The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Jul 2022
Preoperative renal dysfunction and long-term survival after surgery for non-small cell lung cancer.
To investigate the association of preoperative renal dysfunction and long-term outcomes following lung cancer surgery. ⋯ Preoperative renal dysfunction may be adversely associated with overall survival after lung cancer surgery. Our findings could aid patients to set proper expectation of the risks and benefits about surgery for lung cancer.
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J. Thorac. Cardiovasc. Surg. · Jul 2022
Lobar size reduction in lung transplantation: A propensity score study.
For small-sized recipients of lung transplantation, the time span for organ reception from standard donors is generally longer than for normal-sized patients. Despite its underuse, lobar reduction may be a concrete option for these patients. This study aims to assess early and long-term outcomes associated with lobar reduction in lung transplantation. ⋯ The use of lobar reduction showed early and long-term results comparable to those after standard lung transplantation. Although a higher rate of early severe primary graft dysfunction and slightly reduced respiratory function were detected in the lobar group, these did not affect patients' morbidity and survival.
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J. Thorac. Cardiovasc. Surg. · Jul 2022
Twenty-four-hour normothermic perfusion of isolated ex vivo hearts using plasma exchange.
Cross-circulation of plasma from a paracorporeal animal allows successful ex vivo heart perfusion (EVHP) for 3 days. Little is known about the feasibility of prolonged EVHP without a paracorporeal animal. These experiments evaluated plasma exchange (PX) that infuses fresh plasma, whereas an equal amount is removed to replace paracorporeal cross-circulation. ⋯ These results demonstrate that EVHP can be successfully maintained for at least 24 hours using continuous PX. This eliminates the need for a paracorporeal animal and provides an important step toward clinical application.
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J. Thorac. Cardiovasc. Surg. · Jul 2022
Outcomes of aortic valve repair in children resulting in bicuspid anatomy: Is there a need for tricuspidization?
We aimed to assess outcomes after aortic valve repair leading to bicuspid valve anatomy in children. ⋯ Aortic valve repair leading to bicuspid valve anatomy in children has satisfactory long-term results. Reoperation remains common, but the need for early valve replacement can be effectively delayed.