Medical management of thoracic aortic aneurysm disease Alan C. Braverman, MD The patient with thoracic aortic aneurysm disease requires careful evaluation and management over his or ACTUARIAL AND KAPLAN-MEIER SURVIVAL ANALYSIS: THERE IS A There are two general types of analysis for survival information: actuarial and Kaplan-Meier. An actuarial analysis should be performed when the actual date of a survival event is unknown. A CLASSIFICATION SYSTEM FOR THE BICUSPID AORTIC VALVE FROM partially or totally. The characteristic appearance of a raphe is a ridge with 12many elastic fibers. The commissure of the aortic valve is the space between the two coronet-shaped, lateral, and HOW TO BRIDGE? MANAGEMENT OF ANTICOAGULATION IN PATIENTS bleeding profile and its cost efficiency, which is due to the ability to administer it on an outpatient basis. The dosing of the more commonly used LMWH enoxaparin should IMPROVING HEALTH CARE BY EMBRACING SYSTEMS THEORY Improving health care by embracing Systems Theory Brett R. Anderson, MD, MBA, MS/POR The development of Systems Theory is largely accredited to Austrian biologist Karl Ludwig von Bertalanffy. PREVENTION AND MANAGEMENT OF STERNAL WOUND INFECTIONS Prevention and management of sternal wound infections Harold L. Lazar, MD,a Thomas Vander Salm, MD,b Richard Engelman, MD,c Dennis Orgill, MD,d and Steven Gordon, MDe Although the incidence of sternal woundinfections has
THE JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY AATS Journals. JTCVS Open. JTCVS Techniques. Operative Techniques in Thoracic and Cardiovascular Surgery. Seminars in Thoracic and Cardiovascular Surgery. Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual. JTCVS Chinese Edition.Submit Manuscript.
ADULT - GUIDELINES
Home; Articles & Issues. Back; Articles In Press; Current Issue; List of Issues; Supplements; Adult; Congenital; Thoracic; Guidelines; WTSA; COVID-19; Graphical AbstractsADULT- AORTA
Home; Articles & Issues. Back; Articles In Press; Current Issue; List of Issues; Supplements; Adult; Congenital; Thoracic; Guidelines; WTSA; COVID-19; Graphical Abstracts LONG-TERM SURVIVAL OUTCOME AFTER LOBECTOMY IN PATIENTS In the JCOG0201 study, to reject the null hypothesis that tumors ≤2 cm in size and consolidation tumor ratio (CTR) ≤0.5 are unable to predict pathologically noninvasive cancers (node negative and no vessel invasion), it was necessary for the lower limit of the 95% confidence interval (CI) of specificity for pathologically noninvasive cancers to be at least 97%, but it was not achieved. HOW TO BRIDGE? MANAGEMENT OF ANTICOAGULATION IN PATIENTS An estimated 13% of patients with mechanical heart valves (MHVs) subsequently require noncardiac surgical operations.1 With 140,000 MHVs implanted annually, this patient population continues to expand, and bridging anticoagulation strategies are required. ADULT - MITRAL VALVE Home; Articles & Issues. Back; Articles In Press; Current Issue; List of Issues; Supplements; Adult; Congenital; Thoracic; Guidelines; WTSA; COVID-19; Graphical Abstracts ACTUARIAL AND KAPLAN-MEIER SURVIVAL ANALYSIS: THERE IS A There are two general types of analysis for survival information: actuarial and Kaplan-Meier. An actuarial analysis should be performed when the actual date of a survival event is unknown. COMPLETE REVASCULARIZATION DURING CORONARY ARTERY BYPASS Complete revascularization literature is limited by variance in patient cohorts and inconsistent definitions. The objective of the current study is to provide risk-adjusted outcomes for complete revascularization of significant non-main-branch and main-branchvessel stenoses.
TABLE OF CONTENTS PAGE: THE JOURNAL OF THORACIC AND Please enter a term before submitting your search. OUTCOMES OF ENDOVASCULAR THERAPY FOR STANFORD TYPE B To evaluate the mid-term outcomes of thoracic endovascular aorta repair (TEVAR) for Stanford type B aortic dissection (TBAD) in patients with Marfan syndrome (MFS). HOME PAGE: THE JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERYHOMEADULTCONGENITALTHORACICGUIDELINESWTSA The Journal of Thoracic and Cardiovascular Surgery presents original, peer-reviewed articles on diseases of the heart, great vessels, lungs and thorax with emphasis on surgical interventions. An official publication of The American Association for Thoracic Surgery and The Western Thoracic Surgical Association, the Journal focuses on techniques and developments in acquired cardiac surgery THE JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY AATS Journals. JTCVS Open. JTCVS Techniques. Operative Techniques in Thoracic and Cardiovascular Surgery. Seminars in Thoracic and Cardiovascular Surgery. Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual. JTCVS Chinese Edition.Submit Manuscript.
DYSPHAGIA AFTER CARDIAC SURGERY: PREVALENCE, RISK FACTORS2 This was a single-center prospective study conducted between February 2019 and January 2020. Eligible participants were adults undergoing elective or emergency cardiac surgery via sternotomy or extended thoracotomy who were extubated and able to maintain oxygen saturation greater than 90% without continuous positive airway pressure or bilevel positive airway pressure support. A SINGLE-ARM STUDY OF SUBLOBAR RESECTION FOR GROUND-GLASS Current JCOG strategy for stage I lung cancer: The strategy is decided by considering the maximum tumor dimension and CTR. JCOG0804/WJOG4607L is a 1-arm study with sublobar resection for radiologic noninvasive lung cancer based on the criteria of JCOG0201, which defined radiologic noninvasive lung cancer as tumor 2.0 cm or less in size with CTR 0.25 or less. HOW TO BRIDGE? MANAGEMENT OF ANTICOAGULATION IN PATIENTS An estimated 13% of patients with mechanical heart valves (MHVs) subsequently require noncardiac surgical operations.1 With 140,000 MHVs implanted annually, this patient population continues to expand, and bridging anticoagulation strategies are required. ACTUARIAL AND KAPLAN-MEIER SURVIVAL ANALYSIS: THERE IS A There are two general types of analysis for survival information: actuarial and Kaplan-Meier. An actuarial analysis should be performed when the actual date of a survival event is unknown. MEDICAL MANAGEMENT OF THORACIC AORTIC ANEURYSM DISEASE Medical management of thoracic aortic aneurysm disease Alan C. Braverman, MD The patient with thoracic aortic aneurysm disease requires careful evaluation and management over his or A CLASSIFICATION SYSTEM FOR THE BICUSPID AORTIC VALVE FROM partially or totally. The characteristic appearance of a raphe is a ridge with 12many elastic fibers. The commissure of the aortic valve is the space between the two coronet-shaped, lateral, and THE BROCKENBROUGH-BRAUNWALD-MORROW SIGN The Brockenbrough-Braunwald-Morrow sign Hao Cui, MD, PhD, Anita Nguyen, MBBS, and Hartzell V. Schaff, MD The Brockenbrough-Braunwald-Morrow sign was first HOW TO BRIDGE? MANAGEMENT OF ANTICOAGULATION IN PATIENTS bleeding profile and its cost efficiency, which is due to the ability to administer it on an outpatient basis. The dosing of the more commonly used LMWH enoxaparin should HOME PAGE: THE JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERYHOMEADULTCONGENITALTHORACICGUIDELINESWTSA The Journal of Thoracic and Cardiovascular Surgery presents original, peer-reviewed articles on diseases of the heart, great vessels, lungs and thorax with emphasis on surgical interventions. An official publication of The American Association for Thoracic Surgery and The Western Thoracic Surgical Association, the Journal focuses on techniques and developments in acquired cardiac surgery THE JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY AATS Journals. JTCVS Open. JTCVS Techniques. Operative Techniques in Thoracic and Cardiovascular Surgery. Seminars in Thoracic and Cardiovascular Surgery. Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual. JTCVS Chinese Edition.Submit Manuscript.
DYSPHAGIA AFTER CARDIAC SURGERY: PREVALENCE, RISK FACTORS2 This was a single-center prospective study conducted between February 2019 and January 2020. Eligible participants were adults undergoing elective or emergency cardiac surgery via sternotomy or extended thoracotomy who were extubated and able to maintain oxygen saturation greater than 90% without continuous positive airway pressure or bilevel positive airway pressure support. A SINGLE-ARM STUDY OF SUBLOBAR RESECTION FOR GROUND-GLASS Current JCOG strategy for stage I lung cancer: The strategy is decided by considering the maximum tumor dimension and CTR. JCOG0804/WJOG4607L is a 1-arm study with sublobar resection for radiologic noninvasive lung cancer based on the criteria of JCOG0201, which defined radiologic noninvasive lung cancer as tumor 2.0 cm or less in size with CTR 0.25 or less. HOW TO BRIDGE? MANAGEMENT OF ANTICOAGULATION IN PATIENTS An estimated 13% of patients with mechanical heart valves (MHVs) subsequently require noncardiac surgical operations.1 With 140,000 MHVs implanted annually, this patient population continues to expand, and bridging anticoagulation strategies are required. ACTUARIAL AND KAPLAN-MEIER SURVIVAL ANALYSIS: THERE IS A There are two general types of analysis for survival information: actuarial and Kaplan-Meier. An actuarial analysis should be performed when the actual date of a survival event is unknown. MEDICAL MANAGEMENT OF THORACIC AORTIC ANEURYSM DISEASE Medical management of thoracic aortic aneurysm disease Alan C. Braverman, MD The patient with thoracic aortic aneurysm disease requires careful evaluation and management over his or A CLASSIFICATION SYSTEM FOR THE BICUSPID AORTIC VALVE FROM partially or totally. The characteristic appearance of a raphe is a ridge with 12many elastic fibers. The commissure of the aortic valve is the space between the two coronet-shaped, lateral, and THE BROCKENBROUGH-BRAUNWALD-MORROW SIGN The Brockenbrough-Braunwald-Morrow sign Hao Cui, MD, PhD, Anita Nguyen, MBBS, and Hartzell V. Schaff, MD The Brockenbrough-Braunwald-Morrow sign was first HOW TO BRIDGE? MANAGEMENT OF ANTICOAGULATION IN PATIENTS bleeding profile and its cost efficiency, which is due to the ability to administer it on an outpatient basis. The dosing of the more commonly used LMWH enoxaparin should THE JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY AATS Journals. JTCVS Open. JTCVS Techniques. Operative Techniques in Thoracic and Cardiovascular Surgery. Seminars in Thoracic and Cardiovascular Surgery. Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual. JTCVS Chinese Edition.Submit Manuscript.
LONG-TERM SURVIVAL OUTCOME AFTER LOBECTOMY IN PATIENTS In the JCOG0201 study, to reject the null hypothesis that tumors ≤2 cm in size and consolidation tumor ratio (CTR) ≤0.5 are unable to predict pathologically noninvasive cancers (node negative and no vessel invasion), it was necessary for the lower limit of the 95% confidence interval (CI) of specificity for pathologically noninvasive cancers to be at least 97%, but it was not achieved. IMPROVING HEALTH CARE BY EMBRACING SYSTEMS THEORY The development of Systems Theory is largely accredited to Austrian biologist Karl Ludwig von Bertalanffy. Beginning in the 1920s, von Bertalanffy lectured on the limitations of the Newtonian concepts of closed systems and linear cause and effect. In his seminal work in 1969, von Bertalanffy described what has since become known as General Systems Theory, the concept that systems OUTCOMES OF ENDOVASCULAR THERAPY FOR STANFORD TYPE B To evaluate the mid-term outcomes of thoracic endovascular aorta repair (TEVAR) for Stanford type B aortic dissection (TBAD) in patients with Marfan syndrome (MFS). TABLE OF CONTENTS PAGE: THE JOURNAL OF THORACIC AND A better treatment for saphenous vein graft disease after coronary artery bypass surgery: Might statins be the answer at the right dose to the right patient at the right time? GROUND-GLASS OPACITIES: A CURABLE DISEASE BUT A BIG Ground-glass opacity (GGO) nodules are radiologic findings with focal areas of slightly increased computed tomographic attenuation through which the normal lung parenchyma structures are visually preserved. GGOs are potentially malignant, but at the same time it is important to keep in mind that “GGO” is a rather unspecific radiologic feature seen in a number of clinical conditions COMPLETE REVASCULARIZATION DURING CORONARY ARTERY BYPASS Complete revascularization literature is limited by variance in patient cohorts and inconsistent definitions. The objective of the current study is to provide risk-adjusted outcomes for complete revascularization of significant non-main-branch and main-branchvessel stenoses.
OUTCOMES OF ENDOVASCULAR THERAPY FOR STANFORD TYPE B 1 Title page Title:Outcomes of endovascular therapy for Stanford type B aortic dissection in patients with Marfan syndrome Xiaolang Jiang*, Bin Chen*, Junhao Jiang, Yun Shi, Tao Ma, Weiguo Fu, Zhihui Dong *These two authors contribute equally to this work. IMPACT OF FACILITY VOLUME ON LONG-TERM SURVIVAL OF This study investigated the impact of facility volume on long-term survival in esophageal cancer patients treated with esophagectomy. IMPACT OF FACILITY VOLUME ON LONG-TERM SURVIVAL OF Impact of Facility Volume on Long-Term Survival of Patients Undergoing Esophagectomy for Esophageal Cancer Deven C. Patel MD MS1, Chi-Fu Jeffrey Yang MD1, Hao He PhD1, Douglas Z. Liou MD1, Leah M. Backhus MD MPH1, 2, Natalie S. Lui MD1, Joseph B. Shrager MD1,2, Mark F. Berry MD1, 2 1Department of Cardiothoracic Surgery, Stanford University Medical Center, Stanford, CA and HOME PAGE: THE JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERYHOMEADULTCONGENITALTHORACICGUIDELINESWTSA The Journal of Thoracic and Cardiovascular Surgery presents original, peer-reviewed articles on diseases of the heart, great vessels, lungs and thorax with emphasis on surgical interventions. An official publication of The American Association for Thoracic Surgery and The Western Thoracic Surgical Association, the Journal focuses on techniques and developments in acquired cardiac surgery A SINGLE-ARM STUDY OF SUBLOBAR RESECTION FOR GROUND-GLASS5 Current JCOG strategy for stage I lung cancer: The strategy is decided by considering the maximum tumor dimension and CTR. JCOG0804/WJOG4607L is a 1-arm study with sublobar resection for radiologic noninvasive lung cancer based on the criteria of JCOG0201, which defined radiologic noninvasive lung cancer as tumor 2.0 cm or less in size with CTR 0.25 or less. THE BROCKENBROUGH-BRAUNWALD-MORROW SIGN The Brockenbrough-Braunwald-Morrow sign Hao Cui, MD, PhD, Anita Nguyen, MBBS, and Hartzell V. Schaff, MD The Brockenbrough-Braunwald-Morrow sign was first ACTUARIAL AND KAPLAN-MEIER SURVIVAL ANALYSIS: THERE IS AKAPLAN MEIER APPROACHKAPLAN MEIER METHOD DEFINITIONKAPLAN MEIER TEST There are two general types of analysis for survival information: actuarial and Kaplan-Meier. An actuarial analysis should be performed when the actual date of a survival event is unknown. COMMENTARY: RESILIENCE AND DIALYSIS PATIENTS: WHAT COUNTS Resilience can be defined as the ability to adjust to change.1 This concept applies to patients supported by long-term renal dialysis. It is known that some deaths in this patient population are related to cardiovascular disease.2 As the number of patients receiving dialysis has steadily increased during past decades, an increasing number have required cardiac surgical procedures. THE AMERICAN ASSOCIATION FOR THORACIC SURGERY CONSENSUS The American Association for Thoracic Surgery consensus guidelines for the management of empyema K. Robert Shen, MD,a Alejandro Bribriesco, MD,b Traves Crabtree, MD,c Chad Denlinger, MD,d Joshua Eby, MD,e Patrick Eiken, MD,f David R. Jones, MD,g Shaf Keshavjee, MD, MSc,h Fabien Maldonado, MD,i Subroto Paul, MD,j and Benjamin Kozower, MDbTABLE OF CONTENTS
IMPROVING HEALTH CARE BY EMBRACING SYSTEMS THEORY The development of Systems Theory is largely accredited to Austrian biologist Karl Ludwig von Bertalanffy. Beginning in the 1920s, von Bertalanffy lectured on the limitations of the Newtonian concepts of closed systems and linear cause and effect. In his seminal work in 1969, von Bertalanffy described what has since become known as General Systems Theory, the concept that systems MINIMALLY INVASIVE ENUCLEATION OF A LARGE, EXTENSIVELY A number of gastrointestinal tumors may present with macroscopic calcifications; however, true esophageal tumors with this characteristic are uncommon. Leiomyomas are the most likely esophageal neoplasms to develop calcifications, and the presence of calcification within an esophageal tumor strongly suggests this diagnosis. We present a case of a rare calcified, distal esophageal MEDICAL MANAGEMENT OF THORACIC AORTIC ANEURYSM DISEASESURGICAL RISK THORACIC AORTIC ANEURYSM REPAIRWHAT IS THORACIC AORTIC ANEURYSMWHAT IS THORACIC AORTIC ANEURYSMASCENDING THORACIC ANEURYSMTHORACIC AORTIC ANEURYSM SIZE CRITERIATHORACIC ANEURYSM ICD 10 Medical management of thoracic aortic aneurysm disease Alan C. Braverman, MD The patient with thoracic aortic aneurysm disease requires careful evaluation and management over his or PREVENTION AND MANAGEMENT OF STERNAL WOUND INFECTIONS Prevention and management of sternal wound infections Harold L. Lazar, MD,a Thomas Vander Salm, MD,b Richard Engelman, MD,c Dennis Orgill, MD,d and Steven Gordon, MDe Although the incidence of sternal woundinfections has
HOME PAGE: THE JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERYHOMEADULTCONGENITALTHORACICGUIDELINESWTSA The Journal of Thoracic and Cardiovascular Surgery presents original, peer-reviewed articles on diseases of the heart, great vessels, lungs and thorax with emphasis on surgical interventions. An official publication of The American Association for Thoracic Surgery and The Western Thoracic Surgical Association, the Journal focuses on techniques and developments in acquired cardiac surgery A SINGLE-ARM STUDY OF SUBLOBAR RESECTION FOR GROUND-GLASS5 Current JCOG strategy for stage I lung cancer: The strategy is decided by considering the maximum tumor dimension and CTR. JCOG0804/WJOG4607L is a 1-arm study with sublobar resection for radiologic noninvasive lung cancer based on the criteria of JCOG0201, which defined radiologic noninvasive lung cancer as tumor 2.0 cm or less in size with CTR 0.25 or less. THE BROCKENBROUGH-BRAUNWALD-MORROW SIGN The Brockenbrough-Braunwald-Morrow sign Hao Cui, MD, PhD, Anita Nguyen, MBBS, and Hartzell V. Schaff, MD The Brockenbrough-Braunwald-Morrow sign was first ACTUARIAL AND KAPLAN-MEIER SURVIVAL ANALYSIS: THERE IS AKAPLAN MEIER APPROACHKAPLAN MEIER METHOD DEFINITIONKAPLAN MEIER TEST There are two general types of analysis for survival information: actuarial and Kaplan-Meier. An actuarial analysis should be performed when the actual date of a survival event is unknown. COMMENTARY: RESILIENCE AND DIALYSIS PATIENTS: WHAT COUNTS Resilience can be defined as the ability to adjust to change.1 This concept applies to patients supported by long-term renal dialysis. It is known that some deaths in this patient population are related to cardiovascular disease.2 As the number of patients receiving dialysis has steadily increased during past decades, an increasing number have required cardiac surgical procedures. THE AMERICAN ASSOCIATION FOR THORACIC SURGERY CONSENSUS The American Association for Thoracic Surgery consensus guidelines for the management of empyema K. Robert Shen, MD,a Alejandro Bribriesco, MD,b Traves Crabtree, MD,c Chad Denlinger, MD,d Joshua Eby, MD,e Patrick Eiken, MD,f David R. Jones, MD,g Shaf Keshavjee, MD, MSc,h Fabien Maldonado, MD,i Subroto Paul, MD,j and Benjamin Kozower, MDbTABLE OF CONTENTS
IMPROVING HEALTH CARE BY EMBRACING SYSTEMS THEORY The development of Systems Theory is largely accredited to Austrian biologist Karl Ludwig von Bertalanffy. Beginning in the 1920s, von Bertalanffy lectured on the limitations of the Newtonian concepts of closed systems and linear cause and effect. In his seminal work in 1969, von Bertalanffy described what has since become known as General Systems Theory, the concept that systems MINIMALLY INVASIVE ENUCLEATION OF A LARGE, EXTENSIVELY A number of gastrointestinal tumors may present with macroscopic calcifications; however, true esophageal tumors with this characteristic are uncommon. Leiomyomas are the most likely esophageal neoplasms to develop calcifications, and the presence of calcification within an esophageal tumor strongly suggests this diagnosis. We present a case of a rare calcified, distal esophageal MEDICAL MANAGEMENT OF THORACIC AORTIC ANEURYSM DISEASESURGICAL RISK THORACIC AORTIC ANEURYSM REPAIRWHAT IS THORACIC AORTIC ANEURYSMWHAT IS THORACIC AORTIC ANEURYSMASCENDING THORACIC ANEURYSMTHORACIC AORTIC ANEURYSM SIZE CRITERIATHORACIC ANEURYSM ICD 10 Medical management of thoracic aortic aneurysm disease Alan C. Braverman, MD The patient with thoracic aortic aneurysm disease requires careful evaluation and management over his or PREVENTION AND MANAGEMENT OF STERNAL WOUND INFECTIONS Prevention and management of sternal wound infections Harold L. Lazar, MD,a Thomas Vander Salm, MD,b Richard Engelman, MD,c Dennis Orgill, MD,d and Steven Gordon, MDe Although the incidence of sternal woundinfections has
THE JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY AATS Journals. JTCVS Open. JTCVS Techniques. Operative Techniques in Thoracic and Cardiovascular Surgery. Seminars in Thoracic and Cardiovascular Surgery. Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual. JTCVS Chinese Edition.Submit Manuscript.
A SINGLE-ARM STUDY OF SUBLOBAR RESECTION FOR GROUND-GLASS Current JCOG strategy for stage I lung cancer: The strategy is decided by considering the maximum tumor dimension and CTR. JCOG0804/WJOG4607L is a 1-arm study with sublobar resection for radiologic noninvasive lung cancer based on the criteria of JCOG0201, which defined radiologic noninvasive lung cancer as tumor 2.0 cm or less in size with CTR 0.25 or less. DYSPHAGIA AFTER CARDIAC SURGERY: PREVALENCE, RISK FACTORS This was a single-center prospective study conducted between February 2019 and January 2020. Eligible participants were adults undergoing elective or emergency cardiac surgery via sternotomy or extended thoracotomy who were extubated and able to maintain oxygen saturation greater than 90% without continuous positive airway pressure or bilevel positive airway pressure support. “LEAD FROM THE FRONT”: PARTICIPATIVE LEADERSHIP The opinion piece by David Joyce in this issue of the Journal,1 which talks about the first year of practice for a new or transitioning cardiothoracic surgeon, must resonate with all thoracic surgeons, because we have all been in that position at some time in our career. There are some basic points that must be stated up front. The practice of cardiothoracic surgery is indeed a “team sport LEFT VENTRICULAR TO MITRAL VALVE RING SIZE MISMATCH In patients with ischemic mitral regurgitation (MR) undergoing restrictive mitral annuloplasty (RMA), the ratio of left ventricular end-systolic dimension (LVESD) to mitral valve (MV) ring size (i.e. LV-MV ring mismatch) was associated with postoperative recurrent MR. However, its impacts on postoperative recurrent MR, LV function recovery, and long-term survival in patients with non-ischemic THE MANAGEMENT OF COMPENSATORY SWEATING AFTER THORACIC The management of compensatory sweating after thoracic sympathectomy Hidehiro Yamamoto, MD, and Masayoshi Okada, MD ABSTRACT Objective: The main therapeutic method of A CLASSIFICATION SYSTEM FOR THE BICUSPID AORTIC VALVE FROM partially or totally. The characteristic appearance of a raphe is a ridge with 12many elastic fibers. The commissure of the aortic valve is the space between the two coronet-shaped, lateral, and COMPETITIVE FLOW IN CORONARY BYPASS SURGERY: THE ROLES OF Competitive flow in coronary bypass surgery: The roles of fractional flow reserve and arterial graft configuration Hugh S. Paterson, FRACS,a Paul G. Bannon, PhD, FRACS,a and David P. Taggart, MD, PhD, FRCSb Video clip is available online. EXPERT CONSENSUS GUIDELINES: ANOMALOUS AORTIC ORIGIN OF A choice of imaging modality, patient population chosen to study, and/or the how coronary anomalies were defined.8 When looking specifically at the estimated prevalence of PREVENTION AND MANAGEMENT OF STERNAL WOUND INFECTIONS Prevention and management of sternal wound infections Harold L. Lazar, MD,a Thomas Vander Salm, MD,b Richard Engelman, MD,c Dennis Orgill, MD,d and Steven Gordon, MDe Although the incidence of sternal woundinfections has
HOME PAGE: THE JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERYHOMEADULTCONGENITALTHORACICGUIDELINESWTSA The Journal of Thoracic and Cardiovascular Surgery presents original, peer-reviewed articles on diseases of the heart, great vessels, lungs and thorax with emphasis on surgical interventions. An official publication of The American Association for Thoracic Surgery and The Western Thoracic Surgical Association, the Journal focuses on techniques and developments in acquired cardiac surgery THE JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERYJOURNAL OF THORACIC DISEASEJOURNAL THORACIC ONCOLOGYANNALS OF ATSCARDIOTHORACIC JOURNALTHORACIC CANCER JOURNALTHORACIC SURGERY JOURNALS AATS Journals. JTCVS Open. JTCVS Techniques. Operative Techniques in Thoracic and Cardiovascular Surgery. Seminars in Thoracic and Cardiovascular Surgery. Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual. JTCVS Chinese Edition.Submit Manuscript.
ACTUARIAL AND KAPLAN-MEIER SURVIVAL ANALYSIS: THERE IS AKAPLAN MEIER APPROACHKAPLAN MEIER METHOD DEFINITIONKAPLAN MEIER TEST There are two general types of analysis for survival information: actuarial and Kaplan-Meier. An actuarial analysis should be performed when the actual date of a survival event is unknown. LONG-TERM SURVIVAL OUTCOME AFTER LOBECTOMY IN PATIENTS In the JCOG0201 study, to reject the null hypothesis that tumors ≤2 cm in size and consolidation tumor ratio (CTR) ≤0.5 are unable to predict pathologically noninvasive cancers (node negative and no vessel invasion), it was necessary for the lower limit of the 95% confidence interval (CI) of specificity for pathologically noninvasive cancers to be at least 97%, but it was not achieved. A CLASSIFICATION SYSTEM FOR THE BICUSPID AORTIC VALVE FROMSIEWERT CLASSIFICATION SYSTEM partially or totally. The characteristic appearance of a raphe is a ridge with 12many elastic fibers. The commissure of the aortic valve is the space between the two coronet-shaped, lateral, and THE MANAGEMENT OF COMPENSATORY SWEATING AFTER THORACIC The management of compensatory sweating after thoracic sympathectomy Hidehiro Yamamoto, MD, and Masayoshi Okada, MD ABSTRACT Objective: The main therapeutic method PREVENTION AND MANAGEMENT OF STERNAL WOUND INFECTIONS Prevention and management of sternal wound infections Harold L. Lazar, MD,a Thomas Vander Salm, MD,b Richard Engelman, MD,c Dennis Orgill, MD,d and Steven Gordon, MDe Although the incidence of sternal woundinfections has
STROKE AFTER TYPE A AORTIC DISSECTION REPAIR: CAN WE DOTYPE A AORTIC DISSECTION SURGERYTYPE A DISSECTION STROKEAORTIC DISSECTION ECGAORTIC DISSECTION REVIEWACUTE AORTIC DISSECTION DEATHACUTE AORTIC DISSECTIONSYMPTOMS
We thank Hawkins and colleagues1 for their commentary “Stroke After Type A Aortic Dissection Repair—A Web of Risk With No Single Answer” regarding our recently published article,2 in which we sought to examine the incidence and factors associated with acute stroke after type A repair. Undoubtedly, stroke is a common and deadly complication after type A repair, and yet limited effort THE BROCKENBROUGH-BRAUNWALD-MORROW SIGN The Brockenbrough-Braunwald-Morrow sign Hao Cui, MD, PhD, Anita Nguyen, MBBS, and Hartzell V. Schaff, MD The Brockenbrough-Braunwald-Morrow sign was first IMPROVING HEALTH CARE BY EMBRACING SYSTEMS THEORY Improving health care by embracing Systems Theory Brett R. Anderson, MD, MBA, MS/POR The development of Systems Theory is largely accredited to Austrian biologist Karl Ludwig von Bertalanffy. HOME PAGE: THE JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERYHOMEADULTCONGENITALTHORACICGUIDELINESWTSA The Journal of Thoracic and Cardiovascular Surgery presents original, peer-reviewed articles on diseases of the heart, great vessels, lungs and thorax with emphasis on surgical interventions. An official publication of The American Association for Thoracic Surgery and The Western Thoracic Surgical Association, the Journal focuses on techniques and developments in acquired cardiac surgery THE JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERYJOURNAL OF THORACIC DISEASEJOURNAL THORACIC ONCOLOGYANNALS OF ATSCARDIOTHORACIC JOURNALTHORACIC CANCER JOURNALTHORACIC SURGERY JOURNALS AATS Journals. JTCVS Open. JTCVS Techniques. Operative Techniques in Thoracic and Cardiovascular Surgery. Seminars in Thoracic and Cardiovascular Surgery. Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual. JTCVS Chinese Edition.Submit Manuscript.
ACTUARIAL AND KAPLAN-MEIER SURVIVAL ANALYSIS: THERE IS AKAPLAN MEIER APPROACHKAPLAN MEIER METHOD DEFINITIONKAPLAN MEIER TEST There are two general types of analysis for survival information: actuarial and Kaplan-Meier. An actuarial analysis should be performed when the actual date of a survival event is unknown. LONG-TERM SURVIVAL OUTCOME AFTER LOBECTOMY IN PATIENTS In the JCOG0201 study, to reject the null hypothesis that tumors ≤2 cm in size and consolidation tumor ratio (CTR) ≤0.5 are unable to predict pathologically noninvasive cancers (node negative and no vessel invasion), it was necessary for the lower limit of the 95% confidence interval (CI) of specificity for pathologically noninvasive cancers to be at least 97%, but it was not achieved. A CLASSIFICATION SYSTEM FOR THE BICUSPID AORTIC VALVE FROMSIEWERT CLASSIFICATION SYSTEM partially or totally. The characteristic appearance of a raphe is a ridge with 12many elastic fibers. The commissure of the aortic valve is the space between the two coronet-shaped, lateral, and THE MANAGEMENT OF COMPENSATORY SWEATING AFTER THORACIC The management of compensatory sweating after thoracic sympathectomy Hidehiro Yamamoto, MD, and Masayoshi Okada, MD ABSTRACT Objective: The main therapeutic method PREVENTION AND MANAGEMENT OF STERNAL WOUND INFECTIONS Prevention and management of sternal wound infections Harold L. Lazar, MD,a Thomas Vander Salm, MD,b Richard Engelman, MD,c Dennis Orgill, MD,d and Steven Gordon, MDe Although the incidence of sternal woundinfections has
STROKE AFTER TYPE A AORTIC DISSECTION REPAIR: CAN WE DOTYPE A AORTIC DISSECTION SURGERYTYPE A DISSECTION STROKEAORTIC DISSECTION ECGAORTIC DISSECTION REVIEWACUTE AORTIC DISSECTION DEATHACUTE AORTIC DISSECTIONSYMPTOMS
We thank Hawkins and colleagues1 for their commentary “Stroke After Type A Aortic Dissection Repair—A Web of Risk With No Single Answer” regarding our recently published article,2 in which we sought to examine the incidence and factors associated with acute stroke after type A repair. Undoubtedly, stroke is a common and deadly complication after type A repair, and yet limited effort THE BROCKENBROUGH-BRAUNWALD-MORROW SIGN The Brockenbrough-Braunwald-Morrow sign Hao Cui, MD, PhD, Anita Nguyen, MBBS, and Hartzell V. Schaff, MD The Brockenbrough-Braunwald-Morrow sign was first IMPROVING HEALTH CARE BY EMBRACING SYSTEMS THEORY Improving health care by embracing Systems Theory Brett R. Anderson, MD, MBA, MS/POR The development of Systems Theory is largely accredited to Austrian biologist Karl Ludwig von Bertalanffy. THE JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY AATS Journals. JTCVS Open. JTCVS Techniques. Operative Techniques in Thoracic and Cardiovascular Surgery. Seminars in Thoracic and Cardiovascular Surgery. Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual. JTCVS Chinese Edition.Submit Manuscript.
LONG-TERM SURVIVAL OUTCOME AFTER LOBECTOMY IN PATIENTS In the JCOG0201 study, to reject the null hypothesis that tumors ≤2 cm in size and consolidation tumor ratio (CTR) ≤0.5 are unable to predict pathologically noninvasive cancers (node negative and no vessel invasion), it was necessary for the lower limit of the 95% confidence interval (CI) of specificity for pathologically noninvasive cancers to be at least 97%, but it was not achieved. A SINGLE-ARM STUDY OF SUBLOBAR RESECTION FOR GROUND-GLASS Current JCOG strategy for stage I lung cancer: The strategy is decided by considering the maximum tumor dimension and CTR. JCOG0804/WJOG4607L is a 1-arm study with sublobar resection for radiologic noninvasive lung cancer based on the criteria of JCOG0201, which defined radiologic noninvasive lung cancer as tumor 2.0 cm or less in size with CTR 0.25 or less. THE LONG-TERM FATE OF ASCENDING AORTA ANEURYSM AFTER The study objective was to examine the long-term fate of aortic diameter expansion at 4 cardiac regions (annulus, sinus, ascending aorta, and proximal arch) after wrapping or replacement during aortic valve surgery of the moderately dilated ascending aorta. HOW TO BRIDGE? MANAGEMENT OF ANTICOAGULATION IN PATIENTS An estimated 13% of patients with mechanical heart valves (MHVs) subsequently require noncardiac surgical operations.1 With 140,000 MHVs implanted annually, this patient population continues to expand, and bridging anticoagulation strategies are required. IMPROVING HEALTH CARE BY EMBRACING SYSTEMS THEORY The development of Systems Theory is largely accredited to Austrian biologist Karl Ludwig von Bertalanffy. Beginning in the 1920s, von Bertalanffy lectured on the limitations of the Newtonian concepts of closed systems and linear cause and effect. In his seminal work in 1969, von Bertalanffy described what has since become known as General Systems Theory, the concept that systems VALVE-SPARING AORTIC ROOT REPLACEMENT CAN BE DONE SAFELY Feature Editor's Introduction—Despite a multitude of advancements in surgical technique and perioperative care, repair of an acute type A aortic dissection (ATAAD) is still associated with disappointingly high mortality and morbidity. Although operative mortality from higher-volume centers and surgeons may be*
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