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    ABSTRACT: A 75 year-old man with a lesion in the middle lobe of the lung was discovered to also have, during the follow-up period, a mass in the mediastinum, diagnosed as a multi-thymic cyst. Both pathologies were successfully treated with a single surgical approach by video-assisted thoracoscopy. We performed a middle VATS lobectomy with complete lymphadenectomy followed by radical thymectomy without additional incision. The postoperative course was uneventful.
    Heart, Lung and Circulation 09/2014; DOI:10.1016/j.hlc.2014.08.012
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    Brazilian journal of otorhinolaryngology 08/2014; 80(6). DOI:10.1016/j.bjorl.2014.08.009
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    ABSTRACT: Objectives Acute aortic dissection is a catastrophic condition, for which emergent surgery represents mainstay of therapy. Approximately 70% of patients who survive surgery remain with a dissected distal aorta that poses them at risk of late aneurysmal degeneration, rupture, malperfusion and that often mandates secondary extensive interventions. Methods In order to improve long-term prognosis, a more extensive intervention named ‘Frozen Elephant Trunk (FET)’ has been introduced. This involves the simultaneous replacement of the aortic arch and antegrade stenting of the descending thoracic aorta (DTA). While FET, by inducing both coverage of secondary entry tears located in the proximal DTA and obliteration of the false lumen at the proximal DTA, is assumed to produce total thoracic aortic remodeling, its role in acute dissection patients remains controversial mostly due to its augmented technical complexity and increased risk of paraplegia. Results Data available in literature show that, after FET interventions, hospital death, stroke and spinal cord injury occur in 10.0%, 4.8%, 4.3% of acute dissection patients, respectively. Available long-term data are sparse but suggest that aortic remodeling with partial or complete thrombosis of the persistent false lumen can be expected in approximately 90% of cases. Conclusions The FET technique is a promising approach in acute dissection patients. While solid long-term data are warranted to validate assumed short- and long-term benefits, we believe thoughtful patient selection criteria remain crucial.
    Journal of Thoracic and Cardiovascular Surgery 08/2014; 149(2). DOI:10.3978/j.issn.2225-319X.2014.05.13

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    Bologna, Italy
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