European Journal of Cardio-thoracic Surgery

No abstract text is available yet for this article.

No abstract text is available yet for this article.

No abstract text is available yet for this article.

BACKGROUND: Ventricular tachycardia originating from the left ventricular summit region, the most superior region of the left ventricle surrounded by the major coronary arteries and veins, is frequently refractory to pharmacological therapies and endocardial and epicardial catheter ablation. METHODS: Eleven patients with an age from 31 to 79 (median 56) years old, underwent map-guided surgery for left ventricular summit ventricular tachycardia. All patients had undergone one to 5 unsuccessful sessions of catheter ablation for incessant ventricular tachycardia, preoperatively...

AIMS: To evaluate the quality of life of children who underwent the arterial switch operation for Transposition of Great Arteries in our population; specifically, to explore early modifiable factors and the influence of parental and socio-economic factors on the quality of life of these children. MATERIALS AND METHODS: Cross sectional study using Paediatric Quality of Life Inventory™ 3.0 Cardiac Module was carried out on 3 - 12 Yr old children who had undergone arterial switch operation between the years 2012-2018...

OBJECTIVES: Aortic valve stenosis shares many risk factors with coronary disease, the latter being strongly and inversely associated with physical activity and cardiorespiratory fitness. However, the relationship between physical activity, fitness and aortic valve stenosis needs to be established. We explored whether physical activity habits and estimated fitness affect the risk of developing aortic valve stenosis demanding aortic valve replacement and how these factors affect postoperative mortality...

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OBJECTIVES: Sublobar resection, including wedge resection and segmentectomy, is non-inferior to lobectomy in early-stage non-small cell lung cancer (NSCLC) treatment. We aimed to compare the risk of postoperative cognitive dysfunction (POCD) between sublobar resection and lobectomy. METHODS: We conducted a prospective cohort study. Patients with sublobar resection or lobectomy were divided into sublobar group or lobar group, respectively. Cognition was assessed before and after surgery with Montreal Cognitive Assessment (MoCA) and Minimum Mental State Examination (MMSE) tests...

OBJECTIVE: We reviewed the mid- and long-term surgical outcomes of patients with subaortic stenosis. METHODS: Patients operated for subaortic stenosis from April 1990- August 2016 were reviewed retrospectively. Patients with major associations such as aortic arch obstruction were excluded. Time to reintervention and predictors of recurrence were assessed using Kaplan-Meier analysis, Log-Rank test and uni/multi variable Cox regression. RESULTS: 120 patients at a median age of 4...

BACKGROUND: Atrioventricular valve (AVV) replacements in patients with single ventricle circulations pose significant surgical risks and are associated with high morbidity and mortality. METHODS: From 1997-2021, 16 consecutive patients with functionally single ventricle physiology underwent mechanical AVV replacement. Primary outcome was transplant free survival. Secondary outcomes included major postoperative morbidity. RESULTS: Median age of AVV replacement was 2 years old (IQR 0...

OBJECTIVE: Infants awaiting paediatric heart transplantation (PHT) experience long waitlist duration and high mortality due to donor shortage. Using the United Network for Organ Sharing database, we explored if increasing donor-recipient weight ratio (DRWR) >2.0 (recommended cutoff) was associated with adverse outcomes. METHODS: Between 2007-2020, 1392 infants received PHT. We divided cohort to 3 groups: A (DRWR ≤1.0, n = 239,17%), B (DRWR 1...

BACKGROUND: Early-stage lung adenocarcinoma (ADC) has a great heterogeneity in prognosis that is difficult to evaluate effectively. Thus, we developed and validated an effective nomogram prognostic model based on the clinical and laboratory characteristics of stage I-IIA ADC. METHODS: We included 1585 patients with pathologically diagnosed stage I-IIA ADC who underwent surgery at Shanghai Pulmonary Hospital. The nomogram was constructed based on the peripheral blood test and coagulation test indicators, and evaluated using Calibration plots, concordance index (C-index), decision curve analysis (DCA), and the X-tile software...

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BACKGROUND: The clinical importance of optimal post-repair mitral valve diastolic performance is increasingly being recognized. The haemodynamic effect of a partial annuloplasty band implantation, in comparison to a full ring, remains insufficiently explored. METHODS: Patients undergoing mitral valve repair for pure degenerative disease between 2011 and 2019 at two experienced heart valve centres were eligible for inclusion. Exclusion criteria were concomitant procedures other than tricuspid valve repair and ablation procedures for atrial fibrillation...

OBJECTIVES: The current study aimed to determine the long-term surgical outcomes of patients with functional single ventricles associated with heterotaxy syndrome, risk factors for mortality, and factors associated with Fontan stage completion. METHODS: Overall, 279 patients with a functional single ventricle associated with heterotaxy syndrome who underwent an initial surgical procedure at our institute between 1978 and 2021 were grouped into four "eras" based on the surgical year at which the initial procedure was performed: era 1 (1978-1989, n = 71), era 2 (1990-1999, n = 98), era 3 (2000-2009, n = 64), and era 4 (2010-2021, n = 46)...

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OBJECTIVE: To evaluate the relationship between atrio-ventricular valve and ventricular function in Fontan survivors, including the effect of atrio-ventricular valve surgery. METHODS: Analysis focused on transplant-free survival and need for atrio-ventricular valve surgery in single ventricle patients after Fontan completion. Longitudinal echocardiographic examination of long-term valve and ventricular function was performed. RESULTS: Fontan completion was performed in 113 patients, having a right univentricular morphology in 33...

OBJECTIVES: To investigate the performance of the EuroSCORE II over time and dynamics in values of predictors included in the model. METHODS: A cohort study was performed using data from the Netherlands Heart Registration (NHR). All cardiothoracic surgical procedures performed between January 1, 2013 and December 31, 2019 were included for analysis. Performance of the EuroSCORE II was assessed across three-month intervals in terms of calibration and discrimination...

OBJECTIVES: The primary objective was to predict bleeding after cardiac surgery with machine learning using the data from the ANZSCTS (Australia New Zealand Society of Cardiac and Thoracic Surgeons) Cardiac Surgery Database, cardiopulmonary bypass perfusion database, ICU (intensive care unit) database and laboratory results. METHODS: We obtained surgical, perfusion, ICU and laboratory data from a single Australian tertiary cardiac surgical hospital from February 2015 to March 2022 and included 2000 patients undergoing cardiac surgery...

BACKGROUND: Aortic valve neocuspidalization aims to replace the three aortic cusps with autologous pericardium pre-treated with glutaraldehyde and is a surgical alternative to the classical aortic valve replacement.Image-based patient-specific computational fluid dynamics allows the derivation of shear stress on the aortic wall (WSS). Previous studies support a potential link between increased WSS and histological alterations of the aortic wall.The aim of this study is to compare the WSS of the ascending aorta in patients undergoing aortic valve neocuspidalization vs aortic valve replacement with biological prostheses...