JTCVS Techniques最新文献

{"title":"Lymphatic-pulmonary venous anastomosis for plastic bronchitis in a Fontan patient","authors":"Szu-Yen Hu MD, PhD, Min-Yuan Liu MD, Yi-Chia Wang MD, PhD, Heng-Wen Chou MD, Yih-Sharng Chen MD, PhD, Shu-Chien Huang MD, PhD","doi":"10.1016/j.xjtc.2026.102494","DOIUrl":"10.1016/j.xjtc.2026.102494","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102494"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A stepwise preperitoneal approach to thoracoabdominal hernia repair with intercostal reconstruction","authors":"Lisa Rossi MD, Javier Lopez-Monclus MD, PhD, FACS, Luis Alberto Blazquez Hernando MD, Joaquin Munoz-Rodriguez MD, PhD, FACS, Laura Roman García de León MD, Alvaro Robin Valle de Lersundi MD, Miguel Angel Garcia-Urena MD, PhD, FACS","doi":"10.1016/j.xjtc.2026.102567","DOIUrl":"10.1016/j.xjtc.2026.102567","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102567"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minithoracotomy approach for redo mitral valve surgery: Feasibility, operative outcomes, and comparative analysis of myocardial protection techniques","authors":"Giovanni Domenico Cresce MD, PhD,&nbsp;Paolo Berretta MD,&nbsp;Manuel Wilbring MD,&nbsp;Jörg Kempfert MD,&nbsp;Torsten Doenst MD,&nbsp;Marc Gerdisch MD,&nbsp;Frank Van Praet MD,&nbsp;Mauro Rinaldi MD,&nbsp;Antonios Pitsis MD,&nbsp;Nikolaos Bonaros MD,&nbsp;Joseph Lamelas MD,&nbsp;Tristan Yan MD,&nbsp;Davide Pacini MD,&nbsp;Antonio Fiore MD,&nbsp;Nguyen Hoang Dinh MD,&nbsp;Pier Luigi Stefano MD,&nbsp;Tom C. Nguyen MD,&nbsp;Loris Salvador MD,&nbsp;Marco Di Eusanio MD","doi":"10.1016/j.xjtc.2026.102509","DOIUrl":"10.1016/j.xjtc.2026.102509","url":null,"abstract":"<div><h3>Objective</h3><div>Redo mitral valve surgery (MVS) poses technical challenges and high operative risks as the result of adhesions and sternal re-entry. Right minithoracotomy has emerged as an alternative to repeat sternotomy. This study evaluated feasibility and perioperative outcomes of redo MVS through right minithoracotomy and compared 3 different myocardial protection strategies: cardioplegia, ventricular fibrillation (VF), and beating-heart.</div></div><div><h3>Methods</h3><div>All patients who underwent redo MVS via right minithoracotomy between 2015 and 2023 were identified from the Mini-Mitral International Registry. The primary end point was in-hospital mortality. Secondary end points included stroke, low cardiac output, bleeding requiring revision, conversion to sternotomy, and major complications. Moreover, 3 myocardial protection strategies were analyzed: cardioplegic arrest (n = 373), VF (n = 105), and beating-heart (n = 24).</div></div><div><h3>Results</h3><div>A total of 502 patients were included (median age 68 years). Overall in-hospital mortality was 7.6% (4.1% in elective and 24.4% in urgent cases). Conversion to sternotomy occurred in 3%. Stroke rate was 2.8% and reoperation for bleeding was 8.8%. After adjustment, VF was independently associated with a greater risk of low cardiac output (adjusted odds ratio, 3.5; <em>P</em> = .004). Beating-heart surgery was associated with increased in-hospital mortality (adjusted odds ratio, 6.6; <em>P</em> = .02). No significant association was observed between myocardial protection strategy and stroke or major complications.</div></div><div><h3>Conclusions</h3><div>Redo MVS via right minithoracotomy is feasible and safe in experienced centers. Cardioplegic arrest was associated with more favorable early outcomes and should be considered the default myocardial protection strategy whenever feasible. No-clamp techniques remain valuable in selected high-risk scenarios but are associated with trade-offs that warrant careful patient selection.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102509"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic posterior leaflet augmentation for postinfarction functional mitral valve regurgitation","authors":"Wei C. Lau MD,&nbsp;Rakesh M. Suri MD, DPhil,&nbsp;George M. Comas MD,&nbsp;John R. Young PA-C,&nbsp;Hannah Walmsley-Solt MSN, CRNA,&nbsp;Richard J. Bloomingdale MD","doi":"10.1016/j.xjtc.2026.102557","DOIUrl":"10.1016/j.xjtc.2026.102557","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102557"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clamshell thoracosternotomy for donation after circulatory determination of death donors with previous median sternotomy","authors":"Lux Shah MD, MPH,&nbsp;Suresh Keshavamurthy MD, FACS, FACC,&nbsp;Lauryn Spinetta BA,&nbsp;John S.K. Murala MD, MBA","doi":"10.1016/j.xjtc.2026.102491","DOIUrl":"10.1016/j.xjtc.2026.102491","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102491"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inflatable mediastinoscopic esophagectomy for refractory benign esophageal fistulas: An effective therapeutical methods","authors":"Changchun Wang MD,&nbsp;Liwei Xu MD,&nbsp;Weitian Wei MD,&nbsp;Qiong He MD,&nbsp;Kelong Shao MSc,&nbsp;Tianxing Ying MD,&nbsp;Weimin Mao MD,&nbsp;Qixun Chen MD","doi":"10.1016/j.xjtc.2026.102489","DOIUrl":"10.1016/j.xjtc.2026.102489","url":null,"abstract":"<div><h3>Objective</h3><div>For refractory benign esophageal fistulas unresponsive to endoscopic therapy, inflatable mediastinoscopic esophagectomy with primary reconstruction effectively addressed thoracic adhesions in 6 cases.</div></div><div><h3>Methods</h3><div>We conducted a retrospective analysis of 6 patients with refractory benign esophageal fistulas treated, documenting etiology, preoperative treatment, surgical techniques, and postoperative results.</div></div><div><h3>Results</h3><div>The causes were spontaneous esophageal rupture in 2 cases and iatrogenic damage in 4 cases. Disease duration ranged from 1 month to 13 years. One patient had an esophagopulmonary fistula, and 5 patients had empyema. The upper and intermediate esophagus were dissected using inflatable mediastinoscopy. The lower esophagus was dissected using laparoscopy (4 cases) or laparotomy (2 cases). All patients underwent gastric tube reconstruction with a cervical hand-sewn anastomosis. One patient experienced a cervical anastomotic leak, which was resolved with drainage within 2 weeks. The esophagopulmonary fistula resolved on the first postoperative day, and the empyema was cured in 3 to 4 weeks.</div></div><div><h3>Conclusions</h3><div>Inflatable mediastinoscopic esophagectomy with primary gastric tube reconstruction is a safe and effective treatment for refractory benign esophageal fistulas that have failed conservative therapies.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102489"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical aortic valve replacement-level aortotomy for self-expanding transcatheter aortic valve explantation","authors":"Israa Saleh BA,&nbsp;Raymond L. Benza MD,&nbsp;Deepak R. Talreja MD,&nbsp;Christopher M. Sciortino MD,&nbsp;Matthew R. Summers MD,&nbsp;Clinton D. Kemp MD","doi":"10.1016/j.xjtc.2026.102569","DOIUrl":"10.1016/j.xjtc.2026.102569","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102569"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complex reoperative tracheobronchoplasty for persistent, severe excessive central airway collapse with mesh erosion","authors":"Justin S. Heidel MD, MEng,&nbsp;Jennifer L. Wilson MD, MPH,&nbsp;Sidhu P. Gangadharan MD, MHCM","doi":"10.1016/j.xjtc.2026.102505","DOIUrl":"10.1016/j.xjtc.2026.102505","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102505"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Bonn-UFO technique: A rapid and reproducible approach for aortic root and intervalvular fibrous body reconstruction","authors":"Ali El-Sayed Ahmad MD, PhD,&nbsp;Saad Salamate MD,&nbsp;Ali Bayram MD,&nbsp;Kaveh Eghbalzadeh MD, PhD,&nbsp;Marwan Hamiko MD, PhD,&nbsp;Farhad Bakhtiary MD, PhD","doi":"10.1016/j.xjtc.2026.102503","DOIUrl":"10.1016/j.xjtc.2026.102503","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102503"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complete Dacron reinforcement of Ross autograft does not increase neoaortic valve regurgitation: A systematic review and meta-analysis","authors":"Ahmed Wahba MBBCh,&nbsp;Ziad W. Elmezayen MD,&nbsp;Osama Elbahy MBBCh,&nbsp;Mohamed N. Elshabrawi MD,&nbsp;Mohammed Ehmidat MD,&nbsp;Sameh M. Said MBBCh, MD, MBA","doi":"10.1016/j.xjtc.2026.102490","DOIUrl":"10.1016/j.xjtc.2026.102490","url":null,"abstract":"<div><h3>Objective</h3><div>The Ross procedure offers superior hemodynamics and growth potential for patients with unrepairable aortic valve disease, but pulmonary autograft dilation and progressive neoaortic valve regurgitation remain key limitations. Complete autograft reinforcement with Dacron has been proposed to enhance structural stability and prevent dilation. However, concerns persist regarding potential autograft distortion, impaired leaflet coaptation, and increased valve regurgitation. This systematic review and meta-analysis compares clinical outcomes of fully Dacron-supported versus unsupported or partially supported autografts in the Ross procedure.</div></div><div><h3>Methods</h3><div>A comprehensive literature search of PubMed, Web of Science, Cochrane, and Scopus databases was conducted from inception through March 30, 2026. Five retrospective comparative cohort studies including a total of 526 patients met inclusion criteria. Outcomes evaluated were early mortality (≤30 days), overall survival, freedom from autograft reoperation, and incidence of moderate or greater neoaortic valve regurgitation. Pooled risk ratios (RRs) with 95% CIs were calculated using random-effects meta-analysis.</div></div><div><h3>Results</h3><div>No significant differences were observed between fully supported and unsupported/partially supported groups for early mortality (RR, 2.52; 95% CI, 0.28-22.51; <em>P</em> = .41, <em>I</em>² = 0%), overall survival (RR, 0.99; 95% CI, 0.97-1.00], <em>P</em> = .14, <em>I</em>² = 0%), freedom from autograft reoperation (RR, 0.90; 95% CI, 0.76-1.07], <em>P</em> = .25, <em>I</em>² = 79.1%), or incidence of moderate or greater neoaortic valve regurgitation (RR, 2.00; 95% CI, 0.39-10.25; <em>P</em> = .41, <em>I</em>² = 73.5%).</div></div><div><h3>Conclusions</h3><div>Complete Dacron reinforcement of the pulmonary autograft does not increase the risk of neoaortic valve regurgitation or adversely affect clinical outcomes compared with unsupported or partially supported autografts. This technique offers a viable strategy to improve autograft durability and may enable the Ross procedure's application in patients previously deemed suboptimal candidates. Surgical technique should be tailored to individual patient profiles and institutional expertise, rather than standardized adoption of one technique.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102490"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}