ASIAN CARDIOVASCULAR & THORACIC ANNALS最新文献

Ascending aortic rupture by blunt abdominal trauma. 腹部钝性创伤导致升主动脉破裂。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-05-22 DOI: 10.1177/02184923251342684

Kalogerakos Paris Dimitrios, Karagkounis Thomas, Konstantinou John, Lazopoulos Lambros, Chryssou Evangelia, Lazopoulos George

引用次数: 0

Video-assisted thoracic surgery (VATS) in the surgical management of acquired benign broncho-esophageal fistula. 电视辅助胸外科（VATS）在获得性支气管-食管良性瘘的外科治疗中的应用。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-05-21 DOI: 10.1177/02184923251343326

Sukhram Bishnoi, Mohan Venkatesh Pulle, Harsh Vardhan Puri, Belal Bin Asaf, Sumit Bangeria, Anmol Bhan, Anjali Singh, Arvind Kumar

{"title":"Video-assisted thoracic surgery (VATS) in the surgical management of acquired benign broncho-esophageal fistula.","authors":"Sukhram Bishnoi, Mohan Venkatesh Pulle, Harsh Vardhan Puri, Belal Bin Asaf, Sumit Bangeria, Anmol Bhan, Anjali Singh, Arvind Kumar","doi":"10.1177/02184923251343326","DOIUrl":"https://doi.org/10.1177/02184923251343326","url":null,"abstract":"BackgroundBenign broncho-esophageal fistula (BEF) is a rare condition that often results from infections, trauma, or prior surgical interventions. This study evaluates the outcomes of surgical management of BEF, emphasizing the role of video-assisted thoracoscopic surgery.MethodsA retrospective analysis of 19 patients who underwent surgical management for benign BEF was conducted. Patient demographics, fistula characteristics, surgical approach, perioperative outcomes, and complications were assessed.ResultsThe cohort comprised 14 males (73.7%) and 5 females (26.3%) with a median age of 34 years (range: 19-63 years). The left main bronchus was the most common fistula location (n = 10, 52.6%) followed by right lower lobe (n = 6, 31.6%), left lower lobe (n = 2, 10.5%), and right bronchus intermedius (n = 1, 5.3%). A prior history of antitubercular treatment was noted in 15 patients (79%). Video-assisted thoracic surgery was successfully performed in 17 patients (89.5%), while 2 (10.5%) required conversion to thoracotomy due to dense adhesions. During surgery, division of fistula alone was performed in 14 patients (73.7%). The distal lung destruction necessitated lobectomy in 3 patients (15.78%) and wedge resection in 2 patients (10.52%). The mean operative time was 120 min, with a median hospital stay of 5.5 days. Two patients (10.5%) experienced complications, including a minimal esophageal leak managed with a stent and a case of postoperative pneumonia which resolved with conservative measures. No recurrences were observed during a median follow-up of 48 months.ConclusionsVideo-assisted thoracic surgery is a safe and effective approach for managing benign BEF, offering excellent long-term outcomes with minimal morbidity. Conversion to thoracotomy is required in select cases with dense adhesions.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"2184923251343326"},"PeriodicalIF":0.7,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121005","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

Foot drop in the setting of VA-ECMO: A possible alternative mechanism to ischemia. VA-ECMO设置下的足部下降：缺血的可能替代机制。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-04-30 DOI: 10.1177/02184923251337649

Abdulaziz M Alkhulaifi, Ahsan Ehtesham, Hafeez Lone, Yousef Alkhulaifi, Cornelia S Carr

{"title":"Foot drop in the setting of VA-ECMO: A possible alternative mechanism to ischemia.","authors":"Abdulaziz M Alkhulaifi, Ahsan Ehtesham, Hafeez Lone, Yousef Alkhulaifi, Cornelia S Carr","doi":"10.1177/02184923251337649","DOIUrl":"https://doi.org/10.1177/02184923251337649","url":null,"abstract":"Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is used widely as part of extracorporeal resuscitation (ECPR). Prolonged VA-ECMO may be associated with the development of foot drop, often secondary to limb ischemia. We report on three patients who developed foot drop following prolonged ECMO use, and we propose an alternative mechanism to ischemia. Three male patients, mean age 46.3 years, underwent peripheral VA-ECMO support, for an average of 22.6 days (17-25 days), two patients following ECPR and one post-cardiotomy shock. All patients underwent distal femoral artery perfusion cannula insertion within 60 min of ECMO cannulation. An intra-aortic balloon pump (IABP) was inserted on the contralateral side. During ECMO support the distal circulations in both legs were evaluated clinically, using Doppler ultrasound and measurement of blood flow in the distal cannula using a flow meter. One patient developed a foot drop on the side of the femoral cannula, one patient on the opposite side, and one patient bilaterally. Two patients needed LVAD, and one patient was successfully decannulated. All clinical parameters, Doppler flow measurements, and blood flow quantification (130-150 ml/min) were within normal limits throughout the support period. No ischemia was detected in the affected leg, nor was there evidence of compartment syndrome. Nerve conduction studies were inconclusive. We propose that the position and the immobility of the affected leg to enable groin cannula care may contribute to the development of foot drop due to compression /traction of the peroneal nerve.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"2184923251337649"},"PeriodicalIF":0.7,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038463","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

Technique for simultaneous aortic root replacement and Konno aortoventriculoplasty (Bentall-Konno). 主动脉根部置换术和Konno主动脉心室成形术的同步技术。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-04-10 DOI: 10.1177/02184923251332978

Anton Pechenenko, Carlos A Mestres, Elena Sandoval, María Ascaso, Maksym Konodiuk, Eduard Quintana

{"title":"Technique for simultaneous aortic root replacement and Konno aortoventriculoplasty (Bentall-Konno).","authors":"Anton Pechenenko, Carlos A Mestres, Elena Sandoval, María Ascaso, Maksym Konodiuk, Eduard Quintana","doi":"10.1177/02184923251332978","DOIUrl":"https://doi.org/10.1177/02184923251332978","url":null,"abstract":"Aortic valve patient-prosthesis mismatch is associated with unfavorable outcomes. There are several techniques to mitigate this. Occasionally, root replacement may be required in the context of small aortic annuli or hypoplastic left ventricular outflow tract (LVOT). For children or young adults, the Ross operation (± Konno aortoventriculoplasty) may constitute a satisfactory solution. However, most adults, particularly those older than 50 years, may not be considered candidates for the Ross operation, particularly if associated annular enlargement is needed. In clinical practice, a subgroup of patients requiring root replacement present with the need for simultaneous LVOT/annular enlargement who can benefit from an aortoventriculoplasty (Bentall-Konno). Through this modified Konno procedure, a larger prosthesis can be implanted. This option is of interest when an anterior root enlargement is prioritized, as in cases of hypoplasia of the LVOT. The technique could be especially useful in patients presenting with a normal functioning mitral prosthesis, when seeking a durable mechanical prosthetic substitute, and in patients with debilitated anterior aortic annuli (endocarditis with anterior invasion or anterior annular defects consequence of or multiple prior interventions). The use of two unified patches anchored with interrupted stitches simplifies the operation, provides a platform for root conduit anchorage, and allows appropriate right ventricular outflow tract reconstruction. We provide a detailed description of the technique, present two videos from different patients, and supplement this material with a wet lab model to facilitate safe adoption of this approach.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"2184923251332978"},"PeriodicalIF":0.7,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001367","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

Hemoadsorption use in adult cardiac surgery for infective endocarditis: A comprehensive meta-analysis. 血液吸附在成人心脏手术治疗感染性心内膜炎中的应用：一项综合荟萃分析。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-03-28 DOI: 10.1177/02184923251328119

Palak Dutta, Rohit Ganduboina, Cankutay Muderrisoglu, Adithya C Reddy Obulareddy, Keerthi Palagati, Vivekananda Reddy Areddy, Gaddam Ashwith Reddy, Sandeep Sainathan

{"title":"Hemoadsorption use in adult cardiac surgery for infective endocarditis: A comprehensive meta-analysis.","authors":"Palak Dutta, Rohit Ganduboina, Cankutay Muderrisoglu, Adithya C Reddy Obulareddy, Keerthi Palagati, Vivekananda Reddy Areddy, Gaddam Ashwith Reddy, Sandeep Sainathan","doi":"10.1177/02184923251328119","DOIUrl":"https://doi.org/10.1177/02184923251328119","url":null,"abstract":"IntroductionInfective endocarditis (IE) is a severe infection of the endocardium, primarily affecting the heart valves, exhibiting high morbidity and mortality rates. Cardiac surgery for IE with cardiopulmonary bypass (CPB) can further exacerbate the inflammatory response and cytokine production from IE. The current meta-analysis evaluates the use of CytoSorb® hemoadsorption in IE patients undergoing cardiac surgery to determine its efficacy in reducing inflammatory mediators and improving clinical outcomes.MethodsPubMed, Cochrane, Google Scholar, Clinical Trials, and Google Scholar were searched for articles until July 2024. After performing a risk of bias and quality assessment, data on operative times, mortality, and morbidity were extracted for meta-analysis. Statistical Software R (version 4.4.0) was used to calculate odds ratio (OR) and standardized mean differences using a random-effect model with a 95% confidence interval (CI) and p-value less than 0.05.ResultsEight studies, encompassing 1076 patients, were included in the analysis. These comprised three randomized controlled trials and five nonrandomized studies. The majority of these studies exhibited some concerns regarding bias. Hemoadsorption group showed lower discharge mortality (OR: 0.58, 95% CI: 0.33-1.00, p = 0.05) compared to controls, but no significant disparity is observed in other outcomes. In-hospital outcomes also showed higher heterogeneity, with an I² value greater than 50%.ConclusionCytoSorb use in patients undergoing cardiac surgery with CPB used for IE has no impact on operative mortality and morbidity but has a beneficial effect on discharge mortality.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"2184923251328119"},"PeriodicalIF":0.7,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732118","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

Milky heart: A rare case of tuberculous chylopericardium managed conservatively. 乳糜心：一例罕见的结核性乳糜心包保守治疗。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-03-24 DOI: 10.1177/02184923251324961

Kevin Paul DA Enriquez, John Christopher A Pilapil, Bynlee Stuart Go, Rafael Luis C Gavino, Michelle Marie Pipo, Felix Eduardo R Punzalan

引用次数: 0

Bilateral tumoral pulmonary emboli complicating right atrial myxoma. 双侧肿瘤肺栓塞并发右心房黏液瘤。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-03-17 DOI: 10.1177/02184923251328067

Albaraa Bara, Nawal Akashe, Ahmad Walid Izzat, Eyad M Chatty, Mohammad Bashar Izzat

引用次数: 0

Hybrid support systems: A shift in managing infarct-related cardiogenic shock. 混合支持系统：管理梗死相关心源性休克的转变。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-03-17 DOI: 10.1177/02184923251328392

Hamrish Kumar Rajakumar

引用次数: 0

Variations in thromboelastography levels in blood exposed to membrane oxygenators. 暴露于膜氧合器的血液中血栓弹性成像水平的变化。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-03-17 DOI: 10.1177/02184923251327042

Masashi Tagaya, Shinya Okano, Takuo Murataka, Hiroki Handa, Shunsuke Ichikawa, Shunsuke Takahashi

{"title":"Variations in thromboelastography levels in blood exposed to membrane oxygenators.","authors":"Masashi Tagaya, Shinya Okano, Takuo Murataka, Hiroki Handa, Shunsuke Ichikawa, Shunsuke Takahashi","doi":"10.1177/02184923251327042","DOIUrl":"https://doi.org/10.1177/02184923251327042","url":null,"abstract":"IntroductionThromboelastography (TEG), which indicates hemostatic ability, is useful for monitoring coagulation during extracorporeal circulation (ECC). However, the extent to which TEG levels are independently affected by ECC exposure remains unclear. To determine the effects of TEG levels in blood exposed to a membrane oxygenator, we performed in vitro experiments using whole human blood with ECC circuits including a membrane oxygenator.MethodsBlood provided by healthy volunteers was heparinized and circulated in three types of experimental circuits: polymer-coating, heparin-coating (HC), or non-coating (NC) membrane oxygenators (five of each type). Thromboelastography tests using a global hemostasis assay were performed at 3, 6, 12, and 24 h of circulation in each experiment. During TEG, the sampled blood was reversed with 0.05 mg of protamine. One-way analysis of variance (ANOVA) and two-way repeated measures ANOVA were performed to evaluate trends in circulation duration and coating types, respectively.ResultsCitrated kaolin with heparinase reaction times (CKHR) were significantly shortened at 6 and 12 h but prolonged at 24 h. The maximum amplitude for citrated kaolin with heparinase (CKHMA) was magnified from 6 to 12 h. Regarding the coating type, a significant difference was observed between HC and NC in CKHR at 6 h, but significance was not noted in other comparisons of coating types in CKHR and CKHMA.ConclusionsThromboelastography data indicated that the hemostatic capability of blood exposed to membrane surfaces was maintained after 12 h of circulation. The effects on TEG data in terms of coating type remain to be determined.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"2184923251327042"},"PeriodicalIF":0.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651203","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

Superior vena cava syndrome caused by a giant right coronary artery aneurysm. 由巨大的右冠状动脉动脉瘤引起的上腔静脉综合征。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-01-01 Epub Date: 2025-02-04 DOI: 10.1177/02184923251317752

Hagen Kahlbau, João João Mendes, Isabel Fragata, José Fragata

引用次数: 0