Journal of Thoracic and Cardiovascular Surgery最新文献

Adult Articles in AATS Journals 成人文章在AATS期刊

IF 4.9 1区医学

Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-05-27 DOI: 10.1016/S0022-5223(25)00373-3

引用次数: 0

Congenital Articles in AATS Journals 先天性文章在AATS期刊

IF 4.9 1区医学

Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-05-27 DOI: 10.1016/S0022-5223(25)00353-8

引用次数: 0

Thoracic Articles in AATS Journals AATS期刊中的胸科文章

IF 4.9 1区医学

Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-05-27 DOI: 10.1016/S0022-5223(25)00362-9

引用次数: 0

Information for readers 读者资讯

IF 4.9 1区医学

Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-05-27 DOI: 10.1016/S0022-5223(25)00349-6

引用次数: 0

Commentary: "No time to die". 评论：“没时间去死”。

IF 4.9 1区医学

Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-05-26 DOI: 10.1016/j.jtcvs.2025.05.014

Marcie Cobelli, Brendon M Stiles

引用次数: 0

The Fate of Aortic Valve after Surgical Repair for Discrete Membranous Subaortic Stenosis in Pediatric Patients. 小儿离散性膜性主动脉下狭窄手术修复后主动脉瓣的命运。

IF 4.9 1区医学

Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-05-26 DOI: 10.1016/j.jtcvs.2025.05.013

Jie Dong, Ziping Li, Yangxue Sun, Chuhao Du, Shun Liu, Keming Yang, Xiangbin Pan, Shuo Dong

{"title":"The Fate of Aortic Valve after Surgical Repair for Discrete Membranous Subaortic Stenosis in Pediatric Patients.","authors":"Jie Dong, Ziping Li, Yangxue Sun, Chuhao Du, Shun Liu, Keming Yang, Xiangbin Pan, Shuo Dong","doi":"10.1016/j.jtcvs.2025.05.013","DOIUrl":"https://doi.org/10.1016/j.jtcvs.2025.05.013","url":null,"abstract":"Objectives: This study aimed to evaluate the long-term outcomes of aortic valve (AV) function and identify predictors of significant aortic regurgitation (SAR) and left ventricular outflow tract obstruction (LVOTO) recurrence following surgical repair of discrete membranous subaortic stenosis (DMSS) in pediatric patients and to develop a scoring model for long-term management.Methods: This single-center, retrospective cohort study analyzed 219 pediatric patients who underwent surgical repair for DMSS between 2008 and 2022. The primary endpoint was the composite of SAR and LVOTO recurrence, assessed during a median follow-up of 7.0 years. Multivariable Cox regression analysis was employed to develop a predictive model, validated using bootstrap resampling and calibration plots. A nomogram and risk-stratification model were constructed based on significant predictors.Results: SAR occurred in 10.0% of patients, while LVOTO recurrence was observed in 9.59%. The composite endpoint was experienced by 16.9%, with freedom rates from the endpoint at 1-, 2-, 5-, and 10-years being 99.5%, 97.7%, 93.4%, and 74.9%, respectively. The final model included discrete membrane accumulation on the AV, preoperative aortic regurgitation (AR) ≥grade 3, peeling from AV, bypass time >75 minutes, and postoperative AR ≥grade 2. The model predicted the outcome with a C-index of 0.814 on the test set and exhibited a significant ability in stratification of patients into low-risk, and high-risk groups (P < 0.001).Conclusions: This study highlights key risk factors for SAR and LVOTO recurrence after DMSS surgery in pediatric patients and provides a robust risk-stratification model for clinical decision-making.","PeriodicalId":49975,"journal":{"name":"Journal of Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175281","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}

引用次数: 0

Supporting Professionalism: Introduction of 360 Degree Review to the Credentialing Process by the American Board of Thoracic Surgery. 支持专业：美国胸外科委员会对认证过程引入360度审查。

IF 4.9 1区医学

Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-05-24 DOI: 10.1016/j.jtcvs.2025.04.025

Thoralf M Sundt, Joseph C Cleveland, Cameron D Wright, Joseph A Dearani, Michael J Mack

引用次数: 0

Iatrogenic Aortic Dissection: Insights from the International Registry of Acute Aortic Dissection. 医源性主动脉夹层：来自国际急性主动脉夹层登记的见解。

IF 4.9 1区医学

Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-05-23 DOI: 10.1016/j.jtcvs.2025.05.011

Kevin M Harris, Neilesh B Parikh, Christoph A Nienaber, Elise M Woznicki, Arturo Evangelista, Marc Schermerhorn, Maral Ouzounian, Joseph S Coselli, Chih-Wen Pai, Marek P Ehrlich, Clayton A Kaiser, Marco Di Eusanio, Thomas G Gleason, Ibrahim Sultan, Kim A Eagle, Himanshu J Patel

{"title":"Iatrogenic Aortic Dissection: Insights from the International Registry of Acute Aortic Dissection.","authors":"Kevin M Harris, Neilesh B Parikh, Christoph A Nienaber, Elise M Woznicki, Arturo Evangelista, Marc Schermerhorn, Maral Ouzounian, Joseph S Coselli, Chih-Wen Pai, Marek P Ehrlich, Clayton A Kaiser, Marco Di Eusanio, Thomas G Gleason, Ibrahim Sultan, Kim A Eagle, Himanshu J Patel","doi":"10.1016/j.jtcvs.2025.05.011","DOIUrl":"https://doi.org/10.1016/j.jtcvs.2025.05.011","url":null,"abstract":"Objectives: Risk factors, presentation, treatment, and outcomes were evaluated for iatrogenic (iAD) in comparison to spontaneous aortic dissection (sAD).Methods: Patients with acute AD enrolled in IRAD from 1996-2023 were separated into two groups: (iAD) (n=333 (2.5% of total ADs); type A - 252, type B - 81) and (sAD) (n=13,122; type A - 8846, type B - 4,276).Results: The etiology of iAD was predominantly cardiac surgery (n=146; 51% type A, 32% type B) and catheter-induced (n=134; 41% type A, 47% type B). Patients with iAD were more likely to be older, with a higher preponderance of atherosclerosis, known aortic aneurysm, valve disease, and peripheral arterial disease. Type A iAD patients had smaller aortic size and less frequent aortic regurgitation, and pericardial effusion. They also had less typical symptoms of AD. Medical management of type A AD was utilized more frequently in iatrogenic compared to spontaneous cases (13% vs. 8%, p= 0.016); management was statistically similar for type B. Overall Type A iAD had a higher hospital (25.8% vs 18.4%, p=0.005) and 4-year mortality (p=0.003), though mortality was similar for type B AD (p= NS). In a multivariable model, there was no difference in Type A hospital mortality between sAD and iAD.Conclusions: IAD occurs in older patients with known atherosclerosis and frequently without typical symptoms. Medical management is utilized more frequently for type A iAD. Mortality was higher for type A iAD compared to sAD, however no differences were seen for type B or in overall mortality in a multivariable model.","PeriodicalId":49975,"journal":{"name":"Journal of Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144339","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}

引用次数: 0

Commentary: Another Day, Another Model…Where Does Red Cell Distribution Width Fit in Perioperative Risk Prediction? 评论：新的一天，新的模型……红细胞分布宽度在围手术期风险预测中的适用范围？

IF 4.9 1区医学

Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-05-20 DOI: 10.1016/j.jtcvs.2025.05.009

Chiedozie Udeh, Asha Singh

引用次数: 0

Commentator Discussion: Incidental use of angiotensin system inhibitors during neoadjuvant therapy for esophageal adenocarcinoma: An analysis of survival. 评论员讨论：在食管癌的新辅助治疗中偶然使用血管紧张素系统抑制剂：生存分析。

IF 4.9 1区医学

Journal of Thoracic and Cardiovascular Surgery Pub Date : 2025-05-19 DOI: 10.1016/j.jtcvs.2025.04.030

引用次数: 0