Seminars in Thoracic and Cardiovascular Surgery最新文献_第7页

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 2.5 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-12-01 Epub Date: 2025-07-03 DOI: 10.1053/j.semtcvs.2025.06.003

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

{"title":"Bentall Procedure: A Long-term, Single Center Experience","authors":"Giacomo Murana MD, PhD , Luca Di Marco MD, PhD , Luca Zanella MD , Paola Rucci Dstat , Marta Di Carlo MD , Chiara Nocera MD , Francesco Brandini MD , Francesco Campanini MD , Davide Pacini MD, PhD","doi":"10.1053/j.semtcvs.2025.06.003","DOIUrl":"10.1053/j.semtcvs.2025.06.003","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":"37 4","pages":"Pages 384-391"},"PeriodicalIF":2.5,"publicationDate":"2025-12-01","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

Carinal Resection for Cancer 隆突切除术治疗癌症。

IF 2.5 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-12-01 Epub Date: 2025-06-06 DOI: 10.1053/j.semtcvs.2025.05.006

Antonio D’Andrilli MD, Beatrice Trabalza Marinucci MD, Giacomo Argento MD, Erino A. Rendina MD

引用次数: 0

Interventional Strategies for Full Hybrid/Norwood, the Double Intention, Double Intervention (DIDI) Approach 全混合/诺伍德的介入策略，DIDI方法。

IF 2.5 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-12-01 Epub Date: 2025-04-28 DOI: 10.1053/j.semtcvs.2025.03.013

Dietmar Schranz MD, PhD , Hakan Akintuerk MD, PhD , Michael Huebler MD, PhD , Jelena Pabst von Ohain MD , Anoosh Esmaeili MD, PhD , Nora Lang MD, PhD, PhD , Rainer Kozlik-Feldmann MD, PhD , Gunter Kerst MD, PhD

引用次数: 0

Aortic Aneurysmectomy: The American College of Cardiology/American Heart Association Guidelines 主动脉瘤切除术：ACC/AHA 指南。

IF 2.5 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-12-01 Epub Date: 2025-04-04 DOI: 10.1053/j.semtcvs.2025.03.007

Davut Cekmecelioglu MD, MSc , Ourania Preventza MD

引用次数: 0

Commentary: History Will Judge. 评论：历史将作出判断。

IF 2.5 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-11-14 DOI: 10.1053/j.semtcvs.2025.10.005

Jacob A Klapper

引用次数: 0

Commentary: Synchronized Success: The Role of Teamwork in Modern Thoracic Surgery. 评论：同步成功：团队合作在现代胸外科中的作用。

IF 2.5 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-11-04 DOI: 10.1053/j.semtcvs.2025.10.003

Paula Ugalde Figueroa, Narjust Florez

引用次数: 0

Management of Endograft Infection after Thoracic Endovascular Aortic Repair. 胸主动脉血管内修复术后移植物感染的处理。

IF 2.5 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-10-30 DOI: 10.1053/j.semtcvs.2025.10.002

Yuki Ikeno, Adrian Ramirez, Muhammad A Khan, Michael J Troncone, Harleen Sandhu, Charles C Miller, Hazim J Safi, Anthony L Estrera, Akiko Tanaka

{"title":"Management of Endograft Infection after Thoracic Endovascular Aortic Repair.","authors":"Yuki Ikeno, Adrian Ramirez, Muhammad A Khan, Michael J Troncone, Harleen Sandhu, Charles C Miller, Hazim J Safi, Anthony L Estrera, Akiko Tanaka","doi":"10.1053/j.semtcvs.2025.10.002","DOIUrl":"10.1053/j.semtcvs.2025.10.002","url":null,"abstract":"<p><p>Endograft infections following thoracic endovascular treatment are rare but associated with high morbidity and mortality. This study describes our experience with the surgical management of infections involving descending thoracic and thoracoabdominal aorta. The study retrospectively reviewed patients who underwent open descending thoracic and thoracoabdominal aortic aneurysm repair between January 1991 and March 2025, including cases of stent graft infections and secondary aortobronchial or aortoenteric fistula. Perioperative characteristics, operative outcomes and overall survival were evaluated. Of 2220 patients who underwent descending thoracic and thoracoabdominal aortic aneurysm repair, 20 patients (0.9%) received surgical treatment for endograft infections: 8 with endograft infection; 7 with aortoesophageal fistula; and 5 with aortobronchial fistula. The extent of repair involved the descending thoracic aneurysm in 18 patients (90%), and thoracoabdominal aortic aneurysm in 2 patients (10%). Endograft explantation and in-situ aortic reconstruction were performed in 19 patients (95%) while flap reconstruction was utilized in 16 patients (80%). Operative mortality was 6 patients (30%). Postoperative stroke occurred in 1 patient (5%) and temporary paraparesis also occurred in 1 patient (5%). Overall survival was 43.5% at 1 year and 36.3% at 5 years. Management of endograft infection involving the descending thoracic and thoracoabdominal aortic aneurysm remains challenging. Surgical repair, including endograft explantation, in-situ reconstruction, and flap installation, yielded acceptable mortality and morbidity rates in this high-risk patient population.</p>","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145426880","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

Daily Chest X-Rays for Cardiovascular Surgery Patients: Mandatory or Myth? 心血管手术患者每日胸部x光片：强制还是神话？

IF 2.5 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-10-30 DOI: 10.1053/j.semtcvs.2025.09.001

Jonathan Gale, Gurmeet Singh

{"title":"Daily Chest X-Rays for Cardiovascular Surgery Patients: Mandatory or Myth?","authors":"Jonathan Gale, Gurmeet Singh","doi":"10.1053/j.semtcvs.2025.09.001","DOIUrl":"10.1053/j.semtcvs.2025.09.001","url":null,"abstract":"<p><p>Routine daily chest radiographs (CXR) in intensive care units (ICUs), including cardiovascular (CVICUs) and cardiothoracic (CTICUs), are widely used for early complication detection during the post-operative period. However, evidence suggests that this practice lacks clinical utility, with low diagnostic and therapeutic yields. The evidence consistently demonstrates that an on-demand CXR strategy, performed only for specific clinical indications, offers comparable patient safety, reduced radiation exposure, and substantial cost savings without increasing adverse outcomes, ICU length of stay, or mortality. For post-cardiothoracic surgery patients, complications such as pleural effusions and pneumothoraces are of important concern, yet routine CXRs rarely identify such abnormalities, with very few requiring intervention. Data support an on-demand approach, even after procedures such as chest tube removal, as clinical signs and symptoms are reliable indicators of complications. Transitioning from routine to on-demand CXR practices aligns with evidence-based guidelines, including Choosing Wisely® and the Critical Care Societies Collaborative recommendations. This approach promotes high-value care, minimizes unnecessary imaging, and supports the safe, cost-effective management of ICU patients. Routine CXRs should be reconsidered as standard practice in favor of tailored, patient-specific imaging strategies.</p>","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145423146","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

Mavacamten Should Not Reduce Referrals for Septal Myectomy. Mavacamten不应减少室间隔肌切除术的转诊。

IF 2.5 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-10-01 DOI: 10.1053/j.semtcvs.2025.07.005

Nicholas Smedira

引用次数: 0

Non-Traditional Inflow, Outflow, and Biventricular Configurations of Durable Ventricular Assist Devices. 耐用心室辅助装置的非传统流入、流出和双心室配置。

IF 2.5 3区医学

Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-09-19 DOI: 10.1053/j.semtcvs.2025.08.006

Aaron M Williams, Swaroop Bommareddi, John M Trahanas, Brian Lima, Awab Ahmad, Aniket S Rali, Sandip K Zalawadiya, Ashish S Shah

引用次数: 0