Annals of thoracic surgery short reports最新文献

{"title":"Torsion of Pulmonary Sequestration","authors":"Yoshifumi Hirata MD , Kohei Hashimoto MD, PhD , Takahiro Tsuruta MD , Kazuharu Suda MD, PhD , Haruhiko Kondo MD, PhD","doi":"10.1016/j.atssr.2025.04.005","DOIUrl":"10.1016/j.atssr.2025.04.005","url":null,"abstract":"","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 726-727"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934192","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":"Skeletonized Handmade Valved Conduit: A Novel Approach for Transannular Repair in Absent Pulmonary Valve Syndrome","authors":"Hiroki Ito MD ,&nbsp;Keiichi Hirose MD, PhD ,&nbsp;Kisaburo Sakamoto MD ,&nbsp;Akio Ikai MD, PhD","doi":"10.1016/j.atssr.2025.01.023","DOIUrl":"10.1016/j.atssr.2025.01.023","url":null,"abstract":"<div><div>Absent pulmonary valve syndrome in neonates and infants presents challenges due to airway compression from dilated pulmonary arteries and limited anatomical space for right ventricular outflow tract (RVOT) reconstruction. This study introduces a half-skeletonized handmade valved conduit for transannular repair in a 6-month-old boy with absent pulmonary valve syndrome, trisomy 21, and laryngomalacia. The conduit, made from expanded polytetrafluoroethylene, provided effective RVOT reconstruction while minimizing airway obstruction. Postoperative imaging confirmed bronchial decompression, and echocardiography showed sustained valve function at 1 year. This technique addresses homograft limitations and may have broader applicability in congenital heart defects requiring RVOT reconstruction.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 676-678"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934193","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":"Ruptured Kommerell Diverticulum and Right-Sided Aortic Arch Treated Using a Non–Patient-Specific Custom-Made Triple Arch Branched Endograft","authors":"Michele Piazza MD ,&nbsp;Piero Battocchio MD ,&nbsp;Elda Chiara Colacchio MD","doi":"10.1016/j.atssr.2025.02.010","DOIUrl":"10.1016/j.atssr.2025.02.010","url":null,"abstract":"<div><div>We describe this unique case of a ruptured Kommerell diverticulum treated by adapting a stock-available triple-branched custom-made endograft, nonpatient specific, and bilateral carotid-to-subclavian bypass. The final angiography and the postoperative computed tomographic angiography showed the exclusion of the rupture with excellent endovascular geometric reconstruction and regular patency of all supra-aortic trunks. The patient was extubated on postoperative day 3, and the clinical course was uneventful. This report demonstrates that in extremely selected cases, the adaptation of a non–patient-specific custom-made branched device is feasible and may guarantee excellent results in emergency settings.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 583-586"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934180","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":"Left Ventricular Pseudoaneurysm After Sandwich Patch Repair via Right Ventriculotomy for Postinfarction Ventricular Septal Perforation","authors":"Satoru Tomita MD ,&nbsp;Naonori Kawamoto MD, PhD ,&nbsp;Satoshi Kainuma MD, PhD ,&nbsp;Kota Suzuki MD, PhD ,&nbsp;Takashi Kakuta MD, PhD ,&nbsp;Masaya Hirayama MD ,&nbsp;Satsuki Fukushima MD, PhD","doi":"10.1016/j.atssr.2025.02.013","DOIUrl":"10.1016/j.atssr.2025.02.013","url":null,"abstract":"<div><div>This report describes 2 rare cases of left ventricular pseudoaneurysm (LVPA) after sandwich patch repair through a right ventriculotomy for postinfarction ventricular septal perforation. The first case involved an 80-year-old man who experienced LVPA 8 months after undergoing the procedure. The second case involved a 63-year-old man with LVPA that was diagnosed incidentally 3 years postoperatively. In both cases, a large tear was observed along the previous anterior left ventricular wall suture line, and it indicated insufficient infarct exclusion at the patch repair site. Each patient successfully underwent patch repair.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 609-612"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144933111","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":"Double Autologous Pericardial Patch Reconstruction of Two-cusp Aortic Valve Endocarditis With Annular Abscess","authors":"David DeFazio MD ,&nbsp;Lawrence Wei MD ,&nbsp;Nathan Kister MD ,&nbsp;Luigi Lagazzi MD ,&nbsp;Nestor Dans MD ,&nbsp;Ali Darehzereshki MD ,&nbsp;Goya Raikar MD ,&nbsp;Vinay Badhwar MD ,&nbsp;J. Hunter Mehaffey MD","doi":"10.1016/j.atssr.2025.01.015","DOIUrl":"10.1016/j.atssr.2025.01.015","url":null,"abstract":"<div><div>Complex aortic valve infectious endocarditis in young people who inject drugs presents unique challenges, and the optimal method of aortic valve reconstruction remains controversial. We present a case of a 33-year-old man with active injection drug use with cardiogenic shock and severe aortic insufficiency secondary to acute <em>Staphylococcus xylosus</em> endocarditis. We performed double autologous pericardial patch reconstruction of 2-cusp aortic valve endocarditis with annular abscess. This case highlights that aortic valve repair with autologous pericardium may offer a durable solution without need for anticoagulation and low risk of reinfection in this challenging population.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 637-639"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934205","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":"Outcomes of Infant Cardiac Surgery Using Institutional vs Commercial Cardioplegia Solution: A Comparative Analysis","authors":"Sidhant Kalsotra MD ,&nbsp;Jianli Bi MD, PhD ,&nbsp;Mark Galantowicz MD ,&nbsp;Patrick McConnell MD ,&nbsp;Toshiharu Shinoka MD, PhD ,&nbsp;Isaac Kistler MS ,&nbsp;Sergio A. Carrillo MD","doi":"10.1016/j.atssr.2025.03.006","DOIUrl":"10.1016/j.atssr.2025.03.006","url":null,"abstract":"<div><h3>Background</h3><div>This study assessed postoperative outcomes by using markers of myocardial injury in infants who received del Nido vs institutional cardioplegia solution.</div></div><div><h3>Methods</h3><div>Eighty-five infants undergoing cardiac surgery were enrolled (del Nido, n = 45; institutional, n = 40). Primary outcomes included serum troponin I, creatine kinase myocardial band (CK-MB), and heart fatty acid–binding protein on cardiothoracic intensive care unit (CTICU) admission and at 6, 12, and 24 hours postoperatively. Secondary outcomes included vasoactive inotropic score, arrhythmias, ventricular ejection fraction, ventilation hours, CTICU hours, hospital length of stay, and mortality.</div></div><div><h3>Results</h3><div>Patients receiving del Nido cardioplegia solution were older (174 days vs 105 days) and had higher body weight (5.95 kg vs 5.05 kg). They received greater cardioplegia volume and had longer bypass times. The del Nido cohort showed higher initial postoperative troponin I (1.53 times at admission; <em>P</em> = .02) and CK-MB levels (1.61 times on admission; <em>P</em> = .01; 1.51 times at 6 hours; <em>P</em> = .03; 1.55 times at 12 hours; <em>P</em> = .02) before normalizing. No differences were found in heart fatty acid–binding protein levels. Median postoperative hospital length of stay (5 days vs 7 days; <em>P</em> = .2) and CTICU stay (45 hours vs 70 hours; <em>P</em> = .077) were shorter for patients receiving the del Nido cardioplegia, although this was not statistically significant. No differences were observed in arrhythmias, ventricular ejection fraction, intubation time, or vasoactive inotropic score. There was no in-hospital or 30-day mortality.</div></div><div><h3>Conclusions</h3><div>The del Nido cardioplegia was associated with higher initial postoperative troponin I and CK-MB levels in infant cardiac surgery patients. However, no significant clinical outcome differences were found between the 2 solutions.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 646-650"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934209","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":"Impact of Intraoperative C-arm 3D Imaging on the Diagnostic Yield of Robotic Shape-Sensing Navigation Transbronchial Biopsy","authors":"Tommaso Cambiaghi MD ,&nbsp;Samantha Sarlin MS ,&nbsp;Jose F. Santacruz MD ,&nbsp;Jared J. Lee MD ,&nbsp;Lisa Kopas MD ,&nbsp;Ray Chihara MD ,&nbsp;Min P. Kim MD","doi":"10.1016/j.atssr.2025.01.018","DOIUrl":"10.1016/j.atssr.2025.01.018","url":null,"abstract":"<div><h3>Background</h3><div>Robotic navigational bronchoscopy using shape-sensing technology aids in diagnosing suspicious nodules. It can be used with different imaging modalities to improve accuracy. We aimed to determine the impact of C-arm 3-dimensional (3D) imaging on the diagnostic yield.</div></div><div><h3>Methods</h3><div>In this single-center retrospective study, we assessed the accuracy of robotic navigation bronchoscopy-guided lung nodule biopsy by using C-arm 3D imaging. We collected demographic data, nodule imaging characteristics, procedural details, and pathology reports, analyzed patients with definitive diagnoses and those without, and followed up these patients for at least 1 year.</div></div><div><h3>Results</h3><div>The study included 95 patients (median age, 69 years; 52% female; 67% current or former smokers) who underwent robotic bronchoscopy with C-arm 3D imaging. The median nodule size was 1.70 cm (interquartile range, 1.18-2.40 cm). A total of 55 nodules (58%) were described as spiculated, with most located in the right upper lobe (34%) and right lower lobe (23%). One patient (1%) experienced pneumothorax on postprocedure chest radiography, and it was managed with serial chest roentgenograms without a chest tube. Diagnoses included malignant disease (n = 52; 55%), benign conditions (n = 25; 26%), and no definitive diagnosis (n = 18; 19%). Among those without a definitive diagnosis, 6 patients (6%) were later confirmed to have cancer after surgical resection, whereas 12 patients (13%) showed no malignancy at the 12-month follow-up, resulting in 94% diagnostic accuracy at 12 months.</div></div><div><h3>Conclusions</h3><div>Robotic shape-sensing navigation bronchoscopy combined with advanced C-arm 3D imaging yielded a high diagnostic accuracy with minimal complications. This approach is recommended for patients with suspicious lung nodules to enhance the diagnostic yield.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 699-703"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144933115","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":"Sublobar Resection in Stage I Lung Cancer With Tumor Spread Through Air Spaces","authors":"Andrea L. Axtell MD, MPH ,&nbsp;Brittany Walker BS ,&nbsp;Joshua R. Brady MD ,&nbsp;Jocelyn C. Zajac MD ,&nbsp;Daniel P. McCarthy MD, MBA ,&nbsp;James D. Maloney MD ,&nbsp;Malcolm M. DeCamp MD","doi":"10.1016/j.atssr.2025.01.010","DOIUrl":"10.1016/j.atssr.2025.01.010","url":null,"abstract":"<div><h3>Background</h3><div>Stage I lung cancer is increasingly being treated with sublobar resection. However, it is unknown whether patients with airspace invasion derive similar benefits. We therefore analyzed the association between tumor spread through air spaces (STAS) and survival.</div></div><div><h3>Methods</h3><div>A retrospective cohort analysis was conducted on 421 patients who underwent a lung cancer resection between 2018 and 2022 at an academic institution. Baseline characteristics were compared between patients who did and did not have STAS. Overall survival and disease recurrence were analyzed using Kaplan-Meier and Cox models.</div></div><div><h3>Results</h3><div>Of 421 patients who underwent lung cancer resection, 97 (23%) had STAS. There was no difference in STAS based on comorbidities or pulmonary function, however, patients with STAS were more likely to have higher pack-year smoking histories (47 vs 40 years, <em>P</em> = .041). Patients with STAS were more likely to have adenocarcinoma (91% vs 78%, <em>P</em> = .049), larger tumor size (2.6 vs 2.2 cm, <em>P</em> = .016), and lymphovascular invasion (46% vs 32%, <em>P</em> = .012). In patients with stage I disease, those with STAS who underwent sublobar resection had decreased overall survival compared with those without STAS (<em>P</em> = .042) or those who underwent lobectomy, regardless of the presence or absence of STAS. Five-year overall survival was 73% for stage I patients with STAS who underwent sublobar resection compared with 87% in patients without STAS, and 90% in patients without STAS who underwent lobectomy.</div></div><div><h3>Conclusions</h3><div>In patients with stage I disease, STAS is associated with decreased overall survival in patients who undergo sublobar resection; however, STAS does not affect overall survival after lobectomy.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 687-692"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144933113","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":"Extended Cervical Access for Cerebral Malperfusion in Acute Aortic Dissection in a Circulatory Unstable Patient","authors":"Étienne Fasolt Richard Corvin Meinert MD ,&nbsp;Rawa Arif MD ,&nbsp;Matthias Karck MD ,&nbsp;Bashar Dib MD","doi":"10.1016/j.atssr.2025.01.019","DOIUrl":"10.1016/j.atssr.2025.01.019","url":null,"abstract":"<div><div>A 63-year-old man who had acute aortic dissection type A with signs of cerebral malperfusion and hemodynamic instability underwent immediate carotid artery cannulation. A Bentall procedure and total arch repair with frozen elephant trunk implantation were performed with extended cervical access to address supraaortic vessel involvement. We demonstrate that prudent cannulation and repair strategies can be successful even in the most complicated cases of aortic dissection.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 580-582"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934177","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":"Gradual Oxygen Exposure During Coronary Bypass for Acute Myocardial Infarction: A Retrospective Cohort Study","authors":"Neil J. Thomas MD, MPH ,&nbsp;Arif Jivan MD, PhD ,&nbsp;Paul C. Connors MD, MBA","doi":"10.1016/j.atssr.2025.01.013","DOIUrl":"10.1016/j.atssr.2025.01.013","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to analyze the effect of venous vs arterial blood cardioplegia and gradual oxygen exposure during emergency bypass surgery for acute myocardial infarction (MI) and to determine its causal impact on mortality, ventricular function, readmission, and defibrillator requirement in consecutive patients.</div></div><div><h3>Methods</h3><div>This is a retrospective cohort study, reviewing the records of patients with acute MI brought directly to surgery during 8 years at a single center. Tabular analyses were undertaken, followed by logistic regression analysis adjusting for shock, preoperative left ventricular ejection fraction (LVEF), diabetic status, and status of ST-segment MI. Post-acute MI, post-surgery LVEF was analyzed in both groups.</div></div><div><h3>Results</h3><div>After screening of 113 charts, the analysis included 21 of 66 patients displaying hemodynamic instability or overt shock. Crude mortality was lower in treated vs control patients (2.4% vs 16%; risk ratio [RR], 0.15; 95% CI, 0.02-1.29; <em>P</em> = .049). If cardiogenic shock was present, mortality was (7.1% vs 42.9%; RR, 0.17; 95% CI, 0.018-0.98; <em>P</em> = .015). Readmission for heart failure was 12.2% vs 40.0% (RR, 0.30; 95% CI, 0.12-0.79; <em>P</em> = .009), and requirement for automatic implantable cardioverter-defibrillator was 4.9% vs 20% (RR, 0.24; 95% CI, 0.051-1.16; <em>P</em> =.053). Left ventricle functional profiles showed improvement in LVEF in the treated compared with the untreated patients (+9.5; 95% CI, +2.7-+16.3; <em>P</em> = .007).</div></div><div><h3>Conclusions</h3><div>Early, purposeful deoxygenated blood cardioplegia administration was safe and led to improved mortality, decreased readmission for any heart failure, the requirement for an implantable defibrillator, and better ventricular recovery.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 594-597"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934188","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}