journal
https://read.qxmd.com/read/38704597/successful-chimney-endovascular-aortic-repair-with-reconstruction-of-three-visceral-branches-for-huge-saccular-juxtarenal-abdominal-aortic-aneurysm-after-trans-thoracoabdominal-esophagectomy
#81
JOURNAL ARTICLE
Takasumi Goto, Hironobu Fujimura, Takashi Shintani, Takashi Shibuya
BACKGROUND: Conventional graft replacement for a juxtarenal abdominal aortic aneurysm (JRAAA) remains challenging for high-risk patients since it often requires the reconstruction of some visceral arteries. CASE PRESENTATION: A 76-year-old woman was diagnosed with an 87 × 48 mm saccular JRAAA. Open graft replacement was contraindicated because of frailty and a past history of trans-thoracoabdominal esophagectomy. Chimney endovascular aortic repair (ChEVAR) with three chimney endografts was successfully performed without any endoleaks, and each visceral circulation was kept intact...
May 4, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38704582/extension-of-interval-between-adjacent-pulse-delivery-cycles-to-deal-with-myocardial-ischemia-by-intravascular-lithotripsy-case-report
#82
JOURNAL ARTICLE
He Lv, Xinyu Li, Zengduoji Ren, Zhilu Qin, Chunying Fu, Qiang Fu
BACKGROUND: Intravascular lithotripsy (IVL) represents a novel approach in the management of coronary calcification. This technique employs acoustic pressure waves, generated by a shockwave balloon, to effectively fracture both superficial and deep calcification in situ. The efficacy and safety of IVL have been convincingly demonstrated through the Disrupt CAD I-IV studies. While IVL is associated with the occurrence of atrial and ventricular arrhythmias, there is no evidence to indicate it causes myocardial ischemia...
May 4, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38702812/study-on-risk-factors-and-treatment-strategies-of-hypoxemia-after-acute-type-a-aortic-dissection-surgery
#83
REVIEW
Wenbo Yu, Yuan Liang, Jianfeng Gao, Jianxian Xiong
Acute type A aortic dissection is a life-threatening cardiovascular disease characterized by rapid onset and high mortality. Emergency surgery is the preferred and reliable treatment option. However, postoperative complications significantly impact patient prognosis. Hypoxemia, a common complication, poses challenges in clinical treatment, negatively affecting patient outcomes and increasing the risk of mortality. Therefore, it is crucial to study and comprehend the risk factors and treatment strategies for hypoxemia following acute type A aortic dissection to facilitate early intervention...
May 3, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38702789/the-efficacy-and-safety-of-intraoperative-intravenous-amiodarone-in-patients-undergoing-on-pump-coronary-artery-bypass-grafting-surgery-a-systemic-review-and-prisma-compliant-meta-analysis
#84
REVIEW
Jin-He Deng, Bin Jia, Yun-Tai Yao
BACKGROUND: To evaluate the clinical efficacy and safety of intraoperative intravenous amiodarone for arrhythmia prevention in on-pump coronary artery bypass grafting (CABG) patients. METHODS: A meta-analysis of randomized controlled trials was conducted. Pubmed, Embase, Cochrane Library, Ovid, China National Knowledge Infrastructure, and the Wan Fang database until July 1th, 2023. The primary outcomes of interest included the incidences of intra- and post-operative atrial fibrillation (POAF), ventricular fibrillation, or any arrhythmia, including atrial fibrillation, ventricular fibrillation, ventricular tachycardia, premature ventricular contraction, and sinus bradycardia...
May 3, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38702771/mir-200b-3p-relieved-inflammation-in-patients-with-heart-failure-by-regulating-zeb1-expression
#85
JOURNAL ARTICLE
Bo Wei, Zhiyong Li, Li Wang, Haitao Zhang, Wen Gou
BACKGROUND: MicroRNA-200b-3p (miR-200b-3p) plays a pivotal role in inflammatory responses and is implicated in various inflammatory disorders. In this study, we aim to explore the role of miR-200b-3p in the inflammatory response in heart failure (HF). METHODS: Patients diagnosed with heart failure and age-matched healthy controls were studied. Peripheral blood samples from participants were collected for RNA-seq analysis to explore the expression profile of miR-200b-3p...
May 3, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38702724/risk-factors-and-prognostic-significance-of-early-postoperative-complications-for-patients-who-underwent-pneumonectomy-for-lung-cancer
#86
JOURNAL ARTICLE
Güntuğ Batıhan, Kenan Can Ceylan, Şeyda Örs Kaya
BACKGROUND: Although pneumonectomy has relatively high mortality and morbidity rates, it remains valid in the surgical treatment of lung cancer. This study aims to evaluate the prognostic significance of postoperative complications after pneumonectomy and demonstrate the risk factors related to early postoperative complications. METHODS: Patients who underwent pneumonectomy for non-small cell lung cancer between January 2008 and May 2021 were included in the study...
May 3, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38702716/export-priority-technique-for-uni-portal-thoracoscopic-left-upper-lobectomy
#87
JOURNAL ARTICLE
Yanhui Yang, Ji Li, Xin Cheng, Sipeng Cheng, Xiaoyang Xie
BACKGROUND: Further explore the safety and feasibility of Uni-portal video assisted thoracoscopic (UVATS) left upper lobectomy by optimizing the treatment of incisions and blood vessels. METHODS: We conducted a retrospective analysis of data from 32 patients who underwent UVATS left upper lobectomy and systematic mediastinal lymph node dissection utilizing the Export priority technique between January 2021 and December 2022. We documented perioperative indicators, including surgical time, intraoperative blood loss, the number of lymph nodes dissected, and postoperative pathological staging...
May 3, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38702686/pulmonary-transplant-complications-a-radiologic-review
#88
REVIEW
Samuel Friedlander, Brian Pogatchnik, Yuka Furuya, Tadashi Allen
Lung transplantation has become the definitive treatment for end stage respiratory disease. Numbers and survival rates have increased over the past decade, with transplant recipients living longer and with greater comorbidities, resulting in greater complexity of care. Common and uncommon complications that occur in the immediate, early, intermediate, and late periods can have significant impact on the course of the transplant. Fortunately, advancements in surgery, medical care, and imaging as well as other diagnostics work to prevent, identify, and manage complications that would otherwise have a negative impact on survivability...
May 3, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38689350/mind-the-gap-interdisciplinary-approach-to-anterior-chest-wall-reconstruction-after-total-sternectomy
#89
JOURNAL ARTICLE
Olaf Michael Glueck, Denis Ehrl, Rudolf A Hatz, Jan M Fertmann
BACKGROUND: There are various reconstructive methods after total sternectomy. Reproducibility is scarce due to overall small patient numbers. Therefore we present a standardized, interdisciplinary approach for thoracic and plastic surgery. METHODS: Four patients underwent interdisciplinary chest wall reconstruction with STRATOS® titanium bars and myocutaneous vastus lateralis muscle free flap in our center. RESULTS: All patients reported chest wall stability after reconstruction...
April 30, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38689317/short-term-and-long-term-outcomes-of-on-pump-beating-heart-coronary-artery-bypass-surgery-in-dialysis-and-non-dialysis-patients-a-retrospective-study-in-a-single-center
#90
JOURNAL ARTICLE
Chia-Hsun Lin, Yen-Yang Chen, Yu-Tong Yen, Patrick Hung-Ju Kao, Chai-Hock Chua, Hung-Hsing Chao, Ming-Jen Lu
BACKGROUND: This study aimed to evaluate the short-term and long-term outcomes of dialysis and non-dialysis patients after On-pump beating-heart coronary artery bypass grafting (OPBH-CABG). METHODS: We retrospectively reviewed medical records of 659 patients underwent OPBH-CABG at our hospital from 2009 to 2019, including 549 non-dialysis patients and 110 dialysis patients. Outcomes were in-hospital mortality, length of stay, surgical complications, post-CABG reintervention, and late mortality...
April 30, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38664851/del-nido-cardioplegia-in-adults-a-retrospective-observational-study-in-comparison-to-modified-st-thomas-cardioplegia-in-cardiac-surgery
#91
COMPARATIVE STUDY
Sanjeeve Kumar Garg, Rajinder Singh Rawat, Dina Afifi Saad, Ihab Omar
BACKGROUND: St. Thomas cardioplegia is commonly administered to adults, yet repeated dosing at brief intervals is required. Del Nido's cardioplegic solution provides a prolonged duration of safe myocardial arrest, yet it was primarily intended for pediatric cardiac surgery. Recently, there has been an increasing interest in using Del Nido's in adults; this might be due to its ease of administration and extended re-dosing intervals. This study contrasted Del Nido's to modified St. Thomas cardioplegia in adults...
April 25, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38664788/mettl14-mediated-n6-methyladenosine-modification-induces-the-ferroptosis-of-hypoxia-reoxygenation-induced-cardiomyocytes
#92
JOURNAL ARTICLE
Chunyu Zhao, Jianing Li
BACKGROUND: Hypoxia/reoxygenation (H/R) induces cardiomyocyte ferroptosis, a core remodeling event in myocardial ischemia/reperfusion injury. Methyltransferase-like 14 (METTL14) emerges as a writer of N6-methyladenosine (m6A) modification. This study was conducted to decipher the role of METTL14 in H/R-induced cardiomyocyte ferroptosis. METHODS: Mouse cardiomyocytes HL-1 were cultured and underwent H/R treatment. The degree of ferroptosis after H/R treatment was appraised by the cell counting kit-8 assay, assay kits (ROS/GSH/Fe2+ ), and Western blotting (GPX4/ACSL4)...
April 25, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38664759/postoperative-serum-mir-28-5p-level-has-predictive-value-for-the-prognosis-after-endovascular-abdominal-aortic-aneurysm-repair
#93
JOURNAL ARTICLE
Senyan Wu, Guobing Cheng, Wei Lu, Youyao Xu
BACKGROUND: We explored the clinical significance of miR-28-5p pre- and post-endovascular abdominal aortic aneurysm repair (EVAR) in abdominal aortic aneurysm (AAA) patients. METHODS: Subjects included AAA patients receiving EVAR and non-AAA people without statistical differences from AAA patient in comorbidities/Framingham risk score. Fasting elbow venous blood (4 mL) was collected in the morning of the day of EVAR surgery and in the morning of 3 months post-EVAR...
April 25, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38659034/posterior-pericardiotomy-and-the-prevention-of-post-operative-atrial-fibrillation-and-cardiac-tamponade-in-isolated-coronary-artery-bypass-grafting-a-retrospective-analysis
#94
JOURNAL ARTICLE
Ayeshmanthe Rathnayake, Siew Sc Goh, Carmel Fenton, Ashutosh Hardikar
BACKGROUND: Post-Operative Atrial Fibrillation (POAF) is the most frequent complication of cardiac surgery and is associated with reduced survival, increased rates of cognitive changes and cerebrovascular accidents, heart failure, renal dysfunction, infection, length of stay and hospital costs. Cardiac tamponade although less common, carries high morbidity and mortality. Shed mediastinal blood in the pericardial space is a major source of intrapericardial oxidative stress and inflammation that triggers POAF...
April 24, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38659018/efficacy-of-selenium-on-patients-undergoing-cardiac-surgery-a-meta-analysis-of-randomized-controlled-trials
#95
JOURNAL ARTICLE
Ahmed M Sarhan, Ahmed K Awad, Abdullah K Alassiri, Mohamed Sameh Abd-Alkhaleq, Rahmeh Al-Asmar, Ahmed Reda Gonnah
INTRODUCTION: Postoperative complications pose significant challenges in cardiac surgery and with the evolution of selenium as a potential anti-inflammatory agent, some studies reported its inefficiency. Thus, we conducted our meta-analysis to evaluate the impact of selenium supplementation on cardiac surgery patients. METHODS: Different databases such as PubMed, Embase, and Cochrane Library from inception till January 2024 were searched identifying a total of seven randomized-controlled trials involving selenium supplementation after cardiac surgery...
April 24, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38654352/mean-computed-tomography-value-to-predict-spread-through-air-spaces-in-clinical-n0-lung-adenocarcinoma
#96
JOURNAL ARTICLE
Marino Yamamoto, Masaya Tamura, Ryohei Miyazaki, Hironobu Okada, Noriko Wada, Makoto Toi, Ichiro Murakami
BACKGROUND: The aim of this study was to assess the ability of radiologic factors such as mean computed tomography (mCT) value, consolidation/tumor ratio (C/T ratio), solid tumor size, and the maximum standardized uptake (SUVmax) value by F-18 fluorodeoxyglucose positron emission tomography to predict the presence of spread through air spaces (STAS) of lung adenocarcinoma. METHODS: A retrospective study was conducted on 118 patients those diagnosed with clinically without lymph node metastasis and having a pathological diagnosis of adenocarcinoma after undergoing surgery...
April 23, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38654307/intraoperative-central-venous-pressure-during-cardiopulmonary-bypass-is-an-alternative-indicator-for-early-prediction-of-acute-kidney-injury-in-adult-cardiac-surgery
#97
JOURNAL ARTICLE
Lei Wang, Lanxin Hu, Qiong Yan Dai, HaoYu Qi, ZhenHong Wang, Xin Chen
BACKGROUND: The relationship between venous congestion in cardiopulmonary bypass (CPB) and acute kidney injury (AKI) in cardiac surgery has not utterly substantiated. This study aimed at investigate the relationship between CVP in CPB and the occurrence of AKI. METHODS: We retrospectively reviewed 2048 consecutive patients with cardiovascular disease undergoing cardiac procedure with CPB from January 2018 to December 2022. We used the median CVP value obtained during CPB for our analysis and patients were grouped according to this parameter...
April 23, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38654254/diagnostic-and-prognostic-value-of-plasma-mir-106a-5p-levels-in-patients-with-acute-heart-failure
#98
JOURNAL ARTICLE
Aike Fei, Li Li, Yunfang Li, Tie Zhou, Yanfei Liu
BACKGROUND: It is essential to find reliable biomarkers for early diagnosis and prognosis of acute heart failure (AHF) for its mitigation. Currently, increasing attention is paid to the role of microRNAs (miRNAs/miRs) as diagnostic or prognostic markers for cardiovascular diseases. Since plasma miR-106a-5p has been observed to be downregulated in AHF, its value in the diagnosis and prognostic assessment of AHF deserves further exploration. Accordingly, this study analyzed the diagnostic and prognostic value of plasma miR-106a-5p in AHF patients...
April 23, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38643197/enhanced-recovery-after-surgery-program-focusing-on-chest-tube-management-improves-surgical-recovery-after-video-assisted-thoracoscopic-surgery
#99
JOURNAL ARTICLE
Dan Yang, Xi Zheng
OBJECTIVE: Chest drainage is a standard procedure in thoracoscopic surgery for lung cancer. However, chest tube placement may deteriorate the ventilation capacity and increase difficulty of postoperative management of patients. The study investigated on the effects of enhanced recovery after surgery (ERAS) program focusing on chest tube management on surgical recovery of lung cancer patients. METHODS: The study population consisted of 60 patients undergoing video-assisted thoracoscopic surgery (VATS) after implementation of ERAS program and another group of 60 patients undergoing VATS before implementation of ERAS program...
April 20, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38643178/a-case-of-pulmonary-visceral-subpleural-hematoma-treated-by-hematoma-evacuation-during-care-of-post-cardiopulmonary-resuscitation
#100
JOURNAL ARTICLE
Yutaka Funaki, Kyoji Hirai
BACKGROUND: The occurrence of pulmonary visceral subpleural hematoma during care of post-cardiopulmonary resuscitation including chest compressions and anticoagulant and antiplatelet therapies is extremely rare. Also, there are few reports of treatment of visceral subpleural hematoma, most of which are treated by lung resection. Here we describe a rare case that pulmonary visceral subpleural hematoma arose during post-cardiopulmonary resuscitation care and was treated by hematoma evacuation...
April 20, 2024: Journal of Cardiothoracic Surgery
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