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  1. Article ; Online: Properly Downsized Annuloplasty for Functional Mitral Regurgitation: Unbeaten in the Right Patient.

    Braun, Jerry

    The Annals of thoracic surgery

    2021  Volume 114, Issue 4, Page(s) 1366

    MeSH term(s) Humans ; Mitral Valve/diagnostic imaging ; Mitral Valve/surgery ; Mitral Valve Annuloplasty ; Mitral Valve Insufficiency/surgery ; Treatment Outcome ; Tricuspid Valve/surgery
    Language English
    Publishing date 2021-11-12
    Publishing country Netherlands
    Document type Journal Article ; Comment
    ZDB-ID 211007-6
    ISSN 1552-6259 ; 0003-4975
    ISSN (online) 1552-6259
    ISSN 0003-4975
    DOI 10.1016/j.athoracsur.2021.09.072
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Transpericardial resection of a mediastinal paraganglioma.

    Velders, Bart J J / Schneider, Adriaan / Braun, Jerry

    Multimedia manual of cardiothoracic surgery : MMCTS

    2023  Volume 2023

    Abstract: Paragangliomas are tumours originating from the autonomic nervous system and rarely occur in the chest. They may manifest through symptoms of excess catecholamine release or due to local compression, can be an incidental finding on a computed tomography/ ... ...

    Abstract Paragangliomas are tumours originating from the autonomic nervous system and rarely occur in the chest. They may manifest through symptoms of excess catecholamine release or due to local compression, can be an incidental finding on a computed tomography/magnetic resonance imaging examination or can be found when screening patients with specific gene mutations. Surgical removal is indicated in case of symptoms, (imminent) compression of vital structures or to prevent progression to malignancy. Resection of a paraganglioma in the middle mediastinum can be challenging. The relationship of the tumour to vital structures and its blood supply determine the surgical access route. In this case report, a large paraganglioma situated in the middle mediastinum is resected. Because of the close relationship to vital structures and the presence of feeding arteries from the aortic arch, a transsternal transpericardial approach is chosen. After a median sternotomy, stepwise dissection between the aorta, superior caval vein and right pulmonary artery and the opening of the posterior pericardium gives access to the middle mediastinum and the area between the tracheal bifurcation and the left atrial roof. These steps can be done without cardiopulmonary bypass. After identification and division of the feeding aortic arch arteries, the highly vascularized tumour can be further dissected and removed.
    MeSH term(s) Humans ; Vena Cava, Superior ; Mediastinal Neoplasms/surgery ; Paraganglioma/surgery ; Mediastinum/surgery ; Mediastinum/pathology ; Aorta, Thoracic/pathology
    Language English
    Publishing date 2023-05-22
    Publishing country England
    Document type Case Reports ; Video-Audio Media
    ZDB-ID 2280156-X
    ISSN 1813-9175 ; 1813-9175
    ISSN (online) 1813-9175
    ISSN 1813-9175
    DOI 10.1510/mmcts.2023.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Surgical Resection of Cardiac Paragangliomas Surrounding Both Coronary Arteries.

    Kharbanda, Rohit K / Vos, Roemer J / Morreau, Hans / Braun, Jerry

    CJC open

    2023  Volume 6, Issue 1, Page(s) 59–61

    Language English
    Publishing date 2023-10-13
    Publishing country United States
    Document type Case Reports
    ISSN 2589-790X
    ISSN (online) 2589-790X
    DOI 10.1016/j.cjco.2023.10.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Chest wall resections for sulcus superior tumors.

    Ünal, Semih / Heineman, David Jonathan / van Dorp, Martijn / Winkelman, Toon / Braun, Jerry / Dahele, Max / Dickhoff, Chris

    Journal of thoracic disease

    2024  Volume 16, Issue 2, Page(s) 1715–1723

    Abstract: Chemoradiotherapy followed by surgical resection (trimodality therapy) is a guideline recommended treatment for sulcus superior tumors (SST). By definition, SSTs invade the chest wall and therefore require en-bloc chest wall resection with the upper lung ...

    Abstract Chemoradiotherapy followed by surgical resection (trimodality therapy) is a guideline recommended treatment for sulcus superior tumors (SST). By definition, SSTs invade the chest wall and therefore require en-bloc chest wall resection with the upper lung lobe or segments. The addition of a chest wall resection, potentially results in higher morbidity and mortality rates when compared to standard anatomical pulmonary resection. This, together with their anatomical location in the thoracic outlet, and varying grades of fibrosis and adhesions resulting from induction chemoradiotherapy in the operation field, make surgery challenging. Depending on the exact location of the tumor and extent to which it invades the surrounding structures, the preferred surgical approach may vary, e.g., anterior, posterolateral, hemi-clamshell, or combined approach; all with their own potential advantages and morbidities. Careful patient selection, adequate staging and discussion in a multidisciplinary tumor board in a center experienced in complex thoracic oncology leads to the best long-term survival outcomes with the least morbidity and mortality. Enhanced recovery guidelines are now available for thoracic surgery, promoting faster recovery and helping to minimize complications and morbidity, including infections and thoracotomy pain. Although minimally invasive surgery can enhance recovery and reduce chest wall morbidity, and is in widespread use in thoracic oncology, its use for SST has been limited. However, this is an evolving area and hybrid surgical approaches (including use of the robot) are being reported. Chest wall reconstruction is rarely necessary, but if so, the prosthetic materials are preferably radiolucent/non-scattering, rigid enough while still being somewhat flexible, and inert, providing structural support, allowing chest wall movement, and closing defects, while inciting a limited inflammatory response. New techniques such as 3D image reconstructions/volume rendering, 3D-printing, and virtual reality modules may help pre-operative planning and informed patient consent.
    Language English
    Publishing date 2024-02-22
    Publishing country China
    Document type Journal Article ; Review
    ZDB-ID 2573571-8
    ISSN 2077-6624 ; 2072-1439
    ISSN (online) 2077-6624
    ISSN 2072-1439
    DOI 10.21037/jtd-23-828
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Robot-assisted thoracic surgery for stages IIB-IVA non-small cell lung cancer: retrospective study of feasibility and outcome.

    Shahin, Ghada M M / Vos, Peter-Paul W K / Hutteman, Merlijn / Stigt, Jos A / Braun, Jerry

    Journal of robotic surgery

    2023  Volume 17, Issue 4, Page(s) 1587–1598

    Abstract: Robot-assisted thoracic surgery (RATS) for higher stages non-small cell lung carcinoma (NSCLC) remains controversial. This study reports the feasibility of RATS in patients with stages IIB-IVA NSCLC. A single-institute, retrospective study was conducted ... ...

    Abstract Robot-assisted thoracic surgery (RATS) for higher stages non-small cell lung carcinoma (NSCLC) remains controversial. This study reports the feasibility of RATS in patients with stages IIB-IVA NSCLC. A single-institute, retrospective study was conducted with patients undergoing RATS for stages IIB-IVA NSCLC, from January 2015 until January 2020. Unforeseen N2 disease was excluded. Data were collected from the Dutch Lung Cancer Audit database. Conversion rate, radical (R0) resection rate, local recurrence rate and complications were analyzed, as were risk factors for conversion. RATS was performed in 95 patients with NSCLC clinical or pathological stages IIB (N = 51), IIIA (N = 39), IIIB (N = 2) and IVA (N = 3). 10.5% had received neoadjuvant chemoradiotherapy. Pathological staging was T3 in 33.7% and T4 in 34.7%. RATS was completed in 77.9% with a radical resection rate of 94.8%. Lobectomy was performed in 67.4% of the total resections. Conversion was for strategic (18.9%) and emergency (3.2%) reasons. Pneumonectomy (p = 0.001), squamous cell carcinoma (p < 0.001), additional resection of adjacent structures (p = 0.025) and neoadjuvant chemoradiation (p = 0.017) were independent risk factors for conversion. Major post-operative complications occurred in ten patients (10.5%) including an in-hospital mortality of 2.1% (n = 2). Median recurrence-free survival was estimated at 39.4 months (CI 16.4-62.5). Two- and 5-year recurrence-free survival rates were 53.8% and 36.7%, respectively. This study concludes that RATS is safe and feasible in higher staged NSCLC tumors after exclusion of unforeseen N2 disease. It brings new perspective on the potential of RATS in higher stages, dealing with larger and more invasive tumors.
    MeSH term(s) Humans ; Carcinoma, Non-Small-Cell Lung/surgery ; Lung Neoplasms/surgery ; Retrospective Studies ; Feasibility Studies ; Robotics ; Thoracic Surgery ; Treatment Outcome ; Neoplasm Staging ; Robotic Surgical Procedures/methods
    Language English
    Publishing date 2023-03-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 2268283-1
    ISSN 1863-2491 ; 1863-2483
    ISSN (online) 1863-2491
    ISSN 1863-2483
    DOI 10.1007/s11701-023-01549-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Invited commentary.

    Braun, Jerry

    The Annals of thoracic surgery

    2012  Volume 93, Issue 4, Page(s) 1193–1194

    MeSH term(s) Humans ; Male ; Myocardial Contraction ; Myocardial Infarction/pathology ; Myocardial Infarction/physiopathology ; Ventricular Dysfunction, Left/physiopathology ; Ventricular Remodeling
    Language English
    Publishing date 2012-04
    Publishing country Netherlands
    Document type Comment ; Journal Article
    ZDB-ID 211007-6
    ISSN 1552-6259 ; 0003-4975
    ISSN (online) 1552-6259
    ISSN 0003-4975
    DOI 10.1016/j.athoracsur.2012.01.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Invited commentary.

    Braun, Jerry

    The Annals of thoracic surgery

    2010  Volume 89, Issue 4, Page(s) 1161–1162

    MeSH term(s) Echocardiography, Transesophageal ; Humans ; Imaging, Three-Dimensional ; Mitral Valve/anatomy & histology ; Mitral Valve/diagnostic imaging ; Mitral Valve Insufficiency/diagnostic imaging ; Mitral Valve Insufficiency/pathology
    Language English
    Publishing date 2010-04
    Publishing country Netherlands
    Document type Journal Article ; Comment
    ZDB-ID 211007-6
    ISSN 1552-6259 ; 0003-4975
    ISSN (online) 1552-6259
    ISSN 0003-4975
    DOI 10.1016/j.athoracsur.2010.01.032
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Invited commentary.

    Braun, Jerry

    The Annals of thoracic surgery

    2010  Volume 89, Issue 5, Page(s) 1554

    MeSH term(s) Animals ; Disease Models, Animal ; Finite Element Analysis ; Myocardial Infarction/pathology ; Myocardial Infarction/physiopathology ; Sheep ; Ventricular Remodeling/physiology
    Language English
    Publishing date 2010-05
    Publishing country Netherlands
    Document type Comment ; Journal Article
    ZDB-ID 211007-6
    ISSN 1552-6259 ; 0003-4975
    ISSN (online) 1552-6259
    ISSN 0003-4975
    DOI 10.1016/j.athoracsur.2010.03.037
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Mobile health for cardiovascular risk management after cardiac surgery: results of a sub-analysis of The Box 2.0 study.

    Biersteker, Tommas Evan / Boogers, Mark J / Schalij, Martin Jan / Braun, Jerry / Groenwold, Rolf H H / Atsma, Douwe E / Treskes, Roderick Willem

    European heart journal. Digital health

    2023  Volume 4, Issue 4, Page(s) 347–356

    Abstract: Aims: Lowering low-density lipoprotein (LDL-C) and blood pressure (BP) levels to guideline recommended values reduces the risk of major adverse cardiac events in patients who underwent coronary artery bypass grafting (CABG). To improve cardiovascular ... ...

    Abstract Aims: Lowering low-density lipoprotein (LDL-C) and blood pressure (BP) levels to guideline recommended values reduces the risk of major adverse cardiac events in patients who underwent coronary artery bypass grafting (CABG). To improve cardiovascular risk management, this study evaluated the effects of mobile health (mHealth) on BP and cholesterol levels in patients after standalone CABG.
    Methods and results: This study is a
    Conclusion: This study showed an association between home monitoring after CABG and a reduction in systolic BP, body weight, and serum LDL-C. The causality of the association between the observed weight loss and decreased LDL-C in intervention group patients remains to be investigated.
    Language English
    Publishing date 2023-06-07
    Publishing country England
    Document type Journal Article
    ISSN 2634-3916
    ISSN (online) 2634-3916
    DOI 10.1093/ehjdh/ztad035
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Aortic valve visualization and pressurization device: a novel device for intraoperative evaluation of aortic valve repair procedures.

    Arabkhani, Bardia / Sandker, Stefan C / Braun, Jerry / Hjortnaes, Jesper / van Brakel, Thomas J / Koolbergen, Dave R / Klautz, Robert J M / Hazekamp, Mark G

    European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery

    2023  Volume 64, Issue 5

    Abstract: Objectives: Aortic valve repair procedures are technically challenging, and current intraoperative evaluation methods often fail to predict the final echocardiographic result. We have developed a novel intraoperative aortic valve visualization and ... ...

    Abstract Objectives: Aortic valve repair procedures are technically challenging, and current intraoperative evaluation methods often fail to predict the final echocardiographic result. We have developed a novel intraoperative aortic valve visualization and pressurization (AVP) device, enabling valve inspection under physiological conditions, and measuring aortic valve insufficiency (AI) during cardioplegic arrest.
    Methods: The AVP device is attached to the (neo)aorta, after any type of aortic valve repair, while the heart is arrested. The root is pressurized (60-80 mmHg) using a saline solution and an endoscope is introduced. The valve is inspected, and the amount of valvular leakage is measured. Postoperative 'gold standard' transesophageal echocardiogram measurements of AI are performed and compared against regurgitation volume measured.
    Results: In 24 patients undergoing valve-sparing root replacement, the AVP device was used. In 22 patients, postoperative echocardiographic AI was ≤ grade 1. The median leakage was 90 ml/min, IQR 60-120 ml/min. In 3 patients, additional adjustments after visual inspection was performed. In 2 patients, with complex anatomy, the valve was replaced. In one, after evaluation with the device, there was undesirable result visually and residual AI of 330 ml/min, and in another, 260 ml/min residual AI was measured and valve restriction on visual inspection.
    Conclusions: The novel AVP device enables intraoperative evaluation of the valve under physiological conditions, while still on arrested heart, and allows for targeted adjustments. The AVP device can be an important aid for intraoperative evaluation of the aortic valve, during valve repair and valve-sparing procedures, thereby making the operative result more predictable and the operation more efficient.
    MeSH term(s) Humans ; Aortic Valve/diagnostic imaging ; Aortic Valve/surgery ; Cardiac Surgical Procedures ; Aortic Valve Insufficiency/diagnostic imaging ; Aortic Valve Insufficiency/surgery ; Aorta/surgery ; Echocardiography ; Treatment Outcome
    Language English
    Publishing date 2023-08-24
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 639293-3
    ISSN 1873-734X ; 1010-7940 ; 1567-4258
    ISSN (online) 1873-734X
    ISSN 1010-7940 ; 1567-4258
    DOI 10.1093/ejcts/ezad291
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