Interdisciplinary cardiovascular and thoracic surgery最新文献_第3页

Determinants of Interhospital Mortality in Acute Type A Aortic Dissection. 急性A型主动脉夹层院间死亡率的决定因素

Interdisciplinary cardiovascular and thoracic surgery Pub Date : 2025-10-06 DOI: 10.1093/icvts/ivaf218

Jiseok Lee, Sang Yoon Kim, Hyoung Woo Chang, Jae Hang Lee, Jun Sung Kim, Sang Hon Park, Kay-Hyun Park, Joon Chul Jung

{"title":"Determinants of Interhospital Mortality in Acute Type A Aortic Dissection.","authors":"Jiseok Lee, Sang Yoon Kim, Hyoung Woo Chang, Jae Hang Lee, Jun Sung Kim, Sang Hon Park, Kay-Hyun Park, Joon Chul Jung","doi":"10.1093/icvts/ivaf218","DOIUrl":"10.1093/icvts/ivaf218","url":null,"abstract":"Objectives: To evaluate the impact of preoperative characteristics and interhospital distance on interhospital mortality in patients with acute type A aortic dissection.Methods: Patients with acute type A aortic dissection referred to our institution for emergency surgery between May 2020 and December 2024 were retrospectively reviewed. Preoperative characteristics were obtained from registry data based on information available at the time of referral. Interhospital distance was measured in kilometres and minutes using a navigation application.Results: Among 176 patients, 14 interhospital mortalities (8.0%) occurred after the transfer request, with a median interhospital distance of 47 minutes. Significant risk factors for interhospital mortality included pericardial effusion (odds ratio [OR]: 4.03; 95% CI: 1.29-12.64), shock (OR: 97.84; 95% CI: 12.11-790.65), and cardiopulmonary resuscitation before referral (OR: 64.40; 95% CI: 6.57-631.20). Compared to patients referred from the hospitals located within 40 minutes, those referred from the hospitals within 40-80 minutes had a significantly higher risk of interhospital mortality (OR: 6.08; 95% CI: 1.39-42.2). In patients with shock, the cumulative incidence of cardiopulmonary resuscitation increased over time, reaching 21.9% at 60 minutes and 39.0% at 120 minutes after the referral request.Conclusions: Pericardial effusion, shock, cardiopulmonary resuscitation before referral, and interhospital distance were identified as significant risk factors for interhospital mortality in patients with acute type A aortic dissection.","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12503226/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145133023","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

Hybrid Thoracoabdominal Aortic Aneurysm Repair After Prior Abdominal Aortic Aneurysm Repair: Safety and Outcomes. 先前腹主动脉瘤修复后混合胸腹主动脉瘤修复：安全性和结果。

Interdisciplinary cardiovascular and thoracic surgery Pub Date : 2025-10-06 DOI: 10.1093/icvts/ivaf230

Kazuhiro Ueno, Takashi Shuto, Takayuki Kawashima, Tomoyuki Wada, Katsuki Oji, Takeaki Dotsu, Norio Hongo, Yoshiki Asayama, Shinji Miyamoto

{"title":"Hybrid Thoracoabdominal Aortic Aneurysm Repair After Prior Abdominal Aortic Aneurysm Repair: Safety and Outcomes.","authors":"Kazuhiro Ueno, Takashi Shuto, Takayuki Kawashima, Tomoyuki Wada, Katsuki Oji, Takeaki Dotsu, Norio Hongo, Yoshiki Asayama, Shinji Miyamoto","doi":"10.1093/icvts/ivaf230","DOIUrl":"10.1093/icvts/ivaf230","url":null,"abstract":"Objectives: Hybrid repair of thoracoabdominal aortic aneurysms (TAAA), combining visceral debranching and thoracic endovascular aortic repair, is a less invasive alternative to open surgery. However, data on long-term outcomes, especially in patients with prior open abdominal aortic aneurysm (AAA) repair, are limited. This study compares outcomes of hybrid TAAA repair in patients undergoing concomitant AAA repair vs those with prior open AAA repair.Methods: Between January 2007 and January 2024, 132 TAAA repairs were performed at our institution. We retrospectively analysed 80 patients who underwent hybrid TAAA repair. After excluding emergency cases and those without AAA repair, 67 patients were included: 50 with concomitant AAA repair (Group C) and 17 with prior open AAA repair (Group P). Perioperative outcomes, complications, and long-term survival and aortic event-free rates were compared between groups.Results: The median age was 72.0 years (IQR: 65.0-80.8) in Group C and 75.0 years (IQR: 70.0-82.0) in Group P (P = .34). Hospital mortality was 3.0% overall, with no significant group differences. Mean follow-up was 5.0 ± 3.1 years. Five-year overall survival was 69% in Group C and 63% in Group P (P = .22). Freedom from aortic events at 5 years was 92% in Group C and 83% in Group P (P = .19). IPTW-adjusted analyses confirmed no significant differences between the groups.Conclusions: Hybrid TAAA repair can be safely performed for patients with prior AAA open repair, with acceptable long-term outcomes after appropriate patient selection.","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12512131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145180666","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

Ethical Oversight of First-in-Human Cardiac Procedures for Congenital Heart Disease in Children. 儿童先天性心脏病的首次人类心脏手术的伦理监督。

Interdisciplinary cardiovascular and thoracic surgery Pub Date : 2025-10-06 DOI: 10.1093/icvts/ivaf212

Brent K Winemiller, Joshua A Daily, Taufiek K Rajab

引用次数: 0

Advanced imaging preparation for endoscopic mitral valve surgery - analysis of circumflex anatomy and associated procedural risks. 内窥镜二尖瓣手术的先进成像准备-旋转解剖和相关手术风险分析。

Interdisciplinary cardiovascular and thoracic surgery Pub Date : 2025-10-06 DOI: 10.1093/icvts/ivaf238

Jacqueline Kruse, Marwan Hamiko, Ömür Akhavuz, Jonathan Hobbach, Eissa Alaj, Kaveh Eghbalzadeh, Sebastian Zimmer, Marcel Weber, Daniel Kütting, Ali El-Sayed Ahmad, Farhad Bakhtiary, Miriam Silaschi

{"title":"Advanced imaging preparation for endoscopic mitral valve surgery - analysis of circumflex anatomy and associated procedural risks.","authors":"Jacqueline Kruse, Marwan Hamiko, Ömür Akhavuz, Jonathan Hobbach, Eissa Alaj, Kaveh Eghbalzadeh, Sebastian Zimmer, Marcel Weber, Daniel Kütting, Ali El-Sayed Ahmad, Farhad Bakhtiary, Miriam Silaschi","doi":"10.1093/icvts/ivaf238","DOIUrl":"https://doi.org/10.1093/icvts/ivaf238","url":null,"abstract":"Objectives: Iatrogenic injury to the circumflex artery during mitral valve surgery occurs in 0.3-1.8% of cases. This study analyzed the circumflex artery's anatomical relationship to the mitral annulus using advanced imaging to predict peri-operative risk in patients undergoing endoscopic mitral valve surgery.Methods: A computed tomography (CT) analysis using 3mensio software was performed in 315 patients (2019-2023) undergoing minimally invasive mitral valve surgery. A prediction index for circumflex artery injury was calculated to identify at-risk individuals.Results: Circumflex artery anatomy was assessable in all patients (n = 315). The mean age was 62.84 ± 11.34 years; median annulus area was 12.97 ± 5.69 cm2. The mean distance between the left circumflex artery and mitral annulus was 6.97 ± 3.85 mm. A critical distance < 4 mm was observed in 23.5% (74/315), among whom circumflex obstruction occurred in 2.71% (2/74), compared to 0% in those with ≥ 4 mm distance (p = 0.05). Percutaneous coronary intervention was required in 0.32% (1/315). A low injury prediction index (≤ 0.2) was found in 27.31% (86/315), correlating with male sex, larger annular dimensions, and elevated injury risk.Conclusions: Preoperative CT-based measurement of the circumflex artery's distance from the mitral annulus is feasible and may identify patients at elevated risk for iatrogenic injury. A distance ≤ 4 mm or injury prediction index ≤ 0.2 indicates increased risk. Routine CT imaging, combined with coronary angiography, is recommended for risk stratification before mitral valve surgery.","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234277","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}

引用次数: 0

Robotic Hybrid Ablation with Novel Epicardial Electrophysiological Mapping: Impact on Atrial Fibrillation Therapy. 新型心外膜电生理定位的机器人混合消融：对房颤治疗的影响。

Interdisciplinary cardiovascular and thoracic surgery Pub Date : 2025-10-06 DOI: 10.1093/icvts/ivaf194

Zain Khalpey, Ujjawal Kumar, Mallory Taylor, Leslie Epting

引用次数: 0

Beyond Feasibility: Critical Next Steps for Single-Port Robotic Thoracic Surgery. 超越可行性：单孔机器人胸外科手术的关键下一步。

Interdisciplinary cardiovascular and thoracic surgery Pub Date : 2025-10-06 DOI: 10.1093/icvts/ivaf226

Guanghao Pan, Guang Yang, Wenhao Wang, Huining Liu

引用次数: 0

Tricuspid Valve Replacement Using the Right Atrial Appendage Valve: Techniques and 1-Year Results. 使用右心房附件瓣膜置换三尖瓣：技术和一年的结果。

Interdisciplinary cardiovascular and thoracic surgery Pub Date : 2025-10-06 DOI: 10.1093/icvts/ivaf207

Ahmad Ali Amirghofran, Seyed Alireza Mirhosseini, Roozbeh Narimani-Javid, Mohammad Reza Edraki, Mohammad Rafati Navaei, Hamid Mohammadi, Soorena Khorshidi, Salma Nozhat, Zahra Savand Roomi, Hamed Bazrafshan Driss, Sasan Shafiei, Alireza Arzhangzadeh

{"title":"Tricuspid Valve Replacement Using the Right Atrial Appendage Valve: Techniques and 1-Year Results.","authors":"Ahmad Ali Amirghofran, Seyed Alireza Mirhosseini, Roozbeh Narimani-Javid, Mohammad Reza Edraki, Mohammad Rafati Navaei, Hamid Mohammadi, Soorena Khorshidi, Salma Nozhat, Zahra Savand Roomi, Hamed Bazrafshan Driss, Sasan Shafiei, Alireza Arzhangzadeh","doi":"10.1093/icvts/ivaf207","DOIUrl":"10.1093/icvts/ivaf207","url":null,"abstract":"Objectives: When tricuspid valve repair is unfeasible due to extensive damage or a complex congenital malformation, surgeons consider tricuspid valve replacement (TVR). However, it is still controversial and challenging to choose the best substitute. We aimed to introduce the innovative intraoperatively valve construction using the native right atrial appendage (RAA) tissue for TVR and investigate the short-term outcomes.Methods: This study recruited paediatric and adult patients with unrepairable severe tricuspid regurgitation (TR) who needed TVR. The patient's RAA tissue was harvested and used to reconstruct a native bileaflet valve during surgery. Transthoracic echocardiography was conducted before operation, 6, and 12 months after surgery.Results: The procedure was successfully executed on 3 patients with valve destruction as a result of infective endocarditis, and 3 patients who had severe TR due to congenital anomalies. There was no mortality or related morbidity. All the constructed valves had proper function with no complications after the surgery. Follow-up echocardiographic studies showed stable and satisfactory valve function with no regurgitation or significant stenosis.Conclusions: The novel tricuspid valve operation using native RAA tissue demonstrates promising short-term results. Further studies with larger cohorts and longer follow-ups are required to confirm the technique's reliability and long-term effectiveness.","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145093076","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}

引用次数: 0

Long-Term Outcomes of Concomitant Left-Sided Cryoablation During Totally Endoscopic Mitral Valve Surgery. 全内窥镜二尖瓣手术同时左侧冷冻消融的远期疗效。

Interdisciplinary cardiovascular and thoracic surgery Pub Date : 2025-10-06 DOI: 10.1093/icvts/ivaf217

Ilia Bazhanov, Johannes Petersen, Yalin Yildirim, Jonas Pausch, Evaldas Girdauskas, Yousuf Al Assar, Hermann Reichenspurner, Simon Pecha

{"title":"Long-Term Outcomes of Concomitant Left-Sided Cryoablation During Totally Endoscopic Mitral Valve Surgery.","authors":"Ilia Bazhanov, Johannes Petersen, Yalin Yildirim, Jonas Pausch, Evaldas Girdauskas, Yousuf Al Assar, Hermann Reichenspurner, Simon Pecha","doi":"10.1093/icvts/ivaf217","DOIUrl":"10.1093/icvts/ivaf217","url":null,"abstract":"Objectives: Concomitant atrial fibrillation ablation is a well-established procedure in patients undergoing mitral valve (MV) surgery. However, data concerning the long-term outcomes of cryoablation performed during totally endoscopic MV surgery remain limited. Furthermore, different lesion sets and energy sources used in endoscopic approach may result in varying outcomes. We therefore, analysed rhythm outcome in patients undergoing left-sided cryoablation during totally endoscopic MV surgery.Methods: Patients, who underwent totally endoscopic MV surgery with concomitant left-sided cryoablation between 2016 and 2023 at our centre were included in the study. The retrospective data analysis was based on 24-h Holter monitor follow-up data.Results: A total of 123 patients were included in the study. No complications related to the ablation procedure were observed. The median follow-up period was 36.0 (interquartile range: 17-60) months. During this period, 34 episodes of atrial fibrillation recurrence were documented, corresponding to a recurrence rate of 8.43 per 100 patient-years (95% confidence interval: 5.90-11.73). The estimated freedom from AF at 1, 3, and 5 years were 96.6%, 86.3%, and 69.4% respectively. Type of atrial fibrillation (P = .004; hazard ratio [HR]: 2.521; 95% confidence interval [CI]: 1.347-4.716) and left atrial volume (P = .003; HR: 1.010; 95% CI: 1.003-1.016) were identified as predictors for atrial fibrillation recurrence.Conclusions: Concomitant left-sided cryoablation during totally endoscopic MV surgery is a safe and effective procedure for atrial fibrillation treatment. The encouraging long-term outcomes support the consideration of this approach in totally endoscopic mitral surgery.","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12500327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145180594","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

Life-threatening tracheal obstruction from mucosal flap. 由黏膜瓣引起的危及生命的气管阻塞。

Interdisciplinary cardiovascular and thoracic surgery Pub Date : 2025-10-01 DOI: 10.1093/icvts/ivaf220

Alfonso Fiorelli, Gaetana Messina, Damiano Capaccio, Fausto Ferraro

引用次数: 0

Primary cardiac angiosarcoma with right atrial rupture. 原发性心脏血管肉瘤伴右心房破裂。

Interdisciplinary cardiovascular and thoracic surgery Pub Date : 2025-10-01 DOI: 10.1093/icvts/ivaf227

Yusuke Nakata, Kazuyuki Miyamoto, Kenichi Nishiyama, Seiya Kato

引用次数: 0