Seminars in Thoracic and Cardiovascular Surgery最新文献

Expert Opinion: Where Does the Novel Hybrid Aortic Prosthesis Fit Into the Management of the Aortic Arch in DeBakey Type I Aortic Dissections? 专家意见：新型杂交主动脉假体在DeBakey I型主动脉夹层主动脉弓治疗中的应用？

IF 2.5 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-07-15 DOI: 10.1053/j.semtcvs.2025.04.010

Michael A Catalano, Chase R Brown, Shinichi Fukuhara, Michael C Moon, Wilson Y Szeto

引用次数: 0

Reoperative Arch Replacement: Outcomes and Technical Considerations. 再手术弓置换术：结果和技术考虑。

IF 2.5 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-07-14 DOI: 10.1053/j.semtcvs.2025.07.001

Eilon Ram, Christopher Lau, Danica Germain, Ivancarmine Gambardella, Giovanni Jr Soletti, Mario Gaudino, Leonard N Girardi

{"title":"Reoperative Arch Replacement: Outcomes and Technical Considerations.","authors":"Eilon Ram, Christopher Lau, Danica Germain, Ivancarmine Gambardella, Giovanni Jr Soletti, Mario Gaudino, Leonard N Girardi","doi":"10.1053/j.semtcvs.2025.07.001","DOIUrl":"10.1053/j.semtcvs.2025.07.001","url":null,"abstract":"Reoperative total arch replacement (TAR) following prior cardiovascular surgery presents significant technical challenges and is associated with higher risk profiles. With increasing numbers of patients undergoing reoperation as a result of successful outcomes from primary procedures, we sought to compare the clinical outcomes of reoperative TAR with those of first-time TAR. We reviewed 474 patients who underwent TAR at our institution from 1997 to 2024. Of these, 171 patients (36%) had previously undergone cardiovascular surgery, while the remaining 303 (64%) were undergoing TAR for the first time. Demographic, procedural, and outcome data were collected and analyzed. Comparisons between the reoperative and primary groups were made, and multivariable regression was used to identify covariates associated with major postoperative adverse events (MAEs). Patients in the reoperative group were younger on average (61.5 ± 13.5 vs 70.7 ± 10.9 years, P < 0.001), but presented with a higher burden of comorbidities, including ischemic heart disease (15.8% vs 7.3%, P = 0.006), prior strokes (38.6% vs 15.5%, P < 0.001), and renal impairment (24.6% vs 12.5%, P = 0.001). Operative times were significantly longer for reop TAR, with extended circulatory arrest (48.4 ± 12.8 vs 36 ± 10.8 minutes, P < 0.001), cardiac ischemia (118.2 ± 44.2 vs 99 ± 32.1 minutes, P < 0.001), and cardiopulmonary bypass duration (180.7 ± 38.2 vs 146.7 ± 26.3 minutes, P < 0.001). The reoperative group had higher operative mortality (4.1% vs 0.3%, P = 0.007) and a 2.3-fold increased risk of MAEs (OR 2.27, 95% CI 1.01-5.1, P = 0.046). Reoperative TAR is associated with increased operative risk, longer procedural times, and higher rates of operative complications compared to first-time TAR. Despite these challenges, successful outcomes can be achieved with thorough preoperative planning and attention to key technical details.","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endocarditis of bovine jugular vein conduits^. 牛颈静脉导管心内膜炎。

IF 2.6 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-07-11 DOI: 10.1053/j.semtcvs.2025.05.015

Damien M Wu, Edward Buratto, Tyson A Fricke, Christian P Brizard, Igor E Konstantinov

引用次数: 0

ECMO for Cardiogenic Shock - Who Should Cannulate? 心源性休克的ECMO -谁应该插管？

IF 2.6 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-07-11 DOI: 10.1053/j.semtcvs.2025.03.016

Nazari Dvirnik, Dr Vivek Rao

引用次数: 0

Commentary: If You Can't Beat Them, Join Them - Thoracoabdominal Normothermic Regional Perfusion in Lung Transplantation. 评论：如果你打不过他们，那就加入他们——肺移植中的胸腹常温区域灌注。

IF 2.6 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-07-11 DOI: 10.1053/j.semtcvs.2025.07.002

Vuong-Lam Hoang Pham, Ramiro Fernandez

引用次数: 0

Commentary: PGD - Lung Transplantation's Most Relentless Opponent. 评论：PGD -肺移植最无情的对手。

IF 2.6 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-07-10 DOI: 10.1053/j.semtcvs.2025.05.016

Caitlin T Demarest

引用次数: 0

Preference for Segmentectomy Over Wedge Resection for Small-Sized Non-Small Cell Lung Cancer. 非小细胞肺癌的节段切除术优于楔形切除术。

IF 2.6 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-07-04 DOI: 10.1053/j.semtcvs.2025.05.013

Yasuhiro Tsutani

引用次数: 0

The Ninth Edition TNM Stage Classification of Lung Cancer: What's New? 第九版TNM肺癌分期分类：有什么新进展？

IF 2.6 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-07-04 DOI: 10.1053/j.semtcvs.2025.05.014

James Huang, Frank Detterbeck

引用次数: 0

Novel Valve Sparing Aortic Root Replacement Device: Between a David and a Yacoub. 新型主动脉根部置换术：介于大卫和雅各布之间。

IF 2.6 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-07-03 DOI: 10.1053/j.semtcvs.2025.06.004

Joon Bum Kim, Y Joseph Woo

引用次数: 0

Bentall Procedure: A Long-term, Single Center Experience. 本特尔手术：一个长期的，单中心的经验。

IF 2.6 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-07-03 DOI: 10.1053/j.semtcvs.2025.06.003

Giacomo Murana, Luca Di Marco, Luca Zanella, Paola Rucci, Marta Di Carlo, Chiara Nocera, Francesco Brandini, Francesco Campanini, Davide Pacini

{"title":"Bentall Procedure: A Long-term, Single Center Experience.","authors":"Giacomo Murana, Luca Di Marco, Luca Zanella, Paola Rucci, Marta Di Carlo, Chiara Nocera, Francesco Brandini, Francesco Campanini, Davide Pacini","doi":"10.1053/j.semtcvs.2025.06.003","DOIUrl":"10.1053/j.semtcvs.2025.06.003","url":null,"abstract":"Though the Bentall operation is widely performed worldwide, data on long-term outcomes and rates of proximal reintervention is lacking. This study describes 15-year outcomes from a single center focusing on the risk of proximal reintervention and comparing biological vs mechanical Bentall. Two thousand patients underwent Bentall procedure at our institution from October 1979 to May 2023. The bio-Bentall group included 874 patients (43.7%), the mechanical group 1126 (56.3%). Patients from the biological group were older (mean age biological group=68.3, SD=8.0 vs 53.6 years for mechanical group, SD=12.4, p<0.001). They presented a higher incidence of comorbidities and urgent or emergent surgery. Mechanical Bentall patients were more likely to have Marfan syndrome, bicuspid aortic valve (BAV) and previous cardiac surgery. In-hospital mortality showed no significant difference between groups (47 -4.18%- vs 52 -5.95%-, p=0.069). Patients with a biological prosthesis had lower survival rates at 10 and 15 years (57.8% and 28.6%, respectively, vs 69.5% and 56.1%, p<0.001) and a threefold risk of proximal redo at follow-up compared to mechanical Bentall (8.2% and 15.2% at 10 and 15 years vs 2.4% and 4.6%, respectively, HR=3.512) The risk of reintervention was higher in the biological group in each age group. In the overall sample, the risk declines with age until 55 years, then slowly increases. The Bentall operation provides satisfactory long-term outcomes. Patients treated with a bio-Bentall showed a worse survival and freedom from proximal reintervention, even in the same age-group as mechanical Bentall. However, reintervention rates in the biological group are still acceptable.","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0