Journal of Cardiac Surgery最新文献

{"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}

{"title":"Advantages of combined distal-first and visceral branch-first technique: A universal fit for extensive thoracoabdominal aortic aneurysm?","authors":"Kenji Okada,&nbsp;Taishi Inoue","doi":"10.1111/jocs.17106","DOIUrl":"https://doi.org/10.1111/jocs.17106","url":null,"abstract":"Minimization of end ‐ organ ischemia is a key tenet in successful thoracoabdominal aortic aneurysm (TAAA) surgery. In recent years various techniques have been inspired and refined to reduce the duration and risk of visceral ischemia such as mild, moderate, or deep hypothermic repair with left heart bypass, or complete or partial cardiopulmonary bypass combined with selective perfusions to vital viscera, the lower extremities, and the spinal cord. 1 – 3 Despite advances in surgical technique and organ protection strategies, open surgical repair for TAAA remains associated with considerable levels of morbidity and mortality. Moulakakis and colleagues conducted a meta ‐ analysis that summarized the surgical outcomes of 9963 patients in experienced surgical centers and found that the mortality after repair of extent I – IV TAAA was 11.3%. 4 These results can be attributed to the nature of open surgical repair of TAAA, which represents the pinnacle of invasive cardiovascular surgery and comes with the burden of a relatively high association of comorbidities. Estrera et al. reported the “ distal first approach ” assumes the advantage of providing a distal fenestration and ensuring adequate antegrade blood flow at an early stage for patients with chronic aortic dissection. 5 Previous reports have described the utility of “ visceral branch ‐ first techniques ” in reducing visceral ischemic time with minimal reperfusion injury. 6,7 Marchenko et al. also successfully devised a novel “ iliac branch first ”","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"37 12","pages":"5670-5671"},"PeriodicalIF":1.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10477191","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":"Expanding our imagination with reanimation.","authors":"Alex Wisniewski,&nbsp;Andrew Young,&nbsp;Irving Kron","doi":"10.1111/jocs.17128","DOIUrl":"https://doi.org/10.1111/jocs.17128","url":null,"abstract":"Orthotopic heart transplant remains the gold standard for the treatment of end‐stage heart failure. A major barrier to its utilization in all patients is a scarcity of candidates for organ donation. Historically, organs were only procured from donation after brain death (DBD), although its expansion in recent years has moved to donation after circulatory death (DCD). Following a variable “no touch” period after circulatory death, procurement teams race to salvage these higher‐risk organs for transplant. A significant concern with this donor pool is the warm ischemic time the organs face and their resultant increase in ischemia‐ reperfusion injury, leading to questionable graft function following transplant. Thoracoabdominal normothermic regional perfusion (TANRP) with extracorporeal membrane oxygenation (ECMO) devices has become a newer method of “reanimation” following circulatory death. The chest is opened, the head vessels clamped to ensure no possibility of circulation to the brain, and the patient is cannulated for venoarterial ECMO to restore perfusion to the thoracoabdominal organs. The arrested heart begins to beat again. This allows the heart team to inspect the beating heart and ensure it is appropriate for transplantation. The organ can then be procured and placed in cold storage if the team is satisfied. Early experiences in the United States and abroad have shown favorable outcomes for cardiac DCD compared to DBD, with cold ischemia times approaching 3 h. Ruiz et al. present a fascinating case of cardiac DCD utilizing TANRP and ECMO with a cold ischemia time of 201 min. In transplant, time is always of the essence and shorter ischemia times have been shown to lead to better outcomes. This comes under special consideration when warm ischemia is introduced into the picture, which can potentiate cardiac myocyte damage and function. Utilization of this technique for cardiac DCD not only helps to pick out favorable hearts, it also resets the ischemia clock allowing for cold storage from a favorable setpoint. Importantly, this technique expands the donor pool in a safe way without compromising graft quality. When addressing the organ shortage, it is imperative to not settle for suboptimal. This case demonstrates safety with 11min of functional warm ischemia time and over 3 h of cold ischemia with a favorable short‐ term outcome in their transplant recipient. The extent of allowable cold ischemia following cardiac DCD remains unknown, although this study reassures the beneficial effects of TANRP. This knowledge may help other surgeons push the time and distance boundary in DCD. However, more data utilizing this technique in cardiac DCD are required before we are able to make comprehensive recommendations on its use. We congratulate the authors on sharing their work and steadfast commitment to advancing the field of transplantation.","PeriodicalId":15367,"journal":{"name":"Journal of Cardiac Surgery","volume":"37 12","pages":"5499-5500"},"PeriodicalIF":1.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10478827","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}