JTCVS Techniques最新文献

{"title":"Cryptic manifestations of multiple labyrinthine sinus of Valsalva aneurysms","authors":"Sanjog Rawtani MS, MCh, Katherine Kaproth-Joslin MD, Peter Knight MD","doi":"10.1016/j.xjtc.2026.102405","DOIUrl":"10.1016/j.xjtc.2026.102405","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"38 ","pages":"Article 102405"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148660607","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":"Incidental Borrelia burgdorferi infective endocarditis discovered during complex mitral valve repair and septal myectomy for left ventricular outflow tract obstruction","authors":"William C. Frankel MD, Jean-Luc A. Maigrot MD, Suong Vu PA-C, Nabin K. Shrestha MD, Nicholas G. Smedira MD, MBA","doi":"10.1016/j.xjtc.2026.102479","DOIUrl":"10.1016/j.xjtc.2026.102479","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"38 ","pages":"Article 102479"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148634813","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":"Bloodless bilateral lung transplant in a patient, a Jehovah's Witness, with pulmonary fibrosis and secondary pulmonary hypertension","authors":"Scott T. Vasher MD, MSCR, Anila Khan MD, Kevin Tsui MD, Lisa Potter PharmD, Flor Cerda APRN, Cynthia Serdiuk APRN, Rozmeen Shivji APRN, Lauren Doak PA-C, Rade Tomic MD, Pablo G. Sanchez MD, PhD","doi":"10.1016/j.xjtc.2026.102447","DOIUrl":"10.1016/j.xjtc.2026.102447","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"38 ","pages":"Article 102447"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647225","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":"Multiple ventricular septal defects: Septal reconstruction with right atrial wall","authors":"Igor E. Konstantinov MD, PhD, FRACS, Bakhytzhan Nurkeyev MD, PhD, Amine Mazine MD, PhD, FRCSC, Erbol Aldabergenov MD, Elmira Kuandykova MD, Bauyrzhan Tuyakbayev MD, Assel Kabakanova MD, Arailym Kenzhebaeva MD, Amangeldy Kerimkulov MD, Zhanibek Z. Ashirov MD, Aidos Erpashov MD, Abay K. Baigenzhin MD, PhD","doi":"10.1016/j.xjtc.2026.102425","DOIUrl":"10.1016/j.xjtc.2026.102425","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"38 ","pages":"Article 102425"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647236","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":"Neocommissure plasty to treat aortic regurgitation due to commissural detachment in type 0 bicuspid aortic valve","authors":"Ryo Kawabata MD, Soichiro Henmi MD, PhD, Jun Karaki MD, Hironaga Shiraki MD, Shunya Chomei MD, Noriko Ohyama MD, Katsuhiro Yamanaka MD, PhD, Hiroaki Takahashi MD, PhD, Kenji Okada MD, PhD","doi":"10.1016/j.xjtc.2026.102374","DOIUrl":"10.1016/j.xjtc.2026.102374","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"38 ","pages":"Article 102374"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647327","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":"Multimodal neuromonitoring during aortic arch surgeries: A prospective study of neurologic outcomes and postoperative recovery","authors":"Josue Chery MD,&nbsp;Ye In Christopher Kwon BA,&nbsp;Daniel Adams MS, CNIM,&nbsp;Zachary Rollins MD,&nbsp;Matthew Ambrosio MS,&nbsp;Zubair A. Hashmi MD,&nbsp;Patricia Nicolato DO,&nbsp;Daniel Newton MD,&nbsp;Vigneshwar Kasirajan MD,&nbsp;Aida Sehic MD, PhD","doi":"10.1016/j.xjtc.2026.102380","DOIUrl":"10.1016/j.xjtc.2026.102380","url":null,"abstract":"<div><h3>Objective</h3><div>Neurologic complications remain a major cause of morbidity after aortic arch repair despite advances in cerebral protection. Multimodal intraoperative neurophysiological monitoring (IONM) offers real-time assessment and opportunities for intervention but is underused. We evaluated its impact on neurologic outcomes in patients undergoing major aortic surgeries.</div></div><div><h3>Methods</h3><div>We retrospectively enrolled 134 adults undergoing consecutive aortic arch surgery with circulatory arrest (February 2018 to July 2024). Patients were stratified by IONM use and surgical urgency. The multimodal IONM protocol included electroencephalography, somatosensory-evoked potentials, brainstem auditory-evoked potentials, transcranial motor-evoked potentials, transcranial Doppler, and near-infrared spectroscopy. Primary outcome was a major intraoperative neurologic complication. Logistic and log-linear regression models adjusted for age, sex, and urgency assessed associations between IONM use and postoperative outcomes.</div></div><div><h3>Results</h3><div>Of 134 patients, 78 (58%) received IONM. Monitored patients had significantly lower neurologic complication rates (13% vs 39%; <em>P</em> &lt; .001), shorter hospital stays (9 vs 13 days; <em>P</em> = .017), and reduced intubation duration (20 vs 46 hours; <em>P</em> = .007). Rates of major intraoperative neurologic complications were significantly lower in the monitored group (3.8% vs 29%; <em>P</em> &lt; .001) but no differences were observed in the rates of postoperative neurologic complications (2.6% vs 7.1%; <em>P</em> = .2). IONM was associated with reduced risk of major neurologic complications (odds ratio [OR], 0.31; <em>P</em> = .02) and prolonged ventilation &gt;48 hours (OR, 0.38; <em>P</em> = .03). IONM was associated with lower odds of neurologic complications in both emergent (OR, 0.17; <em>P</em> &lt; .001) and elective (OR, 0.30; <em>P</em> = .01) surgeries.</div></div><div><h3>Conclusions</h3><div>IONM during major aortic surgeries was associated with fewer adverse neurologic events and faster recovery, supporting its integration for improved cerebral protection across elective and emergent operations.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"38 ","pages":"Article 102380"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647215","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":"Comparison of 2 approaches for left atrial myxoma excision: Outcomes and safety","authors":"Hazem Aljasem MD, FRCS (CTh),&nbsp;Jason Kho MD, MRCS,&nbsp;Hani Ali-Ghosh MD, FRCS (CTh),&nbsp;Dimitrios Pousios MD, FECTS,&nbsp;Clifford Barlow MD, FRCS (CTh)","doi":"10.1016/j.xjtc.2026.102402","DOIUrl":"10.1016/j.xjtc.2026.102402","url":null,"abstract":"<div><h3>Objective</h3><div>Cardiac myxomas are the most common primary benign cardiac tumors, with approximately 75% located in the left atrium (LA). The optimal surgical approach for LA myxoma excision remains controversial. This study aims to compare the uniatrial and biatrial approaches in terms of safety and outcomes.</div></div><div><h3>Methods</h3><div>We retrospectively reviewed 157 consecutive patients diagnosed with LA myxoma over a 24-year period. Patients were divided into uniatrial (LA group) and biatrial groups on the basis of the surgical approach to compare outcomes.</div></div><div><h3>Results</h3><div>There was no statistically significant difference between the 2 groups in mean age (<em>P</em> = .61), gender distribution (<em>P</em> = .72), clinical presentation (<em>P</em> = .071), New York Heart Association classification (<em>P</em> = .97), preoperative and postoperative rhythm (<em>P</em> = .83 and <em>P</em> = .20, respectively), concomitant procedures (<em>P</em> = .63), overall postoperative complications (<em>P</em> = .32), re-exploration for bleeding (<em>P</em> = 1), 30-day mortality (<em>P</em> = 1), in-hospital stay (<em>P</em> = .08), long-term survival (<em>P</em> = .42), and recurrence rate (<em>P</em> = .38). However, the mean cardiopulmonary bypass time and aortic crossclamp time were significantly longer in the biatrial group (cardiopulmonary bypass: 81 vs 72 minutes, <em>P</em> = .05; crossclamp: 55 vs 48 minutes, <em>P</em> = .05). Kaplan-Meier survival analysis showed no significant difference in short-, mid- (5-year), and long-term (&gt;10-year) survival rates. Eight cases initially planned for LA approach were converted to biatrial because of technical difficulty.</div></div><div><h3>Conclusions</h3><div>To the best of our knowledge, this is the largest single-center study on this topic. Both uniatrial and biatrial approaches provide safe and effective resection of left atrial myxomas with comparable long-term outcomes. The biatrial approach offers improved exposure but at the expense of longer operative times. These findings support an individualized surgical strategy on the basis of tumor characteristics and intraoperative exposure.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"38 ","pages":"Article 102402"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647216","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":"Redo Konno-Bentall with pulmonary valve replacement for late paravalvular leak after a childhood Konno procedure","authors":"Mitsunori Nakano MD, PhD,&nbsp;Homare Okamura MD, PhD,&nbsp;Kawada Masaaki MD, PhD,&nbsp;Atsushi Yamaguchi MD, PhD","doi":"10.1016/j.xjtc.2026.102400","DOIUrl":"10.1016/j.xjtc.2026.102400","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"38 ","pages":"Article 102400"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647325","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":"Periareolar robotic sleeve lobectomy after neoadjuvant osimertinib for epidermal growth factor receptor–mutant lung cancer","authors":"Ruihao Xie MD,&nbsp;Lintong Yao MD,&nbsp;Canjia Cai MD,&nbsp;Maotao Weng MD,&nbsp;Luyu Huang MD,&nbsp;Haiyu Zhou MD, PhD","doi":"10.1016/j.xjtc.2026.102399","DOIUrl":"10.1016/j.xjtc.2026.102399","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"38 ","pages":"Article 102399"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647623","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":"Impact of ex vivo lung perfusion evaluation on donation after circulatory death in lung transplantation","authors":"Mariana Gil-Barturen MD,&nbsp;Laura Donahoe MD,&nbsp;Marc de Perrot MD,&nbsp;Kazuhiro Yasufuku MD, PhD,&nbsp;Andrew Pierre MD,&nbsp;Elliot Wakeam MD,&nbsp;Thomas K. Waddell MD, PhD,&nbsp;Shaf Keshavjee MD,&nbsp;Marcelo Cypel MD,&nbsp;Jonathan C. Yeung MD, PhD","doi":"10.1016/j.xjtc.2026.102416","DOIUrl":"10.1016/j.xjtc.2026.102416","url":null,"abstract":"<div><h3>Objectives</h3><div>As the result of increased warm ischemia time and limited intraoperative evaluation, donation after circulatory death (DCD) donors might be considered greater risk, and use lags behind donation after brain death (DBD). Ex vivo lung perfusion (EVLP) provides an opportunity to better evaluate DCD lungs, and we sought to examine our outcomes.</div></div><div><h3>Methods</h3><div>A single-center retrospective review of a prospectively collected database was performed for DCD donor lung transplants (LTx) from January 1, 2007, to August 8, 2024. DCD donors were stratified into EVLP (EVLP-DCD) and non-EVLP (non-EVLP-DCD) groups. Donor and recipient demographics, donor quality metrics, post-LTx outcomes, and overall survival were collected.</div></div><div><h3>Results</h3><div>In total, 2282 LTx were performed from 2007 to 2024, and 467 (20.5%) were from DCD. EVLP was used in 257 (55%) of DCD. Between EVLP-DCD and non-EVLP-DCD, there was similar primary graft dysfunction grade 3 at 72 hours (14.0% vs 13.3%, <em>P</em> = .735) and no survival difference (<em>P</em> = .28). EVLP-DCD cases had shorter stay in the intensive care unit (median 4 vs 6 days; <em>P</em> &lt; .001) but similar hospital stay (median 22 vs 24 days; <em>P</em> = .162). EVLP-DCD donors had longer time from withdrawal to flush (59 vs 43 minutes; <em>P</em> &lt; .001) and a significantly greater rate of Gram stain–positive cultures (62.6% vs 41.9%; <em>P</em> &lt; .001). The proportion of DCD transplants increased from 6.2% in 2008 to 54.9% in 2025.</div></div><div><h3>Conclusions</h3><div>Transplantation of DCD lungs evaluated by EVLP had comparable outcomes compared with non-EVLP–evaluated DCD lungs and DBD lungs. Liberal use of EVLP evaluation has led to safe and increased use of DCD lungs despite their unpredictably greater risk.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"38 ","pages":"Article 102416"},"PeriodicalIF":2.4,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148647223","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}