Interactive cardiovascular and thoracic surgery最新文献

{"title":"Coronary artery bypass grafting in infants and young children: default or alternative choice?","authors":"Bahaaldin Alsoufi","doi":"10.1093/icvts/ivac168","DOIUrl":"https://doi.org/10.1093/icvts/ivac168","url":null,"abstract":"","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9270863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40463038","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}

{"title":"Re-expansion pulmonary oedema.","authors":"Mohammad Behgam Shadmehr","doi":"10.1093/icvts/ivac170","DOIUrl":"https://doi.org/10.1093/icvts/ivac170","url":null,"abstract":"the of a 44-year-old who a thoracotomy for a loculated right empyema thoracis from a transdiaphragmatic rupture of a right subphrenic abscess. After draining 3000ml of pus, decortication and lung re-expansion, a large amount of serosanguineous fluid in the patient’s endotracheal tube. the cause of their patient of abscess fluid (pus) or through small bronchial parenchymal as opposed to re-expansion pulmonary oedema. My","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/19/6a/ivac170.PMC9272060.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40395334","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}

{"title":"Single-stage repair for ascending aortic aneurysm, artery stenosis and occlusion of neck vessels caused by Takayasu arteritis.","authors":"Yosuke Nakai,&nbsp;Yusuke Nishikawa,&nbsp;Takayuki Saito,&nbsp;Hisao Suda","doi":"10.1093/icvts/ivac180","DOIUrl":"https://doi.org/10.1093/icvts/ivac180","url":null,"abstract":"<p><p>Takayasu arteritis results in a variety of vascular symptoms, and there are some cases in which progressive vascular lesions require surgical intervention. We present a case with ascending aortic aneurysm, right common carotid artery stenosis, left common carotid artery occlusion and left subclavian artery stenosis caused by Takayasu arteritis that was successfully treated with total arch replacement and ascending aorta to right internal carotid artery bypass.</p>","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fe/c9/ivac180.PMC9336583.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40396243","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}

{"title":"Histology of the tricuspid valve annulus and right atrioventricular muscle distance.","authors":"Kokoro Yamane,&nbsp;Yosuke Takahashi,&nbsp;Hiromichi Fujii,&nbsp;Akimasa Morisaki,&nbsp;Yoshito Sakon,&nbsp;Noriaki Kishimoto,&nbsp;Takumi Kawase,&nbsp;Masahiko Ohsawa,&nbsp;Toshihiko Shibata","doi":"10.1093/icvts/ivac175","DOIUrl":"https://doi.org/10.1093/icvts/ivac175","url":null,"abstract":"<p><strong>Objectives: </strong>Histologically, the mitral valve annulus comprises a collection of collagen fibres. However, the existence of collagen fibres in the tricuspid valve annulus has not been elucidated. Our goal was to clarify the histology of the tricuspid annulus.</p><p><strong>Methods: </strong>Fifty human hearts without heart disease that were autopsied at Osaka City University Hospital between January 2009 and December 2017 were examined. The tricuspid valve was sectioned at 12 sites around the annulus, and the atrioventricular junction distance was measured.</p><p><strong>Results: </strong>None of the tricuspid valve annulus samples had a continuous aggregation of collagen fibres that could be called an annulus. The interventricular space between the right atria and ventricles was composed of adipose tissue only on the anterosuperior and inferior sides, and no adipose tissue was found on the septal side. Comparing the atrioventricular muscle distance of the anterosuperior and inferior sides, the distance at the inferior side was statistically significantly larger than that of the anterosuperior side in 47 cases (P < 0.0001).</p><p><strong>Conclusions: </strong>There was no continuous circumferential aggregation of collagen fibres in the right atrioventricular junction. The distance between the right atrial and ventricular myocardium was greater at the inferior side than that at the anterosuperior side, which might lead to more inferior annular dilation versus anterosuperior dilation. These anatomical features will be fundamental for future discussions of the suturing method used in prosthetic ring annuloplasty for tricuspid regurgitation.</p>","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9318885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40481165","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}

{"title":"Two unusual variants of pulmonary intra-lobar sequestration.","authors":"Laura Pauels,&nbsp;Michèle De Waele,&nbsp;Laurent Medart,&nbsp;Mathieu Debruche","doi":"10.1093/icvts/ivac189","DOIUrl":"https://doi.org/10.1093/icvts/ivac189","url":null,"abstract":"<p><p>A pulmonary sequestration is a congenital malformation characterized by non-functional lung tissue with abnormal arterial systemic supply and abnormal connection to the bronchial tree. This may lead to recurrent infections rendering a surgical intervention more demanding. Because of multiple anatomic variations, it is important to obtain high-quality preoperative radiological clarification to determine the most suitable surgical approach. Although a non-surgical technique, consisting of embolization of the aberrant artery has been described, a surgical technique remains the treatment of choice in operable patients. Preoperative embolization of the aberrant artery may reduce the risk of haemorrhage but could cause technical challenges in a hybrid approach and therefore unforeseen peroperative stress to the surgical team. We report 2 adult patients with unusual intra-lobar sequestration with aberrant vascular rare anatomy. Both were treated by surgery. In the latter patient, we performed a hybrid approach. This was complicated by peroperative coils exposure making it a technical challenge to proceed.</p>","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0b/84/ivac189.PMC9318888.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40634303","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}

{"title":"SUVmax-Δ makes the difference.","authors":"Clemens Aigner,&nbsp;Hubertus Hautzel,&nbsp;Till Ploenes","doi":"10.1093/icvts/ivac169","DOIUrl":"https://doi.org/10.1093/icvts/ivac169","url":null,"abstract":"","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9270858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40395595","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}

{"title":"Protective continuous ventilation strategy during cardiopulmonary bypass in children undergoing surgery for congenital heart disease: a prospective study.","authors":"Massimo A Padalino,&nbsp;Luca Vedovelli,&nbsp;Manuela Simonato,&nbsp;Andrea Bandini,&nbsp;Greta Paganini,&nbsp;Laura Mezzalira,&nbsp;Nicola Faganello,&nbsp;Cristiana Carollo,&nbsp;Dario Gregori,&nbsp;Vladimiro Vida,&nbsp;Paola Cogo","doi":"10.1093/icvts/ivac084","DOIUrl":"https://doi.org/10.1093/icvts/ivac084","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to evaluate if a 'protective' (low-tidal/low-frequency) ventilation strategy can shorten the postoperative ventilation time and minimize acute lung injury in children with congenital heart disease (CHD) undergoing repair with cardiopulmonary bypass (CPB).</p><p><strong>Methods: </strong>This is a single-centre prospective, interventional study, including children with CHD under the age of 5 years, undergoing open-heart surgery with a CPB >60 min, in hypothermia, haemodynamically stable, and without evident genetic abnormalities. Assist-control ventilation (tidal volume of 4 ml/kg, 10 breaths/min, positive end-expiratory pressure 5 cmH2O and FiO2 0.21) was applied in a cohort of patients during CPB. We compared clinical outcomes and in fully ventilated versus non-ventilated (control) patients. Propensity score was used to weigh ventilated and control groups to correct for the effect of other confounding clinical variables. Clinical and ventilation parameters and lung inflammatory biomarkers in tracheal aspirates were measured. The primary outcome was the postoperative intubation time of more or less than 48 h.</p><p><strong>Results: </strong>We included 140 children (53 ventilated, 87 non-ventilated) with different CHD. There were no deaths or adverse events in ventilated patients. Using a weighted generalized linear model, we found no sufficient evidence for an effect of intraoperative ventilation on postoperative intubation time [estimate 0.13 (95% confidence interval, -0.08; 0.35), P = 0.22].</p><p><strong>Conclusions: </strong>Continuous low-tidal/low-frequency mechanical ventilation during CPB is safe and harmless. However, no significant advantages were found when compared to non-ventilated patients in terms of postoperative ventilation time.</p>","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9297524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40326072","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}

{"title":"From macro-effective to microinvasive: what is the right balance?","authors":"Anton Tomšič,&nbsp;Robert J M Klautz,&nbsp;Meindert Palmen","doi":"10.1093/icvts/ivac171","DOIUrl":"https://doi.org/10.1093/icvts/ivac171","url":null,"abstract":"Traditionally, mitral valve (MV) surgery has been performed through median sternotomy. In an attempt to reduce surgical trauma, minimally invasive surgical techniques and, recently, even less invasive MV repair techniques, without the support of cardiopulmonary bypass, have been developed. The comparison between transapical and surgical MV repair by D’Onofrio et al. [1] is interesting as it provides valuable insights in the real-world perfor-mance of new technology (Neochord Inc., St. Louis Park, MN, USA) in MV re- pair. The authors report a high rate of recurrent regurgitation in the Neochord group. Even in the presence of the most favourable anatomy (isolated central posterior leaflet prolapse/flail; 80 patients from both groups were left for analysis after matching), freedom from moderate regurgitation was only 63.9% (95% confidence interval 44.4–91.8%) at 5 years, compared to 74.6% (95% confidence interval 58.7–94.8%) seen in the median sternotomy group. While the difference was statistically not significant, the difference would be significant with a higher number of patients included in the analysis or if the freedom from recurrent regurgitation was higher with conventional surgery (recently, freedom from recurrent regurgitation rate as high as 93% at 10years after surgical MV repair for posterior leaflet prolapse was reported [2]). Recurrent regurgitation is not an innocent observation but is related to im- paired outcomes [3]. A durable repair is the primary goal of therapy and it remains questionable if this is achievable without annular stabilization.","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6e/43/ivac171.PMC9270862.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40560079","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}

{"title":"Outcomes following surgical repair of absent pulmonary valve syndrome: 30 years of experience from a Swedish tertiary referral centre.","authors":"Vasileios Avdikos,&nbsp;Jens Johansson Ramgren,&nbsp;Katarina Hanséus,&nbsp;Torsten Malm,&nbsp;Petru Liuba","doi":"10.1093/icvts/ivac193","DOIUrl":"https://doi.org/10.1093/icvts/ivac193","url":null,"abstract":"<p><strong>Objectives: </strong>Absent pulmonary valve syndrome is a rare congenital heart defect with pulmonary artery dilatation and secondary airway compression. Although preoperative respiratory support and early surgical repair with pulmonary arterioplasty are often required in patients with airway compromise, the need for extensive plasty in these patients and for plasty in general in those with no or mild respiratory issues remains debatable.</p><p><strong>Methods: </strong>We performed a retrospective survey of patients with this diagnosis and repair from 1988 to 2018.</p><p><strong>Results: </strong>Twenty patients were identified. The median age and weight at repair were 0.8 (0.1-2.4) years and 7.0 (2.5-13.8) kg and included a valved conduit in 17 (85%) patients and a transannular patch in 3 patients. Five (29%) patients were ventilator-dependent prior to repair at the age of 0.3 (0.1-0.4) years. Pulmonary arterioplasty was performed in 7 patients (35%), including all 5 with ventilator dependency and 2 with respiratory symptoms due to recurrent infections. Two patients (10%) with preoperative ventilator dependency underwent extensive intrahilar arterioplasty. Preoperative ventilator dependency was associated with earlier repair and reinterventions (P < 0.05). There were 3 late deaths among cases with repair after 2000 (n = 14), none with preoperative ventilator dependency.</p><p><strong>Conclusions: </strong>The long-term outcomes of patients with this rare defect are good, comparable to those of other previous studies. Reduction pulmonary arterioplasty, which in this study was used only in patients with respiratory distress and ventilator dependency, is associated with excellent survival. Reinterventions are common in these patients.</p>","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9341845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40639008","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}

{"title":"Reply to Romano et al.","authors":"Gowthanan Santhirakumaran,&nbsp;Ali Abbasi,&nbsp;Mohammad Shah,&nbsp;Ian Hunt","doi":"10.1093/icvts/ivac172","DOIUrl":"https://doi.org/10.1093/icvts/ivac172","url":null,"abstract":"","PeriodicalId":13621,"journal":{"name":"Interactive cardiovascular and thoracic surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9282267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40598021","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}