Annals of thoracic surgery short reports最新文献

{"title":"Management of anomalous left vertebral artery during open total arch replacement","authors":"Tom X. Liu, Adwaiy Manerikar, Daniel Won, Beth Whippo, Neel A. Mansukhani, Andrew Hoel, S. C. Malaisrie, Christopher K. Mehta","doi":"10.1016/j.atssr.2024.05.014","DOIUrl":"https://doi.org/10.1016/j.atssr.2024.05.014","url":null,"abstract":"","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141397929","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":"Functional Outcomes of Patients With Sternoclavicular Joint Infection After Extended Resection","authors":"Jovan Vujic MD ,&nbsp;Aljaz Hojski MD ,&nbsp;Sandrine V.C. Dackam MD ,&nbsp;Helga Bachmann BSc ,&nbsp;Didier Lardinois MD","doi":"10.1016/j.atssr.2023.12.015","DOIUrl":"10.1016/j.atssr.2023.12.015","url":null,"abstract":"<div><h3>Background</h3><p>Sternoclavicular joint infection is rare. Operation is the treatment of choice, but there is no generally accepted approach. This report evaluated the clinical and functional results after extended surgical treatment.</p></div><div><h3>Methods</h3><p>This single-center cohort study included 14 patients. Extended operation consisted of initial débridement with removal of the joint capsule; partial resection of the ipsilateral manubrium sterni, of the medial part of the clavicle, and sometimes of the first rib; and vacuum-assisted closure dressing. The procedure was repeated until the microbiologic findings and surgical site showed healing. Analysis of the risk factors, complications, and recurrence rate was performed. Functional results were assessed by the shortened version of the standardized Disabilities of the Arm, Shoulder, and Hand (QuickDASH) questionnaire.</p></div><div><h3>Results</h3><p>Only 4 of 14 patients (29%) had fever and elevated infectious parameters at diagnosis. <em>Staphylococcus</em> was the most frequently observed microorganism. Grade ≥III complications according to the Clavien-Dindo classification were observed in 5 of 14 (36%) patients. Recurrence was observed in 1 patient diagnosed 2 months after hospital discharge. Clinical and functional assessment after a mean follow-up of 48 months revealed excellent results without instability of the shoulder girdle, residual pain, or functional impairment. The mean QuickDASH score in our population was 4.5 of 100 points.</p></div><div><h3>Conclusions</h3><p>Extended surgical treatment of sternoclavicular joint infection in conjunction with assisted wound healing led to satisfying clinical and functional results.</p></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772993124000111/pdfft?md5=abe21c800320fa6c7d1caf229e3a32f5&pid=1-s2.0-S2772993124000111-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139633786","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 Robot-Assisted Multivessel Minimally Invasive Direct Coronary Artery Bypass and Hybrid Revascularization","authors":"Zhandong Zhou PhD, MD ,&nbsp;Karikehalli A. Dilip MD ,&nbsp;Anna Gleboff MPH, MS ,&nbsp;Ahmad Nazem MD ,&nbsp;Gary Randall Green MD ,&nbsp;Anton Cherney MD ,&nbsp;Charles J. Lutz MD","doi":"10.1016/j.atssr.2023.11.029","DOIUrl":"10.1016/j.atssr.2023.11.029","url":null,"abstract":"<div><h3>Background</h3><p>This study compares 2 minimally invasive coronary revascularization approaches: robot-assisted multivessel minimally invasive direct coronary artery bypass (MIDCAB) and the hybrid approach combining MIDCAB with subsequent percutaneous coronary intervention.</p></div><div><h3>Methods</h3><p>A retrospective review was conducted on cases of robotic MIDCAB performed at our institution between 2012 and 2022. Two groups of patients were analyzed: the surgery group (undergoing robotic multivessel MIDCAB) and the hybrid group. Surgical procedures included robotic left internal mammary artery harvest and anastomosis, with percutaneous coronary intervention performed within 30 days in the hybrid group.</p></div><div><h3>Results</h3><p>There were 105 patients in the surgery group and 81 patients in the hybrid group. Both groups had similar characteristics, except that the surgery group had older patients. There were no mortalities in either group. Postoperative atrial fibrillation rates were higher in the surgery group. Length of stay and other postoperative complications did not differ significantly between the groups.</p></div><div><h3>Conclusions</h3><p>Multivessel robotic MIDCAB can be safely performed with comparable outcomes to the hybrid approach. The hybrid technique, being less demanding, is the preferred in most centers. However, multivessel robotic MIDCAB offers the advantage of complete revascularization and potentially more durable results. Patients with complex non–left anterior descending lesions may not be suitable for the hybrid approach.</p></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772993123003832/pdfft?md5=974dec68e50bb695ba91d21cddd76101&pid=1-s2.0-S2772993123003832-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139023630","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":"Multimodality Imaging in the Management of a Circumflex Artery to Superior Vena Cava Fistula","authors":"David Bleetman FRCS (C-Th) ,&nbsp;Lily Kang MBBS ,&nbsp;Joshua De Bono MBBS ,&nbsp;Brian Cowie FANZCA ,&nbsp;Nicole Muir FANZCA ,&nbsp;Andrew Newcomb FRACS ,&nbsp;Jaishankar Raman FRACS","doi":"10.1016/j.atssr.2023.12.023","DOIUrl":"10.1016/j.atssr.2023.12.023","url":null,"abstract":"","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772993124000901/pdfft?md5=ed52b77c46bcfa7cc8f4a6b2bb6539bf&pid=1-s2.0-S2772993124000901-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139883554","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":"Clinical Outcomes After Mitral Valve Replacement With Epic and Mosaic Bioprosthetic Valves","authors":"Anton Tomšič MD, PhD ,&nbsp;Mateo Marin-Cuartas MD ,&nbsp;Manuela De La Cuesta MD ,&nbsp;Wolfgang Otto MSc ,&nbsp;Paul T. Bräuchle MD ,&nbsp;Bettina Pfannmüller MD, PhD ,&nbsp;Philipp Kiefer MD ,&nbsp;Martin Misfeld MD, PhD ,&nbsp;Sergey Leontyev MD, PhD ,&nbsp;Michael A. Borger MD, PhD ,&nbsp;Thilo Noack MD, PhD","doi":"10.1016/j.atssr.2023.11.032","DOIUrl":"10.1016/j.atssr.2023.11.032","url":null,"abstract":"<div><h3>Background</h3><p>Comparative studies of outcomes between different biological mitral valve prostheses are scarce. This study compares the late clinical results of valve replacement with the Epic and Mosaic bioprostheses.</p></div><div><h3>Methods</h3><p>Patients undergoing isolated elective mitral valve replacement (MVR) between 2005 and 2019 were eligible for inclusion. Primary outcomes were freedom from mitral valve reintervention and overall survival. Inverse probability of treatment weighting and competing risk analyses were performed.</p></div><div><h3>Results</h3><p>MVR was performed in 247 (73.7%) patients with the Epic prosthesis and in 88 (26.3%) patients with the Mosaic prosthesis. The median follow-up was 3 (interquartile range, 0.20-5.64) years. At 10 years postoperative, the estimated survival rates were 86.1% (95% CI, 80.5%-91.9%) and 73.5% (95% CI, 60.6%-89.3%) for the Epic and Mosaic groups, respectively (<em>P</em> = .40). On inverse probability of treatment weighted analysis, no significant intergroup difference was found (hazard ratio, 1.20; 95% CI, 0.54-2.66; <em>P</em> = .70]. At 10 years, the cumulative incidence functions of mitral valve reintervention with death as competing risk were 34.4% (95% CI, 32.7%-36.1%) and 17.6% (95% CI, 16.2%-18.9%) for the Epic and Mosaic groups, respectively. On multivariable Fine-Gray analysis, the type of implanted mitral valve prosthesis just failed to reach a statistically significant difference in mitral valve reintervention (hazard ratio, 0.43 for Mosaic valve; 95% CI, 0.18-1.06; <em>P</em> = .067). Structural valve deterioration was an uncommon indication for reintervention in the first 10 years postoperative.</p></div><div><h3>Conclusions</h3><p>Clinical results of MVR with the Epic or Mosaic prosthesis are satisfactory. Our results suggest that the Mosaic bioprosthesis might offer better freedom from reintervention.</p></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S277299312300387X/pdfft?md5=91c6b0b7484de2aaff6c63d3ba65e1f5&pid=1-s2.0-S277299312300387X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139019223","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":"Appendage Resection and Pulmonary Vein Isolation on Minimally Invasive Coronary Artery Bypass Graft","authors":"Hiroki Sakai MD ,&nbsp;Keita Kikuchi PhD ,&nbsp;Kaito Masuda MD ,&nbsp;Yoshun Sai MD ,&nbsp;Kunihiko Yoshino MD ,&nbsp;Joji Ito MD","doi":"10.1016/j.atssr.2023.11.022","DOIUrl":"10.1016/j.atssr.2023.11.022","url":null,"abstract":"<div><p>Minimally invasive coronary artery bypass grafting is becoming standardized; however, its small incision may result in a limited field of view. Challenges arise in performing left atrial appendage resection and pulmonary vein isolation from the same incision, whereas safety and feasibility are not well documented. Our report demonstrates safe achievement of left atrial appendage resection and pulmonary vein isolation from the same minimally invasive coronary artery bypass grafting wound site with a good surgical field of view. In addition, we present an intraoperative positional change technique for right-sided pulmonary vein isolation.</p></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772993123003765/pdfft?md5=71eec3646dcce19afa6238d4ba26cb0a&pid=1-s2.0-S2772993123003765-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139017911","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 Management of a Traumatic Mainstem Bronchus Avulsion","authors":"Jonathan B. Livezey, Caitlin E. Jones Sayyid, Daniel L. Miller","doi":"10.1016/j.atssr.2024.05.015","DOIUrl":"https://doi.org/10.1016/j.atssr.2024.05.015","url":null,"abstract":"","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141403256","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":"Treatment of Extreme Central Venous Occlusive Disease With Massive Esophageal Bleeding","authors":"Austin Schwartz BS ,&nbsp;Kody Wyant MD ,&nbsp;Manuel Rojo MD ,&nbsp;Jeffrey Schwartz MD","doi":"10.1016/j.atssr.2023.12.007","DOIUrl":"10.1016/j.atssr.2023.12.007","url":null,"abstract":"<div><p>Central venous occlusions are common in the population of dialysis patients and develop as a result of arteriovenous access. Whereas these patients most commonly present with edema and varicosities, a rare presentation is esophageal varices. Here we present the case of a young man with life-threatening esophageal hemorrhage as a result of central venous occlusions, successfully treated with an azygos vein to right atrial bypass.</p></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772993124000032/pdfft?md5=e1b981a1d7db0a50d43ef3a7f4055702&pid=1-s2.0-S2772993124000032-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139392585","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":"Extralobar Pulmonary Sequestration Diagnosed as a Mediastinal Tumor and Resected by Robotic Surgery","authors":"Harushi Ueno MD ,&nbsp;Hiroki Watanabe MD ,&nbsp;Shoji Okado MD ,&nbsp;Yuka Kadomatsu MD, PhD ,&nbsp;Taketo Kato MD, PhD ,&nbsp;Shota Nakamura MD, PhD ,&nbsp;Tetsuya Mizuno MD, PhD ,&nbsp;Toyofumi Fengshi Chen-Yoshikawa MD, PhD","doi":"10.1016/j.atssr.2024.01.009","DOIUrl":"10.1016/j.atssr.2024.01.009","url":null,"abstract":"<div><p>A 55-year-old woman with no significant medical history or symptoms was incidentally diagnosed with a mediastinal tumor during a routine health checkup. The intraoperative findings of robot-assisted thoracoscopic surgery led to the diagnosis of extralobar pulmonary sequestration (EPS), with multiple vessels connecting to the pulmonary artery and superior pulmonary vein. EPS, an extremely rare condition, is typically supplied with blood from the aorta. Whereas it is uncommon for blood to be supplied from the pulmonary artery and to drain into the pulmonary vein in EPS, it is safely excised through robot-assisted thoracoscopic surgery.</p></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772993124000937/pdfft?md5=c5345dccc1392b508aacf41d7bdee599&pid=1-s2.0-S2772993124000937-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139878800","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 Small Foley Balloons for Large Cardiac or Vascular Lacerations","authors":"Katsuhiko Oda MD, PhD ,&nbsp;Makoto Takahashi MD, PhD ,&nbsp;Naoya Terao MD, PhD ,&nbsp;Rina Akanuma MD ,&nbsp;Takahiko Hasegawa MD ,&nbsp;Masahiro Usuda MD, PhD ,&nbsp;Satoshi Kawatsu MD, PhD","doi":"10.1016/j.atssr.2023.12.017","DOIUrl":"10.1016/j.atssr.2023.12.017","url":null,"abstract":"<div><p>Foley balloons have been used to secure emergency hemostasis for cardiac or vascular injuries since the 1960s. However, using a single large balloon may have drawbacks, such as insufficient hemostasis and blood flow impairment. We have encountered 3 major intraoperative laceration cases since 2011. The laceration sites (lengths) were at the inferior vena cava (2.5 cm), main pulmonary artery (2 cm), and right ventricle (5 cm). We successfully managed these patients by using multiple small (10F-14F, half-inflated) Foley balloons. Using small Foley balloons may overcome the drawbacks of using 1 large balloon and effectively manage large lacerations.</p></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772993124000135/pdfft?md5=8ee38615fa36c9444ac6c794659ce161&pid=1-s2.0-S2772993124000135-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139540105","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}