Annals of thoracic surgery short reports最新文献_第3页

Preoperative Computed Tomography Virtual Simulation for HeartMate 3 Implantation in Small Children 为幼儿植入 HeartMate 3 进行术前计算机断层扫描虚拟模拟

Annals of thoracic surgery short reports Pub Date : 2024-09-01 DOI: 10.1016/j.atssr.2024.04.015

引用次数: 0

Secondary Esophageal Cancer After Hematopoietic Stem Cell Transplant: An Institutional Case Series 造血干细胞移植后的继发性食管癌：机构病例系列

Annals of thoracic surgery short reports Pub Date : 2024-09-01 DOI: 10.1016/j.atssr.2024.02.014

{"title":"Secondary Esophageal Cancer After Hematopoietic Stem Cell Transplant: An Institutional Case Series","authors":"","doi":"10.1016/j.atssr.2024.02.014","DOIUrl":"10.1016/j.atssr.2024.02.014","url":null,"abstract":"<div><h3>Background</h3><p>Development of secondary esophageal cancer after hematopoietic stem cell transplantation has been described; however, there is little consensus on treatment and surveillance for these patients. The objective of this study was to describe our experience treating patients with secondary esophageal cancer.</p></div><div><h3>Methods</h3><p>A retrospective chart review of prospectively collected data was performed to identify patients who underwent hematopoietic stem cell transplantation from 1997 to 2012 and in whom esophageal cancer developed later.</p></div><div><h3>Results</h3><p>A total of 5066 patients underwent hematopoietic stem cell transplantation, and esophageal cancer developed in 11 (0.2%) of these patients. The median time to diagnosis of esophageal cancer after hematopoietic stem cell transplantation was 11 years (interquartile range, 8.5 to 14 years). Four patients received a diagnosis of stage III or IV disease. Seven patients underwent esophagectomy, 6 patients after neoadjuvant treatment. Three patients experienced adverse events postoperatively, all grades II and IIIa. Two surgical patients died of distant recurrence 2 years and 3 years, respectively, after their esophageal cancer diagnosis. The other 5 surgical patients have not experienced recurrence of their esophageal cancer.</p></div><div><h3>Conclusions</h3><p>For patients with secondary esophageal cancer, esophagectomy after neoadjuvant treatment has acceptable morbidity and may be a viable option for this cohort.</p></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772993124001177/pdfft?md5=19fde843b6108b56b2c8bf9ce5dd8da3&pid=1-s2.0-S2772993124001177-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140274941","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}

引用次数: 0

Optimum Timing of Tracheostomy After Cardiac Operation: Descriptive Claims Database Study 心脏手术后气管切开的最佳时机：描述性索赔数据库研究

Annals of thoracic surgery short reports Pub Date : 2024-09-01 DOI: 10.1016/j.atssr.2024.04.029

{"title":"Optimum Timing of Tracheostomy After Cardiac Operation: Descriptive Claims Database Study","authors":"","doi":"10.1016/j.atssr.2024.04.029","DOIUrl":"10.1016/j.atssr.2024.04.029","url":null,"abstract":"<div><h3>Background</h3><p>Suitable tracheostomy timing after cardiac operation remains controversial; hence, this study compared the effectiveness of early and late tracheostomy after cardiac operation.</p></div><div><h3>Methods</h3><p>By using the nationwide administrative claims database in Japan, patients who underwent cardiac operation between April 2010 and March 2020 were identified and included in this study. In-hospital mortality, incidence of deep sternal wound infection, and ventilator-free days were analyzed and compared by dividing patients into 2 groups: an early group (patients who underwent tracheostomy 1-14 days postoperatively) and a late group (patients who underwent tracheostomy 15-30 days postoperatively). Baseline characteristics were adjusted by propensity score weighting.</p></div><div><h3>Results</h3><p>Of 1240 patients who underwent cardiac operation and postoperative tracheostomy, 784 were included in the main analysis cohort. As the number of days between the operation and tracheostomy increased, in-hospital mortality increased, whereas ventilator-free days decreased. The early and late groups comprised 284 and 326 patients, respectively. After adjustment of baseline characteristics, the in-hospital mortality (odds ratio, 0.65; 95% CI, 0.46-0.91; <em>P</em> = .01) was lower in the early group than in the late group, the incidence of deep sternal wound infection (odds ratio, 0.59; 95% CI, 0.23-1.52; <em>P</em> = .27) was not significantly different between the 2 groups, and the early group had more ventilator-free days compared with the late group (mean difference, 5.1; 95% CI, 3.6-6.5; <em>P</em> < .001).</p></div><div><h3>Conclusions</h3><p>Early tracheostomy may be considered in patients expected to require prolonged ventilation.</p></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772993124002134/pdfft?md5=1b3554c2bd274a8e02ee0c198dc9bc5d&pid=1-s2.0-S2772993124002134-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141130656","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}

引用次数: 0

Impella 5.5 Placement Across Evolut FX Transcatheter Aortic Valve: Balloon-Assisted Procedure 通过 Evolut FX 经导管主动脉瓣置入 Impella 5.5：球囊辅助手术

Annals of thoracic surgery short reports Pub Date : 2024-09-01 DOI: 10.1016/j.atssr.2024.01.006

引用次数: 0

Adult Plastic Bronchitis: A Rare Cause for Chronic Productive Cough 成人塑料支气管炎：慢性癌性咳嗽的罕见病因

Annals of thoracic surgery short reports Pub Date : 2024-09-01 DOI: 10.1016/j.atssr.2024.02.011

引用次数: 0

Atrial Septal Defect Occluder-Induced Left Atrial Injury: A Paradoxical Source of Embolic Strokes 房室隔缺损封堵器诱发的左心房损伤：栓塞性脑卒中的矛盾来源

Annals of thoracic surgery short reports Pub Date : 2024-09-01 DOI: 10.1016/j.atssr.2024.01.015

引用次数: 0

Adjuvant Chemotherapy After Neoadjuvant Therapy and Surgery for Non-Small Cell Lung Cancer 非小细胞肺癌新辅助治疗和手术后的辅助化疗

Annals of thoracic surgery short reports Pub Date : 2024-09-01 DOI: 10.1016/j.atssr.2024.04.033

{"title":"Adjuvant Chemotherapy After Neoadjuvant Therapy and Surgery for Non-Small Cell Lung Cancer","authors":"","doi":"10.1016/j.atssr.2024.04.033","DOIUrl":"10.1016/j.atssr.2024.04.033","url":null,"abstract":"<div><h3>Background</h3><p>There is a dearth of data on outcomes of postoperative chemotherapy after neoadjuvant therapy followed by surgery in patients with locally advanced non-small cell lung cancer (NSCLC). The objective of this study was to compare survival outcomes in patients who did and did not receive adjuvant chemotherapy.</p></div><div><h3>Methods</h3><p>A retrospective chart review was performed using our multicenter database to identify patients who received neoadjuvant therapy followed by surgery for clinical T3 N0 or N1-N2 resectable NSCLC between 2009 and 2016. Survival outcomes were analyzed with the Kaplan-Meier method and a Cox proportional hazards model. Propensity score matching (PSM) was used to control for selection bias in evaluation of overall survival (OS) and recurrence-free survival (RFS) by matching age, sex, smoking history, Charlson Comorbidity Index, histologic type, and pathologic nodal status and stage.</p></div><div><h3>Results</h3><p>The participants were 156 patients with a median age of 65 years. The median RFS of the whole cohort was 66.3 months; OS was not reached. Before PSM, patients receiving adjuvant chemotherapy had significantly shorter RFS (hazard ratio [HR], 1.79; 95% CI, 1.13-2.82) and showed a trend for shorter OS (HR, 1.37; 95% CI, 0.78-2.39). After PSM, 50 patients were used for comparison in each group, and those receiving adjuvant chemotherapy did not have a more favorable RFS (HR, 1.33; 95% CI, 0.75-2.34) or OS (HR, 1.25; 95% CI, 0.62-2.51).</p></div><div><h3>Conclusions</h3><p>Adjuvant chemotherapy was not associated with favorable survival outcomes in patients treated with surgery after neoadjuvant therapy for locally advanced NSCLC.</p></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772993124002171/pdfft?md5=9982cb6d27063427ff836f70603c302b&pid=1-s2.0-S2772993124002171-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142129555","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}

引用次数: 0

Norwood Procedure for Hypoplastic Left Heart With Anomalous Coronary Artery From Pulmonary Trunk 诺伍德手术治疗左心发育不良伴肺动脉干冠状动脉异常

Annals of thoracic surgery short reports Pub Date : 2024-09-01 DOI: 10.1016/j.atssr.2024.03.011

引用次数: 0

Pulmonary Artery Vasa Vasorum Damage in Severe COVID-19–Induced Pulmonary Fibrosis 严重 COVID-19 诱导的肺纤维化中的肺动脉血管损伤

Annals of thoracic surgery short reports Pub Date : 2024-09-01 DOI: 10.1016/j.atssr.2023.12.019

{"title":"Pulmonary Artery Vasa Vasorum Damage in Severe COVID-19–Induced Pulmonary Fibrosis","authors":"","doi":"10.1016/j.atssr.2023.12.019","DOIUrl":"10.1016/j.atssr.2023.12.019","url":null,"abstract":"<div><h3>Background</h3><p>COVID-19 patients exhibit higher incidence of thrombosis in arteries and veins, including those in lungs. Vasa vasorum, which support large blood vessels, have shown involvement in these pathologic processes.</p></div><div><h3>Methods</h3><p>To further explore the extent of microvascular damage caused by COVID-19 infection, we examined resected main, right, or left pulmonary artery specimens from patients undergoing bilateral lung transplantation for COVID-19– or non–COVID-19–induced pulmonary fibrosis compared with organ donors by histologic and immunohistologic analyses.</p></div><div><h3>Results</h3><p>Vasa vasorum density was found to be higher in specimens procured from patients with COVID-19 and associated with pulmonary artery hypertension compared with lung transplant donors. In addition, we found immunothrombosis within vasa vasorum in specimens from COVID-19 patients with more immune infiltration, including CD15<sup>+</sup>, CD44<sup>+</sup>, and CD68<sup>+</sup> cells.</p></div><div><h3>Conclusions</h3><p>These findings reveal that COVID-19 affects the vasa vasorum of pulmonary arteries and suggest that infection may lead to large-vessel dysfunction and organ failure.</p></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772993124000780/pdfft?md5=94317d401d69ccc6acbb5cb6eb37ce9a&pid=1-s2.0-S2772993124000780-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139631773","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}

引用次数: 0

Modified Damus-Kaye-Stansel Anastomosis to Prevent Coronary Obstruction Between the Great Arteries 防止大动脉间冠状动脉阻塞的改良达穆斯-凯-斯坦塞勒吻合术

Annals of thoracic surgery short reports Pub Date : 2024-09-01 DOI: 10.1016/j.atssr.2024.01.017

引用次数: 0