JA Clinical Reports最新文献

Long-term pulmonary function after intrathoracic versus extrathoracic LVAD Implantation: perioperative implications at one year. 胸腔内与胸腔外LVAD植入后的长期肺功能：一年围手术期的影响。

IF 1

JA Clinical Reports Pub Date : 2026-05-02 DOI: 10.1186/s40981-026-00859-3

Kimito Minami, Tatsutoshi Shimatani, Masahiro Kazawa, Naoki Tadokoro, Satsuki Fukushima, Takuma Sato, Yasumasa Tsukamoto, Muneyuki Takeuchi

{"title":"Long-term pulmonary function after intrathoracic versus extrathoracic LVAD Implantation: perioperative implications at one year.","authors":"Kimito Minami, Tatsutoshi Shimatani, Masahiro Kazawa, Naoki Tadokoro, Satsuki Fukushima, Takuma Sato, Yasumasa Tsukamoto, Muneyuki Takeuchi","doi":"10.1186/s40981-026-00859-3","DOIUrl":"https://doi.org/10.1186/s40981-026-00859-3","url":null,"abstract":"Background: Patients undergoing durable left ventricular assist device (LVAD) implantation frequently require prolonged perioperative respiratory support. However, the long-term pulmonary consequences of different surgical pump placement strategies remain unclear. We investigated longitudinal pulmonary function changes following intrathoracic versus extrathoracic LVAD implantation.Methods: This single-center retrospective cohort study included patients who underwent LVAD implantation and completed pulmonary function testing (PFT) preoperatively and at 1 year postoperatively. Intrathoracic HeartMate 3 recipients were compared with extrathoracic HeartMate II recipients. Linear mixed-effects models assessed longitudinal changes in forced vital capacity (FVC), percent predicted FVC (%FVC), forced expiratory volume in 1 s (FEV₁), and percent predicted FEV₁ (%FEV₁), adjusting for age, sex, body surface area, and surgery era.Results: Among 190 patients (intrathoracic, n = 76; extrathoracic, n = 114), greater declines in FVC, %FVC, and FEV₁ were observed at 1 year in the intrathoracic group. Significant time-by-placement interactions were identified for FVC (P = 0.010), %FVC (P = 0.010), and FEV₁ (P = 0.011), whereas %FEV₁ showed comparable trends between groups. Smaller body surface area and female sex were independently associated with lower lung volumes, whereas the apparent association with female sex was largely explained by body size.Conclusions: Intrathoracic LVAD implantation was associated with greater restrictive changes in pulmonary function at one year. These findings suggest that surgical pump positioning and patient body size may influence long-term respiratory trajectories and may be relevant for perioperative planning and postoperative follow-up.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of the reliability of large language models for ASA-PS classification in cardiovascular surgery: a pilot study. 心血管外科ASA-PS分类大语言模型的可靠性评估：一项初步研究。

IF 1

JA Clinical Reports Pub Date : 2026-04-15 DOI: 10.1186/s40981-026-00858-4

Keisuke Iwabu, Takashi Juri, Shogo Tsujikawa, Hideki Hino, Yusuke Funai, Koichi Suehiro, Takashi Mori

引用次数: 0

Inhaled nitric oxide stabilizes acute right ventricular failure due to hypercapnia in abdominal compartment syndrome: a case report. 吸入一氧化氮稳定由高碳酸血症引起的急性右心室衰竭腹腔隔室综合征：1例报告。

IF 1

JA Clinical Reports Pub Date : 2026-04-14 DOI: 10.1186/s40981-026-00857-5

Yusuke Takei, Yuna Sato, Hidehisa Saito, Hirona Nishimaki, Shoma Tanaka, Hiroaki Toyama, Yutaka Ejima, Masanori Yamauchi

引用次数: 0

Successful use of transesophageal echocardiography for minimally invasive cardiac surgery after esophagectomy with gastric tube reconstruction via the retrosternal route: a case report. 经食管超声心动图成功应用于经胸骨后途径胃管重建食管切除术后微创心脏手术1例报告。

IF 1

JA Clinical Reports Pub Date : 2026-03-26 DOI: 10.1186/s40981-026-00855-7

Kanon Yokoi, Sakurako Kitade, Shoko Maruyama, Takayuki Yoshida

引用次数: 0

Reconsidering arm positioning during pediatric general anesthesia based on natural sleep posture. 基于自然睡眠姿势重新考虑小儿全麻时手臂的定位。

IF 1

JA Clinical Reports Pub Date : 2026-03-25 DOI: 10.1186/s40981-026-00854-8

Keisuke Yoshida, Yuko Matsumoto, Tatsumi Yakushiji, Takayuki Hasegawa, Satoki Inoue

引用次数: 0

Cardiac herniation six years after thoracoscopic thymectomy: a case report. 胸腔镜胸腺切除术后6年心脏疝1例。

IF 1

JA Clinical Reports Pub Date : 2026-03-24 DOI: 10.1186/s40981-026-00856-6

Yusei Ishizuka, Taiichiro Hayashida, Tomoaki Yoshii, Maiko Hasegawa-Moriyama

引用次数: 0

Remimazolam-based anesthesia with intraoperative motor evoked potential monitoring in a patient with Leigh syndrome undergoing scoliosis surgery: a case report. 雷马唑仑麻醉伴术中运动诱发电位监测的Leigh综合征脊柱侧凸手术患者一例报告。

IF 1

JA Clinical Reports Pub Date : 2026-02-13 DOI: 10.1186/s40981-026-00851-x

Takahiro Kuwabara, Takahiro Tamura, Masashi Takakura, Tasuku Fujii, Kanako Ozeki, Koichi Akiyama

引用次数: 0

Intraoperative detection and management of cerebral malperfusion in acute aortic dissection using regional cerebral oxygen saturation monitoring: case report. 局部脑氧饱和度监测术中发现和处理急性主动脉夹层脑灌注不良1例。

IF 1

JA Clinical Reports Pub Date : 2026-02-10 DOI: 10.1186/s40981-026-00853-9

Shinnosuke Miura, Hiroya Tsujimoto, Ayami Shimomiya, Kenji Yoshitani

{"title":"Intraoperative detection and management of cerebral malperfusion in acute aortic dissection using regional cerebral oxygen saturation monitoring: case report.","authors":"Shinnosuke Miura, Hiroya Tsujimoto, Ayami Shimomiya, Kenji Yoshitani","doi":"10.1186/s40981-026-00853-9","DOIUrl":"10.1186/s40981-026-00853-9","url":null,"abstract":"Background: Cerebral malperfusion during acute aortic dissection (AAD) surgery is a life-threatening event requiring prompt detection and intervention. We report a case of intraoperative extension of dissection into the brachiocephalic artery (BCA) detected by regional cerebral oxygen saturation (rSO₂) monitoring before cardiopulmonary bypass.Case presentation: A 78-year-old man undergoing emergency total aortic arch replacement showed a sudden bilateral rSO₂ decline after anesthesia induction, corresponding to BCA extension on transesophageal echocardiography. rSO₂ recovered during selective cerebral perfusion but fell again during CPB weaning. Carotid duplex ultrasonography revealed collapse of the right common carotid artery due to false lumen expansion compressing the true lumen. Reanastomosis of the BCA restored cerebral oxygenation.Conclusion: This case highlights the utility of multimodal monitoring-rSO₂ trends, transesophageal echocardiography, and carotid duplex ultrasonography-for detecting and managing cerebral malperfusion during AAD surgery. Early identification allows timely surgical revision and may improve neurological outcomes.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12992726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146149739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unexpected vascular structure during rectus sheath block in a cirrhotic patient. 肝硬化患者直肌鞘阻滞时意外血管结构。

IF 1

JA Clinical Reports Pub Date : 2026-02-06 DOI: 10.1186/s40981-026-00848-6

Tatsumi Yakushiji, Jun Honda, Keisuke Yoshida, Satoki Inoue

引用次数: 0

Unexpected difficult airway management and usefulness of high-flow nasal oxygenation for awake fiberoptic tracheal intubation: a case report. 意外困难的气道管理和高流量鼻氧合对清醒纤维气管插管的有用性：1例报告。

IF 1

JA Clinical Reports Pub Date : 2026-02-06 DOI: 10.1186/s40981-026-00850-y

Takero Arai, Ryosuke Osawa, Takashi Asai

引用次数: 0