Interactive cardiovascular and thoracic surgery最新文献

筛选
英文 中文
Surgical management of cardiac cystic echinococcosis in a paediatric patient: a case report. 小儿心脏囊性包虫病的外科治疗:1例报告。
4区 医学
Interactive cardiovascular and thoracic surgery Pub Date : 2022-11-08 DOI: 10.1093/icvts/ivac279
Mehmet Biçer, Şima Kozan, Hüsnü Fırat Altın, Numan Ali Aydemir
{"title":"Surgical management of cardiac cystic echinococcosis in a paediatric patient: a case report.","authors":"Mehmet Biçer,&nbsp;Şima Kozan,&nbsp;Hüsnü Fırat Altın,&nbsp;Numan Ali Aydemir","doi":"10.1093/icvts/ivac279","DOIUrl":"https://doi.org/10.1093/icvts/ivac279","url":null,"abstract":"<p><p>Cystic echinococcosis, a zoonotic parasitic disease, is endemic to many countries worldwide. This slowly progressing disease is seen rarely in the paediatric age group. In terms of cyst localization, cardiac involvement is infrequent. We report the case of a successful surgical and medical management of a paediatric hydatid disease patient with involvement of the heart.</p>","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":"35 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9987217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9896875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does the division of the inferior pulmonary ligament in upper lobectomy result in improved short-term clinical outcomes and long-term survival? 上肺叶切除术中分离肺下韧带是否能改善短期临床结果和长期生存?
4区 医学
Interactive cardiovascular and thoracic surgery Pub Date : 2022-11-08 DOI: 10.1093/icvts/ivac272
Yi-Feng Wang, Han-Yu Deng, Weijia Huang, Qinghua Zhou
{"title":"Does the division of the inferior pulmonary ligament in upper lobectomy result in improved short-term clinical outcomes and long-term survival?","authors":"Yi-Feng Wang,&nbsp;Han-Yu Deng,&nbsp;Weijia Huang,&nbsp;Qinghua Zhou","doi":"10.1093/icvts/ivac272","DOIUrl":"https://doi.org/10.1093/icvts/ivac272","url":null,"abstract":"<p><p>A best evidence topic in thoracic surgery was written according to a structured protocol. The question addressed was 'Does the division of the inferior pulmonary ligament (IPL) in upper lobectomy result in improved short-term clinical outcomes and long-term survival?'. Altogether 43 papers were found using the reported search, of which 6 studies represented the best evidence to answer the clinical question, including a previous best evidence topic study, a meta-analysis and 4 retrospective cohort studies. The author, journal, date and country of publication, patient group studied, study type and relevant outcomes and results of these papers are tabulated. Most of the enrolled studies reported that there is no significant difference between the division groups and the preservation groups in terms of drainage time, drainage volume, postoperative dead space and complications. While 3 cohort studies revealed unfavoured postoperative pulmonary function in the division groups, including lung volume, forced vital capacity and forced expiratory volume in 1 s. The previous meta-analysis and a recent cohort study also found that the division of IPL might lead to increased bronchus angle change or torsion. Moreover, 2 cohort studies found that the division of IPL could not improve the long-term survival of patients undergoing upper lobectomy. Current evidence showed that dividing the IPL could not result in clinical benefits but might lead to decreased pulmonary function instead. Therefore, we recommended not dissecting the IPL routinely during upper lobectomy.</p>","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":"35 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a4/58/ivac272.PMC9700481.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10673459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Successful management of complex haemorrhagic pericardial cyst with cirrhosis of liver: a case report. 肝硬化并发复杂出血性心包囊肿1例的成功治疗。
4区 医学
Interactive cardiovascular and thoracic surgery Pub Date : 2022-11-08 DOI: 10.1093/icvts/ivac278
Amy J Lykins, Pankaj Garg, Zachary J Fleissner, Basar Sareyyupoglu
{"title":"Successful management of complex haemorrhagic pericardial cyst with cirrhosis of liver: a case report.","authors":"Amy J Lykins,&nbsp;Pankaj Garg,&nbsp;Zachary J Fleissner,&nbsp;Basar Sareyyupoglu","doi":"10.1093/icvts/ivac278","DOIUrl":"https://doi.org/10.1093/icvts/ivac278","url":null,"abstract":"<p><p>Haemorrhagic pericardial cysts are rare and may be complicated by encasement of the heart, right heart failure and, rarely, cardiac cirrhosis. Surgical management of complicated cysts is challenging and has poor outcomes. We report a case of successful surgical management of a complicated pericardial cyst presenting with cardiac cirrhosis and the challenges associated with this condition.</p>","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":"35 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9707403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10383207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Continuous vagal intraoperative neuromonitoring during video-assisted thoracoscopic surgery for left lung cancer: its efficacy in preventing permanent vocal cord paralysis. 电视胸腔镜下左肺癌术中持续迷走神经监测:预防声带永久性麻痹的疗效。
4区 医学
Interactive cardiovascular and thoracic surgery Pub Date : 2022-11-08 DOI: 10.1093/icvts/ivac273
Yong Won Seong, Young Jun Chai, Jung-Man Lee, You Jung Ok, Se Jin Oh, Jae-Sung Choi, Hyeon Jong Moon
{"title":"Continuous vagal intraoperative neuromonitoring during video-assisted thoracoscopic surgery for left lung cancer: its efficacy in preventing permanent vocal cord paralysis.","authors":"Yong Won Seong,&nbsp;Young Jun Chai,&nbsp;Jung-Man Lee,&nbsp;You Jung Ok,&nbsp;Se Jin Oh,&nbsp;Jae-Sung Choi,&nbsp;Hyeon Jong Moon","doi":"10.1093/icvts/ivac273","DOIUrl":"https://doi.org/10.1093/icvts/ivac273","url":null,"abstract":"<p><strong>Objectives: </strong>We investigated the safety and efficacy of continuous intraoperative neuromonitoring (CIONM) during video-assisted thoracoscopic lobectomy for left lung cancer in preventing recurrent laryngeal nerve injury.</p><p><strong>Methods: </strong>From August 2015 to March 2020, 22 patients with left lung cancer without CIONM (unmonitored) and 20 patients with left lung cancer with CIONM underwent thoracoscopic lobectomy with complete mediastinal lymph node dissection including 4L dissection. Clinical outcomes from these 2 groups were compared.</p><p><strong>Results: </strong>The incidence of 4L metastasis was 7.14% (3 patients). There was no significant difference in the total number of dissected 4L lymph nodes between the 2 groups (3.23 ± 2.2 in the unmonitored group, 3.95 ± 2.0 in the CIONM group). CIONM was successful in all of the cases. There was no significant difference in the incidence of postoperative vocal cord palsy (22.7% in the unmonitored group, 20% in the CIONM group, P = 1.000). All of the 5 patients (100%) had permanent vocal cord palsy in the unmonitored group. Although statistically insignificant, 75% (3 patients) had total recovery of the vocal cord function, with only 1 patient remaining in permanent vocal cord palsy in the CIONM group.</p><p><strong>Conclusions: </strong>CIONM was safe and efficient. CIONM might be helpful to avoid permanent vocal cord palsy by immediately warning the surgeon about impending nerve injury, so the surgeon can stop delivering further injury to the recurrent laryngeal nerve.</p>","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":"35 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b3/e9/ivac273.PMC9728793.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10711323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Local tumour residue after microwave ablation for lung cancer: a case report. 肺癌微波消融后局部肿瘤残留1例。
4区 医学
Interactive cardiovascular and thoracic surgery Pub Date : 2022-11-08 DOI: 10.1093/icvts/ivac277
Guixian Liu, Miqi Gu, Xin Wang, Jintao He
{"title":"Local tumour residue after microwave ablation for lung cancer: a case report.","authors":"Guixian Liu,&nbsp;Miqi Gu,&nbsp;Xin Wang,&nbsp;Jintao He","doi":"10.1093/icvts/ivac277","DOIUrl":"https://doi.org/10.1093/icvts/ivac277","url":null,"abstract":"<p><p>Thermal ablation has become a novel method for the treatment of pulmonary nodules, but the short-time evaluation of the ablation effect is mainly based on computed tomography images. We report a case of local tumour residue after microwave ablation, which was confirmed by pathology after lobectomy. This case alerts us that thermal ablation should not be the preferred treatment for operable pulmonary nodules.</p>","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":"35 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9710429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9517358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Postoperative aortic injury caused by a staple line formed during wedge resection of the lung. 术后主动脉损伤由楔形肺切除术形成的钉线引起。
4区 医学
Interactive cardiovascular and thoracic surgery Pub Date : 2022-11-08 DOI: 10.1093/icvts/ivac275
Masayuki Yamaji, Motoki Yano, Sawako Okamaoto, Takayuki Fukui
{"title":"Postoperative aortic injury caused by a staple line formed during wedge resection of the lung.","authors":"Masayuki Yamaji,&nbsp;Motoki Yano,&nbsp;Sawako Okamaoto,&nbsp;Takayuki Fukui","doi":"10.1093/icvts/ivac275","DOIUrl":"https://doi.org/10.1093/icvts/ivac275","url":null,"abstract":"<p><p>We report a case of aortic perforation caused by the staple line formed during a wedge resection for lung cancer. Six hours after an uneventful wedge resection, sudden frank drainage of blood from the chest tube occurred. A reoperation was performed, and we found bleeding from the aorta. After suturing the bleeding spot on the aorta, we found that the stapling line of the lung rode on the aorta with longitudinal contact. We speculated that the stapling line scratched the aorta in synchrony with the patient's breathing and injured the aorta.</p>","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":"35 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9987216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9595369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Congenital aortocaval fistula combined with patent ductus arteriosus in an infant: a case report. 婴儿先天性主动脉腔瘘合并动脉导管未闭1例。
4区 医学
Interactive cardiovascular and thoracic surgery Pub Date : 2022-11-08 DOI: 10.1093/icvts/ivac260
Xianting Jiao, Liqing Zhao, Yurong Wu, Sun Chen
{"title":"Congenital aortocaval fistula combined with patent ductus arteriosus in an infant: a case report.","authors":"Xianting Jiao,&nbsp;Liqing Zhao,&nbsp;Yurong Wu,&nbsp;Sun Chen","doi":"10.1093/icvts/ivac260","DOIUrl":"https://doi.org/10.1093/icvts/ivac260","url":null,"abstract":"<p><p>Congenital aortocaval fistula (ACF) is a rare cardiac malformation. While it can occur in combination with patent ductus arteriosus (PDA), this has not been reported. In this case, a 1-year-old infant had a heart murmur found in a routine physical examination, and PDA was revealed by transthoracic echocardiography and abdominal ACF was detected by three-dimensional coronary artery computed tomography. Percutaneous interventional therapy, used for ACF and PDA, was performed to occlude the malformation. The patient presented good health without any discomfort at a 1-year follow-up. The percutaneous closure of ACF and PDA with an Amplatzer vascular device can be considered an appropriate option.</p>","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":"35 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9703955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10323002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is video-assisted thoracoscopic surgery comparable with thoracotomy in perioperative and long-term survival outcomes for non-small-cell lung cancer after neoadjuvant treatment? 在新辅助治疗后非小细胞肺癌的围手术期和长期生存预后方面,视频胸腔镜手术与开胸手术是否可比性?
4区 医学
Interactive cardiovascular and thoracic surgery Pub Date : 2022-11-08 DOI: 10.1093/icvts/ivac271
Yi-Feng Wang, Han-Yu Deng, Weijia Huang, Qinghua Zhou
{"title":"Is video-assisted thoracoscopic surgery comparable with thoracotomy in perioperative and long-term survival outcomes for non-small-cell lung cancer after neoadjuvant treatment?","authors":"Yi-Feng Wang,&nbsp;Han-Yu Deng,&nbsp;Weijia Huang,&nbsp;Qinghua Zhou","doi":"10.1093/icvts/ivac271","DOIUrl":"https://doi.org/10.1093/icvts/ivac271","url":null,"abstract":"<p><p>A best evidence topic in thoracic surgery was written according to a structured protocol. The question addressed was 'Is video-assisted thoracoscopic surgery comparable with thoracotomy in perioperative and long-term survival outcomes for patients with non-small cell lung cancer following neoadjuvant therapy intended for anatomical lung resection?'. Altogether 655 papers were found using the reported search, of which 12 studies represented the best evidence to answer the clinical question. The author, journal, date and country of publication, patient group studied, study type and relevant outcomes and results of these papers are tabulated. Almost all of the enrolled cohort studies reported that video-assisted thoracoscopic surgery (VATS) was comparable with thoracotomy in negative surgical margin rate, postoperative mortality, complication rate, overall survival and disease-free survival. Moreover, 7 studies found patients in the VATS group had a significantly shorter hospital stay. Furthermore, in these well-matched cohort studies (6 studies), it still held true that VATS was comparable with thoracotomy in long-term prognosis with enhanced recovery. However, the issue regarding surgical radicality and intraoperative conversion to thoracotomy still should be noted carefully among these patients receiving VATS surgery because all the current available evidence was retrospective based on relatively small sample sizes. Nevertheless, thoracic surgeons should not consider VATS inferior to thoracotomy for patients after neoadjuvant treatment. VATS surgery could be an alternative for selected patients with locally advanced but relatively small, peripheral, fewer positive N2 lymph nodes and non-squamous NSCLC intended for anatomic lung resection.</p>","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":"35 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6b/fc/ivac271.PMC9686345.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10383206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Association of liver dysfunction with outcomes after cardiac surgery-a meta-analysis. 心脏手术后肝功能障碍与预后的关系——一项荟萃分析。
4区 医学
Interactive cardiovascular and thoracic surgery Pub Date : 2022-11-08 DOI: 10.1093/icvts/ivac280
Hristo Kirov, Tulio Caldonazo, Katia Audisio, Mohamed Rahouma, N Bryce Robinson, Gianmarco Cancelli, Giovanni J Soletti, Michelle Demetres, Mudathir Ibrahim, Gloria Faerber, Mario Gaudino, Torsten Doenst
{"title":"Association of liver dysfunction with outcomes after cardiac surgery-a meta-analysis.","authors":"Hristo Kirov,&nbsp;Tulio Caldonazo,&nbsp;Katia Audisio,&nbsp;Mohamed Rahouma,&nbsp;N Bryce Robinson,&nbsp;Gianmarco Cancelli,&nbsp;Giovanni J Soletti,&nbsp;Michelle Demetres,&nbsp;Mudathir Ibrahim,&nbsp;Gloria Faerber,&nbsp;Mario Gaudino,&nbsp;Torsten Doenst","doi":"10.1093/icvts/ivac280","DOIUrl":"https://doi.org/10.1093/icvts/ivac280","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to perform a meta-analysis of studies reporting outcomes in patients with liver dysfunction addressed by the model of end-stage liver disease and Child-Turcotte-Pugh scores undergoing cardiac surgery.</p><p><strong>Methods: </strong>A systematic literature search was conducted to identify contemporary studies reporting short- and long-term outcomes in patients with liver dysfunction compared to patients with no or mild liver dysfunction undergoing cardiac surgery (stratified in high and low score group based on the study cut-offs). Primary outcome was perioperative mortality. Secondary outcomes were perioperative neurological events, prolonged ventilation, sepsis, bleeding and/or need for transfusion, acute kidney injury and long-term mortality.</p><p><strong>Results: </strong>A total of 33 studies with 48 891 patients were included. Compared with the low score group, being in the high score group was associated with significantly higher risk of perioperative mortality [odds ratio (OR) 3.72, 95% confidence interval (CI) 2.75-5.03, P < 0.001]. High score group was also associated with a significantly higher rate of perioperative neurological events (OR 1.49, 95% CI 1.30-1.71, P < 0.001), prolonged ventilation (OR 2.45, 95% CI 1.94-3.09, P < 0.001), sepsis (OR 3.88, 95% CI 2.07-7.26, P < 0.001), bleeding and/or need for transfusion (OR 1.95, 95% CI 1.43-2.64, P < 0.001), acute kidney injury (OR 3.84, 95% CI 2.12-6.98, P < 0.001) and long-term mortality (incidence risk ratio 1.29, 95% CI 1.14-1.46, P < 0.001).</p><p><strong>Conclusions: </strong>The analysis suggests that liver dysfunction in patients undergoing cardiac surgery is independently associated with higher risk of short and long-term mortality and also with an increased occurrence of various perioperative adverse events.</p>","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":"35 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9741516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10486587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Different calcification patterns of tricuspid and bicuspid aortic valves and their clinical impact. 三尖瓣和双尖瓣主动脉瓣的不同钙化模式及其临床影响。
4区 医学
Interactive cardiovascular and thoracic surgery Pub Date : 2022-11-08 DOI: 10.1093/icvts/ivac274
Can Gollmann-Tepeköylü, Felix Nägele, Clemens Engler, Leon Stoessel, Berit Zellmer, Michael Graber, Jakob Hirsch, Leo Pölzl, Elfriede Ruttmann, Ivan Tancevski, Christina Tiller, Fabian Barbieri, Lukas Stastny, Sebastian J Reinstadler, Ulvi Cenk Oezpeker, Severin Semsroth, Nikolaos Bonaros, Michael Grimm, Gudrun Feuchtner, Johannes Holfeld
{"title":"Different calcification patterns of tricuspid and bicuspid aortic valves and their clinical impact.","authors":"Can Gollmann-Tepeköylü, Felix Nägele, Clemens Engler, Leon Stoessel, Berit Zellmer, Michael Graber, Jakob Hirsch, Leo Pölzl, Elfriede Ruttmann, Ivan Tancevski, Christina Tiller, Fabian Barbieri, Lukas Stastny, Sebastian J Reinstadler, Ulvi Cenk Oezpeker, Severin Semsroth, Nikolaos Bonaros, Michael Grimm, Gudrun Feuchtner, Johannes Holfeld","doi":"10.1093/icvts/ivac274","DOIUrl":"10.1093/icvts/ivac274","url":null,"abstract":"<p><strong>Objectives: </strong>Mechanical strain plays a major role in the development of aortic calcification. We hypothesized that (i) valvular calcifications are most pronounced at the localizations subjected to the highest mechanical strain and (ii) calcification patterns are different in patients with bicuspid and tricuspid aortic valves.</p><p><strong>Methods: </strong>Multislice computed tomography scans of 101 patients with severe aortic stenosis were analysed using a 3-dimensional post-processing software to quantify calcification of tricuspid aortic valves (n = 51) and bicuspid aortic valves (n = 50) after matching.</p><p><strong>Results: </strong>Bicuspid aortic valves exhibited higher calcification volumes and increased calcification of the non-coronary cusp with significantly higher calcification of the free leaflet edge. The non-coronary cusp showed the highest calcium load compared to the other leaflets. Patients with annular calcification above the median had an impaired survival compared to patients with low annular calcification, whereas patients with calcification of the free leaflet edge above the median did not (P = 0.53).</p><p><strong>Conclusions: </strong>Calcification patterns are different in patients with aortic stenosis with bicuspid and tricuspid aortic valves. Patients with high annular calcification might have an impaired prognosis.</p>","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":"35 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10906007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10491736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信