journal
https://read.qxmd.com/read/38491553/fixation-devices-made-of-poly-l-lactide-composite-for-rib-reconstruction-after-thoracotomy
#1
JOURNAL ARTICLE
Naoto Fukunaga, Hideki Sato, Tatsuto Wakami, Akio Shimoji, Otohime Mori, Kosuke Yoshizawa, Nobushige Tamura
GRAND FIX mesh-type plates and pins (Gunze, Kyoto, Japan) are thin, bioabsorbable fixation devices made of poly-L-lactide (PLLA) composite. These devices are new, and how best to use them in clinical practice remains to be determined. Thus, we describe our approach to rib fixation after thoracotomy in an aortic surgery using GRAND FIX mesh-type plates and pins. The advantage of our approach is that it is easy to perform, but careful attention should be paid to fix the ribs appropriately.
March 15, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38491551/expression-level-of-neutrophil-extracellular-traps-in-peripheral-blood-of-patients-with-chronic-heart-failure-complicated-with-venous-thrombosis-and-its-clinical-significance
#2
JOURNAL ARTICLE
Fang Liu, Qian Zhai
OBJECTIVE: Previous studies have reported that neutrophil extracellular traps (NETs) have been identified to be involved in thrombosis, but the clinical value in chronic heart failure (CHF) patients with venous thrombosis is unclear. This study focused on the expression level of NETs in the peripheral blood of patients with CHF complicated with venous thrombosis and its clinical value. METHODS: 80 patients with CHF were included and divided into 2 groups according to the occurrence of venous thrombosis, and the expression levels of NETs in peripheral venous blood and lesion veins of the patients were detected through fluorescent staining...
March 15, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38491538/a-case-report-of-drug-interaction-between-co-packaged-nirmatrelvir-ritonavir-and-tacrolimus-causing-hyponatremia-in-a-lung-transplant-recipient
#3
JOURNAL ARTICLE
Chien-Ming Lo, Wei-Hsun Chen, Meng-Yun Tsai, Hung-I Lu, Yu-Hsin Hsiao, Kai-Hao Chuang, Yu Chen, Hsuan-Feng Wu, Kuo-Tung Huang, Yi-Hsi Wang
BACKGROUND: Coronavirus disease 2019 (COVID-19) infection in lung transplant recipients can be lethal owing to the use of immunosuppressants. Antiviral agents may be administered to these patients. Co-packaged nirmatrelvir-ritonavir is a new agent currently being used in combination. CASE PRESENTATION: In this report, we present a case of a 64-year-old woman, a lung transplant recipient, who experienced hyponatremia and showed a high serum tacrolimus concentration following the administration of the co-packaged nirmatrelvir-ritonavir combination...
March 15, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38491494/significant-thrombus-in-saccular-aneurysm-in-a-patient-with-polycythemia-a-case-report
#4
JOURNAL ARTICLE
Atsuyuki Mitsuishi, Hiromasa Nakamura, Yujiro Miura, Tsuyoshi Miyata, Kazumasa Orihashi, Keisuke Yoshida, Kouhei Araki
BACKGROUND: Morphologically, the risk of aortic aneurysm rupture is mainly evaluated based on its type (e.g., fusiform or saccular) and diameter. Based on the finite element analysis, peak wall stress has been identified as a more sensitive and specific predictor of rupture in recent years. Moreover, in finite analysis, the neck of aneurysm is the highest peak wall stress and is associated with the rupture point. CASE PRESENTATION: A saccular aortic aneurysm (84 mm) was incidentally detected during preoperative examination for chronic empyema in a 74-year-old male patient with a history of polycythemia...
March 15, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38491472/thoracoscopic-mckeown-esophagectomy-in-a-patient-with-an-azygos-lobe
#5
JOURNAL ARTICLE
Rie Nakashima, Kohei Tajima, Kazuo Koyanagi, Akihito Kazuno, Miho Yamamoto, Yoshiaki Shoji, Kentaro Yatabe, Kohei Kanamori, Mika Ogimi, Kazuhito Nabeshima, Kenji Nakamura, Masaki Mori
BACKGROUND: The azygos lobe is a relatively rare anatomical variation, and there have been no reports, until date, of thoracoscopic McKeown esophagectomy for esophageal cancer in a patient with an azygos lobe. The azygos lobe can be diagnosed by chest X-ray or CT, and is usually not associated with any symptoms. However, surgeons should be aware that transthoracic surgical procedures in patients with an azygos lobe could be associated with a high risk of complications. CASE PRESENTATION: An 83-years-old man was brought to our emergency room with fever, severe headache, and difficulty in moving...
March 15, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38491470/huge-mediastinal-ancient-schwannoma-causing-acute-respiratory-failure-a-case-report
#6
JOURNAL ARTICLE
Hsuan-Ying Huang, Chien-Ming Lo, Hung-I Lu, Jen-Ping Chang
Benign mediastinal tumor is usually asymptomatic and exhibits uncomplicated clinical course. Posterior mediastinal schwannoma is common, but a huge benign tumor causing acute respiratory failure due to mass effect is unusual. We present a patient who suffered from acute respiratory failure due to huge mediastinal mass effect and improved after en bloc surgical resection. A 56-year-old woman had no history of systemic disease, but experienced general discomfort and malaise for several months. She was referred to our emergency department after developing sudden respiratory failure...
March 15, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38491390/evaluation-of-intramural-hematoma-a-novel-use-of-18-f-fluorodeoxyglucose-positron-emission-tomography-magnetic-resonance-imaging
#7
JOURNAL ARTICLE
Fan Yang, Yuanwei Chen, Yongrong Zhou, Dan Shao, Jianfang Luo
BACKGROUND: Aortic intramural hematoma (IMH) is one of the typical entities of acute aortic syndrome and probably accounts for 5-25% of all cases. The ulcer-like projections (ULP), which are described as a focal, blood-filled pouch protruding into the hematoma of the aortic wall, are regarded as one of the high-risk imaging features of IMH and may cause initial medical treatment failure and death. CASE PRESENTATION: We present a case report of an acute type B IMH patient with impaired renal function and newly developed ULP in the acute phase...
March 15, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38491358/decision-making-of-iatrogenic-coronary-embolism-after-savr-a-case-report
#8
JOURNAL ARTICLE
Atsuyuki Mitsuishi, Kazumasa Orihashi, Yujiro Miura, Ren Saito
BACKGROUND: Acute coronary artery obstruction is a rare but lethal complication of surgical aortic valve replacement (SAVR), which may be caused by embolization of resected native tissue such as calcium plaque, thrombus, or perivalvular aortic tissue like fat embolus. Coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) are the main treatment modalities. PCI is less invasive, but it is difficult to determine its feasibility intraoperatively. CASE PRESENTATION: We report an 86-year-old woman who had asymptomatic severe aortic stenosis...
March 15, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38486207/an-innovative-reconstruction-of-an-enbloc-resected-composite-giant-chest-and-abdominal-wall-chondrosarcoma-with-3d-composite-mesh
#9
JOURNAL ARTICLE
Klein Dantis, Ramandeep Singh, Archit Goel, Brijesh Garg
BACKGROUND: Chest wall chondrosarcomas, although common, pose unique challenges due to their aggressive nature, rarity of abdominal wall involvement, and propensity for recurrence. We highlight the critical role of meticulous surgical planning, multidisciplinary collaboration, and innovative reconstruction techniques in achieving optimal outcomes for patients with composite giant chest and abdominal wall chondrosarcoma. CASE PRESENTATION: A 38-year-old female patient presented with progressive left chest and abdominal wall swelling for two years; on evaluation had a large lobulated lytic lesion arising from the left ninth rib, scalloping eighth and tenth ribs measuring 13...
March 14, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38481337/the-association-of-regional-block-with-intraoperative-opioid-consumption-in-patients-undergoing-video-assisted-thoracoscopic-surgery-a-single-center-retrospective-study
#10
JOURNAL ARTICLE
Yan Xiang, Liang Chen, Jiang Jia, Fu Yili, Wei Changwei
BACKGROUND: Regional block, such as thoracic epidural analgesia (TEA), thoracic paravertebral block (TPVB), or serratus anterior plane block (SAPB) has been recommended to reduce postoperative opioid use in recent guidelines, but the optimal options for intraoperative opioid minimization remain unclear. The aim of this study was to evaluate the intraoperative opioids-sparing effects of three regional blocks (TEA, TPVB, and SAPB) in patients undergoing video-assisted thoracoscopic surgery (VATs)...
March 13, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38481322/acute-type-a-aortic-intramural-hematoma-complicated-with-preoperative-hemopericardium-early-and-late-surgical-outcome-analyses
#11
JOURNAL ARTICLE
Chun-Yu Lin, Ming-Chang Kao, Hsin-Fu Lee, Meng-Yu Wu, Chi-Nan Tseng
BACKGROUND: Acute type A aortic intramural hematoma (ATAIMH) is a variant of acute type A aortic dissection (ATAAD), exhibiting an increased risk of hemopericardium and cardiac tamponade. It can be life-threatening without emergency treatment. However, comprehensive studies of the clinical features and surgical outcomes of preoperative hemopericardium in patients with ATAIMH remain scarce. This retrospective study aims to investigate the clinical features and early and late outcomes of patients who underwent aortic repair surgery for ATAIMH complicated with preoperative hemopericardium...
March 13, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38481295/predictive-value-of-preoperative-platelet-count-and-d-dimer-levels-for-spinal-cord-injury-following-acute-type-a-aortic-dissection
#12
JOURNAL ARTICLE
Fengbo Pei, Jinhua Wei, Yao Yao, Hui Wu, Zujun Chen
BACKGROUND: This study aims to identify the risk factors contributing to spinal cord injury (SCI) following a type A acute aortic dissection (TA-AAD). METHODS: This retrospective study was conducted at a single center and involved 481 patients who received frozen elephant trunk stent implantation for TA-AAD. Additionally, these patients underwent total arch replacement with deep hypothermic circulatory arrest. This study was performed at Fuwai Hospital between September 2016 and April 2020...
March 13, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38481279/axillary-vein-as-an-alternative-venous-access-site-for-vv-ecmo-cannulation-a-case-report
#13
JOURNAL ARTICLE
Tao Pan, Xiaoyang Zhou, Jianneng Pan, Bixin Chen, Chang Xu, Zhaojun Xu, Pingping Dong, Tingting Yu
BACKGROUND: Ultrasound-guided percutaneous axillary vein cannulation can reduce cannulation failure and mechanical complications, is as safe and effective as internal jugular vein cannulation, and is superior to subclavian vein cannulation using landmark technique. As far, reports of venovenous extracorporeal membrane oxygenation (VV-ECMO) with percutaneous axillary vein cannulation are rare. CASE PRESENTATION: A 64-year-old man presenting with dyspnea and chest tightness after aspirating sewage was admitted to the emergency department...
March 13, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38481263/the-effectiveness-of-a-web-based-information-knowledge-attitude-practice-continuous-intervention-on-the-psychological-status-medical-compliance-and-quality-of-life-of-patients-after-coronary-artery-bypass-grafting-surgery-a-parallel-randomized-clinical-trial
#14
JOURNAL ARTICLE
Jin Li, Yueli Deng, Yan Jiang
BACKGROUND: Coronary artery disease (CAD) patients who have undergone coronary artery bypass grafting (CABG) often experience a severe psychological burden for a long period of time, which can adversely affect their post-operative prognosis. Therefore, this study aimed to evaluate the effect of a web-based Information-Knowledge-Attitude-Practice (WIKAP) continuous intervention on the psychological status, medical compliance, and quality of life (QoL) in patients with CAD after CABG surgery...
March 13, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38481228/zero-leak-prediction-during-major-lung-resection-aiming-for-minimal-chest-drainage-duration-a-retrospective-analysis
#15
JOURNAL ARTICLE
Kuniyo Sueyoshi, McAndrew Merlini, Kosuke Otsubo, Fumitsugu Kojima, Toru Bando
BACKGROUND: Early chest tube removal should be considered to enhance recovery after surgery. The current study aimed to provide a predictive algorithm for air leak episodes (ALE) and to create a knowledge base for early chest tube removal. METHODS: This retrospective study enrolled patients who underwent thoracoscopic anatomical pulmonary resections in our unit. We defined ALE as any airflow ≥ 10 mL/min recorded in the follow-up charts based on the digital thoracic drainage device...
March 13, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38475921/surgery-for-pulmonary-lesions-in-patients-with-a-history-of-urinary-tract-transitional-cell-carcinoma
#16
JOURNAL ARTICLE
Ryu Kanzaki, Akihiro Nagoya, Seiji Taniguchi, Hiroto Ishida, Kenji Kimura, Eriko Fukui, Toru Kimura, Takashi Kanou, Naoko Ose, Soichiro Funaki, Masato Minami, Eiichi Morii, Yasushi Shintani
BACKGROUND: There has been little information on the actual diagnosis of pulmonary lesions in patients with a history of urinary tract transitional cell carcinoma (TCC) and short- and long- outcomes of pulmonary resection for these patients. METHODS: In the present study, the data of 37 consecutive patients with a history of TCC who underwent pulmonary resection for solitary pulmonary lesions were reviewed, and the clinical factors and short- and long-term outcomes were analyzed...
March 12, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38475837/decreased-levels-of-sex-hormones-in-females-with-solitary-pulmonary-nodules-were-risk-factors-for-malignancy
#17
JOURNAL ARTICLE
Wang Wendan, Li Mengyu, Zhang Qiufeng
OBJECTIVE: The purpose of this research was to detect the relationship between the levels of sex hormones in females with solitary pulmonary nodules (SPNs) and their potential malignancies. METHODS: A total of 187 consecutive patients with pathologically confirmed SPNs by chest CT were enrolled in our study. They were divided into two groups based on the pathologic findings of SPNs after surgery: benign and malignant SPNs. Progesterone (P), estradiol (E2), and testosterone (T) levels in the two groups were measured...
March 12, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38475834/pleural-epithelioid-hemangioendothelioma-in-a-39-year-old-female-a-case-report
#18
JOURNAL ARTICLE
Parviz Mardani, Reza Shahriarirad, Mohammad Nekooeian, Mohammad Hossein Anbardar, Bizhan Ziaian, Hooman Kamran, Nazanin Ayare, Masoud Vafabin, Damoun Fouladi
BACKGROUND: Epithelioid hemangioendothelioma (EHE) is a rare malignancy of vascular origin which can be primarily be seen in various tissues. EHE originating from the pleura is an even more uncommon subtype which may mimic mesothelioma and pleural carcinomatosis. The prognosis of pleural EHE is poor and there is no consensus on the optimal therapeutic approach. CASE PRESENTATION: A 39-year-old middle-eastern female presented with progressive dyspnea and left shoulder discomfort...
March 12, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38475763/systematic-review-of-the-effect-of-cerebrospinal-fluid-drainage-on-outcomes-after-endovascular-type-b-aortic-dissection-repair
#19
REVIEW
Huajie Zheng, Deqing Lin, Yongbo Cheng, Chaojun Yan, Sanjiu Yu, Jun Li, Wei Cheng
OBJECTIVE: The aim of the present systematic review was to determine whether prophylactic use of cerebrospinal fluid drainage (CSFD) contributes to a lower rate of spinal cord ischemia (SCI) after thoracic endovascular aortic repair (TEVAR) for type B aortic dissection (TBAD). METHODS: PubMed, Embase, Web of Science and Cochrane Library databases were systematically searched to identify all relevant studies reported before May 7, 2023. A systematic review was conducted in accordance with PRISMA guidelines (PROSPERO registration no...
March 12, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38468357/temporary-pacing-following-cardiac-surgery-a-reference-guide-for-surgical-teams
#20
REVIEW
Steve W F R Waqanivavalagi
Temporary pacing wires are often used following cardiac surgery to optimise the heart rhythm. Although setting and checking temporary pacemakers is typically undertaken by anaesthetists, intensivists, and nursing staff who care for post-cardiac surgical patients, almost all patients with temporary pacing wires are transferred to the ward with the pacing wires left in situ, where surgical, often junior, staff become responsible for temporary pacing wire management. Thus, knowledge is required not only of temporary pacing wire indications, types, and positioning at surgery, but also of practical skills in performing a pacing check, setting the pacemaker, and troubleshooting common problems...
March 11, 2024: Journal of Cardiothoracic Surgery
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