Seminars in Cardiothoracic and Vascular Anesthesia最新文献_第2页

Intraoperative 3D Transesophageal Echocardiography for Early Detection of Pulmonary Vascular Complications in Lung Transplantation: A Case-Based Teaching Series. 术中三维经食管超声心动图对肺移植中肺血管并发症的早期检测：一个以病例为基础的教学系列。

IF 1

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-04-13 DOI: 10.1177/10892532261442795

Ashley Virginia Fritz, Faiz R Saleem, Wesley L Allen, Emily Paige Stephenson, Archer Kilbourne Martin

{"title":"Intraoperative 3D Transesophageal Echocardiography for Early Detection of Pulmonary Vascular Complications in Lung Transplantation: A Case-Based Teaching Series.","authors":"Ashley Virginia Fritz, Faiz R Saleem, Wesley L Allen, Emily Paige Stephenson, Archer Kilbourne Martin","doi":"10.1177/10892532261442795","DOIUrl":"https://doi.org/10.1177/10892532261442795","url":null,"abstract":"Lung transplantation presents numerous intraoperative challenges, particularly related to pulmonary artery and vein anastomotic integrity and hemodynamic stability. We present 3 cases where intraoperative transesophageal echocardiography (TEE) provided real-time diagnostic insights that directly altered surgical decision-making. Case 1 highlights pulmonary vein flow acceleration initially concerning for ostial stenosis, ultimately diagnosed as external compression from a retractor. Case 2 demonstrates true right pulmonary vein stenosis requiring immediate revision. Case 3 illustrates severe right pulmonary artery narrowing, detected by TEE and corrected intraoperatively to prevent early graft dysfunction. These cases underscore the critical role of intraoperative TEE in detecting subtle anastomotic abnormalities, distinguishing functional from structural stenosis, and guiding timely surgical correction. Incorporating comprehensive 2D and 3D TEE evaluation into routine lung transplant protocols enhances diagnostic accuracy, reduces postoperative complications, and contributes to improved long-term allograft function. Intraoperative 3D TEE should be considered an essential imaging modality in cardiothoracic transplantation and an invaluable educational tool for perioperative teams.","PeriodicalId":46500,"journal":{"name":"Seminars in Cardiothoracic and Vascular Anesthesia","volume":" ","pages":"10892532261442795"},"PeriodicalIF":1.0,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677672","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

Intraoperative Change of Right Ventricular Free Wall Strain in Coronary Artery Bypass Grafting and in Aortic Valve Replacement Surgery. 冠状动脉搭桥术和主动脉瓣置换术中右心室游离壁应变的变化。

IF 1

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-03-01 Epub Date: 2025-12-29 DOI: 10.1177/10892532251412933

André Foit, Eva Gerwin, Parwis Rahmanian, Bernd W Böttiger, Wolfgang A Wetsch, Deepak Borde, Jakob Labus

{"title":"Intraoperative Change of Right Ventricular Free Wall Strain in Coronary Artery Bypass Grafting and in Aortic Valve Replacement Surgery.","authors":"André Foit, Eva Gerwin, Parwis Rahmanian, Bernd W Böttiger, Wolfgang A Wetsch, Deepak Borde, Jakob Labus","doi":"10.1177/10892532251412933","DOIUrl":"10.1177/10892532251412933","url":null,"abstract":"Background: Right ventricular (RV) function changes after on-pump cardiac surgery but the impact of the surgical procedure is largely unexplored. For this purpose, we aimed to describe the changes of RV function through the intraoperative period by transesophageal echocardiography (TEE) in patients scheduled for isolated on-pump coronary artery bypass grafting (CABG) or for isolated surgical aortic valve replacement (AVR). Methods: Thirty patients each scheduled for on-pump CABG and for isolated surgical AVR were included into this prospective observational study. TEE was performed intraoperatively after induction of anesthesia [T1], after termination of cardiopulmonary bypass [T2], and after sternal closure [T3]. Echocardiographic evaluation included the assessment of RV fractional area change (FAC), RV ejection fraction (RVEF), tricuspid annular plane systolic excursion (TAPSE), and RV free wall strain (FWS). Results: Although there was no significant difference in RVEF and FAC before and immediately after bypass, TAPSE decreased significantly. In contrast, FWS remained unchanged in the same period (-22.7% (IQR -18.9 to -29.6) v -22.1% (IQR -17.1 to -26.1), P = 1). After sternal closure [T2 v T3], there was a significant deterioration of FWS (-22.1% (IQR -17.1 to -26.1) v -17.1% (IQR -13.3 to -21.7), P < 0.001). In the same interval, the values of RVEF, FAC, and TAPSE remained unchanged. These alterations in RV contractile pattern were observed in both groups of patients. Conclusion: There was no difference in the change of RV contractile pattern after on-pump CABG and AVR surgery, suggesting similar impact of both procedures on RV function.","PeriodicalId":46500,"journal":{"name":"Seminars in Cardiothoracic and Vascular Anesthesia","volume":" ","pages":"8-20"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858197","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

Trends and Regional Disparities of Cardiothoracic Anesthesia Procedures in China Between 2016 and 2023. 2016 - 2023年中国心胸麻醉手术趋势及地区差异

IF 1

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-03-01 Epub Date: 2025-11-20 DOI: 10.1177/10892532251401728

Mingye Zhao, Fenghao Yu, Yuwei Qiu, Jingxiang Wu

{"title":"Trends and Regional Disparities of Cardiothoracic Anesthesia Procedures in China Between 2016 and 2023.","authors":"Mingye Zhao, Fenghao Yu, Yuwei Qiu, Jingxiang Wu","doi":"10.1177/10892532251401728","DOIUrl":"10.1177/10892532251401728","url":null,"abstract":"PurposeThis study quantified trends and regional disparities in cardiothoracic anesthesia procedures across China from 2016 to 2023, assessing workforce adequacy to inform policy development.MethodsData were extracted from the White Book of Chinese Cardiovascular Surgery and standardized monthly reports of the Chinese Society of Cardiothoracic and Vascular Anesthesiology (CSCTVA). Cardiac anesthesia volumes reflected national aggregates, while thoracic anesthesia data derived from 100 CSCTVA member hospitals. Regional economic stratification (GDP tiers) and workforce surveys from top-tier centers complemented procedural analyses.ResultsCardiac anesthesia procedures increased by 25% (2016: 158,268 and 2023: 197,937), with cardiopulmonary bypass utilization growing at 13.3% CAGR. Thoracic anesthesia volumes tripled from 114 460 in 2016 to 301 412 in 2023, coinciding with a rise in minimally invasive techniques from 67% to 91.4% of all procedures. Significant regional disparities emerged: High-GDP regions exhibited fivefold greater thoracic surgery density (52.26 vs 10.56 per 100 000; P < .01). Top 10 centers performed 32%-42% of thoracic procedures, yet a 60.5% workforce expansion lagged demand, yielding sub-optimal doctor-patient ratios (e.g., 1:4.7).ConclusionsRapid growth in cardiothoracic anesthesia is juxtaposed with persistent geographic inequities and critical workforce shortages. Strategic interventions are urgently needed to ensure equitable access; these findings establish a comprehensive baseline framework for hypothesis-driven research on health system optimization.","PeriodicalId":46500,"journal":{"name":"Seminars in Cardiothoracic and Vascular Anesthesia","volume":" ","pages":"37-45"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565828","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

Effect of Preoperative Cannabis Use on Postoperative Pain and Outcomes Following Cardiothoracic Surgery. 术前使用大麻对心胸外科术后疼痛和预后的影响。

IF 1

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-03-01 Epub Date: 2025-09-04 DOI: 10.1177/10892532251374952

Sareena Shah, Paul Fletcher, Kareem Hamadah, Drake Gilmore, Bryant Staples, Andrea Chadwick, Jianghua He, Jaromme Kim, Brigid Flynn

{"title":"Effect of Preoperative Cannabis Use on Postoperative Pain and Outcomes Following Cardiothoracic Surgery.","authors":"Sareena Shah, Paul Fletcher, Kareem Hamadah, Drake Gilmore, Bryant Staples, Andrea Chadwick, Jianghua He, Jaromme Kim, Brigid Flynn","doi":"10.1177/10892532251374952","DOIUrl":"10.1177/10892532251374952","url":null,"abstract":"Cannabis use has grown both recreationally and medicinally in the United States over the past decades, alongside increased legalization and social acceptance. However, there remains little research investigating the effects of preoperative cannabis use on postoperative pain in patients undergoing surgery. We conducted a single-center prospective study in adults undergoing cardiac surgery via sternotomy. Patients seen for preoperative consultation in clinic were asked a standardized survey about cannabis use. Clinical data was collected via chart review. Primary outcomes were morphine equivalents in the first 48 hours postoperatively and Visual Analog Scale (VAS) scores. Secondary outcomes were time to extubation, postoperative nausea/vomiting, ICU length of stay (LOS), reoperation, and in-hospital mortality. The non-cannabis user group had 50 patients, and the cannabis user group had 23 patients. Average morphine equivalents in the first 48 hours were similar between cannabis users and non-users (60.98 vs 59.90; P = 0.93), as were VAS scores at 24 hours (5.52 vs 4.84; P = 0.414) and 48 hours (4.74 vs 3.90; P = 0.23). Average time to extubation (minutes) was nearly identical between cannabis users and non-users (718.41 vs 718.67; P = 0.99). There was also no significant difference in average LOS (days) between cannabis users and non-users (2.91 vs 3.48; P = 0.26). There were no differences in postoperative nausea/vomiting, reoperation, or in-hospital mortality. In patients undergoing cardiac surgery via sternotomy, there was no effect of cannabis use on any outcomes, including morphine equivalents, Visual Analog Scale scores, time to extubation, ICU length of stay, postoperative nausea or vomiting, reoperation, or in-hospital mortality.","PeriodicalId":46500,"journal":{"name":"Seminars in Cardiothoracic and Vascular Anesthesia","volume":" ","pages":"21-27"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993693","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

Mechanical Valved Conduit Replacement of Aortic Valve and Aortic Root (Bentall Procedure) with Excision of Left Ventricular Mass in the Setting of Factor V Leiden Heterozygosity. 在因子V - Leiden杂合情况下，主动脉瓣和主动脉根机械带瓣导管置换术（Bentall手术）合并左心室肿块切除。

IF 1

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-03-01 Epub Date: 2025-08-08 DOI: 10.1177/10892532251364201

Glen Lussier, Christopher Kerr, Christopher Russo, Patrick J Coleman

引用次数: 0

The Effect of Transport Manual and Mechanical Ventilation on Hemodynamics Change: Randomized Clinical Trial. 手动运输和机械通气对血流动力学改变的影响：随机临床试验。

IF 1

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-03-01 Epub Date: 2025-09-24 DOI: 10.1177/10892532251383583

Yoshihisa Morita, Tomoki Sakata, Yuki Nakamura, Yuta Kikuchi, Jia Wang, Daisuke Kaneyuki, Taro Kariya, Jacob Raphael

{"title":"The Effect of Transport Manual and Mechanical Ventilation on Hemodynamics Change: Randomized Clinical Trial.","authors":"Yoshihisa Morita, Tomoki Sakata, Yuki Nakamura, Yuta Kikuchi, Jia Wang, Daisuke Kaneyuki, Taro Kariya, Jacob Raphael","doi":"10.1177/10892532251383583","DOIUrl":"10.1177/10892532251383583","url":null,"abstract":"Background: Ventilation methods during ICU transport after cardiac surgery are critical. This study aimed to assess the effects of manual and mechanical ventilation on post-transport hypotension in patients undergoing cardiac surgery. Methods: This prospective clinical trial was conducted at a tertiary academic hospital. Adult patients who underwent open heart surgery were randomized to either (1) manual ventilation or (2) mechanical ventilation during transport. The primary outcomes were the hemodynamic parameters change. The secondary outcomes were the PaO2/FiO2 ratio and PaCO2 change. Results: A total of 78 patients were randomized into two groups: manual ventilation (n = 39) and mechanical ventilation (n = 39). Significant hypotension (>20% drop in mean arterial pressure post-transport) was noted in nine patients in the manual ventilation arm, but not in any patient in the mechanical ventilation arm. In manually ventilated patients, receiver operating characteristic curve analysis of systemic vascular resistance for significant hypotension showed that the area under the curve was 0.962 (95% CI, 0.891-1). No mechanically ventilated patients had significant hypotension. No significant difference was observed in % change in PaO2 and PaCO2 between the manual and mechanical ventilation arms. Conclusion: This study demonstrated that significant post-transport hypotension was more common in the manually ventilated arm than in the mechanically ventilated arm. No significant differences in oxygenation or ventilation were observed between the groups. The low systemic vascular resistance showed excellent predictive value for significant post-transport hypotension. Further research is warranted to identify patient-specific risk factors to enhance transportation safety.","PeriodicalId":46500,"journal":{"name":"Seminars in Cardiothoracic and Vascular Anesthesia","volume":" ","pages":"28-36"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139063","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

Preoperative Hypoalbuminemia and Mortality in Elective Aortic Aneurysm Repair: A Systematic Review and Meta-Analysis. 择期主动脉瘤修复术术前低白蛋白血症和死亡率：一项系统综述和荟萃分析。

IF 1

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-03-01 Epub Date: 2025-12-01 DOI: 10.1177/10892532251405006

Julián M Corso-Ramirez, Sergio Alzate-Ricaurte, Sebastián Gómez-Galán, Paola A Munive-Gnecco, Luis E Londoño-Mejia, Lina M Sanabria-Arevalo, Carlos J Villamil-Angulo, Karen Moreno-Medina, Edgar Dario Alzate Gallego, Jaime Camacho-Mackenzie, Juan G Barrera-Carvajal

{"title":"Preoperative Hypoalbuminemia and Mortality in Elective Aortic Aneurysm Repair: A Systematic Review and Meta-Analysis.","authors":"Julián M Corso-Ramirez, Sergio Alzate-Ricaurte, Sebastián Gómez-Galán, Paola A Munive-Gnecco, Luis E Londoño-Mejia, Lina M Sanabria-Arevalo, Carlos J Villamil-Angulo, Karen Moreno-Medina, Edgar Dario Alzate Gallego, Jaime Camacho-Mackenzie, Juan G Barrera-Carvajal","doi":"10.1177/10892532251405006","DOIUrl":"10.1177/10892532251405006","url":null,"abstract":"ObjectivesThe prognostic value of preoperative serum albumin in patients undergoing elective aortic aneurysm repair remains uncertain. This systematic review and meta-analysis evaluated whether hypoalbuminemia predicts mortality in this population.MethodsA comprehensive search of PubMed, Scopus, Cochrane Library, Ovid, and CENTRAL was conducted up to January 21, 2024. Eligible studies included patients undergoing elective aortic aneurysm repair, comparing mortality between those with hypoalbuminemia and those with normal serum albumin levels. The Quality in Prognosis Studies (QUIPS) tool was used to assess the risk of bias. Adjusted data were pooled to calculate odds ratios (ORs), and sensitivity analysis was performed.ResultsFour studies, comprising 14 136 patients were included. Meta-analysis demonstrated that hypoalbuminemia was significantly associated with increased odds of all-cause mortality (OR 3.18; 95% CI 1.78-5.67; P < 0.0001; I2 = 88%). Subgroup analysis of endovascular procedures (EVAR, fenestrated or branched devices [F/B], and TEVAR) demonstrated a similar trend (OR 3.85; 95% CI 2.52-5.89; P < 0.00001; I2 = 68%). Sensitivity analysis confirmed the validity of these findings.ConclusionsDespite the limited number of available studies and evidence level, preoperative hypoalbuminemia appears to be an independent predictor of mortality following elective aortic aneurysm repair, with most available evidence derived from endovascular procedures. Given its association with comorbidity decompensation, inflammation, and malnutrition, serum albumin assessment may serve as a valuable preoperative risk stratification tool. Further high-quality research is needed to validate these findings and explore their clinical applicability.","PeriodicalId":46500,"journal":{"name":"Seminars in Cardiothoracic and Vascular Anesthesia","volume":" ","pages":"63-72"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145655818","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

Advancing Cardiothoracic Anesthesiology: Right Ventricular Function, Cannabis Use, Ventilation Techniques, and Emerging Trends. 推进心胸麻醉学：右心室功能，大麻使用，通气技术和新兴趋势。

IF 1

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-03-01 Epub Date: 2026-02-08 DOI: 10.1177/10892532261419198

Aden W Smith, Benjamin Abrams, Miklos D Kertai

引用次数: 0

Comparison of Short-Term Outcomes of Extubation in the Operating Room and Extubating in the Intensive Care Unit After Cardiac Surgery: Systematic Review and Meta-Analysis. 心脏手术后在手术室拔管与在重症监护病房拔管的短期结果比较：系统回顾和荟萃分析。

IF 1

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-03-01 Epub Date: 2025-05-29 DOI: 10.1177/10892532251346646

Noritsugu Naito, Hisato Takagi

{"title":"Comparison of Short-Term Outcomes of Extubation in the Operating Room and Extubating in the Intensive Care Unit After Cardiac Surgery: Systematic Review and Meta-Analysis.","authors":"Noritsugu Naito, Hisato Takagi","doi":"10.1177/10892532251346646","DOIUrl":"10.1177/10892532251346646","url":null,"abstract":"Objectives: This study aimed to compare short-term outcomes in patients extubated in the operating room (ORE) vs those extubated in the intensive care unit (ICUE) following cardiac surgery. Methods: A systematic search of MEDLINE and EMBASE was conducted from inception through September 2024. Pooled outcome estimates were calculated, and subgroup analyses were performed focusing on studies utilizing propensity score matching, weighting, or randomization. Results: Fourteen studies published between 2000 and 2024, encompassing 679,749 patients, were included. Of these, 6 utilized propensity score matching, 1 applied overlap weighting, and 1 employed randomization. Overall, ORE group had shorter aortic cross-clamp (P = 0.02) and cardiopulmonary bypass (P < 0.01) times. ORE patients had shorter ICU (P < 0.01) and hospital stays (P < 0.01). Rates of reintubation (P = 0.78), reoperation for bleeding (P = 0.18), prolonged mechanical ventilation (P = 0.12), and hospital readmission (P = 0.71) were comparable between the groups. Postoperative stroke rate (P < 0.01) and short-term mortality (P = 0.04) were lower in the ORE group. In the subgroup analysis, ICU stay, hospital stay, and cardiopulmonary bypass time remained shorter in ORE groupfund, while reoperation for bleeding was significantly higher (P < 0.01). However, the differences in postoperative stroke (P = 0.52) and short-term mortality (P = 0.42) were no longer statistically significant. Conclusion: This meta-analysis demonstrates that ORE after cardiac surgery can be performed in selected patients, with comparable postoperative outcomes to ICUE. The ORE strategy may result in shorter ICU and hospital stays.","PeriodicalId":46500,"journal":{"name":"Seminars in Cardiothoracic and Vascular Anesthesia","volume":" ","pages":"46-62"},"PeriodicalIF":1.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183053","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

Preoperative Physical Fitness and Short-Term Postoperative Outcomes in Patients Undergoing Elective Cardiac Surgery: A Retrospective Cohort Study. 择期心脏手术患者术前体能与术后短期预后：一项回顾性队列研究

IF 1

Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2026-02-21 DOI: 10.1177/10892532261427827

Zoe van der Hoofd, Hanneke C van Dijk-Huisman, Bart C Bongers, Bart Scheenstra, Jos Maessen, Antoine F Lenssen

{"title":"Preoperative Physical Fitness and Short-Term Postoperative Outcomes in Patients Undergoing Elective Cardiac Surgery: A Retrospective Cohort Study.","authors":"Zoe van der Hoofd, Hanneke C van Dijk-Huisman, Bart C Bongers, Bart Scheenstra, Jos Maessen, Antoine F Lenssen","doi":"10.1177/10892532261427827","DOIUrl":"https://doi.org/10.1177/10892532261427827","url":null,"abstract":"Preoperative cardiorespiratory fitness, muscle strength, and frailty influence outcomes after cardiac surgery, but these modifiable physical factors are often not routinely incorporated into standardized risk assessments. This study examined the association between preoperative physical fitness and adverse postoperative outcomes across different elective cardiac surgery procedures. Logistic regression analyses were used to assess the association between preoperative cardiorespiratory fitness, muscle strength, functional mobility, frailty, and quality of life and delayed postoperative recovery of physical functioning (Modified Iowa Level of Assistance Scale), in-hospital complications, and postoperative atrial fibrillation in patients undergoing cardiac surgery via sternotomy, mini-thoracotomy, and transfemoral incision (transcatheter aortic valve implantation). Results showed that higher patient-reported preoperative cardiorespiratory fitness, functional mobility, frailty, and physical health-related quality of life were significantly associated with faster recovery of physical functioning and fewer postoperative complications in patients undergoing sternotomy. In patients undergoing mini-thoracotomy, preoperative cardiorespiratory fitness and functional mobility were significantly associated with in-hospital complications. No significant associations were found in patients undergoing transfemoral incision (transcatheter aortic valve implantation). Conclusively, preoperative physical fitness is associated with postoperative outcomes in patients undergoing sternotomy. These findings highlight the importance of incorporating physical fitness assessments into standard preoperative care to facilitate preoperative shared decision-making and optimize modifiable preoperative risk factors.","PeriodicalId":46500,"journal":{"name":"Seminars in Cardiothoracic and Vascular Anesthesia","volume":" ","pages":"10892532261427827"},"PeriodicalIF":1.0,"publicationDate":"2026-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259603","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