Annals of thoracic surgery short reports最新文献

{"title":"Endocardial Anchoring Technique for Variant Supracardiac Total Anomalous Pulmonary Venous Return","authors":"Yusuke Yamamoto MD, PhD ,&nbsp;Sho Akiyama MD ,&nbsp;Mio Noma MD, PhD ,&nbsp;Shohei Senoo MD ,&nbsp;Jun Maeda MD, PhD ,&nbsp;Yukihiro Yoshimura MD, PhD","doi":"10.1016/j.atssr.2024.01.001","DOIUrl":"10.1016/j.atssr.2024.01.001","url":null,"abstract":"<div><p>The endocardial anchoring technique is a novel modification of total anomalous pulmonary venous return repair that involves creation of an L-shaped flap of the pulmonary venous confluence, subsequently anchoring it to the endocardium. A wide and smooth pathway can be expected from the theoretical advantages of this technique, namely, a smooth inner surface of the anchored flap and traction force to extend the orifice of the connection. An application of this technique for a rare variant of supracardiac total anomalous pulmonary venous return suggests its potential to be an alternative to the conventional repair, especially in patients with a curved pulmonary venous confluence.</p></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772993124000810/pdfft?md5=5e6ab984b374a6db918972120658d713&pid=1-s2.0-S2772993124000810-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139688081","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}

{"title":"Serum Lidocaine Levels in Adult Patients Undergoing Cardiac Surgery With del Nido Cardioplegia","authors":"Danielle I. Aronowitz MD ,&nbsp;Karl A. Bocchieri MBA, CCP ,&nbsp;Alan R. Hartman MD ,&nbsp;Pey-Jen Yu MD","doi":"10.1016/j.atssr.2023.12.014","DOIUrl":"10.1016/j.atssr.2023.12.014","url":null,"abstract":"<div><h3>Background</h3><p>Lidocaine in del Nido cardioplegia solution prolongs the refractory period of cardiomyocytes, yielding a longer arrest per dose. Serum lidocaine concentrations &gt;8 mg/L are associated with seizure and cardiotoxicity. We evaluated serum lidocaine concentrations in patients receiving del Nido solution during cardiac surgery.</p></div><div><h3>Methods</h3><p>Forty consecutive patients undergoing cardiac surgical procedures with del Nido cardioplegia were selected for serum lidocaine concentration measurements determined immediately after aortic cross-clamp removal. Variables included weight, body surface area, operation, cardiopulmonary bypass time, aortic cross-clamp time, and total volume of del Nido solution. The primary outcome was serum lidocaine concentration relative to total volume of del Nido solution. Descriptive statistics and Pearson correlations were computed.</p></div><div><h3>Results</h3><p>Median weight was 78.3 kg (range, 43-132.4 kg), and mean body surface area was 1.9 ± 0.2 m². Operations included coronary artery bypass grafting (n = 26 [65%]), a combination procedure (n = 5 [12.5%]), isolated mitral valve repair or replacement (n = 4 [10%]), isolated aortic valve replacement (n = 3 [7.5%]), and aortic repair or replacement (n = 2 [5%]). Median total volume of del Nido solution was 1870 mL (range, 800-5800 mL). Mean serum lidocaine concentration was 2.2 ± 0.6 mg/L. Serum lidocaine concentration was weakly correlated with del Nido solution volume (<em>R</em>² = 0.21). The highest total volume of del Nido solution (5800 mL) did not yield the highest serum lidocaine concentration of 3.5 mg/L.</p></div><div><h3>Conclusions</h3><p>Serum lidocaine concentration during cardiac surgical procedures weakly correlates with the volume of del Nido solution used and does not reach toxic levels even at high doses of del Nido solution. The results of this study may help alleviate concerns for lidocaine toxicity with high doses of del Nido solution.</p></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S277299312400010X/pdfft?md5=36b81ee9ecff478bd4b44d3fabb8a002&pid=1-s2.0-S277299312400010X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139540049","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}

{"title":"Submitral Pseudoaneurysm Repair and Posterior Leaflet Augmentation: Reoperative Mitral Valve Repair","authors":"Jake L. Rosen BA ,&nbsp;Sofia C. Masri MD ,&nbsp;Jennifer A. Mazzoni DO ,&nbsp;Alec Vishnevsky MD ,&nbsp;Konstadinos A. Plestis MD ,&nbsp;Keshava Rajagopal MD, PhD","doi":"10.1016/j.atssr.2023.12.010","DOIUrl":"10.1016/j.atssr.2023.12.010","url":null,"abstract":"<div><p>A 33-year-old woman who had previously undergone mitral valve repair for native valve endocarditis presented with a submitral left ventricular pseudoaneurysm, with related mitral valve dysfunction. The operative approach to this complex pathophysiologic process is presented.</p></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772993124000068/pdfft?md5=a6300ee2e8f2b318f82ab0cde0017985&pid=1-s2.0-S2772993124000068-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139635956","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}

{"title":"Willingness for Lung Cancer Screening: Disparities Among Informed, Screening-Eligible Individuals","authors":"Hollis Hutchings MD ,&nbsp;Olivia Aspiras PhD ,&nbsp;Anurag Dawadi MA ,&nbsp;Anqi Wang MS ,&nbsp;Laila Poisson PhD ,&nbsp;Todd Lucas PhD ,&nbsp;Ikenna Okereke MD","doi":"10.1016/j.atssr.2023.11.013","DOIUrl":"10.1016/j.atssr.2023.11.013","url":null,"abstract":"<div><h3>Background</h3><p>Lung cancer is the leading cause of cancer-related death. Although lung cancer screening has been shown to reduce mortality, only a small fraction of eligible people receive screening. This study briefly educated screening-eligible individuals about lung cancer risk, prevention, and screening recommendations. We then evaluated race and gender as predictors of willingness to be screened once participants were educated.</p></div><div><h3>Methods</h3><p>An online lung cancer screening learning module was created and distributed to convenience samples of screening-eligible White Americans (n = 173) and Black Americans (n = 52) between November 2022 and February 2023. Participants viewed short modules about lung cancer risks and screening. Thereafter, participants rated their willingness to consider future screening using theory of planned behavior measurement frameworks (attitudes, norms, perceived control, and intentions to screen), with higher scores indicating greater willingness. Participant demographics were recorded.</p></div><div><h3>Results</h3><p>Black Americans reported higher perceived control over obtaining screening than White Americans (<em>t</em>₂₂₃ = −3.10; <em>P</em> &lt; .001; <em>d</em> = 1.28). We observed no other racial differences in willingness as Black Americans and White Americans reported similar attitudes, normative beliefs, and intentions. Women also showed more positive attitudes and greater intention to be screened than men did (<em>t</em>₂₂₃ = −2.42; <em>P</em> = .02; <em>d</em> = 1.66).</p></div><div><h3>Conclusions</h3><p>Once informed about lung cancer risks, prevention, and screening recommendations, Black Americans may be as willing as White Americans to undergo screening, highlighting potential causal factors other than willingness for existing racial disparities in lung cancer screening uptake. Gender differences in willingness highlight a potential need for gender-targeted outreach and communication.</p></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772993123003674/pdfft?md5=bbaede63cf0ba08abaeafbc84e724038&pid=1-s2.0-S2772993123003674-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139296834","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}

{"title":"Management of anomalous left vertebral artery during open total arch replacement","authors":"Tom X. Liu, Adwaiy Manerikar, Daniel Won, Beth Whippo, Neel A. Mansukhani, Andrew Hoel, S. C. Malaisrie, Christopher K. Mehta","doi":"10.1016/j.atssr.2024.05.014","DOIUrl":"https://doi.org/10.1016/j.atssr.2024.05.014","url":null,"abstract":"","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141397929","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":"Functional Outcomes of Patients With Sternoclavicular Joint Infection After Extended Resection","authors":"Jovan Vujic MD ,&nbsp;Aljaz Hojski MD ,&nbsp;Sandrine V.C. Dackam MD ,&nbsp;Helga Bachmann BSc ,&nbsp;Didier Lardinois MD","doi":"10.1016/j.atssr.2023.12.015","DOIUrl":"10.1016/j.atssr.2023.12.015","url":null,"abstract":"<div><h3>Background</h3><p>Sternoclavicular joint infection is rare. Operation is the treatment of choice, but there is no generally accepted approach. This report evaluated the clinical and functional results after extended surgical treatment.</p></div><div><h3>Methods</h3><p>This single-center cohort study included 14 patients. Extended operation consisted of initial débridement with removal of the joint capsule; partial resection of the ipsilateral manubrium sterni, of the medial part of the clavicle, and sometimes of the first rib; and vacuum-assisted closure dressing. The procedure was repeated until the microbiologic findings and surgical site showed healing. Analysis of the risk factors, complications, and recurrence rate was performed. Functional results were assessed by the shortened version of the standardized Disabilities of the Arm, Shoulder, and Hand (QuickDASH) questionnaire.</p></div><div><h3>Results</h3><p>Only 4 of 14 patients (29%) had fever and elevated infectious parameters at diagnosis. <em>Staphylococcus</em> was the most frequently observed microorganism. Grade ≥III complications according to the Clavien-Dindo classification were observed in 5 of 14 (36%) patients. Recurrence was observed in 1 patient diagnosed 2 months after hospital discharge. Clinical and functional assessment after a mean follow-up of 48 months revealed excellent results without instability of the shoulder girdle, residual pain, or functional impairment. The mean QuickDASH score in our population was 4.5 of 100 points.</p></div><div><h3>Conclusions</h3><p>Extended surgical treatment of sternoclavicular joint infection in conjunction with assisted wound healing led to satisfying clinical and functional results.</p></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772993124000111/pdfft?md5=abe21c800320fa6c7d1caf229e3a32f5&pid=1-s2.0-S2772993124000111-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139633786","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}

{"title":"Comparison of Robot-Assisted Multivessel Minimally Invasive Direct Coronary Artery Bypass and Hybrid Revascularization","authors":"Zhandong Zhou PhD, MD ,&nbsp;Karikehalli A. Dilip MD ,&nbsp;Anna Gleboff MPH, MS ,&nbsp;Ahmad Nazem MD ,&nbsp;Gary Randall Green MD ,&nbsp;Anton Cherney MD ,&nbsp;Charles J. Lutz MD","doi":"10.1016/j.atssr.2023.11.029","DOIUrl":"10.1016/j.atssr.2023.11.029","url":null,"abstract":"<div><h3>Background</h3><p>This study compares 2 minimally invasive coronary revascularization approaches: robot-assisted multivessel minimally invasive direct coronary artery bypass (MIDCAB) and the hybrid approach combining MIDCAB with subsequent percutaneous coronary intervention.</p></div><div><h3>Methods</h3><p>A retrospective review was conducted on cases of robotic MIDCAB performed at our institution between 2012 and 2022. Two groups of patients were analyzed: the surgery group (undergoing robotic multivessel MIDCAB) and the hybrid group. Surgical procedures included robotic left internal mammary artery harvest and anastomosis, with percutaneous coronary intervention performed within 30 days in the hybrid group.</p></div><div><h3>Results</h3><p>There were 105 patients in the surgery group and 81 patients in the hybrid group. Both groups had similar characteristics, except that the surgery group had older patients. There were no mortalities in either group. Postoperative atrial fibrillation rates were higher in the surgery group. Length of stay and other postoperative complications did not differ significantly between the groups.</p></div><div><h3>Conclusions</h3><p>Multivessel robotic MIDCAB can be safely performed with comparable outcomes to the hybrid approach. The hybrid technique, being less demanding, is the preferred in most centers. However, multivessel robotic MIDCAB offers the advantage of complete revascularization and potentially more durable results. Patients with complex non–left anterior descending lesions may not be suitable for the hybrid approach.</p></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772993123003832/pdfft?md5=974dec68e50bb695ba91d21cddd76101&pid=1-s2.0-S2772993123003832-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139023630","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}

{"title":"Multimodality Imaging in the Management of a Circumflex Artery to Superior Vena Cava Fistula","authors":"David Bleetman FRCS (C-Th) ,&nbsp;Lily Kang MBBS ,&nbsp;Joshua De Bono MBBS ,&nbsp;Brian Cowie FANZCA ,&nbsp;Nicole Muir FANZCA ,&nbsp;Andrew Newcomb FRACS ,&nbsp;Jaishankar Raman FRACS","doi":"10.1016/j.atssr.2023.12.023","DOIUrl":"10.1016/j.atssr.2023.12.023","url":null,"abstract":"","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772993124000901/pdfft?md5=ed52b77c46bcfa7cc8f4a6b2bb6539bf&pid=1-s2.0-S2772993124000901-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139883554","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}

{"title":"Clinical Outcomes After Mitral Valve Replacement With Epic and Mosaic Bioprosthetic Valves","authors":"Anton Tomšič MD, PhD ,&nbsp;Mateo Marin-Cuartas MD ,&nbsp;Manuela De La Cuesta MD ,&nbsp;Wolfgang Otto MSc ,&nbsp;Paul T. Bräuchle MD ,&nbsp;Bettina Pfannmüller MD, PhD ,&nbsp;Philipp Kiefer MD ,&nbsp;Martin Misfeld MD, PhD ,&nbsp;Sergey Leontyev MD, PhD ,&nbsp;Michael A. Borger MD, PhD ,&nbsp;Thilo Noack MD, PhD","doi":"10.1016/j.atssr.2023.11.032","DOIUrl":"10.1016/j.atssr.2023.11.032","url":null,"abstract":"<div><h3>Background</h3><p>Comparative studies of outcomes between different biological mitral valve prostheses are scarce. This study compares the late clinical results of valve replacement with the Epic and Mosaic bioprostheses.</p></div><div><h3>Methods</h3><p>Patients undergoing isolated elective mitral valve replacement (MVR) between 2005 and 2019 were eligible for inclusion. Primary outcomes were freedom from mitral valve reintervention and overall survival. Inverse probability of treatment weighting and competing risk analyses were performed.</p></div><div><h3>Results</h3><p>MVR was performed in 247 (73.7%) patients with the Epic prosthesis and in 88 (26.3%) patients with the Mosaic prosthesis. The median follow-up was 3 (interquartile range, 0.20-5.64) years. At 10 years postoperative, the estimated survival rates were 86.1% (95% CI, 80.5%-91.9%) and 73.5% (95% CI, 60.6%-89.3%) for the Epic and Mosaic groups, respectively (<em>P</em> = .40). On inverse probability of treatment weighted analysis, no significant intergroup difference was found (hazard ratio, 1.20; 95% CI, 0.54-2.66; <em>P</em> = .70]. At 10 years, the cumulative incidence functions of mitral valve reintervention with death as competing risk were 34.4% (95% CI, 32.7%-36.1%) and 17.6% (95% CI, 16.2%-18.9%) for the Epic and Mosaic groups, respectively. On multivariable Fine-Gray analysis, the type of implanted mitral valve prosthesis just failed to reach a statistically significant difference in mitral valve reintervention (hazard ratio, 0.43 for Mosaic valve; 95% CI, 0.18-1.06; <em>P</em> = .067). Structural valve deterioration was an uncommon indication for reintervention in the first 10 years postoperative.</p></div><div><h3>Conclusions</h3><p>Clinical results of MVR with the Epic or Mosaic prosthesis are satisfactory. Our results suggest that the Mosaic bioprosthesis might offer better freedom from reintervention.</p></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S277299312300387X/pdfft?md5=91c6b0b7484de2aaff6c63d3ba65e1f5&pid=1-s2.0-S277299312300387X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139019223","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}

{"title":"Appendage Resection and Pulmonary Vein Isolation on Minimally Invasive Coronary Artery Bypass Graft","authors":"Hiroki Sakai MD ,&nbsp;Keita Kikuchi PhD ,&nbsp;Kaito Masuda MD ,&nbsp;Yoshun Sai MD ,&nbsp;Kunihiko Yoshino MD ,&nbsp;Joji Ito MD","doi":"10.1016/j.atssr.2023.11.022","DOIUrl":"10.1016/j.atssr.2023.11.022","url":null,"abstract":"<div><p>Minimally invasive coronary artery bypass grafting is becoming standardized; however, its small incision may result in a limited field of view. Challenges arise in performing left atrial appendage resection and pulmonary vein isolation from the same incision, whereas safety and feasibility are not well documented. Our report demonstrates safe achievement of left atrial appendage resection and pulmonary vein isolation from the same minimally invasive coronary artery bypass grafting wound site with a good surgical field of view. In addition, we present an intraoperative positional change technique for right-sided pulmonary vein isolation.</p></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772993123003765/pdfft?md5=71eec3646dcce19afa6238d4ba26cb0a&pid=1-s2.0-S2772993123003765-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139017911","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}