journal
https://read.qxmd.com/read/38632613/relationship-between-pan-immune-inflammation-value-and-in-major-cardiovascular-and-cerebrovascular-events-in-stable-coronary-artery-disease-patients-undergoing-on-pump-coronary-artery-bypass-graft-surgery
#61
JOURNAL ARTICLE
Ahmet Dolapoglu, Eyup Avci
BACKGROUND: In this study, we aimed to evaluate the association of pan-immune-inflammation value (PIV) with major cardiovascular and cerebrovascular events (MACCE) in stable coronary artery disease patients undergoing on-pump coronary artery bypass graft (CABG) surgery. METHODS: We retrospectively analyzed data from 527 patients who underwent on-pump CABG surgery for stable coronary artery disease between June 2015 and December 2020. Patients were categorized into two groups based on MACCE development...
April 17, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38632589/heparin-induced-dress-syndrome-in-a-paediatric-patient-and-successful-anaesthetic-management-in-cardiovascular-bypass-surgery-case-report
#62
JOURNAL ARTICLE
Laura Peña-Blanco, Laura Gutiérrez-Soriano, Félix Ramón Montes, Andrea Barragán-Méndez, Susana Beltrán-Villegas, Juan José López-Reyes, Carlos A Villa-Hincapié, Juan Pablo Umaña
BACKGROUND: Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) Syndrome is a severe adverse drug reaction marked by delayed hypersensitivity reactions causing skin and systemic complications. DRESS diagnosis is challenging due to the variety of clinical presentations and symptom overlap with other conditions. The perioperative period in these patients requires precise pharmacological strategies to prevent complications associated with this syndrome. The treatment of DRESS induced by unfractionated heparin during cardiopulmonary bypass (CPB) surgery presents some challenges that must be considered when selecting an anticoagulant to avoid side effects...
April 17, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38627841/a-middle-lobe-sparing-sleeve-resection-versus-bilobectomy-for-right-lower-central-non-small-cell-lung-cancer-a-retrospective-propensity-score-matched-cohort-study
#63
JOURNAL ARTICLE
Jiongjie Wang, Jichao Guo, Haizhan Shi, Xiangru Chen, Wenxin He, Zhixin Li
OBJECTIVES: The right lower sleeve lobectomy is a rarely performed major lung resection.This study aims to evaluate the safety and effectiveness of this procedure by comparing to right lower bilobectomy in non-small cell lung cancer patients. METHODS: We retrospectively reviewed a prospective database of non-small cell lung cancer patients who underwent right lower sleeve lobectomy (group S) or right lower bilobectomy (group B) from January 2014 to January 2020 in Shanghai Pulmonary Hospital...
April 16, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38627839/diagnostic-value-of-the-creatine-kinase-mb-creatine-kinase-and-neutrophil-lymphocyte-ratios-in-acute-myocardial-infarction
#64
JOURNAL ARTICLE
Yin Liu, Xiao-Lei Tang, Yong Ni, Li-Zhong Duan, Feng-Jun Jing
OBJECTIVE: To investigate the clinical significance of the creatine kinase (CK)-MB/total CK ratio, neutrophil/lymphocyte ratio (NLR) and red blood cell distribution width in acute myocardial infarction (AMI). METHODS: A retrospective analysis was conducted of 196 AMI cases from our hospital's cardiology department; healthy people were selected over the same period as the control. The two groups' test indexes were compared through multivariate logistic regression analysis to screen for AMI risk factors; the receiver operating characteristic (ROC) curve was used to evaluate their AMI predictive values...
April 16, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38627835/treatment-outcomes-in-patients-with-acute-thromboembolic-occlusion-of-the-superior-mesenteric-artery
#65
JOURNAL ARTICLE
Wenrui Li, Mingyuan Liu, Lei Jin, Hai Feng, Xueming Chen, Zhiwen Zhang
OBJECTIVES: The goals of this study were to investigate the treatment outcomes of acute thromboembolic occlusion of the superior mesenteric artery (ATOS) and identify prognostic factors after treatment. METHODS: The clinical data of 62 patients with ATOS between 2013 and 2021 were retrospectively reviewed. Patients were stratified by the treatment strategy, complications and mortality were compared in different group. RESULTS: Sixty-two consecutive patients were identified with ATOS...
April 16, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38627833/alpha-gal-syndrome-a-relative-not-absolute-contraindication-to-the-use-of-bovine-pericardium-to-close-an-intracardiac-septal-defect-a-case-report
#66
JOURNAL ARTICLE
Kimi Taira, Rahul Kanade, Maroun Yammine, Henry Tannous, Sathappan Kumar
BACKGROUND: Alpha-gal syndrome is an allergic condition in which individuals develop an immune-mediated hypersensitivity response when consuming red meat and its derived products. Its diagnosis is important in individuals undergoing cardiac surgery, as patients frequently require large doses of unfractionated heparin or the insertion of surgical implants, both of which are porcine or bovine in origin. There are currently no guidelines for heparin administration in alpha-gal patients, with even less knowledge regarding the long-term clinical implications of these patients after receiving bioprosthetic valve replacements or other prostheses...
April 16, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38627820/thrombocytopenia-after-sutureless-and-standard-stented-aortic-valve-replacement-a-retrospective-analysis-of-risk-factors-clinical-course-and-early-outcome
#67
JOURNAL ARTICLE
Alicja Zientara, Mohammad Yousuf Salmasi, Bella Milan-Chhatrisha, Sharan Kapadia, Ryan Bashir, Ian Cummings, Cesare Quarto, George Asimakopoulos
OBJECTIVES: Thrombocytopenia following Perceval aortic valve replacement has been described previously with variable outcome. Studies have lacked a robust analysis of platelet fluctuation and factors affecting it. We aimed to statistically describe the trend in thrombocyte variability as compared with conventional aortic valve replacement, and to assess predictors as well as impact on associated outcomes. METHODS: One hundred consecutive patients with first-time Perceval were retrospectively compared to 219 patients after Perimount Magna Ease valve replacement...
April 16, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38627818/sex-related-differences-in-outcome-of-thoracic-aortic-surgery
#68
JOURNAL ARTICLE
Hongxue Jiang, Hongjie Xu, Zhiyun Xu
BACKGROUND: Sex-related dissimilarities' influence on outcomes following thoracic aortic surgery is poorly understood. Our aim is to examine sex-related disparities in patients undergoing thoracic aortic aneurysm (TAA). METHODS: A total of 455 cases undergoing thoracic aortic aneurysm (TAA) surgery were consecutively enrolled between December 2009 and December 2015 in a Chinese hospital. Primary outcomes, including overall mortality and related risk factors, were evaluated...
April 16, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38627814/repair-of-a-fistula-between-the-aorta-and-right-ventricular-outflow-tract-secondary-to-infective-endocarditis-of-a-unicuspid-aortic-valve-and-previously-repaired-ventricular-septal-defect
#69
JOURNAL ARTICLE
Rickesh B Karsan, Katie E O'Sullivan, Christopher J Lockhart, Christopher Austin
BACKGROUND: Infective endocarditis of the aortic valve can result in a wide range of destructive pathology beyond the valve leaflets and annulus which require careful surgical planning to provide appropriate debridement and reconstruction. Failure to do so can result in a failure of surgical treatment, recurrent infection and cardiac failure with concomitant high morbidity and mortality. CASE REPORT: We describe the case of a 45-year-old male with previous patch repair of a ventricular septal defect, who was diagnosed with sub-acute bacterial endocarditis of the native aortic valve and developed a new fistula from the aorta to the right ventricular outflow tract which...
April 16, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38627813/clinical-outcome-of-a-branch-first-approach-with-a-novel-continuous-whole-brain-perfusion-strategy-for-total-arch-surgery
#70
JOURNAL ARTICLE
Zezheng Zhao, Haitao Chi, Lei Chen, Junhui Wang, Cangsong Xiao
BACKGROUND: Cerebral protection strategies have been investigated since the introduction of aortic arch surgery and have been modified over the centuries. However, the cerebral protective effects of unilateral and bilateral antegrade cerebral perfusion are similar, with opportunities for further improvement. METHODS: A total of 30 patients who underwent total arch surgery were enrolled in this study. Patients were assigned to the novel continuous whole-brain or unilateral antegrade cerebral perfusion group according to the cerebral perfusion technique used...
April 16, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38627811/analysis-of-25-surgical-cases-of-thymic-neuroendocrine-tumors-and-thymic-carcinoma
#71
JOURNAL ARTICLE
Kensuke Midorikawa, So Miyahara, Nanako Nishino, Yuichirou Ueda, Ryuichi Waseda, Takeshi Shiraishi, Toshihiko Sato
BACKGROUND: The purpose of this study was to evaluate the clinicopathological characteristics of patients who underwent surgical resection for thymic neuroendocrine tumors (TNET) or thymic carcinoma. METHODS: In this study, we retrospectively evaluated the clinicopathological characteristics of our surgical patients at Fukuoka University Hospital from January 1995 to December 2018. RESULTS: There were nine cases of TNET and 16 cases of thymic carcinoma...
April 16, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38627803/management-of-embolic-splenic-abscess-secondary-to-aortic-valve-endocarditis-case-report-and-review-of-literature
#72
REVIEW
Nicolas Nunez-Ordonez, Juan Sebastián Luna, Jaime Camacho Mackenzie, Andrés Felipe Jiménez, Alejandro González, Andrea J Pico, Carlos F Román, Paulo A Cabrera Rivera, Carlos A Villa Hincapié
BACKGROUND: Splenic abscess is a serious complication associated with infective endocarditis. There is still contradicting evidence regarding the optimal treatment pathway including timing of valve intervention and the approach for managing splenic foci. CASE PRESENTATION: We present a case of a hybrid staged approach in which we successfully performed a laparoscopic splenectomy following percutaneous abscess drainage and a delayed aortic valve replacement. CONCLUSIONS: A multidisciplinary teamwork is fundamental in providing optimal care for patients with distant complications associated with infective endocarditis...
April 16, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38627802/thoracoscopic-resection-of-paraesophageal-ectopic-mediastinal-parathyroid-adenoma-in-the-superior-posterior-mediastinum-a-case-report
#73
JOURNAL ARTICLE
Kai Fu, Xin-Yu Zhu, Xin-Yu Jia, Kun-Peng Feng, Yuan Cui, Jun Zhao, Chang Li
BACKGROUND: The ectopic superior parathyroid in the tracheoesophageal groove and paraesophageal region is rare. Hyperparathyroidism results when these glands become hyperfunctioning. That may necessitate surgical intervention in the form of parathyroidectomy, which requires a transsternal or transthoracic approach due to a deeply seated mediastinal parathyroid gland. Minimally invasive strategies have emerged recently as an alternative approach with less morbidity. CASE PRESENTATION: We present a case of the paraesophageal ectopic parathyroid gland in the superior posterior mediastinum, which was successfully treated with thoracoscopic resection...
April 16, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38627789/video-double-lumen-tube-for-one-lung-ventilation-implementation-and-experience-in-343-cases-of-routine-clinical-use-during-the-first-20-months-of-the-sars-cov-2-pandemic
#74
JOURNAL ARTICLE
Andrea Irouschek, Joachim Schmidt, Torsten Birkholz, Horia Sirbu, Andreas Moritz
BACKGROUND: Double-lumen tubes (DLTs) are the preferred device for lung isolation. Conventional DLTs (cDLT) need a bronchoscopic position control. Visualisation of correct DLT positioning could be facilitated by the use of a video double-lumen tube (vDLT). During the SARS-CoV-2-pandemic, avoiding aerosol-generation was suggesting using this device. In a large retrospective series, we report both general and pandemic related experiences with the device. METHODS: All anesthesia records from patients aged 18 years or older undergoing surgery from April 1st, 2020 to December 31st, 2021 in the department of thoracic surgery requiring intraoperative lung isolation were analyzed retrospectively...
April 16, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38627783/a-approach-of-gastric-conduit-via-the-anterior-of-pulmonary-hilum-route-during-minimally-invasive-mckeown-esophagectomy
#75
JOURNAL ARTICLE
Zhaoyang Yan, Xinjian Xu, Bin Guo, Pengzeng Wang, Linpeng Niu, Zhanjie Gao, Yusen Yuan, Fei Li, Ming He
BACKGROUND: The gastric conduit is the most commonly used replacement organ for reconstruction after minimally invasive McKeown esophagectomy. Although the optimal route of gastric conduit remains controversial, the posterior mediastinal route is physiologically preferable but is not without disadvantages. Here, we report the safety and efficacy of a method of gastric conduit reconstruction via the anterior of the pulmonary hilum route. METHODS: We have used the anterior of the pulmonary hilum route since 2021...
April 16, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38627781/cardiac-herniation-post-left-upper-lobectomy-and-thymectomy-a-case-report
#76
JOURNAL ARTICLE
Hiral Jhala, Mathew Thomas
BACKGROUND: Cardiac herniation occurs when there is a residual pericardial defect post thoracic surgery and is recognised as a rare but fatal complication. It confers a high mortality and requires immediate surgical correction upon recognition. We present a case of cardiac herniation occurring post thymectomy and left upper lobectomy. CASE PRESENTATION: Initial presentation: A 48-year-old male, hypertensive smoker presented with progressive breathlessness and was found to have a left upper zone mass confirmed on CT biopsy as carcinoid of unclear origin...
April 16, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38627776/the-value-of-lung-function-assessment-and-testin-expression-detection-in-clinicopathological-features-and-prognosis-of-nsclc-patients
#77
JOURNAL ARTICLE
Yanmin Zhang, Gaoming Wang, Qian Zhang, Qian Wang, Jing Luo, Chunhua Ling
OBJECTIVE: The aim of this study is to investigate the clinical value and potential prognostic significance of lung function assessment and Testin expression in non-small cell lung cancer (NSCLC) patients. METHODS: The NSCLC patients were classified into three groups according to lung function: group of normal lung function, group of PRISm (preserved ratio impaired spirometry) (FEV1, forced expiratory volume during the first second < 80% predicted and FEV1/FVC (forced vital capacity) ≥ 70%) and group of COPD (chronic obstructive pulmonary disease) (FEV1/FVC < 70%)...
April 16, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38627774/expression-of-lncrna-linc00943-in-lung-squamous-cell-carcinoma-and-its-relationship-with-tumor-progression
#78
JOURNAL ARTICLE
Zhenshan Zhao, Haiyang Li, Jing Li, Yao Rong, Lidong Zhao, Menghui Hao, Faming Tian
BACKGROUND: Molecular biology has been applied to the diagnosis, prognosis and treatment of various diseases, and long noncoding RNA LINC00943 (lncRNA LINC00943; LINC00943) plays an important role in a variety of cancers. Therefore, this study explored the prognostic role of LINC00943 in lung squamous cell carcinoma (LUSC) and understood its impact on the development of LUSC. METHODS: There are 89 LUSC patients were involved in current assay. By detecting the expression of LINC00943 and miR-196b-5p in tissues and cells, LINC00943 and its correlation with the characteristics of clinical data were analyzed...
April 16, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38627773/mid-term-clinical-outcomes-of-totally-endoscopic-repair-for-mitral-regurgitation-in-barlow-s-disease
#79
JOURNAL ARTICLE
Lin Zhang, Huimin Cui, Hong Shen, Dong Li, Lianggang Li, Hua Shen, Shengli Jiang
OBJECTIVE: This study aimed to confirm the safety and feasibility of totally endoscopic repair for mitral regurgitation (MR) in Barlow's disease. METHODS: From June 2018 to December 2022, 21 consecutive Barlow's disease patients (aged 33 ± 12 years; 57.1% male) underwent totally endoscopic mitral valve (MV) repair with leaflets folding, multiple artificial chordae implantation and ring annuloplasty. The safety and feasibility of this technique was evaluated by its mid-term clinical outcomes...
April 16, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38627771/transient-time-flow-measurement-in-arterial-grafts
#80
REVIEW
Dror B Leviner, John D Puskas, David P Taggart
Coronary artery bypass grafting (CABG) is one of the foundations of treatment for coronary artery disease. While it has improved substantially since its inception more than 50 years ago, including a rising use of multiple arterial grafting, intraoperative quality assessment is yet to be disseminated as an integral part of the procedure. Herein we review the fundamentals of intraoperative quality assessment in CABG using transient time flow measurement (TTFM) with a focus on its use in arterial grafting.
April 16, 2024: Journal of Cardiothoracic Surgery
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