Annals of thoracic surgery short reports最新文献

{"title":"Left Upper Lobe Lung Cancer With Swyer-James-MacLeod Syndrome","authors":"Motoka Omata MD ,&nbsp;Shota Mitsuboshi MD, PhD ,&nbsp;Hiroaki Shidei MD ,&nbsp;Akira Ogihara MD ,&nbsp;Hiroe Aoshima MD, PhD ,&nbsp;Tamami Isaka MD, PhD ,&nbsp;Takako Matsumoto MD, PhD ,&nbsp;Masato Kanzaki MD, PhD","doi":"10.1016/j.atssr.2025.02.012","DOIUrl":"10.1016/j.atssr.2025.02.012","url":null,"abstract":"<div><div>Swyer-James-MacLeod syndrome (SJMS) is characterized by unilateral hyperlucency of the lung on chest roentgenogram, unilateral reduction in vascularity on chest computed tomography, and unilateral loss of perfusion on pulmonary ventilation/perfusion scan. The prevalence of SJMS is reported to be 0.01%, with most cases occurring in children and only a few cases in adults. Therefore, SJMS associated with primary lung cancer is extremely rare. We present a case of left upper lobe lung cancer with SJMS by performing robot-assisted thoracoscopic left pneumonectomy.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 722-725"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934196","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":"Fast-Track Hemostasis by an Automated Fastener for Decannulation of an Antegrade Cardioplegia Cannula in Robotic Cardiac Surgery","authors":"Toshikuni Yamamoto MD ,&nbsp;Tomonari Uemura MD ,&nbsp;Yasunari Hayashi MD, PhD ,&nbsp;Masato Mutsuga MD, PhD","doi":"10.1016/j.atssr.2025.03.014","DOIUrl":"10.1016/j.atssr.2025.03.014","url":null,"abstract":"<div><div>In robotic cardiac surgery, many knot ties must be made with a knot pusher by the patient’s side surgeon. However, knot-pusher ties are characterized by weak attachment pressure. Therefore, we decided to use the Cor-knot automated fastener (LSI Solutions) to achieve hemostasis at the antegrade cardioplegia cannulation site. This technique allowed us to obtain speedy and reliable hemostasis at the antegrade cardioplegia cannulation site in robotic cardiac surgery.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 643-645"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934207","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":"Adherence to CheckMate 577 Within a Community Health Care System in the First 2 Years After Approval","authors":"John M. Campbell MD ,&nbsp;Brian E. Louie MD ,&nbsp;Peter T. White MD ,&nbsp;Eric Vallières MD ,&nbsp;Alexander S. Farivar MD ,&nbsp;Adam J. Bograd MD","doi":"10.1016/j.atssr.2025.01.021","DOIUrl":"10.1016/j.atssr.2025.01.021","url":null,"abstract":"<div><h3>Background</h3><div>CheckMate 577 demonstrated a significant benefit with adjuvant nivolumab for those with residual disease after esophagectomy following chemoradiation, resulting in subsequent Food and Drug Administration approval and guideline inclusion. We analyzed adherence to this recommendation in a nontrial setting and assessed for factors associated with noncompliance within our health care system.</div></div><div><h3>Methods</h3><div>We performed a cross-sectional analysis of patients with esophageal cancer within a multistate community health care system between February 2021 and December 2022. Patients with resected residual disease following induction chemoradiation were included. Patients were assigned to categories of those offered nivolumab and those not, then assessed for demographic, socioeconomic, or clinical factors associated with nonadherence. Area Deprivation Index was used as surrogate for socioeconomic status. Patients completing year-long nivolumab were then compared with those discontinuing prematurely for factors associated with noncompletion.</div></div><div><h3>Results</h3><div>Of the 73 patients eligible for nivolumab, 67 (92%) were offered therapy. Not being offered nivolumab was associated with receiving care from medical oncologists located in more disadvantaged communities. Of patients offered nivolumab, 57 of 67 (85%) initiated treatment. Year-long immunotherapy was completed by 25 (48%) patients. Patients with node-positive disease were more likely to have completed year-long nivolumab.</div></div><div><h3>Conclusions</h3><div>In the first 2 years after CheckMate 577, results within our health care system suggest high clinician adherence to and patient acceptance of adjuvant immunotherapy with decreased adoption in more socioeconomically challenged oncology offices. In addition, compliance with the year-long adjuvant regimen mirrored clinical trial results. These results warrant further validation in a more diverse, less affluent population.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 734-739"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934349","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":"Ascending Aortic Graft Side Branch Pseudoaneurysm","authors":"Satoshi Numata MD, PhD ,&nbsp;Takuma Kobayashi MD ,&nbsp;Tatsuro Gondai MD","doi":"10.1016/j.atssr.2025.01.016","DOIUrl":"10.1016/j.atssr.2025.01.016","url":null,"abstract":"","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 587-588"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144931666","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":"Aortic Valve Repair for Severe Commissural Leaflet Defects Using Aortic Wall Patches","authors":"Alexander P. Nissen MD ,&nbsp;Melissa M. Levack MD ,&nbsp;Vinay Badhwar MD ,&nbsp;W. Brent Keeling MD ,&nbsp;J. Scott Rankin MD","doi":"10.1016/j.atssr.2025.01.020","DOIUrl":"10.1016/j.atssr.2025.01.020","url":null,"abstract":"<div><h3>Background</h3><div>In patients with aortic insufficiency, annular dilatation often accompanies valve incompetence, necessitating annuloplasty. However, primary leaflet defects also are common, and when found unexpectedly at the time of planned repair, inadequate leaflet tissue often prompts prosthetic valve replacement. A method for achieving stable repair for severe leaflet deficiencies would be useful.</div></div><div><h3>Methods</h3><div>In this report, major leaflet defects due to ruptured large fenestrations were encountered in 2 patients, the first repaired with extensive plication, which failed. In the second patient, the defect was reconstructed using an autologous aortic wall patch. After geometric annuloplasty, the aortic wall strip was sutured with interrupted 6-0 sutures from the nodulus to the commissural top, with the intima facing coaptation. Leaflet free-edge length was adjusted to match the other normal leaflets at approximately reconstructed annular diameter x 1.5.</div></div><div><h3>Results</h3><div>In the aortic wall patch patient, grade 4 preoperative aortic insufficiency fell to zero after repair, and the patient is doing well with continued excellent echo parameters at 1 year postoperatively.</div></div><div><h3>Conclusions</h3><div>As a leaflet substitute during aortic valve repair, aortic wall patches seem to provide an excellent solution to managing severe leaflet deficiencies.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 613-616"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934208","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":"Mitral Valve Posterior Leaflet Extension by Fresh, Autologous Pericardium in an Infant: Long-term Results","authors":"Kazuyuki Daitoku MD, PhD ,&nbsp;Junko Shiono MD, PhD ,&nbsp;Yasuyuki Suzuki MD, PhD","doi":"10.1016/j.atssr.2025.02.009","DOIUrl":"10.1016/j.atssr.2025.02.009","url":null,"abstract":"<div><div>A 5-month-old girl suffered from severe mitral regurgitation and congestive heart failure, requiring mechanical ventilation. Echocardiography revealed hypoplasty of the posterior leaflet apparatus with no other intracardiac anomalies. Under cardiopulmonary bypass, the posterior leaflet was enlarged with autologous pericardium (not pretreated with glutaraldehyde), and the postoperative course was uneventful. At follow-up 13 years later, the posterior leaflet movement remains smooth and echocardiography registers no mitral insufficiency. Thus, posterior leaflet extension with fresh, autologous pericardium is durable in the long term.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 672-675"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144933112","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":"Propensity-Matched Outcomes of Multivessel Robotic vs Conventional Coronary Artery Grafting","authors":"Zhandong Zhou MD, PhD ,&nbsp;Anna Gleboff MS, MPH ,&nbsp;Karikehalli Dilip MD ,&nbsp;Ahmad Nazem MD ,&nbsp;Anton Cherney MD ,&nbsp;Charles Lutz MD","doi":"10.1016/j.atssr.2025.01.001","DOIUrl":"10.1016/j.atssr.2025.01.001","url":null,"abstract":"<div><h3>Background</h3><div>This study contrasts robotic multivessel minimally invasive direct coronary artery bypass grafting (RMIDCAB) with conventional sternotomy coronary artery bypass grafting (CSCABG). It aims to enrich the literature with quality comparisons of these procedures.</div></div><div><h3>Methods</h3><div>Coronary artery bypass grafting operations from 2014 to 2023 were reviewed. Propensity score matching, considering age, sex, The Society of Thoracic Surgeons predicted risk of mortality, and body mass index yielded 338 patients per group. RMIDCAB used a 3-port technique for mammary artery/arteries harvesting and hand suturing through a 6-cm thoracotomy in the left fourth or fifth intercostal space, with cardiopulmonary bypass (CPB) in some cases. CSCABG used a midline sternotomy incision, with or without CPB and cardioplegic arrest.</div></div><div><h3>Results</h3><div>RMIDCAB demonstrated advantages over CSCABG in reducing postoperative ventilation hours (9.91 vs 15.32, <em>P</em> = .053), fewer intensive care unit hours (51.03 vs 60.39, <em>P</em> = .027), and lower rates of postoperative complications such as prolonged pulmonary ventilation (2.37% vs 8.28.%, <em>P</em> &lt; .001) and atrial fibrillation (18.93% vs 31.66%, <em>P</em> &lt; .001). CSCABG had more grafts per patient (3.04 vs 2.46). Length of stay was significantly shorter in robotic group (5.90 vs 7.24 days, <em>P</em> &lt; .001). The difference in 30-day and hospital mortality was not significant (0.89% vs 1.48% <em>P</em> = .477).</div></div><div><h3>Conclusions</h3><div>Multivessel RMIDCAB is a safe technique compared with CSCABG. These findings underscore the value of integrating robotic techniques into coronary surgery to improve patient care and outcomes.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 598-602"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144933122","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":"75 Years of the Ravitch Procedure: A Historical Report and Review of Outcomes","authors":"Dianela Perdomo BS ,&nbsp;Albert Leng BA ,&nbsp;Deven Patel MD ,&nbsp;Stephen C. Yang MD ,&nbsp;Jinny S. Ha MD","doi":"10.1016/j.atssr.2025.03.020","DOIUrl":"10.1016/j.atssr.2025.03.020","url":null,"abstract":"<div><h3>Background</h3><div>In 1949, Dr Mark Ravitch described an open surgical approach for correcting pectus excavatum with bilateral excision of the deformed costal cartilages followed by a transverse wedge osteotomy. In honor of the procedure’s 75th anniversary, this report reviews its development and patient outcomes at the Johns Hopkins Hospital (Baltimore, MD).</div></div><div><h3>Methods</h3><div>The Chesney Medical Archives and Epic databases were reviewed to identify patients who underwent surgical repair for pectus excavatum from 1947 to 2024. Patient and procedure characteristics were recorded. The Mark Ravitch and Alex Haller collections, which included personal notes and recordings of the procedure, were reviewed.</div></div><div><h3>Results</h3><div>From the Johns Hopkins Hospital surgical logbooks (1947-1971), 217 open repair (Ravitch) operations were performed for pectus excavatum. The mean patient age was 7.0 (SD 6.8) years (range, 3 months to 42 years). 72.5% (n = 158) of patients were male, and 2.3% (n = 5) of cases were redo operations. From 2016 to 2024, 35 Ravitch and 271 Nuss repairs were performed. Patients who underwent Ravitch procedures were older (mean age, 36.0 [11.9]] years vs 15.8 [2.2] years; <em>P</em> &lt; .0001) and included more redo operations (45.7% vs 1.5%; <em>P</em> &lt; .0001). Nuss repairs were shorter in mean length of stay (2.4 [1.2] days vs 4.3 [2.0] days; <em>P</em> &lt; .0001).</div></div><div><h3>Conclusions</h3><div>The Ravitch procedure is generally performed in adult patients rather than in the younger pediatric patients who underwent surgery at its introduction in 1949. This procedure is typically reserved for patients in whom conservative management with a Nuss procedure has failed. The Ravitch procedure has endured as a safe surgical approach with favorable outcomes for the surgical management of complex chest wall deformities.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 808-813"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934191","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":"A Surgical Red Herring: Positron Emission Tomography-avid Mediastinal Silicone Granulomatous Lymphadenopathy in the Setting of a Lung Nodule","authors":"Marie L. Jacobs MD ,&nbsp;Paul L. Feingold MD, MHS","doi":"10.1016/j.atssr.2025.02.011","DOIUrl":"10.1016/j.atssr.2025.02.011","url":null,"abstract":"<div><div>Silicone granuloma is an unusual cause of lymphadenopathy. The formation of silicone granulomas is associated with breast implant rupture and leakage into the surrounding soft tissue, with silicone uptake into regional lymph nodes. This results in inflammation and lymphadenopathy that may present clinically or incidentally. We describe the workup and management of concomitant hypermetabolic mediastinal lymph node silicone granulomas and adenocarcinoma of the right lung in a patient with a history of breast cancer, mastectomy, and silicone implant reconstruction.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 761-763"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934338","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":"Urgent Cardiac Surgery for Endocarditis and Intracranial Hemorrhage Causing Midline Cerebral Shift","authors":"Kenza Rahmouni MDCM ,&nbsp;Daniel Goubran MD, MEng ,&nbsp;David Messika-Zeitoun MD, PhD ,&nbsp;Marc Ruel MD, MPH ,&nbsp;Vincent Chan MD, MPH","doi":"10.1016/j.atssr.2025.02.018","DOIUrl":"10.1016/j.atssr.2025.02.018","url":null,"abstract":"<div><div>Intracranial hemorrhage is a rare and severe complication of infective endocarditis. Current treatment guidelines recommend 4 weeks between intracranial hemorrhage onset and cardiac surgery. However, some exceptions warrant earlier surgical interventions, namely, refractory congestive heart failure and ongoing embolic phenomena. We report a case of mitral valve infective endocarditis complicated by intracranial hemorrhage associated with midline cerebral shift, in which successful early surgical intervention was performed without neurologic complication. This case highlights the importance of careful surgical timing through thorough multidisciplinary discussions to provide optimal clinical outcomes as well as the need for disease registries to share patient care decisions.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 3","pages":"Pages 802-804"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144934347","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}