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Permanent Thoracic Surgery Job in Bay Area - Spectacular Mountain Views ! California with CompHealth Inc
Job 6511020 Experienced Non-Cardiac Thoracic Surgeon needed for ideal northern California location Board Certified / Board Eligible in Thoracic Surgery Shared call of 1:5 Named one of "America's Best
Permanent Thoracic Surgery Job in Surgeon Seeking a Partner for Non-Cardiac Thoracic Surgery & General Surgery New Jersey with CompHealth Inc
Job 6510113 Busy surgeon is seeking to hire a partner to handle the referrals coming in The increase in practice volume requires that he add another surgeon Will interview both experienced surgeons,
Permanent Thoracic Surgery Job in Call for Information Illinois with Inhouse Physician Recruiters Network
The In-House Physician Recruiter Network, composed of over 500 hospital recruiters, represents over 10,000 hospitals and clinics. Our Network's special feature is to showcase outstanding physicians (who

Thoracic surgery - Google News

New technique reduces trauma of lung surgery - CNN International
Mon, 24 Nov 2008 15:06:43 -0000
New technique reduces trauma of lung surgeryCNN International - 9 hours agoBy contrast, visually-assisted thoracic surgery, also known as VATS, uses two to four small incisions less than two inches long. Instead of spreading the ...
A New Era In Management Of Traumatic Disruptions Of The Thoracic Aorta - Medical News Today (press release)
Mon, 24 Nov 2008 17:11:21 -0000
A New Era In Management Of Traumatic Disruptions Of The Thoracic AortaMedical News Today (press release), UK - 6 hours agoAs presented by Edward B. Diethrich, MD, Medical Director and Chief of Cardiovascular & Thoracic Surgery at the Arizona Heart Institute & Hospital in ...Primary Factor Influencing Treatment Choice For Subclavian Vein ... Medical News Today (press release)all 2 news articles
US Surgeon Discusses Failure Modes Of Thoracic Endografts And ... - Medical News Today (press release)
Mon, 24 Nov 2008 11:05:50 -0000
US Surgeon Discusses Failure Modes Of Thoracic Endografts And ...Medical News Today (press release), UK - 13 hours agoAnthony Lee, MD, Associate Professor of Surgery, University of Florida, Division of Vascular Surgery and Endovascular Therapy in Gainesville, ...Modular Branched Endograft For Aortic Arch Replacement: Promising ... Medical News Today (press release)All Type B Aortic Dissections Should Be Treated With Endografts ... Medical News Today (press release)The Current And Future Role Of Endografts For Treating Aortic ... Medical News Today (press release)all 9 news articles
Population-Based Outcomes of Open Descending Thoracic Aortic ... - Cardiosource
Mon, 24 Nov 2008 05:04:07 -0000
Population-Based Outcomes of Open Descending Thoracic Aortic ...Cardiosource, DC - 19 hours agoOverall in-hospital mortality after surgery was 18.3% and decreased over the 15-year time period (p < 0.0001). Prevalence of complications including ...
OR-Live.com Presents: Early Intervention in the Treatment of ... - MarketWatch
Wed, 12 Nov 2008 17:56:45 -0000
OR-Live.com Presents: Early Intervention in the Treatment of ...MarketWatch - Nov 12, 2008He is certified by the American Board of Thoracic Surgery and the American Board of Surgery. Dr. Mihaljevic specializes in minimally invasive cardiac ...
Treating — and preventing — lung cancer - Baltimore Sun
Mon, 24 Nov 2008 08:24:42 -0000
Treating — and preventing — lung cancerBaltimore Sun, United States - 15 hours agoThat means more people die from lung cancer annually than from breast, prostate and colon cancer combined, says Dr. Gavin Henry, chief of thoracic surgery ...

ScienceDirect Publication: Thoracic Surgery Clinics

Contents
Sun, 16 Nov 2008 05:02:54 -0000
Publication year: 2008Source: Thoracic Surgery Clinics, Volume 18, Issue 4, November 2008, Pages v-vii[No author name available]
Forthcoming Issues
Sun, 16 Nov 2008 05:02:54 -0000
Publication year: 2008Source: Thoracic Surgery Clinics, Volume 18, Issue 4, November 2008, Page viii[No author name available]
Preface
Sun, 16 Nov 2008 05:02:54 -0000
Publication year: 2008Source: Thoracic Surgery Clinics, Volume 18, Issue 4, November 2008, Page ixMithran S., Sukumar
Defining N2 Disease in Non–Small Cell Lung Cancer
Sun, 16 Nov 2008 05:02:54 -0000
Publication year: 2008Source: Thoracic Surgery Clinics, Volume 18, Issue 4, November 2008, Pages 333-337Edmund S., Kassis , Ara A., VaporciyanSimply defined, N2 disease in non–small cell lung cancer (NSCLC) is the presence of ipsilateral mediastinal nodal metastases. This definition does little justice to what is in actuality a heterogeneous and challenging patient population. The presence of ipsilateral mediastinal nodal metastases (N2 disease) in NSCLC is a poor prognostic sign. This article demonstrates that the definition of N2 disease includes many subgroupings with widely disparate effects on prognosis.
Detection of Occult N2 Disease with Molecular Techniques
Sun, 16 Nov 2008 05:02:54 -0000
Publication year: 2008Source: Thoracic Surgery Clinics, Volume 18, Issue 4, November 2008, Pages 339-347Loretta, Erhunmwunsee , Thomas A., D'AmicoLymph node involvement is the most important factor affecting the prognosis and treatment of patients with potentially resectable NSCLC. Radiographic imaging is inadequate to ascertain lymph node involvement. Currently, lymph nodes are assessed pathologically using conventional histologic techniques; however, lymph node micrometastases may be missed, leading to inaccurate staging and suboptimal treatment. Assessment of occult involvement using antibody expression improves the sensitivity of lymph node analysis, and more advanced techniques, using molecular biologic methods, may further improve lymph node staging. Optimizing outcomes of patients with lung cancer depends on accurate lymph node staging, and the development of the strategies that...
Radiographic Staging of Mediastinal Lymph Nodes in Non–Small Cell Lung Cancer Patients
Sun, 16 Nov 2008 05:02:54 -0000
Publication year: 2008Source: Thoracic Surgery Clinics, Volume 18, Issue 4, November 2008, Pages 349-361Shawn S., Groth , Bryan A., Whitson , Michael A., MaddausIn order for non–small cell lung cancer patients to undergo the most appropriate treatment, accurate clinical staging (including an assessment for mediastinal lymph node metastasis) is essential. Imaging studies play a critical role in this process. To screen for mediastinal lymph node metastasis, the most sensitive and accurate imaging modality is a positron emission tomography/computed tomography scan. Despite improvements in the sensitivity and accuracy of imaging techniques, histologic assessment of the mediastinum is still required.

Interactive CardioVascular and Thoracic Surgery current issue

[Work in progress report - Cardiac general] Totally robotic resection of myxoma and atrial septal defect repair
Gao, C., Yang, M., Wang, G., Wang, J. Mon, 24 Nov 2008 00:00:00 -0000
Resection of left atrial myxoma and large atrial septal defect repair were performed in 55 patients using the da Vinci S surgical system to evaluate device safety and efficacy. Fifty-five patients underwent resection of left atrial myxomas (n=10) or secundum-type ASD (n=45) repairs with three cases of concomitant tricuspid valve repairs, using the da Vinci S surgical system. Mean age of the patients was 38±12.2 years (range 12–61 years). Cardiopulmonary bypass was achieved peripherally, aortic occlusion was performed with Chitwood cross-clamp, and antegrade cardioplegia was administered via anterior chest. Via four port incisions in the right chest and a 2–2.5-cm working port, all the procedures were completed with the da Vinci robot. All patients had successful resection or repairs. The mean CPB times and aortic cross-clamp times were 108.6±12.5 min and 45±11.5 min, respectively. There were no operative deaths, strokes, or device-related complications. One patient was reexplored for bleeding. There were no incisional conversions. All the patients were discharged. da Vinci S surgical system has no limitations to safe resection of left atrial myxomas and of ASD repairs, surgical results are excellent, and this technology is of reproducible value with excellent cosmetic results.
[Work in progress report - Vascular thoracic] Rapid and safe establishment of cardiopulmonary bypass in repair of acute aortic dissection: improved results with double cannulation
Minatoya, K., Ogino, H., Matsuda, H., Sasaki, H. Mon, 24 Nov 2008 00:00:00 -0000
There is no agreement at present as to which is the optimal site for artery cannulation for cardiopulmonary bypass in repair of acute aortic dissection (AAD). We have employed right axillary artery cannulation (RAAC) in combination with femoral artery cannulation to overcome the drawbacks of single cannulation. From January 2000 to August 2006, 88 patients underwent emergency surgical repair of the aortic arch (mean age 65±13 years, 37 men) for AAD. All operations were performed under hypothermic circulatory arrest with antegrade selective cerebral perfusion. Preoperatively, nine patients were in shock and 18 patients showed malperfusion. The average duration of circulatory arrest was 52±17 min and that of myocardial ischemia was 135±53 min. Total aortic arch replacement was done in 47 patients and hemiarch aortic replacement in 41. The hospital mortality rate was 2.3% (2 of 88); the fatal cases were among those who were in shock preoperatively. The perioperative stroke rate was 5.7% (5 of 88). The hospital mortality rate of the 25 patients with preoperative malperfusion was 4.0% (1 of 25); the fatal case had coronary malperfusion. Our approach for AAD was associated with a low mortality even in patients with malperfusion.
[eComment] eComment: Rapid and safe establishment of cardiopulmonary bypass in repair of acute aortic dissection: improved results with double cannulation
Bockeria, L. A., Malashenkov, A. I., Rychin, S. V. Mon, 24 Nov 2008 00:00:00 -0000

[Work in progress report - Thoracic general] Low copy number and low oxidative damage of mitochondrial DNA are associated with tumor progression in lung cancer tissues after neoadjuvant chemotherapy
Lin, C.-S., Wang, L.-S., Tsai, C.-M., Wei, Y.-H. Mon, 24 Nov 2008 00:00:00 -0000
The decrease in the copy number of mitochondrial DNA (mtDNA) in cancer tissues might be associated with a decrease in oxidative mtDNA damage to achieve cancer immortalization and progression. Lung cancer specimens were collected from 29 patients with stage III non-small cell lung cancer (NSCLC) after neoadjuvant chemotherapy followed by surgical resection. The relative mtDNA copy number and the oxidative mtDNA damage (formation of 8-OHdG in mtDNA) of each cancer tissue were measured by quantitative real-time PCR. Seven female and 22 male lung cancer patients, with a mean age of 63.5 years were evaluated. Tumors of five patients became progressive, 13 stable, and 11 partially responsive after preoperative chemotherapy. Low mtDNA copy number (P=0.089) and low degree of oxidative mtDNA damage (P=0.036) were found to associate with tumor progression. Moreover, mtDNA copy number was significantly related to the degree of oxidative mtDNA damage (P=0.031). The mtDNA copy number and oxidative mtDNA damage were lower in advanced NSCLC after chemotherapy. This finding suggests that a decrease in the content of mtDNA may result in a decrease of mitochondrial density in cancer cells, which leads to a decrease of endogenous ROS production and reduction of ROS-triggered DNA damage to achieve immortalization.
[Work in progress report - Experimental] Carbon monoxide induces relaxation of human internal thoracic and radial arterial grafts
Achouh, P. E., Simonet, S., Fabiani, J.-N., Verbeuren, T. J. Mon, 24 Nov 2008 00:00:00 -0000
Carbon monoxide is produced by the degradation of heme by intracellular heme-oxygenase. The aim of our study was to evaluate, in vitro, the vasodilating effect of carbon monoxide and its mechanisms of action on human internal thoracic and radial artery grafts. Segments of human internal thoracic artery and radial artery, obtained from isolated coronary artery bypass surgery patients, were studied in organ chambers. The arterial rings were precontracted with norepinephrine then submitted to carbon monoxide. Inhibitors of nitric oxide synthase and of soluble guanylate cyclase were added to some arterial rings. Carbon monoxide induced significant relaxation in precontracted human internal thoracic artery and radial artery rings. This relaxation was independent of the presence of functional endothelium in internal thoracic artery. Blocking soluble guanylate cyclase partially inhibited this relaxation, while blocking nitric oxide synthase had no effect. Carbon monoxide has a relaxing effect on human internal thoracic artery and radial artery grafts in vitro, partially via cyclic guanylate monophosphate (cGMP) pathway activation. Inducing carbon monoxide production at the cellular level in vivo in human arterial grafts might help prevent vasospasm.
[eComment] eComment: Carbon monoxide and its vasodilatative properties: another good reason for clinical implication
Goebel, U., Siepe, M. Mon, 24 Nov 2008 00:00:00 -0000


The Annals of Thoracic Surgery current issue

[CASE REPORTS] Patent Ductus Arteriosus Masquerading as Aortic Transection in a Trauma Victim
Lau, W. T., Wong, D. K.M., Louie, H. W. Mon, 24 Nov 2008 00:00:00 -0000
A high-speed motorcycle crash is a risk factor for thoracic aortic injury due to the rapid deceleration mechanism. We present a previously healthy 44-year-old man who was involved in a motorcycle accident. Initial spiral computed tomography indicated an intimal flap, which was visualized with evidence of mediastinal hemorrhage. The man was taken emergently to the operating room where a patent ductus arteriosus was seen at the location of the suspected aortic injury. No true aortic injury was appreciated.
[CASE REPORTS] Sirolimus Ameliorated Post Lung Transplant Chylothorax in Lymphangioleiomyomatosis
Ohara, T., Oto, T., Miyoshi, K., Tao, H., Yamane, M., Toyooka, S., Okazaki, M., Date, H., Sano, Y. Mon, 24 Nov 2008 00:00:00 -0000
We report a successful case of sirolimus treatment for chylous pleural and peritoneal effusions of lymphangioleiomyomatosis after lung transplantation. A 32-year-old woman underwent living donor lung transplantation. Persistent chylous pleural and peritoneal effusions were seen postoperatively. Pleurodesis by intrathoracic injection of OK-432, minomycin, and somatostatine analog failed to control chylous effusions. However, sirolimus treatment reduced the amount of chylous drainage and improved both chylous pleural and peritoneal effusions.
[IMAGES IN CARDIOTHORACIC SURGERY] Subepicardial Hematoma Compressing the Right Atrium: Spontaneous Rupture of the Right Coronary Artery
Kim, K. H., Choi, J. B., Kim, K. S. Mon, 24 Nov 2008 00:00:00 -0000


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