JTCVS Techniques最新文献

{"title":"Redo hybrid arch frozen elephant trunk reconstruction for chronic aortic dissection previously treated with a novel bare metal stent","authors":"Diego Pena MD , Luc Dubois MD , Ahmed Mobeen MD , Michael W.A. Chu MD, MEd","doi":"10.1016/j.xjtc.2025.07.023","DOIUrl":"10.1016/j.xjtc.2025.07.023","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"33 ","pages":"Pages 64-67"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145189777","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}

{"title":"The cone repair after Fontan procedure: Conversion from completed single-ventricle pathway after the Starnes procedure to biventricular physiology","authors":"Jose P. Da Silva MD , Laura Seese MD , Laura Olivieri MD , Tarek Al-Sayed MD , Jacqueline Kreutzer MD , Mario Castro Medina MD , Victor O. Morell MD , Luciana Da Fonseca Da Silva MD","doi":"10.1016/j.xjtc.2025.05.030","DOIUrl":"10.1016/j.xjtc.2025.05.030","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"33 ","pages":"Pages 195-198"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190121","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}

{"title":"Giant 8-cm coronary artery aneurysm: Surgical management","authors":"Alexandra Murillo-Solera MD ,&nbsp;Vaishnavi Karanam MS ,&nbsp;Ryan Azarrafiy MD ,&nbsp;Iverson E. Williams BS ,&nbsp;Oscar Holmvard MD ,&nbsp;Muhammad F. Umar MD ,&nbsp;Thomas M. Beaver MD, MPH","doi":"10.1016/j.xjtc.2025.06.026","DOIUrl":"10.1016/j.xjtc.2025.06.026","url":null,"abstract":"<div><div>We present the case of a 75-year-old man presenting asymptomatically with a large 8-cm right coronary artery aneurysm. The right coronary artery aneurysm was identified by cardiac catheterization and managed through coronary artery bypass grafting. The patient had an uneventful postoperative course and showed stable recovery at his follow-up visit.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"33 ","pages":"Pages 139-141"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145189741","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}

{"title":"Endoscopy esophageal mucosal circumferential resection followed by bypass surgery to treat tracheoesophageal fistula","authors":"Chunguang Li MD, PhD ,&nbsp;Jiaying Soo MB, Bch, BAO, MD ,&nbsp;Hong Zhang MD ,&nbsp;Qijue Lu MD, PhD ,&nbsp;Chang Yuan MD ,&nbsp;Zhichao Liu MD ,&nbsp;Bin Li MD, PhD ,&nbsp;Rong Hua MD, PhD ,&nbsp;Yang Yang MD, PhD ,&nbsp;Yifeng Sun MD, PhD ,&nbsp;Yuwei Qiu MD ,&nbsp;Toni Lerut MD, PhD ,&nbsp;Edward Cheong MD, PhD ,&nbsp;Peter Grimminger MD, PhD ,&nbsp;Nicola Tamburini MD, PhD ,&nbsp;Yutaka Tokairin MD, PhD ,&nbsp;Zhigang Li MD, PhD","doi":"10.1016/j.xjtc.2025.05.016","DOIUrl":"10.1016/j.xjtc.2025.05.016","url":null,"abstract":"<div><h3>Objective</h3><div>Tracheoesophageal fistula (TEF) is a severe complication often associated with advanced thoracic malignancies or chemoradiotherapy. This study introduces an innovative approach combining endoscopic submucosal dissection (ESD) and esophageal bypass surgery. This retrospective study aimed to evaluate the prognosis of patients with TEF in complete clinical remission after definitive chemoradiotherapy who underwent repair with such approach.</div></div><div><h3>Methods</h3><div>This is a retrospective analysis of 12 patients with TEF secondary to thoracic malignancies treated between June 2021 and June 2022. Patients underwent ESD for de-epithelialization of the esophageal lumen, followed by esophageal bypass surgery. Key outcomes included survival rates, fistula closure rates, postoperative clinical outcomes, and functional status improvement assessed by Karnofsky Performance Status scores.</div></div><div><h3>Results</h3><div>All patients had complete clinical remission of their primary malignancies before treatment. TEF closure was achieved in 10 patients (83.3%) within 28 to 72 days post-ESD. Median duration from ESD to bypass surgery was 39 days. Kaplan-Meier analysis revealed a 1-year survival rate of 65% and a 2-year survival rate of 60%. Postoperative morbidity included 1 anastomotic leak and 1 case of esophageal mucoceles, both successfully managed. Functional outcomes significantly improved, with 91.6% of patients achieving a Karnofsky Performance Status score &gt;80 at 6 months.</div></div><div><h3>Conclusions</h3><div>The combination of ESD and esophageal bypass surgery represents a promising approach for TEF management, demonstrating high rates of fistula closure, enhanced functional outcomes, and overall survival. Future studies should aim to validate these findings in larger cohorts and explore the long-term sustainability of these outcomes.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"33 ","pages":"Pages 256-263"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190132","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}

{"title":"Donation-after-circulatory-death lungs narrow the survival gap between single- and bilateral-lung transplants: A propensity-matched analysis","authors":"Alexander Ryan Berg BS ,&nbsp;Aravind Krishnan MD ,&nbsp;Elbert Ekang Heng MD ,&nbsp;Danielle Maria Mullis BS ,&nbsp;Nataly Montano Vargas BS ,&nbsp;Alyssa Garrison MS ,&nbsp;Daniel Idris Zamora Alnasir BS ,&nbsp;Amit Bangha MD ,&nbsp;Gundeep Dhillon MD ,&nbsp;Brandon Guenthart MD ,&nbsp;Y. Joseph Woo MD ,&nbsp;John MacArthur MD","doi":"10.1016/j.xjtc.2025.07.017","DOIUrl":"10.1016/j.xjtc.2025.07.017","url":null,"abstract":"<div><h3>Objective</h3><div>Single-lung transplantation (SLT) traditionally has inferior survival compared with bilateral-lung transplantation (BLT), raising concerns regarding its use. However, with the advent of donation after circulatory death (DCD), contemporary outcomes warrant reassessment. This study evaluates survival outcomes after SLT and BLT in the modern era, focusing specifically on the impact of DCD.</div></div><div><h3>Methods</h3><div>We conducted a retrospective cohort analysis of adult lung transplants performed from 2018 to 2024 using the United Network for Organ Sharing database. Propensity score matching was applied to balance recipient and donor characteristics between SLT and BLT cohorts, followed by Kaplan-Meier and multivariable Cox regression analyses.</div></div><div><h3>Results</h3><div>Among 17,802 lung transplants (3747 SLT and 14,055 BLT), propensity matching yielded 3528 matched pairs. SLT recipients had significantly inferior long-term survival compared with BLT (adjusted hazard ratio [aHR], 1.35; 95% confidence interval [CI], 1.22-1.51; <em>P</em> &lt; .001). However, when evaluating only DCD recipients, no significant survival differences emerged between SLT and BLT (aHR, 1.03; 95% CI, 0.68-1.5; <em>P</em> = .886). Notably, DCD SLT recipients demonstrated significantly better survival compared with donation after brain death SLT recipients (aHR, 1.48; 95% CI, 1.0–2.1; <em>P</em> = .03), despite higher rates of early graft dysfunction.</div></div><div><h3>Conclusions</h3><div>Although BLT is generally associated with superior survival outcomes compared with SLT, our contemporary analysis found that DCD SLT outcomes were comparable with DCD BLT and more favorable than donation after brain death SLT. These findings suggest that DCD lungs may be a viable option for single lung transplantation and highlight the potential role of DCD in expanding the donor pool. Further research is warranted to better understand long-term outcomes and optimize recipient selection for DCD SLT.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"33 ","pages":"Pages 294-305"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190138","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}

{"title":"Surgical correction of anomalous pulmonary veinous return and atrioventricular septal defect in a patient with left lung agenesis","authors":"Brittany A. Potz MD, MA ,&nbsp;Samuel M. Hoenig BA ,&nbsp;Nicholas Szugye MD ,&nbsp;Hani K. Najm MD, MSc","doi":"10.1016/j.xjtc.2025.06.012","DOIUrl":"10.1016/j.xjtc.2025.06.012","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"33 ","pages":"Pages 93-97"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145189629","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}

{"title":"Simultaneous ventricular assist device implantation for borderline biventricular repair: an approach as a bridge-to-decision","authors":"Michael A. Catalano MD,&nbsp;Paul Devlin MD, MSc,&nbsp;Constantine D. Mavroudis MD, MSc, MTR,&nbsp;Katsuhide Maeda MD, PhD","doi":"10.1016/j.xjtc.2025.06.001","DOIUrl":"10.1016/j.xjtc.2025.06.001","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"33 ","pages":"Pages 209-211"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145189774","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}

{"title":"Supplemental cardioplegia from direct left ventricle insertion for robotic mitral valve surgery in patients with aortic regurgitation","authors":"Tomonari Uemura MD,&nbsp;Yasunari Hayashi MD, PhD,&nbsp;Toshikuni Yamamoto MD,&nbsp;Masato Mutsuga MD, PhD","doi":"10.1016/j.xjtc.2025.06.002","DOIUrl":"10.1016/j.xjtc.2025.06.002","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"33 ","pages":"Pages 79-81"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145189749","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}

{"title":"Redo mitral valve repair 20 years after the initial repair","authors":"Hitoshi Kasegawa MD ,&nbsp;Masao Daimon MD ,&nbsp;Shigeki Kimura MD ,&nbsp;Shuichiro Takanashi MD","doi":"10.1016/j.xjtc.2025.05.031","DOIUrl":"10.1016/j.xjtc.2025.05.031","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"33 ","pages":"Pages 82-86"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145189750","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}

{"title":"Port-access robotic repair of myxomatous mitral valve endocarditis: Radical excision and reconstruction using proven techniques","authors":"Mohamed Ghandour MD ,&nbsp;Kelly Malette MD ,&nbsp;Lark Steafo DO ,&nbsp;Michael Gallagher MD ,&nbsp;Lau Wei MD ,&nbsp;George Comas MD ,&nbsp;Richard Bloomingdale MD ,&nbsp;Thomas A. Schwann MD ,&nbsp;Rakesh M. Suri MD, DPhil","doi":"10.1016/j.xjtc.2025.05.021","DOIUrl":"10.1016/j.xjtc.2025.05.021","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"33 ","pages":"Pages 87-89"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145189751","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}