Annals of thoracic surgery short reports最新文献_第7页

Incidentally Discovered Anomalous Mitral Chordae at the Time of Mitral Valve Repair 二尖瓣修复术中意外发现的异常二尖瓣腱索

Annals of thoracic surgery short reports Pub Date : 2024-09-01 DOI: 10.1016/j.atssr.2024.02.016

引用次数: 0

The Melody Valve in Small Children Undergoing First Mitral Valve Replacement: Better Than Mechanical? 在首次接受二尖瓣置换术的幼儿中使用 Melody 瓣膜：比机械瓣更好？

Annals of thoracic surgery short reports Pub Date : 2024-09-01 DOI: 10.1016/j.atssr.2024.04.016

{"title":"The Melody Valve in Small Children Undergoing First Mitral Valve Replacement: Better Than Mechanical?","authors":"","doi":"10.1016/j.atssr.2024.04.016","DOIUrl":"10.1016/j.atssr.2024.04.016","url":null,"abstract":"<div><h3>Background</h3><p>In small children with left atrioventricular valve dysfunction, valve repair is preferred but some will require valve replacement. No prosthetic valve has growth potential, bioprostheses have poor durability, and mechanical prostheses have high rates of thromboembolic and hemorrhagic complications. We reviewed our experience with a modified bovine jugular vein valve designed for use in the right ventricular outflow tract (Melody valve, Medtronic) and compared this with contemporary mechanical valve replacement.</p></div><div><h3>Methods</h3><p>We reviewed outcomes of all left-sided atrioventricular valve replacements (AVVR) performed between January 2017 and April 2023 on patients with biventricular circulation less than 5 years old at time of surgery, N = 19. We compared mortality and major morbidity outcomes between mechanical AVVR (mAVVR, n = 14) and Melody AVVR (MAVVR, n=5).</p></div><div><h3>Results</h3><p>MAVVR was performed on younger and smaller patients (5.7 ± 4.2 vs 28.4 ± 22.3 months, <em>P</em> = .002; 6 ± 1.7 vs10 ± 5.1 kg, <em>P</em> = .01). There were 2 early and 1 late death in the mAVVR group, and none in the MAVVR group. There was a trend towards more hemorrhagic and neurologic complications in the mAVVR group (<em>P</em> = .1, 0.28, respectively).</p></div><div><h3>Conclusions</h3><p>In this small series, despite its use in younger and smaller patients, our preliminary experience with the Melody valve compares favorably with our contemporaneous outcomes with mechanical prostheses by way of simpler anticoagulation management with a trend towards better overall outcomes.</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/S2772993124001967/pdfft?md5=930df2fff4f62b9a3e7fcc8f39a14e2c&pid=1-s2.0-S2772993124001967-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141038427","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

Aortopulmonary Window in Adult Patient Operated on With Echocardiography Assessment 用超声心动图评估成人患者的主动脉-肺动脉窗情况

Annals of thoracic surgery short reports Pub Date : 2024-09-01 DOI: 10.1016/j.atssr.2024.04.023

引用次数: 0

Institutional Experience With Robotic Lobectomy After Neoadjuvant Immunotherapy and Chemotherapy 新辅助免疫疗法和化疗后进行机器人肺叶切除术的机构经验

Annals of thoracic surgery short reports Pub Date : 2024-09-01 DOI: 10.1016/j.atssr.2024.02.008

{"title":"Institutional Experience With Robotic Lobectomy After Neoadjuvant Immunotherapy and Chemotherapy","authors":"","doi":"10.1016/j.atssr.2024.02.008","DOIUrl":"10.1016/j.atssr.2024.02.008","url":null,"abstract":"<div><h3>Background</h3><p>The real-world safety of robotic resections after neoadjuvant chemoimmunotherapy remains poorly defined in patients with non-small cell lung cancer. Due to reported increased operative challenges after neoadjuvant immunotherapy, we aim to describe our early institutional experience and outcomes after robotic resection in this clinical context.</p></div><div><h3>Methods</h3><p>We performed a retrospective chart review of patients with non-small cell lung cancer who underwent a robotic lobectomy, comparing patients from June 1, 2022, through October 31, 2023, who were treated with neoadjuvant chemoimmunotherapy consistent with the Checkmate-816 protocol and a control group with upfront resection.</p></div><div><h3>Results</h3><p>A total of 21 patients underwent neoadjuvant chemoimmunotherapy and robotic lobectomy in our cohort, and 64 patients were in the control group. Compared with control, the median tumor size was 3.2 cm vs 2.0 cm (<em>P</em> = .001). The most common clinical stage was IIIA (11 patients, 52%) in the neoadjuvant chemoimmunotherapy group and IA2 in the control group (26 patients, 45%) (<em>P</em> < .001). Operative time was greater in the neoadjuvant chemoimmunotherapy group (224 vs 177 minutes, <em>P</em> = .011). The median quantity of lymph nodes resected in the neoadjuvant chemoimmunotherapy group was greater (21 vs 16.5, <em>P</em> = .042). A R0 resection was achieved in all cases and no conversions to an open lobectomy occurred. Postoperative length of stay was 2 days in both groups (<em>P</em> = .92), and there were similar rates of postoperative air leak (33% vs 48%, <em>P</em> = .23) and acute post-hemorrhagic anemia (19% vs 14%, <em>P</em> = .58).</p></div><div><h3>Conclusions</h3><p>In our cohort, robotic-assisted lobectomy was safe and of comparable quality in the setting of neoadjuvant chemoimmunotherapy.</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/S2772993124001116/pdfft?md5=8cbaa50fd93cade796322fdd11c03196&pid=1-s2.0-S2772993124001116-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140275341","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

Arch Bare Metal Stent Grafting in Type I Aortic Dissections Following Hemiarch Repair 半弓修复术后 I 型主动脉夹层的拱形裸金属支架移植术

Annals of thoracic surgery short reports Pub Date : 2024-07-01 DOI: 10.1016/j.atssr.2024.06.025

Kendal M. Endicott, Hannah Pambianchi, David Spinosa, Liam Ryan

引用次数: 0

The Role of Endobronchial Ultrasound for Mediastinal Staging in Mesothelioma 支气管内超声在间皮瘤纵隔分期中的作用

Annals of thoracic surgery short reports Pub Date : 2024-07-01 DOI: 10.1016/j.atssr.2024.06.024

D. Steimer, Peter J. Tramontozzi, Patrick Gedeon, Matthew Pommerening, Ariadne DeSimone, R. Bueno, Hisashi Tsukada

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Remote Perioperative Monitoring in Adult Cardiac Surgery: The Impact on 1000 Consecutive Patients 成人心脏手术的远程围术期监护：对 1000 名连续患者的影响

Annals of thoracic surgery short reports Pub Date : 2024-07-01 DOI: 10.1016/j.atssr.2024.06.018

Kevin W. Lobdell, Shannon Crotwell, Larry T. Watts, B. LeNoir, E. R. Skipper, Thomas Maxey, Gregory B. Russell, Robert Habib, Geoffrey A. Rose, John Frederick

引用次数: 0

Donor Specific Antibodies in Extracorporeal Membrane Oxygenation-Bridged Lung Transplant Recipients 体外膜氧合-桥接肺移植受者体内的捐献者特异性抗体

Annals of thoracic surgery short reports Pub Date : 2024-07-01 DOI: 10.1016/j.atssr.2024.06.021

Lydia E. Federico, Joshua M. Diamond, Malek Kamoun, Maria M. Crespo, Christian A. Bermudez, Andrew M. Courtwright

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Successful management of chronic chylothorax secondary to Gorham-Stout Disease 成功治疗继发于戈勒姆-斯托特病的慢性乳糜胸

Annals of thoracic surgery short reports Pub Date : 2024-07-01 DOI: 10.1016/j.atssr.2024.06.020

Liam D. Hyland, Abdelrahman Elsayed, Mohammad Hawari

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Diffuse Coronary Vasospasm Following Zone 2 Debranching and Antegrade TEVAR 2 区去支和前行 TEVAR 术后的弥漫性冠状动脉血管痉挛

Annals of thoracic surgery short reports Pub Date : 2024-07-01 DOI: 10.1016/j.atssr.2024.06.022

Christopher M. Bobba, Robert S. Hoffberger, Ryan Azarrafiy, John R. Spratt, Tomas D. Martin, Daniel Demos, Eric I. Jeng, Thomas M. Beaver

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