Interdisciplinary cardiovascular and thoracic surgery最新文献

{"title":"Simultaneous Ligation of Vessels During Robotic Right Upper Lobectomy.","authors":"Alfonso Fiorelli, Vincenzo Di Filippo, Francesca Capasso, Massimo Ciaravola, Francesco Coppolino, Fausto Ferraro","doi":"10.1093/icvts/ivag066","DOIUrl":"10.1093/icvts/ivag066","url":null,"abstract":"<p><strong>Background: </strong>Herein, we reported a new technique as the simultaneous ligation of vessels after bronchus section that could facilitate the achievement of Robotic-Assisted Thoracic Surgery (RATS) Right Upper Lobectomy (RUL).</p><p><strong>Methods: </strong>The clinical data of all consecutive patients undergoing RATS RUL for management of early-stage Non-Small Cell Lung Cancer (NSCLC) were included in the study. Patients were divided into 2 groups based on whether RUL was performed by simultaneous ligation of vessels (Simultaneous Ligation Group) or by traditional single isolation-ligation technique (Control group). The inter-group differences regarding operative and peri-operative outcomes were statistically compared to assess the feasibility and safety of the procedure.</p><p><strong>Results: </strong>Simultaneous ligation (n = 7) compared to control group (n = 37) was associated with a significant reduction of operative time (127 ± 56 min vs 178 ± 78.5 min; P = .01) and with a lower number of staplers used (3.4 ± 1.1 vs 7.5 ± 2.4; P = .001) while no significant differences were found regarding the number of resected LN station (P = .76) and of resected LN (P = .75); blood loss (P = .69); daily chest drainage output (P = .73); and length of chest drainage (P = .81) and of hospital stay (P = .86). The median follow-up was 11 months (ranged from 2 to 18 months); no recurrence was observed.</p><p><strong>Conclusions: </strong>Simultaneous ligation of vessels represented a viable option for surgeons in challenging cases, when a standard technique was difficult to perform.</p>","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13064979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147617201","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":"Thoracoscopic Right Lower Lobectomy With Right Top Pulmonary Vein: Safe Subcarinal Lymph Node Dissection.","authors":"Reo Ohtsuka, Tadasu Kohno, Sho Horiuchi, Akira Kohno","doi":"10.1093/icvts/ivag086","DOIUrl":"10.1093/icvts/ivag086","url":null,"abstract":"<p><strong>Objectives: </strong>The right top pulmonary vein (RTPV) is a rare venous anomaly arising from the posterior segmental vein, which runs dorsal to the bronchus intermedius. This anatomy increases the risk of vascular injury during right lower lobectomy, particularly during subcarinal lymph node dissection and fissure division.</p><p><strong>Methods: </strong>We describe thoracoscopic right lower lobectomy with subcarinal lymph node dissection in a patient with RTPV. Key techniques include circumferential dissection of the RTPV and a fissure-last technique.</p><p><strong>Results: </strong>This approach enabled safe preservation of the anomalous vein and adequate exposure of the subcarinal space for complete lymph node dissection.</p><p><strong>Conclusions: </strong>This case highlights practical strategies for preserving anomalous veins and enabling safe subcarinal lymph node dissection, contributing to reproducible thoracoscopic surgery.</p>","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13069888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147494329","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":"Acute Infarction Due to Extrinsic Coronary Compression by Left Ventricular Pseudoaneurysm Following Endocarditis Surgery-Case Management.","authors":"Lars Niclauss, Mario Verdugo, Matthaios Papadimitrou Olivgeris, Kirsch Matthias","doi":"10.1093/icvts/ivag115","DOIUrl":"10.1093/icvts/ivag115","url":null,"abstract":"<p><p>Extrinsic coronary compression is rare, difficult to diagnose, and can have serious consequences. A patient who had surgery for aortic valve endocarditis with patch closure of a septal abscess was readmitted for myocardial infarction. CT scan revealed compression of the left main stem due to pseudoaneurysm formation under the patch. Positron emission tomography confirmed acute hypoperfusion of the left ventricle, making immediate high-risk reoperation unavoidable. Imaging of the patient at one-year follow-up showed complete thrombosis of the former abscess cavity. Extrinsic coronary compression due to an abscess/pseudoaneurysm is associated with a high mortality rate and surgery appears to be the only possible life-saving treatment. In cases of unclear cardiac symptoms occurring under these circumstances (and thus suggesting extrinsic coronary compression), early imaging for quantitative myocardial perfusion should be considered to assess severity of myocardial ischaemia and thus urgency of surgery.</p>","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":"41 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13125750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791110","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":"Splenic Injury as a Complication of Robotic-Assisted Thoracic Surgery.","authors":"Ho Seong Cho, Jeong Su Cho, Hyo Yeong Ahn, Yeong Dae Kim","doi":"10.1093/icvts/ivag096","DOIUrl":"10.1093/icvts/ivag096","url":null,"abstract":"<p><p>Splenic injury after thoracic surgery is rare and has not been reported following robotic-assisted thoracic surgery (RATS). We describe a 52-year-old woman who underwent RATS left upper lobectomy. After discharge, she returned with abdominal pain and hypotension. Computed tomography revealed hemoperitoneum with signs of splenic injury. Emergent laparoscopic splenectomy confirmed splenic rupture. This case highlights that unrecognized intraabdominal trauma can occur during RATS; surgeons should exercise caution near the diaphragm and remain vigilant post-discharge.</p>","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13153470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647145","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":"Efficacy of Non-Powered Stapler in Lung Volume Reduction Surgery of Severe Lung Emphysema: A Prospective Randomized Single-Blinded Monocentric Study.","authors":"Eric Francis Macharia-Nimietz, Makhmudbek Mallaev, Paulius Gecas, Jovan Vujic, Urs Simmen, Aljaz Hojski, Michael Tamm, Didier Lardinois","doi":"10.1093/icvts/ivag071","DOIUrl":"10.1093/icvts/ivag071","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to assess whether the use of the non-powered AEON Endostapler during lung resection in patients with severe lung emphysema reduces the duration of postoperative air leak, as measured by the air leak volume over time, in comparison to the Echelon Flex Powered Plus Stapler.</p><p><strong>Methods: </strong>A total of 32 lung volume reduction surgeries were performed on 19 patients, stratified by side of the operation. These procedures were randomly assigned to utilize either the non-powered or the powered stapler. Postoperative air leak was monitored using a digital recording system. The time to air leak closure, the incidence and severity of air leaks, and the duration of chest tube placement were evaluated.</p><p><strong>Results: </strong>Immediate postoperative air leaks were observed in 6 of 17 procedures (35.3%) using the non-powered stapler and in 9 of 15 procedures (60%) performed with the powered stapler. The median time to closure of the air leak was also considerably shorter in the non-powered procedures: 14.3 hours [6.7, 116] compared to 93.2 hours [2.1, 159] for the powered treatments. Cox regression analysis yielded a hazard ratio of 1.6 (95% CI, 0.73-3.3) for a faster air leak closure with the non-powered stapler (P = .25).</p><p><strong>Conclusions: </strong>Both stapler systems are feasible for use in patients with severe lung emphysema. However, our results show an earlier air leak closure and a lower incidence of postoperative air leaks with the use of a non-powered stapler.</p><p><strong>Clinical registration number: </strong>https://clinicaltrials.gov/study/NCT05628415? term=LVRS&rank=9, 28.11.2022.</p>","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13050145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367408","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":"Short-Term Outcomes of Coronary Endarterectomy as an Adjunct to Coronary Artery Bypass Grafting: A Systematic Review and Meta-Analysis of Over 100 000 Patients.","authors":"Joshua J Hon, Arian Arjomandi Rad, Archie Egrilmezer, Fadi Ibrahim Al-Zubaidi, Andrea D'Alessio, Shivika Sharma, Mariam Omar, Vasiliki Androutsopoulou, Sadeq Ali-Hasan-Al-Saegh, Alexander Weymann, Arjang Ruhparwar, Peyman Sardari Nia, Thanos Athanasiou, Antonios Kourliouros","doi":"10.1093/icvts/ivag091","DOIUrl":"10.1093/icvts/ivag091","url":null,"abstract":"<p><strong>Objectives: </strong>To assess short-term outcomes of coronary artery bypass grafting (CABG) with adjunct coronary endarterectomy (CE) compared with isolated bypass grafting, and to synthesize available confounder-adjusted effect estimates.</p><p><strong>Methods: </strong>We conducted a systematic review and meta-analysis following PRISMA guidelines. MEDLINE, Embase, and CENTRAL were searched from January 2000 to June 2025. Eligible studies compared adult patients undergoing CABG with CE versus isolated CABG. Two reviewers independently screened studies, extracted data, and assessed quality. Random-effects meta-analysis was performed. The primary outcome was 30-day or in-hospital mortality.</p><p><strong>Results: </strong>Sixteen studies (119 458 patients) were included. CABG with CE was associated with higher mortality (RR 1.84, 95% CI 1.65-2.04). Pooling adjusted odds ratios from 3 studies yielded OR 1.76 (95% CI 1.55-2.00), with 2 of 3 individual estimates not reaching significance. Secondary outcomes showed increased risks of perioperative myocardial infarction (RR 1.99, 95% CI 1.29-3.07), stroke (RR 1.37, 95% CI 1.08-1.75), renal failure (RR 1.62, 95% CI 1.44-1.82), and intra-aortic balloon pump use (RR 1.96, 95% CI 1.41-2.70). Sensitivity analyses confirmed consistency across all the subgroups.</p><p><strong>Conclusions: </strong>CABG with CE is associated with higher short-term mortality and morbidity compared with isolated bypass grafting; however, confounder-adjusted analyses suggest this excess risk is partly attributable to greater baseline disease severity rather than an independent procedural effect. The scarcity of data and absence of randomized evidence preclude definitive causal conclusions. These findings provide benchmarking data for counselling when endarterectomy is necessary to achieve complete revascularization.</p>","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517071","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":"A Case of Sinus of Valsalva Aneurysm Associated With a Single Coronary Artery Successfully Treated by Bentall Surgery.","authors":"Kotaro Mukasa, Shinichiro Abe, Yasunori Yakita, Soichi Asano","doi":"10.1093/icvts/ivag098","DOIUrl":"10.1093/icvts/ivag098","url":null,"abstract":"<p><p>We report a case of a sinus of Valsalva aneurysm associated with a single coronary artery, incidentally detected in a 73-year-old woman. Imaging revealed a Lipton type L2-A single coronary artery and a sinus of Valsalva aneurysm. The patient underwent successful Bentall surgery with careful coronary reimplantation and combined antegrade-retrograde myocardial protection. This case highlights surgical considerations in managing this uncommon combination of anomalies. Clinical registration number: Because this was a single-patient case report and written informed consent for participation in medical research was obtained from the patient, institutional review board approval was waived in accordance with institutional policy.</p>","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094736/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635216","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":"Giant Right Atrial Cavernous Hemangioma Requiring Extensive Atrial Reconstruction.","authors":"Alexander Georgiev, Chavdar Ivanov, Vanya Petrova","doi":"10.1093/icvts/ivag084","DOIUrl":"10.1093/icvts/ivag084","url":null,"abstract":"<p><p>Cardiac hemangiomas are rare benign tumours that may cause significant haemodynamic compromise when reaching large dimensions. We report a case of a giant right atrial cavernous hemangioma occupying almost the entire atrial cavity and involving multiple adjacent structures. A 55-year-old woman presented with progressive symptoms and was found to have a large right atrial mass on echocardiography and computed tomography. Urgent surgical resection was performed under mild hypothermic cardiopulmonary bypass. The tumour involved the right atrial free wall, interatrial septum, inferior vena cava, coronary sinus, and posterior wall of the left atrium, requiring radical excision and atrial reconstruction using bovine pericardial patches. Tricuspid annuloplasty was performed due to annular dilatation and moderate regurgitation. Postoperative recovery was uneventful, with preserved venous drainage and no new rhythm disturbances. Histopathology confirmed cavernous hemangioma. This case demonstrates that even extremely large benign atrial tumours can be successfully managed with radical resection and tailored reconstruction.</p>","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147494858","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":"Refitting EuroSCORE II for 120-Day Mortality After Coronary Artery Bypass Grafting Using Nationwide Registry Data.","authors":"Maaike M Roefs, Ulrik Sartipy, Örjan Friberg, Edgar J Daeter, Erik W van Zwet, Ewout W Steyerberg, Dennis van Veghel, Saskia Houterman","doi":"10.1093/icvts/ivag076","DOIUrl":"10.1093/icvts/ivag076","url":null,"abstract":"<p><strong>Objectives: </strong>The EuroSCORE II risk prediction model is the current gold standard in Europe to predict in-hospital mortality after cardiac surgery and is widely used in clinical decision-making and outcome reporting. A risk prediction model specifically for patients undergoing elective or urgent isolated coronary artery bypass grafting (CABG), a commonly performed cardiac procedure, may lead to a better performance for individual risk prediction. The aim of this study is to validate and refit the EuroSCORE II for 120-day mortality, using international multicentre data from 2 national quality registries.</p><p><strong>Methods: </strong>All elective or urgent isolated CABG procedures performed between 2013 and 2019 in adult patients were included using nationwide data from the Netherlands Heart Registration and SWEDEHEART. The performance of the EuroSCORE II was analysed in the Dutch cohort and refitted by estimating a new intercept and coefficient for the linear predictor of the original EuroSCORE II. This refitted model was validated in the Swedish cohort and tested against the original EuroSCORE II model.</p><p><strong>Results: </strong>In total 45 016 procedures from the Netherlands were included for validation and refitting of the model. The refitted model showed similar discrimination to the EuroSCORE II and could be marginally optimized by adding the interaction between age and sex, resulting in a C-statistic of 0.80. This refitted model was validated using 16 374 procedures from the Swedish cohort. The refitted model showed improved calibration and discrimination compared to the original EuroSCOREII.</p><p><strong>Conclusions: </strong>We present a refitted risk prediction model for 120-day mortality after elective or urgent isolated CABG using high-quality nationwide data.</p>","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13043275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391499","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":"Targeting Pulmonary Nodules Prior to Video-Assisted Thoracic Surgery: Comparison of Two Different Techniques.","authors":"Geraud Galvaing, Yann Barthelemy, Julien Brehant, Simon Rouze, Jean-Baptiste Chadeyras, Adel Naamee, Nicolas d'Ostrevy, Marc Filaire","doi":"10.1093/icvts/ivag092","DOIUrl":"10.1093/icvts/ivag092","url":null,"abstract":"<p><strong>Objectives: </strong>The increasing use of CT imaging and the implementation of lung cancer screening have led to a rising detection of pulmonary nodules. Accurate management requires reliable localization techniques enabling pathological diagnosis and potential curative resection. This study compared hook-wire localization and cone-beam computed tomography (CBCT)-guided detection in terms of diagnostic yield.</p><p><strong>Methods: </strong>A retrospective analysis was performed in 2 French academic centres, including 260 patients with 266 nodules (January 2012-May 2019). The primary end-point was diagnostic yield, defined as the proportion of successfully localized nodules. Secondary end-points included localization and operative times, peri- and postoperative complications, chest tube duration, and hospital stay.</p><p><strong>Results: </strong>Diagnostic yield was 88.0% with hook-wire localization and 96.9% with CBCT, corresponding to an absolute difference of 8.9% (95% CI, -0.2 to 17.9; P = .053). Complication rates (P = .63), drainage duration (P = .13), and hospital stay (P = .16) did not differ between groups. Operative time (P = .042) and localization time (P = .001) were significantly longer with CBCT and hook-wire, respectively.</p><p><strong>Conclusions: </strong>Hook-wire and CBCT localization demonstrated comparable diagnostic yields and acceptable safety profiles. CBCT required longer operative room utilization, whereas hook-wire placement was performed in the radiology department, saving resources for other surgeries.</p>","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13063839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517166","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}