JTCVS TechniquesPub Date : 2025-08-01DOI: 10.1016/j.xjtc.2025.04.010
Shinji Kaneda MD , Koji Kawaguchi MD , Atsushi Ito MD , Daisuke Ito MD , Teruhisa Kawaguchi MD , Akira Shimamoto MD , Motoshi Takao MD
{"title":"Subcostal approach using the single-port robotic system for a giant ganglioneuroma in a child","authors":"Shinji Kaneda MD , Koji Kawaguchi MD , Atsushi Ito MD , Daisuke Ito MD , Teruhisa Kawaguchi MD , Akira Shimamoto MD , Motoshi Takao MD","doi":"10.1016/j.xjtc.2025.04.010","DOIUrl":"10.1016/j.xjtc.2025.04.010","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"32 ","pages":"Pages 141-143"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739479","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}
JTCVS TechniquesPub Date : 2025-08-01DOI: 10.1016/j.xjtc.2025.05.011
Seraina Brütsch MD , Christian Balmer MD , Hitendu Dave MD
{"title":"Transvenous pacing leads implanted in epicardial position: A recipe for future epicardial pacing electrode?","authors":"Seraina Brütsch MD , Christian Balmer MD , Hitendu Dave MD","doi":"10.1016/j.xjtc.2025.05.011","DOIUrl":"10.1016/j.xjtc.2025.05.011","url":null,"abstract":"<div><h3>Objective</h3><div>Finding an optimum epicardial pacing site in children needing lead replacement can be challenging. We report the midterm outcome of using transvenous SelectSecure leads in the epicardial position.</div></div><div><h3>Methods</h3><div>Between 2018 and 2020, 6 patients (5 children and 1 adult) received 8 SelectSecure 3830 leads (“off-label”) in the epicardial position: both the left atrium and left ventricle in 2 patients, only the left ventricle in 3 patients, and the right ventricle in 1 patient. The median age at lead implantation was 14 (4-35) years. Periodic pacing threshold, sensing, and impedance measurements were analyzed.</div></div><div><h3>Results</h3><div>Lead implantations could be performed in all patients without complications, despite scarring from previous surgeries. The median pacing, sensing, and impedance measurements for 6 ventricular leads were 0.75 V, 6.5 mV, and 576 Ohm, respectively. The same for 2 atrial leads were 1.25 V, 2.5 mV, and 758 Ohm, respectively. During a follow-up period of 23.4 (8-32) months, despite a small increase at 6 months, pacing and sensing parameters remained acceptable. One reoperation occurred after the follow-up period due to lead dysfunction. One young patient with a complex structural heart disease and terminal heart failure on a ventricular assist device died while waiting for a heart transplant.</div></div><div><h3>Conclusions</h3><div>The implantation of transvenous leads in the epicardial position is feasible and provides an alternative for cardiac pacing in patients with multiple previous surgeries and epicardial scarring. This lead design, although appealing, poses challenges for stable epicardial fixation. A larger experience and longer follow-up would decide its exact role in epicardial pacing.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"32 ","pages":"Pages 144-151"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739480","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}
JTCVS TechniquesPub Date : 2025-08-01DOI: 10.1016/j.xjtc.2025.04.028
Ya-yong Zhang MD , Sen Yang MS , Lei Pu MD , Xu Qian MD , Le Ren MS , Yong-bo Li MS , Yan Liu BN , Chao-liang Nian MS , Hao-jiang Liu MS , Ze Yang MS , Ying-ming Li MS , Jian-feng Liu MS , Yun-feng Zi MD , Ya-Xiong Li BM
{"title":"Safety and efficacy of the neo-modified cabrol procedure with cabrol-fistula in 469 patients with low coronary ostia aortic root aneurysm","authors":"Ya-yong Zhang MD , Sen Yang MS , Lei Pu MD , Xu Qian MD , Le Ren MS , Yong-bo Li MS , Yan Liu BN , Chao-liang Nian MS , Hao-jiang Liu MS , Ze Yang MS , Ying-ming Li MS , Jian-feng Liu MS , Yun-feng Zi MD , Ya-Xiong Li BM","doi":"10.1016/j.xjtc.2025.04.028","DOIUrl":"10.1016/j.xjtc.2025.04.028","url":null,"abstract":"<div><h3>Objectives</h3><div>The study objectives were to evaluate the clinical efficacy, safety, and applicability of the neo-modified Cabrol procedure.</div></div><div><h3>Methods</h3><div>This study uses a retrospective cohort design of 469 patients who underwent the neo-modified Cabrol procedure between December 2012 and June 2023. Cross-sectional follow-up was performed between September 2023 and February 2024. The fate of the coronary interposition graft was evaluated by reviewing the data and images from computed tomography angiography of the aorta and coronary arteries of the follow-up patients.</div></div><div><h3>Results</h3><div>A total of 469 patients (mean age 53.7 ± 10.7 years; 409 male and 60 female patients) were included. The mean follow-up was 3.14 years (range, 0.00-9.95 years) for a total of 1472.84 patient-years. All-cause mortality rate within 30 days was 2.6% (n = 12). Outpatient/telephone/WeChat follow-up was completed by 100% of discharged patients (n = 457). Actuarial survivals were 95.9% ± 0.1%, 89.4% ± 0.2%, and 78.1% ± 0.6% at 1, 5, and 10 years, respectively. There were no neo-modified Cabrol procedure interposition graft–related complications, such as coronary fistula, pseudoaneurysm, graft twisting, stenosis, occlusion, or thrombosis.</div></div><div><h3>Conclusions</h3><div>The neo-modified Cabrol procedure is a safe and effective approach, offering favorable perioperative outcomes and long-term graft patency. Multicenter randomized controlled trials are needed to comprehensively evaluate the effectiveness of this technique.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"32 ","pages":"Pages 20-34"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739401","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}
JTCVS TechniquesPub Date : 2025-08-01DOI: 10.1016/j.xjtc.2025.05.023
Robert L. Geggel MD , Christopher W. Baird MD
{"title":"Scimitar syndrome: Updated follow-up of the multipatch technique","authors":"Robert L. Geggel MD , Christopher W. Baird MD","doi":"10.1016/j.xjtc.2025.05.023","DOIUrl":"10.1016/j.xjtc.2025.05.023","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"32 ","pages":"Pages 111-114"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739475","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}
JTCVS TechniquesPub Date : 2025-08-01DOI: 10.1016/j.xjtc.2025.05.012
Jessica B. Briscoe, Jennifer S. Lawton, Duke Cameron, Ramon A. Riojas
{"title":"Corrigendum to Coronary ostial obstruction after redo sternotomy and aortic root replacement: Case report [JTCVS Techniques, Volume 28, 2024, Pages 39-40]","authors":"Jessica B. Briscoe, Jennifer S. Lawton, Duke Cameron, Ramon A. Riojas","doi":"10.1016/j.xjtc.2025.05.012","DOIUrl":"10.1016/j.xjtc.2025.05.012","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"32 ","pages":"Page 59"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739370","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}
JTCVS TechniquesPub Date : 2025-08-01DOI: 10.1016/j.xjtc.2025.04.014
Zheng Wang MD , Sixie Zheng MD , Lincai Ye MD, PhD , Debao Li MD , He Zhang MD , Yingying Xiao MD, PhD , Chenxi Liu MD , Yuqing Hu MD , Sijuan Sun MD , Peisen Ruan MD , Hao Chen MD, PhD , Qi Sun MD, PhD
{"title":"A neonatal rat model of progressive left ventricular pressure overload induced by abdominal aortic banding microsurgery","authors":"Zheng Wang MD , Sixie Zheng MD , Lincai Ye MD, PhD , Debao Li MD , He Zhang MD , Yingying Xiao MD, PhD , Chenxi Liu MD , Yuqing Hu MD , Sijuan Sun MD , Peisen Ruan MD , Hao Chen MD, PhD , Qi Sun MD, PhD","doi":"10.1016/j.xjtc.2025.04.014","DOIUrl":"10.1016/j.xjtc.2025.04.014","url":null,"abstract":"<div><h3>Objective</h3><div>Left ventricular pressure overload models using adult mice or rats were developed 60 years ago; however, a neonatal mouse model of left ventricular pressure overload was reported only 5 years ago. Moreover, how left ventricular pressure overload reshapes the neonatal left ventricle and how it affects cardiomyocyte proliferation remain largely unexplored. The aim of this study is to develop a simple neonatal rat model with clinical features matched to those of left ventricular pressure overload.</div></div><div><h3>Methods</h3><div>A neonatal rat model of progressive left ventricular pressure overload was created via abdominal aortic banding microsurgery at postnatal day 1 and verified by gross examination at postnatal day 7, abdominal ultrasound at postnatal day 21, and left upper limb blood pressure measurement from postoperative day 21 to day 35. A surgical video and detailed surgical procedures were documented for learning purposes.</div></div><div><h3>Results</h3><div>RNA sequencing demonstrated that there were only 171 differentially expressed genes between the abdominal aortic banding surgery and sham left ventricles at postnatal day 3, with 406 differentially expressed genes at postnatal day 7. At postnatal day 3, there was little enrichment of proliferation-associated genes and only a small percentage of proliferating cardiomyocytes; at postnatal day 7, there was an abundant enrichment of proliferation-associated genes and a large percentage of proliferating cardiomyocytes, exactly opposite to the neonatal transverse aortic constriction surgery model, which exhibited decreased cardiomyocyte proliferation over time and even inhibited cardiomyocyte proliferation when severe left ventricular pressure overload was induced by transverse aortic constriction surgery. Moreover, abdominal aortic banding surgery does not require a thoracotomy, resulting in a success rate as high as 100%.</div></div><div><h3>Conclusions</h3><div>A neonatal rat model of progressive left ventricular pressure overload was successfully established and fully documented to provide a platform for pediatric left ventricular pressure overload–associated investigation.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"32 ","pages":"Pages 119-135"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739477","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}