Thoracic and Cardiovascular Surgeon最新文献_第10页

Operating through a Keyhole on a Wide Battlefield. 在宽阔的战场上通过钥匙孔操作

IF 1.4 4区医学

Thoracic and Cardiovascular Surgeon Pub Date : 2026-02-24 DOI: 10.1055/a-2809-8791

Khaled Alebrahim

引用次数: 0

Reply to the Comment: Mitral valve procedures and multivessel CABG through a single left anterior minithoracotomy. 回复评论：二尖瓣手术和单次左前小开胸多血管冠脉搭桥。

IF 1.4 4区医学

Thoracic and Cardiovascular Surgeon Pub Date : 2026-02-24 DOI: 10.1055/a-2811-7216

Volodymyr Demianenko, Hilmar Dörge, Marius Grossmann, Ahmed Belmenai, Christian Sellin

引用次数: 0

Endocarditis Through the Ages-What Has Changed During the Past Two Decades. 心内膜炎在过去的二十年里发生了什么变化。

IF 1.4 4区医学

Thoracic and Cardiovascular Surgeon Pub Date : 2026-02-16 DOI: 10.1055/a-2797-9999

Asen Petrov, Pascal Schöne, Ali Taghizadeh-Waghefi, Sems-Malte Tugtekin, Klaus Ehrhard Matschke, Manuel Wilbring

{"title":"Endocarditis Through the Ages-What Has Changed During the Past Two Decades.","authors":"Asen Petrov, Pascal Schöne, Ali Taghizadeh-Waghefi, Sems-Malte Tugtekin, Klaus Ehrhard Matschke, Manuel Wilbring","doi":"10.1055/a-2797-9999","DOIUrl":"https://doi.org/10.1055/a-2797-9999","url":null,"abstract":"Despite developments in the past 20 years in the treatment of native valve (NVE) endocarditis, including the multidisciplinary endocarditis team approach and advances in perioperative care, outcome improvements are lacking. This study compares a contemporary with a historic cohort of NVE patients.All patients undergoing first-time cardiac surgery for NVE in two periods were evaluated in a retrospective observational single-center trial. The historic period included patients from 1998 to 2003 and the contemporary cohort 2021 to 2024.Of the 359 patients who were included, 155 were in the historic cohort (years 1998-2003) and 204 in the contemporary (years 2021-2024). The annual caseload increased significantly from 25.8 to 51.0 annual cases (p < 0.01). Patient baselines changed, being nowadays older (62.6 vs. 55.5 years, p < 0.001), having higher BMI (26.9 kg/m2 vs. 25.3 kg/m2, p < 0.01) and higher EuroSCORE II (8.7% vs. 5.0%, p < 0.001). Accordingly, the preoperative clinical presentation also worsened with an increase in septic embolizations (33.8% vs. 22.6%, p = 0.04) and acute kidney injury (15.2% vs. 1.9%, p < 0.001). Minimally invasive procedures were newly established (41.2% vs. 0%). The contemporary group faced a higher rate of postoperative dialysis, longer intensive care unit stay, and higher perioperative mortality (14.2% vs. 6.5%, p = 0.03). Nonetheless, survival at 1 year was comparable (78.4% vs. 79.9, p = 0.52).Contemporary patients have higher risk profiles and annual caseloads. This translates into increased postoperative morbidity and mortality; however long-term outcomes have remained constant.","PeriodicalId":23057,"journal":{"name":"Thoracic and Cardiovascular Surgeon","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146207835","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}

引用次数: 0

Beyond Renal Stability: Rethinking Decisions After Combined Valve-Coronary Care. 超越肾脏稳定：重新思考瓣膜-冠状动脉联合护理后的决定。

IF 1.4 4区医学

Thoracic and Cardiovascular Surgeon Pub Date : 2026-02-11 DOI: 10.1055/a-2798-0041

Khaled Alebrahim

引用次数: 0

Challenging BMI: Fat Mass Indices for Improved Postoperative Risk Prediction in CABG Patients. 具有挑战性的BMI：脂肪质量指数改善CABG患者术后风险预测。

IF 1.4 4区医学

Thoracic and Cardiovascular Surgeon Pub Date : 2026-01-07 DOI: 10.1055/a-2779-0534

Osman Türe, Fatih Öztürk, Elif Demirbaş, Anıl Güzel, Yakup Tire, Betül Nur Keser, Koray Ak, Sinan Arsan

{"title":"Challenging BMI: Fat Mass Indices for Improved Postoperative Risk Prediction in CABG Patients.","authors":"Osman Türe, Fatih Öztürk, Elif Demirbaş, Anıl Güzel, Yakup Tire, Betül Nur Keser, Koray Ak, Sinan Arsan","doi":"10.1055/a-2779-0534","DOIUrl":"10.1055/a-2779-0534","url":null,"abstract":"This study investigated the effect of preoperative fat mass index (FMI), fat-free mass index (FFMI), fat mass ratio (FMR), and fat-free mass ratio (FFMR) on postoperative morbidity and mortality in coronary artery bypass grafting (CABG) patients.About 120 patients were included in this prospective study. The patients' FMI, FFMI, FMR, and FFMR were evaluated preoperatively along with other clinically significant data. The postoperative morbidities were recorded. Receiver operating characteristic (ROC) curve analyses were made to determine threshold values of FMR, FFMR, and FMI for wound dehiscence. The multivariate logistic regression analysis was made to assess the independent risk factors for infection site leakage.ROC analysis yielded threshold values of FMR 0.26, FFMR 0.73, and FMI 7.46. FMI, FMR, and FFMR were associated with parameters including body mass index (BMI), diabetes, and wound dehiscence (80.7% sensitivity and 87.3% specificity [area under the curve = 0.600, 95% CI: 0.789-0.919, p < 0.001]). FMR >0.26 and FFMR <0.73 were associated with high pulmonary embolism risk. Patients with FFMI (men: 18.7-21 kg/m2, women: 14.9-17.2 kg/m2) had significantly less postoperative atrial fibrillation and wound dehiscence. Patients with FMR >0.26 and FMI >7.46 are at a 3- to 38-fold increased risk of wound dehiscence, irrespective of their BMI. Fat mass measurements were not associated with mortality.Our study demonstrates that preoperative fat mass measurements can effectively predict postoperative morbidity in CABG patients. Fat mass measurements are valuable for risk prediction, especially in non-obese patients.","PeriodicalId":23057,"journal":{"name":"Thoracic and Cardiovascular Surgeon","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145844336","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}

引用次数: 0

Hybrid Aortic Arch Repair for Patients Older Than 60 Years in Type A Acute Aortic Dissection. 混合主动脉弓修复60岁以上A型急性主动脉夹层的疗效。

IF 1.4 4区医学

Thoracic and Cardiovascular Surgeon Pub Date : 2026-01-07 DOI: 10.1055/a-2777-5861

Nianguo Dong, Junwei Liu, Xinling Du, Xionggang Jiang, Long Wu, Hao Hong

{"title":"Hybrid Aortic Arch Repair for Patients Older Than 60 Years in Type A Acute Aortic Dissection.","authors":"Nianguo Dong, Junwei Liu, Xinling Du, Xionggang Jiang, Long Wu, Hao Hong","doi":"10.1055/a-2777-5861","DOIUrl":"10.1055/a-2777-5861","url":null,"abstract":"The objective of this study was to compare clinical outcomes of total arch replacement (TAR) combined with stented elephant trunk (SET) implantation and hybrid aortic arch repair (HAAR) for type A acute aortic dissection (TA-AAD) in patients older than 60 years.We studied records of patients with TA-AAD older than 60 years in our hospital between January 2016 and December 2018. About 68 patients underwent TAR combined with SET implantation (SET group), and 56 patients underwent HAAR (hybrid group). Outcomes included operative data, postoperative data, and 2 years of follow-up data.Comparing with the SET group, the hybrid group experienced shorter time on surgery duration (p < 0.001), cardiopulmonary bypass (p < 0.001), aortic cross-clamp (p < 0.001), mechanical ventilation (p < 0.001), ICU stay (p < 0.001), and hospital length of stay (p < 0.001). The hybrid group showed a lower rate of pulmonary infection and renal failure (p = 0.023; p = 0.022, respectively). Blood product use was less in the hybrid group (p < 0.001). The hybrid group had a trend toward reducing the 30-day mortality rate, stroke, and transient mental dysfunction. The hybrid group had a trend toward improving the 2-year survival rate and reintervention-free rate, but the results did not reach a significant level.Hybrid procedure could be safely performed in patients older than 60 years with TA-AAD. This procedure may be associated with encouraging surgical results and promising outcomes in the early and mid-term.","PeriodicalId":23057,"journal":{"name":"Thoracic and Cardiovascular Surgeon","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145828452","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}

引用次数: 0

Bilateral Pneumothorax After Minimally Invasive Repair of Pectus Excavatum: Report of a Rare Life-Threatening Complication. 微创胸管修补术后双侧气胸：一例罕见的危及生命的并发症。

IF 1.4 4区医学

Thoracic and Cardiovascular Surgeon Pub Date : 2026-01-01 Epub Date: 2025-09-17 DOI: 10.1055/a-2695-2498

Marco Agamennone, Federica Lena, Francesco Donati, Maria Grazia Calevo, Vittorio Guerriero, Michele Torre

{"title":"Bilateral Pneumothorax After Minimally Invasive Repair of Pectus Excavatum: Report of a Rare Life-Threatening Complication.","authors":"Marco Agamennone, Federica Lena, Francesco Donati, Maria Grazia Calevo, Vittorio Guerriero, Michele Torre","doi":"10.1055/a-2695-2498","DOIUrl":"10.1055/a-2695-2498","url":null,"abstract":"Minimally invasive repair of pectus excavatum (MIRPE) creates an iatrogenic communication between the pleural cavities, known as a \"buffalo chest.\" Patients with pectus excavatum are also at increased risk of spontaneous pneumothorax due to congenital apical blebs. When these two conditions coexist, the risk of bilateral spontaneous pneumothorax becomes potentially life-threatening. This study aims to evaluate the incidence and characteristics of spontaneous pneumothorax following MIRPE, with particular attention to the presence and role of congenital blebs.We retrospectively reviewed patients who underwent MIRPE between 2005 and 2024 to identify cases of spontaneous pneumothorax. Only cases occurring at least 1 month postoperatively and unrelated to intraoperative thoracoscopy were included. Patients were followed for at least 10 months. We analyzed laterality, clinical presentation, presence of blebs, treatment, and outcomes. A systematic literature review was also conducted to explore the relationship between buffalo chest, pneumothorax, and pectus excavatum.Among 795 patients, 7 developed spontaneous pneumothorax: 4 unilateral, 3 bilateral. In six cases, blebs were identified and treated with thoracoscopic bullectomy and pleurodesis. Two patients with bilateral pneumothorax experienced cardiac arrest: one recovered after emergency drainage; the other died in a peripheral hospital, where blebs were suspected but not confirmed. The literature review identified nine similar cases in five reports.Bilateral spontaneous pneumothorax after MIRPE can be a life-threatening emergency due to the buffalo chest. Patients and families should be informed of this rare but serious risk to enable early recognition and prompt treatment. Preoperative detection of apical blebs may help reduce this risk.","PeriodicalId":23057,"journal":{"name":"Thoracic and Cardiovascular Surgeon","volume":" ","pages":"69-74"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081728","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}

引用次数: 0

Total Artificial Heart Implantation as a Bridge to Transplantation in Slovakia. 在斯洛伐克，全人工心脏植入术是通向移植手术的桥梁。

IF 1.4 4区医学

Thoracic and Cardiovascular Surgeon Pub Date : 2026-01-01 Epub Date: 2024-09-29 DOI: 10.1055/s-0044-1791533

Michal Hulman, Panagiotis Artemiou, Stefan Durdik, Peter Lesny, Ingrid Olejarova, Eva Goncalvesova, Ivo Gasparovic

{"title":"Total Artificial Heart Implantation as a Bridge to Transplantation in Slovakia.","authors":"Michal Hulman, Panagiotis Artemiou, Stefan Durdik, Peter Lesny, Ingrid Olejarova, Eva Goncalvesova, Ivo Gasparovic","doi":"10.1055/s-0044-1791533","DOIUrl":"10.1055/s-0044-1791533","url":null,"abstract":"Although left ventricular assist device implantation represents the majority of durable mechanical circulatory support implants for patients with advanced heart failure, as many as 20 to 30% will subsequently have right heart failure requiring extended inotropic support or short-term mechanical circulatory support, and the total artificial heart is an established tool in the bridge to transplant armamentarium. The aim of this short report is to present our center's experience with the use of SynCardia total artificial heart. Between November 2017 and April 2021, 10 SynCardia total artificial heart devices were implanted. Of the 10 patients who underwent total artificial heart implantation, 6 (60%) were successfully bridged to transplant with a median time of 6.5 (interquartile range [IQR] 6-8) months, and 4 patients died on device support during the index hospitalization. The 30-day, 1-year, and 3-year survival rates after heart transplantation were the same at 66.7% (4/6). Despite the uncertain future of total artificial hearts, it remains a viable option for patients who require biventricular bridge to transplant or for a select subset of patients with advance heart failure who may not otherwise survive.","PeriodicalId":23057,"journal":{"name":"Thoracic and Cardiovascular Surgeon","volume":" ","pages":"49-52"},"PeriodicalIF":1.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142354375","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}

引用次数: 0

Do P-Wave Indices Manifest Atrial Fibrillation after Postoperative Atrial Fibrillation? 心房颤动术后p波指数是否显示心房颤动？

IF 1.4 4区医学

Thoracic and Cardiovascular Surgeon Pub Date : 2026-01-01 Epub Date: 2025-07-31 DOI: 10.1055/a-2655-7502

Christian Rau, Miriam Salzmann-Djufri, Andreas Böning, Susanne Rohrbach, Bernd Niemann

引用次数: 0

Morphology Voltage P-wave Duration Score and Atrial Fibrillation Risk. 形态学、电压、p波持续时间评分与房颤风险的关系。

IF 1.4 4区医学

Thoracic and Cardiovascular Surgeon Pub Date : 2026-01-01 Epub Date: 2025-07-31 DOI: 10.1055/a-2654-2299

Manuel Martínez-Sellés

引用次数: 0