Journal of Cardiac Surgery最新文献

{"title":"Intraoperative left atrial dissection following mitral valve surgery: Report of a case treated surgically.","authors":"Matteo Matteucci,&nbsp;Federica Torchio,&nbsp;Corinne Messina,&nbsp;Giovanna Inzigneri,&nbsp;Paolo Severgnini,&nbsp;Andrea Musazzi","doi":"10.1111/jocs.17087","DOIUrl":"https://doi.org/10.1111/jocs.17087","url":null,"abstract":"<p><p>Left atrial dissection (LatD) is an exceedingly rare but serious complication of cardiac surgery. Its clinical presentation is very different in individual cases. Surgical treatment for LatD is often selected when the patient is hemodynamically unstable; conservative treatments are commonly employed under stable conditions. We report a case of LatD after mitral valve replacement that was treated surgically with creation of an atrial fenestration.</p>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"37 12","pages":"5545-5547"},"PeriodicalIF":1.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10476700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor: Gastrointestinal complications after cardiac surgery: Incidence, predictors, and impact on outcomes.","authors":"Warda Rasool,&nbsp;Satesh Kumar,&nbsp;Mahima Khatri","doi":"10.1111/jocs.16979","DOIUrl":"https://doi.org/10.1111/jocs.16979","url":null,"abstract":"To the Editor, The article “Gastrointestinal complications after cardiac surgery: Incidence, predictors, and impact on outcomes” by Nicholas et al. has been read with great interest. It has been a privilege to read such a sophisticated literary work. We wholeheartedly concur with the study's findings regarding the rarity of gastrointestinal complications following cardiac surgery and their impact on early and late survival. The study briefly overviews the incidence and predictive risk factors for GI complications following cardiac surgery. However, we would be privileged to provide additional enhancements to its findings. First, the results were categorized based on sampling from a single institution and can raise various concerns. As one study conducted nationwide, had a higher ratio than study conducted in a single location. Additionally, multiple studies produced contradictory results. In one study, postoperative ileus was the most prevalent complication, whereas in another, Clostridium Difficile infection was the most pervasive complication. Numerous studies establish that leading cause of GI complications is splanchnic hypoperfusion resulting from low cardiac output and hypotension. The author should have mentioned the pathophysiology that leads to all GI complications proving a significant risk factor. Second, the study could have yielded more credible findings by highlighting which specific cardiac procedures posed greatest threat to the gastrointestinal tract. One study's findings, for instance, indicate that aortic aneurysm surgery carries the highest risk of gastrointestinal complications. Notably, the authors should have mentioned the risk factors for GI complications. As one article describes, three types of risk factors—preoperative, intraoperative, and postoperative—significantly impact the outcome and results. The author could have provided more insight into the surgical procedure by comparing on‐pump and off‐pump CABG. Study shows, there was a significant difference in GI complication trends and types. This could be decisive in procedure selection. Last, research is necessary for discovering ways to reduce mortality and prevent complications. In mesenteric ischemia and survival after laparotomy, for instance, off‐pump CABG patients demonstrated significant improvement in comparison to those using on‐pump technique. Recognition of gastrointestinal problems following cardiac surgery can be challenging. Any patient experiencing abdominal pain or tenderness should raise suspicions of a gastrointestinal side effect. Several authors have emphasized the significance of early recognition of gastrointestinal complications and a low cutoff point for laparoscopic exploration. Heart surgery will improve the cardiac status of many, allowing them to withstand general anesthesia and abdominal surgery. Pancreatitis is an additional potential complication. Rather than pancreatic cellular damage, a decreased rate of excretion into urine has been sp","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"37 12","pages":"5687-5688"},"PeriodicalIF":1.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10478605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intraoperative spontaneous tension pneumothorax during robotic-assisted coronary artery bypass grafting.","authors":"Ibrahim A Zabani,&nbsp;Abdulkarim M Alhassoun,&nbsp;Hassan S Ahmed,&nbsp;Abdulbadee A Bogis,&nbsp;Ahmed Farid Elmahrouk,&nbsp;Ahmed A Jamjoom,&nbsp;Uthman S AlUthman","doi":"10.1111/jocs.17115","DOIUrl":"https://doi.org/10.1111/jocs.17115","url":null,"abstract":"<p><p>Patients undergoing robotic-assisted coronary artery bypass grafting are increasing. Several complications have emerged with the increasing use of minimally invasive procedures. We reported a case of spontaneous tension pneumothorax that developed in the ventilated lung during robotic assisted left internal mammary artery harvesting causing severe hemodynamic instability. A sudden rise of airway pressure occurred, and the patient became hypotensive. Immediately, the surgeon was notified to look at the right pleura. Pneumothorax was identified, the right pleura was opened using robotic arms, and the right lung was decompressed. A small emphysematous bulla was identified and stabled. Proper identification of the procedure-associated complications is essential for timely management. Tension pneumothorax is a potentially fatal complication, especially in patients under positive pressure ventilation.</p>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"37 12","pages":"5536-5538"},"PeriodicalIF":1.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10483098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Myocardial recovery in a patient with dilated cardiomyopathy after short-term biventricular assist device support.","authors":"Khaled Alotaibi,&nbsp;Abeer Bakhsh,&nbsp;Fahmi Alkhaf,&nbsp;Ahmed Amro,&nbsp;Mohammad Albarrak,&nbsp;Tarek Tantawy,&nbsp;Amr A Arafat,&nbsp;Adam I Adam","doi":"10.1111/jocs.17148","DOIUrl":"https://doi.org/10.1111/jocs.17148","url":null,"abstract":"<p><p>Management of patients with end-stage heart failure is still challenging. We report a case of idiopathic dilated cardiomyopathy who went through a challenging course. The case was presented as acute heart failure syndrome, which rapidly declined into cardiogenic shock and cardiac arrest that required an extracorporeal membrane oxygenator, then biventricular assist device implantation for circulatory support. The course was complicated with severe gastrointestinal bleeding and multiorgan failure until achieving full cardiac and organ recovery. The left ventricle ejection fraction improved from 10% to 50% at discharge.</p>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"37 12","pages":"5591-5594"},"PeriodicalIF":1.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10483118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reconsideration and surgical technique report of root repair management of acute Stanford type A aortic dissection.","authors":"Luchen Wang,&nbsp;Yanxiang Liu,&nbsp;Yaojun Dun,&nbsp;Xiaogang Sun","doi":"10.1111/jocs.17193","DOIUrl":"https://doi.org/10.1111/jocs.17193","url":null,"abstract":"<p><p>Currently, there is a lack of expert consensus and clinical guidelines about the treatment strategy for aortic roots in patients with acute Stanford type A aortic dissection with aortic sinuses less than 45 mm in diameter and without combined connective tissue disorder. The physiological aortic sinus plays a key role in the protection of the aortic valve and cardiac function. Thus, we invented a \"watching without dealing with\" technique of aortic root repair to preserve the aortic sinus as much as possible. This technique could simplify the operation and improve the patient's prognosis, which is worth learning and promoting.</p>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"37 12","pages":"5672-5675"},"PeriodicalIF":1.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10483593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Giant intracardiac medullary thyroid cancer metastasis.","authors":"Jérémy Tricard,&nbsp;Anaëlle Chermat,&nbsp;Ezedin Abdelkafi,&nbsp;Alessandro Piccardo","doi":"10.1111/jocs.17162","DOIUrl":"https://doi.org/10.1111/jocs.17162","url":null,"abstract":"<p><p>We report an unusual case of giant intracardiac medullary thyroid cancer metastasis. A 76-year-old woman with a 9-year history of medullary thyroid cancer presented an unexpected 7.5 cm mass in the right ventricle. Complete resection and tricuspid valve replacement led to 40 months survival.</p>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"37 12","pages":"5455-5456"},"PeriodicalIF":1.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10483595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aortic arch replacement and autologous pericardial tracheal patch for an aorto-tracheal fistula.","authors":"Kelsey A Musgrove,&nbsp;Daniel McCarthy,&nbsp;Andreas R de Biasi","doi":"10.1111/jocs.16912","DOIUrl":"https://doi.org/10.1111/jocs.16912","url":null,"abstract":"<p><p>Aorto-tracheal fistulas are rare and highly lethal, with few reports of successful surgical intervention. We present a 48-year-old man with an aorto-tracheal fistula induced by radiation therapy for tracheal squamous cell carcinoma. He presented with hemoptysis and chest pain and workup revealed the aorta-tracheal fistula between the posterior aortic arch and anterior distal trachea. He was emergently taken to surgery. To our knowledge, this is the first report of an aorto-tracheal fistula successfully treated with a transverse aortic arch replacement and complex tracheal repair using autologous pericardium with an omental buttress.</p>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"37 12","pages":"5472-5474"},"PeriodicalIF":1.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8d/18/JOCS-37-5472.PMC10087843.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9339798","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":"Coil embolization with open frozen hybrid graft for complex left subclavian artery/proximal descending aortic aneurysm in a young patient.","authors":"Samantha Guimaron,&nbsp;François Côté,&nbsp;François Dagenais","doi":"10.1111/jocs.17213","DOIUrl":"https://doi.org/10.1111/jocs.17213","url":null,"abstract":"<p><p>An LSCA aneurysm is a rare disease. When and how to operate are debated. While open surgery was initially considered the sole option, emerging endovascular techniques have been described. The present report describes a novel hybrid technique to treat an LSCA aneurysm combined to a proximal descending aneurysm in a young 25-year-old patient.</p>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"37 12","pages":"5619-5621"},"PeriodicalIF":1.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10845353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Right-parasternal approach for aortic valve replacement and ascending aortic repair after ante-thoracic route gastric tube reconstruction.","authors":"Takamichi Nishida,&nbsp;Takanori Kono,&nbsp;Kazuyoshi Takagi,&nbsp;Eiki Tayama","doi":"10.1111/jocs.17052","DOIUrl":"https://doi.org/10.1111/jocs.17052","url":null,"abstract":"<p><p>Due to the limitations of surgical incisions and approaches brought on by the presence of gastric tube (GT), open heart surgery following ante-thoracic route GT reconstruction remains challenging. A-73-year-old man, who had a history of esophageal resection and ante-thoracic route GT reconstruction required aortic valve replacement (AVR) concomitant with ascending aortic repair (AAR) for aortic stenosis and dilated ascending aorta. We performed open heart surgery via a right-parasternal approach to avoid injury to the GT and nutrient arteries. This approach provided a good operative field, similar to median sternotomy. To our knowledge, this is the first case of AVR concomitant with AAR after ante-thoracic route GT reconstruction via a right-parasternal approach. We consider that the right-parasternal approach is reasonable for patients with ante-thoracic route GT reconstruction.</p>","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"37 12","pages":"5505-5508"},"PeriodicalIF":1.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10469990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of valve in valve aortic valve implantation in valve choice decision making.","authors":"Khaled E Al-Ebrahim","doi":"10.1111/jocs.16965","DOIUrl":"https://doi.org/10.1111/jocs.16965","url":null,"abstract":"To the Editor, I read with interest the excellent study of Kim and his colleagues to compare the clinical outcome of long term survival in patients aged 50–69 years old who underwent isolated aortic valve replacement with mechanical versus bioprosthetic valves. The study showed no significant difference in cardiac mortality‐ free survival and long‐term survival rates between the two valves. Valves choice decision making was and still a constant dilemma since the adventure of those two types of valves. Eventually it is dependent on patient related factors and patient choice. Mechanical valves are associated with increase risk of anticoagulation related hemorrhage and thromboembolism. It also requires frequent coagulation monitoring and closer outpatient follow up. Degeneration and calcification causing valve dysfunction and requiring reoperation are the main concern with bioprosthesis. Currently, the swift advances in transcatheter procedures changed the future of cardiac surgery. Transcatheter aortic valve implantation and valve in valve aortic valve implantation are recently introduced interventional procedures and proved to be a reasonable therapeutic option for high risk and moderate risk patients avoiding resternotomy and comorbidities of surgical aortic valve replacement. These new interventional advances in catheter valve procedures affected the decisions making in valve choice and tilted the cuff and the scale in favor of bioprosthesis. Khaled E. Al‐Ebrahim FRCSC","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"37 12","pages":"5681"},"PeriodicalIF":1.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10476162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}