Annals of Thoracic Surgery最新文献

The Living Ross Procedure - A New Paradigm in Partial Heart Transplantation. 活体罗斯手术——部分心脏移植的新范例。

IF 3.6 2区医学

Annals of Thoracic Surgery Pub Date : 2025-05-26 DOI: 10.1016/j.athoracsur.2025.04.039

Samuel Kesseli, Seth Em Wolf, Jacob N Schroder, Ziv Beckerman, Douglas M Overbey, Joseph W Turek

引用次数: 0

Impact of Pacemaker Implantation on Long-Term Survival Following Mitral Valve Surgery. 心脏起搏器植入对二尖瓣术后长期生存的影响。

IF 3.6 2区医学

Annals of Thoracic Surgery Pub Date : 2025-05-26 DOI: 10.1016/j.athoracsur.2025.05.009

Jessica K Millar, Callie VanWinkle, Catherine Wagner, Matthew Kazaleh, Steven F Bolling, Jeremy Wolverton, Robert B Hawkins, Gorav Ailawadi

{"title":"Impact of Pacemaker Implantation on Long-Term Survival Following Mitral Valve Surgery.","authors":"Jessica K Millar, Callie VanWinkle, Catherine Wagner, Matthew Kazaleh, Steven F Bolling, Jeremy Wolverton, Robert B Hawkins, Gorav Ailawadi","doi":"10.1016/j.athoracsur.2025.05.009","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2025.05.009","url":null,"abstract":"Background: Conduction disorders requiring permanent pacemaker implantation (PPM) following aortic valve surgery have been associated with reduced long-term survival. However, data regarding PPM after mitral valve surgery (MVS) has been limited. We evaluated the impact of new PPM on long-term survival following MVS.Methods: All patients who underwent MVS from 2000-2022 at a single institution were stratified by need for new postoperative PPM. The primary outcome was long-term survival. To evaluate resource utilization, secondary outcomes included ICU length of stay and 30-day hospital readmission. Kaplan-Meier analysis and Cox proportional hazard models were utilized to assess the association between PPM and long-term survival.Results: Among 4,690 patients who underwent MVS, 245 (5.2%) required PPM. Patients requiring PPM had more preoperative risk factors including previous cardiac intervention (47.4% vs 35.3%; P <0.01) and concomitant cardiac procedures (89.8% vs 71.42%; p <0.01). Patients with PPM had longer ICU lengths of stay (128 hours [IQR: 69-194] vs 52 hours [IQR:28-96], p <0.01) and greater ICU readmissions (19.6% vs 10.8%; p<0.01). On Kaplan-Meier analysis, PPM was associated with decreased 10-year survival (Figure 1; p <0.01). After adjusting for pre-operative risk factors and concomitant operations, PPM was not independently associated with worse long-term survival (HR: 0.70; 95% CI: 0.40-1.3. p=0.28).Conclusions: PPM following MVS is not independently associated with worse long-term survival. However, patients requiring PPM have worse clinical status at baseline. These findings demonstrate the importance of identifying patients at risk for PPM to facilitate perioperative planning to improve resource utilization and survival.","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175617","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}

引用次数: 0

Corrigendum.

IF 3.6 2区医学

Annals of Thoracic Surgery Pub Date : 2025-05-22 DOI: 10.1016/j.athoracsur.2025.05.001

引用次数: 0

Patient-Prosthesis Mismatch after Heart Valve Replacement. 心脏瓣膜置换术后患者与假体不匹配。

IF 3.6 2区医学

Annals of Thoracic Surgery Pub Date : 2025-05-22 DOI: 10.1016/j.athoracsur.2025.05.008

Tirone E David

引用次数: 0

Social Vulnerability Index: A Tool to Help Close the Quality Chasm? 社会脆弱性指数：帮助弥合质量鸿沟的工具？

IF 3.6 2区医学

Annals of Thoracic Surgery Pub Date : 2025-05-21 DOI: 10.1016/j.athoracsur.2025.05.004

Ellie R Rasmussen, Kathryn E Engelhardt

引用次数: 0

An Institutional Comparison of Patients Supported with Surgical versus Percutaneous Biventricular Assist Devices. 手术与经皮双心室辅助装置支持患者的制度比较。

IF 3.6 2区医学

Annals of Thoracic Surgery Pub Date : 2025-05-21 DOI: 10.1016/j.athoracsur.2025.04.038

Jessica S Clothier, Serge Kobsa, Markian Bojko, Lynette Lester, Nithya Rajeev, Jonathan Praeger, Sanjeet Patel, Anahat Dhillon, Ajay Vaidya, Aaron Wolfson, Jonathan Nattiv, Mark Barr, Amy Hackmann, Raymond Lee

{"title":"An Institutional Comparison of Patients Supported with Surgical versus Percutaneous Biventricular Assist Devices.","authors":"Jessica S Clothier, Serge Kobsa, Markian Bojko, Lynette Lester, Nithya Rajeev, Jonathan Praeger, Sanjeet Patel, Anahat Dhillon, Ajay Vaidya, Aaron Wolfson, Jonathan Nattiv, Mark Barr, Amy Hackmann, Raymond Lee","doi":"10.1016/j.athoracsur.2025.04.038","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2025.04.038","url":null,"abstract":"Background: Surgical Biventricular Assist Devices (sBiVADs) are well-established in end-stage heart failure, while newer and less-invasive percutaneous BiVADs (pBiVADs) are understudied. We report these two approaches in the largest pBiVAD patient series to date METHODS: All consecutive BiVAD-supported patients at our institution from 2014 to 2023 were retrospectively reviewed (n=46). sBiVAD (n=27) and pBiVAD patients (n=19) (defined as Impella 5.5 with Impella RP [n = 4] or percutaneous oxygenated-right ventricular assist device [n = 15]) were compared.Results: There were no significant differences in preoperative risk factors. pBiVAD patients required fewer intraoperative packed red blood cells (2.0 vs 6.0, p <0.001), fresh frozen plasma (0.0 vs 4.0, p=0.001), and platelet (0.0 vs 4.0, p=0.001) transfusions. pBiVADs had fewer unanticipated returns to the operating room (0.47 ± 0.70 vs 2.22 ± 1.87 per patient, p < 0.001) and fewer postoperative packed red blood cells (8.0 vs 27.0, p<0.001), fresh frozen plasma (1.0 vs 8.0, p<0.001) and platelet (0.0 vs 10.0, p<0.001) transfusions. Thirty-day survival was not significantly different between sBiVADs and pBiVADs (56.6% vs 36.8%, p = 0.341).Conclusions: We consider pBiVAD a less invasive, viable bridge to transplant, durable left ventricular assist device, or recovery.","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144133315","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}

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 3.6 2区医学

Annals of Thoracic Surgery Pub Date : 2025-05-21 DOI: 10.1016/j.athoracsur.2025.03.010

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

引用次数: 0

A Case of Selection, Not Superiority. 这是一种选择，而不是优势。

IF 3.6 2区医学

Annals of Thoracic Surgery Pub Date : 2025-05-20 DOI: 10.1016/j.athoracsur.2025.05.005

Alexandria L Soto, Matthew G Hartwig

引用次数: 0

Nicks, Manouguian, and Y-incision Aortic Annular Enlargement: Do All Roads Lead to Rome? nick， Manouguian和y型切口主动脉环扩大：条条大路通罗马吗？

IF 3.6 2区医学

Annals of Thoracic Surgery Pub Date : 2025-05-20 DOI: 10.1016/j.athoracsur.2025.05.006

Alexander Makkinejad, Bo Yang

引用次数: 0

Left Ventricular Outflow Tract Modification During Robotic Mitral Valve Repair. 机器人二尖瓣修复时左心室流出道的改变。

IF 3.6 2区医学

Annals of Thoracic Surgery Pub Date : 2025-05-20 DOI: 10.1016/j.athoracsur.2025.05.003

Didier F Loulmet, Ali Hage, Katherine G Phillips, Michael Dorsey, Les James, Joshua Scheinerman, Noritsugu Naito, Eugene A Grossi

{"title":"Left Ventricular Outflow Tract Modification During Robotic Mitral Valve Repair.","authors":"Didier F Loulmet, Ali Hage, Katherine G Phillips, Michael Dorsey, Les James, Joshua Scheinerman, Noritsugu Naito, Eugene A Grossi","doi":"10.1016/j.athoracsur.2025.05.003","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2025.05.003","url":null,"abstract":"Background: Earlier intervention for mitral valve (MV) regurgitation leads to smaller left ventricles (LV) and potentially increases the risk of post-operative systolic anterior motion (SAM). We performed left ventricular outflow tract (LVOT) modification in patients with an increased risk of SAM.Methods: From January 2019 to May 2024, 800 consecutive totally endoscopic robotic MV repairs (TERMVR) were performed. Based on pre-bypass TEE, post-operative SAM risk was graded as low(n=610,76.2%), moderate(n=144, 18%), or high(n=46, 5.8%). Patients with moderate or high risk of SAM were categorized as \"increased risk of SAM\". To prevent post-operative SAM, LVOT modification consisted in ventricular septal bulge(VSB) myectomy and/or septal myocardial trabeculations(SMT) resection. Operative notes, echocardiograms, and STS dataset were analyzed.Results: Mean patient age was 63.8 years (range= 22-90); 45(5.6%) had prior cardiac surgery. Thirty-day mortality was 5(0.6%). A total of 190(23.8%) patients had an increased risk of SAM. LVOT modification was performed in the majority with increased risk of SAM (139/190, 73.2%) and in a minority with low risk of SAM (42/610,6.9%). In those undergoing LVOT modification(n=181), isolated VSB myectomy was performed in 140(77.3%), isolated SMT resection in 32(17.7%), and both in 9(5.0%). The anterior leaflet was never detached. One patient experienced transient SAM while on inotropes. There was no need for intraoperative MV repair revision for SAM.Conclusions: Currently, a significant proportion of MV repairs are at elevated risk of post-operative SAM. In our TERMVR experience, LVOT modification was performed with minimal morbidity and prevented any subsequent MV repair revision for SAM.","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129503","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}

引用次数: 0