JTCVS Techniques最新文献

{"title":"Surgical repair for left ventricular apical aneurysm without coronary artery disease","authors":"Satoshi Numata MD, PhD, Tomohito Nakashima MD, Tatsuro Gondai MD, Takuma Kobayashi MD","doi":"10.1016/j.xjtc.2025.06.019","DOIUrl":"10.1016/j.xjtc.2025.06.019","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"33 ","pages":"Pages 142-145"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190119","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":"Cosmetic repair after sternochondroplasty by modified Ravitch procedure for pectus excavatum in a thin patient: A novel mesh sandwich technique","authors":"Kim de Frémicourt MD , Jean-Marc Baste MD, PhD","doi":"10.1016/j.xjtc.2025.06.015","DOIUrl":"10.1016/j.xjtc.2025.06.015","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"33 ","pages":"Pages 270-272"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190134","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":"Single-center experience with all-biological valved conduit for the treatment of complex aortic root endocarditis","authors":"Francesco Campanini MD ,&nbsp;Sabrina Castagnini MD ,&nbsp;Gianluca Folesani MD ,&nbsp;Vincenzo Pagano MD ,&nbsp;Valeria Santamaria MD ,&nbsp;Giacomo Murana MD, PhD ,&nbsp;Alessandro Leone MD, PhD ,&nbsp;Luca Di Marco MD, PhD ,&nbsp;Davide Pacini MD, PhD","doi":"10.1016/j.xjtc.2025.02.009","DOIUrl":"10.1016/j.xjtc.2025.02.009","url":null,"abstract":"<div><h3>Objective</h3><div>Despite advancement in medical and surgical treatment, endocarditis involving the aortic root still represents a challenge for the cardiac surgeon due to the anatomic complexity and fundamental function of the aortic root itself. The purpose of this research is to assess outcomes from one center's experiences of implementing the BioIntegral conduit for patients who have undergone both aortic root and aortic valve replacement due to complex aortic root infective endocarditis.</div></div><div><h3>Methods</h3><div>From February 2011 to December 2023, 46 patients underwent BioIntegral valved conduit implantation at our institution. The mean age of our population was 67.6 years (±9.3 years), and the primary surgical indication was severe active endocarditis involving the aortic root. The mean European System for Cardiac Operative Risk Evaluation II was 25.6 (±15.8). We evaluated 30-day mortality, overall survival, and freedom from reoperation as end points of our analysis using <em>t</em> tests, chi-square tests, Cox regression, and Kaplan–Meier analyses.</div></div><div><h3>Results</h3><div>Six patients died during hospital stay (13.0%), and the reported 30-day mortality was 8.2% (4 patients). The Cox regression analysis performed to evaluate the impact of both risk factors and intraoperative attributes on the 30-day mortality rate showed that the variables related to increased 30-day mortality were European System for Cardiac Operative Risk Evaluation II (<em>P</em> = .045), older age, and cardiopulmonary bypass time. On Kaplan–Meier analysis, the overall survival at 1 and 3 years was 87.0%, whereas freedom from reoperation for graft dysfunction was 100% and at 1 and 3 years.</div></div><div><h3>Conclusions</h3><div>Despite the small sample size, our results indicate favorable long-term survivals and minimal need for reoperation with the BioIntegral conduit. This conduit demonstrated positive outcomes even in patients with complex surgical histories and severe aortic root and valve endocarditis. Although promising, these results warrant further investigation with larger patient groups to confirm their broader applicability.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"33 ","pages":"Pages 98-103"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145189897","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":"Dual ex vivo lung perfusion via pulmonary and bronchial arteries in a porcine model","authors":"Kentaro Nakata MD, PhD ,&nbsp;Qimeng Gao MD ,&nbsp;Riley Kahan BS ,&nbsp;Samuel J. Kesseli MD ,&nbsp;Benjamin Hughes PhD ,&nbsp;Isaac Alderete BS ,&nbsp;Isabel F. DeLaura MD ,&nbsp;Imran J. Anwar MD ,&nbsp;Charles Aardema Jr. BS ,&nbsp;Ethan Jarrett BS ,&nbsp;Andrew S. Barbas MD ,&nbsp;Matthew G. Hartwig MD","doi":"10.1016/j.xjtc.2025.06.011","DOIUrl":"10.1016/j.xjtc.2025.06.011","url":null,"abstract":"<div><h3>Background</h3><div>Current clinical ex vivo lung perfusion (EVLP) perfuses the pulmonary arteries (PA) but not the bronchial arteries (BA) that normally supply the upper airway. We hypothesized that the PA alone do not fully perfuse this region during EVLP, which could lead to hypoxic injury in the central airways, especially with extended preservation. In this study, we demonstrate a method for dual-route EVLP (D-EVLP) that perfuses both the PA and BA to improve lung preservation.</div></div><div><h3>Methods</h3><div>Lungs were procured from 30- to 40-kg female pigs and perfused for up to 3 hours. Standard single-route control EVLP (C-EVLP) was compared to a D-EVLP approach consisting of PA inflow along with oxygenated BA inflow via cannulation through a segment of the thoracic aorta to achieve bronchoesophageal artery circulation.</div></div><div><h3>Results</h3><div>Airway perfusion by BA flow was confirmed by injecting methylene blue. The mean total perfusion flows of D-EVLP and C-EVLP were 915 ± 60.2 mL/minute and 645 ± 46.5 mL/minute at 3 hours, respectively. Lower vascular resistance also was observed with D-EVLP (mean, 878 ± 109 dynes∗second/cm⁵ vs 1689 ± 194 dynes∗second/cm⁵). The PaO₂/fraction of inspired oxygen ratio (mean, 589 ± 28 for D-EVLP, 587 ± 20 for C-EVLP) and dynamic compliance (30.8 ± 3.0 mL/cmH₂O for D-EVLP, 30.3 ± 6.3 mL/cmH₂O for C-EVLP) were comparable after 3 hours of preservation. In central and distal airways, hypoxia-inducible factor 1α, a marker of hypoxia measured by immunohistochemistry, was lower in D-EVLP compared to C-EVLP.</div></div><div><h3>Conclusions</h3><div>The present study demonstrates the D-EVLP is feasible in a large-animal model and provides evidence that it may reduce airway ischemia compared to standard EVLP. Further investigation is warranted to determine the extent to which D-EVLP elicits superior graft preservation during extended perfusion and, ultimately, post-transplantation outcomes.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"33 ","pages":"Pages 306-311"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190325","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":"Implantation of a novel magnetically levitated biventricular assist device in a 10-year-old patient","authors":"Junlin Lai MD ,&nbsp;Wai Yen Yim MD ,&nbsp;Yixuan Wang MD ,&nbsp;Guohua Wang MD ,&nbsp;Chenghao Li MD ,&nbsp;Tixiusi Xiong MD ,&nbsp;Wei Su MD ,&nbsp;Cheng Zhou MD ,&nbsp;Jing Zhang MD ,&nbsp;Nianguo Dong MD","doi":"10.1016/j.xjtc.2025.06.016","DOIUrl":"10.1016/j.xjtc.2025.06.016","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"33 ","pages":"Pages 212-219"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145189775","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":"A single-graft technique: Integrating Y-incision aortic annular enlargement with ascending aortic replacement","authors":"Xusheng Zhang MM ,&nbsp;Fusheng Zhang MD ,&nbsp;Zhenqiang Xu MM ,&nbsp;Gang Zhang MD","doi":"10.1016/j.xjtc.2025.07.024","DOIUrl":"10.1016/j.xjtc.2025.07.024","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"33 ","pages":"Pages 27-30"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145189888","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":"Interdisciplinary management of a solitary fibrous tumor of the pleura complicated by Doege-Potter syndrome","authors":"Edena Khoshaba BS ,&nbsp;Kayla Nenninger BS ,&nbsp;John Aversa MD ,&nbsp;Michael Liptay MD","doi":"10.1016/j.xjtc.2025.07.001","DOIUrl":"10.1016/j.xjtc.2025.07.001","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"33 ","pages":"Pages 287-293"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190137","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":"Successful extracorporeal membrane oxygenation bridge to lung transplant with a patient transported from Hawaii to Nashville, Tennessee","authors":"Enock Adjei MD ,&nbsp;Whitney D. Gannon MS, MSN ,&nbsp;Brandon S. Petree DO ,&nbsp;John W. Stokes MD ,&nbsp;Caitlin T. Demarest MD, PhD ,&nbsp;Mark Petrovic MS ,&nbsp;Cecily Wang MD ,&nbsp;Todd W. Rice MD, MSc ,&nbsp;David Erasmus MD ,&nbsp;Anil J. Trindade MD ,&nbsp;Matthew Bacchetta MD, MBA ,&nbsp;Konrad Hoetzenecker MD, PhD","doi":"10.1016/j.xjtc.2025.05.002","DOIUrl":"10.1016/j.xjtc.2025.05.002","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"32 ","pages":"Pages 219-224"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144738236","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":"Staged right ventricular recruitment of unbalanced atrioventricular septal defect","authors":"Irtiza S. Islam BSA ,&nbsp;Penn Laird MD ,&nbsp;Munes Fares MD ,&nbsp;Matthew S. Lemler MD ,&nbsp;Roby Sebastian MD ,&nbsp;Robert Jaquiss MD ,&nbsp;Nicholas D. Andersen MD","doi":"10.1016/j.xjtc.2025.05.024","DOIUrl":"10.1016/j.xjtc.2025.05.024","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"32 ","pages":"Pages 108-110"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739474","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":"Ex-vivo lung resection and autotransplantation for primary pulmonary artery sarcoma","authors":"Jiawei Chen MD ,&nbsp;Chao Yang MD ,&nbsp;Zhongqiao Mo MD ,&nbsp;Hongsheng Deng MD ,&nbsp;Jiawei Li MD ,&nbsp;Jianxing He MD, PhD ,&nbsp;Shuben Li MD","doi":"10.1016/j.xjtc.2025.04.019","DOIUrl":"10.1016/j.xjtc.2025.04.019","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"32 ","pages":"Pages 225-228"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144738237","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}