Journal of Cardiac Surgery最新文献

{"title":"Health-Related Quality of Life Following the Ross Procedure: A Systematic Review","authors":"Sugam Dhakal,&nbsp;Dujinthan Jayabalan,&nbsp;Aarohanan Raguragavan,&nbsp;Akshat Saxena","doi":"10.1155/jocs/5828872","DOIUrl":"https://doi.org/10.1155/jocs/5828872","url":null,"abstract":"<p>The Ross procedure provides a living autologous aortic valve substitute and avoids lifelong anticoagulation, but its effect on health-related quality of life (HRQoL) relative to alternative aortic valve strategies remains incompletely defined. We conducted a systematic review of studies published from January 2000 to 17 September 2026 evaluating postoperative HRQoL after the Ross procedure using validated patient-reported outcome instruments. Twelve studies met the eligibility criteria. Six directly compared Ross recipients with mechanical aortic valve replacement (mAVR): three reported significantly better Ross outcomes in at least one SF-36 domain, one favoured the mechanical group in selected domains, and two found no significant difference. A randomised comparison with homograft aortic root replacement demonstrated higher physical functioning, general health and physical component scores after Ross at long-term follow-up. Comparisons with aortic valve repair were generally similar. Paediatric and young-adult studies demonstrated generally preserved HRQoL compared with healthy or relevant reference populations, although psychological concerns were identified in selected cohorts. Contemporary long-term data using PROMIS-10 and MacNew similarly demonstrated preserved physical and favourable mental and disease-specific HRQoL after Ross. Important limitations included substantial clinical and methodological heterogeneity, absence of preoperative HRQoL in most studies, residual confounding in observational comparisons and selection/non-response bias. Available evidence suggests that long-term HRQoL after the Ross procedure is generally preserved, with selected domain-level advantages reported against mAVR and homograft comparators. However, the heterogeneous and predominantly observational evidence base does not establish global HRQoL superiority of Ross over alternative aortic valve procedures.</p>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"2026 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jocs/5828872","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149258314","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":"Comparison of Hospital Outcomes of Patients Who Undergo Urgent CABG Compared to Patients Who Undergo Elective CABG","authors":"Amir Ghaffari Jolfayi,&nbsp;Nima Taheri,&nbsp;Zahra Hosseini,&nbsp;Arezoo Rezaei,&nbsp;Atefeh Kashanizadeh,&nbsp;Zahra Amir Sardari,&nbsp;Erfan Kohansal,&nbsp;Amir Askarinejad,&nbsp;Ali Mohammad Nasirian,&nbsp;Mansoor Namazi,&nbsp;Ata Firouzi","doi":"10.1155/jocs/2458116","DOIUrl":"https://doi.org/10.1155/jocs/2458116","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Coronary artery bypass grafting (CABG) is one of the most common cardiac surgeries worldwide. Whether performed electively or urgently, CABG is associated with significant differences in postoperative outcomes. Urgent CABG is associated with higher postoperative morbidity and mortality, often influenced by preoperative cardiac risk factors. This study compares the demographics, clinical characteristics, and outcomes of patients undergoing urgent versus elective CABG.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This retrospective study analyzed data from 4872 patients who underwent CABG between 2019 and 2022 at Rajaie Cardiovascular Medical and Research Institute. Urgent CABG was defined as surgery performed within 24–72 h (mostly within 48 h) of a precipitating clinical event. The primary outcome was in-hospital mortality, while secondary outcomes included postoperative complications such as cardiac arrest and acute kidney injury. Echocardiographic indices and laboratory parameters were also evaluated. Multivariable logistic regression analysis was performed to identify independent risk factors associated with in-hospital mortality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In this study of 4872 patients undergoing CABG, 81.6% had elective and 18.4% had urgent surgery. Urgent CABG was associated with significantly higher in-hospital mortality compared with elective procedures (6.8% vs. 2.7%, <i>p</i> = 0.01), while the rate of acute kidney injury was similar. In multivariable logistic regression analysis, increasing age, longer cardiopulmonary bypass time, renal dysfunction, and urgent surgery independently increased the risk of in-hospital mortality, while higher preoperative LVEF was protective.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Primary outcome and mortality after CABG are determined by a combination of patient- and procedure-related factors. Older age, renal dysfunction, prolonged cardiopulmonary bypass time, lower preoperative ejection fraction, and urgent surgical status significantly increase the risk of early postoperative death, with urgent CABG more than doubling mortality compared with elective surgery. These findings emphasize the importance of individualized risk assessment, timely referral, optimal preoperative stabilization, and meticulous perioperative management, particularly in high-risk and urgent cases, to improve short-term surgical outcomes and reduce in-hospital mortality.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"2026 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jocs/2458116","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149258459","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":"Glucose and Insulin Supplementary Solution Successfully Extended Cardiac Preservation at Subzero Nonfreezing Supercooling Storage in Rat Heart Transplant","authors":"Xun-Feng Zou,&nbsp;Shao-Hua Wu,&nbsp;Jian-Gong Ma,&nbsp;Meng Wang,&nbsp;Zhong-Yang Shen,&nbsp;Ren-De Guo","doi":"10.1155/jocs/6794569","DOIUrl":"https://doi.org/10.1155/jocs/6794569","url":null,"abstract":"<p>Prolonged cold storage can lead to significant ischemic damage in the heart. The glucose–insulin–potassium (GIK) solution exhibits potential antioxidant properties in the context of cardiac ischemia. However, the effects of GIK on hearts subjected to extended cold preservation conditions remain largely unexplored. Therefore, this study aimed to evaluate the protective role of GIK against cold-induced ischemia–reperfusion injury using a rat heart transplantation model. Rat hearts were preserved at either 4°C or −8°C in a multiple-saccharide (MS) solution, with or without GIK supplementation, for extended durations (8, 16, or 24 h). Myocardial enzyme levels, markers of oxidative damage, and indices of myocardial apoptosis were quantified both before and after transplantation.</p><p>Compared with hearts stored in MS solution at 4°C for 8 h, those preserved in GIK-supplemented solution exhibited significantly higher myocardial ATP content, markedly lower serum myocardial enzyme levels, enhanced glutathione activity in cardiac tissue, and reduced malondialdehyde concentration (all <i>p</i> &lt; 0.05).</p><p>Moreover, the GIK supplementary solution enabled stable nonfreezing preservation of the heart at −8°C. Notably, the rebeating time and rate of hearts preserved with the GIK-supplemented solution at −8°C for 16 h—and even up to 24 h—were comparable to those of the standard MS solution at 4°C for 8 h.</p><p>In summary, GIK supplementation provides cardioprotection against cold-induced injury by reducing oxidative stress and enhancing antifreezing effects. Consequently, the GIK supplementary solution effectively prolongs the viable preservation time of cardiac tissue during supercooling preservation.</p>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"2026 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jocs/6794569","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149146970","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":"Risks of Prophylactic Versus Rescue Intraaortic Balloon Pump Placement for High-Risk Coronary Revascularization: A Propensity-Matched Analysis","authors":"Cole Myers,&nbsp;Andreas Polycarpou,&nbsp;Sean Nguyen,&nbsp;Kathy Benyo-Albrecht,&nbsp;Ranjit John,&nbsp;Rosemary Kelly,&nbsp;Rebecca Cogswell,&nbsp;Stephen J. Huddleston","doi":"10.1155/jocs/2593492","DOIUrl":"https://doi.org/10.1155/jocs/2593492","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This propensity-matched study primarily aimed to address the impact of rescue versus prophylactic intraaortic balloon pump (IABP) placement on short-term outcomes in high-risk coronary artery disease patients undergoing coronary artery bypass graft (CABG). Secondarily, this study aimed to elucidate the effects of timing on intraoperative ischemia time, resource utilization, and postoperative complications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective study including all high-risk CABG patients who underwent IABP placement at a single academic tertiary center between January 2000 and December 2024 was conducted. Patients who underwent prophylactic IABP placement were matched 4:1 with those who underwent rescue placement using estimated propensity scores. Time-to-event analysis was performed to assess 30-day survival. Competing risks analysis was used for 30-day readmissions with death as a competing event.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A propensity-matched cohort of 239 patients with 51 participants requiring rescue IABP placement was used for the primary analysis. After double adjustment for residual covariate imbalance, the adjusted hazard of 30-day mortality with rescue IABP placement was 2.71 times higher than prophylactic placement (AHR: 2.71, 95% CI: 1.40 to 5.27, <i>p</i> = 0.003). Cardiopulmonary bypass and aortic cross-clamp times were prolonged by 19% (RR: 1.19, 95% CI: 1.07 to 1.33) and 12% (RR: 1.11, 95% CI: 1.01 to 1.25). ICU lengths of stay were 60% longer (RR: 1.60, 95% CI: 1.10 to 2.32).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings suggest that improved preoperative risk stratification to identify patients who will require mechanical circulatory support may reduce ischemic injury, resource utilization, and perioperative mortality.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"2026 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jocs/2593492","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148994497","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":"Comparative Outcomes of Minimally Invasive Right Transaxillary and Sternotomy Approaches for Atrial Myxoma Resection: A Retrospective Comparative Experience","authors":"Ali Taghizadeh-Waghefi,&nbsp;Igor Živković,&nbsp;Veronica De Angelis,&nbsp;Asen Petrov,&nbsp;Sebastian Arzt,&nbsp;Jens Fassl,&nbsp;Abdel Hannan Diab,&nbsp;Assad Haneya,&nbsp;Konstantin Alexiou,&nbsp;Klaus Matschke,&nbsp;Utz Kappert,&nbsp;Manuel Wilbring","doi":"10.1155/jocs/7149545","DOIUrl":"https://doi.org/10.1155/jocs/7149545","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Minimally invasive cardiac lateral surgery (MICLAT-S) via a right transaxillary approach has recently been established as a sternum-sparing technique in valve surgery. Its role in atrial myxoma resection, however, has not been systematically assessed. This study provides a comparative evaluation of MICLAT-S versus full sternotomy (FS) for atrial myxoma resection.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We retrospectively analyzed 90 patients undergoing atrial myxoma resection between 2015 and 2023: 50 via MICLAT-S and 40 via FS. Baseline characteristics, intraoperative variables, and postoperative outcomes—including 30-day mortality, myocardial infarction, and stroke—were compared. Secondary endpoints included perioperative morbidity, transfusion requirements, wound complications, and tumor recurrence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Tumors were significantly larger in the MICLAT-S cohort, yet complete resection was feasible in all cases. Operative times were longer with MICLAT-S, without adverse impact on outcomes. Major adverse cardio-cerebral events occurred at comparable rates between groups. MICLAT-S was associated with significantly lower transfusion needs. Wound complications, classified according to the Jones criteria, occurred only in the FS group (12.5%), with one-stage IIA case requiring negative pressure therapy. Selective cryoablation of the tumor base was applied as an observational adjunctive measure in four patients (4.4%) with broad-based tumor attachment. Postoperative stroke resulting in a modified Rankin score ≥ 2 occurred in 2.0% of patients in the MICLAT-S group and 2.5% in the FS group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>MICLAT-S is a safe and effective alternative to FS for atrial myxoma resection. It achieves equivalent safety with lower transfusion requirements and absence of wound complications. Despite longer operative times, clinical outcomes remain comparable, supporting MICLAT-S as a valuable sternum-sparing strategy in myxoma surgery.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"2026 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jocs/7149545","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148994203","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 Kay Technique for Tricuspid Valve Repair Concurrent With Left Ventricular Assist Device Implantation on Valve Regurgitation Severity and Survival Outcomes","authors":"Joao R. Breda,&nbsp;Ahmed Anajar,&nbsp;Eduarda Sabá,&nbsp;Joao Manzi,&nbsp;Joseph Lamelas,&nbsp;Tomas A. Salerno,&nbsp;Juan P. Umana,&nbsp;Matthias Loebe","doi":"10.1155/jocs/4200975","DOIUrl":"https://doi.org/10.1155/jocs/4200975","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Concomitant tricuspid valve (TV) interventions during LVAD implantation are recommended to reduce right heart failure (RHF), yet data are inconclusive. We assessed whether the Kay technique for TV repair (TVR), concurrent with durable LVAD implantation, affects tricuspid regurgitation (TR) severity, right ventricular (RV) function, and survival outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We retrospectively analyzed 82 consecutive adult LVAD recipients between March 2015 and December 2022. Thirty-nine underwent TVR via the Kay technique; 43 served as controls. Demographic, clinical, echocardiographic, hemodynamic, and survival data were collected. Echocardiographic assessments defined significant TR as moderate or greater; RV function and RHF were evaluated by established guidelines. Survival and freedom from late RHF were analyzed using Kaplan–Meier curves and log-rank testing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Preoperatively, significant TR was present in 95% of TVR patients versus 79% of controls. At ≥ 12 months postimplant, nonsignificant TR occurred in 72% of TVR versus 82% of controls (<i>p</i> = 0.30). No significant differences were observed in RV dysfunction or RHF incidence (&gt; 12 months). Kaplan–Meier analysis showed no survival benefit with TVR (log-rank <i>p</i> = 0.49).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>TVR using the Kay technique during LVAD implantation did not meaningfully alter TR progression, RV function, or survival outcomes compared to LVAD alone. While initially effective postsurgery, benefits did not persist long-term. Larger prospective studies are needed to confirm these findings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"2026 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jocs/4200975","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148943286","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":"Off-Pump CABG With and Without Sternotomy: A Meta-Analysis of Comparative Studies","authors":"Shotaro Yoshida,&nbsp;Osamu Ishida,&nbsp;Koji Tsutsumi","doi":"10.1155/jocs/3088217","DOIUrl":"https://doi.org/10.1155/jocs/3088217","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Minimally invasive coronary artery bypass grafting (MICS-CABG) has emerged as a less invasive alternative to conventional off-pump CABG (OPCAB), but direct comparative evidence remains limited. This meta-analysis synthesizes outcomes from randomized controlled trials (RCTs) and propensity-adjusted observational studies comparing these two off-pump strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A comprehensive literature search was conducted according to PRISMA 2020. Eligible studies compared MICS-CABG and sternotomy OPCAB under strictly off-pump conditions. Quantitative synthesis was limited to RCTs and cohort studies using propensity score matching (PSM) or inverse probability of treatment weighting (IPTW) to reduce confounding. Random-effects meta-analyses accounted for clinical and methodological heterogeneity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twelve of 40 eligible studies were included in the meta-analysis, comprising 3 RCTs, 1 IPTW cohort study, and 8 PSM cohort studies. Although the primary analysis suggested lower postoperative mortality (OR 0.54, 95% CI 0.38–0.77), this finding was not consistently supported across complementary analyses. Exclusion of the largest IPTW study reversed the direction of the pooled estimate (OR 1.34), and no significant mortality difference was observed in the multivessel subgroup (OR 1.55). In the subgroup analysis restricted to patients with multivessel disease, no statistically significant difference in mortality was observed (OR 1.55). MICS-CABG was consistently associated with longer operative time but shorter length of hospital stay, although substantial heterogeneity was observed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In comparisons restricted to off-pump strategies, MICS-CABG was associated with shorter hospital stay but longer operative time, without consistent differences in major adverse cardiovascular and cerebrovascular events. The apparent mortality benefit observed in the primary analysis was not consistently supported across complementary analyses. Sternotomy OPCAB remains a robust standard strategy, whereas MICS-CABG may represent a less invasive alternative for selected patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"2026 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jocs/3088217","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148943453","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":"Crystalloids Versus Colloids: Fluid Strategies for Better Recovery Outcomes in Cardiac Surgery","authors":"Tanisha Rajah,&nbsp;Sara Volpi,&nbsp;Jason Ali","doi":"10.1155/jocs/4873161","DOIUrl":"https://doi.org/10.1155/jocs/4873161","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Perioperative fluid resuscitation in cardiac surgery is vital, yet the optimal strategy remains debated. This review evaluates the current evidence on colloid versus crystalloid fluid resuscitation and considers whether alternative outcome measures may help us better identify optimal methods of fluid resuscitation for patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A search of electronic databases PubMed, Medline and Google Scholar was performed from inception to June 2025 to synthesise findings on the perioperative fluid management of patients undergoing cardiac surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirteen studies, involving a total of 34,935 patients, were included in this narrative review. Evidence comparing colloids and crystalloids perioperatively in cardiac surgery is mixed. Colloids, particularly albumin, show advantages in fluid balance, reduce vasopressor use and shorten ICU stays, but carry a higher risk of acute kidney injury, especially with synthetic colloids like hydroxyethyl starch. Crystalloids are less associated with renal complications yet contribute to increased fluid retention and longer hospital stays. Few studies, however, report on fluid balance, renal function and preservation of microcirculation, limiting the understanding of fluid strategies on these relevant postoperative outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Mortality alone may be an insufficient measure for evaluating fluid resuscitation strategies in cardiac surgery. Expanding outcome measures to include fluid balance, preservation of microcirculation and a standardised assessment of renal function could yield more clinically relevant actionable insights and support safer, more individualised fluid management. Further research is warranted to assess these outcomes and establish more holistic, patient-centred standards in postoperative care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"2026 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jocs/4873161","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148943572","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":"Health-Related Quality of Life in Patients Undergoing Cardiac Surgeries in Low- and Lower-Middle-Income Countries: A Systematic Review and Meta-Analysis","authors":"Songnan Wang,&nbsp;Nika Samadzadeh Tabrizi,&nbsp;Elizabeth Y. Wang,&nbsp;Jung Min,&nbsp;Maurice Musoni,&nbsp;Yihan Lin","doi":"10.1155/jocs/4261303","DOIUrl":"https://doi.org/10.1155/jocs/4261303","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Health-related quality of life (HRQoL) assessment is pivotal for advancing sustainable global cardiac surgery. However, the use and applicability of HRQoL instruments in low- and lower-middle-income countries (LI-LMICs) remain poorly characterized.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic review of studies assessing HRQoL among patients undergoing cardiac surgery in LI-LMICs was performed using PubMed/MEDLINE, Embase, Scopus, Global Index Medicus, and CABI Global Health. Primary outcomes included the prevalence and types of HRQoL instruments adopted. A meta-analysis of pooled HRQoL scores was performed to examine the impact of cardiac surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty-eight studies comprising 12,397 patients from seven countries were identified. Most studies were conducted in Iran (21, 55%) or India (7, 18%); only one study (2.6%) originated from a LIC (Rwanda). Generic HRQoL instruments predominated (28/41, 68%), most commonly the Short Form-12/36 (SF-12/36; 20, 49%) and the World Health Organization Quality of Life (WHOQOL) or WHOQOL Brief (WHOQOL-BREF) (4, 9.8%). Cardiac surgery was associated with significant postoperative improvements in HRQoL, including physical (standardized mean difference [SMD]:1.17; 95% CI 0.83–1.51; <i>p</i> &lt; 0.0001) and mental (0.78; 95% CI 0.47–1.09; <i>p</i> &lt; 0.0001) component scores measured by SF-12/36. Significant improvements were also observed across WHOQOL domains: physical (0.84; 95% CI 0.51–1.08; <i>p</i> &lt; 0.0001), psychological (0.54; 95% CI 0.32–0.75; <i>p</i> &lt; 0.0001), social (0.33; 95% CI 0.12–0.53; <i>p</i> = 0.002), and environmental (0.34; 95% CI 0.14–0.55; <i>p</i> = 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The use of validated and culturally appropriate HRQoL instruments is crucial for assessing patient-centered outcomes in global cardiac surgery. Although significant improvements in HRQoL following cardiac surgery were observed in LI-LMICs, fewer than 9% of LI-LMICs were represented in the existing literature, highlighting a substantial gap in outcome assessment of global cardiac surgery.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"2026 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jocs/4261303","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148848866","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":"Global Utilization of Intra-Aortic Balloon Pump: Current Status and Future Trends: A Bibliometric Analysis","authors":"Jin-He Deng,&nbsp;An-Yi Lu,&nbsp;Fan-Rong He,&nbsp;Yun-Tai Yao","doi":"10.1155/jocs/4539132","DOIUrl":"https://doi.org/10.1155/jocs/4539132","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Despite extensive research on perioperative intra-aortic balloon pump (IABP) use, a comprehensive bibliometric analysis of this literature is absent. The aim is to offer clinicians, scientists, and stakeholders an updated overview of the research status and development trends of the IABP through bibliometric analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study performed an extensive search in the Web of Science Core Collection (WoSCC) for publications on IABP from January 1, 1994, to December 31, 2023. A total of 3056 publications were analyzed using Microsoft Excel and visualization tools like CiteSpace, VOSviewer, and Pajek to identify specific characteristics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study analyzed 3056 articles on IABP, revealing a steady annual growth over the last 30 years. The USA, Germany, and Japan emerged as dominant contributors in the field of IABP research. Among institutions, Harvard University had the highest publication output in IABP-related research. Professor Thiele emerged as the leading author, having published 35 articles. Citation bursts and co-citation analysis reveal ongoing uncertainty about the safety and efficacy of the IABP, highlighting the need for further research into its potential benefits for patients with cardiogenic shock (CS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study offers a holistic overview of IABP research hotspots and evolving trends. Contemporary mechanical circulatory support guidelines discourage universal IABP implantation among unselected patients with acute myocardial infarction (AMI)-associated CS. Even so, IABP maintains distinct clinical value as an affordable, straightforward temporary circulatory support device for targeted cardiac and surgical populations, with particular relevance across resource-constrained regions worldwide.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"2026 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jocs/4539132","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148848606","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}