Journal of Thoracic and Cardiovascular Surgery最新文献

{"title":"Reply: Occluded fenestration is linked to increased oxygen saturation, reduced N-terminal pro-B-type natriuretic peptide, and improved survival rates","authors":"Hīng-Ka Lîm MD, PhD , Shuenn-Nan Chiu MD, PhD","doi":"10.1016/j.jtcvs.2025.02.019","DOIUrl":"10.1016/j.jtcvs.2025.02.019","url":null,"abstract":"","PeriodicalId":49975,"journal":{"name":"Journal of Thoracic and Cardiovascular Surgery","volume":"170 4","pages":"Pages e104-e105"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674732","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":"An evaluation of lymph node harvest in sublobar resections in a statewide quality collaborative","authors":"Jenny Bui MD, MPH ,&nbsp;Stanley Kalata MD, MS ,&nbsp;Rishindra M. Reddy MD, MBA ,&nbsp;Melissa Clark MSN ,&nbsp;Mary Hollenbeck BSN ,&nbsp;Nathan Mollberg DO ,&nbsp;Shelly Lall MD ,&nbsp;Andrew M. Popoff MD","doi":"10.1016/j.jtcvs.2025.02.016","DOIUrl":"10.1016/j.jtcvs.2025.02.016","url":null,"abstract":"<div><h3>Objective</h3><div>Evaluate the effectiveness of nodal harvest in sublobar resections for peripheral non–small cell lung cancer.</div></div><div><h3>Methods</h3><div><span>Retrospective review of prospectively collected data for patients who underwent wedge resection (WR) and </span>segmentectomy (SG) for non–small cell lung cancer from January 2015 to March 2023 at 21 centers within a statewide quality collaborative. The primary end point was the extent of lymph node (LN) harvest defined as ≥10 LNs, ≥5 LN stations (LNSs), or 3 mediastinal LNSs and 1 hilar LNS (3/1 LNS). We also examined the LN harvest stratified by operative approach (open, video-assisted, or robot-assisted).</div></div><div><h3>Results</h3><div><span>A total of 1398 patients receiving sublobar resections were reviewed: 919 (65.7%) with WR and 479 (34.3%) with SG. Only 15.6% (152) WR and 54.6% (263) SG had an adequate number of LNSs harvested. Robot-assisted thoracic surgery was associated with higher rates of harvesting ≥10 LNs (</span><em>P</em> &lt; .001) or harvesting ≥5 LNSs or 3/1 LNS (<em>P</em> &lt; .001) compared with video-assisted thoracoscopic surgery for WR. Compared with open procedures and video-assisted thoracic surgery, Robot-assisted thoracic surgery was associated with higher rates of harvesting ≥5 LNSs or 3/1 LNS for SG (<em>P</em> = .002 and <em>P</em> = .003, respectively).</div></div><div><h3>Conclusions</h3><div>WR and SG have low rates of adequate LN harvesting. Robot-assisted surgery was associated with improved LN harvesting rates. Given the increase interest in sublobar resections, continued focus on improving and increasing LN harvesting are needed.</div></div>","PeriodicalId":49975,"journal":{"name":"Journal of Thoracic and Cardiovascular Surgery","volume":"170 4","pages":"Pages 915-923.e2"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537942","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":"Commentary: Leveling the cardiothoracic application playing field—racial differences in cardiothoracic surgery letters of recommendation","authors":"Allan Pickens MD","doi":"10.1016/j.jtcvs.2024.10.028","DOIUrl":"10.1016/j.jtcvs.2024.10.028","url":null,"abstract":"","PeriodicalId":49975,"journal":{"name":"Journal of Thoracic and Cardiovascular Surgery","volume":"170 4","pages":"Pages 1185-1186"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569562","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":"Commentary: Understanding the influence of warm ischemia on donation after circulatory death heart transplant outcomes: Getting warmer but not there yet","authors":"Omar Toubat MD, PhD,&nbsp;Christian A. Bermudez MD","doi":"10.1016/j.jtcvs.2025.05.003","DOIUrl":"10.1016/j.jtcvs.2025.05.003","url":null,"abstract":"","PeriodicalId":49975,"journal":{"name":"Journal of Thoracic and Cardiovascular Surgery","volume":"170 4","pages":"Pages 1117-1118"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095677","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":"Adults with congenital heart disease survival trends: Encouraging, but can we do more?","authors":"Shangtai Dai MD ,&nbsp;Erhao Bao MD ,&nbsp;Shi-Kui Guo PhD, MD","doi":"10.1016/j.jtcvs.2025.03.019","DOIUrl":"10.1016/j.jtcvs.2025.03.019","url":null,"abstract":"","PeriodicalId":49975,"journal":{"name":"Journal of Thoracic and Cardiovascular Surgery","volume":"170 4","pages":"Page 1178"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047818","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":"Early compliance with lung cancer lymph node standard 5.8: An analysis of 2022 and 2023 Commission on Cancer site reviews","authors":"Alison S. Baskin MD ,&nbsp;Elizabeth C. Funk MSW ,&nbsp;Amanda B. Francescatti MS ,&nbsp;Brandy R. Sinco MA, MS ,&nbsp;Bryan E. Palis MA ,&nbsp;Tina J. Hieken MD, FACS ,&nbsp;Matthew H.G. Katz MD, FACS ,&nbsp;Judy C. Boughey MD, FACS ,&nbsp;Ronald J. Weigel MD, PhD, MBA, FACS ,&nbsp;Lesly A. Dossett MD, MPH, FACS ,&nbsp;Daniel J. Boffa MD, MBA, FACS","doi":"10.1016/j.jtcvs.2025.04.041","DOIUrl":"10.1016/j.jtcvs.2025.04.041","url":null,"abstract":"<div><h3>Objective</h3><div>To address variability in nodal staging during curative-intent lung cancer resections, the Commission on Cancer implemented Standard 5.8 in 2021, requiring lymph nodes be sampled from ≥3 mediastinal stations and ≥1 hilar station and documented in a synoptic pathology report. We assessed compliance data from recent site reviews to evaluate the early implementation of Standard 5.8 through a federally funded collaborative.</div></div><div><h3>Methods</h3><div>Hospital compliance rates with Standard 5.8 were extracted from a repository of site reviewers’ documentation of Commission on Cancer site visits performed during 2022 and 2023. Each review included up to 7 randomly selected pathology reports eligible for the standard. For a site to be compliant, 5 of 7 pathology reports reviewed in 2022 must have met Standard 5.8, which increased to 6 of 7 reports in 2023 and beyond.</div></div><div><h3>Results</h3><div>Overall, 652 site visits occurred in 2022 and 2023. Sites without eligible cases (n = 148 [23%]) were excluded. Among 504 eligible sites, 272 (54%) were found compliant, and 232 (46%) were found noncompliant. Of noncompliant sites, the median percentage of pathology reports meeting the standard was 29%. From 2022 to 2023, the median percentage of adherent pathology reports increased; however, overall compliance rates dipped in 2023 as the threshold needed for site compliance rose.</div></div><div><h3>Conclusions</h3><div>With almost half of Commission on Cancer-accredited sites noncompliant, there is a real opportunity to improve the quality of surgical lymph node evaluations. This aligns with growing efforts to support hospitals and surgeons with quality improvement tools and resources for Standard 5.8.</div></div>","PeriodicalId":49975,"journal":{"name":"Journal of Thoracic and Cardiovascular Surgery","volume":"170 4","pages":"Pages 926-932"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005188","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":"Exploring the impact of fenestration closure on long-term outcomes in the modified Fontan operation","authors":"Yunpeng Liu MD, PhD ,&nbsp;Mengxia Qi MD ,&nbsp;YanBo Wang PhD, MD","doi":"10.1016/j.jtcvs.2025.01.018","DOIUrl":"10.1016/j.jtcvs.2025.01.018","url":null,"abstract":"","PeriodicalId":49975,"journal":{"name":"Journal of Thoracic and Cardiovascular Surgery","volume":"170 4","pages":"Pages e103-e104"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477010","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":"Revascularization after minimally invasive coronary artery bypass grafting in 566 patients: Is it a problem?","authors":"Omar Toubar MDCM ,&nbsp;Ming Hao Guo MD, MSc ,&nbsp;Christine Ashenhurst BSc ,&nbsp;Menaka Ponnambalam RN-EC, MN, NP-Adult ,&nbsp;David Glineur MD, PhD ,&nbsp;Marc Ruel MD, MPH","doi":"10.1016/j.jtcvs.2024.11.020","DOIUrl":"10.1016/j.jtcvs.2024.11.020","url":null,"abstract":"<div><h3>Objectives</h3><div>Minimally invasive coronary artery bypass grafting<span><span><span> (MICS CABG) allows visualization and revascularization of all myocardial territories through a small anterolateral </span>thoracotomy, with or without </span>cardiopulmonary bypass<span>. It is increasing in popularity as a safe and effective alternative to sternotomy CABG. In this study, we examined the correlates and long-term outcomes of repeat revascularization (RR) in patients who undergo MICS CABG.</span></span></div></div><div><h3>Methods</h3><div>We prospectively followed all patients on an annual or semiannual basis who had undergone MICS CABG surgery over a 17-year period at a single institution. Cumulative incidence of RR was calculated accounting for competing risk of mortality. Kaplan-Meier curves were compared with log-rank test for survival and freedom from cardiac death at 12-years for both groups. Multivariable Cox proportional hazard models were performed to identify variables associated with RR and its impact on long-term survival.</div></div><div><h3>Results</h3><div><span>Clinical follow-up was complete for 100% of patients (N = 566) at a mean of 7.0 ± 4.4 years. Forty-nine (8.7%) patients required RR after their MICS CABG, for a cumulative incidence at 12 years of 14.8 ± 2.5%. The most common indication was progression of native coronary disease in 23 (46.9% of RR) patients. Perioperative transfusion was the only variable associated with RR (hazard ratio, 5.0; 95% confidence interval, 2.4-10.3). When we compared patients who had RR with those who did not, there was no significant difference in late survival (92.1 ± 4.5% vs 80.3 ± 3.0%; </span><em>P</em> = .18).</div></div><div><h3>Conclusions</h3><div>Among 566 patients who underwent MICS CABG over a 17-year period, RR was an infrequent event affecting 8.7% of patients, with no negative impact on long-term survival.</div></div>","PeriodicalId":49975,"journal":{"name":"Journal of Thoracic and Cardiovascular Surgery","volume":"170 4","pages":"Pages 1089-1095.e1"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741156","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":"Commentary: In search of a magic bullet for prevention and treatment of acute kidney injury following cardiac surgery","authors":"Daniel L. Landry DO ,&nbsp;Daniel T. Engelman MD","doi":"10.1016/j.jtcvs.2024.12.012","DOIUrl":"10.1016/j.jtcvs.2024.12.012","url":null,"abstract":"","PeriodicalId":49975,"journal":{"name":"Journal of Thoracic and Cardiovascular Surgery","volume":"170 4","pages":"Pages 1133-1134"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873291","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":"Commentary: Two arteries walk into a CABG… Is it better the second time around?","authors":"Emile Voisine MD ,&nbsp;Pierre Voisine MD","doi":"10.1016/j.jtcvs.2024.11.012","DOIUrl":"10.1016/j.jtcvs.2024.11.012","url":null,"abstract":"","PeriodicalId":49975,"journal":{"name":"Journal of Thoracic and Cardiovascular Surgery","volume":"170 4","pages":"Pages 1087-1088"},"PeriodicalIF":4.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669845","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}