The Annals of Thoracic Surgery最新文献

{"title":"Left Atrial Appendage Closure: Novel Cor-Knot Lasso Technique Ensures Complete and Safe Ligation.","authors":"Adam El-Gamel,&nbsp;Brian Chan","doi":"10.1016/j.athoracsur.2022.01.046","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2022.01.046","url":null,"abstract":"<p><p>The significance of the left atrial appendage has been well known for a half century. Surgeons used a number of left atrial appendage closure techniques to reduce the risk of stroke without increasing the chance of bleeding from fragile left atrial appendage. Removal and oversewing are simple and effective. Current procedures, however, have the disadvantage of 30% to 40% residual appendage. Here, we discuss our innovative lasso technique using a Cor-Knot device for left atrial appendage closure in 50 consecutive patients between January 2018 and January 2019 who underwent mitral valve surgery. This technique ensured complete closure, with no new cerebrovascular events during the 2-year follow-up.</p>","PeriodicalId":501669,"journal":{"name":"The Annals of Thoracic Surgery","volume":" ","pages":"e379-e382"},"PeriodicalIF":4.6,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39942353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical Aortic Annular Enlargement for High Mean Gradient Prevention Perspective of Valve-in-Valve.","authors":"Ignazio Condello,&nbsp;Flavio Rimmaudo,&nbsp;Gaetano Contegiacomo","doi":"10.1016/j.athoracsur.2021.10.061","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2021.10.061","url":null,"abstract":"","PeriodicalId":501669,"journal":{"name":"The Annals of Thoracic Surgery","volume":" ","pages":"1979"},"PeriodicalIF":4.6,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39721533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Standardization of Mitral Regurgitation Grading Starts with Abandoning Historical \"Plus\" Terminology.","authors":"James S Gammie,&nbsp;Rachael W Quinn,&nbsp;Sari D Holmes","doi":"10.1016/j.athoracsur.2021.12.043","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2021.12.043","url":null,"abstract":"","PeriodicalId":501669,"journal":{"name":"The Annals of Thoracic Surgery","volume":" ","pages":"1982"},"PeriodicalIF":4.6,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39836839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Critically Important Role of the Annuloplasty in Mitral Repair.","authors":"Ali Hage,&nbsp;Michael W A Chu","doi":"10.1016/j.athoracsur.2022.01.034","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2022.01.034","url":null,"abstract":"","PeriodicalId":501669,"journal":{"name":"The Annals of Thoracic Surgery","volume":" ","pages":"1985-1986"},"PeriodicalIF":4.6,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39793853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In Memoriam: Professor Marc R. de Leval (April 16, 1941-June 26, 2022) - An Exceptional, Inspirational, and Most Modest Man.","authors":"Jan Marek,&nbsp;Victoria Jowett,&nbsp;Sachin Khambadkone,&nbsp;Victor Tsang","doi":"10.1016/j.athoracsur.2022.08.036","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2022.08.036","url":null,"abstract":"<p><p>Professor Marc de Leval (16 April 1941-26 June 2022) was a pioneer in the field of congenital cardiothoracic surgery and former chair of the British Congenital Cardiac Association (https://www.bcca-uk.org/). Professor de Leval was appointed as a Consultant Cardiothoracic Surgeon at Great Ormond Street Hospital in 1974. Throughout his distinguished career at Great Ormond Street Hospital, he worked with dedication to improve outcomes for cardiothoracic surgery. His contribution to academic cardiothoracic surgery was significant and far-reaching with over 300 peer-reviewed publications. Of particular note was his work in improving the palliation of children with cyanotic congenital heart disease by the use of the modified Blalock-Thomas-Taussig shunt and his pioneering work over many years to improve understanding of the Fontan circulation using in vitro modelling and computational fluid dynamics that led to the development of the total cavopulmonary connection. His other significant contributions include the importance of analysing surgical failures, being the co-editor of the most readable textbook in our field, and so much more. During his career, he trained many eminent surgeons from around the world, and a Marc de Leval Fellowship of The American Association for Thoracic Surgery (https://www.aats.org/about-the-foundation/the-reach-of-our-programs/foundation-honoring-our-mentors-program/marc-r-de-leval-md) now allows the opportunity for a trainee to study congenital cardiac surgery in the UK or Europe. Marc is fondly remembered by the staff at Great Ormond Street Hospital. The nurses recall his arrival at the break of day on the intensive care unit, having already been for a swim, and the diligence with which he observed his patients following surgery. Former trainees remember a man who, despite his standing, always remained courteous, approachable, and kind. Professor de Leval will be remembered not only as a skilled and dedicated surgeon but also as a distinguished scholar, one with a quest for knowledge in the pursuit of excellence.</p>","PeriodicalId":501669,"journal":{"name":"The Annals of Thoracic Surgery","volume":" ","pages":"1974-1975"},"PeriodicalIF":4.6,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40385923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cerebral Embolic Protection Devices in TAVR: All, None, or Selective?","authors":"Andreas Habertheuer,&nbsp;Ibrahim Sultan","doi":"10.1016/j.athoracsur.2021.12.032","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2021.12.032","url":null,"abstract":"","PeriodicalId":501669,"journal":{"name":"The Annals of Thoracic Surgery","volume":" ","pages":"1978-1979"},"PeriodicalIF":4.6,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39824461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lung Cancer in Women.","authors":"Lillian L Tsai,&nbsp;Ngoc-Quynh Chu,&nbsp;William A Blessing,&nbsp;Philicia Moonsamy,&nbsp;Yolonda L Colson","doi":"10.1016/j.athoracsur.2021.09.060","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2021.09.060","url":null,"abstract":"<p><strong>Background: </strong>Lung cancer is the leading cause of cancer-related death for women in the United States. Clinical characteristics, histology, epidemiology, and treatment responses are unique for women with lung cancer.</p><p><strong>Methods: </strong>A literature search of Medline publications from 1989 to 2021 was conducted for lung cancer in women. Subsequent narrative review focused on identified differences in risk factors, diagnosis, and treatment of importance to the surgical care of these patients.</p><p><strong>Results: </strong>Studies investigating lung cancer in which sex differences were explored demonstrated differences in risk factors, histology, and treatment response among women, with a significant postsurgical survival advantage over men (41.8 months vs 26.8 months, P = .007) and greater clinical benefit from anti-PD-1 combined with chemotherapy (hazard ratio, 0.44; 95% confidence interval, 0.25-0.76) compared with men (hazard ratio, 0.76; 95% confidence interval, 0.64-0.91). Smoking remains a dominant risk factor, and multiple clinical trials suggest lung cancer screening provides greater benefit for women. However young nonsmoking patients with lung cancer are 2-fold more likely to be female, advocating for broader sex-based screening criteria. Potential roles of genetic mutations, estrogen signaling, and infectious elements in sex-based differences in presentation, histology, prognosis, and treatment response are explored.</p><p><strong>Conclusions: </strong>Overall much remains unknown regarding how sex influences lung cancer risk, treatment decisions, and outcomes. However evidence of specific differences in presentation, environmental risk, molecular drivers, and mutational burden support the need to better leverage these sex-associated differences to further improve detection, diagnosis, surgical outcomes, and systemic regimens to advance the overall care strategy for women with lung cancer.</p>","PeriodicalId":501669,"journal":{"name":"The Annals of Thoracic Surgery","volume":" ","pages":"1965-1973"},"PeriodicalIF":4.6,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39684429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Meticulous Evaluation of Annuloplasty in Mitral Valve Repair.","authors":"Abdulkerim Özhan,&nbsp;Mehmet Senel Bademci,&nbsp;Fatih Avni Bayraktar","doi":"10.1016/j.athoracsur.2021.10.056","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2021.10.056","url":null,"abstract":"","PeriodicalId":501669,"journal":{"name":"The Annals of Thoracic Surgery","volume":" ","pages":"1985"},"PeriodicalIF":4.6,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39716375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical Option for Stage IA Lung Adenocarcinoma With Spread Through Air Spaces.","authors":"Wenliang Bai,&nbsp;Ke Zhao,&nbsp;Shanqing Li","doi":"10.1016/j.athoracsur.2021.11.032","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2021.11.032","url":null,"abstract":"","PeriodicalId":501669,"journal":{"name":"The Annals of Thoracic Surgery","volume":" ","pages":"1988-1989"},"PeriodicalIF":4.6,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39743043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Topical Vancomycin After Sternotomy: A Crossover Design Keeps Many Confounders Under Control.","authors":"Terrence John Donovan","doi":"10.1016/j.athoracsur.2021.12.005","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2021.12.005","url":null,"abstract":"","PeriodicalId":501669,"journal":{"name":"The Annals of Thoracic Surgery","volume":" ","pages":"1984-1985"},"PeriodicalIF":4.6,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39629262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}