European Journal of Cardio-Thoracic Surgery (EUR J CARDIO-THORAC)

Publisher: European Association for Cardio-thoracic Surgery; European Society of Thoracic Surgeons, Oxford University Press (OUP)

Journal description

The primary aim of the European Journal of Cardio-Thoracic Surgery is to provide a medium for the publication of high-quality original scientific reports documenting progress in cardiac and thoracic surgery. The journal publishes reports of significant clinical and experimental advances related to surgery of the heart, the great vessels and the chest. Special emphasis is placed on contribution from the European countries. The journal is supported by a number of leading European societies. The European Journal of Cardio-Thoracic Surgery welcomes original articles, editorials, case reports, how-to-do-it reports, reviews, Images in cardio-thoracic Surgery, and Letters to the Editor. Papers are submitted to a peer review by the members of Editorial and Advisory Board and by other invited reviewers. Selected papers from the annual meetings of the European Association for Cardio-Thoracic Surgery are printed in the journal.

Current impact factor: 2.81

Impact Factor Rankings

2015 Impact Factor Available summer 2015
2013 / 2014 Impact Factor 2.814
2012 Impact Factor 2.674
2011 Impact Factor 2.55
2010 Impact Factor 2.293
2009 Impact Factor 2.397
2008 Impact Factor 2.181
2007 Impact Factor 2.011
2006 Impact Factor 2.106
2005 Impact Factor 1.802
2004 Impact Factor 1.616
2003 Impact Factor 1.465
2002 Impact Factor 1.451
2001 Impact Factor 1.676
2000 Impact Factor 1.187
1999 Impact Factor 1.134
1998 Impact Factor 0.759
1997 Impact Factor 0.857
1996 Impact Factor 0.952
1995 Impact Factor 0.59
1994 Impact Factor 0.634
1993 Impact Factor 0.612
1992 Impact Factor 0.527

Impact factor over time

Impact factor

Additional details

5-year impact 2.58
Cited half-life 6.30
Immediacy index 1.01
Eigenfactor 0.03
Article influence 0.85
Website European Journal of Cardio-Thoracic Surgery website
Other titles European journal of cardio-thoracic surgery (Online), EJCTS
ISSN 1010-7940
OCLC 38908313
Material type Document, Periodical, Internet resource
Document type Internet Resource, Computer File, Journal / Magazine / Newspaper

Publisher details

Oxford University Press (OUP)

  • Pre-print
    • Archiving status unclear
  • Post-print
    • Author cannot archive a post-print version
  • Restrictions
    • 3 years embargo
  • Conditions
    • Pre-print can only be posted prior to acceptance
    • Pre-print must be accompanied by set statement (see link)
    • Pre-print must not be replaced with post-print, instead a link to published version with amended set statement should be made
    • Pre-print on author's personal website, employer website, free public server or pre-prints in subject area
    • Post-print on Institutional repositories or Central repositories
    • Published source must be acknowledged with citation
    • Must link to publisher version
    • Set phrase to accompany archived copy (see policy)
    • Publisher's version/PDF cannot be used
    • Publisher last contacted on 19/02/2015
    • This policy is an exception to the default policies of 'Oxford University Press (OUP)'
  • Classification
    ​ white

Publications in this journal

  • European Journal of Cardio-Thoracic Surgery 07/2015; DOI:10.1093/ejcts/ezv299
  • European Journal of Cardio-Thoracic Surgery 06/2015; DOI:10.1093/ejcts/ezv204
  • European Journal of Cardio-Thoracic Surgery 04/2015; DOI:10.1093/ejcts/ezv109
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    ABSTRACT: Multiple arterial coronary artery grafting (MABG) improves long-term survival compared with single arterial CABG (SABG), yet the best second arterial conduit to be used with the left internal thoracic artery (LITA) remains undefined. Outcomes in patients grafted with radial artery (RA-MABG) versus right internal thoracic artery (RITA-MABG) as the second arterial graft were compared with SABG. Multi-institutional, retrospective analysis of non-emergent isolated LITA to left anterior descending coronary artery CABG patients was performed using institutional Society of Thoracic Surgeon National Adult Cardiac Surgery Databases. 4484 (54.5%) SABG [LITA ± saphenous vein grafts (SVG)], 3095 (37.6%) RA-MABG (RA ± SVG) and 641 (7.9%) RITA-MABG (RITA ± SVG) patients were included. The RITA was used as a free (68%) or in situ (32%) graft. RA grafts were principally anastomosed to the ascending aorta. Long-term survival was ascertained from US Social Security Death Index and institutional follow-up. Triplet propensity matching and covariate-adjusted multivariate logistic regression were used to adjust for baseline differences between study cohorts. Compared with the SABG cohort, the RITA-MABG cohort was younger (58.6 ± 10.2vs65.9 ± 10.4, P < 0.001), had a higher prevalence of males (87% vs 65%, P < 0.001) and was generally healthier (MI: 36.7% vs 56.7%, P < 0.001, smoking: 56.8% vs 61.1%, IDDM: 3.0% vs 14.4%, CVA: 2.6% vs 10.0%). The RA-MABG cohort was generally characterized by a risk profile intermediate to that of SABG and RlTA-MABG. Unadjusted 5-, 10- and 15-year survival rates were best in RITA-MABG (95.2%, 89% and 82%), intermediate in RA-MABG (89%, 74%, 57%) and worst in SABG (82%, 61% and 44%) cohorts (all P < 0.001). Propensity matching yielded 551 RA-MABG, RITA-MABG and SABG triplets, which showed similar 30-day mortality. Late survival (16 years) was equivalent in the RA-MABG and RITA-MABG cohorts [68.2% vs 66.7%, P = 0.127, hazard ratio (HR) = 1.28 (0.96-1.71)] and both significantly better than SABG (61.1%). The corresponding SABG versus RITA-MABG and SABG versus RA-MABG HRs (95% confidence interval) were 1.52 (1.18-1.96) and 1.31 (1.01-1.69) with P < 0.002 and P = 0.038, respectively. RA-MABG or RITA-MABG equally improve long-term survival compared with SABG and thus should be embraced by the Heart Team as the therapy of choice in LITA-based coronary artery bypass surgery. © The Author 2015. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
    European Journal of Cardio-Thoracic Surgery 03/2015; DOI:10.1093/ejcts/ezv093
  • European Journal of Cardio-Thoracic Surgery 02/2015;
  • European Journal of Cardio-Thoracic Surgery 02/2015;
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    ABSTRACT: OBJECTIVES Recently, transcatheter aortic valve implantation has been introduced, but one of its complications is left bundle branch block (LBBB), a conduction disturbance that has been associated with increased mortality. We investigated the incidence and fate of both right bundle branch block (RBBB) and LBBB after aortic valve replacement (AVR) using a retrospective analysis. We also studied the predictive value of both disorders for all-cause mortality.
    European Journal of Cardio-Thoracic Surgery 02/2015; 47(2):E47-E53. DOI:10.1093/ejcts/ezu435
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    ABSTRACT: We report a case of a Marfan syndrome patient who developed a complicated clinical course after total aortic repair using a hybrid technique. After hybrid total aortic repair, this patient was required to undergo open thoracic and thoracoabdominal aortic repair due to impending rupture of the aorta. Moreover, the abdominal aortic graft was rereplaced due to debranching graft occlusion of the coeliac artery and the left renal artery. © The Author 2015. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
    European Journal of Cardio-Thoracic Surgery 01/2015; 47(4). DOI:10.1093/ejcts/ezu517
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    ABSTRACT: OBJECTIVES Due to progression of rheumatic disease, percutaneous mitral commissurotomy (PMC) is a palliative procedure. We aimed at evaluating the outcomes of patients requiring surgery for failure of PMC, focusing on the fate of the mitral valve (MV) (repair versus replacement). METHODS From January 1993 through December 2012, 61 patients with previous PMC were submitted to MV surgery. Detailed operative findings were collected from all patients and an intraoperative anatomical score was introduced to predict reparability. Time to surgery, overall survival and freedom from reoperation were analysed. RESULTS The mean time to surgery after PMC was 6.9 ± 5.9 years and indications were restenosis in 25 patients (41%) and mitral regurgitation or mixed lesion in 36 (59%). Nine patients (14.8%) had more than one previous intervention. Intraoperative inspection of the valve revealed leaflet laceration outside the commissural area in 27 patients (44.3%). Valve repair was accomplished in 38 patients (62.3%). Pulmonary hypertension, calcification and intraoperative anatomical score were independently associated with the probability of valve replacement (OR 1.12, OR 7.03 and OR 4.49, respectively, P < 0.05). There was no hospital mortality. MV area increased on average 1.6 cm2 after surgery to 2.7 cm2; 5-, 10- and 20-year survival rates were 98.1 ± 1.9, 91 ± 5.2 and 82.7 ± 9.2%, respectively. The rate of freedom from mitral reoperation (for repaired cases) at 5, 10 and 15 years was 100, 95.8 ± 4.1 and 87.8 ± 8.5%, respectively. There was no difference in survival between repaired or replaced MVs, but the former had less valve-related events during follow-up. CONCLUSION The MV can be repaired after failed PMC, with very low complication rates and excellent long-term results. Hence, whenever possible, these patients should be sent to reference centres where repair can be successfully achieved.
    European Journal of Cardio-Thoracic Surgery 01/2015; 47(1):e1-e6. DOI:10.1093/ejcts/ezu365
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    ABSTRACT: Objectives - The aim of this study was to evaluate a novel insertion technique of the prosthetic ring that would further magnify the degree of annulus narrowing thereby reducing the potential for a residual leak in ischemic mitral valve repair. Methods – Thirty six patients with ischemic MR were randomly assigned into two groups. In 18 patients, the prosthetic ring was inserted in the conventional manner with a single row of sutures (control group). In 18 patients, the ring was attached using a double row of sutures tied both on the inner and on the outer part of the sawing cuff. Both groups had similar preoperative clinical and echocardiography characteristics with severe leaflet tethering: mean tenting area >2.5 cm2, mean anterior leaflet angle >25° and posterior leaflet angle >45°. The prosthetic rings sizes inserted in both groups were identical (mean: 27.3 mm). Results – At 12 months there was no clinical event except for 1 rehospitalization in the control group. Mean mitral regurgitation grade was higher in the control group than in the double row of sutures group of 1.6 + 0.9 vs 0.7 + 0.3 (p=0.0003). Annulus diameters reduction was less pronounced in the control group when compared to the double row of sutures group both in parasternal long axis: 29,3 + 3 mm vs 26,3 + 3 mm (p=0.0003) and in apical four chamber views: 31 + 3 mm vs. 28 + 2 mm (p=0.003). Leaflet tethering indices were greater in the control group than in the double row suture: tenting area: 1.42 + 0.3 cm2 vs. 1.1 + 0.5 cm2 (p=0.002), anterior leaflet angle: 33 + 3° vs. 28 + 5° (p=0.0009), posterior leaflet angle: 110 + 13° vs 80 + 11° (p=0.0001). Left ventricular function parameters were not statistically different among the two groups. Conclusion – A double row of overlapping sutures for attaching the prosthetic ring in downsizing annuloplasty is more efficient in narrowing the mitral annulus than the conventional technique in ischemic mitral repair. Even in high risk patients whose leaflets were severely tethered on echocardiography, it barely eliminated the risk of MR recurrency in this study.
    European Journal of Cardio-Thoracic Surgery 01/2015;