Annals of thoracic surgery short reports最新文献

{"title":"T3 Endoscopic Thoracic Ganglionectomy Using Cutting Mode Cautery for Palmar Hyperhidrosis","authors":"Joel Talsma MS ,&nbsp;Crystal C. Peirce DO ,&nbsp;Ivo Tarfusser MD ,&nbsp;Subin Kim BS ,&nbsp;Olajire Idowu MD ,&nbsp;Sunghoon Kim MD","doi":"10.1016/j.atssr.2024.12.004","DOIUrl":"10.1016/j.atssr.2024.12.004","url":null,"abstract":"<div><h3>Background</h3><div>Understanding the precise anatomy of the upper thoracic sympathetic trunk is crucial for effectively treating palmar hyperhidrosis using the surgical technique of endoscopic thoracic sympathectomy (ETS). The variability in the location of T2 and T3 ganglia in relation to the ribs may contribute to inconsistent clinical outcomes after ETS.</div></div><div><h3>Methods</h3><div>For the cadaver study, adult human cadaveric thoraces were dissected to map the locations of T2 and T3 ganglia by identifying their white rami communicantes. For the ETS group, T3 ganglionectomy ETS was performed. Surgical outcome and postoperative incidence of compensatory sweating were assessed.</div></div><div><h3>Results</h3><div>A total of 74 pediatric patients underwent thoracoscopic T3 ganglionectomy. All patients were satisfied with the surgical outcomes. No patients complained of compensatory sweating. Forty cadavers were dissected: 25 adult female and 15 adult male. The findings showed that a high percentage of T2 ganglia are near the superior border of the third rib, while the T3 ganglion is near the fourth rib.</div></div><div><h3>Conclusions</h3><div>Because of the proximity of the T2 ganglion to the third rib, accidental thermal injury to the T2 ganglion may occur when third rib-oriented ETS is performed. A ganglion-oriented T3 ETS can be accomplished by using the white ramus communicans as a guide to accurately locate the T3 ganglion.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 2","pages":"Pages 456-460"},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166133","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":"Giant Coronary Artery Aneurysms With Coronary Sinus Fistula: Forget the Distal Bypass","authors":"Savannah Gelhard MD ,&nbsp;Ammar Asban MD, MAS ,&nbsp;Craig H. Selzman MD","doi":"10.1016/j.atssr.2024.11.016","DOIUrl":"10.1016/j.atssr.2024.11.016","url":null,"abstract":"<div><div>We describe the surgical approach for 2 symptomatic patients with coronary artery aneurysms with coronary sinus fistulas. One patient presented as an elective procedure secondary to concerns for aneurysmal growth and rupture; the second patient presented in cardiogenic shock from excessive shunting and right heart failure. Historically, coronary aneurysms have mandated ligation with distal bypass. Wwe report that successful treatment of this condition can be performed with ligation alone because of the significant collateral circulation present in these adult patients.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 2","pages":"Pages 424-426"},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166122","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":"Evaluating Novel Annuloplasty Ring Designs in a Pathophysiological Animal Model","authors":"Sanchita S. Bhat PhD ,&nbsp;Katelynne Berland BS ,&nbsp;Beatrice E. Ncho PhD ,&nbsp;Takayuki Kawashima MD ,&nbsp;Satoshi Kozaki MD ,&nbsp;Kaoru Uchida MD ,&nbsp;Kazuki Mori MD ,&nbsp;Robert C. Gorman MD ,&nbsp;Joseph H. Gorman III MD ,&nbsp;Ajit P. Yoganathan PhD","doi":"10.1016/j.atssr.2024.12.002","DOIUrl":"10.1016/j.atssr.2024.12.002","url":null,"abstract":"<div><h3>Background</h3><div>Annuloplasty ring dehiscence post ischemic mitral regurgitation is an extensively studied mode of failure. This study aimed to compare annuloplasty ring designs of varying stiffness and investigate annular forces to understand mechanisms that may mitigate likelihood of ring dehiscence.</div></div><div><h3>Methods</h3><div>Force transducers were attached to 5 types of rings—rigid, flexible, COM-Flex, POST-Flex, and ALPM-Flex—having varying stiffness. After undersized ring implantation in diseased animals (N = 31), ring suture forces (F_C(avg)) were measured for peak left ventricular pressures of 100, 125, and 150 mm Hg.</div></div><div><h3>Results</h3><div>In normotensive animals, anterior F_C(avg) was highest in POST-Flex rings (2.2 ± 0.73 N). Posterior F_C(avg) was considerably lower in flexible (0.7 ± 0.10 N) compared with rigid (1.6 ± 0.27 N) and COM-Flex (1.1 ± 0.13 N) rings. POST-Flex rings had notable differences between anterior F_C(avg) (2.2 ± 0.73 N) and posterior F_C(avg) (1.4 ± 0.38 N). ALPM-Flex and COM-Flex rings had anterior F_C(avg) of 1.6 ± 0.47 N and 1.6 ± 0.25 N, and posterior F_C(avg) of 1.2 ± 0.45 N and 1.1 ± 0.13 N, respectively.</div></div><div><h3>Conclusions</h3><div>Results demonstrate trends in suture forces and their spatial variation. COM-Flex was most effective in distributing forces away from posterior annulus. Despite POST-Flex having large material heterogeneity, average posterior force was similar to rigid rings. Results shown in this study provide an atlas of data on how variable annular loading is and the complexity of both understanding loads and developing devices to sustain them.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 2","pages":"Pages 549-554"},"PeriodicalIF":0.0,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166866","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":"Dual Antiplatelet Therapy After Elective Coronary Artery Bypass Graft and Its Impact on Clinical Outcomes","authors":"Iftikhar Ali Ch MD ,&nbsp;Faisal Latif MD ,&nbsp;Ahmad Usmani MD ,&nbsp;Jeffrey Garrett MD ,&nbsp;Pei-Tzu Wu PhD ,&nbsp;Mashal Tahirkheli BS ,&nbsp;Rahat Jamal MBBS ,&nbsp;Steven Miller MD ,&nbsp;Naeem Tahirkheli MD","doi":"10.1016/j.atssr.2024.11.012","DOIUrl":"10.1016/j.atssr.2024.11.012","url":null,"abstract":"<div><h3>Background</h3><div>Dual antiplatelet therapy (DAPT) has demonstrated survival benefits in patients undergoing coronary artery bypass grafting (CABG) for acute coronary syndrome. The impact of DAPT in patients undergoing elective CABG remains underexplored.</div></div><div><h3>Methods</h3><div>This single-center retrospective observational study reviewed all CABG procedures performed between 2012 and 2015. The primary outcome measured was the difference in mortality (all-cause and cardiovascular) between patients receiving aspirin monotherapy and those on DAPT. Secondary outcomes included post-CABG acute coronary syndrome, cerebrovascular accident, and major adverse cardiovascular events.</div></div><div><h3>Results</h3><div>Among the 1828 patients who underwent elective CABG surgery, those who received DAPT had lower rates of all-cause mortality (odds ratio [OR], 0.43; 95% CI, 0.28-0.66; <em>P</em> &lt; .001) and cardiovascular mortality (OR, 0.30; 95% CI, 0.16-0.56; <em>P</em> &lt; .001) than aspirin monotherapy recipients. The overall survival rates were 93% and 97% for the aspirin monotherapy and DAPT groups, respectively (<em>P</em> &lt; .001). The groups showed similar incidences of post-CABG acute coronary syndrome (OR, 1.14; 95% CI, 0.71-1.85; <em>P</em> = .629), post-CABG cerebrovascular accident (OR, 0.80; 95% CI, 0.45-1.43; <em>P</em> = .457), and major adverse cardiovascular events (OR, 0.73; 95% CI, 0.52-1.01; <em>P</em> = .061). Although DAPT patients experienced a higher rate of in-hospital major bleeding than aspirin monotherapy patients (OR, 1.48, 95% CI, 1.22-1.79; <em>P</em> &lt; .001), the transfusion requirement was similar between the 2 groups (OR, 1.06, 95% CI, 0.77-1.46; <em>P</em> = .710).</div></div><div><h3>Conclusions</h3><div>The use of DAPT in elective CABG patients was associated with significantly higher survival rates and reduced incidences of all-cause and cardiovascular mortality than aspirin monotherapy.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 2","pages":"Pages 408-413"},"PeriodicalIF":0.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166120","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":"Bronchial Obstruction in Immunoglobulin G4-Related Disease","authors":"Takaya Sato MD ,&nbsp;Kentaro Minegishi MD, PhD ,&nbsp;Naota Okabe MD, PhD ,&nbsp;Fumie Osuga MD ,&nbsp;Keigo Sudo MD ,&nbsp;Masaya Sogabe MD ,&nbsp;Shunsuke Endo MD, PhD ,&nbsp;Hiroyoshi Tsubochi MD, PhD","doi":"10.1016/j.atssr.2024.11.011","DOIUrl":"10.1016/j.atssr.2024.11.011","url":null,"abstract":"<div><div>Immunoglobulin G4-related disease (IgG4-RD) is a recently identified systemic fibroinflammatory disorder affecting various organs throughout the body. IgG4-related lung disease is a relatively common manifestation in IgG4-RD and presents with 4 primary pulmonary patterns: nodular, ground-glass opacities, interstitial disease, and peribronchovascular thickening. Peribronchovascular thickening is a frequent pattern in thoracic IgG4-RD involvements. This case report describes bronchial obstruction as a consequence of IgG4-RD in a 65-year-old man with no personal or family history of autoimmune disease. Thoracoscopic segmentectomy was performed, which led to the diagnosis of IgG4-RD.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 2","pages":"Pages 345-347"},"PeriodicalIF":0.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166871","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":"Surviving Extracorporeal Membrane Oxygenation Is a Longitudinal Process: Exploring a Survivorship Model to Improve Quality of Life","authors":"Islam Hasasna MS ,&nbsp;Bethany Andrew BS ,&nbsp;Paul Rothenberg MD ,&nbsp;Michael Platten BS ,&nbsp;Hakam Rajjoub BS ,&nbsp;Debra White RN ,&nbsp;Amber Ganoe MSN, RN ,&nbsp;Penny Sappington MD ,&nbsp;Paul McCarthy MD ,&nbsp;J.W. Awori Hayanga MD, MPH","doi":"10.1016/j.atssr.2024.11.010","DOIUrl":"10.1016/j.atssr.2024.11.010","url":null,"abstract":"<div><h3>Background</h3><div>Venovenous extracorporeal membrane oxygenation is a salvage therapy for patients with acute respiratory distress syndrome. Survivors struggle with daily activities after decannulation and discharge. We evaluated outcomes after implementing a survivorship approach based on a cancer survivorship clinic model to improve quality of life (QoL) and optimize resource consumption.</div></div><div><h3>Methods</h3><div>We established a multidisciplinary survivorship clinic using telehealth and in-person physical and occupational therapy teams. Data from the 12-item Short Form Health Survey (SF-12) were collected between 2020 and 2023. Interviews were conducted at 6 months, 1 year, and 2 years after decannulation. The patients were offered in-person and telephone-based counseling with scheduled inpatient and outpatient rehabilitation visits. SF-12 mental component summary (MCS-12) and physical component summary (PCS-12) scores were used to calculate quality-adjusted life years (QALYs). The relationship between QoL, costs, and length of stay outcomes was assessed using generalized linear and mixed models.</div></div><div><h3>Results</h3><div>Fifty-three patients were monitored for 3 years. Mean age was 41.7 years, 98.1% were White, and 50.9% were men. At 6 months, 1 year, and 2 years, mean MSC-12 scores were 52.9, 50, and 49.7, PCS-12 scores were 43.7, 41.8, and 47.3, and QALYs were 0.837, 0.829, and 0.826, respectively. MCS-12 showed no significant difference from the United States population. PCS-12 was significantly lower than the United States population during the first and second evaluations (<em>P</em> &lt; .001) but showed no difference at 36 months. QALYs were significantly higher (<em>P</em> &lt; .001). Higher resource consumption was associated with lower PCS-12 scores and QALYs.</div></div><div><h3>Conclusions</h3><div>The survivorship approach with counseling and rehabilitation yields acceptable QoL, which may inform strategies to improve the cost-effectiveness of venovenous extracorporeal membrane oxygenation.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 2","pages":"Pages 473-478"},"PeriodicalIF":0.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166137","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":"Explantation of Two Embolized Balloon-Expandable Valves in Left Atrium After Transcatheter Mitral Valve Replacement","authors":"Andrew Marthy MD ,&nbsp;Mei Zuo BS ,&nbsp;Saeed Tarabichi MD ,&nbsp;Eduardo Danduch MD ,&nbsp;Sanjay Samy MD ,&nbsp;Chikashi Nakai MD","doi":"10.1016/j.atssr.2024.11.009","DOIUrl":"10.1016/j.atssr.2024.11.009","url":null,"abstract":"<div><div>An 81-year-old man with a history of transcatheter aortic valve replacement for severe aortic stenosis presented with dyspnea on exertion and moderate-severe mitral stenosis. He underwent transcatheter mitral valve replacement (TMVR) through a transseptal approach, given his age and comorbidities. The TMVR procedure was complicated by 2 embolized TMVR valves into the left atrium, requiring urgent transfer to the operating room for exploratory cardiotomy. The embolized valves were explanted from the left atrium successfully without additional mitral valve intervention. Intraoperative transesophageal echocardiography revealed improved mitral stenosis from severe to mild level after TMVR valve deployments. He was discharged home on postoperative day 10.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 2","pages":"Pages 442-445"},"PeriodicalIF":0.0,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166130","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":"Combining Robotic Navigational Bronchoscopy and Lung Resection Into a Single Anesthetic Event: Cost-Effectiveness, Wait Times, and Outcomes","authors":"Lucas Weiser MD ,&nbsp;Claire Perez MD ,&nbsp;Justin J. Watson MD ,&nbsp;Kellie Knabe MSN, RN ,&nbsp;Allen Razavi MD ,&nbsp;Vikram Krishna MD ,&nbsp;Charles Fuller ,&nbsp;Sevannah Soukiasian ,&nbsp;Andrew R. Brownlee MD ,&nbsp;Harmik J. Soukiasian MD","doi":"10.1016/j.atssr.2024.11.008","DOIUrl":"10.1016/j.atssr.2024.11.008","url":null,"abstract":"<div><h3>Background</h3><div>Delay from diagnosis to resection in non-small cell lung cancer negatively affects survival. Single-anesthesia robotic navigational bronchoscopy with biopsy and lung resection (SABR) was developed to mitigate delay. We report outcomes, wait times, and cost effectiveness of this approach vs staggered robotic navigational bronchoscopy followed by resection.</div></div><div><h3>Methods</h3><div>Patients undergoing SABR or staggered biopsy and resection between April 2020 and May 2023 were included. Demographic and procedural characteristics were collected for both groups. Time from clinic and biopsy to operation, length of stay, and inpatient complications were captured. Direct, indirect, and total costs, adjusted to 2023 dollars, were measured for each case.</div></div><div><h3>Results</h3><div>The study included 40 patients in the SABR group and 30 patients in the staggered group. Baseline clinical characteristics including pathologic stage were similar between the groups. No difference was found in rates of complications. Time from clinic to resection was 26.5 days in the SABR group and 41.5 days in the staggered group (<em>P</em> = .001). Time from biopsy to resection was 0 days for the SABR group, whereas it was 17 days for the staggered group (<em>P</em> &lt; .001). The SABR group had lower adjusted direct cost ($37,154 vs $41,678; <em>P</em> = .005), indirect cost ($33,450 vs $39,706; <em>P</em> = .004), and total cost ($70,591 vs $81,025; <em>P</em> = .004).</div></div><div><h3>Conclusions</h3><div>Our experience suggests that the SABR technique offers a significant reduction in the time from diagnosis to treatment as well as reduces cost of care for patients with early-stage non-small cell lung cancer.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 2","pages":"Pages 324-328"},"PeriodicalIF":0.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166138","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":"Association Between Intra- and Postoperative Opioids in Opioid-Naïve Patients in Thoracic Surgery","authors":"Kelly L. Wiltse Nicely PhD, CRNA ,&nbsp;Ronald Friend PhD ,&nbsp;Chad Robichaux MPH ,&nbsp;Jonathan Alex Edwards MSPH ,&nbsp;Jeannie P. Cimiotti PhD, RN ,&nbsp;Kim Dupree Jones PhD, FNP","doi":"10.1016/j.atssr.2024.04.003","DOIUrl":"10.1016/j.atssr.2024.04.003","url":null,"abstract":"<div><h3>Background</h3><div>As the opioid epidemic continues, a better understanding of the use of opioids in surgery is needed. We examined whether intraoperative opioid administration was associated with greater postoperative opioid use prior to discharge in opioid-naïve patients undergoing thoracic surgery. Further, we sought to determine predictors of higher intra- and postoperative opioid use including demographic and patient factors and hospital.</div></div><div><h3>Methods</h3><div>Data on patients who underwent elective thoracic surgery between January 1, 2018, and December 31, 2019, were extracted from a data repository at a large health system in the Southeast United States. All patients and data on total intraoperative and postoperative (prior to discharge) opioid administration were included. A total of 126 patient encounters were analyzed.</div></div><div><h3>Results</h3><div>Increased intraoperative morphine milligram equivalent was associated with increased postoperative administration, where each unit increase in intraoperative morphine milligram equivalent was associated with 0.57 increased units in postoperative use (B = 0.57; 95% CI, 0.29-0.87, <em>P</em> &lt; .0003), controlling for patient race, sex, age, weight, Elixhauser comorbidity score, and hospital. Younger age (<em>P</em> &lt; .002), comorbidity (<em>P</em> &lt; .054), and weight (<em>P</em> &lt; .026) were associated with higher intra- and postoperative opioid use, but race (<em>P</em> &lt; .320) and sex (<em>P</em> &lt; .980) were not associated with opioid administration.</div></div><div><h3>Conclusions</h3><div>Intraoperative opioid use had a significant impact on postoperative opioid use in patients undergoing elective thoracic surgery, even when controlling for age, weight, comorbidities, race, and sex. Substantial variation in both intra- and postoperative opioid administration was noted.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"2 4","pages":"Pages 865-870"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140794318","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":"Butterfly-Shaped Epicardial Lipoma of the Heart","authors":"Polyxeni Vlachea MD ,&nbsp;Klaus Wenke MD ,&nbsp;Kun Lu MD ,&nbsp;Christian Hagl MD ,&nbsp;Gerd Juchem MD ,&nbsp;Florian E.M. Herrmann MD","doi":"10.1016/j.atssr.2024.05.006","DOIUrl":"10.1016/j.atssr.2024.05.006","url":null,"abstract":"<div><div>Cardiac tumors are a rare entity with typically unspecific symptoms. We present the case of a 43-year old female patient with epigastric pain and palpitations with a long history of diagnostics prior to discovery of an epicardial mass. The epicardial tumor with arterial vascularization from the left anterior descending artery was resected in a beating heart procedure and was found to be a lipomatous soft tissue tumor. A lack of mouse double minute 2 gene amplification in fluorescent in situ hybridization confirmed the diagnosis of a benign cardiac lipoma. Resection led to a long-term resolution of symptoms.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"2 4","pages":"Pages 695-698"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141391935","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}