Journal of Thoracic and Cardiovascular Surgery最新文献

{"title":"Reply: No matter good or ugly: Always the best for the patient.","authors":"Youngkern Kwon, Ho Jin Kim","doi":"10.1016/j.jtcvs.2025.07.010","DOIUrl":"https://doi.org/10.1016/j.jtcvs.2025.07.010","url":null,"abstract":"","PeriodicalId":49975,"journal":{"name":"Journal of Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Why the aortic organ fails longitudinally: A molecular mirror to biomechanical insigh.","authors":"Dimitrios E Magouliotis, Serge Sicouri, Andrew Xanthopoulos, Basel Ramlawi","doi":"10.1016/j.jtcvs.2025.07.006","DOIUrl":"https://doi.org/10.1016/j.jtcvs.2025.07.006","url":null,"abstract":"","PeriodicalId":49975,"journal":{"name":"Journal of Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short-term Outcomes of Thrombolysis versus Surgical Pulmonary Embolectomy in Patients with High-Risk Pulmonary Embolism.","authors":"Keiichi Ishida, Yuji Nishimoto, Hiroyuki Ohbe, Nobutaka Ikeda, Toshihiko Sugiura, Rika Suda, Nobuhiro Tanabe, Makoto Mo, Yuya Kimura, Hiroki Matsui, Hideo Yasunaga","doi":"10.1016/j.jtcvs.2025.07.039","DOIUrl":"https://doi.org/10.1016/j.jtcvs.2025.07.039","url":null,"abstract":"<p><strong>Objective: </strong>The survival benefit of thrombolysis compared with surgical pulmonary embolectomy for high-risk pulmonary embolism has not been established, although current guidelines advocate thrombolysis as first-line therapy. This study compared the short-term outcomes of surgical pulmonary embolectomy and thrombolysis to determine the optimal treatment for high-risk pulmonary embolism.</p><p><strong>Methods: </strong>Patients with high-risk pulmonary embolism who underwent surgical pulmonary embolectomy or thrombolysis within 2 days of admission were identified using a nationwide inpatient administrative database in Japan between July 2010 and March 2023. The primary outcome was in-hospital mortality, and secondary outcomes were complications, length of hospital stay, and total hospitalization costs. Outcomes were compared using overlap weighting, with sensitivity analyses conducted using inverse probability of treatment weighting and multivariate logistic regression model.</p><p><strong>Results: </strong>Of the 2,813 eligible patients, 526 underwent surgical pulmonary embolectomy, and 2,287 underwent thrombolysis. After overlap weighting, surgical pulmonary embolectomy was associated with lower in-hospital mortality (22.2% vs. 30.1%, P = 0.002), more favorable neurological outcomes at discharge (72.5% vs. 66.7%, P = 0.040), and higher total costs ($30,548 vs. $13,374, P < 0.001) than thrombolysis. No significant differences were observed in complications or length of hospital stay between the two groups. Sensitivity analyses yielded results consistent with the primary analyses.</p><p><strong>Conclusions: </strong>These findings suggest potential benefits of surgical pulmonary embolectomy over thrombolysis for high-risk pulmonary embolism. Surgical pulmonary embolectomy may be considered a reasonable reperfusion therapy option for suitable patients. Further research is needed to confirm these findings.</p>","PeriodicalId":49975,"journal":{"name":"Journal of Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reassessing outcomes of coronary artery bypass grafting in the presence of chronic total occlusions.","authors":"Khaled Ebrahim Al Ebrahim","doi":"10.1016/j.jtcvs.2025.07.004","DOIUrl":"https://doi.org/10.1016/j.jtcvs.2025.07.004","url":null,"abstract":"","PeriodicalId":49975,"journal":{"name":"Journal of Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Novel Size-Adjustable Pulmonary Valve U.S. Early Feasibility Study: 1-year Outcomes.","authors":"Mark E Galantowicz, Corey A Stiver, Oliver M Barry, Emile A Bacha, Kanwal M Farooqi, Gerald R Marx, Diego Porras, Christopher W Baird, Aimee K Armstrong","doi":"10.1016/j.jtcvs.2025.07.035","DOIUrl":"https://doi.org/10.1016/j.jtcvs.2025.07.035","url":null,"abstract":"<p><strong>Objective: </strong>The Autus Size-Adjustable Valve (ASAV) is a novel surgically implanted fully synthetic expandable pulmonary valve designed for pediatric patients. This first-in-human study evaluated initial device feasibility and safety.</p><p><strong>Methods: </strong>This was a Food and Drug Administration (FDA)-approved prospective, single-arm, multi-center Investigational Device Exemption (IDE) Early Feasibility Study (EFS) to evaluate safety and preliminary effectiveness of the ASAV in pediatric patients aged 18 months to 16 years requiring pulmonary valve replacement. All potential subjects underwent review by a screening committee to determine eligibility. Subjects had pre- and post-operative evaluation via transthoracic echocardiography. One-year outcomes are reported.</p><p><strong>Results: </strong>Eleven subjects (nine male) were enrolled at three centers. Median age at implant was 8.2 (range: 2.7-13.9) years and body surface area (BSA) ranged from 0.6-1.3 m². The ASAV was size-adjusted at implant in all subjects, ranging from 14 mm to 20 mm ID (z-score -1 to +1). Median hospital length of stay was 4 (range: 3-5) days. There was no mortality and 100% of subjects were free from device-related adverse events. No thrombus was observed. No subject developed endocarditis. At one-year follow-up, 10 (90.9%) subjects had no pulmonary regurgitation (PR, one (8.1%) had trivial PR and the mean right ventricle-pulmonary artery pressure gradient was 16 ± 6 mmHg.</p><p><strong>Conclusions: </strong>One-year results of the novel Autus Size-Adjustable Valve EFS demonstrated intact valve function and no device-related adverse events. The Autus Valve is now under evaluation in an IDE pivotal study.</p>","PeriodicalId":49975,"journal":{"name":"Journal of Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Meditation for the CT surgeons","authors":"","doi":"10.1016/S0022-5223(25)00521-5","DOIUrl":"10.1016/S0022-5223(25)00521-5","url":null,"abstract":"","PeriodicalId":49975,"journal":{"name":"Journal of Thoracic and Cardiovascular Surgery","volume":"170 2","pages":"Page 637"},"PeriodicalIF":4.4,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144722991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Information for readers","authors":"","doi":"10.1016/S0022-5223(25)00481-7","DOIUrl":"10.1016/S0022-5223(25)00481-7","url":null,"abstract":"","PeriodicalId":49975,"journal":{"name":"Journal of Thoracic and Cardiovascular Surgery","volume":"170 2","pages":"Page A21"},"PeriodicalIF":4.4,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144722992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Congenital Articles in AATS Journals","authors":"","doi":"10.1016/S0022-5223(25)00486-6","DOIUrl":"10.1016/S0022-5223(25)00486-6","url":null,"abstract":"","PeriodicalId":49975,"journal":{"name":"Journal of Thoracic and Cardiovascular Surgery","volume":"170 2","pages":"Page e45"},"PeriodicalIF":4.4,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144723092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thoracic Articles in AATS Journals","authors":"","doi":"10.1016/S0022-5223(25)00488-X","DOIUrl":"10.1016/S0022-5223(25)00488-X","url":null,"abstract":"","PeriodicalId":49975,"journal":{"name":"Journal of Thoracic and Cardiovascular Surgery","volume":"170 2","pages":"Pages e52-e53"},"PeriodicalIF":4.4,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144723178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adult Articles in AATS Journals","authors":"","doi":"10.1016/S0022-5223(25)00490-8","DOIUrl":"10.1016/S0022-5223(25)00490-8","url":null,"abstract":"","PeriodicalId":49975,"journal":{"name":"Journal of Thoracic and Cardiovascular Surgery","volume":"170 2","pages":"Page e65"},"PeriodicalIF":4.4,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144723132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}