Annals of Thoracic Surgery最新文献

{"title":"Residual Lesions Matter After Congenital Heart Surgical Procedures","authors":"Alyssa Tutunjian MD, MPH, Meena Nathan MD, MPH","doi":"10.1016/j.athoracsur.2025.03.018","DOIUrl":"10.1016/j.athoracsur.2025.03.018","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":"119 6","pages":"Pages 1295-1296"},"PeriodicalIF":3.6,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732699","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":"Ten Years' Experience of Surgical Treatment With Modified Triple-Branched Stent Graft for Type A Aortic Dissection.","authors":"Qingsong Wu, Debin Jiang, Yue Shen, Guanhua Fang, Zhihuang Qiu, Liangwan Chen","doi":"10.1016/j.athoracsur.2025.03.006","DOIUrl":"10.1016/j.athoracsur.2025.03.006","url":null,"abstract":"<p><strong>Background: </strong>In the past decade, modified triple-branched stent grafts have emerged as a promising treatment option for total aortic arch replacement surgery for type A aortic dissection. In this study, we present our original contributions and clinical experiences with this surgical technique over the last 10 years.</p><p><strong>Methods: </strong>We retrospectively analyzed patients who underwent total aortic arch replacement surgery for type A aortic dissection using modified triple-branched stent grafts between September 2012 and September 2022, collecting and analyzing all related data.</p><p><strong>Results: </strong>In total, 479 patients with a mean age of 53 years and a male predominance of 60.5% were enrolled. The 30-day mortality was 4.8% (23 of 479 patients). Early postoperative complications were observed in 42 (8.8%) patients. An average follow-up period of 72 months resulted in a survival rate of 83.1% (353 of 425); 31 patients were lost to follow-up (6.8%). The false aortic lumen thrombosis rate was 79.3%. Stent-related complications occurred in 34 cases, with 3 of these cases consequently requiring reoperation. However, stent-related complications did not affect mortality or morbidity during follow-up. Of the patients, 46 (10.8%) had negative remodeling of aortic dissection, 20 underwent surgery because of a dissecting aneurysm, and 8 died of aortic rupture.</p><p><strong>Conclusions: </strong>Our 10-year experience with modified triple-branched stent grafts for the surgical treatment of type A aortic dissection demonstrated the promising results of this technique, indicating that it provides a feasible and convenient alternative to traditional surgical methods, with clear long-term effectiveness and safety.</p>","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732797","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":"Standardizing Analyses in The Society of Thoracic Surgeons Adult Cardiac Surgery Database","authors":"J. Hunter Mehaffey MD, MSc,&nbsp;S. Ram Kumar MD, PhD","doi":"10.1016/j.athoracsur.2025.03.016","DOIUrl":"10.1016/j.athoracsur.2025.03.016","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":"119 6","pages":"Pages 1324-1325"},"PeriodicalIF":3.6,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732706","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":"Updated Postrecurrence Survival Outcomes in Patients Undergoing Pleurectomy/Decortication for Pleural Mesothelioma: A Retrospective Study","authors":"Akifumi Nakamura MD, PhD ,&nbsp;Masaki Hashimoto MD, PhD ,&nbsp;Ayumi Kuroda MD, PhD ,&nbsp;Kyoshiro Takegahara MD, PhD ,&nbsp;Akihiro Fukuda MD, PhD ,&nbsp;Seiji Matsumoto MD, PhD ,&nbsp;Nobuyuki Kondo MD, PhD ,&nbsp;Takashi Kijima MD, PhD ,&nbsp;Seiki Hasegawa MD, PhD ,&nbsp;Soichiro Funaki MD, PhD","doi":"10.1016/j.athoracsur.2025.03.014","DOIUrl":"10.1016/j.athoracsur.2025.03.014","url":null,"abstract":"<div><h3>Background</h3><div>Pleural mesothelioma remains a challenging disease with a high recurrence rate despite multimodality treatment. We previously described clinical outcomes associated with recurrence after pleurectomy/decortication in pleural mesothelioma. In this study, we updated these results using data from a larger, more recent cohort and identified prognostic factors influencing postrecurrence survival after pleurectomy/decortication.</div></div><div><h3>Methods</h3><div>We conducted a retrospective cohort study involving 251 patients who underwent neoadjuvant chemotherapy with platinum plus pemetrexed, followed by pleurectomy/decortication from January 2012 to December 2022. We calculated survival and recurrence rates using the Kaplan-Meier method and the log-rank test, respectively. Multivariable analysis with the Cox proportional hazards model was used to assess clinical factors related to postrecurrence survival.</div></div><div><h3>Results</h3><div>Of the 251 patients, 190 (75.7%) experienced recurrence (median follow-up, 30.9 months). The 2-year recurrence-free and overall survival rates were 37.3% (median, 21.1 months) and 72.3% (median, 44.1 months), respectively. The 1-year postrecurrence survival rate was 60.6% (median, 18.0 months). Multivariable analysis revealed that postrecurrence treatment (hazard ratio [HR], 0.12; 95% CI, 0.071-0.22; <em>P</em> &lt; .0001), local recurrence (HR, 0.45; 95% CI, 0.31-0.66; <em>P</em> &lt; .0001), age at recurrence &lt;70 years (HR, 0.53; 95% CI, 0.37-0.76; <em>P</em> = .0007), and disease-free interval &gt;12 months (HR, 0.43; 95% CI, 0.28-0.65; <em>P</em> &lt; .0001) were independent, favorable, and significant prognostic factors of postrecurrence survival.</div></div><div><h3>Conclusions</h3><div>Postrecurrence treatment, recurrence pattern, age at recurrence, and disease-free interval significantly influence postrecurrence survival, indicating favorable outcomes in patients undergoing pleurectomy/decortication.</div></div>","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":"119 6","pages":"Pages 1175-1184"},"PeriodicalIF":3.6,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732800","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 Renaissance of the Ross Procedure.","authors":"J Michael DiMaio, Kyle A McCullough, Emily Shih, William T Brinkman","doi":"10.1016/j.athoracsur.2025.03.013","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2025.03.013","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712038","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":"Blood Pressure and Heart Rate Control After Aortic Dissection Repair: Questions and Future Directions","authors":"Reda Rhellab BSc,&nbsp;Johanna J.M. Takkenberg MD, PhD","doi":"10.1016/j.athoracsur.2025.03.012","DOIUrl":"10.1016/j.athoracsur.2025.03.012","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":"119 6","pages":"Pages 1229-1230"},"PeriodicalIF":3.6,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712035","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":"Cardiac Allocation version 4.2: Should Heart Allocation Update Like Your Smartphone?","authors":"Aaron M Williams, Brian Lima, Swaroop Bommareddi, John M Trahanas","doi":"10.1016/j.athoracsur.2025.03.017","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2025.03.017","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712036","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":"From Underrepresentation to Inclusion: Women Moderators at STS Meetings.","authors":"Busra Cangut, Nicole Lin, Tanisha Rajah, Stephanie Worrell","doi":"10.1016/j.athoracsur.2025.03.009","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2025.03.009","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712037","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 Society of Thoracic Surgeons Adult Cardiac Surgery Database: 2024 Update on National Trends and Outcomes","authors":"Alexander Iribarne MD, MS ,&nbsp;Brittany Zwischenberger MD ,&nbsp;J. Hunter Mehaffey MD, MSc ,&nbsp;Tsuyoshi Kaneko MD ,&nbsp;Moritz C. Wyler von Ballmoos MD, PhD ,&nbsp;Jeffrey P. Jacobs MD ,&nbsp;Carole Krohn MPH, BSN ,&nbsp;Robert H. Habib PhD ,&nbsp;Niharika Parsons MD, MSHI ,&nbsp;Vinay Badhwar MD ,&nbsp;Michael E. Bowdish MD, MS","doi":"10.1016/j.athoracsur.2025.03.011","DOIUrl":"10.1016/j.athoracsur.2025.03.011","url":null,"abstract":"<div><div>The Society of Thoracic Surgeons (STS) Adult Cardiac Surgery Database (ACSD) is the most robust and advanced clinical database in cardiac surgery. With more than 8.3 million procedures and more than 1000 participating institutions encompassing more than 97% of cardiac surgery in the United States, the ACSD is the specialty’s vital instrument for quality improvement, patient safety, and outcome reporting in cardiac surgery. The database continues to advance initiatives to achieve these goals, which recently have included adding new risk models for multivalve procedures, isolated tricuspid valve surgery, aortic valve replacement after transcatheter aortic valve replacement, and mitral valve surgery for degenerative mitral regurgitation. In addition, the ACSD can now provide longitudinal survival data through linkage to the National Death Index. This report reviews current trends in the ACSD through the end of 2023, impactful research during the past year, and database innovations being implemented.</div></div>","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":"119 6","pages":"Pages 1139-1150"},"PeriodicalIF":3.6,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702043","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":"Could Enhanced Cardiac Output Be the Key to Renal Protection Following Amino Acid Infusion in Cardiac Surgery Patients?","authors":"Amr Salah Omar, Ala Rahhal, Samy Hanoura","doi":"10.1016/j.athoracsur.2025.03.007","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2025.03.007","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694356","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}