Adrian Acuna Higaki BS , Irbaz Hameed MD , Ely Erez MD , Kevin G. Hu BS , Sem Asmelash BS , Devina Chatterjee BS , Benjamin Shou BS , Mohammad Zafar MBBS , Roland Assi MD, MMS , Prashanth Vallabhajosyula MD, MS
{"title":"Endovascular Repair vs Medical Therapy for Uncomplicated Acute Type B Dissection: Aortic Remodeling","authors":"Adrian Acuna Higaki BS , Irbaz Hameed MD , Ely Erez MD , Kevin G. Hu BS , Sem Asmelash BS , Devina Chatterjee BS , Benjamin Shou BS , Mohammad Zafar MBBS , Roland Assi MD, MMS , Prashanth Vallabhajosyula MD, MS","doi":"10.1016/j.atssr.2025.01.012","DOIUrl":"10.1016/j.atssr.2025.01.012","url":null,"abstract":"<div><h3>Background</h3><div>The optimal initial management for uncomplicated acute type B aortic dissection (uATBAD) remains unclear. We evaluated 1-year aortic remodeling and clinical outcomes of thoracic endovascular aortic repair (TEVAR) vs exclusively optimal medical therapy for uATBAD.</div></div><div><h3>Methods</h3><div>Patients with uATBAD were retrospectively grouped by initial treatment modality, with 52 patients treated with TEVAR and 142 with optimal medical therapy. Clinical outcomes and aortic remodeling were compared at presentation and 1-year follow-up. Aortic remodeling parameters, including change in true lumen diameter, full lumen diameter, and true lumen index, and extent of false lumen thrombosis were assessed at 12 thoracoabdominal levels and compared between treatment groups.</div></div><div><h3>Results</h3><div>TEVAR had lower 30-day/in-hospital mortality than optimal medical therapy (0% vs 11.3%; <em>P</em> < .01). Reintervention rates did not differ between groups (<em>P</em> > .05). Thirty-one TEVAR and 42 optimal medical therapy patients were included in remodeling analysis with a median follow-up of 6.9 months (interquartile range, 3.6-10.8 months). Change in true lumen diameter and true lumen index was greater in TEVAR than in optimal medical therapy from left subclavian artery to the diaphragm (<em>P</em> < .001). Change in full lumen diameter showed no difference between groups except at the superior mesenteric artery (<em>P</em> = .04). At the thoracic aortic levels, TEVAR showed significant shift toward full false lumen thrombosis (<em>P</em> < .001).</div></div><div><h3>Conclusions</h3><div>TEVAR was associated with favorable aortic remodeling as well as short-term and midterm outcomes compared with optimal medical therapy in patients with uATBAD. The positive remodeling is more pronounced at thoracic aortic levels.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 555-560"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144933119","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}
Muath Bishawi MD, PhD , Christopher Jensen MD , Andrew Vekstein MD , Andrzej S. Kosinski PhD , Fred L. Grover MD , J. Kevin Harrison MD , Vinod H. Thourani MD , Ajay J. Kirtane MD , Joseph E. Bavaria MD , Sreekanth Vemulapalli MD , G. Chad Hughes MD
{"title":"Influence of Failure to Rescue on Mortality After Transcatheter Aortic Valve Replacement","authors":"Muath Bishawi MD, PhD , Christopher Jensen MD , Andrew Vekstein MD , Andrzej S. Kosinski PhD , Fred L. Grover MD , J. Kevin Harrison MD , Vinod H. Thourani MD , Ajay J. Kirtane MD , Joseph E. Bavaria MD , Sreekanth Vemulapalli MD , G. Chad Hughes MD","doi":"10.1016/j.atssr.2025.03.011","DOIUrl":"10.1016/j.atssr.2025.03.011","url":null,"abstract":"<div><h3>Background</h3><div>Mortality after transcatheter aortic valve replacement (TAVR) varies among centers. “Failure to rescue” (FTR) patients from post-TAVR complications may represent an unexplored opportunity for TAVR process improvement.</div></div><div><h3>Methods</h3><div>The Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy registry was queried for patients undergoing transfemoral TAVR between 2011 and 2016. Hospital FTR rate was derived from the ratio of observed-to-expected procedural mortality. Multivariable logistic regression models assessed the association between FTR and hospital mortality. Adjusted FTR rates were compared across tertiles of hospital mortality.</div></div><div><h3>Results</h3><div>The analysis included 61,804 patients (429 sites). Post-TAVR mortality at low-, middle-, and high-mortality hospitals was 1.8%, 3.3%, and 5.6% (<em>P</em> < .01), respectively. Risk-adjusted complication rates differed only slightly between tertiles (22.2% vs 24.5% vs 27.0%, <em>P</em> < .001). However, adjusted FTR rates were significantly worse in high- and medium-mortality hospitals than in low-mortality centers (14.6% vs 9.5% vs 5.4%, <em>P</em> < .001). This was true for all investigated complications, including conversion to open surgery (high-mortality: odds ratio [OR], 9.04 [95% CI, 4.12-19.83], <em>P</em> < .001; medium-mortality: OR 2.99 [95% CI, 1.48-6.07], <em>P</em> < .003), stroke (high-mortality: OR, 3.15 [95% CI, 1.97-5.04], <em>P</em> < .001; medium-mortality: OR, 1.67 [95% CI, 1.05-2.67], <em>P</em> < .032), and cardiac arrest (high-mortality: OR, 3.54 [95% CI, 2.57-4.87], <em>P</em> < .001; medium-mortality: OR, 1.67 [95% CI, 1.24-2.24], <em>P</em> < .001).</div></div><div><h3>Conclusions</h3><div>National TAVR mortality rates vary significantly across centers, despite comparable rates of postoperative complications. Patients at medium- and high-mortality centers face a disproportionately higher risk of death due to FTR. These findings highlight the need for a closer evaluation of post-TAVR care processes to address this disparity.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 617-623"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934171","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}
Nataly Montano Vargas ScM , Danielle M. Mullis BS , Matthew Wingo MD , Alyssa C. Garrison MS , T. Robert Feng MD , John W. MacArthur MD
{"title":"Anaortic Coronary Artery Bypass Grafting After Cardiovascular Collapse From Severe Syphilitic Aortitis With Coronary Obstruction","authors":"Nataly Montano Vargas ScM , Danielle M. Mullis BS , Matthew Wingo MD , Alyssa C. Garrison MS , T. Robert Feng MD , John W. MacArthur MD","doi":"10.1016/j.atssr.2025.01.005","DOIUrl":"10.1016/j.atssr.2025.01.005","url":null,"abstract":"<div><div>This case report describes the rare case of cardiovascular collapse and coronary ostial stenosis secondary to syphilitic aortitis in a previously healthy 47-year-old woman. To avoid manipulation of a vasculitic aorta, anaortic coronary artery bypass grafting was performed. Syphilitic aortitis with coronary occlusive disease is rare since the advent of antibiotics, but this case report highlights the importance of including syphilitic aortitis on the differential diagnosis for coronary artery lesions.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 576-579"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934176","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}
Megan White MD , Kimberly O’Brien BS , Katy Marino MD , Jason Muesse MD , Emre Vural MD
{"title":"Sinking Stones and Fluorescent Undertones: Intraoperative Parathyroid Identification Technique","authors":"Megan White MD , Kimberly O’Brien BS , Katy Marino MD , Jason Muesse MD , Emre Vural MD","doi":"10.1016/j.atssr.2025.03.003","DOIUrl":"10.1016/j.atssr.2025.03.003","url":null,"abstract":"<div><div>Ectopic parathyroids account for 6% to 16% of primary hyperparathyroidism cases, which are definitively managed with surgical resection. Preoperative localization techniques, including ultrasonography, technetium-99m sestamibi scintigraphy, and single-photon emission computed tomography, are well-described but far fewer intraoperative localization techniques within the mediastinum are described. We present a 3-pronged approach to intraoperative ectopic parathyroid localization in a 66-year-old woman referred after preoperative technetium-99m sestamibi scintigraphy demonstrated anterior mediastinal uptake. Intraoperatively, the adenoma was identified with intravenous administration of indocyanine green, a delta parathyroid hormone assay >50%, and a postresection qualitative densitometry test. This method mitigates unnecessary dissection and reduces operative time.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 746-748"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934198","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}
Armita Kabirpour MD , J. Ross Wheeler MD , Jerry Saunders MD , Sara Edwards MD , Solomon Bienstock MD , Mary B. Beasley MD , Robin Varghese MD
{"title":"Atrial Mass in Pregnancy: A Rare Case of Intracardiac Ectopic Liver","authors":"Armita Kabirpour MD , J. Ross Wheeler MD , Jerry Saunders MD , Sara Edwards MD , Solomon Bienstock MD , Mary B. Beasley MD , Robin Varghese MD","doi":"10.1016/j.atssr.2025.02.006","DOIUrl":"10.1016/j.atssr.2025.02.006","url":null,"abstract":"<div><div>We report a case of a 41-year-old female who was found to have a 2.7-cm right atrial mass during the third trimester of her pregnancy. She underwent successful surgical resection 4 months after an uneventful delivery. Pathologic examination revealed an ectopic liver, a remarkably rare finding in this anatomic location. The potential for malignant transformation, embolization, obstruction and the need for histologic diagnosis necessitated surgical removal of the intracardiac ectopic liver. We discuss the role of cardiovascular imaging and considerations for surgical planning. In addition, we review the hormonal alterations during pregnancy that may promote growth of hepatic tissue.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 629-632"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934203","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":"Posterior Mediastinal Chordoma Resected With Anterior Thoracic Vertebral Body Through Prone Bilateral Thoracic Approaches","authors":"Risa Kuboi MD , Hiroaki Harada MD, PhD , Koichi Akayama MD, PhD , Yuki Fujioka MD, PhD , Takuya Hattori MD, PhD , Hideki Tomiyoshi MD , Hiroshi Kondo MD , Hideaki Imada MD, PhD , Satoshi Shibata MD, PhD","doi":"10.1016/j.atssr.2025.03.015","DOIUrl":"10.1016/j.atssr.2025.03.015","url":null,"abstract":"<div><div>Chordomas, rare malignant bone tumors originating from the residual embryonic notochord with a high propensity for local recurrence, require complete resection along with surrounding tissue removal. We report a case of an 18-year-old woman with a chordoma invading the sixth thoracic vertebral body. Because the descending aorta was present along the resection line, tumor resection with partial vertebrectomy was performed using a bilateral thoracic approach with the patient in the prone position. Fifteen months postoperatively, the patient remained recurrence free. This novel surgical approach enabled safe resection without injuring the descending aorta, thus highlighting its potential applicability for complex chordomas involving the thoracic spine.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 757-760"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934337","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}
Justin C.Y. Chan MD, MPhil , Travis C. Geraci MD , Luis F. Angel MD , Stephanie H. Chang MD, MSCI
{"title":"Redo Lung Transplantation After Heart-lung Transplantation","authors":"Justin C.Y. Chan MD, MPhil , Travis C. Geraci MD , Luis F. Angel MD , Stephanie H. Chang MD, MSCI","doi":"10.1016/j.atssr.2025.03.008","DOIUrl":"10.1016/j.atssr.2025.03.008","url":null,"abstract":"<div><div>We describe the case of a 36-year-old woman who underwent redo lung transplantation AFTER a heart-lung transplant 3.5 years prior. The retransplantation was performed through sequential left posterolateral thoracotomy followed by right anterior thoracotomy, without sternal division and without the use of extracorporeal membrane oxygenation or cardiopulmonary bypass support. The patient was found to have undergone an extensive pericardiectomy at the time of the initial heart-lung transplant. The patient recovered uneventfully and complete healing of the airway anastomosis was demonstrated. This novel technique avoids some potential pitfalls of redo lung transplantation after heart-lung transplant.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 780-783"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934343","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}
Taylor Pickering DO , John Eisenga MD , Cody Dorton DO , Kyle McCullough MD , Jasjit Banwait PhD , Jenelle Sheasby MSN , J. Michael DiMaio MD , Aasim Afzal MD , Timothy J. George MD
{"title":"Preoperative Extracorporeal Membrane Oxygenation as a Bridge to Cardiac Surgery: Outcomes and Challenges","authors":"Taylor Pickering DO , John Eisenga MD , Cody Dorton DO , Kyle McCullough MD , Jasjit Banwait PhD , Jenelle Sheasby MSN , J. Michael DiMaio MD , Aasim Afzal MD , Timothy J. George MD","doi":"10.1016/j.atssr.2025.02.015","DOIUrl":"10.1016/j.atssr.2025.02.015","url":null,"abstract":"<div><h3>Background</h3><div>Outcomes of postcardiotomy extracorporeal membrane oxygenation (ECMO) are well studied, but preoperative ECMO bridging is less studied. This single-center review evaluates outcomes of patients supported with ECMO as a bridge to definitive cardiac surgery.</div></div><div><h3>Methods</h3><div>We retrospectively reviewed all patients who underwent ECMO as a bridge to cardiac surgery between 2013 and 2024. Patients decannulated before surgery or bridged to advanced heart failure therapies were excluded. The primary outcome was survival to hospital discharge. Secondary outcomes included survival to ECMO decannulation, total ECMO duration, and postoperative complications such as hemodialysis, tracheostomy, stroke, reoperation, and survival at 30 days and 1 year.</div></div><div><h3>Results</h3><div>Sixteen patients were analyzed, of whom 15 (94%) were cannulated for acute heart failure, 1 (6%) for respiratory failure, and 2 (13%) as an adjunct to cardiopulmonary resuscitation. The cohort was 56% female, with a median age of 59.5 years (interquartile range [IQR], 49.3-65.8 years). Surgical procedures included valve surgery (63%), ventricular septal defect repair (31%), and coronary artery bypass grafting (6%). The median ECMO duration was 7 days [IQR, 4-10.5 days]. Survival to decannulation occurred in 81.3%, and 50% survived through hospital discharge. Survivors had lower rates of postoperative dialysis (37.5% vs 87.5%; <em>P</em> = .04) but a longer length of stay (25 days vs 9.5 days; <em>P</em> = .01).</div></div><div><h3>Conclusions</h3><div>Preoperative ECMO as a bridge to cardiac surgery is a viable strategy for select high-risk patients, with acceptable survival rates. Larger multicenter studies are needed to refine patient selection and optimize management strategies.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 772-776"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934341","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}
Anand Maligireddy MD , Ahmad Jabri MD , Chaitanya Rojulpote MD , Laith Alhuneafat MD , Herbert Aronow MD, MPH , Jonathan Haft MD , Pedro Villablanca MD , Rana Awdish MD, MS , Bryan Kelly DO , Domingo Franco-Palacios MD , Farhan Nasser MD , Gillian Grafton DO , Hassan Nemeh MD , Kyle Miletic MD , Lisa Allenspach MD , Vikas Aggarwal MD, MPH
{"title":"Lung Transplantation With Elevated Pulmonary Vascular Resistance: Insights From the United Network for Organ Sharing Database","authors":"Anand Maligireddy MD , Ahmad Jabri MD , Chaitanya Rojulpote MD , Laith Alhuneafat MD , Herbert Aronow MD, MPH , Jonathan Haft MD , Pedro Villablanca MD , Rana Awdish MD, MS , Bryan Kelly DO , Domingo Franco-Palacios MD , Farhan Nasser MD , Gillian Grafton DO , Hassan Nemeh MD , Kyle Miletic MD , Lisa Allenspach MD , Vikas Aggarwal MD, MPH","doi":"10.1016/j.atssr.2025.01.022","DOIUrl":"10.1016/j.atssr.2025.01.022","url":null,"abstract":"<div><h3>Background</h3><div>Pulmonary hypertension is a significant challenge in patients requiring a lung transplant, often being manifested with severe complications such as high pulmonary vascular resistance (PVR). Although medical treatments have extended median survival, pulmonary hypertension remains a progressive and life-threatening condition. Lung transplantation offers potential for improved outcomes, supported by advancements in surgical techniques, donor lung preservation, immunosuppression, and posttransplantation care.</div></div><div><h3>Methods</h3><div>Using the United Network for Organ Sharing database, we analyzed adult patients undergoing double lung transplantation from October 1, 2002, to September 30, 2022. Our focus was on patients with elevated PVR (≥6 Wood units), with or without underlying lung parenchymal disease. Trends in transplantation, survival rates, and impact of center volume on outcomes were examined.</div></div><div><h3>Results</h3><div>Of 24,921 double lung transplant recipients, 2755 patients had PVR ≥6 Wood units. There was a significant upward trend in annual procedures, with increased use of extracorporeal support during surgery. Higher volume centers (performing >33 transplants annually) demonstrated better survival rates. Elevated PVR was independently associated with higher mortality, highlighting its importance in patient selection and management.</div></div><div><h3>Conclusions</h3><div>Lung transplantation remains a critical option for patients with end-stage lung disease, including those with high PVR. Improved outcomes at high-volume centers underscore the importance of institutional experience and expertise.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 784-790"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934344","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}
Hiroshi Kagawa MD , Benjamin Silvester MS , Douglas Smego MD , Vikas Sharma MD , Matthew Goodwin MD , Andrea Steely MD , Jason Glotzbach MD , Sara Pereira MD , Craig Selzman MD
{"title":"Surgical Therapy for Pulmonary Artery Aneurysm","authors":"Hiroshi Kagawa MD , Benjamin Silvester MS , Douglas Smego MD , Vikas Sharma MD , Matthew Goodwin MD , Andrea Steely MD , Jason Glotzbach MD , Sara Pereira MD , Craig Selzman MD","doi":"10.1016/j.atssr.2025.01.009","DOIUrl":"10.1016/j.atssr.2025.01.009","url":null,"abstract":"<div><h3>Background</h3><div>Pulmonary artery aneurysm is a rare disease, with only limited reports available in the literature and no current guidelines for management. In this study, we report the course of patients with pulmonary artery aneurysms that were repaired surgically. We also discuss the surgical indication for and management of pulmonary artery aneurysm.</div></div><div><h3>Methods</h3><div>This report describes a retrospective study in our institution (University of Utah School of Medicine, Salt Lake City, UT). We included patients who underwent pulmonary artery aneurysm repair from 2010 to 2024. We collected preoperative and surgical information on these patients retrospectively by reviewing their charts.</div></div><div><h3>Results</h3><div>A total of 11 patients underwent pulmonary artery aneurysm repair during this period. The aneurysm extended to branches in 7 patients. Pulmonary valve involvement was seen in 9 patients. Pulmonary hypertension was noted in 5 of 8 patients. Seven patients underwent graft replacement, 3 patients underwent aneurysmorrhaphy, and 1 patient underwent double-lung transplantation. Only 1 of the 11 patients died.</div></div><div><h3>Conclusions</h3><div>Given that there is no guideline for the management of pulmonary artery aneurysm, a surgical indication needs to be considered on a case-by-case basis. If the risks of surgery are thought to outweigh the benefits, conservative management is also an option even if the pulmonary artery diameter is greater than 55 mm. Surgical repair of pulmonary artery aneurysm, including graft replacement and aneurysmorrhaphy, can be performed safely. Replacement with a Dacron graft is the most common and feasible approach.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 561-565"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934173","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}