ASIAN CARDIOVASCULAR & THORACIC ANNALS最新文献

Short-term outcomes in upper-hemi sternotomy for ascending and hemi-arch aortic repair with and without concomitant aortic valve replacement or repair. 上半胸骨切开术进行升主动脉和半弓主动脉修复的短期疗效，并伴有或不伴有主动脉瓣置换术或修复。

IF 0.6

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-09-25 DOI: 10.1177/02184923251382609

Eric Robinson, Tom Liu, Beth Whippo, Kira Gerweck, Abigail S Baldridge, S Chris Malaisrie, Douglas R Johnston, Duc T Pham, Christopher K Mehta

{"title":"Short-term outcomes in upper-hemi sternotomy for ascending and hemi-arch aortic repair with and without concomitant aortic valve replacement or repair.","authors":"Eric Robinson, Tom Liu, Beth Whippo, Kira Gerweck, Abigail S Baldridge, S Chris Malaisrie, Douglas R Johnston, Duc T Pham, Christopher K Mehta","doi":"10.1177/02184923251382609","DOIUrl":"https://doi.org/10.1177/02184923251382609","url":null,"abstract":"IntroductionFull median sternotomy is the traditional operative approach for ascending aortic aneurysm repair. Minimally invasive approaches are being used more frequently by surgeons to enhance recovery.MethodsThis is a single-institution, multi-surgeon retrospective review of adult patients who underwent elective aneurysm surgery involving the ascending aorta and proximal arch between 1 January 2015 and 30 June 2024 with and without aortic valve replacement/repair. Exclusion criteria included re-operation, aortic root procedure, and other concomitant valve procedure or coronary artery bypass grafting. Operative and short-term clinical outcomes were compared between patients undergoing upper hemi-sternotomy (UHS) and full median sternotomy (FMS).ResultsAmong 166 patients in the analysis dataset, 84 (50.6%) underwent FMS and 82 (49.4%) underwent UHS. UHS and FMS groups had similar median cardiopulmonary bypass time (129 vs. 137 min, p = 0.436) and median aortic cross-clamp time (92 vs. 96.5 min, p = 0.900). Patients undergoing UHS were more likely to be discharged home (93.9% vs. 83.3%, p = 0.032) and had a shorter length of stay (5 vs. 6 days, p < 0.001) compared to FMS. 30-day mortality occurred in one patient (1.2%) in the FMS group.ConclusionsElective aneurysm repair can be performed safely with less invasive hemi-sternotomy approaches. Minimally invasive approaches enhance recovery after surgery. Future prospective studies are needed to clarify potential benefits in postoperative pain and quality of life.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"2184923251382609"},"PeriodicalIF":0.6,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151207","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

Unforeseen pulmonary destruction following hepatic hydatid cyst fistulization: A case report of emergency pneumonectomy in a critically ill patient. 肝包虫囊肿成瘘后不可预见的肺破坏：一例危重病人紧急全肺切除术的报告。

IF 0.6

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-09-01 Epub Date: 2025-09-05 DOI: 10.1177/02184923251374364

Ihsan Alloubi, Taha Hasni Alaoui, Youssef Motiaa, Hicham Sbai, Siham Rachidi Alaoui

引用次数: 0

Cerebral oximetry in antegrade versus retrograde cerebral perfusion in aortic surgery. 主动脉手术中顺行与逆行脑灌注的脑血氧测定。

IF 0.6

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-09-01 Epub Date: 2025-09-08 DOI: 10.1177/02184923251374360

Omar Dawoud, Amr Bastawisy, Amr A Abada, Sherif M Abbas, John Malaty Fouad Abdelmesseh

{"title":"Cerebral oximetry in antegrade versus retrograde cerebral perfusion in aortic surgery.","authors":"Omar Dawoud, Amr Bastawisy, Amr A Abada, Sherif M Abbas, John Malaty Fouad Abdelmesseh","doi":"10.1177/02184923251374360","DOIUrl":"10.1177/02184923251374360","url":null,"abstract":"BackgroundThe optimal cerebral protection strategy during complex aortic surgery remains controversial, and various brain monitoring modalities are used to provide different information to improve cerebral protection. This study aims to compare the effect of the change in cerebral oxygen saturation during hypothermic circulatory arrest on the early postoperative neurological outcome in antegrade cerebral perfusion (ACP) versus retrograde cerebral perfusion (RCP) during circulatory arrest in adult aortic surgery using cerebral oximetry.MethodsThis was a cross-sectional analytic study that enrolled a total of 84 patients undergoing total circulatory arrest during adult aortic surgery divided into two groups. Group A: 42 cases undergoing selective ACP; Group B: 42 cases undergoing RCP.ResultsCerebral oxygen saturation before and after circulatory arrest (right and left), cerebral oxygen saturation after cardiopulmonary bypass (right and left) and cross clamp time were significantly lower in Group A than Group B. Cerebral oxygen saturation during circulatory arrest (right and left) and circulatory arrest time were significantly higher in Group A than Group B. Regaining of conscious level time, mechanical ventilation time, neurological dysfunction, other organs dysfunction, and mortality were significantly lower in Group A than Group B.ConclusionsDuring hypothermic circulatory arrest in complex aortic surgery in adults, cerebral oxygen saturation was an independent predictor of neurological dysfunction in patients who underwent RCP and in patients who underwent ACP.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"219-226"},"PeriodicalIF":0.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016377","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

Short-term outcomes of nonintubated and intubated video-assisted thoracoscopic surgery in management of malignant pleural effusion. 非插管胸腔镜与插管胸腔镜治疗恶性胸腔积液的短期疗效分析。

IF 0.6

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-09-01 Epub Date: 2025-07-30 DOI: 10.1177/02184923251363907

Mohammed F Eltaweel, Ismail N Elsokkary, Mohamed Wael Badawi, Ahmed Yacoub Mohamed Adas, Ahmed Alherazi, Faisal M Almulhim, Gamil K Ibrahim, Ibrahim Mohamed Khalil

{"title":"Short-term outcomes of nonintubated and intubated video-assisted thoracoscopic surgery in management of malignant pleural effusion.","authors":"Mohammed F Eltaweel, Ismail N Elsokkary, Mohamed Wael Badawi, Ahmed Yacoub Mohamed Adas, Ahmed Alherazi, Faisal M Almulhim, Gamil K Ibrahim, Ibrahim Mohamed Khalil","doi":"10.1177/02184923251363907","DOIUrl":"10.1177/02184923251363907","url":null,"abstract":"BackgroundMalignant pleural effusion is characterized by the presence of malignant cells in the pleural fluid. Malignant cells from pleural lavage performed in patients without a coexistent pleural effusion have been identified as an indicator of micrometastatic disease and are associated with a higher recurrence rate and poorer survival. The aim of this study was to evaluate the efficacy and safety of the short-term postoperative outcomes with patients who underwent awake and intubated video-assisted thoracoscopic surgery (VATS) in the management of recurrent malignant pleural effusion. We hypothesized that nonintubated VATS is as safe and effective as intubated VATS for MPE management.MethodsA case series of 315 consecutive patients from January 2021 to November 2023 with malignant pleural effusion. The patients were randomized into two groups as nonintubated video-assisted thoracoscopic Pleurodesis with sedoanalgesia (nonintubated as group A) and video-assisted thoracoscopic pleurodesis with general anesthesia (intubated as group B).ResultsThe study included 315 patients who underwent video-assisted thoracoscopic pleurodesis either intubated or not. The mean average age was noted to be 54.58 ± 7.93. There were 178 cases of male patients (65.5%). Visual analogue score showed a significant difference after procedure 4 h without any difference after 24 h. There was a nonsignificant difference between both groups according to changes in dyspnea score and grades of chest X-ray findings of pleural effusion.ConclusionsNonintubated VATS is safe in patients, especially those with comorbidity who couldn't tolerate general anesthesia. It has also similar reliability compared to VATS performed under general anesthesia.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"234-240"},"PeriodicalIF":0.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754630","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

Pulmonary lymph node difficulty grading. 肺淋巴结困难分级。

IF 0.6

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-09-01 Epub Date: 2025-07-23 DOI: 10.1177/02184923251361566

Mohan Venkatesh Pulle, Harsh Vardhan Puri, Arvind Kumar

引用次数: 0

Iatrogenic aorto-right ventricular fistula after transcatheter pulmonary valvuloplasty. 经导管肺动脉瓣成形术后医源性主动脉-右心室瘘。

IF 0.6

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-09-01 Epub Date: 2025-09-15 DOI: 10.1177/02184923251376059

Norito Miura, Maiko Tachi, Shoichi Suehiro, Kenji Yasuda, Shigeki Nakashima, Tomohiro Nakata

引用次数: 0

Simultaneous single-staged surgical management of coarctation of aorta concomitant with intra-cardiac abnormality by extra-anatomic aortic bypass grafting. 解剖外主动脉搭桥术同时单期手术治疗主动脉缩窄合并心内异常。

IF 0.6

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-09-01 Epub Date: 2025-09-15 DOI: 10.1177/02184923251376748

Utkarsh Sanghavi, Vikas Vasudeva Rao, Devvrat Desai, Jignesh Kothari

{"title":"Simultaneous single-staged surgical management of coarctation of aorta concomitant with intra-cardiac abnormality by extra-anatomic aortic bypass grafting.","authors":"Utkarsh Sanghavi, Vikas Vasudeva Rao, Devvrat Desai, Jignesh Kothari","doi":"10.1177/02184923251376748","DOIUrl":"10.1177/02184923251376748","url":null,"abstract":"BackgroundCoarctation of the aorta (CoA) is a congenital condition that often requires intervention, especially when associated with other intracardiac abnormalities. Surgical approaches to treat complex CoA and associated defects vary, with no universally accepted standard approach. This study evaluates the outcomes of a single-stage extra-anatomic bypass from the ascending to the descending thoracic aorta, along with simultaneous correction of associated intracardiac abnormalities in adult patients.MethodsWe conducted a retrospective analysis of 17 adult patients who underwent a single-stage extra-anatomic bypass for complex CoA repair between January 2014 and December 2023. Patients were treated with an ascending to descending thoracic aorta bypass via a right-sided extra-anatomic approach, with simultaneous correction of associated cardiac defects. The primary outcomes measured were perioperative mortality, haemodynamic improvement, and post-operative complications.ResultsThe mean age of patients was 35.9 years. The single-stage repair showed a 94.1% survival rate, with significant haemodynamic improvement indicated by a reduction in blood pressure gradient from 49.7 ± 7.4 mmHg pre-operatively to 11.2 ± 3.9 mmHg post-operatively. There were minimal complications, with no evidence of graft failure, kinking, or cerebrovascular incidents during follow-up. One patient experienced acute kidney injury and early mortality. Follow-up of up to 10 years demonstrated durable results with favourable outcomes.ConclusionThe single-stage extra-anatomic bypass with simultaneous correction of associated cardiac defects is a safe and effective approach for managing complex CoA in adults.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"227-233"},"PeriodicalIF":0.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070877","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

Early primary repair of congenital heart disease: Advantages and the importance of database configuration. 先天性心脏病早期初级修复：优势和数据库配置的重要性。

IF 0.6

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-07-30 DOI: 10.1177/02184923251363060

Richard A Jonas

{"title":"Early primary repair of congenital heart disease: Advantages and the importance of database configuration.","authors":"Richard A Jonas","doi":"10.1177/02184923251363060","DOIUrl":"https://doi.org/10.1177/02184923251363060","url":null,"abstract":"The introduction of the neonatal arterial switch operation in the 1980s demonstrated that early repair of congenital heart anomalies could be performed with improved patient survival relative to initial palliation and delayed repair in later infancy or beyond. Over the next decade or two, there was a continuing move away from a staged approach at most congenital heart programs. Studies from that era documented that the staged approach increased overall cost and reduced ultimate patient survival. However, over the last decade or two, there has been resurgent popularity of a staged approach, particularly for the management of very small and premature newborns. This paper reviews the factors that have led to increasing enthusiasm for the staged approach to management of congenital heart disease. The danger of using procedural databases like the Society for Thoracic Surgery (STS) and European Association for Cardiothoracic Surgery (EACTS) surgical databases to measure the quality of overall patient management strategy is emphasized. Until diagnosis-based, patient survival databases are used for Quality Assurance, it will not be possible to define whether a tipping point exists, below which very small and complex neonates should be managed with a staged approach. However, current data strongly suggest that neonates of at least average size as well as young infants have improved survival and reduced reintervention as well as markedly reduced time in hospital and overall costs when a strategy of early primary repair is pursued.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"2184923251363060"},"PeriodicalIF":0.6,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754572","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

Damus-Kaye-Stansel anastomosis with pulmonary arterial trunk reconstruction using valved conduit 20 years after Fontan procedure. Damus-Kaye-Stansel吻合术伴肺动脉干瓣重建20年。

IF 0.7

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-06-01 Epub Date: 2025-07-14 DOI: 10.1177/02184923251356574

Kanta Araki, Kanji Ishizu, Takayuki Takehara, Koji Kagisaki, Hideto Ozawa

引用次数: 0

Valve-preserving technique for tetralogy of fallot by transannular delamination. 经环脱层法洛四联症保瓣技术。

IF 0.7

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2025-06-01 Epub Date: 2025-06-12 DOI: 10.1177/02184923251350362

Yui Horikawa, Yoshinori Miyahara, Suguru Tarui, Takanari Fujii, Hideshi Tomita, Kozo Ishino

{"title":"Valve-preserving technique for tetralogy of fallot by transannular delamination.","authors":"Yui Horikawa, Yoshinori Miyahara, Suguru Tarui, Takanari Fujii, Hideshi Tomita, Kozo Ishino","doi":"10.1177/02184923251350362","DOIUrl":"10.1177/02184923251350362","url":null,"abstract":"BackgroundValve-sparing repair for tetralogy of Fallot is challenging in patients with hypoplastic pulmonary valves. Recently, we adopted transannular incision and delamination. This study evaluates its feasibility for right ventricular outflow relief, valve function, and growth.MethodsWe retrospectively reviewed records of patients with tetralogy of Fallot or Fallot-type double-outlet right ventricle who underwent intracardiac repair from October 2013 to December 2020.ResultsTwenty-six patients were enrolled. Two patients who underwent the Rastelli procedure were excluded, leaving 24 for evaluation. Eleven underwent valve-sparing repair, eight underwent valve-preserving repair with transannular delamination, and five underwent the transannular patch procedure. The median age and weight at surgery were 11.7 months (1.9-40.2 months) and 7.6 kg (3.7-12.7 kg). No patients died or required reintervention for pulmonary valve stenosis or regurgitation during a median follow-up of 42.5 months (4.6-72.1 months). In the delamination group, the mean preoperative pulmonary valve z-score was -2.1 ± 1.0, improving significantly to 0.2 ± 0.8. Pulmonary regurgitation was mild in six of eight patients, while two with the smallest preoperative annulus developed moderate regurgitation. Despite no significant difference in the preoperative pulmonary valve annulus between the delamination and transannular patch groups, the delamination group had significantly lower postoperative pulmonary valve regurgitation, while no significant difference in stenosis.ConclusionsValve-preserving repair using the transannular delamination technique is feasible in patients with tetralogy of Fallot, reducing pulmonary regurgitation and avoiding transannular patch use. Long-term data with more patients are required to show the utility of this approach.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"179-187"},"PeriodicalIF":0.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286659","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