The authors report the non-intuitive finding that blood from female donors who had ever been pregnant was associated with increased mortality among male recipients (HR 1.13). If validated by other studies, might this substantially complicate matching donated blood with appropriate recipients? Clearly the underlying mechanism will be interesting to
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Thoracic
October 18, 2017
October 18, 2017
The author decries what he sees as the corporatization of airline pilots, with their accompanying loss of autonomy and prestige. He speculates on whether a similar future is ahead for physicians, but does not provide specific suggestions on how to avoid this from occurring.
October 16, 2017
Very nice paper that, once again, demonstrates established experience with awake thoracic surgery. Is this the future? Does a minimally invasive surgeon need a minimally invasive anesthesiologist beside?
October 13, 2017
This study examined risk estimates for complex major surgery by trainees in internal medicine and in general surgery using seven clinical scenarios. Surgery residents expressed more confidence in their estimates, but were less likely to use published risk models. Most trainees in both specialties significantly overestimated every type of risk, aver
October 10, 2017
The authors present a case of aortic valve, ascending aorta, and arch replacement, which included debranching of the supra-aortic vessels and a frozen elephant trunk procedure. Additionally, the authors performed an extra-anatomic bypass for the left axillary artery.
October 9, 2017
The authors present the case of a 72-year-old gentleman who suddenly went into pulseless electrical activity during a peroral endoscopic myotomy for achalasia.
Surgical Management of Esophageal Epiphrenic Diverticula: A Transthoracic Approach Over Four Decades
October 6, 2017
Tapias and colleagues find that the surgical management of epiphrenic diverticula can provide good results, with symptoms being resolved in 21 of 31 patients. The authors’ retrospective review confirmed the rarity of this condition, with fewer than one case per year over 40 years.
October 4, 2017
Filmed at the 2016 EACTS Annual Meeting in Barcelona, Joel Dunning and Shanda Blackmon discuss safety in minimally invasive general thoracic surgery.
October 2, 2017
Researchers used a nanomaterial sensor array and pattern recognition statistical techniques to evaluate exhaled breath samples from patients with suspicious lesions on imaging. A total of 119 patients were included, of whom 30 had benign lesions. In cancer patients, the accuracy of discriminating EGFR mutations from wild-type EGFR was 83
October 2, 2017
The authors demonstrated substantial concordance between sequencing of 39 genes in a liquid assay and routine diagnostic testing in tissue in 82 patients. Agreement was 98%, and the primary reason for failure was low levels of circulating DNA in the plasma. Sensitivity was 70%, and specificity was 100%. The system offers accurate identification of