Journal of Chest Surgery最新文献

Sutureless Aortic Valve Replacement as a Bailout Strategy for Type A Aortic Dissection: 2 Case Reports. 无缝合主动脉瓣置换术治疗a型主动脉夹层2例报告

IF 1.5

Journal of Chest Surgery Pub Date : 2026-09-30 DOI: 10.5090/jcs.26.096

Sahri Kim, Joon Bum Kim

引用次数: 0

Parallel Venovenous and Venoarterial Extracorporeal Membrane Oxygenation for Differential Titration of Cardiopulmonary Support in Combined Severe Cardiac and Respiratory Failure: A Case Report. 平行静脉-静脉-动脉体外膜氧合用于重症心力衰竭和呼吸衰竭患者的差异滴定心肺支持：1例报告。

IF 1.5

Journal of Chest Surgery Pub Date : 2026-09-30 DOI: 10.5090/jcs.26.064

Ikutaro Yamashita, Kosei Omasa, Shokei Matsumoto, Masayuki Shimizu

{"title":"Parallel Venovenous and Venoarterial Extracorporeal Membrane Oxygenation for Differential Titration of Cardiopulmonary Support in Combined Severe Cardiac and Respiratory Failure: A Case Report.","authors":"Ikutaro Yamashita, Kosei Omasa, Shokei Matsumoto, Masayuki Shimizu","doi":"10.5090/jcs.26.064","DOIUrl":"https://doi.org/10.5090/jcs.26.064","url":null,"abstract":"Parallel venovenous (VV) and venoarterial (VA) extracorporeal membrane oxygenation (ECMO) can allow separate titration of respiratory and circulatory support in patients with concurrent severe cardiopulmonary failure. A 64-year-old woman with central hypopituitarism developed cytomegalovirus infection with hemophagocytic lymphohistiocytosis, followed by severe Pseudomonas aeruginosa pneumonia and septic cardiomyopathy. Despite VV-ECMO and intra-aortic balloon pump support, refractory cardiogenic shock required the addition of VA-ECMO. After parallel ECMO was initiated, hemodynamics improved rapidly, and vasopressors were discontinued within 4 hours. A key feature of this case was the transition from VA-dominant to VV-dominant support as myocardial function recovered while respiratory failure continued to require VV-ECMO. VA-ECMO was discontinued on hospital day 17, and VV-ECMO was removed on hospital day 28. The patient was discharged for rehabilitation on hospital day 109. This case illustrates that parallel VV- and VA-ECMO may provide rescue support for selected patients with refractory cardiopulmonary failure when conventional ECMO configurations are insufficient.","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

New-Onset Thrombocytopenia after Treatment of Mitral Valve Endocarditis, Resolution Following Valve Replacement: A Case Report. 二尖瓣心内膜炎治疗后新发血小板减少，瓣膜置换术后解决：1例报告。

IF 1.5

Journal of Chest Surgery Pub Date : 2026-09-30 DOI: 10.5090/jcs.26.075

Eunyeong Jung, Hyunkyung Park, Sung-Ho Jung

{"title":"New-Onset Thrombocytopenia after Treatment of Mitral Valve Endocarditis, Resolution Following Valve Replacement: A Case Report.","authors":"Eunyeong Jung, Hyunkyung Park, Sung-Ho Jung","doi":"10.5090/jcs.26.075","DOIUrl":"https://doi.org/10.5090/jcs.26.075","url":null,"abstract":"Thrombocytopenia developing after apparent resolution of infective endocarditis (IE) is uncommon. We report the case of a 61-year-old woman with severe rheumatic mitral stenosis and native mitral valve IE caused by Lactococcus garvieae. Her platelet count remained normal during antibiotic therapy but declined to 46-84×103/μL during routine outpatient follow-up after discharge. Follow-up echocardiography showed resolution of the vegetation, and inflammatory markers had normalized; however, corticosteroid treatment did not improve the platelet count. Elective surgery was performed for severe mitral stenosis with moderate tricuspid regurgitation and atrial fibrillation. After mitral valve replacement with concomitant tricuspid valve repair and a maze procedure, the platelet count normalized immediately and remained within the normal range during approximately 3 months of postoperative follow-up, without further thrombocytopenia-directed therapy. This case suggests a possible valve- and atrium-related mechanism for thrombocytopenia developing after treated IE and indicates that valve surgery may contribute to platelet recovery in selected patients.","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessment of Modified Textbook Outcome Achievement after Dual-Port versus Multi-Port Robotic Anatomical Lung Resection: A Propensity-Matched Observational Study. 双端口与多端口机器人解剖肺切除术后修改教科书结果的评估：倾向匹配的观察性研究。

IF 1.5

Journal of Chest Surgery Pub Date : 2026-09-30 DOI: 10.5090/jcs.26.128

Jun Suzuki, Hikaru Watanabe, Satoshi Takamori, Hiroki Ebana, Tetsuro Uchida, Satoshi Shiono

{"title":"Assessment of Modified Textbook Outcome Achievement after Dual-Port versus Multi-Port Robotic Anatomical Lung Resection: A Propensity-Matched Observational Study.","authors":"Jun Suzuki, Hikaru Watanabe, Satoshi Takamori, Hiroki Ebana, Tetsuro Uchida, Satoshi Shiono","doi":"10.5090/jcs.26.128","DOIUrl":"https://doi.org/10.5090/jcs.26.128","url":null,"abstract":"Background: Reduced-port robotic thoracic surgery is intended to reduce access-related trauma while preserving procedural quality. This study compared dual-port and conventional multi-port robotic anatomical lung resection using modified Textbook Outcome (TO) achievement as a composite perioperative quality metric.Methods: Consecutive patients who underwent robotic-assisted lobectomy or segmentectomy for lung cancer or metastatic lung tumors between January 2022 and December 2024 were retrospectively reviewed. Dual-port robotic-assisted thoracic surgery (D-RATS) was compared with multi-port robotic-assisted thoracic surgery (M-RATS). The primary endpoint was modified TO achievement, defined using 9 perioperative criteria. One-to-one propensity-score matching was performed using preoperative variables, including demographics, pulmonary function, comorbidity burden, tumor size, and procedure type.Results: Among 171 eligible patients, including 88 who underwent D-RATS and 83 who underwent M-RATS, propensity-score matching yielded 61 well-balanced pairs. In the matched cohort, modified TO was achieved in 42/61 patients (68.8%) in the D-RATS group and 41/61 patients (67.2%) in the M-RATS group (absolute difference, 1.6%; matched odds ratio, 1.07; 95% confidence interval, 0.49-2.36; p=0.85). Median operative time (151 minutes vs. 162 minutes, p=0.16) and median blood loss (10 mL vs. 10 mL, p=0.72) were similar between groups. Median chest drain duration was 1 day in both groups, but the distribution was narrower in the D-RATS group (1 [interquartile range, 1-1] days vs. 1 [interquartile range, 1-2] days, p=0.001).Conclusion: In this propensity-matched cohort, D-RATS maintained perioperative quality comparable to that of conventional M-RATS when assessed using modified TO achievement, without compromising procedural efficiency.","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Multiple-Bar Repair for Pediatric Pectus Excavatum: A Large Propensity Score-Matched Cohort Study of Safety and Efficacy. 儿童漏斗胸多棒修复：安全性和有效性的大倾向评分匹配队列研究。

IF 1.5

Journal of Chest Surgery Pub Date : 2026-09-17 DOI: 10.5090/jcs.26.019

Ji Won Kwak, Gongmin Rim, Young Mog Shim, Seung Keun Yoon, Hyung Joo Park

{"title":"Multiple-Bar Repair for Pediatric Pectus Excavatum: A Large Propensity Score-Matched Cohort Study of Safety and Efficacy.","authors":"Ji Won Kwak, Gongmin Rim, Young Mog Shim, Seung Keun Yoon, Hyung Joo Park","doi":"10.5090/jcs.26.019","DOIUrl":"https://doi.org/10.5090/jcs.26.019","url":null,"abstract":"Background: Surgical repair of pectus excavatum (PE) has evolved from simple sternal elevation toward comprehensive chest wall remodeling with multiple bars. However, concerns about postoperative pain and technical complexity have limited adoption of multiple-bar repair in children. We implemented multiple-bar repair across all age groups and evaluated its safety and efficacy in pediatric patients.Methods: Between November 2019 and November 2023, 469 patients underwent surgical PE repair; 210 pediatric patients aged 3-12 years met the inclusion criteria. Variables included deformity symmetry, the Haller index, postoperative complications, rescue analgesic use, and length of hospitalization. Propensity score matching (PSM) balanced baseline characteristics between single-bar and multiple-bar groups. Receiver operating characteristic (ROC) curve analysis identified an age threshold associated with multiple-bar selection.Results: In the unmatched cohort (single-bar group, n=82; multiple-bar group, n=128), patients undergoing multiple-bar repair were significantly older. The Haller index did not differ significantly between groups. Rates of pneumothorax, pleural effusion, and wound complications were similar, and bar dislocation occurred only in the single-bar group. Length of hospitalization was also comparable. After 1:1 PSM, 33 matched pairs were identified, and baseline characteristics were balanced between groups. The multiple-bar group had a shorter hospital stay (4.3 days vs. 4.8 days, p<0.01). ROC curve analysis identified age ≥7 years as the optimal cutoff associated with the selection of multiple-bar repair (area under the curve, 0.82).Conclusion: Multiple-bar repair was not associated with higher postoperative complication rates or rescue analgesic requirements and may be a safe, feasible option for selected pediatric patients with PE.","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148983645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surgical Correction of Prosthetic Mitral Valve Paravalvular Leak: Analysis of Long-Term Outcomes. 手术矫正人工二尖瓣瓣旁漏：长期结果分析。

IF 1.5

Journal of Chest Surgery Pub Date : 2026-09-08 DOI: 10.5090/jcs.26.061

Han Cho, Jae Woong Choi, Kyung Hwan Kim, Ho Young Hwang

{"title":"Surgical Correction of Prosthetic Mitral Valve Paravalvular Leak: Analysis of Long-Term Outcomes.","authors":"Han Cho, Jae Woong Choi, Kyung Hwan Kim, Ho Young Hwang","doi":"10.5090/jcs.26.061","DOIUrl":"https://doi.org/10.5090/jcs.26.061","url":null,"abstract":"Background: Paravalvular leak involving a prosthetic mitral valve (M-PVL) is a rare but serious complication after mitral valve replacement (MVR). This study evaluated contemporary outcomes after surgical correction of M-PVL and investigated factors associated with its recurrence.Methods: This retrospective study included 199 patients who underwent first-time surgical correction of M-PVL between 2002 and 2023 (mean age, 64.5±9.6 years; 55.8% female). Early and long-term outcomes, including all-cause mortality and recurrence, were analyzed using Cox proportional hazards and cause-specific hazards models. The median follow-up duration was 55.9 months (interquartile range, 30.3-96.4 months).Results: Seventy-two percent of the patients had undergone at least 2 previous open-heart operations. The most common concomitant procedures were tricuspid valve surgery (n=78; 39.2%) and aortic valve surgery (n=48; 24.1%). Leak site repair was performed in 81 patients (40.7%), and redo MVR was performed in 118 patients (59.3%). The overall operative mortality rate was 6.0% (n=12) and decreased over time from 12.5% to 2.5%. The 5- and 10-year all-cause mortality rates were 20.7% and 38.4%, respectively. Cox proportional hazards analysis identified several preoperative and operative factors, including the era of operation, that were associated with all-cause mortality. The cumulative incidence of recurrent M-PVL was 10.0% at 5 years and 36.2% at 10 years. Cause-specific hazards analysis identified no factors significantly associated with recurrent M-PVL. Outcomes did not differ significantly between leak site repair and redo MVR.Conclusion: Early outcomes after surgical correction of M-PVL improved over the study period. However, recurrence remained common regardless of operative technique.","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surgical Ablation of Atrial Fibrillation Using the Left Atrial Roof Approach. 左房顶入路心房颤动的外科消融。

IF 1.5

Journal of Chest Surgery Pub Date : 2026-09-05 Epub Date: 2026-05-26 DOI: 10.5090/jcs.26.001

Joon Young Kim, Joon Bum Kim

{"title":"Surgical Ablation of Atrial Fibrillation Using the Left Atrial Roof Approach.","authors":"Joon Young Kim, Joon Bum Kim","doi":"10.5090/jcs.26.001","DOIUrl":"10.5090/jcs.26.001","url":null,"abstract":"Background: Minimally invasive surgical ablation has demonstrated favorable outcomes when performed during mitral and tricuspid valve procedures; however, its application in proximal aortic and aortic valve procedures remains challenging. We present the left atrial (LA) roof approach via upper mini-sternotomy as an alternative technique.Methods: The LA was exposed by transecting or laterally retracting the ascending aorta, followed by a 3-4 cm transverse incision near the ostia of the upper pulmonary veins (PVs). A left semicircular cryoablation lesion was created from the left margin of the LA roof incision and extended posterolaterally to encircle the left PVs. A right arc-shaped lesion was created from the right margin, extended posterolaterally to encircle the right PVs, and terminated at the posterior mitral annulus adjacent to the P3 scallop. Together, these lesions constituted a complete box lesion for PV isolation in conjunction with mitral isthmus cryoablation.Results: From June 2018 to February 2023, 23 patients underwent surgical ablation using the LA roof approach. Aortic valve replacement, performed alone or combined with other procedures, was the most common procedure (60.9%), followed by arch repair (30.4%) and root replacement (26.1%). The median cross-clamp and bypass times were 92 and 117 minutes, respectively. No early deaths, cases requiring dialysis, or wound infections occurred. Three patients (13.0%) required permanent pacemaker implantation. Freedom from atrial fibrillation recurrence was 91.3% at 1 year and 82.6% at 2 years.Conclusion: In this preliminary experience, the LA roof approach via upper mini-sternotomy yielded favorable early postoperative and mid-term rhythm outcomes.","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":" ","pages":"211-216"},"PeriodicalIF":1.5,"publicationDate":"2026-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13542690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148017686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Commentary: Is Combination Pleurodesis the Next Step in Managing Persistent Air Leak? 评论：联合胸膜固定术是治疗持续性空气泄漏的下一步吗？

IF 1.5

Journal of Chest Surgery Pub Date : 2026-09-05 Epub Date: 2026-08-19 DOI: 10.5090/jcs.26.163

Jun Hee Lee

引用次数: 0

A Case of Primary Synovial Sarcoma of the Posterior Mediastinum: From Diagnostic Challenges to the Surgical Approach. 后纵隔原发性滑膜肉瘤1例：从诊断挑战到手术入路。

IF 1.5

Journal of Chest Surgery Pub Date : 2026-09-05 Epub Date: 2026-05-12 DOI: 10.5090/jcs.25.146

Parvin Akhmedov, Arif Allakhverdiev, Sergey Vachev, Evgenia Khatkova, Anna Maklakova, Igor Khatkov

引用次数: 0

Commentary: A New Route to the Left Atrium: An Innovative Strategy for the Minimally Invasive Era. 评论：通往左心房的新途径：微创时代的创新策略。

IF 1.5

Journal of Chest Surgery Pub Date : 2026-09-05 Epub Date: 2026-08-20 DOI: 10.5090/jcs.26.162

Yoonjin Kang

引用次数: 0