Journal of Cardiothoracic Surgery最新文献

{"title":"Correction: Comparison of outcomes between axillary and femoral artery cannulation for type A aortic dissection surgery.","authors":"ZhenHong Wang, YiHui Yu, XinYi Xie, LinLin Wan, Lei Wang, JiaLin Yin","doi":"10.1186/s13019-025-03581-w","DOIUrl":"10.1186/s13019-025-03581-w","url":null,"abstract":"","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 1","pages":"335"},"PeriodicalIF":1.5,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12344821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144846631","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":"Prognosis of non-small cell lung cancer patients undergoing compromised wedge vs. segmental resection: a population-based cohort study.","authors":"Shengchao Zhang, Suoming Peng, Long Zhang, Qingshou Luo, Bingchuan Dai, Hongwei Xia, Chunling Du","doi":"10.1186/s13019-025-03578-5","DOIUrl":"10.1186/s13019-025-03578-5","url":null,"abstract":"<p><strong>Background: </strong>Sublobar resection (SLR), which includes wedge resection (WR) and segmental resection (SR), is often considered a compromised procedure for non-small cell lung cancer (NSCLC) patients who have limited pulmonary reserve or other conditions that cannot tolerate lobectomy. This study intends to evaluate and compare the results of WR and SR on overall survival (OS) in patients undergoing compromised SLR.</p><p><strong>Methods: </strong>Data from the Surveillance, Epidemiology, and End Results (SEER) database was analyzed, identifing 2,047 patients with pathological stage (pStage) IB-IIIB NSCLC who underwent compromised SLR, including WR and SR. The two treatment groups' potential baseline differences were balanced using propensity score matching (PSM). Univariate and multivariate analyses were conducted to determine the impact of procedures on OS before PSM. Kaplan-Meier (KM) analysis calculated survival curves and compared OS across groups before and after PSM. Subgroup analysis investigated the influence of surgical procedures on OS within specific patient subgroups after PSM. Additionally, a sensitivity analysis focusing on patients with T1 and T2 stages was performed after PSM to validate the robustness of the results.</p><p><strong>Results: </strong>Overall, 421 patients (20.57%) underwent SR. In univariate analysis, SR was associated with improved OS as compared to WR (HR = 0.85; 95% CI: 0.75-0.97; P = 0.02). Nevertheless, the association did not last in the multivariate analysis (HR = 0.94; 95% CI: 0.82-1.07; P = 0.32). Following PSM, KM analysis also revealed no significant difference in OS (P = 0.21). A subgroup analysis revealed that SR provided a marginal improvement in OS for patients under the age of 60. However, this impact was only borderline statistically significant (HR = 0.49; 95% CI: 0.23-1.03; P = 0.059), and no relevant link was observed in other groups. Additionally, a sensitivity analysis demonstrated no significant association between SR and OS (HR = 0.91; 95% CI: 0.73-1.13; P = 0.39).</p><p><strong>Conclusions: </strong>The benefit of SR over WR in compromised SLR for NSCLC patients may be limited. Further studies are necessary to clarify the optimal surgical approach for different patient subgroups.</p>","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 1","pages":"334"},"PeriodicalIF":1.5,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12344825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144835201","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":"Early alpha power in the frontal lobe area can predict delirium after cardiac surgery.","authors":"Fengbo Pei, Xupeng Yang, Pengfei Chen, Jinhua Wei, Yao Yao, Zhou Zhao, Hui Wu, Yi Shi, Zujun Chen","doi":"10.1186/s13019-025-03576-7","DOIUrl":"10.1186/s13019-025-03576-7","url":null,"abstract":"<p><strong>Background: </strong>Delirium is a common postoperative complication in patients undergoing cardiac surgery and is associated with prolonged hospitalization and persistent cognitive impairment. This study aimed to assess the predictive value of alpha power in various brain regions at different time points for postoperative delirium.</p><p><strong>Methods: </strong>Patients scheduled for routine cardiac surgery were prospectively enrolled. All participants underwent 12-hour ambulatory electroencephalography (EEG) monitoring immediately upon admission to the intensive care unit (ICU). Delirium was assessed daily using the CAM-ICU criteria for five postoperative days. Alpha power in the frontal, parietal, and occipital lobes was analyzed at three time points: immediately (T0), at 6 h, and at 12 h postoperatively.</p><p><strong>Results: </strong>Among the 106 patients in the training cohort, 45 developed postoperative delirium. These patients had a higher incidence of hypertension and prolonged extracorporeal circulation and aortic clamping times. Alpha power in the frontal lobe at T0 was identified as the most accurate predictor of delirium, with an area under the curve (AUC) of 0.91 (95% CI: 0.84-0.97). The validation cohort (n = 74) showed consistent results with an AUC of 0.9188 (95% CI: 0.87-0.99; P < 0.001).</p><p><strong>Conclusion: </strong>Frontal lobe alpha power measured immediately postoperatively could be a reliable neurophysiological biomarker for predicting delirium after cardiac surgery, outperforming conventional clinical predictors (AUC 0.91 vs. 0.70).</p>","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 1","pages":"333"},"PeriodicalIF":1.5,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12341309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144821543","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":"Successful management of a delayed-presented and complicated right ventricular pseudoaneurysm: a case report and literature review.","authors":"Fariba Bayat, Ramin Baghaei Tehrani, Mohammad Khani, Tooba Akbari, Taraneh Faghihi Langroudi, Maryam Taheri, Amirhesam Alirezaei, Amin Bagheri, Pouya Ebrahimi","doi":"10.1186/s13019-025-03566-9","DOIUrl":"10.1186/s13019-025-03566-9","url":null,"abstract":"<p><strong>Introduction: </strong>Right ventricle (RV) pseudoaneurysm is a substantially rare but fatal condition that should be diagnosed promptly to prevent severe complications, such as rupture and death. However, due to its nonspecific presentation, its diagnosis relies mainly on advanced imaging cardiac modalities. This report describes the successful management of a delayed and unusual presentation of RV pseudoaneurysm.</p><p><strong>Case presentation: </strong>A 31-year-old white male patient with a history of pericardiectomy presented with chest pain and dyspnea, which worsened by exertion, and edema of the lower extremities, which had started several weeks ago and had been exacerbated over time. The initial evaluations with cardiac enzyme check, chest X-ray, and electrocardiogram were unremarkable, and the patient was planned to undergo a transthoracic echocardiogram (TTE). TTE revealed RV failure and increased RV diameter; a suspicious lesion in the RV apex was also detected, suggesting a pseudoaneurysm. Cardiac Computed Tomography (CTA) confirmed the diagnosis, and interventional treatment via an Amplatzer device was considered, which was rejected by the interventional cardiologist of the center due to the lack of experience and logistics for such intervention. Considering the patient's condition deterioration, the patient was transferred to an operating room, and an open-heart surgery was performed to suture the ruptured RV myocardium. The pericardial effusion was removed. The histopathological evaluation of the sample confirmed the diagnosis. The post-surgical recovery and follow-up were uneventful. The graphical abstract is added below to illustrate the case and summarize it.</p><p><strong>Conclusion (clinical key point): </strong>Right ventricle pseudoaneurysms can present with unusual symptoms and signs, and misdiagnosis is highly probable. Advanced imaging techniques after the initial echocardiogram might be necessary to confirm the diagnosis. Moreover, timely, appropriate, and wisely chosen treatment (interventional or surgical) can result in uneventful treatment and recovery.</p>","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 1","pages":"329"},"PeriodicalIF":1.5,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812071","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":"Predictive factors and pharmacological preventive interventions for atrial fibrillation after aortic valve replacement.","authors":"Lu Chen, Yu Liu, Junmei Ge","doi":"10.1186/s13019-025-03577-6","DOIUrl":"10.1186/s13019-025-03577-6","url":null,"abstract":"","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 1","pages":"328"},"PeriodicalIF":1.5,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812070","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":"Correction: Quality of registration and adherence to guidelines for blood management in CABG surgeries: a case study.","authors":"Giulia M R De Luca, Eline Vlot, Thomas van Dijk","doi":"10.1186/s13019-025-03547-y","DOIUrl":"10.1186/s13019-025-03547-y","url":null,"abstract":"","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 1","pages":"327"},"PeriodicalIF":1.5,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144804182","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":"Left ventricular wire pacing technique in transcatheter aortic valve replacement.","authors":"Mengnan Shi, Hang Zhang, Jinghui An, Fengwu Shi, Hongning Yin, Suyun Liu","doi":"10.1186/s13019-025-03580-x","DOIUrl":"10.1186/s13019-025-03580-x","url":null,"abstract":"<p><strong>Objective: </strong>To assess the impact of using the left ventricular lead pacing technique in transcatheter aortic valve replacement (TAVR) procedure.</p><p><strong>Methods: </strong>Thirty patients who underwent TAVR using the left ventricular lead pacing technique between January 2022 and July 2022 were selected as the study group. The research monitored intraoperative pacing effectiveness, the successful placement of \"valve-in-valve\" during the surgical procedure, the frequency of severe complications both during and after the surgery, surgical duration, total radiation dose, and overall hospitalization expenses. Additionally, the occurrence of adverse events such as mortality, stroke, and myocardial infarction within the three-month period subsequent to the surgery was documented.</p><p><strong>Results: </strong>All patients underwent successful pacing and completed TAVR with left ventricular lead pacing, with 29 cases conducted through the transfemoral approach and 1 case through the transcarotid approach. A total of 32 interventional valves were effectively implanted, including 2 cases of \"valve-in-valve\" treatment. Intraoperative circulatory collapse occurred in 2 cases but was promptly managed and resolved. Mild paravalvular leak was observed in 25 cases post-surgery, while no significant paravalvular leaks were detected in the remaining cases. None of the patients experienced III-degree atrioventricular block or other cardiac conduction blocks necessitating temporary or permanent pacemaker implantation post-surgery. Preoperative symptoms were alleviated or completely resolved to varying extents. The average surgery duration was 86.8 ± 18.2 min, total radiation dose was 756.5 ± 131 mGy, and total hospitalization costs were 33.18 ± 2.5 ten thousand yuan (5.10 ± 0.38 ten thousand US dollars). During the three-month postoperative follow-up, no adverse events such as fatality, stroke, or myocardial infarction were reported.</p><p><strong>Conclusion: </strong>The use of the left ventricular lead pacing technique in TAVR demonstrates both safety and reliability.</p>","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 1","pages":"332"},"PeriodicalIF":1.5,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812068","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":"Perceval prosthesis implantation into challenging degenerated aortic valves: a literature review and case series.","authors":"Pouya Nezafati, Chimezi Uchime, Sumit Yadav","doi":"10.1186/s13019-025-03369-y","DOIUrl":"10.1186/s13019-025-03369-y","url":null,"abstract":"<p><strong>Background: </strong>The Perceval Sutureless prosthesis can increase the effective orifice area (EOA) and reduce the chance of prosthesis-patient mismatch (PPM). This report presents three patients with challenging degenerated bioprosthetic valves undergoing redo aortic valve replacement (rAVR) using the Perceval (LivaNova, London, UK) prosthesis from a cohort of more than 300 performed cases and a review of the literature on the management of challenging degenerated valves.</p><p><strong>Methods: </strong>Case 1: Degenerated 23 mm Trifecta with the valve cage densely adherent to the annulus. Cage with sewing ring were excised and annulus sized to a large Perceval valve. Case 2: Degenerated 29 mm Epic from a Bentall's procedure. Calcified and rigid prosthetic leaflets as well as stent posts were excised and XL Perceval implanted. Case 3: Degenerated 27 mm Epic with signs of endocarditis from a history of Bentall's procedure. Three calcified leaflets of the Epic valve were completely excised. The orifice accepted a medium Perceval.</p><p><strong>Results: </strong>The total Cardiopulmonary Bypass (CPB) and aortic cross clamp (ACC) times (in minutes) were 99.76, 117.68 and 143.99 in Cases 1, 2 and 3, respectively. Moreover, post-implantation transesophageal echocardiogram (TOE) demonstrated a well-seated valve, no paravalvular leak in all cases and a peak gradient of 12.7 mmHg, 14.8 mmHg and 17.7 mmHg in Cases 1, 2 and 3, respectively.</p><p><strong>Conclusion: </strong>The Perceval prosthesis is an excellent choice for rAVR, as it can safely simplify challenging cases at risk of PPM and is an excellent valve-in-valve alternative to degenerated or infected Bentall valves with patent graft. The Perceval prosthesis can be well seated on the different structures of a degenerated bioprosthetic valve.</p>","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 1","pages":"331"},"PeriodicalIF":1.5,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812069","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":"Effect of recurrence in the blanking period after thoracoscopic atrial fibrillation ablation on long-term recurrence.","authors":"Haoyu Chen, Jimeng Yang, Yongfeng Shao, Weidong Gu, Buqing Ni, Jiaxi Gu, Minglong Chen, Mingfang Li","doi":"10.1186/s13019-025-03573-w","DOIUrl":"10.1186/s13019-025-03573-w","url":null,"abstract":"<p><strong>Background: </strong>This study evaluated the impact of atrial fibrillation (AF) recurrence during the \"blanking period\" following thoracoscopic ablation on long-term AF recurrence.</p><p><strong>Methods: </strong>This prospective observational study enrolled consecutive patients who underwent thoracoscopic AF ablation at our center between 2013 and 2020. Patients were grouped based on AF recurrence during the 3-month blanking period: no recurrence (Group A), early recurrence only (0-7 days, Group B), late recurrence only (8 days-3 months, Group C), or both early and late recurrence (Group D). The primary endpoint was long-term AF recurrence.</p><p><strong>Results: </strong>We finally analyzed 171 patients (mean age 62.5 ± 8.4 years, 34.5% female). During the blanking period, 118 patients (69.0%) experienced recurrent AF, distributed as follows: 57 in Group B, 35 in Group C, and 26 in Group D. During the median follow-up of 42.3 months (interquartile range: 25.0-60.4 months), post-blanking AF recurrence occurred in 85 patients (49.7%). Group A had the lowest post-blanking recurrence rate. Recurrence in any form (Groups B, C, or D) was associated with a significantly increased risk of long-term AF recurrence compared to Group A (adjusted HR 2.43, 95% CI 1.40-4.24, P = 0.002). Furthermore, Group B had a lower post-blanking recurrence rate (adjusted HR 0.58, 95% CI 0.35-0.97, P = 0.04) compared to Groups C and D.</p><p><strong>Conclusions: </strong>Late recurrence during the blanking period is a strong predictor of long-term AF recurrence, suggesting the need for closer monitoring and early intervention for patients with late recurrence during the blanking period after thoracoscopic AF ablation.</p>","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 1","pages":"330"},"PeriodicalIF":1.5,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812067","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":"Hemodynamic performance and midterm clinical outcomes after surgical aortic valve replacement using trifecta and perimount magna valves: a Japanese single-center experience.","authors":"Yujiro Miura, Nao Ichihara, Shinji Kawaguchi, Ryota Nomura, Masanao Nakai, Fumio Yamazaki, Tomoya Onodera, Hiroaki Kitaoka","doi":"10.1186/s13019-025-03565-w","DOIUrl":"10.1186/s13019-025-03565-w","url":null,"abstract":"<p><strong>Background: </strong>Surgical bovine pericardial bioprosthetic valves have become popular because of their improved durability; however, with the rise of transcatheter aortic valve implantation, bioprosthetic valves that offer superior hemodynamics are needed. This single-center observational study aimed to compare the hemodynamic performance of the Trifecta and Magna valve bioprostheses.</p><p><strong>Methods: </strong>Patients with aortic stenosis, aortic regurgitation, or aortic annulus ectasia who underwent surgical aortic valve replacement, aortic valve-preserving surgery, or the modified Bentall procedure at the Shizuoka City Shizuoka Hospital between 2013 and 2019 were recruited. Patients who received Trifecta (Trifecta group) and Magna valves (Magna group) were retrospectively analyzed. All-cause mortality rates and major adverse cardiac and cerebrovascular events were the primary and secondary outcomes, respectively.</p><p><strong>Results: </strong>A total of 500 patients were included; 131 and 369 patients in the Trifecta and Magna groups, respectively. Both groups had a low in-hospital mortality rate (1.5%). Survival rates at 5 and 8 years were similar, with lower rates in the Trifecta group (p = 0.346). Both groups had similar major adverse cardiac and cerebrovascular event rates up to 2.7 years post-surgery, but the Trifecta group showed higher rates than did the Magna group thereafter. Over a mean period of 3.16 years, seven Trifecta patients were diagnosed with structural valve deterioration, while no patients from the Magna group were affected.</p><p><strong>Conclusion: </strong>While the Trifecta valve may offer better hemodynamics than those by the Magna valve, it may not necessarily improve the midterm prognosis of patients undergoing surgical aortic valve replacement or modified Bentall procedures.</p><p><strong>Trial registration: </strong>This study was retrospectively registered in IRB approval no., 21-85 on 21st. September. 2021.</p>","PeriodicalId":15201,"journal":{"name":"Journal of Cardiothoracic Surgery","volume":"20 1","pages":"326"},"PeriodicalIF":1.5,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144804183","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}