Journal of Cardiothoracic Surgery最新文献

{"title":"Edinburgh Aortic Summit 2025.","authors":"","doi":"10.1186/s13019-025-03526-3","DOIUrl":"10.1186/s13019-025-03526-3","url":null,"abstract":"","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 Suppl 1","pages":"325"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12403297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144955453","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":"Giant right atrial myxoma emerging from the suprahepatic inferior vena cava, extending to the right atrium; a case report and literature review.","authors":"Ahmad K Darwazah, Maroun Helou, Younis Yasin, Raed Masalma, Anas Tuqan, Anas Barabrah, Basel Zaben, Bashar Yaghi, Moath Nairat, Hasan Al-Zammar, Abdelhalim Abu Haltam","doi":"10.1186/s13019-025-03492-w","DOIUrl":"https://doi.org/10.1186/s13019-025-03492-w","url":null,"abstract":"<p><p>Atrial myxomas are the most common primary cardiac tumors. In 20% of cases, they arise from the right atrium. Only a few such tumors are reported to have arisen from the inferior vena cava. We present the case of a 20-year-old female with recurrent vomiting and supraventricular tachycardia (SVT), found to have a massive myxoma emerging from the suprahepatic Inferior vena cava (IVC) involving the eustachian valve, and extending to the right atrium. Surgical excision was successful, leading to an uneventful recovery. This case underscores the importance of prompt diagnosis and surgical intervention in managing right atrial myxomas to prevent potential complications such as embolism and sudden death.</p>","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 1","pages":"349"},"PeriodicalIF":1.5,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12398067/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144955461","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":"Utilization of magnetic resonance imaging in the treatment of patients with acute myocardial infarction and intramyocardial hemorrhage.","authors":"Xiao-Long Mi, Li-Li Zhang, Yan-Hui Zhang, Zheng Xu, Peng-Fei Ding, Dong Sun","doi":"10.1186/s13019-025-03574-9","DOIUrl":"https://doi.org/10.1186/s13019-025-03574-9","url":null,"abstract":"<p><strong>Background: </strong>We assessed the diagnostic efficacy of magnetic resonance imaging (MRI) in patients with acute myocardial infarction (AMI).</p><p><strong>Methods: </strong>In this study, 116 patients with acute myocardial infarction (AMI) underwent direct PCI intervention, admitted to our hospital between January 2018 and January 2021 were selected. Based on the presence of intramyocardial hemorrhage (IMH), they were divided into the IMH group and the non-IMH group. There were 46 cases in the IMH group and 70 cases in the non-IMH group. All patients underwent cardiac magnetic resonance imaging (CMR) for detection. CMR was used to detect IMH and non-IMH infarction sites. Cardiac indicators of IMH and non-IMH were compared using CMR and echocardiography (ECHO). The diagnostic efficacy of MRI in patients with AMI who had myocardial hemorrhage was compared by generating receiver operating characteristic (ROC) curves.</p><p><strong>Results: </strong>The incidence of infarction sites was significantly higher in the IMH group than in the non-IMH group (all P < 0.05); myocardial detection results revealed a significantly higher incidence of ventricular aneurysm and pericardial fluid inclusion in the IMH group than in the non-IMH group (all P < 0.05); CMR evaluation revealed that the infarction size/left ventricular (IS/LV) volume percentage, patients with microvascular obstruction (MVO), and MVO/LV volume percentage were significantly higher in the IMH group than in the non-IMH group (all P < 0.05); global circumferential strain (GCS), global radial strain (GRS), and global longitudinal strain (GLS) in the IMH group were significantly lower than those in the non-IMH group (all P < 0.05); was both groups underwent echocardiography after percutaneous coronary intervention (PCI). The results indicated a significant decrease in left ventricular ejection fraction (LVEF) and a significant increase in left ventricular end-diastolic dimension (LVEDd) and IS/LV volume percentage in the IMH group compared to the non-IMH group (all P < 0.05); the area under the ROC curve of MRI for patients with AMI who had intramyocardial hemorrhage was 0.869, with high specificity and sensitivity; the sensitivity was 87.00, and the specificity was 85.00.</p><p><strong>Conclusion: </strong>MRI can detect myocardial hemorrhage in patients with AMI after PCI, which suggests significant clinical diagnostic value and is worthy of utilization in clinical practice.</p>","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 1","pages":"348"},"PeriodicalIF":1.5,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12395912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144955456","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":"Machine learning in predicting preoperative intra-aortic balloon pump use in patients undergoing coronary artery bypass grafting.","authors":"Qian Zhang, Peng Zheng, Yang Pan, Luo Li, Changqing Yang, Hengfang Wu, Zhiping Bian, Sheng Zhao, Xiangjian Chen","doi":"10.1186/s13019-025-03571-y","DOIUrl":"https://doi.org/10.1186/s13019-025-03571-y","url":null,"abstract":"<p><strong>Background: </strong>Intra-aortic balloon pump (IABP) implantation in the perioperative period of cardiac surgery is an auxiliary treatment for cardiogenic shock. However, there is a lack of effective prediction models for preoperative IABP implantation.</p><p><strong>Objectives: </strong>This study was designed to build machine learning algorithm-based models for early predicting risk factors of preoperative IABP implantation in patients who underwent coronary artery bypass grafting (CABG) surgery.</p><p><strong>Methods: </strong>Patients undergoing CABG were retrospectively enrolled from the hospital between January 2015 and March 2024 and divided into the preoperative and non-preoperative (including intraoperative and postoperative) IABP implantation groups. After feature selection by the cross-validation least absolute shrinkage and selection operator (LassoCV) algorithm, machine learning models were developed. The final model was considered according to its discrimination, including area under the receiver operating characteristic curve (AUC) and kolmogorov-smirnov (KS) plot.</p><p><strong>Results: </strong>The preoperative IABP group enrolled 95 (40.3%) patients. The Gaussian Naïve Bayes (GNB) model achieved the most excellent prediction ability based on its highest AUC of 0.76 (0.69-0.82) in the training set, 0.72 (0.49-0.94) in the validation set, and good KS plot and identified the top six features. The SHapley Additive exPlanations force analysis further illustrated visualized individualized prediction of preoperative IABP implantation.</p><p><strong>Conclusion: </strong>Our study suggests that the GNB model achieved superior performance compared to others in predicting preoperative IABP implantation in patients undergoing CABG surgery. This may contribute to risk-prediction and decision-making in clinical practice.</p>","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 1","pages":"347"},"PeriodicalIF":1.5,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12392650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144955393","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":"Impact of the COVID-19 pandemic on admission trends, diagnosis patterns, and demographics of ischemic heart disease patients: a retrospective study.","authors":"Seyedeh Fatemeh Hosseininezhad, Mohammad Taghi Moghadamnia, Maryam Gholami, Parivash Nazarpour, Ghazaleh Baakaram Maryan, Saman Maroufizadeh, Saeed Ahmadi, Arsalan Salari, Marzieh Jahani Sayad Noveiri","doi":"10.1186/s13019-025-03564-x","DOIUrl":"https://doi.org/10.1186/s13019-025-03564-x","url":null,"abstract":"<p><strong>Background and aim: </strong>Regarding the impact of the coronavirus disease 2019 (COVID-19) and the significance of controlling its spread and also due to the knowledge of the type of demographic characteristics during the Covid outbreak, investigating the cases affected by this condition in the course of its outbreak helps handle multiple critical situations.</p><p><strong>Methods: </strong>This retrospective study with a cross-sectional analytical research design was conducted on the statistical population of all admitted patients during the study period with the primary diagnosis of IHD, admitted to Dr. Heshmat Teaching Hospital in Rasht, Gilan Province, Iran, from early February to late April 2020. The samples were selected using the convenience sampling technique through a census, the medical records, and the information completed according to the data collection form. The data analysis was performed using the SPSS Statistics (ver.16.0) software. All the statistical tests were also two-tailed, considering the significance level 0.05.</p><p><strong>Results: </strong>In the COVID-19 period group, there were more females (45.4% vs. 40.2%, P = 0.019) as well as older patients (62 [IQR 53-71] vs. 61 [IQR 53-70], P = 0.048) compared to the pre-COVID-19 period group. In general, the proportion of patients with current smoking (13.0% vs. 24.4%, P < 0.000), opium consumption (7.2% vs. 14.7%, P < 0.000), and alcohol consumption (0.8% vs. 2.7%, P < 0.001) was lower in the COVID-19 period group compared to the pre-COVID-19 period group.The study findings revealed that the frequency of daily admissions after the COVID-19 peak outbreaks had been significantly higher as compared to those before the pandemic (17.5 [IQR 13.25-22] vs. 12 [IQR 8-19.75], p < 0.001). As well, the in-hospital mortality rates during COVID-19 had been significantly higher than those in 2019, before this condition (4.8% vs. 2.4%, p = 0.004).</p><p><strong>Conclusion: </strong>Given the increasing number of patients admitted during the COVID-19 period, clinical care of patients with IHD, as well as its management and outcomes, becomes more important. It was suggested that these patients be educated about telephone and online services.</p>","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 1","pages":"346"},"PeriodicalIF":1.5,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12392541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144955427","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":"Esophageal reconstruction using a hypopharyngeal anastomosis - a single center experience with review of the literature.","authors":"Lauren Bougioukas, Lucio M Pereira, Matthew J Weiss, Lawrence R Glassman, David Zeltsman, Kevin M Hyman, Julissa E Jurado, Paul C Lee","doi":"10.1186/s13019-025-03575-8","DOIUrl":"https://doi.org/10.1186/s13019-025-03575-8","url":null,"abstract":"<p><strong>Background: </strong>Lye ingestion or other esophageal trauma may require surgical reconstruction. The hypopharyngeal anastomosis during esophageal reconstruction is a technically demanding procedure with many nuances in approach. Patients often have a challenging post-operative course, and few regain the ability to tolerate a normal diet.</p><p><strong>Case presentation: </strong>We describe a case series of three patients (2 colon interpositions and 1 gastric pull-up) who underwent esophageal reconstruction with a hypopharyngeal anastomosis at our institution from years 2017 to 2024, then review the literature.</p><p><strong>Conclusions: </strong>We recommend a multidisciplinary team approach with otolaryngology and/or general surgery for the neck dissection and preparation of the conduit. For the hypopharyngeal anastomosis, we recommend a two-layer, interrupted suture method to the left, lateral piriform sinus along with careful laryngeal nerve preservation. Patients require close follow-up for endoscopic therapy to treat the often-inevitable dysphagia after surgery. All three patients survived and had improved swallow function after surgery.</p>","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 1","pages":"345"},"PeriodicalIF":1.5,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12379545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144955401","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":"Feasibility of laryngeal mask airway ventilation in selected pediatric pulmonary artery sling surgeries: a retrospective review.","authors":"Xiao Shen, Fan Zhang, HuiFeng Zhang, Ming Ye","doi":"10.1186/s13019-025-03550-3","DOIUrl":"https://doi.org/10.1186/s13019-025-03550-3","url":null,"abstract":"","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 1","pages":"344"},"PeriodicalIF":1.5,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12374344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144955420","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":"Does Valve-Sparing Repair Improve Outcomes in Tetralogy of Fallot? A Systematic Review.","authors":"Jabez David John, Tirath Patel, Monica Kharat, Jeet HansalKumar Patel, Jubran Al Hooti, Zoya Riyaz Syeda, Rohit Anil Khare, Sonya Bhatia, Amin Ibrahim, Arjun Bellamkonda, Nikhilesh Anand, Bharathi S Gadad","doi":"10.1186/s13019-025-03519-2","DOIUrl":"https://doi.org/10.1186/s13019-025-03519-2","url":null,"abstract":"<p><strong>Background: </strong>The systematic review determines whether valve-sparing surgeries improve patient outcomes compared with non valve-sparing surgeries for tetralogy of Fallot. Although previous studies have reported superior outcomes in valve-sparing surgery, no systematic review has compared these outcomes with those of nonsurgical surgical methods.</p><p><strong>Methods: </strong>In the present research, we address this gap in the literature by comparing valve-sparing and non valve-sparing surgery outcomes. PubMed, PubMed Central, and Medline served as the databases for data collection; following the PRISMA guidelines, a comprehensive search strategy identified relevant articles for the review; the search strategy included Medical Subject heading (MeSH) terms and important keywords. The search strategy initially revealed seventy articles; these were further screened by title and abstract and refined to fifteen articles for full-text analysis. For further full-paper analysis, eight articles were refined and formed the basis of our analysis. There was a severe limitation of high-quality clinical trials and prospective studies, and we included any good-quality papers that passed the quality check and adhered to the inclusion and exclusion criteria.</p><p><strong>Results: </strong>The number of patients included in this study was 962 from 8 studies; 351 underwent valve-sparing surgery, and 611 underwent TOF correction via non valve-sparing methods. This systematic review provides encouraging evidence that suggests better outcomes for valve-sparing surgery. Most studies have consistently reported a significantly lower prevalence of moderate or severe pulmonary regurgitation in valve-sparing surgeries. Since the valve-sparing technique allows for the preservation of the native valves, it allows for better growth of the pulmonary valve. Additionally, most studies reported that valve-sparing surgeries significantly improved proper ventricular function, but mixed results regarding reintervention have been reported. The risk of complications was similar between the surgical modalities; valve-sparing repair has consistently outperformed other surgical modalities. Low birth weight remains a prominent risk factor even for valve-sparing surgery.</p><p><strong>Conclusion: </strong>In summary, the evidence presented in this review strongly supports the use of valve-sparing surgery for improved patient outcomes. This systematic review highlights the benefits of valve-sparing surgery over other surgical techniques. It can be a foundation for clinical practice that allows surgeons to make better, informed decisions about patient care. The limitations of the lack of studies found when this review was conducted can further guide other research, strengthen the evidence, and lead to better patient care.</p>","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 1","pages":"343"},"PeriodicalIF":1.5,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12369264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144955443","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 support to recovery: the evolving role of LVAD in reversing heart failure.","authors":"Bingqi Sun, Zhigang Liu","doi":"10.1186/s13019-025-03560-1","DOIUrl":"10.1186/s13019-025-03560-1","url":null,"abstract":"<p><p>In recent years, the use of Left Ventricular Assist Devices (LVAD) in the treatment of heart failure has been increasingly widespread. Not only do they provide circulatory support for patients, but the reverse biological changes in myocardial tissue induced by LVAD have led to the recovery of heart function in some patients, allowing for the removal of the device-which termed bridge to recovery (BTR). Despite promising prospective studies reporting LVAD explantation rates exceeding 48-60% in BTR-focused cohorts, real-world registries (e.g., INTERMACS) demonstrate explantation rates below 5%, underscoring critical gaps in patient selection, standardized assessment protocols, and integration of optimized pharmacological and mechanical unloading strategies. This review synthesizes contemporary clinical and molecular insights into LVAD-mediated myocardial recovery. Clinically, key determinants of successful BTR include stringent hemodynamic and echocardiographic criteria for explantation (e.g., LVEF > 45%, PCWP ≤ 15 mmHg), and aggressive guideline-directed medical therapy (GDMT), particularly neurohormonal blockade. Mechanistically, LVAD unloading promotes reverse remodeling through metabolic reprogramming (e.g., enhanced pyruvate-lactate axis activity), restoration of calcium homeostasis, extracellular matrix modulation, and immune-mediated pathways. However, challenges persist, including the lack of predictive biomarkers, suboptimal GDMT adherence, and unresolved debates regarding concomitant cardiac procedures. Emerging evidence highlights the potential of novel pharmacotherapies (e.g., SGLT2 inhibitors, vericiguat) and individualized pump-speed algorithms to augment recovery. Pediatric populations exhibit unique recovery dynamics, with myocarditis and smaller body surface area correlating with higher explantation success. Partial cardiac recovery, observed in over 30% of LVAD recipients, warrants tailored therapeutic strategies to transition to full recovery. Future directions demand multicenter registries integrating molecular profiling with clinical outcomes, standardized BTR protocols, and exploration of adjuvant therapies. By redefining BTR as an achievable goal rather than a rare exception, this paradigm shift could transform advanced heart failure management, offering patients liberation from lifelong device dependency.</p>","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 1","pages":"340"},"PeriodicalIF":1.5,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12363120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144882886","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":"Intra-aortic balloon pump can be used after acute type A aortic dissection repair.","authors":"Akiko Tanaka, Yuki Ikeno, Harleen K Sandhu, Charles C Miller Iii, Hazim J Safi, Anthony L Estrera","doi":"10.1186/s13019-025-03556-x","DOIUrl":"10.1186/s13019-025-03556-x","url":null,"abstract":"<p><strong>Objectives: </strong>We analyzed our data to evaluate the safety and feasibility of intraoperative extracorporeal membrane oxygenation and intra-aortic balloon pump use in acute type A aortic dissection repair.</p><p><strong>Methods: </strong>Between December 1999-December 2020, we identified patients who received intraoperative extracorporeal membrane oxygenation and/or intra-aortic balloon pump support to wean off cardiopulmonary bypass were retrospectively reviewed.</p><p><strong>Results: </strong>A total of 690 patients who underwent acute type A dissection repair. In all, 31 patients received intraoperative circulatory support (11 extracorporeal membrane oxygenation, 20 intra-aortic balloon pump) to wean off cardiopulmonary bypass. In all, 14 patients (45%) were female and the median age was 65 years (interquartile range 51-73). Prior to the acute type A dissection repair, 13 (42%) had coronary malperfusion, 7 (23%) had visceral malperfusion, 4 (13%) presented with acute coronary syndrome, and 8 (26%) received cardiopulmonary resuscitation. The median clamp time was 108 min (interquartile range 89-157) and circulatory arrest time was 25 min (interquartile range 19-31). Concomitant procedures included 11 coronary artery bypass grafting (35%), 4 root replacements (13%) and 1 total arch replacement (3%). Overall, in-hospital mortality was 67%: 10 of 11 (91%) patients with extracorporeal membrane oxygenation and 11 of 19 patients (55%) with intra-aortic balloon pump expired. There were no intra-aortic balloon pump-specific aortic complications (i.e. aortic rupture, extension of dissection).</p><p><strong>Conclusions: </strong>Outcomes after extracorporeal membrane oxygenation support in acute type A dissection were discouraging. There may be a role for intra-aortic balloon pump following acute type A dissection repair to allow patients to recover from cardiogenic shock in the selected patients.</p>","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 1","pages":"342"},"PeriodicalIF":1.5,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12366293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144882887","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}