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Journals Annals of Thoracic and Cardiov...

Annals of Thoracic and Cardiovascular Surgery

https://read.qxmd.com/read/37648484/a-comparison-of-the-efficacies-of-ok-432-and-talc-slurry-for-pleurodesis-in-patients-with-prolonged-air-leak-after-pulmonary-resection
#1
JOURNAL ARTICLE
Tomohiro Watanabe, Yoshikane Yamauchi, Ryo Takeyama, Shinya Kohmaru, Hitoshi Dejima, Yuichi Saito, Yukinori Sakao
PURPOSE: A prolonged air leak (PAL) is one of the common postoperative complications of pulmonary resection. The aim of this study was to evaluate the efficacy and safety of pleurodesis with sterile talc or OK-432 for postoperative air leak. METHODS: Patients with postoperative air leak who received chemical pleurodesis using sterile talc or OK-432 were retrospectively identified from medical records data. For pleurodesis with either agent, prior assessment and approval by the hospital safety department were carried out for each case, in addition to individual consent...
January 26, 2024: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/37532525/impact-of-impella-support-on-clinical-outcomes-in-patients-with-postcardiotomy-cardiogenic-shock
#2
JOURNAL ARTICLE
Yukiharu Sugimura, Moritz Benjamin Immohr, Arash Mehdiani, Udo Boeken, Hug Aubin, Artur Lichtenberg, Payam Akhyari
PURPOSE: This study aimed to elucidate the strategy of an effective Impella support for better clinical outcomes in patients with a postcardiotomy cardiogenic shock (PCCS). METHODS: This single-center retrospective observational study enrolled 31 patients with PCCS undergoing an elective open-heart surgery followed by Impella support between November 2018 and February 2022 for further analysis. RESULTS: The preoperative Euroscore II and left ventricular (LV) ejection fraction were 9...
January 26, 2024: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/36002292/a-case-of-ascending-aortic-replacement-and-aortic-valve-replacement-in-a-patient-with-giant-pseudoaneurysm-of-the-ascending-aorta-due-to-prosthetic-valve-endocarditis-after-transcatheter-aortic-valve-replacement-using-evolut-pro
#3
JOURNAL ARTICLE
Satoru Tomita, Koichi Maeda, Kazuo Shimamura, Kizuku Yamashita, Ai Kawamura, Daisuke Yoshioka, Shigeru Miyagawa
An 82-year-old man who underwent transcatheter aortic valve replacement (TAVR) using a 34-mm Evolut PRO (Medtronic, Minneapolis, MN, USA) for severe aortic stenosis 21 months previously presented with fever. Transesophageal echocardiography showed thickening of the valve leaflets of the transcatheter heart valve and movable structures such as verrucae on the upper edge of the Evolut PRO stent. Contrast-enhanced cardiac computed tomography showed a 72-mm saccular pseudoaneurysm on the dorsal aspect of the ascending aorta at the superior border of the Evolut PRO stent...
January 26, 2024: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/37460303/a-predictive-nomogram-for-intensive-care-acquired-weakness-after-cardiopulmonary-bypass
#4
JOURNAL ARTICLE
Fuxiu Zhong, Haoruo Zhang, Yanchun Peng, Xueying Lin, Liangwan Chen, Yanjuan Lin
PURPOSE: Intensive care unit-acquired weakness (ICUAW) affects patient prognosis after cardiopulmonary bypass (CPB) surgery, but its risk factors remain unclear. We investigated these risk factors and developed a nomogram for predicting ICUAW after CPB. METHODS: Baseline characteristics, preoperative laboratory data, and intra- and postoperative variables of 473 patients after CPB were determined in this prospective cohort study. Lower limb muscles on bedside ultrasound images were compared 1 day before and 7 days after CPB...
January 25, 2024: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/37394498/effect-of-optimizing-regional-cerebral-oxygen-saturation-during-infant-cardiac-surgery-on-the-incidence-of-postoperative-delirium-a-retrospective-study
#5
JOURNAL ARTICLE
Jian-Feng Liu, Si-Jia Zhou, Xiu-Hua Chen, Hua Cao, Qiang Chen
PURPOSE: To investigate the effect of optimizing regional cerebral oxygen saturation (rScO2 ) on the incidence of postoperative delirium and surgical outcome in infants with congenital heart disease. METHODS: Sixty-one infants experienced desaturation in rScO2 of 10% from baseline for more than 30 seconds during surgery between January 2020 and January 2022. Among them, 32 cases (Group A) received the corresponding treatment in the process of desaturation and 29 cases (Group B) were observed without receiving any treatment...
January 25, 2024: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38462474/curved-axillary-incision-with-video-assisted-thoracoscopic-surgery-an-alternative-approach-for-teenage-female-with-large-apical-chest-wall-tumor
#6
JOURNAL ARTICLE
Ryoichiro Doi, Hiromi Ichikawa, Keitaro Matsumoto, Koichi Tomoshige, Ryusuke Machino, Shinji Okano, Takeshi Nagayasu
Primary chest wall tumors are rare, their common clinical features are not well known, and surgical resection remains the main treatment. Apical chest wall tumors require large skin incisions and dissection of the chest wall muscles, making it difficult to maintain cosmetic appearance, respiratory function, and support of the upper extremity. There are few treatment options and no studies have reported on thoracotomy that spares muscles and preserves cosmetic superiority. However, in benign chest wall tumors in young patients, it is necessary to consider radicality, cosmetic superiority, and muscle sparing...
2024: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38447981/successful-robot-assisted-surgery-for-advanced-metachronous-cancer-in-a-gastric-conduit-after-esophagectomy-a-case-report
#7
JOURNAL ARTICLE
Kentoku Fujisawa, Masaki Ueno, Kazuya Okamoto, Hayato Shimoyama, Yu Ohkura, Shusuke Haruta, Harushi Udagawa
The incidence of gastric tube cancers has increased due to improved survival rates in patients after esophagectomy. However, the optimal surgical approach for gastric tube cancer remains controversial. Here, we report the case of a 70-year-old man with advanced gastric cancer arising from a retrosternally placed gastric conduit, 12 years after thoracic esophagectomy for esophageal cancer. Total resection of the gastric conduit was performed with robotic assistance. Although the working space was limited, secure resection was possible...
2024: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38417895/videothoracoscopic-first-rib-resection-for-neurogenic-thoracic-outlet-syndrome-results-of-13-patients
#8
JOURNAL ARTICLE
Onur Derdiyok, Ugˇur Temel
PURPOSE: To present the clinical experience in video-assisted thoracic surgery (VATS) of first rib resection for patients with neurogenic thoracic outlet syndrome (NTOS). METHODS: The files of 13 patients (10 males, 3 females) having unilateral NTOS undergoing first rib resection via VATS were retrospectively investigated. The symptoms, operative times, durations of chest tube and hospital stay, complications, and postoperative courses were analyzed. All patients underwent VATS using a camera port and 3-5 cm utility incision...
2024: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38325848/evaluation-of-the-factors-affecting-higher-hospitalization-cost-of-lung-resection-for-primary-lung-cancer-a-retrospective-cohort-study
#9
JOURNAL ARTICLE
Yukio Umeda, Shinsuke Matsumoto, Kiyohiko Hagiwara, Shoji Yoshikawa, Alex Chen
PURPOSE: This study aims to evaluate the factors associated with the higher hospitalization cost of lung resection for primary lung cancer to contribute to the reduction of healthcare spending. METHODS: A total of 435 consecutive primary lung cancer patients who underwent lung resection by a single surgeon at a single institution were enrolled. Baseline patient characteristics, operative procedures, postoperative complications, and postoperative courses were analyzed in relation to the hospitalization cost...
2024: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38296520/thoracoscopic-wedge-resection-for-low-grade-fibromyxoid-sarcoma-evans-tumor-with-massive-calcification-and-originating-from-the-lung-a-rare-case-in-an-unexpected-location
#10
JOURNAL ARTICLE
Hiroki Watanabe, Keita Nakanishi, Harushi Ueno, Taketo Kato, Yoshie Shimoyama, Toyofumi Fengshi Chen-Yoshikawa
We encountered a rare case of low-grade fibromyxoid sarcoma, which is generally known as Evans tumor, with massive calcification originating from the lung. The patient was a 22-year-old man with Duchenne muscular dystrophy who was referred for a detailed investigation of an intrathoracic tumor with massive calcification. Although our preoperative diagnosis was a solitary fibrous tumor originating from the mediastinum or diaphragm, intraoperative thoracoscopy revealed the tumor arising from the left lower lobe without adhesion to the other organs...
2024: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38296519/posterior-papillary-muscle-suspension-for-treating-systolic-anterior-motion-in-hypertrophic-obstructive-cardiomyopathy
#11
JOURNAL ARTICLE
Taiki Ito, Satoru Wakasa, Koji Sato, Shinji Abe, Taro Minamida
Systolic anterior motion of the anterior mitral leaflet can persist after ventricular septal myectomy for obstructive hypertrophic cardiomyopathy, resulting in residual pressure gradients and mitral regurgitation. However, additional procedures for systolic anterior motion involving mitral valve leaflet suturing and resection may lead to future valve disease. Therefore, we adopted posterior papillary muscle suspension, a subvalvular procedure for functional mitral regurgitation, to treat systolic anterior motion without directly intervening in the mitral valve leaflets...
2024: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38296518/strategies-to-minimize-sternal-and-leg-wound-complications-after-coronary-artery-bypass-grafting-using-no-touch-saphenous-vein-grafts
#12
JOURNAL ARTICLE
Min-Seok Kim, Seong Wook Hwang, Ki-Bong Kim
PURPOSE: The aims of the present study were to examine sternal and saphenous vein (SV) harvest site wound complication rates, and to assess the strategies to minimize the sternal and leg wound complications after coronary artery bypass grafting using a no-touch (NT) SV. METHODS: Patients who underwent coronary artery bypass grafting (CABG) using internal thoracic artery (ITA) and/or NT SV grafts from March 2021 to June 2023 (N = 166) at a newly opened cardiac surgical program were included...
2024: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38105006/effect-of-tegafur-uracil-in-resected-stage-ib-lung-adenocarcinoma-according-to-presence-or-absence-of-epidermal-growth-factor-receptor-gene-mutation-a-retrospective-cohort-study
#13
JOURNAL ARTICLE
Masaya Aoki, Ryo Miyata, Go Kamimura, Aya Harada Takeda, Takayuki Suetsugu, Keiko Mizuno, Kazuhiro Ueda
PURPOSE: Tegafur-uracil (UFT) is the standard postoperative adjuvant therapy for stage IB lung adenocarcinoma (LUAD) in Japan. This study aimed to determine whether UFT is effective in stage IB LUAD with and without epidermal growth factor receptor (EGFR) mutations. METHODS: This retrospective study included 169 patients with stage IB LUAD who underwent complete resection at our department between 2010 and 2021. We investigated the clinicopathological and prognostic impact of EGFR mutations as well as the postoperative use of UFT...
December 16, 2023: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38030280/challenges-in-robotic-lung-lobectomy-through-the-anterior-approach
#14
JOURNAL ARTICLE
Atsushi Osoegawa, Miyuki Abe, Michiyo Miyawaki, Takashi Karashima, Yohei Takumi, Shinkichi Takamori, Kenji Sugio
PURPOSE: Robot-assisted thoracic surgery (RATS) has become popular because of its minimally invasive nature and reduced burden on surgeons. The anterior approach (AA) is beneficial because it utilizes the same field of view and procedures as thoracotomy and video-assisted thoracic surgery, although the disadvantages are less well-known. METHODS: We retrospectively examined 35 consecutive patients who underwent RATS lobectomy via the AA, focusing on clinical factors and postoperative complications...
November 30, 2023: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/37989281/an-off-pump-repair-technique-for-postinfarction-apical-left-ventricular-aneurysm
#15
JOURNAL ARTICLE
Liangwan Chen, Zhihuang Qiu, Yunnan Hu, Yue Shen, Guanhua Fang, Heng Lu, Qingsong Wu
PURPOSE: The conventional surgical treatment for postinfarction left ventricular aneurysm (LVA) is open-heart repair with cardiopulmonary bypass. However, the risk of the open-heart surgery under cardiopulmonary bypass may result in an unacceptable risk for many patients with multiple comorbidities. Here, we reported a new off-pump repair technique for postinfarction apical LVA. METHODS: A new off-pump repair technique, circular banding and occlusion technique, was applied to repair the postinfarction apical LVA in 12 patients...
November 21, 2023: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/37914276/aortic-annular-enlargement-with-modified-y-incision-technique-devised-from-preoperative-three-dimensional-computed-tomography
#16
JOURNAL ARTICLE
Goki Inno, Yosuke Takahashi, Kenta Nishiya, Munehide Nagao, Takumi Kawase, Akimasa Morisaki, Toshihiko Shibata
The Y-incision technique introduced by Dr. Bo Yang in 2021 is a very innovative technique that can enlarge the aortic annulus by two or more sizes without violating the left atrium or mitral valve. However, we encountered a case in which the left coronary artery ostium was located close to the left-non commissure. Therefore, we considered it would be dangerous to expand the incision to the left coronary annulus. We therefore devised a new technique that enlarges only the noncoronary annulus in an "L" fashion instead of a "Y" fashion...
November 2, 2023: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/37899176/total-arterial-revascularization-evaluating-the-length-of-the-radial-artery-in-a-composite-graft-configuration
#17
JOURNAL ARTICLE
Jasmin H Shahinian, Harry Lappiere, Juan Grau, David Glineur
PURPOSE: Reimplanting the radial artery in the left internal thoracic artery as a composite graft allows total arterial revascularization (TAR) without aortic manipulation. The limitation of this strategy is the length of the radial artery required to reach distal right coronary artery (RCA) branches. Our analysis focuses on the feasibility of this strategy. METHODS: A total of 169 patients underwent TAR using the radial artery in a composite grafting configuration...
October 28, 2023: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/37880083/long-term-outcomes-of-simple-endovascular-aneurysm-repair-based-on-the-initial-aortic-diameter
#18
JOURNAL ARTICLE
Yuki Orimoto, Hiroyuki Ishibashi, Takahiro Arima, Yusuke Imaeda, Yuki Maruyama, Hiroki Mitsuoka, Akio Kodama
PURPOSE: We aimed to investigate the effects of initial abdominal aortic aneurysm (AAA) diameter on aneurysmal sac expansion/shrinkage, endoleaks, and reintervention postelective simple endovascular aneurysm repair (EVAR). METHODS: Overall, 228 patients monitored for >1 year after EVAR were analyzed. Male and female participants with initial AAA diameters <55 mm and <50 mm, respectively, composed the small group (group S), while those with initial AAA diameters ≥55 mm (men) and ≥50 mm (women) composed the large group (group L)...
October 24, 2023: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/36858601/is-high-score-of-preoperative-lactate-dehydrogenase-to-albumin-ratio-predicting-poor-survivals-in-esophageal-carcinoma-patients
#19
JOURNAL ARTICLE
Fumiaki Shiratori, Takashi Suzuki, Satoshi Yajima, Yoko Oshima, Tatsuki Nanami, Kimihiko Funahashi, Hideaki Shimada
PURPOSE: The lactate dehydrogenase-to-albumin ratio (LAR) has been reported as a potential prognostic biomarker in various cancers; however, only a few pieces of information have been reported on esophageal cancer. Therefore, this study aimed to evaluate the prognostic significance of preoperative LAR in patients with esophageal cancer. METHODS: This study included 236 patients (193 men and 43 women; mean age of 66 years [range, 41-83 years]) with esophageal cancer who underwent curative surgery between September 2008 and March 2020...
October 20, 2023: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/37779088/a-novel-method-of-real-time-assessment-for-coronary-artery-anastomosis-skill
#20
JOURNAL ARTICLE
Kohei Abe, Hiroyuki Nishi, Kazuma Okamoto, Hitoshi Yokoyama, Hirokuni Arai, Hitoshi Yaku, Shuichiro Takanashi, Hirofumi Takemura, Tohru Asai, Young-Kwang Park
PURPOSE: Coronary anastomosis is the most key factor to accomplish coronary artery bypass grafting, which is one of the largest areas in cardiovascular surgery. Although we have organized on-site simulator training courses of coronary anastomosis using BEAT YOUCAN, it became difficult to continue it because of COVID-19. Therefore, we established a real-time evaluation sheet instead of an Objective Structured Assessment of Technical Skills (OSATS) evaluation sheet. The purposes of this study was to develop the real-time assessment system and to prove the correlation between the score obtained by the OSATS and the score obtained by the real-time evaluation system...
September 29, 2023: Annals of Thoracic and Cardiovascular Surgery
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