Abdel Kémal Bori Bata, Joseph Akodjenou, Ahmad Ibrahim, Boris Gogan, Désiré Nékoua
{"title":"Anterior Nutcracker Syndrome: First Surgically Managed Case Reported in Benin.","authors":"Abdel Kémal Bori Bata, Joseph Akodjenou, Ahmad Ibrahim, Boris Gogan, Désiré Nékoua","doi":"10.1055/a-2699-8210","DOIUrl":"10.1055/a-2699-8210","url":null,"abstract":"<p><strong>Background: </strong>Nutcracker syndrome is a rare condition caused by compression of the left renal vein, often underdiagnosed in adolescents.</p><p><strong>Case description: </strong>We report a 16-year-old male with painful left testicular swelling and grade 3 varicocele. Imaging confirmed anterior nutcracker syndrome. He underwent successful left renal vein transposition with complete symptom resolution and normal imaging at 24 months.</p><p><strong>Conclusion: </strong>Nutcracker syndrome should be considered in young patients with varicocele and testicular pain. Renal vein transposition is a safe and effective treatment when conservative approaches fail, with long-term clinical and radiological benefits.</p>","PeriodicalId":41729,"journal":{"name":"Thoracic and Cardiovascular Surgeon Reports","volume":"14 1","pages":"e33-e35"},"PeriodicalIF":0.3,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12460012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151353","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}
Abdel Kémal Bori Bata, Désiré Nékoua, Ahmad Ibrahim, Boris Gogan, Eugène Zoumenou
{"title":"Surgical Repair of Ectopia Cordis in a Sub-Saharan African Country (Benin).","authors":"Abdel Kémal Bori Bata, Désiré Nékoua, Ahmad Ibrahim, Boris Gogan, Eugène Zoumenou","doi":"10.1055/a-2698-3658","DOIUrl":"10.1055/a-2698-3658","url":null,"abstract":"<p><strong>Background: </strong>Ectopia cordis (EC) is an exceptionally rare congenital anomaly with a poor prognosis, particularly in resource-limited settings.</p><p><strong>Case description: </strong>We present a newborn with complete thoracic EC who underwent surgical correction on day 5 of life. Although cardiac repositioning and soft tissue coverage were achieved, the infant died 72 hours postoperatively from septic shock, reflecting the significant challenges faced in such contexts.</p><p><strong>Conclusion: </strong>This case underscores the urgent need for improved antenatal care and technical resources to enhance outcomes for complex congenital anomalies in sub-Saharan Africa.</p>","PeriodicalId":41729,"journal":{"name":"Thoracic and Cardiovascular Surgeon Reports","volume":"14 1","pages":"e29-e32"},"PeriodicalIF":0.3,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12445977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114358","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}
Bernd Panholzer, Ulrike Nowak-Goettl, Katharina Huenges, Wiebke Sommer
{"title":"Accelerated Apixaban Removal by Using the ADVanced Organ Support (ADVOS) Albumin Hemodialysis System-A Case Report.","authors":"Bernd Panholzer, Ulrike Nowak-Goettl, Katharina Huenges, Wiebke Sommer","doi":"10.1055/a-2682-8640","DOIUrl":"10.1055/a-2682-8640","url":null,"abstract":"<p><strong>Background: </strong>In patients on direct oral anticoagulants (DOAC), emergency surgery is characterized by the occurrence of a massively increased tendency to bleed. Currently, there is no approved antidote for postoperative patients, making specific therapy challenging in these situations.</p><p><strong>Case description: </strong>Emergency surgery was required for a 72-year-old male patient who was in cardiogenic shock due to severe aortic regurgitation resulting from acute prosthetic valve endocarditis. Due to atrial fibrillation, the patient was on apixaban, a factor Xa (FXa) inhibitor anticoagulant, until surgery. We used the ADVanced Organ Support (ADVOS) albumin hemodialysis system postoperatively to treat persisting shock with multi-organ failure, acidosis, and DOAC removal. Serial drug-level measurements revealed strongly accelerated apixaban clearance. In line with this, we observed only moderate drainage losses.</p><p><strong>Conclusion: </strong>ADVOS accelerates the removal of apixaban and is a promising therapy for preventing bleeding complications in patients receiving DOAC therapy after emergency surgery.</p>","PeriodicalId":41729,"journal":{"name":"Thoracic and Cardiovascular Surgeon Reports","volume":"14 1","pages":"e24-e28"},"PeriodicalIF":0.3,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12435993/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076069","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}
Maria Jaros, Jelena Pabst von Ohain, Marcus Fischer, Nikolaus Alexander Haas
{"title":"Successful Weaning off LVAD Support in an Infant by Pulmonary Artery Banding.","authors":"Maria Jaros, Jelena Pabst von Ohain, Marcus Fischer, Nikolaus Alexander Haas","doi":"10.1055/a-2564-2280","DOIUrl":"10.1055/a-2564-2280","url":null,"abstract":"<p><strong>Background: </strong>Cardiomyopathy is the leading indication for transplantation in children. Mechanical cardiac support systems play a significant role in treating severe pediatric heart failure for cardiomyoptahy or myocarditis either for recovery or as bridge to transplant. In most cases of chronic heart failure extending over the acute inflammatory phase transplantation is necessary. Organ shortage results in a necessity for further treatment options in terminal heart failure. A new and controversially discussed approach to treat failing (left) ventricles includes pulmonary banding; In some observational studies pulmonary artery banding was performed in patients with severe (left) heart failure and adequate function of the right ventricle. The effect is postulated by improving the contra-lateral (left) ventricular function with intraventricular cross-talk and subsequent myocardial changes. Whereas selected patients may however benefit from PA banding with subsequent training of the left ventricle, nevertheless this strategy is controversially discussed.</p><p><strong>Case description: </strong>A 3-year-old girl with inflammatory myocarditis required left ventricular assist device (LVAD, Berlin Heart)) support. After repetitive weaning failure, pulmonary artery (PA) banding was performed during LVAD support that resulted in an improvement of the left ventricular function and finally LVAD explantation.</p><p><strong>Conclusion: </strong>Selected patients may benefit from PA banding with subsequent training of the left ventricle even in the setting of LVAD.This case here is the first reported case where PA banding was successful in the weaning process of a child on mechanical circulatory support (MCS). This principle of pulmonary banding to improve left ventricular function in severe heart failure can apparently also be applied to patients on left ventricular assist devices (LVAD).</p>","PeriodicalId":41729,"journal":{"name":"Thoracic and Cardiovascular Surgeon Reports","volume":"14 1","pages":"e19-e23"},"PeriodicalIF":0.3,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276223","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}
David Rekhtman, Amit Iyengar, Jason Han, Rohan Shad, Marisa Cevasco, Wilson Szeto, Michael Ibrahim
{"title":"Impella 5.5 for Preoperative Optimization in the Setting of Ruptured Papillary Muscle.","authors":"David Rekhtman, Amit Iyengar, Jason Han, Rohan Shad, Marisa Cevasco, Wilson Szeto, Michael Ibrahim","doi":"10.1055/a-2603-9367","DOIUrl":"10.1055/a-2603-9367","url":null,"abstract":"<p><p>Cardiogenic shock in the setting of a ruptured papillary muscle can be extremely challenging to manage. We report two cases of successful and safe hemodynamic optimization with a modern axial-flow temporary left ventricular assist device, the Impella 5.5, prior to mitral valve replacement for this indication.</p>","PeriodicalId":41729,"journal":{"name":"Thoracic and Cardiovascular Surgeon Reports","volume":"14 1","pages":"e14-e16"},"PeriodicalIF":0.3,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12391644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973166","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}
Paula R Keschenau, Sharif Elshafei, Johannes Kalder
{"title":"Staged Therapy of Polyaneurysmal Disease Including the World's First BeFlared Use in Anaconda FEVAR.","authors":"Paula R Keschenau, Sharif Elshafei, Johannes Kalder","doi":"10.1055/a-2591-9692","DOIUrl":"10.1055/a-2591-9692","url":null,"abstract":"<p><strong>Background: </strong>Abdominal aortic aneurysms frequently coincide with popliteal artery aneurysms. The association with multiple peripheral aneurysms, sometimes called polyaneurysmal disease, is less frequent.</p><p><strong>Case description: </strong>An 82-year-old male was diagnosed with polyaneurysmal disease. He was treated by femoral, popliteal, and profundal interposition grafts as well as fenestrated endovascular repair (FEVAR) using an Anaconda (Terumo Aortic, Inchinnan, Scotland) endoprosthesis combined with BeGraft peripheral and BeFlared (BF) bridging stent grafts (Bentley InnoMed, Hechingen, Germany).</p><p><strong>Conclusion: </strong>Polyaneurysmal disease in an aged patient can be treated successfully by thorough case planning, staging of procedures, and combining different vascular surgical techniques. It demonstrates the smooth implantation of the BeFlared in an Anaconda FEVAR.</p>","PeriodicalId":41729,"journal":{"name":"Thoracic and Cardiovascular Surgeon Reports","volume":"14 1","pages":"e12-e15"},"PeriodicalIF":0.3,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162426","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}
Akriti Gera, Amit Misri, Pankaj Bajpai, Rajesh Sharma, Anil Bhan
{"title":"Single-Stage Quadruple Valve Replacement with Mechanical and Bioprosthetic Valves: An 8-Year Follow-up Study from India.","authors":"Akriti Gera, Amit Misri, Pankaj Bajpai, Rajesh Sharma, Anil Bhan","doi":"10.1055/a-2591-9608","DOIUrl":"10.1055/a-2591-9608","url":null,"abstract":"<p><strong>Background: </strong>Congenital heart disease, repaired or unrepaired, requires lifelong follow-up. Carcinoid disease, rheumatic heart disease, and infective endocarditis can damage all four cardiac valves. Multiple valve replacement has a poor outcome.</p><p><strong>Case description: </strong>A 23-year-old male underwent single-stage quadruple valve (mechanical [mitral and aortic] and bioprosthetic [tricuspid and pulmonary]) replacement due to rheumatic carditis and surgical complications. Over 8 years of follow-up, he is asymptomatic, has no prosthetic valve-related complications, and has improved cardiac function.</p><p><strong>Conclusion: </strong>Single-stage quadruple valve replacement with mechanical and bioprosthetic valves has a good long-term outcome. To the best of our knowledge, this is the longest follow-up study from India.</p>","PeriodicalId":41729,"journal":{"name":"Thoracic and Cardiovascular Surgeon Reports","volume":"14 1","pages":"e8-e11"},"PeriodicalIF":0.3,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162484","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}
{"title":"A Case Report of Fenestration Deformity of Extracranial Vertebral Artery and Literature Review.","authors":"Mingjuan Cao, Qun Qiang, Jia Liu, Miaomiao Zhang","doi":"10.1055/a-2572-7093","DOIUrl":"https://doi.org/10.1055/a-2572-7093","url":null,"abstract":"<p><strong>Background: </strong>Vertebral artery fenestration (VAF) is a rare anatomical variation of the vertebral artery that may affect the safety of clinical surgeries and interventional treatments. Although ultrasound is widely used to assess neck vessels, its application in diagnosing VAF has not been extensively investigated.</p><p><strong>Case description: </strong>This article reports a case of an 82-year-old male patient who was diagnosed with VAF following a neck vessel ultrasound examination prompted by poor blood sugar control. The ultrasound revealed an abnormal course of the left vertebral artery, leading to the diagnosis of VAF.</p><p><strong>Conclusion: </strong>Ultrasound, with its noninvasive nature and real-time imaging capabilities, is a valuable initial screening tool for diagnosing VAF. Despite its limitations, its ability to identify vascular anomalies such as VAF highlights its critical role in early detection, potentially improving patient outcomes and guiding clinical decision-making.</p>","PeriodicalId":41729,"journal":{"name":"Thoracic and Cardiovascular Surgeon Reports","volume":"14 1","pages":"e4-e7"},"PeriodicalIF":0.3,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12065640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044780","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}
Ibrahim Azar, Nikhil Vojjala, Richa Parikh, Hari B Keshava, Misako Nagasaka
{"title":"Consideration of Pneumonectomy in the Era of Chemo-Immunotherapy in Resectable NSCLC.","authors":"Ibrahim Azar, Nikhil Vojjala, Richa Parikh, Hari B Keshava, Misako Nagasaka","doi":"10.1055/a-2564-2186","DOIUrl":"https://doi.org/10.1055/a-2564-2186","url":null,"abstract":"","PeriodicalId":41729,"journal":{"name":"Thoracic and Cardiovascular Surgeon Reports","volume":"14 1","pages":"e1-e3"},"PeriodicalIF":0.3,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052715","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}
{"title":"Minimally Invasive Mitral Valve Repair with Intercostal Cryoablation: A Case Report.","authors":"Luisa Humpfle, Andreas Böning, Bernd Niemann","doi":"10.1055/s-0044-1800969","DOIUrl":"10.1055/s-0044-1800969","url":null,"abstract":"<p><p><b>Background</b> Minimally invasive lateral thoracotomies may cause severe postoperative pain and discomfort. We describe an intraoperative intercostal cryo-neuronal pain block as one possibility for postoperative pain relief. <b>Case description</b> A 63-year-old male patient underwent minimally invasive mitral valve repair. To reduce postoperative pain, an intercostal cryo-neuronal ablation was performed. The consecutive course was pain-free. <b>Conclusion</b> Intraoperative cryo-neuronal nerve block may be a standard procedure during minimally invasive cardiac surgery.</p>","PeriodicalId":41729,"journal":{"name":"Thoracic and Cardiovascular Surgeon Reports","volume":"13 1","pages":"e40-e42"},"PeriodicalIF":0.3,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11668554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886225","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}