{"title":"Conversion, Judgment, and Priorities in Post-Induction Lung Cancer Surgery.","authors":"Elliot L Servais","doi":"10.1016/j.athoracsur.2026.04.039","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2026.04.039","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Donors with Left Ventricular Hypertrophy: Time to Revisit?","authors":"Shruthi Nammalwar, Dominic Emerson","doi":"10.1016/j.athoracsur.2026.04.044","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2026.04.044","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Left ventricular end-diastolic diameter - the bad guy?","authors":"Manuel J Antunes","doi":"10.1016/j.athoracsur.2026.04.042","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2026.04.042","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Dog That Didn't Bark: What the 2026 STS Postoperative Atrial Fibrillation Guidelines Tell Us by What They Declined to Say.","authors":"Daniel T Engelman","doi":"10.1016/j.athoracsur.2026.04.040","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2026.04.040","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Beating Pulmonary Vein Stenosis into Submission.","authors":"Christopher A Caldarone","doi":"10.1016/j.athoracsur.2026.04.043","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2026.04.043","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ryaan El-Andari, Sabin J Bozso, Jeevan Nagendran, Michael W A Chu, Maral Ouzounian, Bob Kiaii, Ismail El-Hamamsy, Philippe Demers, Jessica Forcillo, Jorg Kempfert, Michael C Moon
{"title":"5-Year Outcomes of the Dissected Aorta Repair Through Stent (DARTS) Implantation Trial.","authors":"Ryaan El-Andari, Sabin J Bozso, Jeevan Nagendran, Michael W A Chu, Maral Ouzounian, Bob Kiaii, Ismail El-Hamamsy, Philippe Demers, Jessica Forcillo, Jorg Kempfert, Michael C Moon","doi":"10.1016/j.athoracsur.2026.04.038","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2026.04.038","url":null,"abstract":"<p><strong>Background: </strong>The Dissected Aorta Repair Through Stent (DARTS) Implantation trial is a prospective clinical trial in patients with acute DeBakey Type I dissection (ADTI). Herein, we report the 5-year outcomes of the DARTS trial.</p><p><strong>Methods: </strong>The DARTS trial included patients who underwent ADTI repair with the AMDS from March 2017-January 2019. Clinical outcomes were collected in patients for up to 5 years. Significant change in total aortic diameter was considered as >5mm growth/year and the false lumen (FL) was considered patent, partially thrombosed, or completely thrombosed.</p><p><strong>Results: </strong>Forty-six patients met eligibility criteria and were included in the DARTS trial. Twelve patients (26.1%) passed away before 5-year follow-up, four patients were lost to follow-up and 3 withdrew from the trial. New stroke occurred in 10 patients (21.7%). Rates of new spinal cord ischemia, distal anastomotic new entry tears, and distal stent-induced new entries were 0. Total aortic diameter was stable in the majority of patients over 5 years. FL patency decreased over time up to 5 years with 75-95% FL thrombosis in zones 0-5. Distal FL communications were found to be associated with distal aortic growth, with no other reliable predictors of adverse aortic remodeling identified. Most patients, 37/46 (80%), were free from any aortic procedure and 43/46 (94%) were free from reoperation through 5 years.</p><p><strong>Conclusions: </strong>The 5-year outcomes of the DARTS trial demonstrate the safety and efficacy of the AMDS. Measures of aortic growth were generally favorable, with the majority of patients experiencing positive aortic remodeling over 5 years.</p>","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nees Marquenie, Frederik N Hofman, Susanne Bronkhorst, Beata Reiber, Jolanda Kluin, Daniel J F M Thuijs
{"title":"Spontaneous Right-Sided Diaphragmatic Rupture with Liver Herniation after Bilateral Lung Transplantation.","authors":"Nees Marquenie, Frederik N Hofman, Susanne Bronkhorst, Beata Reiber, Jolanda Kluin, Daniel J F M Thuijs","doi":"10.1016/j.athoracsur.2026.04.037","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2026.04.037","url":null,"abstract":"<p><p>Spontaneous diaphragmatic rupture is a rare but life-threatening complication. We report the case of a 53-year-old female who developed acute right-sided diaphragmatic rupture with liver, gallbladder and transverse colon herniation six days after bilateral lung-transplantation for end-stage chronic obstructive pulmonary disease. The event followed forceful vomiting and caused cardiac tamponade due to compression. Emergency surgical repair required a combined thoracic and abdominal approach with mesh reconstruction of the diaphragm. Prompt recognition, careful perioperative positioning, and multidisciplinary management enabled uncomplicated postoperative recovery. This case underscores the importance of early imaging and decisive surgical intervention in atypical postoperative deterioration following lung transplantation.</p>","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Epithelioid Hemangioendothelioma Resection with Superior Vena Cava and Innominate Vein Reconstruction Using Cryopreserved Arterial Graft.","authors":"Kaylan Gee, Abigail Bateman, Saikrishna Yendamuri, Chukwumere Nwogu","doi":"10.1016/j.athoracsur.2026.04.032","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2026.04.032","url":null,"abstract":"<p><p>Epithelioid hemangioendothelioma (EHE) is a rare vascular tumor that is difficult to diagnose and best treated with surgical resection. We present an interesting case report of a large EHE obstructing the superior vena cava and bilateral brachiocephalic veins. Using a three-dimensional model for planning, we performed en bloc resection followed by venous reconstruction with a cryopreserved aortoiliac allograft.</p>","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pietro Giorgio Malvindi, Paolo Berretta, Marco Di Eusanio
{"title":"The Value of Simplification.","authors":"Pietro Giorgio Malvindi, Paolo Berretta, Marco Di Eusanio","doi":"10.1016/j.athoracsur.2026.04.034","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2026.04.034","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}