Annals of thoracic surgery short reports最新文献

{"title":"Maintaining Surgical Principles While Transitioning From Multiport to Single-port Robotic Thymectomy","authors":"Claire Perez MD ,&nbsp;Lucas Weiser MD ,&nbsp;Drew Bolster MD ,&nbsp;Allen Razavi MD ,&nbsp;Charles Fuller ,&nbsp;Sevannah Soukiasian ,&nbsp;Kellie Knabe MSN ,&nbsp;Raffaele Rocco MD ,&nbsp;Harmik J. Soukiasian MD ,&nbsp;Andrew R. Brownlee MD","doi":"10.1016/j.atssr.2025.02.003","DOIUrl":"10.1016/j.atssr.2025.02.003","url":null,"abstract":"<div><div>Thymectomy is a treatment option for new-onset or treatment-resistant myasthenia gravis in patients with muscle-type acetylcholine receptor autoantibodies, and it is the standard treatment of early-stage thymomas. However, patients with severe forms, particularly those with titin and ryanodine receptor antibodies, may require long-term immunosuppressive therapy instead. The optimal approach to thymectomy remains debated, with minimally invasive techniques like video-assisted and robot-assisted thoracoscopic surgery offering better perioperative outcomes. Single-port robot-assisted thymectomy has emerged as a safe alternative, allowing a single subxiphoid incision and affording the inherent benefits of the robotic platform. This study describes our approach to single-port robot-assisted thymectomy using a subxiphoid incision.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 769-771"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934340","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":"Cardiac Magnetic Resonance Imaging in the Evaluation and Management of Scimitar Syndrome","authors":"Alee N. Pettit BS, BA ,&nbsp;Constantine D. Mavroudis MD, MSc ,&nbsp;Christopher Penney MSc ,&nbsp;Ari Gartenberg MD ,&nbsp;Mark A. Fogel MD ,&nbsp;Danish Vaiyani MD ,&nbsp;Ryan Callahan MD ,&nbsp;Kevin K. Whitehead MD, PhD ,&nbsp;Matthew A. Harris MD","doi":"10.1016/j.atssr.2025.01.017","DOIUrl":"10.1016/j.atssr.2025.01.017","url":null,"abstract":"<div><h3>Background</h3><div>Scimitar syndrome (ScS) features a partial anomalous pulmonary venous connection to the inferior vena cava, with possible septal defects, right lung hypoplasia, and aortopulmonary collaterals. We hypothesize that cardiac magnetic resonance imaging measurements can elucidate ScS physiology and guide surgical decisions.</div></div><div><h3>Methods</h3><div>This retrospective cohort study included 26 patients diagnosed with ScS from 2011 to 2022 at Children’s Hospital of Philadelphia. Patients with single-ventricle physiology were excluded. Medical records were reviewed for patient characteristics and cardiac magnetic resonance imaging data.</div></div><div><h3>Results</h3><div>Indexed right ventricular end-diastolic volume (RVEDV) (<em>P</em> = .007) and indexed total shunt volume (<em>P</em> = .029) were significantly greater in the surgical group vs the nonsurgical group. Total shunt volume had a moderate effect (0.43), and RVEDV had a large effect (0.55) on surgery.</div></div><div><h3>Conclusions</h3><div>These cardiac magnetic resonance imaging-derived measurements demonstrate that patients with surgically corrected ScS had a higher total pulmonary blood flow, total systemic blood flow, and significantly greater RVEDVs and total shunt volumes. RVEDV had the largest effect on surgery. These data mark a primary step in developing diagnostic criteria for ScS surgery referral using cardiac magnetic resonance imaging-derived measurements. Further research is needed to determine clinical cutoffs.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 663-667"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144933108","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":"Resection of Lung Cancer After COVID-19 in a Patient With Severe Chronic Obstructive Pulmonary Disease","authors":"Shumpei Kato MD ,&nbsp;Takashi Sakai MD, PhD ,&nbsp;Megumi Kusano MD ,&nbsp;Satoshi Koezuka MD, PhD ,&nbsp;Yoko Azuma MD, PhD ,&nbsp;Akira Iyoda MD, PhD","doi":"10.1016/j.atssr.2025.02.004","DOIUrl":"10.1016/j.atssr.2025.02.004","url":null,"abstract":"<div><div>Evidence regarding the safety of thoracic surgery after COVID-19 is insufficient. The postoperative complication rate is high in patients with comorbidities, including chronic obstructive pulmonary disease, who undergo thoracic surgery. Herein we report a woman with advanced lung cancer associated with severe pulmonary dysfunction with a percentage of predicted forced expiratory volume in 1 second of 44.5% and percentage of predicted diffusion capacity of the lung for carbon monoxide of 38.9% due to chronic obstructive pulmonary disease detected after COVID-19. Curative resection was safely performed with perioperative management including respiratory physiotherapy, inhalation therapy, and adequate preoperative waiting period.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 704-707"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144933116","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":"Robotic Portal Left Mainstem Bronchus Sleeve Resection by Left Transthoracic Approach","authors":"Ryusuke Sumiya MD, PhD ,&nbsp;Takeshi Matsunaga MD, PhD ,&nbsp;Yukio Watanabe MD, PhD ,&nbsp;Shinsuke Uchida MD, PhD ,&nbsp;Mariko Fukui MD, PhD ,&nbsp;Aritoshi Hattori MD, PhD ,&nbsp;Kazuya Takamochi MD, PhD ,&nbsp;Kenji Suzuki MD, PhD","doi":"10.1016/j.atssr.2025.01.006","DOIUrl":"10.1016/j.atssr.2025.01.006","url":null,"abstract":"<div><div>Anastomosis of the proximal left mainstem bronchus is challenging. A 70-year-old female patient was referred to our hospital for surgical intervention for a tumor in the left main bronchus. The tumor was located in the left mainstem bronchus, and sleeve resection of the left mainstem bronchus was planned. The operation was performed using a da Vinci Xi robot (Intuitive Surgical, Sunnyvale, CA). The 1- and 3-ring from the carina of the left main bronchus were both circumferentially dissected, and a bronchial end-to-end anastomosis was performed using running sutures. Follow-up bronchoscopy 6 months after surgical resection did not show any evidence of anastomotic complications.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 708-710"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144933117","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":"Myocardial Viability by Cardiac Magnetic Resonance Imaging Before Coronary Artery Bypass Grafting","authors":"Brandon Peine MD ,&nbsp;Taha Lodhi BS ,&nbsp;Soban Ahmad MD ,&nbsp;Olajide Olatidoye MD ,&nbsp;Kieran Ved BS ,&nbsp;Yuanyuan Fu MA ,&nbsp;Linda Kindell RN, BSN ,&nbsp;Olasunkanmi Kehinde PhD ,&nbsp;Dmitry Tumin PhD ,&nbsp;William Irish PhD ,&nbsp;C. Bogdan Marcu MD ,&nbsp;Shahab A. Akhter MD","doi":"10.1016/j.atssr.2025.03.005","DOIUrl":"10.1016/j.atssr.2025.03.005","url":null,"abstract":"<div><h3>Background</h3><div>The predictive value of myocardial viability assessed by cardiac magnetic resonance imaging (CMR) in patients with ischemic cardiomyopathy undergoing coronary artery bypass grafting (CABG) is uncertain. Other assessment modalities have not shown a correlation between viability and post-CABG survival.</div></div><div><h3>Methods</h3><div>Patients from a single institution between 2014 and 2022 with ischemic cardiomyopathy who were undergoing isolated CABG and who had preoperative CMR viability assessment were included. Patients were grouped by left anterior descending artery territory viability: 0% fibrosis, 25% to 50% fibrosis, and 75% to 100% fibrosis. Primary outcomes were postoperative improvement in left ventricular ejection fraction and 3-year survival. Analyses were adjusted for The Society of Thoracic Surgeons Predicted Risk of Morbidity or Mortality scores.</div></div><div><h3>Results</h3><div>A total of 106 patients met inclusion criteria, and they were divided into 3 groups by myocardial viability. There were no significant differences in preoperative or operative factors among the groups. Left ventricular ejection fraction improvement was seen in 60.3% of patients in the viable without fibrosis group, 79.0% of patients in the viable with fibrosis group, and 57.1% of patients in the nonviable group. Adjusted odds ratios of ejection fraction improvement among the groups demonstrated no significant differences. Similarly, there were no differences in patient survival by 3 years after CABG on Kaplan-Meier analysis.</div></div><div><h3>Conclusions</h3><div>Myocardial viability assessment by CMR for patients with ischemic cardiomyopathy who are undergoing surgical revascularization does not predict left ventricular functional improvement or 3-year survival. Our data suggest that nonviable left anterior descending artery territory as assessed by CMR should not be a contraindication to CABG in otherwise appropriate surgical candidates.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 589-593"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934187","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":"Overdiagnosis in Lung Cancer Screening: Still the Unavoidable Cost of Doing Business?","authors":"Riccardo Orlandi MD ,&nbsp;Luigi Rolli MD ,&nbsp;Ugo Pastorino MD","doi":"10.1016/j.atssr.2025.01.002","DOIUrl":"10.1016/j.atssr.2025.01.002","url":null,"abstract":"","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 683-686"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934195","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":"Unilateral Hyperlucent Lung Syndrome (Swyer-James-Macleod Syndrome) Managed by Video-Assisted Thoracoscopic Surgery","authors":"Anna Kornafeld MD ,&nbsp;Ian Makey MD ,&nbsp;Andras Khoor MD, PhD ,&nbsp;Justin Stowell MD ,&nbsp;Hassan Baig MBBS","doi":"10.1016/j.atssr.2025.02.016","DOIUrl":"10.1016/j.atssr.2025.02.016","url":null,"abstract":"<div><div>We present a case of a 51-year-old woman whose lung volume reduction surgery for left-sided Swyer-James-MacLeod syndrome by video-assisted thoracoscopic surgery was converted to total pneumonectomy as a result of fragility of the diseased left lung. The patient was discharged on room air in a significantly improved condition. Only a few cases of this rare disease have been reported where an older patient underwent pneumonectomy. When video-assisted thoracoscopic surgery bullectomy is not a viable option, total pneumonectomy can be safely performed and can lead to significant improvement in symptoms and supplemental oxygen requirement even in older patients.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 718-721"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934197","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":"Systemic Anticoagulation at Discharge in Cardiac Surgical Patients With Postoperative Atrial Fibrillation: A Statewide Cohort Study","authors":"Michael Mazzeffi MD, MPH ,&nbsp;Jared Beller MD ,&nbsp;Alex Wisniewski MD ,&nbsp;Akram Zaaqoq MD, MPH ,&nbsp;Jonathan Curley MD ,&nbsp;Ramesh Singh MD ,&nbsp;Abdulla Damluji MD, PhD ,&nbsp;Mohammed Quader MD ,&nbsp;Michael Kontos MD ,&nbsp;Mark Joseph MD ,&nbsp;Raymond Strobel MD ,&nbsp;Clifford E. Fonner BA ,&nbsp;Nicholas Teman MD ,&nbsp;Kenneth C. Bilchick MD ,&nbsp;Ourania Preventza MD ,&nbsp;Kenan Yount MD, MBA","doi":"10.1016/j.atssr.2025.02.017","DOIUrl":"10.1016/j.atssr.2025.02.017","url":null,"abstract":"<div><h3>Background</h3><div>Direct oral anticoagulants (DOACs) have changed systemic anticoagulation practice for atrial fibrillation. We hypothesized that DOACs are increasingly used for postoperative atrial fibrillation after cardiac surgery, and associated with fewer anticoagulation-related complications compared with warfarin.</div></div><div><h3>Methods</h3><div>We performed a retrospective cohort study of patients undergoing coronary artery bypass grafting, valve surgery, or combined coronary artery bypass grafting/valve surgery from 2011 through 2023 using a statewide database. The primary outcome was systemic anticoagulation at discharge in patients with postoperative atrial fibrillation. Secondary outcomes were length of hospital stay, unplanned readmission for anticoagulation-related complications, and unplanned readmission for stroke or cardiac tamponade.</div></div><div><h3>Results</h3><div>The incidence of postoperative atrial fibrillation was 23.8% among 45,258 patients who met study inclusions, and 32.5% of patients with postoperative atrial fibrillation were discharged on systemic anticoagulation. DOAC prescription at discharge for patients with postoperative atrial fibrillation increased from 1.9% in 2011 to 32.3% in 2023. Postoperative length of stay was shorter in those who received a DOAC vs warfarin (7 vs 9 days, <em>P</em> &lt; .001). There were 3 DOAC patients readmitted with anticoagulation-related complications during the study period (0.2%) compared with 20 patients taking warfarin (0.9%) (<em>P</em> = .01). There were no differences in readmission for stroke or cardiac tamponade (<em>P</em> = .29 and <em>P</em> = .18, respectively) between groups.</div></div><div><h3>Conclusions</h3><div>Systemic anticoagulation was prescribed for approximately a third of patients with postoperative atrial fibrillation after cardiac surgery. There was an increase in DOAC use over time, which appears to be associated with fewer anticoagulation-related complications.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 791-796"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934345","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":"Supra-Aortic Vessel Anastomosis in Arch Reconstruction: An Overview of Existing Techniques and Report of a Novel Anastomotic Device","authors":"Jonathan J. Szeto BA ,&nbsp;John J. Kelly MD ,&nbsp;Lily Huang BA ,&nbsp;David Rekhtman BS ,&nbsp;Jason J. Han MD ,&nbsp;Chase R. Brown MD ,&nbsp;Asad A. Usman MD ,&nbsp;Wilson Y. Szeto MD","doi":"10.1016/j.atssr.2025.03.018","DOIUrl":"10.1016/j.atssr.2025.03.018","url":null,"abstract":"<div><h3>Purpose</h3><div>This article reviews techniques of supra-aortic anastomosis and presents the use of the novel Duett Vascular Graft System during a complex total arch repair.</div></div><div><h3>Description</h3><div>The literature was reviewed for existing techniques and devices pioneered to facilitate anastomoses of the supra-aortic vessels during a total arch procedure. A case was then presented to showcase the utility of the Duett Vascular Graft System.</div></div><div><h3>Evaluation</h3><div>Improving the efficiency of supra-aortic branch vessel anastomosis can reduce circulatory arrest time and the resulting cerebral, spinal, and distal organ ischemia. Therefore, various techniques and technologies have been developed for more expeditious revascularization. The Duett Vascular Graft System is one such device currently in clinical trial that facilitates supra-aortic vessel anastomosis during open aortic arch surgery.</div></div><div><h3>Conclusions</h3><div>This case showcases the utility of the Duett Vascular Graft System. This novel device allows surgeons to more efficiently perform supra-aortic anastomoses, which can reduce cerebral ischemia and circulatory arrest.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 566-571"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934174","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":"Valve-Sparing Root Replacement With Anomalous Left Circumflex From the Right Coronary Sinus","authors":"Alexander P. Nissen MD ,&nbsp;Woodrow J. Farrington II MD","doi":"10.1016/j.atssr.2025.03.002","DOIUrl":"10.1016/j.atssr.2025.03.002","url":null,"abstract":"<div><div>Valve-sparing root replacement (VSRR) with the reimplantation technique is ideal for most cases of isolated aortic root aneurysm with a well-functioning valve. VSRR is also increasingly applied across a broader spectrum of root pathology with otherwise sparable aortic valves. Recently, there is increased recognition of coronary artery anomalies, which present unique challenges at the time of VSRR. We present a case description and video of our technique for VSRR in a patient with an anomalous left circumflex from the right coronary sinus, with a separate ostium, and retroaortic course.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 572-575"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934175","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}