Journals General Thoracic and Cardiovas...

General Thoracic and Cardiovascular Surgery
Koki Yokawa, Shigeki Koizumi, Mio Kasai, Kenta Masada, Yosuke Inoue, Yoshimasa Seike, Hitoshi Matsuda
BACKGROUND: Immediate surgery to save life is the recommended treatment for Stanford type A acute aortic dissection (AAAD). METHOD: The present study comprised 35 patients admitted with AAAD who were considered inappropriate candidates for surgery or declined surgery. The mean age was 84.5 ± 9.6 years. Eight patients who were considered inappropriate candidates for surgery due to severe stroke in 2 patients or hemodynamic instability in 6...
February 26, 2024: General Thoracic and Cardiovascular Surgery
Satoru Matsuda, Shota Hoshino, Tadahiro Goto, Hirofumi Kawakubo, Masashi Takeuchi, Ryota Kobayashi, Kohei Nakamura, Hiroya Takeuchi, Hiroshi Nishihara, Yuko Kitagawa
OBJECTIVE: To establish a risk-stratification system for predicting the postoperative recurrence of esophageal squamous cell carcinoma, this study aimed to evaluate the prognostic value of clusters based on blood inflammation and coagulation markers and investigate their correlation with serum cytokines and genetic alteration. METHOD: This single-center, retrospective cohort study enrolled 491 patients with esophageal cancer who underwent subtotal esophagectomy between 2004 and 2012...
January 31, 2024: General Thoracic and Cardiovascular Surgery
Aleksandar Djordjevic, Vladimir Jovicic, Dejan Lazovic, Dusko Terzic, Jasna Gacic, Masa Petrovic, Aleksandar Matejic, Bojana Salovic, Ivana Radovic, Tanja Jesic-Petrovic, Arsen Ristic, Ivan Soldatovic
OBJECTIVE: Degenerative aortic stenosis and coronary artery disease are considered to be the most prevalent cardiovascular diseases in industrialized countries. This study aims to determine the change over time in von Willebrand factor antigen, von Willebrand factor activity, and factor VIII and where there is a correlation with total post-operative drainage. METHODS: The single-center retrospective study included 203 consecutive patients (64.5% male), undergoing coronary artery bypass surgery between March 1, 2019 and June 30, 2020 at the University Clinical Center of Serbia in the Clinic for Cardiac Surgery in Belgrade, Serbia...
January 27, 2024: General Thoracic and Cardiovascular Surgery
Dai-Song Jiang, Hong-Hua Yue, Wei-Tao Liang, Zhong Wu
Acute type A aortic dissection may originate from a primary intimal tear located in the ascending aorta and often extends retrogradely into the aortic root. How to prevent bleeding in the aortic root and eliminate false lumen is very important in aortic dissection. We have developed a modified anastomotic technique that involves inverting adventitial and graft into aorta and reinforcing with a felt strip on the external border of the aortic wall. Since 2020, 45 consecutive patients with type A aortic coarctation have undergone this aortic root reconstruction procedure, to date, none have been reopened for bleeding or remnant dissection...
January 23, 2024: General Thoracic and Cardiovascular Surgery
Alish Kolashov, Shahram Lotfi, Jan Spillner, Mohamed Shoaib, Saif Almaghrabi, Nima Hatam, Assad Haneya, Rashad Zayat, Mohammad Amen Khattab
OBJECTIVE: Considering the controversial benefits of video-assisted thoracoscopic surgery (VATS), we intended to evaluate the impact of surgical approach on cardiac function after lung resection using myocardial work analysis. METHODS: Echocardiographic data of 48 patients (25 thoracotomy vs. 23 VATS) were retrospectively analyzed. All patients underwent transthoracic echocardiography (TTE) within 2 weeks before and after surgery, including two-dimensional speckle tracking and tissue Doppler imaging...
January 22, 2024: General Thoracic and Cardiovascular Surgery
Seijiro Sato, Ryo Sezaki, Hirohiko Shinohara
OBJECTIVES: Body composition and systemic inflammation/nutrition have been identified as important clinical factors in cancer patients. The modified advanced lung cancer inflammation index (mALI), which combines body composition and systemic inflammation/nutrition, is defined as appendicular skeletal muscle index × serum albumin/neutrophil-lymphocyte ratio. This retrospective study aimed to investigate associations between preoperative mALI and surgical outcomes in non-small cell lung cancer (NSCLC) patients...
January 22, 2024: General Thoracic and Cardiovascular Surgery
LinXuan Wu, Tomohisa Nagasao, Atsushi Hosokawa, Tomoki Miyanagai
BACKGROUND: The manubrium and body of the sternum are connected by the manubrium-sternum joint (MSJ). In performing the Nuss procedure for pectus excavatum patients, the body of the sternum is elevated as the operator flips correction bars upside down. Theoretically, the presence of the MSJ should allow elevation of the sternum body. However, does the MSJ secure sufficient elevation of the sternum? This study aims to elucidate this clinical question. METHODS: Seventy-four adult pectus excavatum patients with moderate to serious deformity (with Haller Index being equal to or greater than 5) were included in the study...
January 17, 2024: General Thoracic and Cardiovascular Surgery
Fumiaki Shikata, Jay Shah, Supreet Marathe, Jessica Suna, Nelson Alphonso, Prem Venugopal
OBJECTIVES: We introduced the use of an upper partial sternal split for pediatric cardiac surgical procedures in our unit in 2016. We report the outcomes of our experience in 51 patients using this approach. METHODS: From February 2016 to September 2022, 51 patients underwent congenital cardiac surgical procedures using an upper partial sternal split including vascular ring repair (n = 20), subaortic membrane (n = 12), ventricular septal defect closure with aortic valve resuspension (n = 9), aortic arch repair (n = 4), pulmonary artery band (n = 2), pulmonary artery sling (n = 1), supravalvular aortic stenosis (n = 1), aortic valve replacement (n = 1), and pulmonary artery plasty (n = 1)...
January 16, 2024: General Thoracic and Cardiovascular Surgery
Shohei Mori, Makoto Odaka, Yu Suyama, Yo Tsukamoto, Maki Oh, Rintaro Shigemori, Naoki Toya, Takashi Ohtsuka
OBJECTIVE: A chest tube is usually placed in patients undergoing general thoracic surgery. Although the barbed suture method has been introduced for chest tube wound closure, its superiority to the conventional suture methods for drain management remains unclear. The study aimed to determine whether the barbed suture method could reduce drain-related adverse events compared to the conventional method. METHODS: We retrospectively reviewed the medical records of patients who underwent general thoracic surgery between January 2021 and December 2022, 1 year before and after the introduction of the barbed suture method at our institution...
January 12, 2024: General Thoracic and Cardiovascular Surgery
Masafumi Noda, Ken Onodera, Tatsuaki Watanabe, Yui Watanabe, Hirotsugu Notsuda, Takaya Suzuki, Hisashi Oishi, Hiromichi Nikawa, Yoshinori Okada
PURPOSE: To investigate the surgical outcomes and postoperative survival prognostic factors of intractable secondary spontaneous pneumothorax. METHODS: A total of 95 patients who underwent thoracoscopic surgery for intractable secondary spontaneous pneumothorax between April 2010 and March 2020 were included in this study. These patients were classified into interstitial pneumonia and non-interstitial pneumonia groups, and a comparative study was performed on surgical outcomes and postoperative survival prognostic factors...
January 12, 2024: General Thoracic and Cardiovascular Surgery
Atsushi Kagimoto, Masayuki Ishida, Takeshi Mimura
OBJECTIVES: With the evolution of technology in the field of thoracoscopy, three-dimensional (3D) endoscopic systems with 4 K resolution have recently come into use. This study aimed to determine perioperative outcomes of video-assisted thoracoscopic surgery (VATS) lobectomy performed a year after the 4 K three-dimensional (3D) endoscopic system installation and compare them with those of the high-definition (HD) 3D endoscopic system. METHODS: We included patients who underwent complete VATS (cVATS) lobectomy for primary lung cancer using an HD3D endoscopic system (HD3D group, June 2015-September 2021, n = 251) or 4K3D endoscopic system (4K3D group, October 2021-September 2022, n = 47)...
January 10, 2024: General Thoracic and Cardiovascular Surgery
Hisashi Oishi, Takashi Hirama, Tatsuaki Watanabe, Yui Watanabe, Hiromichi Niikawa, Masafumi Noda, Takaya Suzuki, Hirotsugu Notsuda, Yoshinori Okada
OBJECTIVE: This study aims to compare the post-transplant survival of untwinned single lung transplantation (SLT) to twinned SLT. In untwinned SLT, the contralateral lung is judged unsuitable for transplantation and might affect the lung graft within the donor body and recipient survival after SLT. METHODS: A retrospective analysis was conducted on 84 SLT recipients at our center, divided into untwinned SLT and twinned SLT groups. The demographics of donors and recipients, surgical characteristics, complications, mortality, and survival rates were compared...
January 5, 2024: General Thoracic and Cardiovascular Surgery
Yong Yang, Takayuki Gyoten, Eisuke Amiya, Go Ito, Wirangrong Kaobhuthai, Masahiko Ando, Shogo Shimada, Haruo Yamauchi, Minoru Ono
OBJECTIVES: To evaluate the influence of prolonged cardiopulmonary resuscitation (CPR) on outcomes in heart transplantation with higher risk donor hearts (HRDHs). METHODS: Patients transplanted in our hospital between May 2006 and December 2019 were divided into 2 groups, HRDH recipients and non HRDH recipients. HRDH was defined as meeting at least one of the following criteria: (1) donor left ventricular ejection fraction ≤ 50%, (2) donor-recipient predicted heart mass ratio < 0...
January 5, 2024: General Thoracic and Cardiovascular Surgery
Mamoru Takahashi, Harutaro Okada, Mako Kogaki, Rio Shirokihara, Yuka Kawate, Hironobu Tokumasu, Akihiro Aoyama
OBJECTIVES: Preoperative malnutrition is a risk factor for postoperative morbidity and mortality in patients with lung cancer. Assessing the preoperative nutritional status should be considered essential for patients scheduled to undergo lung surgery. This prospective study aimed to investigate whether preoperative nutritional intervention improves the nutritional conditions and short-term postoperative outcomes. METHODS: The primary endpoints included safety, feasibility and short-term therapeutic efficacy of preoperative nutritional intervention...
January 2, 2024: General Thoracic and Cardiovascular Surgery
Jun Suzuki, Tomohiro Miyoshi, Kenta Tane, Ken Onodera, Yutaro Koike, Takashi Sakai, Joji Samejima, Keiju Aokage, Masahiro Tsuboi
OBJECTIVES: Although several societies recommend regular chest computed tomography (CT) scans for the surveillance of surgically resected non-small cell lung cancer (NSCLC), there is paucity of evidence to support these statements. This study aimed to clarify whether regular CT scans improved the prognosis of patients with surgically resected NSCLC based on TNM 8th classification. METHODS: Patients with pathologic Stage 0-III NSCLC who underwent complete surgical resection other than sublobar resection procedures were enrolled in the study...
December 25, 2023: General Thoracic and Cardiovascular Surgery
Tomohiro Nakajima, Yutaka Iba, Tsuyoshi Shibata, Shingo Tsushima, Ayaka Arihara, Itaru Hosaka, Akihito Ohkawa, Jyunji Nakazawa, Nobuyoshi Kawaharada
OBJECTIVE: The purpose of this study was to statistically analyze the factors that influence cardiovascular surgery recruitment. METHODS: Fifth- and sixth-year medical students and first-year residents who participated in cardiovascular surgery-related events at our university over a 10-year period from April 2013 to August 2022 were included. The primary endpoint was admission to the department of cardiovascular surgery. Gender, participation in sixth-year elective clinical training, participation in national academic conferences, participation in cardiovascular surgery summer school, and the cost of participation in these events (airfares and lodging) were included as analytic factors...
December 20, 2023: General Thoracic and Cardiovascular Surgery
Takahiro Katsumata, Ryo Shimada, Hiroaki Uchida, Tatsuya Suzuki, Hideki Ozawa, Masahiro Daimon
We describe a technique to repair ischemic ventricular septal rupture via a left ventriculotomy. It employs a large endoventricular patch as a "lining" over the locally patched septal defect and the free wall defect which is going to be roofed with an external patch. Both defects are then closed in double layers, holding a single continuous patch. The technique enhances the advantage of the left ventriculotomy in the repair and minimizes ventriculotomy-related morbidity.
December 18, 2023: General Thoracic and Cardiovascular Surgery
Tetsuya Mizuno, Shinya Katsumata, Hayato Konno, Toshiyuki Nagata, Mitsuhiro Isaka, Yasuhisa Ohde
OBJECTIVES: We investigated the incidence of late recurrence beyond 5 years after pulmonary resection and aimed to identify candidates for long-term surveillance. METHODS: We retrospectively reviewed the medical records of 978 non-small-cell lung cancer patients who underwent pulmonary resection between 2002 and 2015 and survived without recurrence for 5 years. Clinicopathological factors associated with recurrence-free survival beyond 5 years after surgery were investigated using univariate and multivariate analyses...
December 8, 2023: General Thoracic and Cardiovascular Surgery
Hirofumi Suzuki, Hiroaki Tsunezuka, Satoru Okada, Masanori Shimomura, Shunta Ishihara, Masayoshi Inoue
OBJECTIVES: Spontaneous pneumothorax in young patients has a high recurrence rate, even after surgical treatment, and bulla neogenesis around stapled lesions has been reported as a cause of postoperative recurrence. We investigate the clinical safety and long-term outcome of non-stapling thoracoscopic surgery for spontaneous pneumothorax in young patients. METHODS: Twenty-seven non-stapling thoracoscopic surgeries for pneumothorax in 24 patients younger than 25 years were retrospectively reviewed...
December 7, 2023: General Thoracic and Cardiovascular Surgery
Liqun Shang, Jinhui Wei, Kaizheng Liu, Yuanhan Ao, Suiqing Huang, Jian Hou, Zhongkai Wu, Jianping Yao
BACKGROUND: Intro-aortic balloon pump (IABP) is widely used in cardiac surgery patients nowadays. This study aimed to analyze the predictor of short-term survival in cardiac valvular surgery patients with intra-aortic balloon pump implantation. METHODS: This was a retrospective study and a total of 102 cardiac valvular surgery patients who received intra-aortic balloon pump implantation were consecutively included. We retrospectively collected the baseline characteristics and short-term outcomes...
December 1, 2023: General Thoracic and Cardiovascular Surgery
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read

Save your favorite articles in one place with a free QxMD account.


Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.