Interdisciplinary cardiovascular and thoracic surgery最新文献

{"title":"Reply to García-Villarreal.","authors":"William F McIntyre, Jeff S Healey, Richard P Whitlock","doi":"10.1093/icvts/ivaf057","DOIUrl":"10.1093/icvts/ivaf057","url":null,"abstract":"","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11964488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744446","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":"Vasoplegic syndrome in cardiac surgery: bridging therapeutic gaps with best practices and future research.","authors":"Dragana Unic-Stojanovic, Andreas Koster, Gabor Erdoes, Milan Milojevic","doi":"10.1093/icvts/ivaf075","DOIUrl":"10.1093/icvts/ivaf075","url":null,"abstract":"","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":"40 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11968317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143782186","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":"Real-time thermal coronary angiography in coronary artery bypass grafting.","authors":"Rakan I Nazer, Ali M Albarrati","doi":"10.1093/icvts/ivaf078","DOIUrl":"https://doi.org/10.1093/icvts/ivaf078","url":null,"abstract":"<p><p>Intraoperative graft interrogation is crucial for ensuring graft patency and optimizing surgical outcomes in coronary artery bypass grafting (CABG). Various intraoperative imaging techniques aid in assessing graft function, allowing for immediate correction of technical issues and reducing postoperative complications. A 38-year-old male smoker presented with acute coronary syndrome, characterized by central chest pain radiating to the left shoulder and ST-segment depression on ECG. Elevated troponin confirmed the diagnosis, and coronary angiography revealed significant three-vessel disease. The patient underwent urgent coronary artery bypass grafting (CABG) using bilateral internal mammary arteries as a Y-graft to the left anterior descending artery and the first diagonal branch. Additional grafts to the posterior descending artery and first obtuse marginal branch were performed using saphenous vein segments. Intraoperative graft patency was assessed using a real-time thermal imaging camera, providing non-invasive visualization of myocardial blood flow without contrast agents or disruption of the surgical workflow. This unique technique allowed immediate confirmation of graft functionality, ensuring quality assurance during CABG. Thermal imaging potentially represents a state-of-the-art tool for improving graft quality and surgical outcomes, offering a simple, effective alternative to conventional intraoperative imaging methods.</p>","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744440","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":"Letter to the editor: prognostication and prediction of spread through air spaces in non-small cell lung cancer.","authors":"Zamaan Hooda, Mara B Antonoff","doi":"10.1093/icvts/ivaf077","DOIUrl":"https://doi.org/10.1093/icvts/ivaf077","url":null,"abstract":"","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733464","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":"COVID-19 patients with spontaneous pneumothorax: a propensity-matched, multicentre case-control study.","authors":"Arianna Farronato, Chiara Travaglia, Alice Ravasin, Vittorio Aprile, Roberto Corzani, Elisa Sicolo, Adriano Peris, Stefano Romagnoli, Marco Lucchi, Piero Paladini, Luca Voltolini, Alessandro Gonfiotti","doi":"10.1093/icvts/ivaf076","DOIUrl":"https://doi.org/10.1093/icvts/ivaf076","url":null,"abstract":"<p><strong>Objectives: </strong>Pneumothorax and pneumomediastinum have been frequently reported in Coronavirus Disease-19 (COVID-19) thus complicating the patient's overall healthcare management and survival rate. The study aimed to evaluate the outcomes of COVID-19 patients, who developed spontaneous pneumothorax or spontaneous pneumomediastinum.</p><p><strong>Methods: </strong>In this Italian multicentre retrospective cohort study, medical records in non-vaccinated COVID-19 patients, from March 2020 to May 2021, were analyzed. To reduce the risk of bias due to unbalanced groups, a Propensity Score Matching (PSM) approach was applied using logistic regression to estimate propensity scores. Separate multivariable Generalized Linear Models (GLMs) were then used to assess the risk of in-hospital mortality and other outcomes.</p><p><strong>Results: </strong>474 patients were assessed, of which 72 patients developed spontaneous pneumothorax or pneumomediastinum. In separate multivariable GLM regression analysis of un-matched cohort spontaneous pneumothorax (OR 2.44, 95% CI 1.7-5.55; p = 0.031) are associated with increase of in-hospital mortality rate, results confirmed even after matching the two cohorts. Spontaneous pneumomediastinum (OR 1.21, 95% CI 1.13-1.30, p < 0.001) and spontaneous pneumothorax (OR 1.34, 95% CI 1.26-1.43, p < 0.001) are associated with increase of length of stay. The risk of in-hospital mortality also increases with age, comorbidities (classified by Charlson comorbidity index), and smoking habits.</p><p><strong>Conclusions: </strong>Spontaneous pneumothorax in hospitalized COVID-19 patients may be associated with an increased risk of in-hospital mortality and prolonged hospitalization.</p>","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733462","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":"Planning thoracoscopic segmentectomies with three-dimensional-reconstruction software improves outcomes.","authors":"Aljaz Hojski, Mohamed Hassan, Makhmudbek Mallaev, Nikolay Tsvetkov, Brigitta Gahl, Didier Lardinois","doi":"10.1093/icvts/ivaf043","DOIUrl":"https://doi.org/10.1093/icvts/ivaf043","url":null,"abstract":"<p><strong>Objectives: </strong>In this study, we investigated whether preoperative reconstructions of the lung anatomy using 3D-reconstruction (3D) software based on HRCT-scans improve surgical and postoperative outcomes after video-assisted thoracoscopic (VATS) segmentectomies.</p><p><strong>Methods: </strong>We retrospectively collected data from 100 consecutive patients who signed the general research consent form and underwent VATS-segmentectomies between 2018 and 2023. The outcomes and complications of the surgeries planned with 3D were compared to the results of those performed without. We used propensity modelling and inverse probability of treatment weighting (IPTW) to analyse the data.</p><p><strong>Results: </strong>Thirty-seven of the 100 patients included underwent surgery planned with 3D. In the 3D group, complex segmentectomies were more frequent (89% vs 38%, P < 0.001), there were markedly fewer conversions to thoracotomy (P = 0.003). The IPT-weighted analysis showed fewer severe complications Clavien-Dindo grade III or IV, post-IPTW odds ratio 0.10 (95% CI 0.01 to 0.87), P = 0.037, no complication Clavien-Dindo grade V occurred.Additionally, surgery planning using 3D may influence procedural and postoperative parameters, such as the number of segments removed (1.9 ± 1.0 vs 1.7 ± 0.8, P = 0.40), duration of the chest tube placement (3.0 days, IQR 2.0-4.0 vs 2.0 days, IQR 1.0-3.0, P = 0.060), and stay in the intensive/intermediate care unit.</p><p><strong>Conclusions: </strong>The planning of complex anatomical VATS-segmentectomies with 3D significantly reduces the need for conversions to thoracotomy and postoperative complications rates. In addition, complex surgeries are thereby performed safely.</p>","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674465","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":"Is segmentectomy potentially adequate for clinical stage IA3 non-small cell lung cancer.","authors":"Lin Huang, Alessandro Brunelli, Demetrios Stefanou, Edoardo Zanfrini, Abid Donlagic, Michel Gonzalez, René Horsleben Petersen","doi":"10.1093/icvts/ivaf064","DOIUrl":"10.1093/icvts/ivaf064","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to identify the feasibility of segmentectomy for clinical stage IA3 (cIA3) vs cIA1-2 non-small cell lung cancer (NSCLC).</p><p><strong>Methods: </strong>We retrospectively analysed data of consecutive patients with segmentectomy for cIA NSCLC across three centres between January 2017 and December 2022. The stabilized inverse probability of treatment-weighting (IPTW) was employed to minimize potential confounding in baseline characteristics. Recurrence-free survival (RFS) differences were examined using Kaplan-Meier estimator with the log-rank test. The Cox regression model was applied to assess the average treatment effect (ATE) between two groups in RFS. Subgroup and sensitivity analyses were performed.</p><p><strong>Results: </strong>Of a total of 589 patients who underwent segmentectomy, 478 presented with cIA1-2 NSCLC while 111 presented with cIA3 NSCLC. In comparison with cIA1-2 cases, the cIA3 cohort were significantly older with poorer lung function and more comorbidity. The cIA3 NSCLC presented significantly invasive characteristics, with extensive tissues dissected. After median follow-up of 24.0 (interquartile range 12.5-40.1) months, we did not observe significant difference in RFS (3-year 73.4% vs 78.5%, P = 0.490; ATE: 1.17) between the cIA3 vs cIA1-2 groups. These findings were corroborated following the stabilized IPTW. Preoperative characteristics in the cIA3 subgroup were not related to RFS. In the sensitivity analysis, no difference in RFS was found between the two groups stratified by peripheral and central localization.</p><p><strong>Conclusions: </strong>In well-selected patients with cIA3 NSCLC, segmentectomy leads to no statistical difference in oncologic outcomes compared to those observed in earlier stages in a relatively short follow-up period.</p>","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11928928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626631","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":"Compensatory sweating after thoracoscopic sympathectomy for primary focal hyperhidrosis: a series of 820 cases.","authors":"Tiago Silva Santos, Thiago Gangi Bachichi, Daniela Tamega Joaquim, Maria Helena De Sousa, Eduardo Vieira Ponte, José Ribas Milanez De Campos, Evaldo Marchi","doi":"10.1093/icvts/ivaf063","DOIUrl":"10.1093/icvts/ivaf063","url":null,"abstract":"<p><strong>Objectives: </strong>Primary hyperhidrosis is a functionally and socially limiting condition. Thoracoscopic sympathectomy is an effective treatment for hyperhidrosis. However, post-sympathectomy compensatory sweating remains a challenge in clinical practice.</p><p><strong>Methods: </strong>Record analysis of patients who underwent thoracoscopic sympathectomy between 2002 and 2020. Emphasis was given to demographic data, site of complaint, functional and social impairment, procedure performed, postoperative results and compensatory sweating.</p><p><strong>Results: </strong>A total of 820 patients were included (age 23.8 [7.3] years, body mass index-BMI 22.3 [3.0] kg/m2, 66.3% female). The palmoplantar (44.3%) and palmoplantar-axillary (41.6%) sites were the most affected, followed by the axillary (12.3%) and craniofacial sites (1.8%). On a 0-4 scale, functional impairment was significantly greater in the palmoplantar group (P < 0.001) and social impairment in the axillary, palmoplantar-axillary and craniofacial groups (P < 0.001). The degree of compensatory sweating after surgery was minimal in groups palmoplantar (74.9%), palmoplantar-axillary (70.4%), axillary (63.4%) and mild in the craniofacial group (66.7%). The bivariate analyses showed significant differences in the compensatory sweating variable for age, sex, BMI and site. The multiple analysis by logistic regression showed BMI, sex and the palmoplantar-axillary, axillary and craniofacial variables to be significant for compensatory sweating.</p><p><strong>Conclusions: </strong>Thoracoscopic sympathectomy was an effective procedure for controlling primary focal hyperhidrosis, with tolerable compensatory sweating in the patients analysed in this study.</p>","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626687","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":"Impact of aortic root rotation angle on new-onset first-degree atrioventricular block following mitral valve surgery.","authors":"Kazuma Handa, Masashi Kawamura, Daisuke Yoshioka, Shunsuke Saito, Takuji Kawamura, Ai Kawamura, Yusuke Misumi, Sho Komukai, Tetsuhisa Kitamura, Shigeru Miyagawa","doi":"10.1093/icvts/ivaf046","DOIUrl":"10.1093/icvts/ivaf046","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to classify anatomical variations in aortic root rotation using preoperative three-dimensional transoesophageal echocardiography (3D-TEE), validate these findings with cardiac computed tomography (CT) in patients undergoing mitral valve surgery and evaluate the clinical impact on postoperative atrioventricular conduction disorders.</p><p><strong>Methods: </strong>A total of 126 patients with normal electrocardiograms who underwent isolated mitral valve surgery were included. Anatomical variation was diagnosed using 3D-TEE, and aortic root rotation angle was measured using cardiac CT. New-onset postoperative atrioventricular block (AVB) and bundle branch block were analysed.</p><p><strong>Results: </strong>Variations of aortic root rotation were classified by 3D-TEE into two categories: 'center rotation' (normal) (85.7%, n = 108/126), where the commissure of the left and non-coronary aortic leaflet was located at center of the anterior mitral leaflet, and 'lateral rotation' (14.3%, n = 18/126), rotated to the lateral trigone side. The aortic root rotation angle, where the interatrial septum was defined as a reference, measured by cardiac CT strongly correlated with 3D-TEE findings ('center rotation' vs 'lateral rotation': 51.6° vs 64.6°, P < 0.001). The incidence of new-onset conduction disorder, all presenting with first-degree AVB, was significantly higher in the 'lateral rotation' than in the 'center rotation' (38.9% [n = 7/18] vs 5.6% [n = 6/108], P < 0.001). Aortic root rotation angles were identified as significant risk factors for postoperative first-degree AVB (odds ratio, 1.05; 95% confidential interval, 1.01-1.09; P = 0.027), with cutoff values of 58.7° predicting persistent new-onset AVB.</p><p><strong>Conclusions: </strong>Aortic root rotation angle measured by cardiac CT validated 3D-TEE diagnosis of 'lateral rotation' of the aortic root. 'Lateral rotation' and larger aortic root rotation angles were significant risk factors for postoperative first-degree AVB following mitral valve surgery.</p>","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11906399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143560259","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":"Contribution of cardiac surgeons in transcatheter aortic valve replacement activity in France.","authors":"Gabriel Saiydoun, Saadé Saadé, Chadi Aludaat, Chloé Bernard, Guillaume Lebreton, Thomas Modine, Thierry Folliguet, Charles Juvin, Maroua Eid, Xavier-Benoit D'Journo, Louis Labrousse, Michel Kindo, Julien Guihaire, Jean-Marc Baste, Olivier Fouquet, Marylou Para, Johann Cattan, Mohammed Alghamdi, Guillaume Guimbretiere, Olivier Bouchot, André Vincentelli, Pascal Leprince, Jean-Philippe Verhoye","doi":"10.1093/icvts/ivaf068","DOIUrl":"10.1093/icvts/ivaf068","url":null,"abstract":"<p><strong>Objectives: </strong>This study provides a thorough analysis of cardiac surgeons' involvement in transcatheter aortic valve replacement (TAVR) activities in France, covering decision-making, procedural roles, training and outcome analysis.</p><p><strong>Methods: </strong>A nationwide survey was sent to all cardiac surgeons and all cardiac surgery trainees in France. Subgroup analysis was performed for age, status (established versus in-training) and type of practice facility.</p><p><strong>Results: </strong>A total of 172 surgeons from both private and public sectors responded to the survey. Most respondents (71%) had TAVR activity, and there were no significant differences between subgroups. Most respondents with TAVR activities (30%) had average access (once per week). Almost one-third of centres had >3 established surgeons with TAVR activity, whereas 19% had no in-training surgeons with TAVR activity. TAVR was the only structural practice for 67% of surgeons, while 33% practiced other structural procedures. When asked, 82% of surgeons were against establishing TAVR programmes in centres without a cardiac surgery programme. Most TAVR patients (72%) were discussed by the Heart Team, and only 9% of surgeons said their relationship with the interventional cardiologist was disrupted. Two-thirds of vascular complications were managed by cardiac surgery, and only 6% of cardiac surgeons admitted were unfit to handle any vascular complications.</p><p><strong>Conclusions: </strong>In France, cardiac surgeons are becoming increasingly involved in TAVR procedures as an integral part of the Heart Team.</p>","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143635011","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}