The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Apr 2017
Review Case ReportsAortic floating thrombus detected by computed tomography angiography incidentally: Five cases and a literature review.
To analyze the findings of aortic floating thrombus (AFT) on computed tomography angiography (CTA) for a definitive, timely diagnosis and to select a reasonable management course to improve prognosis. ⋯ AFT is a rare, life-threatening disease. Abnormal coagulation function, aortic disease, and history of aortic stent implantation are the potential predictors for AFT. CTA scanning can depict the lesions clearly and evaluate curative efficacy. The therapeutic strategy should be based on the etiology and the patient's physical condition, whereas the preferred treatment is conservative medication.
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J. Thorac. Cardiovasc. Surg. · Apr 2017
Comparative StudyFlipping the classroom: Case-based learning, accountability, assessment, and feedback leads to a favorable change in culture.
The 88-week Thoracic Surgery Curriculum is challenging to implement because of the large content in a traditional lecture format. This study investigates flipping the classroom by using a case-based format designed to stimulate resident preparation and engagement. ⋯ This method stimulated increased resident participation and engagement in this pilot study. Assessment scores increased at both resident levels, and resident performance exceeded faculty performance with time. By using experiential learning principles, flipping the classroom in this manner may improve educational culture by enhancing accountability, assessment, and feedback.
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J. Thorac. Cardiovasc. Surg. · Apr 2017
Outcomes of early surgery for infective endocarditis with moderate cerebral complications.
We sought to clarify the effect of stroke severity on clinical outcomes in patients with infective endocarditis (IE) with cerebral complications and evaluate the impact of early surgery in the active phase on long-term prognosis in patients with nonsevere neurologic deficits. ⋯ Early surgery might be beneficial in patients with nonsevere stroke.
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J. Thorac. Cardiovasc. Surg. · Apr 2017
Multicenter Study Observational StudyChanges in operative strategy for patients enrolled in the International Registry of Acute Aortic Dissection interventional cohort program.
Advancements in cardiothoracic surgery prompted investigation into changes in operative management for acute type A aortic dissections over time. ⋯ There have been significant changes in operative strategy over time in the management of type A aortic dissection, with more frequent use of valve-sparing procedures, bioprosthetic aortic valve substitutes, antegrade cerebral perfusion strategies, and hypothermic circulatory arrest. Most importantly, a significant decrease of in-hospital mortality was observed during the 20-year timespan.