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Discussion to: Noncomplex ventricular arrhythmia associated with higher freedom from recurrent ectopy at 1 year after mitral repair surgery 讨论到:非复杂性室性心律失常与二尖瓣修复手术后 1 年内复发性异位发生率较高有关。
JTCVS open Pub Date : 2024-06-01 DOI: 10.1016/j.xjon.2024.04.015
{"title":"Discussion to: Noncomplex ventricular arrhythmia associated with higher freedom from recurrent ectopy at 1 year after mitral repair surgery","authors":"","doi":"10.1016/j.xjon.2024.04.015","DOIUrl":"10.1016/j.xjon.2024.04.015","url":null,"abstract":"","PeriodicalId":74032,"journal":{"name":"JTCVS open","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/S2666273624001189/pdfft?md5=bc903bd4103e51fc858ab369764b511d&pid=1-s2.0-S2666273624001189-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140757718","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
National trends, safety, and effectiveness of minimally invasive concomitant chest wall resection for locally advanced lung cancer 局部晚期肺癌微创同期胸壁切除术的全国趋势、安全性和有效性
JTCVS open Pub Date : 2024-06-01 DOI: 10.1016/j.xjon.2024.03.016
Shawn Purnell MD , Ayham Odeh MD , Richard Freeman MD, MBA , Wissam Raad MD, FACS , Elliot Servais MD, FACS , Zaid Abdelsattar MD, MS, FACS
{"title":"National trends, safety, and effectiveness of minimally invasive concomitant chest wall resection for locally advanced lung cancer","authors":"Shawn Purnell MD ,&nbsp;Ayham Odeh MD ,&nbsp;Richard Freeman MD, MBA ,&nbsp;Wissam Raad MD, FACS ,&nbsp;Elliot Servais MD, FACS ,&nbsp;Zaid Abdelsattar MD, MS, FACS","doi":"10.1016/j.xjon.2024.03.016","DOIUrl":"10.1016/j.xjon.2024.03.016","url":null,"abstract":"<div><h3>Objective</h3><p>Concomitant chest wall resection for locally advanced lung cancer is traditionally performed via an open approach. The safety and effectiveness of minimally invasive approaches for chest wall resections are unknown.</p></div><div><h3>Methods</h3><p>We used the National Cancer Database to identify patients undergoing lobectomy/bi-lobectomy with concomitant chest wall resection from 2010 to 2020. We stratified patients into those undergoing a minimally invasive resection (video-assisted thoracoscopic surgery [VATS]/robotic) or open, while accounting for conversions. We also compared VATS with robotic approaches. The main outcomes were length of stay, mortality, readmissions, and overall survival. We used multivariable, Kaplan-Meier and Cox proportional models to identify associations.</p></div><div><h3>Results</h3><p>Of 2837 patients, 756 procedures (26.6%) were started minimally invasive, of which 23.1% were robotic. There were 237 (31.3%) conversions. Patients undergoing a minimally invasive operation were similar in terms of age (65.2 ± 9.8 years vs 66.0 ± 9.9 years), sex, race, tumor histology, and location (all <em>P</em> &gt; .05) but had smaller cancers (5.4 ± 2.6 cm vs 6.2 ± 4.3 cm; <em>P</em> &lt; .001) compared with those undergoing open. They also had shorter length of stay (8.6 ± 7.6 days vs 9.7 ± 9.3 days; <em>P</em> &lt; .001) but similar unadjusted 90-day mortality (8.2% vs 8.0%; <em>P</em> = .999). Neoadjuvant therapy was associated with less minimally invasive approaches (adjusted odds ratio, 0.69; <em>P</em> ≤ .001). Larger cancers were associated with less minimally invasive operations and greater rates of conversions. However, the robotic approach was associated with lower conversion rates than VATS across all tumor sizes. Overall survival was equivalent.</p></div><div><h3>Conclusions</h3><p>The use of minimally invasive approaches to concomitant chest wall resection is increasing. Although conversions to open are common, this approach is safe and is associated with shorter hospital stays. Overall survival is equivalent to the open approach.</p></div>","PeriodicalId":74032,"journal":{"name":"JTCVS open","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/S2666273624000974/pdfft?md5=23e283284243639c052996ec280658de&pid=1-s2.0-S2666273624000974-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140775997","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
Quality of life, psychological states, and personality traits in patients with pectus excavatum 乳突患者的生活质量、心理状态和个性特征
JTCVS open Pub Date : 2024-06-01 DOI: 10.1016/j.xjon.2024.03.013
Kohei Matsuda MD , Daisuke Fujisawa MD , Kyohei Masai MD , Naoki Miyazaki , Shigeki Suzuki MD , Yu Okubo MD , Kaoru Kaseda MD , Keisuke Asakura MD , Tomoyuki Hishida MD , Hisao Asamura MD
{"title":"Quality of life, psychological states, and personality traits in patients with pectus excavatum","authors":"Kohei Matsuda MD ,&nbsp;Daisuke Fujisawa MD ,&nbsp;Kyohei Masai MD ,&nbsp;Naoki Miyazaki ,&nbsp;Shigeki Suzuki MD ,&nbsp;Yu Okubo MD ,&nbsp;Kaoru Kaseda MD ,&nbsp;Keisuke Asakura MD ,&nbsp;Tomoyuki Hishida MD ,&nbsp;Hisao Asamura MD","doi":"10.1016/j.xjon.2024.03.013","DOIUrl":"10.1016/j.xjon.2024.03.013","url":null,"abstract":"<div><h3>Objective</h3><p>The quality of life (QOL) and psychological states of patients with pectus excavatum (PE) have yet to be well understood. This study aimed to evaluate the health-related QOL (HRQOL), psychological states, and personality traits of patients with PE, alongside the associations of these factors with the severity of PE.</p></div><div><h3>Methods</h3><p>A cross-sectional evaluation was prospectively performed in patients scheduled to undergo PE repair surgery between July 2019 and April 2021. The primary outcome was the patients’ HRQOL, and the secondary outcomes were depression, social anxiety, self-efficacy, and personality traits.</p></div><div><h3>Results</h3><p>In total, 129 patients were subjected to analyses. Patients' HRQOL had a lower role component summary score (mean ± standard deviation: 41.8 ± 12.8, <em>P</em> &lt; .001) than the general population controls. Patients' HRQOL had a significantly better physical component summary (54.0 ± 10.4, <em>P</em> &lt; .001) and mental component summary (53.3 ± 8.8, <em>P</em> &lt; .001) than that of the general population. Fourteen patients' (10.9%) and 56 patients' (43.4%) scores indicated the presence of depression and social anxiety disorder, respectively. Patients’ self-efficacy (46.1 ± 11.4, <em>P</em>, .001) and level of extraversion (46.5 ± 11.8, <em>P</em> &lt; .001) were lower than those of the general population. No significant correlation was found between the severity of PE and these scores.</p></div><div><h3>Conclusions</h3><p>Our study revealed that patients with PE had decreased social-role QOL, depressive tendencies, increased social anxiety, lower self-efficacy, and introversion. No correlation between the severity of PE and the patients’ psychological outcomes leads us to conclude that surgical implications of PE should not be decided solely by a physical index.</p></div>","PeriodicalId":74032,"journal":{"name":"JTCVS open","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/S2666273624000925/pdfft?md5=d95808db0e22014c8f8cedb86d5a8ff4&pid=1-s2.0-S2666273624000925-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140791091","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
Young infants with symptomatic tetralogy of Fallot: Shunt or primary repair? 患有症状性法洛氏四联症的幼儿:分流术还是初次修复术?
JTCVS open Pub Date : 2024-06-01 DOI: 10.1016/j.xjon.2024.04.003
Xin Tao Ye MD , Soichiro Henmi MD, PhD , Edward Buratto MBBS, PhD , Mitchell C. Haverty MS , Can Yerebakan MD , Tyson Fricke MBBS, PhD , Christian P. Brizard MD, MS , Yves d’Udekem MD, PhD , Igor E. Konstantinov MD, PhD
{"title":"Young infants with symptomatic tetralogy of Fallot: Shunt or primary repair?","authors":"Xin Tao Ye MD ,&nbsp;Soichiro Henmi MD, PhD ,&nbsp;Edward Buratto MBBS, PhD ,&nbsp;Mitchell C. Haverty MS ,&nbsp;Can Yerebakan MD ,&nbsp;Tyson Fricke MBBS, PhD ,&nbsp;Christian P. Brizard MD, MS ,&nbsp;Yves d’Udekem MD, PhD ,&nbsp;Igor E. Konstantinov MD, PhD","doi":"10.1016/j.xjon.2024.04.003","DOIUrl":"https://doi.org/10.1016/j.xjon.2024.04.003","url":null,"abstract":"<div><h3>Objectives</h3><p>The optimal treatment strategy for symptomatic young infants with tetralogy of Fallot (TOF) is unclear. We sought to compare the outcomes of staged repair (SR) (shunt palliation followed by second-stage complete repair) versus primary repair (PR) at 2 institutions that have exclusively adopted each strategy.</p></div><div><h3>Methods</h3><p>We performed propensity score-matched comparison of 143 infants under 4 months of age who underwent shunt palliation at one institution between 1993 and 2021 with 122 infants who underwent PR between 2004 and 2018 at another institution. The primary outcome was mortality. Secondary outcomes were postoperative complications, durations of perioperative support and hospital stays, and reinterventions. Median follow-up was 8.3 years (interquartile range, 8.1-13.4 years).</p></div><div><h3>Results</h3><p>After the initial procedure, hospital mortality (shunt, 2.8% vs PR, 2.5%; <em>P</em> = .86) and 10-year survival (shunt, 95%; 95% confidence interval [CI], 90%-98% vs PR, 90%; 95% CI, 81%-95%; <em>P</em> = .65) were similar. The SR group had a greater risk of early reinterventions but similar rates of late reinterventions. Propensity score matching yielded 57 well-balanced pairs. In the matched cohort, the SR group had similar freedom from reintervention (55%; 95% CI, 39%-68% vs 59%; 95% CI, 43%-71%; <em>P</em> = .85) and greater survival (98%; 95% CI, 88%-99.8% vs 85%; 95% CI, 69%-93%; <em>P</em> = .02) at 10 years, as the result of more noncardiac-related mortalities in the PR group.</p></div><div><h3>Conclusions</h3><p>In symptomatic young infants with TOF operated at 2 institutions with exclusive treatment protocols, the SR strategy was associated with similar cardiac-related mortality and reinterventions as the PR strategy at medium-term follow-up.</p></div>","PeriodicalId":74032,"journal":{"name":"JTCVS open","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/S2666273624001050/pdfft?md5=634f9db4d1ee51abaafeb9a75e2c24c4&pid=1-s2.0-S2666273624001050-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141323806","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
Multifactorial considerations in frozen elephant trunk selection and treatment strategies for acute type A aortic dissection 急性 A 型主动脉夹层的冰冻象鼻干选择和治疗策略的多因素考虑
JTCVS open Pub Date : 2024-06-01 DOI: 10.1016/j.xjon.2024.03.008
Yang Yu MD, PhD, Lu Liu MD, Enyi Shi MD, PhD, Tianxiang Gu MD, PhD
{"title":"Multifactorial considerations in frozen elephant trunk selection and treatment strategies for acute type A aortic dissection","authors":"Yang Yu MD, PhD,&nbsp;Lu Liu MD,&nbsp;Enyi Shi MD, PhD,&nbsp;Tianxiang Gu MD, PhD","doi":"10.1016/j.xjon.2024.03.008","DOIUrl":"10.1016/j.xjon.2024.03.008","url":null,"abstract":"","PeriodicalId":74032,"journal":{"name":"JTCVS open","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/S2666273624000676/pdfft?md5=b2c9c193dee67367526cc176312a7894&pid=1-s2.0-S2666273624000676-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140402140","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
Value of nutritional indices in predicting survival free from pump replacement and driveline infections in centrifugal left ventricular assist devices 营养指标在预测离心式左心室辅助装置免于更换泵和传动系统感染的存活率方面的价值
JTCVS open Pub Date : 2024-06-01 DOI: 10.1016/j.xjon.2024.03.017
Fabian Jimenez Contreras MD , Bret L. Pinsker MD , Jason N. Katz MD, MHS , Stuart D. Russell MD , Jacob Schroder MD , Benjamin Bryner MD , Alexander H. Gunn MD , Krunal Amin MD , Carmelo Milano MD
{"title":"Value of nutritional indices in predicting survival free from pump replacement and driveline infections in centrifugal left ventricular assist devices","authors":"Fabian Jimenez Contreras MD ,&nbsp;Bret L. Pinsker MD ,&nbsp;Jason N. Katz MD, MHS ,&nbsp;Stuart D. Russell MD ,&nbsp;Jacob Schroder MD ,&nbsp;Benjamin Bryner MD ,&nbsp;Alexander H. Gunn MD ,&nbsp;Krunal Amin MD ,&nbsp;Carmelo Milano MD","doi":"10.1016/j.xjon.2024.03.017","DOIUrl":"10.1016/j.xjon.2024.03.017","url":null,"abstract":"<div><h3>Objective</h3><p>There is a paucity of data assessing the impact of nutritional status on outcomes in patients supported with the HeartMate 3 (HM3) left ventricular assist device (LVAD).</p></div><div><h3>Methods</h3><p>Patients ≥18 years of age who underwent HM3 LVAD implantation between 2015 and 2020 were identified from a single tertiary care center. The primary outcome assessed was death or device replacement. A secondary outcome of driveline infection was also evaluated. Kaplan-Meier survival analysis and a multivariate Cox-proportional hazards model were used to identify predictors of outcome.</p></div><div><h3>Results</h3><p>Of the 289 patients identified, 94 (33%) experienced a primary outcome and 96 (33%) a secondary outcome during a median follow-up time of 2.3 years. Independent predictors of the primary outcome included peripheral vascular disease (hazard ratio [HR], 3.40; 95% confidence interval [CI], 1.66-6.97, <em>P</em> &lt; .01), diabetes mellitus (HR, 0.46; 95% CI, 0.27-0.80, <em>P</em> &lt; .01), body mass index ≥40 kg/m<sup>2</sup> (HR, 2.63 per 1 kg/m<sup>2</sup> increase; 95% CI, 1.22-5.70, <em>P</em> &lt; .05), preoperative creatinine level (HR, 1.86 per 1 mg/dL increase; 95% CI, 1.31-2.65, <em>P</em> &lt; .01), and preoperative prognostic nutritional index (PNI) score (HR, 0.88 per 1-point increase; 95% CI, 0.81-0.96, <em>P</em> &lt; .01). Independent predictors of driveline infection included age at the time of implantation (HR, 0.97; 95% CI, 0.96-0.99, <em>P</em> &lt; .01) and diabetes mellitus (HR, 1.79; 95% CI, 1.17-2.73, <em>P</em> &lt; .01).</p></div><div><h3>Conclusions</h3><p>Preoperative PNI scores may independently predict mortality and the need for device replacement in patients with HM3 LVAD. Routine use of the PNI score during preoperative evaluation and, when possible, supplementation to PNI &gt;33, may be of value in this population.</p></div>","PeriodicalId":74032,"journal":{"name":"JTCVS open","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/S2666273624001037/pdfft?md5=f03889c7d804c5b6dc86a6f0101433ca&pid=1-s2.0-S2666273624001037-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140774685","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
Marfan and Loeys-Dietz aortic phenotype: A potential tool for diagnosis and management Marfan 和 Loeys-Dietz 主动脉表型:诊断和管理的潜在工具
JTCVS open Pub Date : 2024-06-01 DOI: 10.1016/j.xjon.2024.03.015
Luigi Lovato MD , Mariano Cefarelli MD, PhD , Luca Di Marco MD, PhD , Daniel Arcioni MD , Giada Tortora MD, PhD , Ada Dormi Mth D Biostatistical , Nicolò Schicchi MD , Elisabetta Mariucci MD, PhD , Marco Di Eusanio MD, PhD , Davide Pacini MD, PhD , Rossella Fattori MD, PhD
{"title":"Marfan and Loeys-Dietz aortic phenotype: A potential tool for diagnosis and management","authors":"Luigi Lovato MD ,&nbsp;Mariano Cefarelli MD, PhD ,&nbsp;Luca Di Marco MD, PhD ,&nbsp;Daniel Arcioni MD ,&nbsp;Giada Tortora MD, PhD ,&nbsp;Ada Dormi Mth D Biostatistical ,&nbsp;Nicolò Schicchi MD ,&nbsp;Elisabetta Mariucci MD, PhD ,&nbsp;Marco Di Eusanio MD, PhD ,&nbsp;Davide Pacini MD, PhD ,&nbsp;Rossella Fattori MD, PhD","doi":"10.1016/j.xjon.2024.03.015","DOIUrl":"10.1016/j.xjon.2024.03.015","url":null,"abstract":"<div><h3>Objective</h3><p>In heritable aortic diseases, different vascular involvement may occur with potential variable implications in aortic dilation/dissection risk. This study aimed to analyze the aortic anatomy of individuals with Marfan syndrome and Loeys-Dietz syndrome to identify possible morphological differences.</p></div><div><h3>Methods</h3><p>Computed tomography and magnetic resonance imaging of the thoracoabdominal aorta from the proximal supra-aortic vessels to the femoral bifurcation level of 114 patients with Marfan and Loeys-Dietz syndromes and 20 matched control subjects were examined. Aortic diameters, areas, length, and tortuosity were measured in different aortic segments using specific vessel analysis software.</p></div><div><h3>Results</h3><p>Patients with Marfan syndrome showed a higher prevalence of ascending aorta and aortic root dilation (<em>P</em> = .011), larger and longer aortic roots (<em>P</em> = .013) with pear-shaped phenotype, larger isthmus/descending aorta diameter ratio (<em>P</em> = .015), and larger suprarenal aorta and iliac arteries. Patients with Loeys-Dietz syndrome showed longer indexed segments and a significantly longer arch (<em>P</em> = .006) with type 2/3 arch prevalence (<em>P</em> = .097). Measurement ratios analysis provided cut-off values (aortic root to ascending aorta length/aortic root diameter, aortic root/sinotubular junction, aortic root/ascending aorta diameter) differentiating patients with Marfan syndrome from patients with Loeys-Dietz syndrome, even in the early stage of the disease.</p></div><div><h3>Conclusions</h3><p>Both syndromes show peculiar anatomic patterns at different aortic levels irrespective of aortic dilation and disease severity. These features may represent the expression of different genetic mutations on aortic development, with a potential impact on prognosis and possibly contributing to better management of the diseases. The systematic adoption of whole body imaging with magnetic resonance or computed tomography should always be considered, because they allow a complete vascular assessment with practical indicators of differential diagnosis.</p></div>","PeriodicalId":74032,"journal":{"name":"JTCVS open","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/S2666273624000950/pdfft?md5=23e6f3501be154863946e302aabaf4a2&pid=1-s2.0-S2666273624000950-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140792003","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
The anatomic repair of recurrent aortic arch obstruction in children and adolescents 儿童和青少年主动脉弓复发性阻塞的解剖修复术
JTCVS open Pub Date : 2024-06-01 DOI: 10.1016/j.xjon.2024.04.007
Michaela Kreuzer MD , Eva Sames-Dolzer MD , Melanie Klapper BSc , Andreas Tulzer MD , Roland Mair MD , Fabian Seeber MD , Gregor Gierlinger MD , Dalibor Saric MD , Rudolf Mair MD
{"title":"The anatomic repair of recurrent aortic arch obstruction in children and adolescents","authors":"Michaela Kreuzer MD ,&nbsp;Eva Sames-Dolzer MD ,&nbsp;Melanie Klapper BSc ,&nbsp;Andreas Tulzer MD ,&nbsp;Roland Mair MD ,&nbsp;Fabian Seeber MD ,&nbsp;Gregor Gierlinger MD ,&nbsp;Dalibor Saric MD ,&nbsp;Rudolf Mair MD","doi":"10.1016/j.xjon.2024.04.007","DOIUrl":"10.1016/j.xjon.2024.04.007","url":null,"abstract":"<div><h3>Objective</h3><p>Surgery for recurrent aortic arch obstruction is highly challenging and publications are rare. The aim of this retrospective, single-center study was to evaluate mortality, complications, and reintervention rate after an anatomic repair.</p></div><div><h3>Methods</h3><p>Between 1999 and 2022, in total 946 operations on the aortic arch were performed at the Children's Heart Center Linz. In 39 cases, the indication was a recurrent or residual aortic arch obstruction or coarctation in a patient aged 18 years or younger. This is our study cohort. The aorta was reconstructed by a direct anastomosis/autograft in 20 patients, patch in 17 patients, and interposition graft in 2 adolescents. In 32 procedures, cardiopulmonary bypass with whole body perfusion was employed, in 4, antegrade cerebral perfusion was employed, in 2, a left heart bypass was employed, and in 1 no cardiopulmonary bypass was used.</p></div><div><h3>Results</h3><p>Median (Q1, Q3) age at operation was 253 days (100, 2198 days), weight 7.5 kg (4.5, 17.8 kg). Median cardiopulmonary bypass time was 177 minutes (115, 219 minutes), crossclamp time 73 minutes (49, 102 minutes). Three infants died during the hospital stay: 1 with Williams syndrome, 1 with hypoplastic left heart syndrome, and 1 with heterotaxia. There was no death due to an arch complication. The main complications were 1 neurologic injury after postoperative resuscitation (Williams syndrome) and 1 permanent recurrent laryngeal nerve paralysis. During the follow-up period of median 8.1 years (2.6, 12 years) 1 re-reintervention on the aortic arch was necessary.</p></div><div><h3>Conclusions</h3><p>Sophisticated reoperations on the aortic arch could be performed safely. In children, the growth potential of all segments of the aorta could be sustainably preserved by avoiding interposition or extra-anatomic bypass grafts.</p></div>","PeriodicalId":74032,"journal":{"name":"JTCVS open","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/S2666273624001098/pdfft?md5=349a1529717a397cad498ff4d211b527&pid=1-s2.0-S2666273624001098-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140778474","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
A cardiothoracic surgery interest group starter kit for medical students from the Thoracic Surgery Medical Student Association 胸外科医学生协会心胸外科兴趣小组医学生入门套件
JTCVS open Pub Date : 2024-06-01 DOI: 10.1016/j.xjon.2024.03.003
Andrew D. Vogel MS , Ahmet Bilgili BS , Betemariam Sharew BA , Allen Kuncheria BS , Kenny Nguyen BS , John A. Treffalls BS , Zachary Brennan DO , Dominic Emerson MD , Tyler J. Wallen DO , Ibrahim Sultan MD , Jeffery P. Jacobs MD
{"title":"A cardiothoracic surgery interest group starter kit for medical students from the Thoracic Surgery Medical Student Association","authors":"Andrew D. Vogel MS ,&nbsp;Ahmet Bilgili BS ,&nbsp;Betemariam Sharew BA ,&nbsp;Allen Kuncheria BS ,&nbsp;Kenny Nguyen BS ,&nbsp;John A. Treffalls BS ,&nbsp;Zachary Brennan DO ,&nbsp;Dominic Emerson MD ,&nbsp;Tyler J. Wallen DO ,&nbsp;Ibrahim Sultan MD ,&nbsp;Jeffery P. Jacobs MD","doi":"10.1016/j.xjon.2024.03.003","DOIUrl":"10.1016/j.xjon.2024.03.003","url":null,"abstract":"","PeriodicalId":74032,"journal":{"name":"JTCVS open","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/S2666273624000615/pdfft?md5=4a2c2c35c2ac86c8e01f455726c20021&pid=1-s2.0-S2666273624000615-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140275918","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
A surgical armamentarium for correcting systolic anterior motion with re-repair rather than replacement 通过再修复而非置换术矫正收缩压前移的手术武器库
JTCVS open Pub Date : 2024-06-01 DOI: 10.1016/j.xjon.2024.03.010
Whitney Fu MD, Catherine Wagner MD, Gurnoordeep Pawar BS, Nicolas Ceniza BS, Matthew A. Romano MD, Gorav Ailawadi MD, MBA, Steven F. Bolling MD, Michigan Mitral Research Group
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引用次数: 0
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