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Seminars in Thoracic and Cardiovascular Surgery最新文献

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Arrhythmic Mitral Valve Prolapse: Pathophysiology, Diagnostics, and Management Strategies 心律失常二尖瓣脱垂：病理生理学、诊断和管理策略。
IF 2.5 3区 医学
Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-04-04 DOI: 10.1053/j.semtcvs.2025.03.005
Jagdip Kang MD , Antonia van Kampen MD , Maja-Theresa Dieterlen PD , Ricardo Spampinato MD , Thoralf Sundt MD , Serguei Melnitchouk MD , Robert A. Levine MD , Michael A. Borger MD, PhD
{"title":"Arrhythmic Mitral Valve Prolapse: Pathophysiology, Diagnostics, and Management Strategies","authors":"Jagdip Kang MD ,&nbsp;Antonia van Kampen MD ,&nbsp;Maja-Theresa Dieterlen PD ,&nbsp;Ricardo Spampinato MD ,&nbsp;Thoralf Sundt MD ,&nbsp;Serguei Melnitchouk MD ,&nbsp;Robert A. Levine MD ,&nbsp;Michael A. Borger MD, PhD","doi":"10.1053/j.semtcvs.2025.03.005","DOIUrl":"10.1053/j.semtcvs.2025.03.005","url":null,"abstract":"<div><div>Mitral valve prolapse<span> (MVP) is a common disease in which ventricular arrhythmias/sudden cardiac death can be the first symptom of presentation. This review article explores the current understanding of underlying pathological mechanisms leading to an increased risk for ventricular arrhythmias in the setting of MVP and elaborates on the current evidence regarding the diagnosis and management of the disease.</span></div></div>","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":"37 3","pages":"Pages 252-256"},"PeriodicalIF":2.5,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796712","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
Aortic Aneurysmectomy: The American College of Cardiology/American Heart Association Guidelines. 主动脉瘤切除术：ACC/AHA 指南。
IF 2.6 3区 医学
Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-04-04 DOI: 10.1053/j.semtcvs.2025.03.007
Davut Cekmecelioglu, Ourania Preventza
{"title":"Aortic Aneurysmectomy: The American College of Cardiology/American Heart Association Guidelines.","authors":"Davut Cekmecelioglu, Ourania Preventza","doi":"10.1053/j.semtcvs.2025.03.007","DOIUrl":"10.1053/j.semtcvs.2025.03.007","url":null,"abstract":"<p><p>Aneurysmectomy is a primary intervention for thoracic aortic aneurysms due to their high risk of rupture or dissection. Recent updates to the American College of Cardiology/American Heart Association (ACC/AHA) and European Association for Cardiothoracic Surgery/The Society of Thoracic Surgeons (EACTS/STS) guidelines provide refined criteria for intervention, integrating genetic risks, body-size adjustments, and advanced imaging protocols. This review examines these guidelines, focusing on surgical indications, threshold rationales, and morphological and genetic factors influencing dissection risk. By synthesizing guideline recommendations with data from pivotal studies, this review provides clinicians with an evidence-based framework for balancing guideline criteria with individualized patient risk profiles.</p>","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796707","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
Spinal Cord Ischemia Prevention and Management in Thoracoabdominal Branched Endovascular Aortic Repair. 胸腹支血管内主动脉修复术中脊髓缺血的预防和处理。
IF 2.6 3区 医学
Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-04-02 DOI: 10.1053/j.semtcvs.2025.03.003
Jesse Chait, Armin Tabiei, Gustavo S Oderich, Bernardo C Mendes
{"title":"Spinal Cord Ischemia Prevention and Management in Thoracoabdominal Branched Endovascular Aortic Repair.","authors":"Jesse Chait, Armin Tabiei, Gustavo S Oderich, Bernardo C Mendes","doi":"10.1053/j.semtcvs.2025.03.003","DOIUrl":"10.1053/j.semtcvs.2025.03.003","url":null,"abstract":"<p><p>Spinal cord ischemia (SCI) is the most feared complication of complex aortic surgery owing to significant morbidity, decreased patient quality of life, and increased risk of overall short- and long-term mortality. As endovascular repair of thoracoabdominal aortic aneurysms (TAAAs) has evolved to become a first-line therapy owing to decreased perioperative complications and mortality when compared to open surgical repair, a focus on prevention and rescue of SCI has become a primary concern. This review describes the background, incidence, risk factors, prevention, and treatment of SCI following branched endovascular aortic repair of TAAAs.</p>","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789152","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
Atrial Dysfunction Induced Mitral Regurgitation: A Different Problem with a Different Solution. 心房功能障碍诱发二尖瓣反流：不同的问题，不同的解决方案。
IF 2.6 3区 医学
Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-03-20 DOI: 10.1053/j.semtcvs.2025.03.001
Matthew Kazaleh, Catherine Wagner, Steven F Bolling
{"title":"Atrial Dysfunction Induced Mitral Regurgitation: A Different Problem with a Different Solution.","authors":"Matthew Kazaleh, Catherine Wagner, Steven F Bolling","doi":"10.1053/j.semtcvs.2025.03.001","DOIUrl":"10.1053/j.semtcvs.2025.03.001","url":null,"abstract":"","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694028","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
The Commando Operation. 突击队行动
IF 2.6 3区 医学
Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-03-18 DOI: 10.1053/j.semtcvs.2025.02.009
Tirone E David, Malak Elbatarny
{"title":"The Commando Operation.","authors":"Tirone E David, Malak Elbatarny","doi":"10.1053/j.semtcvs.2025.02.009","DOIUrl":"10.1053/j.semtcvs.2025.02.009","url":null,"abstract":"","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671489","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
Congenital Heart Surgery Workforce Issues 劳动力问题。
IF 2.5 3区 医学
Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-03-13 DOI: 10.1053/j.semtcvs.2025.02.006
Brian Kogon MD , Jay Patel MD
{"title":"Congenital Heart Surgery Workforce Issues","authors":"Brian Kogon MD ,&nbsp;Jay Patel MD","doi":"10.1053/j.semtcvs.2025.02.006","DOIUrl":"10.1053/j.semtcvs.2025.02.006","url":null,"abstract":"","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":"37 3","pages":"Pages 308-314"},"PeriodicalIF":2.5,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634909","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
Postoperative Brain Attack: Current Perspectives and Future Directions 术后脑梗死：目前的观点和未来的方向。
IF 2.5 3区 医学
Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-03-11 DOI: 10.1053/j.semtcvs.2025.02.007
Miriam Quinlan MD, MPH , Rakesh Arora MD, PhD , Sung Min Cho DO, MHS
{"title":"Postoperative Brain Attack: Current Perspectives and Future Directions","authors":"Miriam Quinlan MD, MPH ,&nbsp;Rakesh Arora MD, PhD ,&nbsp;Sung Min Cho DO, MHS","doi":"10.1053/j.semtcvs.2025.02.007","DOIUrl":"10.1053/j.semtcvs.2025.02.007","url":null,"abstract":"<div><div>The incidence of stroke after cardiac surgery poses significant challenges. This expert review piece explores current knowledge, challenges, future directions, and offers insights into improving patient outcomes through optimal prevention, early recognition, and management strategies. By addressing the challenges and opportunities in this area, we can enhance patient care, reduce long-term disabilities, and improve the overall quality of life for affected individuals. This expert review aims to provide a comprehensive framework for managing postoperative stroke: mechanisms, risk factors, diagnosis, treatment, systems of care, and ethical considerations.</div></div>","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":"37 3","pages":"Pages 281-292"},"PeriodicalIF":2.5,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626524","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
Aortic Root Replacement: Should We Wait Until 5 cm? 主动脉根部置换：应该等到5厘米吗？
IF 2.6 3区 医学
Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-03-06 DOI: 10.1053/j.semtcvs.2025.02.002
Marc R Moon, Puja Kachroo
{"title":"Aortic Root Replacement: Should We Wait Until 5 cm?","authors":"Marc R Moon, Puja Kachroo","doi":"10.1053/j.semtcvs.2025.02.002","DOIUrl":"10.1053/j.semtcvs.2025.02.002","url":null,"abstract":"<p><p>Surgical replacement of the ascending aorta and root was first undertaken in the 1950s although methodologies were rudimentary compared to the current era. Advances in brain protection and surgical technique have made complex root procedures relatively low risk in experienced hands. The standard critieria for elective replacement of the root and ascending aorta has been 5.5 cm when there is no connective tissue etiology for the aneurysm. Recent literature has suggested that a more liberal criteria would may be appropriate in healthy patient at low risk, patients with high-risk features including strong family history of adverse aortic events, and in centers whose outcomes are such that the risk of surgery at lower aortic size is far less than the risk of progression of disease or significant adverse event. This manuscript critically evaluates recent literature to suggest in which patients and at what type of centers a more aggressive prophylactic approach should be entertained.</p>","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587496","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
Hypotension and Perioperative Strokes in Cardiac Surgery: How Big Data Can Help Answer Big Questions 心脏手术中的低血压和围手术期中风：大数据如何帮助回答重大问题。
IF 2.5 3区 医学
Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-03-04 DOI: 10.1053/j.semtcvs.2025.02.004
Jose Rios-Monterrosa MD, Louise Y. Sun MD, SM
{"title":"Hypotension and Perioperative Strokes in Cardiac Surgery: How Big Data Can Help Answer Big Questions","authors":"Jose Rios-Monterrosa MD,&nbsp;Louise Y. Sun MD, SM","doi":"10.1053/j.semtcvs.2025.02.004","DOIUrl":"10.1053/j.semtcvs.2025.02.004","url":null,"abstract":"","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":"37 3","pages":"Pages 275-280"},"PeriodicalIF":2.5,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574509","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
Contemporary Surgical, Hybrid, and Transcatheter Approaches to the Dysfunctional Mitral Valve with Mitral Annular Calcification 二尖瓣功能不全合并二尖瓣环钙化的现代手术、混合和经导管入路。
IF 2.5 3区 医学
Seminars in Thoracic and Cardiovascular Surgery Pub Date : 2025-03-03 DOI: 10.1053/j.semtcvs.2025.01.008
Omar Toubat MD, PhD, Max Shin MD, Michael A. Catalano MD, Amit Iyengar MD, MSE, Pavan Atluri MD (Professor of Surgery)
{"title":"Contemporary Surgical, Hybrid, and Transcatheter Approaches to the Dysfunctional Mitral Valve with Mitral Annular Calcification","authors":"Omar Toubat MD, PhD,&nbsp;Max Shin MD,&nbsp;Michael A. Catalano MD,&nbsp;Amit Iyengar MD, MSE,&nbsp;Pavan Atluri MD (Professor of Surgery)","doi":"10.1053/j.semtcvs.2025.01.008","DOIUrl":"10.1053/j.semtcvs.2025.01.008","url":null,"abstract":"","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":"37 3","pages":"Pages 240-246"},"PeriodicalIF":2.5,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568518","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
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