JTCVS Techniques最新文献_第7页

Modified circumferential atrial suturing technique in mitral valve replacement for severe mitral annular calcification 改良心房环缝技术在二尖瓣置换术中治疗严重二尖瓣环钙化

IF 1.9

JTCVS Techniques Pub Date : 2025-08-01 DOI: 10.1016/j.xjtc.2025.05.004

Akifumi Bando MD , Daisuke Endo MD, PhD , Mitsuru Yokoyama MD , Minoru Tabata MD, PhD, MPH

引用次数: 0

Application of stentless mitral valve to surgery in infective endocarditis: Partial Normo valve repair 无支架二尖瓣在感染性心内膜炎手术中的应用：部分Normo瓣修复

IF 1.9

JTCVS Techniques Pub Date : 2025-08-01 DOI: 10.1016/j.xjtc.2025.05.007

Tomoya Uchimuro MD , Minoru Tabata MD, PhD, MPH , Joji Ito MD , Kaito Masuda MD , Yuki Matsui MD , Hitoshi Kasegawa MD , Shuichiro Takanashi MD

引用次数: 0

Outcomes of fenestrated-branched endovascular aortic repair of thoracoabdominal aortic aneurysms in patients with heritable thoracic aortic diseases 遗传性胸主动脉疾病患者胸腹主动脉瘤开窗支腔内修复术的疗效

IF 1.9

JTCVS Techniques Pub Date : 2025-08-01 DOI: 10.1016/j.xjtc.2025.04.025

Lucas Ribé MD , Lucas Ruiter Kanamori MD , Bruno P. Schmid MD , Thanila A. Macedo MD , Bernardo C. Mendes MD , Steven Maximus MD , Ying Huang MD, PhD , Felipe Nasser MD, PhD , Gustavo S. Oderich MD

{"title":"Outcomes of fenestrated-branched endovascular aortic repair of thoracoabdominal aortic aneurysms in patients with heritable thoracic aortic diseases","authors":"Lucas Ribé MD , Lucas Ruiter Kanamori MD , Bruno P. Schmid MD , Thanila A. Macedo MD , Bernardo C. Mendes MD , Steven Maximus MD , Ying Huang MD, PhD , Felipe Nasser MD, PhD , Gustavo S. Oderich MD","doi":"10.1016/j.xjtc.2025.04.025","DOIUrl":"10.1016/j.xjtc.2025.04.025","url":null,"abstract":"<div><h3>Objective</h3><div>Open surgical repair is the first-line treatment for patients with complex aortic aneurysms and heritable thoracic aortic diseases (HTADs). Fenestrated-branched endovascular aortic repair (FB-EVAR) has been used selectively in higher-risk patients. This study assessed early- and midterm outcomes of FB-EVAR for complex aortic aneurysms in patients with HTADs.</div></div><div><h3>Methods</h3><div>We reviewed clinical data, imaging, and outcomes of consecutive patients treated by FB-EVAR for complex abdominal and thoracoabdominal aneurysms from April 2007 to June 2024. Patients with confirmed Marfan syndrome, Loeys-Dietz syndrome, vascular Ehlers-Danlos syndrome, or <em>ACTA2</em> mutation were included. End points included 30-day mortality and major adverse events, cumulative incidence of aortic-related mortality, aortic aneurysm rupture, and secondary interventions.</div></div><div><h3>Results</h3><div>Among 850 patients (median age, 58 years; interquartile range, 49-70 years; 8 [53%] men) treated by FB-EVAR for complex abdominal aortic aneurysms and thoracoabdominal aortic aneurysms, 15 (1.8%) had confirmed HTADs. Technical success was achieved with no early mortality in all patients. Early outcomes showed no cerebrovascular or major cardiac events. One patient developed delayed paraparesis with complete recovery. Median follow-up was 20 months (interquartile range, 13-34 months) with no aortic-related mortality and aortic aneurysm rupture. One patient developed a late retrograde dissection treated by thoracic endovascular aortic repair. Patient survival and cumulative incidence of secondary interventions at 1 year were 93% ± 16% and 10.0% (95% CI, 0.0%-26.8%), respectively.</div></div><div><h3>Conclusions</h3><div>FB-EVAR in select patients with a confirmed diagnosis of HTADs was associated with high technical success and no early mortality. Midterm outcomes revealed no aortic-related mortality or aortic aneurysm rupture, but 1 in 3 patients required secondary interventions, highlighting the importance of continuous surveillance in this population.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"32 ","pages":"Pages 10-19"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739400","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}

引用次数: 0

Cerebral perfusion-first techniques in total arch replacement for Stanford A aortic dissection 脑灌注优先技术在Stanford A主动脉夹层全弓置换术中的应用

IF 1.9

JTCVS Techniques Pub Date : 2025-08-01 DOI: 10.1016/j.xjtc.2025.04.005

Cangsong Xiao PhD , Haitao Chi MD , Junhui Wang MD , Lei Chen MD , Ming Yang MD , Yan Xue MD , Nan Zheng MD , Qiang Zhao MD , Ruidong Yang MD , Zezheng Zhao MD , Yan Lv MD

引用次数: 0

Right basilar segmental autologous lung transplantation with carinal reconstruction in a patient with central lung squamous cell carcinoma: Case report 右肺基底节段性自体肺移植伴隆突重建1例中央型肺鳞状细胞癌

IF 1.9

JTCVS Techniques Pub Date : 2025-08-01 DOI: 10.1016/j.xjtc.2025.04.021

Xinyi Wang MD, Jie Xiang MB, Hailei Du MD, Yajie Zhang MD, PhD, Hecheng Li MD, PhD

引用次数: 0

Absent pulmonary valve syndrome: Valvular reconstruction with autologous pulmonary arterial wall 肺动脉瓣缺失综合征：自体肺动脉壁瓣膜重建

IF 1.9

JTCVS Techniques Pub Date : 2025-08-01 DOI: 10.1016/j.xjtc.2025.05.010

Igor E. Konstantinov MD, PhD, FRACS , Carolina Rodrigues MD , Sergei I. Konstantinov BBioMed , Tyson A. Fricke MBBS, PhD, FRACS

引用次数: 0

Ectopia cordis and borderline left heart: Application of a novel approach 心外异位和左心边缘：一种新方法的应用

IF 1.9

JTCVS Techniques Pub Date : 2025-08-01 DOI: 10.1016/j.xjtc.2025.04.023

Justin Robinson MD , Samuel M. Hoenig BA , Brittany A. Potz MD, MA , John P. Costello MD , Tara Karamlou MD, MSc

引用次数: 0

Diaphragmatic paralysis after cardiac surgery in children: Long-term results of a simple thoracoscopic diaphragmatic plication technique 儿童心脏手术后膈肌麻痹：简单胸腔镜膈肌应用技术的长期效果

IF 1.9

JTCVS Techniques Pub Date : 2025-08-01 DOI: 10.1016/j.xjtc.2025.04.027

Juan Carlos de Agustín-Asensio MD, PhD, David Peláez-Mata MD, Sara Monje-Fuente MD, Pilar Vázquez-González MD, Marta Benito-Anguita MD

{"title":"Diaphragmatic paralysis after cardiac surgery in children: Long-term results of a simple thoracoscopic diaphragmatic plication technique","authors":"Juan Carlos de Agustín-Asensio MD, PhD, David Peláez-Mata MD, Sara Monje-Fuente MD, Pilar Vázquez-González MD, Marta Benito-Anguita MD","doi":"10.1016/j.xjtc.2025.04.027","DOIUrl":"10.1016/j.xjtc.2025.04.027","url":null,"abstract":"<div><h3>Objectives</h3><div>Thoracoscopic treatment of symptomatic diaphragmatic paralysis can be challenging, especially after surgery. We studied the efficacy and safety of a minimally invasive diaphragmatic plication technique.</div></div><div><h3>Methods</h3><div>A retrospective review was conducted on children who underwent thoracoscopic diaphragmatic repair after cardiac surgery between 2011 and 2020. The technique used a 3-mm camera, a 3-mm trocar, and an 18-gauge epidural needle to access the pleural space. The needle was threaded from posterior to anterior through the diaphragm to place nonabsorbable sutures, creating tension.</div></div><div><h3>Results</h3><div>Forty-five patients (28 male, 17 female) were reviewed, with a median age of 39.5 ± 28 days (range, 8 days to 13 years). The median surgical time was 65.97 ± 12.6 minutes. No organ injuries or conversions to thoracotomy occurred. A chest drain was placed in 18 patients, removed after an average of 1.8 ± 1.2 days. Three patients experienced postoperative complications (severe pneumothorax or persistent pleural effusion), requiring additional chest tubes for 3.6 ± 2 days. All patients were extubated after 2.13 ± 2.3 days. After a follow-up of 6 months to 10 years, 4 recurrences (8.8%) were resolved with re-thoracoscopy and 1 thoracotomy.</div></div><div><h3>Conclusions</h3><div>The needle thoracoscopic diaphragmatic plication technique is simple and associated with low recurrence and complication rates. It is considered the technique of choice for newborns and infants, with favorable long-term results.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"32 ","pages":"Pages 152-156"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739481","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}

引用次数: 0

Novel, noninvasive, extended reality–aided pulmonary tumor marking method for sublobar resection in minimally invasive surgery 一种新颖的、无创的、扩展的现实辅助肺肿瘤标记方法，用于微创手术中肺叶下切除术

IF 1.9

JTCVS Techniques Pub Date : 2025-08-01 DOI: 10.1016/j.xjtc.2025.05.025

Ryosuke Izawa MD, Shinya Tane MD, PhD, Takefumi Doi MD, PhD, Hiroyuki Ogawa MD, PhD, Daisuke Hokka MD, PhD, Yoshimasa Maniwa MD, PhD

{"title":"Novel, noninvasive, extended reality–aided pulmonary tumor marking method for sublobar resection in minimally invasive surgery","authors":"Ryosuke Izawa MD, Shinya Tane MD, PhD, Takefumi Doi MD, PhD, Hiroyuki Ogawa MD, PhD, Daisuke Hokka MD, PhD, Yoshimasa Maniwa MD, PhD","doi":"10.1016/j.xjtc.2025.05.025","DOIUrl":"10.1016/j.xjtc.2025.05.025","url":null,"abstract":"<div><h3>Objective</h3><div>We developed a novel, noninvasive, extended reality–aided marking procedure for tumor localization and aimed to evaluate its feasibility and safety for sublobar resection in minimally invasive surgery.</div></div><div><h3>Methods</h3><div>We prospectively evaluated the concordance rate between extended reality–aided marking and actual tumor localization for 20 patients who underwent sublobar resection, including wedge resection and segmentectomy. During sublobar resection, the augmented reality image of the 3-dimensional pulmonary anatomy and the tumor were overlaid onto the thoracoscopic monitor. This allowed the surgeons to observe the tumor location with the head-mounted mixed reality display during the surgery. Marking concordance was defined as the difference of 10 mm or less between the distances from the actual tumor margin and the identified marking point on the extended reality to the margin.</div></div><div><h3>Results</h3><div>We enrolled 11 patients who underwent wedge resection and 9 patients who underwent segmentectomy. For each case, the pulmonary anatomy and tumor were successfully overlaid onto the operative image. The median computed tomography tumor size was 13.5 mm (interquartile range, 10.7-21.7 mm). The extended reality–aided marking method accurately delineated 90% of cases (18 of 20). The median distance from the actual surgical margin was 18 mm (interquartile range, 11-23.5 mm). The median duration of surgery was 117 (interquartile range, 64-147) minutes, and the perioperative courses were uneventful for all cases except for paroxysmal atrial fibrillation in 1 patient.</div></div><div><h3>Conclusions</h3><div>Our novel, noninvasive, extended reality–based marking method is safe and feasible for identifying tumor locations during sublobar resection.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"32 ","pages":"Pages 157-162"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144739386","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}

引用次数: 0

Innovative technique for pulmonary artery control in complex left upper lobectomy: Enhancing safety in minimally invasive resections 复杂左上肺叶切除术中肺动脉控制的创新技术：提高微创切除的安全性

IF 1.9

JTCVS Techniques Pub Date : 2025-08-01 DOI: 10.1016/j.xjtc.2025.05.009

Yahya Alwatari MB, BCh, BAO, Yazan AlJamal MBBS, Suraj M. Yalamuri MD, Phillip G. Rowse MD, Dennis A. Wigle MD, PhD

引用次数: 0