Journal of Chest Surgery最新文献_第9页

Change in Pulmonary Arteries after Modified Blalock-Taussig Shunt Procedure: Analysis Based on Computed Tomography. 改良布洛克-陶西分流术后肺动脉的变化：基于计算机断层扫描的分析

Journal of Chest Surgery Pub Date : 2024-04-08 DOI: 10.5090/jcs.23.128

Sangjun Lee, J. G. Kwak, Woong-Han Kim

{"title":"Change in Pulmonary Arteries after Modified Blalock-Taussig Shunt Procedure: Analysis Based on Computed Tomography.","authors":"Sangjun Lee, J. G. Kwak, Woong-Han Kim","doi":"10.5090/jcs.23.128","DOIUrl":"https://doi.org/10.5090/jcs.23.128","url":null,"abstract":"Background\u0000Although the modified Blalock-Taussig shunt remains the mainstay method of palliation for augmenting pulmonary blood flow in various congenital heart diseases, the shunt must be carefully designed to achieve the best outcomes. This study investigated the effect of shunt configuration on pulmonary artery growth and growth discrepancy.\u0000\u0000\u0000Methods\u0000Twenty patients with successful modified Blalock-Taussig shunt takedown were analyzed. Pulmonary artery and shunt characteristics were obtained using computed tomography scans. Differences in the baseline and follow-up diameter ratios and growth in the ipsilateral and contralateral arteries were calculated. The angle between the shunt and pulmonary artery, as well as the distance from the main pulmonary artery bifurcation, were measured. Correlations between pulmonary arteries and shunt configurations were analyzed.\u0000\u0000\u0000Results\u0000The median interval time between shunt placement and takedown was 154.5 days (interquartile range, 113.25-276.25 days). Follow-up values of the ipsilateral-to-contralateral pulmonary artery diameter ratio showed no significant correlation with the shunt angle (ρ=0.429, p=0.126) or distance (ρ=0.110, p=0.645). The shunt angle and distance from the main pulmonary bifurcation showed no significant correlation (ρ=-0.373, p=0.189). Pulmonary artery growth was negatively correlated with shunt angle (ipsilateral, ρ=-0.565 and p=0.035; contralateral, ρ=-0.578 and p=0.030), but not with distance (ipsilateral, ρ=-0.065 and p=0.786; contralateral, ρ=-0.130 and p=0.586).\u0000\u0000\u0000Conclusion\u0000Shunt configuration had no significant effect on growth imbalance. The angle and distance of the shunt showed no significant correlation with each other. A more vertical shunt was associated with significant pulmonary artery growth. We suggest a more vertical graft design for improved pulmonary artery growth.","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":"42 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140731854","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

Malignant Solitary Fibrous Tumor of the Mediastinum with Multiple Recurrences and a Rare Metastasis to the Thyroid Gland: A Case Report. 纵隔恶性单发纤维性肿瘤伴多次复发和罕见的甲状腺转移：病例报告。

Journal of Chest Surgery Pub Date : 2024-04-08 DOI: 10.5090/jcs.24.003

J. Yun, Sang Yun Song, K. Na, S. Oh, H. Ko

引用次数: 0

Pulmonary Artery Angioplasty for Improving Ipsilateral Lung Perfusion in Adolescent and Adult Patients: An Analysis Based on Cardiac Magnetic Resonance Imaging and Lung Perfusion Scanning. 改善青少年和成人患者同侧肺灌注的肺动脉血管成形术：基于心脏磁共振成像和肺灌注扫描的分析。

Journal of Chest Surgery Pub Date : 2024-04-08 DOI: 10.5090/jcs.23.158

Dong Hyeon Son, Jooncheul Min, J. G. Kwak, Sungkyu Cho, Woong-Han Kim

{"title":"Pulmonary Artery Angioplasty for Improving Ipsilateral Lung Perfusion in Adolescent and Adult Patients: An Analysis Based on Cardiac Magnetic Resonance Imaging and Lung Perfusion Scanning.","authors":"Dong Hyeon Son, Jooncheul Min, J. G. Kwak, Sungkyu Cho, Woong-Han Kim","doi":"10.5090/jcs.23.158","DOIUrl":"https://doi.org/10.5090/jcs.23.158","url":null,"abstract":"Background\u0000The left pulmonary artery (LPA) may be kinked and stenotic, especially in tetralogy of Fallot, because of ductal tissue and anterior deviation of the conal septum. If LPA stenosis is not effectively treated during total correction, surgical angioplasty is occasionally performed. However, whether pulmonary artery (PA) angioplasty in adolescents or adults improves perfusion in the ipsilateral lung remains unclear.\u0000\u0000\u0000Methods\u0000This retrospective review enrolled patients who underwent PA angioplasty for LPA stenosis between 2004 and 2019. Among patients who underwent a lung perfusion scan (LPS) or cardiac magnetic resonance imaging (cMRI) pre- and post-pulmonary angioplasty, those aged >13 years with <40% left lung perfusion (p-left) in the pre-angioplasty study were included. Preoperative and postoperative computed tomography, LPS, and cMRI data were collected. The perfusion ratio was analyzed according to the LPA's anatomical characteristics.\u0000\u0000\u0000Results\u0000Seventeen adolescents and 16 adults (≥18 years old) were finally included (median age, 17 years). The most common primary diagnosis was tetralogy of Fallot (87.9%). In all patients, LPA angioplasty was performed concomitantly with right ventricular outflow tract reconstruction. No patients died. Preoperative p-left was not significantly different between adolescents and adults; however, adolescents had significantly higher postoperative p-left than adults. P-left significantly increased in adolescents, but not in adults. Seven patients had significant stenosis (z-score <-2.0) confined only to the proximal LPA and demonstrated significantly increased p-left.\u0000\u0000\u0000Conclusion\u0000PA angioplasty significantly increased ipsilateral lung perfusion in adolescents. If focal stenosis is confined to the proximal LPA, PA angioplasty may improve ipsilateral lung perfusion, regardless of age.","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":"138 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140731594","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

Parallel Venovenous and Venoarterial Extracorporeal Membrane Oxygenation for Respiratory Failure and Cardiac Dysfunction in a Patient with Coronavirus Disease 2019: A Case Report. 并行静脉和静脉动脉体外膜氧合治疗 2019 年冠状病毒病患者的呼吸衰竭和心功能障碍：病例报告。

Journal of Chest Surgery Pub Date : 2024-03-05 Epub Date: 2024-01-08 DOI: 10.5090/jcs.23.082

Eun Seok Ka, June Lee, Seha Ahn, Yong Han Kim

引用次数: 0

Treatment Patterns and Outcomes of Anastomotic Leakage after Esophagectomy for Esophageal Cancer. 食管癌食管切除术后吻合口漏的治疗模式和结果

Journal of Chest Surgery Pub Date : 2024-03-05 Epub Date: 2024-01-17 DOI: 10.5090/jcs.23.114

Hyo Won Seo, Yeong Jeong Jeon, Jong Ho Cho, Hong Kwan Kim, Yong Soo Choi, Jae Ill Zo, Young Mog Shim

{"title":"Treatment Patterns and Outcomes of Anastomotic Leakage after Esophagectomy for Esophageal Cancer.","authors":"Hyo Won Seo, Yeong Jeong Jeon, Jong Ho Cho, Hong Kwan Kim, Yong Soo Choi, Jae Ill Zo, Young Mog Shim","doi":"10.5090/jcs.23.114","DOIUrl":"10.5090/jcs.23.114","url":null,"abstract":"Background: Anastomotic leakage (AL) following esophagectomy represents a serious complication that often results in prolonged hospitalization and necessitates repeated interventions, including nothing-by-mouth (NPO) restriction, endoscopic vacuum therapy (EVT), or surgical repair. In this study, we evaluated the patterns and outcomes of AL treatment.Methods: We retrospectively reviewed the medical records of patients who underwent esophagectomy for esophageal cancer at a single center between 2003 and 2020. Of 3,096 examined cases, 181 patients (5.8%) with AL were included in the study: 114 patients (63%) with cervical anastomosis (CA) and 67 (37%) with intrathoracic anastomosis (TA).Results: The incidence of AL was 11.9% in the CA and 3.2% in the TA group (p<0.001). Among patients with CA who developed AL, 87 (76.3%) were managed with NPO, 15 (13.2%) with EVT, and 12 (10.5%) with surgical repair. Over 90% of patients with cervical AL resumed an oral diet by the time of discharge, regardless of treatment method. Among patients with TA and AL, 36 (53.7%) received NPO, 25 (37.7%) underwent EVT, and 6 (9%) required surgery. Of these, 34 patients who were managed with NPO and 19 with EVT could resume an oral diet. However, only 2 patients who underwent surgery resumed an oral diet, and 2 patients required additional EVT.Conclusion: Although patients with CA displayed a higher incidence of AL, their rate of successful oral intake exceeded that of those with TA, regardless of treatment method. Among patients exhibiting AL with TA, EVT was more commonly employed than in CA cases, and it appears effective.","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":" ","pages":"152-159"},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10927423/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139479257","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

Surgical Outcomes of Centrifugal Continuous-Flow Implantable Left Ventricular Assist Devices: Heartmate 3 versus Heartware Ventricular Assist Device. 离心持续流植入式左心室辅助装置的手术效果：Heartmate 3与Heartware心室辅助装置的对比。

Journal of Chest Surgery Pub Date : 2024-03-05 Epub Date: 2024-02-16 DOI: 10.5090/jcs.23.135

Kinam Shin, Won Chul Cho, Nara Shin, Hong Rae Kim, Min-Seok Kim, Cheol Hyun Chung, Sung-Ho Jung

{"title":"Surgical Outcomes of Centrifugal Continuous-Flow Implantable Left Ventricular Assist Devices: Heartmate 3 versus Heartware Ventricular Assist Device.","authors":"Kinam Shin, Won Chul Cho, Nara Shin, Hong Rae Kim, Min-Seok Kim, Cheol Hyun Chung, Sung-Ho Jung","doi":"10.5090/jcs.23.135","DOIUrl":"10.5090/jcs.23.135","url":null,"abstract":"Background: Left ventricular assist devices (LVADs) are widely employed as a therapeutic option for end-stage heart failure. We evaluated the outcomes associated with centrifugal-flow LVAD implantation, comparing 2 device models: the Heartmate 3 (HM3) and the Heartware Ventricular Assist Device (HVAD).Methods: Data were collected from patients who underwent LVAD implantation between June 1, 2015 and December 31, 2022. We analyzed overall survival, first rehospitalization, and early, late, and LVAD-related complications.Results: In total, 74 patients underwent LVAD implantation, with 42 receiving the HM3 and 32 the HVAD. A mild Interagency Registry for Mechanically Assisted Circulatory Support score was more common among HM3 than HVAD recipients (p=0.006), and patients receiving the HM3 exhibited lower rates of preoperative ventilator use (p=0.010) and extracorporeal membrane oxygenation (p=0.039). The overall early mortality rate was 5.4% (4 of 74 patients), with no significant difference between groups. Regarding early right ventricular (RV) failure, HM3 implantation was associated with a lower rate (13 of 42 [31.0%]) than HVAD implantation (18 of 32 [56.2%], p=0.051). The median rehospitalization-free period was longer for HM3 recipients (16.9 months) than HVAD recipients (5.3 months, p=0.013). Furthermore, HM3 recipients displayed a lower incidence of late hemorrhagic stroke (p=0.016). In the multivariable analysis, preoperative use of continuous renal replacement therapy (odds ratio, 22.31; p=0.002) was the only significant predictor of postoperative RV failure.Conclusion: The LVAD models (HM3 and HVAD) demonstrated comparable overall survival rates. However, the HM3 was associated with a lower risk of late hemorrhagic stroke.","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":" ","pages":"184-194"},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10927433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139742236","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

Gastrointestinal Bleeding in Extracorporeal Membrane Oxygenation Patients: A Comprehensive Analysis of Risk Factors and Clinical Outcomes. 体外膜氧合患者的消化道出血：风险因素和临床结果的综合分析。

Journal of Chest Surgery Pub Date : 2024-03-05 Epub Date: 2024-02-08 DOI: 10.5090/jcs.23.136

Sahri Kim, Jung Hyun Lim, Ho Hyun Ko, Lyo Min Kwon, Hong Kyu Lee, Yong Joon Ra, Kunil Kim, Hyoung Soo Kim

{"title":"Gastrointestinal Bleeding in Extracorporeal Membrane Oxygenation Patients: A Comprehensive Analysis of Risk Factors and Clinical Outcomes.","authors":"Sahri Kim, Jung Hyun Lim, Ho Hyun Ko, Lyo Min Kwon, Hong Kyu Lee, Yong Joon Ra, Kunil Kim, Hyoung Soo Kim","doi":"10.5090/jcs.23.136","DOIUrl":"10.5090/jcs.23.136","url":null,"abstract":"Background: Extracorporeal membrane oxygenation (ECMO) is an intervention for severe heart and lung failure; however, it poses the risk of complications, including gastrointestinal bleeding (GIB). Comprehensive analyses of GIB in patients undergoing ECMO are limited, and its impact on clinical outcomes remains unclear.Methods: This retrospective study included 484 patients who received venovenous and venoarterial ECMO between January 2015 and December 2022. Data collected included patient characteristics, laboratory results, GIB details, and interventions. Statistical analyses were performed to identify risk factors and assess the outcomes.Results: GIB occurred in 44 of 484 patients (9.1%) who received ECMO. Multivariable analysis revealed that older age (odds ratio [OR], 1.04; 95% confidence interval [CI], 1.01-1.06; p=0.0130) and need to change the ECMO mode (OR, 3.74; 95% CI, 1.75-7.96; p=0.0006) were significant risk factors for GIB, whereas no association was found with antiplatelet or systemic anticoagulation therapies during ECMO management. Half of the patients with GIB (22/44, 50%) underwent intervention, with endoscopy as the primary modality (19/22, 86.4%). Patients who underwent ECMO and developed GIB had higher rates of mortality (40/44 [90.9%] vs. 262/440 [59.5%]) and ECMO weaning failure (38/44 [86.4%] vs. 208/440 [47.3%]).Conclusion: GIB in patients undergoing ECMO is associated with adverse outcomes, including increased risks of mortality and weaning failure. Even in seemingly uncomplicated cases, it is crucial to avoid underestimating the significance of GIB.","PeriodicalId":34499,"journal":{"name":"Journal of Chest Surgery","volume":" ","pages":"195-204"},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10927420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139703611","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

Novel Repair of Clamshell Thoracotomy Sternal Dehiscence after Lung Transplant: A Case Report. 肺移植术后蛤壳式胸廓切开术胸骨开裂的新型修复方法：病例报告。

Journal of Chest Surgery Pub Date : 2024-03-05 Epub Date: 2024-01-15 DOI: 10.5090/jcs.23.099

John O Barron, Nethra Jain, Mujtaba Mubashir, Haytham Elgharably, Daniel P Raymond, Dean P Schraufnagel

引用次数: 0

Commentary: Optimal Timing for Surgical Stabilization of Rib Fractures: When Is Best? 评论：肋骨骨折手术稳定的最佳时机：何时最佳？

Journal of Chest Surgery Pub Date : 2024-03-05 DOI: 10.5090/jcs.24.011

Seon Hee Kim, Hoseok I

引用次数: 0

Surgical Treatment of an Aneurysmal Coronary Artery Fistula between the Left Coronary Artery and Right Atrium: A Case Report. 左冠状动脉与右心房之间动脉瘤样冠状动脉瘘的手术治疗：病例报告。

Journal of Chest Surgery Pub Date : 2024-03-05 Epub Date: 2024-01-16 DOI: 10.5090/jcs.23.079

Jae Hoon Kim, Jae Suk Yoo

引用次数: 0