| Editorial |
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The state of the Journal: A critique by the Editor
As I write this editorial, we are coming to the end of 2011 and looking forward to a happy, healthy, and productive 2012.
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Lawrence H. Cohn
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259
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| Presidential Perspectives |
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Pages |
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Historical perspectives of The American Association for Thoracic Surgery: Alfred Blalock (1899–1964)
Alfred Blalock, the 30th president of The American Association for Thoracic Surgery (AATS), was born on April 5, 1899, in the small town of Culloden, Georgia. Located in Monroe County in central Georg...
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Claude A. Beaty,
Timothy J. George,
John V. Conte
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260-263
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| Cardiothoracic Surgical Education and Training |
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Author(s) |
Pages |
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Evaluation of simulation training in cardiothoracic surgery: The Senior Tour perspective
11 November 2011
Objective: The study objective was to introduce senior surgeons, referred to as members of the “Senior Tour,” to simulation-based learning and evaluate ongoing simulation efforts in cardiothoracic sur...
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James I. Fann,
Richard H. Feins,
George L. Hicks,
Jonathan C. Nesbitt,
John W. Hammon,
Fred A. Crawford,
Senior Tour in Cardiothoracic Surgery
et al.
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264-272.e9
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| Acquired Cardiovascular Disease |
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Article Title |
Author(s) |
Pages |
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Trends in isolated coronary artery bypass grafting: An analysis of the Society of Thoracic Surgeons adult cardiac surgery database
Objective: Coronary artery bypass grafting (CABG) is the operation most commonly performed by cardiac surgeons. There are few contemporary data examining evolving patient characteristics and surgical ...
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Andrew W. ElBardissi,
Sary F. Aranki,
Shubin Sheng,
Sean M. O’Brien,
Caprice C. Greenberg,
James S. Gammie
et al.
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273-281
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Discussion
Dr T. Bruce Ferguson (Greenville, NC). This nice analysis of major patient risk factor observational processes and outcomes compared between 2000 and 2009 (>1.4 million patients) is an excellent up...
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280-281
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Long-term implications of emergency versus elective proximal aortic surgery in patients with Marfan syndrome in the Genetically Triggered Thoracic Aortic Aneurysms and Cardiovascular Conditions Consortium Registry
21 November 2011
Objective: Patients with Marfan syndrome with aortic root aneurysms undergo elective aortic root replacement to avoid the life-threatening outcomes of aortic dissection and emergency repair. The long-...
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Howard K. Song,
Mark Kindem,
Joseph E. Bavaria,
Harry C. Dietz,
Dianna M. Milewicz,
Richard B. Devereux,
Kim A. Eagle,
Cheryl L. Maslen,
Barbara L. Kroner,
Reed E. Pyeritz,
Kathryn W. Holmes,
Jonathan W. Weinsaft,
Victor Menashe,
William Ravekes,
Scott A. LeMaire,
Genetically Triggered Thoracic Aortic Aneurysms and Cardiovascular Conditions Consortium
et al.
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282-286
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Quality, not volume, determines outcome of coronary artery bypass surgery in a university-based community hospital network
21 November 2011
Objectives: The present study examined the relationship between hospital and surgeon coronary artery bypass grafting procedural volume, mortality, morbidity, and National Quality Forum care processes ...
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Paul A. Kurlansky,
Michael Argenziano,
Robert Dunton,
Robert Lancey,
Edward Nast,
Allan Stewart,
Timothy Williams,
Alex Zapolanski,
Helena Chang,
Judy Tingley,
Craig R. Smith
et al.
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287-293.e1
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Discussion
21 November 2011
Dr Thoralf Sundt(Boston, Mass). Thanks, Paul, beautifully presented, and I would like to say thanks for getting your slides and your manuscript to me much earlier than I ever do for my invited discuss...
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292-293
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Valve-sparing aortic root repair without down-sizing of the annulus
21 November 2011
Objectives: The study was conducted to evaluate the intermediate results after patient-tailored aortic root repair with replacement of isolated sinuses adjusted to the existing aortic annulus diameter...
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Paul P. Urbanski,
Xiaochun Zhan,
Husam Hijazi,
Michael Zacher,
Anno Diegeler
et al.
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294-302.e1
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Discussion
21 November 2011
Dr Tirone E. David(Toronto, Ontario, Canada). I have no conflicts to disclose. I commend you, Paul, for these excellent clinical outcomes in patients with a variety of proximal aortic aneurysms with a...
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301-302
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Expanding the indications for septal myectomy in patients with hypertrophic cardiomyopathy: Results of operation in patients with latent obstruction
12 December 2011
Objective: Many patients with symptomatic hypertrophic cardiomyopathy have minimal left ventricular outflow tract gradients, and there is uncertainty whether their limitation is due to diastolic dysfu...
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Hartzell V. Schaff,
Joseph A. Dearani,
Steve R. Ommen,
Paul Sorajja,
Rick A. Nishimura
et al.
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303-309
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Discussion
12 December 2011
Dr Ralph Damiano(St. Louis, Mo). Dr Schaff, I congratulate you and your coauthors on an important contribution. This is a landmark report that will have a significant impact on the clinical management...
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309
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Beyond the short-term: Clinical outcome and valve performance 2 years after transcatheter aortic valve implantation in 227 patients
05 December 2011
Objective: Although the procedural feasibility of transcatheter aortic valve implantation has been shown by multiple groups, longer-term data are rare. We report on 2-year follow-up clinical and echoc...
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Sabine Bleiziffer,
Domenico Mazzitelli,
Anke Opitz,
Ina Hettich,
Hendrik Ruge,
Nicolo Piazza,
Rüdiger Lange
et al.
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310-317
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Discussion
05 December 2011
Dr Gregory Fontana(Los Angeles, Calif). Dr Bleiziffer, your program in Munich is unique in that this is one of the largest TAVI experiences in the world but includes both the balloon-expandable and se...
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316-317
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Strict versus liberal target range for perioperative glucose in patients undergoing coronary artery bypass grafting: A prospective randomized controlled trial
05 December 2011
Objective: The purpose of this study was to test the hypothesis that a liberal blood glucose strategy (121–180 mg/dL) is not inferior to a strict blood glucose strategy (90–120 mg/dL) for outcomes in ...
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Shalin P. Desai,
Linda L. Henry,
Sari D. Holmes,
Sharon L. Hunt,
Chidima T. Martin,
Shrinivas Hebsur,
Niv Ad
et al.
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318-325
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Discussion
05 December 2011
Dr Harold Lazar(Boston, Mass). I enjoyed your presentation and appreciate you sending me the manuscript well ahead of time. My only conflict is that I have received grant support from the Eli Lilly Co...
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324-325
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Transapical aortic valve implantation at 3 years
04 July 2011
Objective: Our objective was to analyze the results of transapical aortic valve implantation in high-risk patients with aortic stenosis at up to 3 years after the procedure. Methods: A total of 299 pa...
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Thomas Walther,
Jörg Kempfert,
Ardawan Rastan,
Michael A. Borger,
Axel Linke,
Jörg Ender,
Gerhard Schuler,
Friedrich W. Mohr
et al.
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326-331
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Surgical management of aortic root abscess: A 13-year experience in 172 patients with 100% follow-up
04 July 2011
Objective: The study objective was to evaluate the outcomes of surgery for active infective endocarditis with aortic root abscess formation. Methods: Between July 1996 and June 2009, 1161 patients und...
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Sergey Leontyev,
Michael A. Borger,
Paul Modi,
Sven Lehmann,
Jörg Seeburger,
Thorsten Doenst,
Friedrich W. Mohr
et al.
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332-337
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| Congenital Heart Disease |
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Author(s) |
Pages |
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Outcome after repair of atrioventricular septal defect with tetralogy of Fallot
22 August 2011
Background: Long-term outcomes of repair of tetralogy of Fallot associated with complete atrioventricular septal defect are seldom reported. We report our survival and reintervention outcomes over a 2...
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Jeffrey H. Shuhaiber,
Barbara Robinson,
Kimberlee Gauvreau,
Roger Breitbart,
John E. Mayer,
Pedro J. del Nido,
Frank Pigula
et al.
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338-343
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A decade of pediatric mechanical circulatory support before and after cardiac transplantation
06 December 2011
Objectives: We reviewed the use of pediatric mechanical circulatory support before and after transplantation to examinine current results and future strategies. Methods: All patients listed for transp...
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Jonathan M. Chen,
Marc E. Richmond,
Kevin Charette,
Hiroo Takayama,
Mathew Williams,
Lisa Gilmore,
Alejandro Garcia,
Linda J. Addonizio
et al.
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344-351
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Discussion
06 December 2011
Dr J. William Gaynor(Philadelphia, Pa). I congratulate Dr Chen and his co–investigators on a very interesting presentation and thank them for allowing me to review the manuscript.
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349-351
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Younger age and valve oversizing are predictors of structural valve deterioration after pulmonary valve replacement in patients with tetralogy of Fallot
09 December 2011
Objective: We sought to identify predictors of structural valve deterioration after pulmonary valve replacement in patients with tetralogy of Fallot. Methods: A retrospective review of 227 patients wi...
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Peter C. Chen,
Maggie S. Sager,
David Zurakowski,
Frank A. Pigula,
Christopher W. Baird,
John E. Mayer,
Pedro J. del Nido,
Sitaram M. Emani
et al.
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352-360
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Discussion
09 December 2011
Dr Carl L. Backer(Chicago, Ill). I want to congratulate Dr Chen and his colleagues from Children's Hospital of Boston on their outstanding results with PVR in children and young adults with repaired T...
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358-360
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The impact of additional epicardial imaging to transesophageal echocardiography on intraoperative detection of residual lesions in congenital heart surgery
13 July 2011
Objective: Transesophageal echocardiography is the primary intraoperative imaging modality used to evaluate cardiac surgery. Its predecessor, epicardial echocardiography, enables visualization of cert...
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Andreea Dragulescu,
Fraser Golding,
Glen Van Arsdell,
Christopher Caldarone,
Luc Mertens,
Osman Al-Radi,
Kyong-Jin Lee
et al.
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361-367.e1
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Congenital heart surgery in infants: Effects of acute kidney injury on outcomes
28 July 2011
Objectives: We sought to characterize factors and outcomes associated with postoperative acute kidney injury in infants undergoing cardiac surgery. Methods: We retrospectively studied 430 infants (<...
;
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Joshua J. Blinder,
Stuart L. Goldstein,
Vei-Vei Lee,
Alixandra Baycroft,
Charles D. Fraser,
David Nelson,
John L. Jefferies
et al.
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368-374
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Increasing duration of circulatory arrest, but not antegrade cerebral perfusion, prolongs postoperative recovery after neonatal cardiac surgery
09 September 2011
Objective: Deep hypothermic circulatory arrest (DHCA) and antegrade cerebral perfusion (ACP) are 2 cardiopulmonary bypass techniques applied in aortic arch repair. In recent literature, cerebral effec...
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Selma O. Algra,
Verena N.N. Kornmann,
Ingeborg van der Tweel,
Antonius N.J. Schouten,
Nicolaas J.G. Jansen,
Felix Haas
et al.
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375-382
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| General Thoracic Surgery |
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Article Title |
Author(s) |
Pages |
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Robotic lobectomy for non–small cell lung cancer (NSCLC): Long-term oncologic results
21 November 2011
Objective(s): We evaluated a large series of patients undergoing robotic lobectomy for the treatment of early-stage non–small cell lung cancer (NSCLC) to assess long-term oncologic efficacy. Methods: ...
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Bernard J. Park,
Franca Melfi,
Alfredo Mussi,
Patrick Maisonneuve,
Lorenzo Spaggiari,
Ruy Kuenzer Caetano Da Silva,
Giulia Veronesi
et al.
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383-389
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Discussion
21 November 2011
Dr Thomas A. D'Amico(Durham, NC). Robotics has been used in numerous surgical procedures, but, with few exceptions, this technologic advance has not translated into improved outcomes. Many robotic app...
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387-389
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Impact of tumor size on outcomes after anatomic lung resection for stage 1A non–small cell lung cancer based on the current staging system
12 December 2011
Objective: Anatomic segmentectomy may achieve results comparable to lobectomy for early-stage non–small cell lung cancer. The 7th edition of the AJCC Cancer Staging Handbook stratified the previous T1...
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Shamus R. Carr,
Matthew J. Schuchert,
Arjun Pennathur,
David O. Wilson,
Jill M. Siegfried,
James D. Luketich,
Rodney J. Landreneau
et al.
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390-397
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Discussion
12 December 2011
Dr Paul Schipper(Portland, Ore). I appreciate what you and your coauthors have done to evaluate the surgical treatment of these early-stage tumors. Your historical data applied to the new system get i...
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396-397
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Repair of giant paraesophageal hernias routinely produces improvement in respiratory function
21 November 2011
Objective: Assessment of the clinical impact of giant paraesophageal hernias have historically focused on upper gastrointestinal symptoms. This study assesses the effect of paraesophageal hernia repai...
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Philip W. Carrott,
Jean Hong,
MadhanKumar Kuppusamy,
Steven Kirtland,
Richard P. Koehler,
Donald E. Low
et al.
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398-404
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Discussion
21 November 2011
Dr Sean C. Grondin(Calgary, Alberta, Canada). I thank the Association for the opportunity to review this paper and I thank Drs Carrott and Low and their coauthors for providing me with the manuscript ...
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403-404
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Lung cancer cell invasion and expression of intercellular adhesion molecule-1 (ICAM-1) are attenuated by secretory phospholipase A2 inhibition
Objective: Invasive lung tumors are associated with intercellular adhesion molecule-1 (ICAM-1) expression. Secretory phospholipase A2 (sPLA2) enzymes produce inflammatory mediators that stimulate ICAM...
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Jessica A. Yu,
Miral R. Sadaria,
Xianzhong Meng,
Sanchayita Mitra,
Lihua Ao,
David A. Fullerton,
Michael J. Weyant
et al.
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405-411
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Discussion
Dr Michael Mulligan(Seattle, Wash). Congratulations on your paper and a very nice presentation. I always appreciate seeing a lot of effort put into work, and clearly you did that. I noticed the articl...
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410-411
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Neoadjuvant chemoradiotherapy followed by surgery for esophageal adenocarcinoma: Significance of microscopically positive circumferential radial margins
15 December 2011
Objectives: The incidence and consequence of an isolated involved circumferential radial margin (CRM) after resection for esophageal adenocarcinoma in the setting of neoadjuvant chemoradiotherapy (CRT...
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John A. Harvin,
Guy Lahat,
Arlene M. Correa,
Jared Lee,
Dipen Maru,
Jaffer Ajani,
Edith M. Marom,
James Welsh,
Manoop S. Bhutani,
Garret Walsh,
Jack Roth,
Reza Mehran,
Ara Vaporciyan,
David Rice,
Stephen Swisher,
Wayne Hofstetter
et al.
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412-420
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Discussion
15 December 2011
Dr Gail E. Darling(Toronto, Ontario, Canada). I want to thank Dr Harvin for an excellent presentation and for providing me with the manuscript well in advance of the meeting.
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418-420
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A novel detection method of non–small cell lung cancer using multiplexed bead-based serum biomarker profiling
21 November 2011
Objectives: Non–small cell lung cancer (NSCLC) is the leading cause of cancer-related mortality. Development of an early diagnosis method may improve survivals. We aimed to develop a new diagnostic mo...
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Hyun Joo Lee,
Young Tae Kim,
Pil Je Park,
Yong Sung Shin,
Kyung Nam Kang,
Yongdai Kim,
Chul Woo Kim
et al.
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421-427.e3
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Discussion
21 November 2011
Dr Daniel Kreisel(St Louis, Mo). Congratulations on a very nice presentation and a nice study. Thank you for allowing me to review your manuscript in a timely fashion.
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426-427
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A comparison of surgical intervention and stereotactic body radiation therapy for stage I lung cancer in high-risk patients: A decision analysis
12 December 2011
Objective: We sought to compare the relative cost-effectiveness of surgical intervention and stereotactic body radiation therapy in high risk patients with clinical stage I lung cancer (non–small cell...
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Varun Puri,
Traves D. Crabtree,
Steven Kymes,
Martin Gregory,
Jennifer Bell,
Jeffrey D. Bradley,
Clifford Robinson,
G. Alexander Patterson,
Daniel Kreisel,
Alexander S. Krupnick,
Bryan F. Meyers
et al.
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428-436
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Discussion
12 December 2011
Dr Alessandro Brunelli(Ancona, Italy). Mr Chairmen, colleagues. I have no conflicts of interest to disclose.
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434-436
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| Evolving Technology/Basic Science |
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Article Title |
Author(s) |
Pages |
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Novel biodegradable polydioxanone stents in a rabbit airway model
01 September 2011
Objective: This study was undertaken to evaluate safety and biocompatibility of a novel biodegradable polydioxanone stent in a rabbit tracheal model. Metallic and silicone stents represent standard th...
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Ladislav Novotny,
Michal Crha,
Petr Rauser,
Ales Hep,
Jan Misik,
Alois Necas,
David Vondrys
et al.
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437-444
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Decrease in inflammatory response does not prevent placental dysfunction after fetal cardiac bypass in goats
08 August 2011
Objective: One of the most significant responses to fetal cardiac bypass is severe placental dysfunction characterized by increased vascular resistance. We tested the hypothesis that fetal cardiac byp...
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Cheng-Bin Zhou,
Jian Zhuang,
Ji-Mei Chen,
Xiao-Hua Zhang,
Raphael C. Lui
et al.
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445-450
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Impaired cardiac autophagy in patients developing postoperative atrial fibrillation
01 September 2011
Objectives: Postoperative atrial fibrillation (POAF) is a common complication after on-pump heart surgery. Several histologic abnormalities, such as interstitial fibrosis and vacuolization, have been ...
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Lorena Garcia,
Hugo E. Verdejo,
Jovan Kuzmicic,
Ricardo Zalaquett,
Sergio Gonzalez,
Sergio Lavandero,
Ramon Corbalan
et al.
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451-459.e1
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Effect of aneurysm on the mechanical dissection properties of the human ascending thoracic aorta
26 August 2011
Objectives: The acute dissection of an ascending thoracic aortic aneurysm (ATAA) represents a devastating separation of elastic layers occurring when the hemodynamic loads on the diseased wall exceed ...
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Salvatore Pasta,
Julie A. Phillippi,
Thomas G. Gleason,
David A. Vorp
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460-467
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| Cardiothoracic Transplantation |
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Article Title |
Author(s) |
Pages |
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Factors associated with 5-year survival in older heart transplant recipients
Objectives: The aim of the present study was to identify the predictors of 5-year survival in elderly patients undergoing orthotopic heart transplantation (OHT). Methods: A review of the United Networ...
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Arman Kilic,
Eric S. Weiss,
David D. Yuh,
Ashish S. Shah,
John V. Conte
et al.
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468-474
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| Perioperative Management |
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Article Title |
Author(s) |
Pages |
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The universal bed model for patient care improves outcome and lowers cost in cardiac surgery
08 December 2011
Objective: With the escalating demands to increase the efficiency and decrease the cost, innovations in postoperative cardiac surgical patient care are needed. The universal bed model is an innovative...
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Abbas Emaminia,
Phillip C. Corcoran,
Michael P. Siegenthaler,
Melissa Means,
Sarah Rasmussen,
Linda Krause,
Damien J. LaPar,
Keith A. Horvath
et al.
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475-481
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Discussion
08 December 2011
Dr James Brevig(Everett, Wash). I work in Everett, Washington, at a community hospital. I thank the membership for the opportunity to discuss this presentation.
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480-481
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Preoperative left atrial dysfunction and risk of postoperative atrial fibrillation complicating thoracic surgery
28 September 2011
Objective: Postoperative atrial fibrillation complicating general thoracic surgery increases morbidity and stroke risk. We aimed to determine whether preoperative atrial dysfunction or other echocardi...
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Tina Raman,
Nancy Roistacher,
Jennifer Liu,
Hao Zhang,
Weiji Shi,
Howard T. Thaler,
David Amar
et al.
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482-487
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Effect of low-dose human atrial natriuretic peptide on postoperative atrial fibrillation in patients undergoing pulmonary resection for lung cancer: A double-blind, placebo-controlled study
12 October 2011
Objectives: We previously reported that patients with preoperative B-type natriuretic peptide levels of 30 pg/mL or more have increased risk of postoperative atrial fibrillation after pulmonary resect...
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Takashi Nojiri,
Kazuhiro Yamamoto,
Hajime Maeda,
Yukiyasu Takeuchi,
Yasunobu Funakoshi,
Masayoshi Inoue,
Meinoshin Okumura
et al.
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488-494
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Preoperative proteinuria predicts acute kidney injury in patients undergoing cardiac surgery
04 November 2011
Objective: The study objective was to examine the utility of using proteinuria in preoperative risk stratification for acute kidney injury. Acute kidney injury is a common and important complication f...
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Steven G. Coca,
Divakar Jammalamadaka,
Kyaw Sint,
Heather Thiessen Philbrook,
Michael G. Shlipak,
Michael Zappitelli,
Prasad Devarajan,
Sabet Hashim,
Amit X. Garg,
Chirag R. Parikh,
Translational Research Investigating Biomarker Endpoints in Acute Kidney Injury Consortium
et al.
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495-502
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| Cardiothoracic Imaging |
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Article Title |
Author(s) |
Pages |
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Dual anterior and posterior mitral valve clefts evaluated by 3-dimensional echocardiography with robot-assisted surgical correction
09 December 2011
We report a case of dual mitral valve clefts in both the anterior and posterior leaflets of the mitral valve. Three-dimensional transesophageal echocardiography (TEE) facilitates visualization of the ...
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Ailin Barseghian,
Daniel M. Bethencourt,
Gabriel Vorobiof
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503-504
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| Surgical Techniques |
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Article Title |
Author(s) |
Pages |
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Anomalous left coronary artery from the right pulmonary artery with aortic fusion
22 August 2011
Anomalous left coronary artery from the right pulmonary artery (RPA) with aortic fusion is a rare variant of anomalous left coronary artery from the pulmonary artery (ALCAPA). Three consecutive cases ...
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T. K. Susheel Kumar,
Pranava Sinha,
Mary T. Donofrio,
Richard A. Jonas
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505-507
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Placement of 2 implantable centrifugal pumps to serve as a total artificial heart after cardiectomy
19 August 2011
In recent years, the role of ventricular assist devices for management of chronic heart failure has continued to increase. This increase stems mainly from the success of improved technology, greater s...
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Martin Strueber,
Jan D. Schmitto,
Ingo Kutschka,
Axel Haverich
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507-509
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Massive calcified left ventricular aneurysm and ventricular septum: Successful surgical repair and reconstruction
12 September 2011
Massive calcification of a ventricular aneurysm, particularly of the ventricular septum, is uncommon after myocardial infarction. Surgical repair and reconstruction of an extensive calcified left vent...
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Xianqiang Wang,
Hengchao Wu,
Hansong Sun
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509-511
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Implantation of a centrifugal pump as a left ventricular assist device through a novel, minimized approach: Upper hemisternotomy combined with anterolateral thoracotomy
08 September 2011
The role and the use of ventricular assist devices (VADs) for the treatment of chronic heart failure are increasing tremendously worldwide. The VAD-related success is mainly based on 2 important facto...
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Jan D. Schmitto,
Ulrich Molitoris,
Axel Haverich,
Martin Strueber
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511-513
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Ascending–descending aortic bypass with valve-sparing root replacement for coarctation with aortic root aneurysm
24 August 2011
A 55-year-old man with critical aortic coarctation, aortic root aneurysm, and aortic insufficiency underwent median sternotomy for ascending–descending aortic bypass and aortic root replacement. The p...
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Nicholas D. Andersen,
Judson B. Williams,
J. Kevin Harrison,
G. Chad Hughes
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514-515
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| Online Only: Case Reports |
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Article Title |
Author(s) |
Pages |
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Left atrial myxoma in association with life-saving mitral stenosis
This case report highlights the occurrence of a free left atrial myxoma with concomitant mitral stenosis (). Myxomas, although rare, are the most common benign cardiac tumors. They are generally locat...
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Philippe Demers,
Nicolas Beaulieu
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e9-e10
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Cardiac herniation during robot-assisted cardiac operation
Cardiac herniation during a cardiac operation is extremely rare. We report a rare case of intraoperative cardiac herniation. Our patient had herniation develop in response to strong positive ventilati...
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Shojiro Yamaguchi,
Norihiko Ishikawa,
Go Watanabe
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e10-e11
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Pentacuspid aortic valve causing severe aortic regurgitation
21 November 2011
Aortic valve dysfunction in relatively young adults may indicate congenital valve malformation. There have been occasional reports of anomalous monocuspid, bicuspid, and quadricuspid valves.
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Hidehito Kuroki,
Kazunobu Hirooka,
Masahiro Ohnuki
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e11-e12
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Early stenosis of Medtronic Mosaic bioprosthesis in the aortic position
21 November 2011
The Medtronic Mosaic valve (Medtronic, Inc, Minneapolis, Minn) is a third-generation stented porcine bioprosthesis combining physiologic fixation and α-amino-oleic acid antimineralization treatment to...
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Sheen Peeceeyen,
Christopher Cao,
Gary Fermanis,
Con Manganas
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e13-e14
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