ASIAN CARDIOVASCULAR & THORACIC ANNALS最新文献_第8页

Surgical treatment for a child with traumatic ventricular septal rupture and ventricular aneurysm. 外伤性室间隔破裂和心室动脉瘤患儿的手术治疗。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2024-03-01 Epub Date: 2024-03-04 DOI: 10.1177/02184923241236996

Sanae Tomotsuka, Tadashi Ikeda, Yujiro Ide, Shiro Baba, Takuya Hirata, Kenji Minatoya

引用次数: 0

Pleurodesis using OK-432 for persistent pleural effusion after cardiac surgery in the neonatal period or early infancy. 使用 OK-432 进行胸膜腔穿刺术，治疗新生儿期或婴儿早期心脏手术后的顽固性胸腔积液。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2024-03-01 Epub Date: 2023-12-10 DOI: 10.1177/02184923231219606

Tomohiro Nakata, Maiko Tachi, Kenji Yasuda, Shigeki Nakashima, Tadashi Ikeda, Kenji Minatoya, Teiji Oda

{"title":"Pleurodesis using OK-432 for persistent pleural effusion after cardiac surgery in the neonatal period or early infancy.","authors":"Tomohiro Nakata, Maiko Tachi, Kenji Yasuda, Shigeki Nakashima, Tadashi Ikeda, Kenji Minatoya, Teiji Oda","doi":"10.1177/02184923231219606","DOIUrl":"10.1177/02184923231219606","url":null,"abstract":"Objective: To evaluate the efficacy of pleurodesis using OK-432 after cardiac surgery in the neonatal period or early infancy.Methods: We retrospectively reviewed the data of 11 consecutive patients who underwent cardiac surgery in the neonatal period or early infancy and pleurodesis using OK-432 for persistent postoperative pleural effusion in two institutions.Results: The median age at surgery was 8 days (interquartile range [IR], 2-18) with a body weight of 2.84 kg (IR, 2.30-3.07). The maximum amount of pleural drainage before pleurodesis was 94.7 (IR, 60.2-107.7) ml/kg/day. Pleurodesis was initiated at postoperative day 20 (IR, 17-22) and performed in bilateral pleural spaces in seven patients and unilateral in four. The median numbers of injection were 4 (IR, 3-6) times per patient and 3 (IR, 2-3) times per pleural space. In 10 patients, pleural effusion was decreased effectively, and drainage tubes were removed without reaccumulation within 15 (IR, 12-28) days after initial pleurodesis. However, in one patient, with severe lymphedema, pleural effusion was uncontrollable, resulting in death due to sepsis. Adverse events were observed in nine patients; temporal deterioration of lung compliance and arterial blood gas occurred in two, insufficient drainage requiring new chest tube(s) in five, temporal atrial tachyarrhythmia in one, and lymphedema in four.Conclusions: Pleurodesis using OK-432 is effective and reliable for persistent postoperative pleural effusion in neonates and early infants. Most of the complications, which derived from inflammatory reactions, were temporary and controllable. However, severe lymphedema is difficult to control.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"83-90"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138809365","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

Coronary artery disease and other cardiovascular disorders among the physicians. 医生中的冠状动脉疾病和其他心血管疾病。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2024-03-01 Epub Date: 2023-12-25 DOI: 10.1177/02184923231222662

Chad Wanishsawad, Siriwan Tangjitgamol, Wasan Udayachalerm, Paisan Bunsiricomchai, Sureerat Panyarachun, Piyanart Preeyanont, Watcharagan Kaewwanna, Supattra Parinyachet, Natapon Ativanichayapong

{"title":"Coronary artery disease and other cardiovascular disorders among the physicians.","authors":"Chad Wanishsawad, Siriwan Tangjitgamol, Wasan Udayachalerm, Paisan Bunsiricomchai, Sureerat Panyarachun, Piyanart Preeyanont, Watcharagan Kaewwanna, Supattra Parinyachet, Natapon Ativanichayapong","doi":"10.1177/02184923231222662","DOIUrl":"10.1177/02184923231222662","url":null,"abstract":"Background: To evaluate the prevalence of cardiovascular disorders (CVDs), specifically coronary artery disease (CAD), among Thai physicians, and the cardiac testing being used. The associated or risk factors of CAD were also studied.Methods: Data of Thai physicians who participated in the hospital's corporate social responsibility \"Save Doctors' Heart\" project conducted between February 14, 2022, and October 31, 2022, were collected: personal illness, family history of CAD, workplace, work hours, dietary habits, exercise, stress, body mass index, laboratory and cardiac testing.Results: Of 1231 physicians, the median age was 48.0 ± 10.34 years, with 55.2% were female; 83.1% reported working <55 h per week, 29.7% exercised ≥3 days a week, and 28.0% were overweight or obese. Hypertension, diabetes mellitus, and dyslipidemia were found in 46.3%, 30.5%, and 75.8%, respectively. Abnormal findings were observed in 29.7% of chest X-rays, 17.7% of electrocardiograms, 33.0% of echocardiograms, 10.6% of exercise stress tests, and 3.8% of stress echocardiograms. Moderate/extensive coronary artery calcium (CAC) scores were present in 12.7%. The prevalence of CVDs or CAD were 51.7% and 11.2%, respectively. Independent risk factors for CAD included older age, male gender, history and/or new findings of DM, and moderate to extensive CAC scores.Conclusion: The prevalence of CVDs and CAD among Thai physicians is 51.7% and 11.2%, respectively. The independent risk for CAD was older age, male, having DM, and moderate to extensive CAC scores. The physicians who are at risk should be cautious, modify their lifestyle, and have appropriate screening/diagnostic testing for cardiac abnormality.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"97-106"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139037985","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

Popliteal artery aneurysm repair-A single center experience. 腘动脉动脉瘤修补术--单中心经验。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2024-03-01 Epub Date: 2024-01-31 DOI: 10.1177/02184923241229467

Nicholas Demas, Sibu P Saha

{"title":"Popliteal artery aneurysm repair-A single center experience.","authors":"Nicholas Demas, Sibu P Saha","doi":"10.1177/02184923241229467","DOIUrl":"10.1177/02184923241229467","url":null,"abstract":"Background: Popliteal artery aneurysms (PAAs) are relatively rare but are one of the most common peripheral arterial aneurysms. Open popliteal artery aneurysm repair (OPAR) has been the standard, but technological advancements have made endovascular popliteal artery aneurysm repair (EPAR) a promising alternative. The aim of this study is to compare EPAR and OPAR efficacy and outcomes over a 10-year period.Methods: This study retrospectively reviewed 72 patient charts who were diagnosed with PAA or popliteal artery pseudoaneurysm and underwent EPAR or OPAR from 1 January 2010 to 31 December 2019. Endovascular popliteal artery aneurysm repair was used in 37 cases and OPAR in 35 cases.Results: Graft patency <30 days postoperative was 100% in both EPAR and OPAR groups. Graft patency >90 days postoperative was 72.73% in the EPAR group and 82.35% in the OPAR group (p = 0.477). Graft patency >2 years postoperative was 81.25% in the EPAR group and 86.67% in the OPAR group (p = 0.682). Freedom from reoperation 30-day postoperative was 78.38% in the EPAR group and 80% in the OPAR group (p = 0.865). Freedom from amputation 30-day postoperative was 91.43% in the EPAR group and 94.29% in the OPAR group (p = 0.263). The 30-day survival rate was 94.59% in the EPAR group and 100% in the OPAR group.Conclusions: Endovascular repair represents a promising alternative for PAA repair. Our results demonstrate that EPAR has similar outcomes for asymptomatic, acutely symptomatic, and chronic symptomatic patients. Technological advancements of stent properties and refinement of surgical techniques may further improve endovascular techniques.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"157-163"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139651854","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

The impact of vascular division sequence and epithelial-mesenchymal transition status on postoperative recurrence in lung adenocarcinoma. 血管分裂顺序和上皮-间质转化状态对肺腺癌术后复发的影响

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2024-03-01 Epub Date: 2024-01-22 DOI: 10.1177/02184923241226468

Shigeto Nishikawa, Toshi Menju, Koji Takahashi, Terumasa Sowa, Akihiko Yoshizawa, Hiroshi Date

{"title":"The impact of vascular division sequence and epithelial-mesenchymal transition status on postoperative recurrence in lung adenocarcinoma.","authors":"Shigeto Nishikawa, Toshi Menju, Koji Takahashi, Terumasa Sowa, Akihiko Yoshizawa, Hiroshi Date","doi":"10.1177/02184923241226468","DOIUrl":"10.1177/02184923241226468","url":null,"abstract":"Background: The vascular division sequence in video-assisted thoracic surgery (VATS) lung resection is usually determined by the handling difficulty due to the limited surgical view through the scope. However, upfront pulmonary vein division is theoretically desirable to avoid tumor cells spreading by surgical manipulation. Epithelial-mesenchymal transition (EMT) is associated with poor prognosis and an increased number of circulating tumor cells. The purpose of this study is to evaluate the effect of vascular division sequence and EMT on postoperative recurrence.Methods: We retrospectively investigated tissue microarrays of 282 lung adenocarcinomas surgically resected between 2001 and 2007. We excluded the cases with segmentectomy, wedge resection, dissemination, insufficient material for staining, or lack of medical records. The effect of vascular division sequence and clinicopathologic factors on recurrence was evaluated in 195 cases.Results: The upfront pulmonary vein division (V-first) was performed in 60 patients, and the upfront pulmonary artery division (A-first) was performed in 135 patients. The recurrence was observed in 67 patients (13 in V-first and 54 in A-first). Epithelial-mesenchymal transition activation was observed in 104 patients. Multivariable analysis with 195 patients revealed that lymph node metastasis and pleural invasion were risk factors for the recurrence. The stratified multivariable analysis showed that vascular division sequence (A-first) was a risk factor only in the EMT-negative group (91 patients). In the EMT-negative subset, the 5-year relapse-free survival rate was significantly lower in the A-first group than the V-first group (72.6% vs. 92.2%, p = 0.0136).Conclusions: The upfront pulmonary artery division might be a risk factor in patients without EMT activation.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"123-132"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139521866","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

Analysis of current mortality risk scores for acute type A aortic dissection: The Siena experience. 急性 A 型主动脉夹层目前的死亡风险评分分析：锡耶纳经验

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2024-03-01 Epub Date: 2024-02-05 DOI: 10.1177/02184923241230344

Veronica Lorenz, Luigi Muzzi, Eugenio Neri

{"title":"Analysis of current mortality risk scores for acute type A aortic dissection: The Siena experience.","authors":"Veronica Lorenz, Luigi Muzzi, Eugenio Neri","doi":"10.1177/02184923241230344","DOIUrl":"10.1177/02184923241230344","url":null,"abstract":"Objective: In literature, various risk scores have been described to predict in-hospital mortality of patients undergoing surgery for acute type A dissection. We want to evaluate which factors are most correlated with a negative outcome and testing the validity of the current scores in literature analyzing our experience of over 20 years in the surgery of type A aortic dissections.Materials and methods: A total of 324 patients were included in the study. Patients were divided into two groups according to 30-day survival or mortality. The preoperative variables analyzed are the parameters necessary for the calculation of scores: Penn Classification, Leipzig Halifax and adjusted Leipzig Halifax score, GERAADA score and EuroSCORE II. Intra- and post-operative mortality were 10.2% and 17.5%, respectively. In multivariate analysis, the preoperative predictors of 30-day mortality were age greater than 70 years, low eject fraction levels, visceral and coronary malperfusion. Both GERAADA and EuroSCORE II were statistically significant predictors of 30-day mortality. However, EuroSCORE II underestimates the mortality compared to GERAADA score probably due to the lack of evaluation of fundamental preoperative factors in the course of type A aortic dissection.Results: The study has demonstrated the efficacy of the GERAADA score in predicting the outcome of patients undergoing surgery and the underestimation of the mortality of EuroSCORE II in our population.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"116-122"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139693087","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

Acute right atrial thrombus formation after extracorporeal life support removal during LVAD-implantation. 植入 LVAD 期间体外生命支持系统移除后形成急性右心房血栓。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2024-03-01 Epub Date: 2023-12-12 DOI: 10.1177/02184923231219822

Anne Woehrle, Alexander Sachs, Mirko Doss, Aron Frederik Popov

引用次数: 0

Untreated atrial septal defect after intracardiac repair for tetralogy of Fallot. 法洛氏四联症心内膜修复术后未经治疗的房间隔缺损。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2024-03-01 Epub Date: 2023-12-25 DOI: 10.1177/02184923231222986

Keisuke Tanaka, Yuzo Katayama, Sho Isobe, Tsukasa Ozawa, Takeshiro Fujii

引用次数: 0

Primary cardiac rhabdomyosarcoma in a mitral valve involved with rheumatic disease. 二尖瓣中的原发性心脏横纹肌肉瘤与风湿病有关。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2024-03-01 Epub Date: 2024-01-08 DOI: 10.1177/02184923231225991

Mohammad Bashar Izzat, Nour Kara Tahhan, Ahmad Walid Izzat, Eyad M Chatty

引用次数: 0

The diagnostic performance of micro-RNA and metabolites in lung cancer: A meta-analysis. 微rna和代谢物在肺癌诊断中的作用:一项荟萃分析。

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ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2024-01-01 Epub Date: 2023-11-27 DOI: 10.1177/02184923231215538

Mona Mlika, Mohamed Majdi Zorgati, Mehdi Abdennadher, Imen Bouassida, Faouzi Mezni, Ali Mrabet

{"title":"The diagnostic performance of micro-RNA and metabolites in lung cancer: A meta-analysis.","authors":"Mona Mlika, Mohamed Majdi Zorgati, Mehdi Abdennadher, Imen Bouassida, Faouzi Mezni, Ali Mrabet","doi":"10.1177/02184923231215538","DOIUrl":"10.1177/02184923231215538","url":null,"abstract":"Background: The diagnosis of lung cancer is based on the microscopic exam of tissue or liquid. During the recent decade, many biomarkers have been pointed to have a potential diagnostic role. These biomarkers may be assessed in blood, pleural effusion or sputum and they could avoid biopsies or other risky procedures. The authors aimed to assess the diagnostic performances of biomarkers focusing on micro-RNA and metabolites.Methods: This meta-analysis was conducted under the PRISMA guidelines during a nine-year-period (2013-2022). the Meta-Disc software 5.4 (free version) was used. Q test and I2 statistics were carried out to explore the heterogeneity among studies. Meta-regression was performed in case of significant heterogeneity. Publication bias was assessed using the funnel plot test and the Egger's test (free version JASP).Results: According to our inclusion criteria, 165 studies from 79 articles were included. The pooled SEN, SPE and dOR accounted, respectively, for 0.76, 0.79 and 13.927. The AUC was estimated to 0.859 suggesting a good diagnostic accuracy. The heterogeneity in the pooled SEN and SPE was statistically significant. The meta-regression analysis focusing on the technique used, the sample, the number of biomarkers, the biomarker subtype, the tumor stage and the ethnicity revealed the biomarker number (p = 0.009) and the tumor stage (p = 0.0241) as potential sources of heterogeneity.Conclusion: Even if this meta-analysis highlighted the potential diagnostic utility of biomarkers, more prospective studies should be performed, especially to assess the biomarkers' diagnostic potential in early-stage lung cancers.","PeriodicalId":35950,"journal":{"name":"ASIAN CARDIOVASCULAR & THORACIC ANNALS","volume":" ","pages":"45-65"},"PeriodicalIF":0.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138446464","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