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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/38972753/prognosis-of-lung-transplantation-in-patients-with-acute-exacerbations-of-interstitial-lung-disease-a-meta-analysis-based-on-cohort-studies
#6
JOURNAL ARTICLE
Lei Yang, Zhiyi Xiang, Min Dai, Qiufeng Zhang, Ying Zhou
PURPOSE: This meta-analysis aimed to examine the prognosis of patients with acute exacerbation of interstitial lung disease (AE-ILD) treated with lung transplantation compared to those with stable interstitial lung disease (ILD). METHODS: We conducted a detailed search in PubMed, Embase, Web of Science, and the Cochrane Library, with the primary outcomes being overall survival (OS), acute cellular rejection (ACR), primary graft dysfunction (PGD), and length of stay (LOS)...
2024: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38945946/review-of-the-japanese-classification-of-esophageal-cancer-12th-edition-and-proposals-for-the-13th-edition
#7
REVIEW
Shinji Mine
In this review, we summarize the modifications made in the Japanese Classification of Esophageal Cancer 12th edition, identify several issues, and discuss the prospects for the next 13th edition.
2024: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38945854/prognostic-outcome-of-pulmonary-resection-for-pulmonary-metastases-from-gastric-cancer
#8
JOURNAL ARTICLE
Go Kamimura, Masaya Aoki, Tadashi Umehara, Aya Harada-Takeda, Toshiyuki Nagata, Chihaya Koriyama, Kazuhiro Ueda
PURPOSE: Regardless of the devastating outcomes of pulmonary resection for metastases from gastric cancer, a handful of patients survive long after pulmonary metastasectomy. This study aimed to identify a good candidate for pulmonary resection for metastases from gastric cancer. METHODS: Between 2005 and 2023, 564 patients underwent pulmonary metastasectomy in our department, of which 12 patients underwent pulmonary resection for metastases from gastric cancer. Variables evaluated were the number and size of metastatic lesions, surgical procedure, disease-free interval (DFI), and the serum carcinoembryonic antigen at pulmonary metastasectomy...
2024: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38897941/risk-factors-of-severe-postoperative-complication-in-lung-cancer-patients-with-diabetes-mellitus
#9
JOURNAL ARTICLE
Yutaro Koike, Keiju Aokage, Keiichiro Osame, Masashi Wakabayashi, Tomohiro Miyoshi, Kenji Suzuki, Masahiro Tsuboi
PURPOSE: Clinically, postoperative complications are occasionally observed in lung cancer patients with diabetes mellitus (DM). The increased risk of postoperative complications in DM patients has been reported in other fields. This study aims to identify risk factors for severe postoperative complications in lung cancer patients with DM. METHODS: Of 2756 consecutive patients who underwent complete resection for lung cancer between 2008 and 2018 in our hospital, 475 patients (20%) were complicated by DM...
2024: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38839368/surgical-and-perioperative-treatments-for-esophagogastric-junction-cancer
#10
REVIEW
Yoshitomo Yanagimoto, Yukinori Kurokawa, Yuichiro Doki
Esophagogastric junction cancer (EGJC) is a rare malignant disease that occurs in the gastroesophageal transition zone. In recent years, its incidence has been rapidly increasing not only in Western countries but also in East Asia, and it has been attracting the attention of both clinicians and researchers. EGJC has a worse prognosis than gastric cancer (GC) and is characterized by complex lymphatic drainage pathways in the mediastinal and abdominal regions. EGJC was previously treated in the same way as GC or esophageal cancer, but, in recent years, it has been treated as an independent malignant disease, and treatment focusing only on EGJC has been developed...
2024: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38839349/robot-assisted-correction-of-a-supra-long-tracheal-stenosis-using-c-type-nickel-titanium-alloy-exterior-stenting-and-suspension-fixation-technique-a-case-report
#11
JOURNAL ARTICLE
Jingquan Han, Xi Yan, Hongwei Cui, Hang Zhang, Bei Lu, Jinzhi Xu
T-tubes and airway stents are commonly used but have limited effectiveness and frequent complications. A 50-year-old male patient presented with severe tracheal stenosis, affecting an 8.7 cm length of the airway. We employed an innovative approach known as external suspension fixation of tracheal stent using robotic assistance. This method involves surgically attaching the stent to the exterior of the trachea to provide support and stabilize the softened or collapsed tracheal segments. We designed a C-shaped nickel-titanium alloy exterior stent and successfully fixed it using robotic assistance...
2024: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38811208/outcomes-and-risk-factors-associated-with-pericardiectomy-in-patients-with-constrictive-pericarditis-a-retrospective-study-from-china
#12
JOURNAL ARTICLE
Bin Li, Chao Dong, Guangyu Pan, Ruofan Liu, Minghui Tong, Jianping Xu, Shen Liu
PURPOSE: Pericardiectomy is the definitive treatment option for constrictive pericarditis and is associated with a high prevalence of morbidity and mortality. However, information on the associated outcomes and risk factors is limited. We aimed to report the mid-term outcomes of pericardiectomy from a single center in China. METHODS: We retrospectively reviewed data collected from patients who underwent pericardiectomy at our institute from April 2018 to January 2023...
2024: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38749719/a-case-of-incidentally-discovered-congenital-complete-pericardial-defect-during-lobectomy-for-lung-cancer-a-case-report-and-literature-review
#13
REVIEW
Tomohiro Setogawa, Taketo Kato, Hiroki Watanabe, Shota Nakamura, Tetsuya Mizuno, Toyofumi Fengshi Chen-Yoshikawa
An 82-year-old male patient underwent a left upper lobectomy with anterolateral thoracotomy for lung cancer. Although a complete left-pericardial defect was observed during surgery, the pericardial repair was not performed because the left lower lobe remained and the heart was considered stable. Postoperative pathological examination revealed primary synchronous double-lung squamous-cell carcinoma (pathological stage pT2a(2)N0M0 stage IB). He was discharged without complications on postoperative day 8. Leftward displacement of the heart and left diaphragmatic elevation, suspected of phrenic-nerve paralysis, were found in the chest X-ray after discharge...
2024: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38749718/clinical-outcome-of-the-type-a-acute-aortic-dissection-repair-using-the-tailored-stand-up-collar-technique
#14
JOURNAL ARTICLE
Yukio Umeda, Yuta Inoue, Shohei Mitta, Yukihiro Matsuno, Shoji Yoshikawa
PURPOSE: Achieving a secure anastomosis and complete hemostasis is essential for surgically treating type A acute aortic dissection (TAAAD). This study assessed the clinical feasibility of "tailored stand-up collar (TSC)" technique for constructing the distal stump. METHODS: We enrolled 68 patients who underwent ascending aortic repair for TAAAD. Patients were categorized according to the technique for distal stump construction: conventional (C) group using only a felt strip (32 cases); post-aortotomy (P) group, with a Hydrofit-felt strip attached after aortotomy (18 cases), and TSC group, where a Hydrofit-felt strip attached during cooling (18 cases)...
2024: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38684422/dexmedetomidine-pretreatment-confers-myocardial-protection-and-reduces-mechanical-ventilation-duration-for-patients-undergoing-cardiac-valve-replacement-under-cardiopulmonary-bypass
#15
RANDOMIZED CONTROLLED TRIAL
Binglin Yuan, Xiqiang Huang, Junlin Wen, Mengzhe Peng
PURPOSE: The study aims to assess the effects of dexmedetomidine (Dex) pretreatment on patients during cardiac valve replacement under cardiopulmonary bypass. METHODS: For patients in the Dex group (n = 52), 0.5 μg/kg Dex was given before anesthesia induction, followed by 0.5 μg/kg/h pumping injection before aortic occlusion. For patients in the control group (n = 52), 0.125 ml/kg normal saline was given instead of Dex. RESULTS: The patients in the Dex group had longer time to first dose of rescue propofol than the control group (P = 0...
2024: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38684397/right-lower-sleeve-lobectomy-detailed-technique-and-perioperative-patient-management
#16
JOURNAL ARTICLE
Hidetoshi Inoue, Takuma Tsukioka, Nobuhiro Izumi, Kantaro Hara, Satoshi Suzuki, Takuya Tanimura, Noritoshi Nishiyama
PURPOSE: This report reviews our experience with right lower sleeve lobectomy and describes our technique and approach to perioperative patient management. METHODS: We retrospectively reviewed 11 patients who underwent right lower sleeve lobectomy for lung cancer. Surgical techniques and perioperative management were also investigated. RESULTS: Bronchoplasty was performed using 4-0 absorbable monofilament sutures. The deepest portion was anastomosed using continuous sutures; interrupted sutures were used for the more superficial portions...
2024: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38684396/long-term-outcomes-of-coronary-artery-bypass-grafting-using-an-internal-thoracic-artery-versus-a-radial-artery-as-a-second-arterial-graft
#17
COMPARATIVE STUDY
Ryoma Oda, Kan Kajimoto, Taira Yamamoto, Daisuke Endo, Takeshi Kinoshita, Atsushi Amano, Minoru Tabata
PURPOSE: To compare the outcomes of left circumflex artery (LCx) revascularization using an internal thoracic artery (ITA) or radial artery (RA) as the second arterial graft. METHODS: Patients who underwent primary isolated coronary artery bypass grafting with left anterior descending artery revascularization using an ITA and LCx revascularization using another bilateral ITA (BITA group) or an RA (ITA-RA group) were included. All-cause mortality (primary endpoint), cardiac death, major adverse cardiac events, in-hospital death, and deep sternal wound infection (secondary endpoints) were evaluated...
2024: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38684395/intraoperative-goal-directed-perfusion-in-cardiac-surgery-with-cardiopulmonary-bypass-the-roles-of-delivery-oxygen-index-and-cardiac-index
#18
JOURNAL ARTICLE
Bhirowo Yudo Pratomo, Sudadi Sudadi, Budi Yuli Setianto, Tandean Tommy Novenanto, Yusuf Kirana Raksawardana, Amar Rayhan, Juni Kurniawaty
PURPOSE: Goal-directed perfusion (GDP) refers to individualized goal-directed therapy using comprehensive monitoring and optimizing the delivery of oxygen during cardiopulmonary bypass (CPB). This study aims to determine whether the intraoperative GDP protocol method has better outcomes compared to conventional methods. METHODS: We searched the PubMed, Central, and Scopus databases up to October 12, 2023. We primarily examined the GDP protocol in adult cardiac surgery, using CPB with oxygen delivery index (DO2I) and cardiac index (CI) as the main parameters...
2024: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38631862/intrathoracic-needle-migration-from-the-mediastinum-into-the-thoracic-cavity
#19
JOURNAL ARTICLE
Tomo Sato, Yasufumi Kato, Hiroaki Kataba, Koichi Yoshida, Hiroki Hayashi, Masatoshi Kakihana, Norihiko Ikeda
Intrathoracic needles are rarely used in clinical practice. They can migrate within the body, injure large blood vessels and other organs, and cause severe complications. We report an interesting case of intrathoracic needle removal using video-assisted thoracoscopic surgery. The needle was inserted under the left clavicle, penetrated the mediastinum, and migrated into the right thoracic cavity. Although pneumothorax developed during the disease course, no severe complications were observed. This rare case illustrates the course of needle migration from the mediastinum into the thoracic cavity...
2024: Annals of Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/38599823/prospective-observation-study-for-primary-spontaneous-pneumothorax-incidence-of-and-risk-factors-for-postoperative-neogenesis-of-bullae
#20
JOURNAL ARTICLE
Chihiro Furuta, Motoki Yano, Yuka Kitagawa, Ryotaro Katsuya, Naoki Ozeki, Takayuki Fukui
PURPOSE: Details of the neogenesis of bullae (NOB), which causes recurrent primary spontaneous pneumothorax (PSP) following bullectomy, have not been reported and risk factors for NOB remain unclear. We aimed to clarify the details of NOB. METHODS: We conducted a prospective study using three computed tomography (CT) examinations performed 6, 12, and 24 months after bullectomy to identify the incidence of and risk factors for NOB. We enrolled 50 patients who underwent bullectomy for PSP...
2024: Annals of Thoracic and Cardiovascular Surgery
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