JTCVS open最新文献

{"title":"Automated line-clearing chest tubes reduce postoperative pain and atrial fibrillation after cardiac surgery","authors":"Elbert E. Heng MD,&nbsp;Oluwatomisin Obafemi MD,&nbsp;Danielle Mullis BS,&nbsp;Alyssa Garrison MS,&nbsp;Hanjay Wang MD,&nbsp;Jack H. Boyd MD","doi":"10.1016/j.xjon.2024.09.019","DOIUrl":"10.1016/j.xjon.2024.09.019","url":null,"abstract":"<div><h3>Objective</h3><div>Recent advancements in chest tube technologies have gained interest for their ability to enhance postoperative recovery via reduction of retained blood syndrome after cardiothoracic surgery. The present study investigates the effect of the Centese Thoraguard automated line-clearance chest tube system on postoperative pain and recovery after cardiac surgery.</div></div><div><h3>Methods</h3><div>This was a single-center retrospective review of 1771 adult patients undergoing nonemergency cardiac surgery between January 2021 and December 2022. Perioperative data were analyzed in 184 patients undergoing surgery with Thoraguard automated clearance chest tubes and 1587 patients with conventional chest tubes. Postoperative outcomes were compared in a propensity-matched cohort of 133 patient pairs with similar preoperative characteristics.</div></div><div><h3>Results</h3><div>Patients undergoing cardiac surgery with automated clearance chest tubes demonstrated significant reductions in pain scores (0-10) compared with conventional chest tubes on the third postoperative day (5 vs 6, <em>P</em> = .02) and at hospital discharge (0 vs 3, <em>P</em> = .04). Automated clearance chest tubes were associated with a shorter time on the ventilator (5.3 vs 5.8 hours, <em>P</em> &lt; .001). There was a significant reduction in postoperative atrial fibrillation (18.1% vs 30.8%, <em>P</em> = .02) in patients receiving automated clearance chest tubes. There were no significant differences in mortality, myocardial infarction, or stroke between automated line-clearing and conventional chest tubes.</div></div><div><h3>Conclusions</h3><div>The use of the Thoraguard automated line-clearing chest tube system in routine cardiac surgery was associated with improved postoperative pain control, decreased ventilator duration, and decreased postoperative atrial fibrillation without increased morbidity or mortality.</div></div>","PeriodicalId":74032,"journal":{"name":"JTCVS open","volume":"22 ","pages":"Pages 85-94"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959850","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":"Commentator Discussion: Five-year comparison of clinical and echocardiographic outcomes of pure aortic stenosis with pure aortic regurgitation or mixed aortic valve disease in the COMMENCE trial","authors":"","doi":"10.1016/j.xjon.2024.09.023","DOIUrl":"10.1016/j.xjon.2024.09.023","url":null,"abstract":"","PeriodicalId":74032,"journal":{"name":"JTCVS open","volume":"22 ","pages":"Pages 174-175"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959901","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":"Malnutrition in adult patients treated with venoarterial extracorporeal membrane oxygenation: A descriptive cohort study","authors":"Stacy Pelekhaty MS, RDN, LDN ,&nbsp;Julie Gessler RDN, LDN ,&nbsp;Devon Baer RDN, LDN ,&nbsp;Raymond Rector CCP ,&nbsp;Michael Plazak PharmD, BCCP ,&nbsp;Allison Bathula PharmD, BCCP ,&nbsp;Chris Wells PhD, PT, CCS, FCCM ,&nbsp;Aakash Shah MD ,&nbsp;Alison Grazioli MD ,&nbsp;Bradley Taylor MD ,&nbsp;Bartley P. Griffith MD ,&nbsp;Joseph Rabin MD","doi":"10.1016/j.xjon.2024.09.029","DOIUrl":"10.1016/j.xjon.2024.09.029","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate malnutrition and its association with outcomes in adult patients requiring venoarterial (VA) extracorporeal membrane oxygenation (ECMO).</div></div><div><h3>Methods</h3><div>Patients cannulated for VA ECMO between January 1, 2020, and January 1, 2023, were screened. Patients on ECMO for &lt;48 hours or without a nutritional evaluation were excluded. Demographic and anthropometric data were collected retrospectively. Malnutrition assessments were conducted using the Global Leadership Initiative on Malnutrition framework. Outcomes analyzed were duration of ECMO and in-hospital mortality. Patients were stratified by admission and discharge nutritional status for analysis. Baseline characteristics were controlled for with propensity score matching.</div></div><div><h3>Results</h3><div>Data from 197 patients was analyzed. The cohort was 68% male. The median duration of ECMO was 139.5 hours (interquartile range [IQR], 94.8-257 hours), and mortality was 35%. Thirty-three patients presented with malnutrition, and 61 developed hospital-acquired malnutrition, for an incidence of 47.7%. Malnutrition at any point was associated with longer duration of ECMO (median, 180 hours [IQR, 107.8-335.8 hours] vs 120 hours [IQR, 90-185.8 hours]; <em>P</em> &lt; .001). Patients with hospital-acquired malnutrition required a 50% longer duration of ECMO (median, 182.5 hours [IQR, 101.5-367 hours] vs 123 hours [IQR, 90.8-211.5 hours]; <em>P</em> &lt; .001). Preexisting malnutrition was associated with a nonsignificant increase in mortality (48.2% vs 32.9%; <em>P</em> = .13), which was similar after 3:1 propensity score matching (43.3% vs 35.4%; <em>P</em> = .44).</div></div><div><h3>Conclusions</h3><div>In adult patients, malnutrition appears to be associated with prolonged duration of VA ECMO. Adequately powered studies are needed to further investigate the relationship between malnutrition and mortality.</div></div>","PeriodicalId":74032,"journal":{"name":"JTCVS open","volume":"22 ","pages":"Pages 38-46"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960079","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":"Assessment of printed lung cancer surgery patient education materials in the United States","authors":"Woorin Jang BS ,&nbsp;Savanna Kerstiens MA ,&nbsp;Rachel Nordgren PhD ,&nbsp;Anne Dijkstra MB ,&nbsp;Marina DePablo MPH, DNP, RN ,&nbsp;Lauren Gleason MD, MPH ,&nbsp;Darren Bryan MD ,&nbsp;Jessica S. Donington MD, MSCR ,&nbsp;Mark K. Ferguson MD ,&nbsp;Jane L. Holl MD, MPH ,&nbsp;Maria Lucia Madariaga MD","doi":"10.1016/j.xjon.2024.09.005","DOIUrl":"10.1016/j.xjon.2024.09.005","url":null,"abstract":"<div><h3>Objective</h3><div>Well-designed patient education materials (PEMs) increase health literacy, which has been linked to better surgical patient outcomes. The quality of lung cancer surgery PEMs is unknown, however. Here we assessed printed lung cancer surgery PEMs for readability, understandability, actionability, and accessibility.</div></div><div><h3>Methods</h3><div>Various lung cancer programs throughout the United States were contacted for their lung cancer surgery PEMs. The readability of the received materials was calculated using 6 readability tests. Four thoracic surgeon–advanced practice practitioner dyads scored the PEMs for understandability, actionability, and accessibility using the Patient Education Material Assessment Tool and the Accessibility Assessment Tool, with the recommended minimum threshold of 70%. One-sample <em>t</em> tests were performed to compare each parameter against its recommended threshold.</div></div><div><h3>Results</h3><div>Out of 34 institutions contacted, 18 (52.9%) provided PEMs. The average reading level of the PEMs ranged from 7th grade to 11th grade, significantly exceeding the recommended 6th grade health literacy threshold (<em>P</em> &lt; .01). Although mean understandability (73.7 ± 13.2%) and actionability (70.2 ± 17.8%) scores were not significantly different from the minimum threshold, and the mean accessibility score (81.8 ± 13.5%) was significantly higher than the threshold (<em>P</em> &lt; .05), there was wide variation in the scores. Most PEMs scored well in organization and writing but lacked other features that can enhance patient understanding, such as visual aids and summaries.</div></div><div><h3>Conclusions</h3><div>PEMs are written at reading levels that are too advanced for patients. Although PEMs scored well in understandability, actionability, and accessibility, analysis of individual items revealed the need for improvement, including the use of shorter sentences, more visual aids and summaries, and expansion of language translations.</div></div>","PeriodicalId":74032,"journal":{"name":"JTCVS open","volume":"22 ","pages":"Pages 530-539"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960089","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":"Commentator Discussion: Heart transplant survival and the use of donors with intracranial bleeding: United Network for Organ Sharing registry propensity-matched analysis","authors":"","doi":"10.1016/j.xjon.2024.10.017","DOIUrl":"10.1016/j.xjon.2024.10.017","url":null,"abstract":"","PeriodicalId":74032,"journal":{"name":"JTCVS open","volume":"22 ","pages":"Pages 318-319"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704581/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959916","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":"Sternotomy or thoracotomy for neonatal repair of coarctation of the aorta with aortic arch hypoplasia","authors":"Peter Chiu MD, MS ,&nbsp;Addison Gearhart MD ,&nbsp;Ajami Gikandi BA ,&nbsp;Supreet Marathe MD ,&nbsp;Margaret Holland PA-C ,&nbsp;Shinichi Goto MD ,&nbsp;Sunil J. Ghelani MD ,&nbsp;Aditya K. Kaza MD","doi":"10.1016/j.xjon.2024.10.001","DOIUrl":"10.1016/j.xjon.2024.10.001","url":null,"abstract":"<div><h3>Objective</h3><div>For neonatal repair of coarctation of the aorta, patients may either undergo thoracotomy with extended end-to-end anastomosis or sternotomy for aortic arch reconstruction with cardiopulmonary bypass. The objective of this study was to evaluate the comparative effectiveness of the 2 approaches in patients with arch hypoplasia.</div></div><div><h3>Methods</h3><div>This is a single-center retrospective cohort study from July 2005 through May 2022 of patients who underwent neonatal repair for isolated coarctation of the aorta with additional arch hypoplasia. Inverse probability of treatment weighting is a statistical method for creating comparable pseudopopulations and was used to account for baseline differences in population. The primary outcome was aortic reintervention, and secondary outcomes were vocal cord dysfunction, length of stay, chylothorax, and phrenic nerve palsy.</div></div><div><h3>Results</h3><div>There were 130 patients who met inclusion criteria. After weighting, the interaction between distal transverse arch size and operative approach (sternotomy vs thoracotomy) was statistically significant, <em>P</em> &lt; .05 for interaction. Among patients with a distal arch z-score &lt;−3.5, patients undergoing thoracotomy with extended end-to-end anastomosis had an increased hazard for reintervention. Sternotomy was associated with an increased length of stay in the intensive care unit by 4.7 days, <em>P</em> &lt; .001, and odds of vocal cord dysfunction were also greater, odds ratio 7.1 (95% confidence interval, 1.66 to 41.26; <em>P</em> = .01).</div></div><div><h3>Conclusions</h3><div>Among patients with a distal arch z-score smaller than −3.5, the hazard of reintervention was increased for patients undergoing thoracotomy with extended end-to-end anastomosis. However, length of stay and risk of vocal cord paresis was reduced in patients undergoing thoracotomy.</div></div>","PeriodicalId":74032,"journal":{"name":"JTCVS open","volume":"22 ","pages":"Pages 386-394"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959941","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":"Ferric carboxymaltose in reducing blood transfusions and infections after cardiac surgery","authors":"Tuomas O. Kiviniemi MD, PhD ,&nbsp;Vesa Anttila MD, PhD ,&nbsp;Kristiina Pälve MD, PhD ,&nbsp;Marko Vesanen MD ,&nbsp;Joonas Lehto MD, PhD ,&nbsp;Markus Malmberg MD, PhD ,&nbsp;Tuija Vasankari MS ,&nbsp;K.E.Juhani Airaksinen MD, PhD ,&nbsp;Jarmo Gunn MD, PhD","doi":"10.1016/j.xjon.2024.09.009","DOIUrl":"10.1016/j.xjon.2024.09.009","url":null,"abstract":"<div><h3>Objective</h3><div>Iron supplementation may reduce postoperative anemia, blood transfusions, and infections in patients undergoing surgery. We sought to assess efficacy and safety of prophylactic intravenous iron supplementation in patients without anemia undergoing cardiac surgery.</div></div><div><h3>Methods</h3><div>In this investigator-initiated industry-sponsored single-center randomized double-blind parallel group trial, we enrolled patients undergoing coronary bypass, aortic or mitral valve or ascending aortic surgery who fulfilled prespecified iron blood test safety criteria. Patients were randomized to receive either a single intravenous 1000 mg dose of ferric carboxymaltose (FCM) or placebo (saline only). Independent unblinded study nurse administered the infusion with masked lines and cannula 2 to 21 days before surgery. Primary efficacy end point was a composite of in-hospital blood transfusions &gt;2 U and nosocomial infection. The trial was registered in Eudract (2017-004901-41).</div></div><div><h3>Results</h3><div>Altogether 171 patients were screened and 78 randomly assigned to FCM (n = 39) or placebo (n = 39). Trial was prematurely discontinued for futility with regard to reaching the primary end point by the recommendation of the independent data monitoring committee. The primary end point occurred in 3 (7.7%) versus 3 (7.7%) (<em>P</em> = 1.00) of patients assigned to FCM and placebo, respectively, with no difference in blood transfusions &gt;2 U. Fewer hospital readmissions by 3 months follow-up (1 [2.6%] vs 8 [20.5%]; <em>P</em> = .028) were noted in FCM group in a post hoc analysis. Ferritin levels were higher in the FCM group at 3 months indicating more preserved iron stores.</div></div><div><h3>Conclusions</h3><div>Prophylactic treatment with FCM was safe but did not reduce the need for blood transfusions or postoperative infections at index hospitalization in patients without anemia undergoing cardiac surgery.</div></div>","PeriodicalId":74032,"journal":{"name":"JTCVS open","volume":"22 ","pages":"Pages 332-344"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959991","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":"Medical students’ perceptions of mentorship in cardiothoracic surgery: A Thoracic Surgery Medical Student Association Nationwide Survey","authors":"Carlos E. Diaz-Castrillon MD ,&nbsp;Cynthia Rangel MS ,&nbsp;John A. Treffalls BS ,&nbsp;Kristian Punu BS ,&nbsp;Naima Alver MD ,&nbsp;Lena Trager MD ,&nbsp;Ravi K. Ghanta MD ,&nbsp;Victor O. Morell MD ,&nbsp;Ibrahim Sultan MD","doi":"10.1016/j.xjon.2024.09.004","DOIUrl":"10.1016/j.xjon.2024.09.004","url":null,"abstract":"<div><h3>Objective</h3><div>The study objective was to explore medical students' perceptions of mentorship in cardiothoracic surgery in the United States.</div></div><div><h3>Methods</h3><div>A voluntary, anonymous electronic survey was distributed to medical students through the Thoracic Surgery Medical Student Association. The survey included 28 questions across 4 domains: demographic information, current mentorship status, goals and qualities sought in mentorship, and self-reported barriers to mentorship.</div></div><div><h3>Results</h3><div>There were 60 respondents to the survey. A total of 60% identified themselves as male and 35% as White. A total of 75% of students reported having reached out to potential mentors without receiving a response. Lack of access to a cardiothoracic surgery program/mentorship program (37%) or cardiothoracic surgery interest group at one's institution (42%) was the most frequent barrier to mentorship. Overall, 32% reported not having any mentors in cardiothoracic surgery. Students without mentors were more likely to report the lack of cardiothoracic surgery interest groups (53% vs 29%, <em>P</em> = .04). Female students were more likely to prefer a female mentor (48% vs 3%; <em>P</em> &lt; .001). Female and non-White students reported the lack of a relatable mentor more frequently than counterparts. Empathy and commitment/attentiveness emerged as highly valued, with 54% (n = 32) rating them as “most important.”</div></div><div><h3>Conclusions</h3><div>There is a critical need to optimize the outreach of current mentorship programs for medical students, especially for those without access to cardiothoracic surgery departments. National organizations such as the Thoracic Surgery Medical Student Association can advocate for increased mentorship accessibility and the development of structured mentorship programs. Additionally, efforts should be made to attract more surgeons to serve as mentors and emphasize proactive engagement from students.</div></div>","PeriodicalId":74032,"journal":{"name":"JTCVS open","volume":"22 ","pages":"Pages 362-376"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960080","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 five-minute drainage assessment prevents reexploration for bleeding","authors":"Go Yamashita MD,&nbsp;Shingo Hirao MD, PhD,&nbsp;Atsushi Sugaya MD,&nbsp;Jiro Sakai MD,&nbsp;Tatsuhiko Komiya MD, PhD","doi":"10.1016/j.xjon.2024.08.008","DOIUrl":"10.1016/j.xjon.2024.08.008","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the effectiveness of the five-minute drainage assessment (FMDA) in preventing reexploration for bleeding following cardiovascular surgery.</div></div><div><h3>Methods</h3><div>This retrospective review included 1280 patients who underwent cardiovascular surgery between January 2017 and August 2021. Patients were divided into control (n = 695) and FMDA (n = 585) groups. The FMDA involved estimating the bleeding volume from 1 drainage tube every 5 minutes during sternal closure. Reexploration rates, postoperative bleeding volumes, and clinical outcomes were compared between the 2 groups.</div></div><div><h3>Results</h3><div>The FMDA group had a significantly lower rate of reexploration for bleeding than the control group (2.2% vs 4.3%; <em>P</em> = .038). The median postoperative bleeding volume within 24 hours was significantly lower in the FMDA group compared to controls (630 mL vs 695 mL; <em>P</em> = .009). Multivariable logistic regression analysis demonstrated that the FMDA was independently associated with a reduced risk of reexploration for bleeding (odds ratio, 0.49; 95% confidence interval, 0.25-0.96; <em>P</em> = .037). The FMDA demonstrated good discriminatory ability for identifying patients at risk of reexploration (area under the receiver operating characteristic curve = 0.782), with an optimal cutoff of 21.0 mL.</div></div><div><h3>Conclusions</h3><div>Implementation of the FMDA was associated with a significantly lower rate of reexploration for bleeding compared to the control group. The FMDA provides a simple and reproducible approach that can be readily adopted in surgical practice.</div></div>","PeriodicalId":74032,"journal":{"name":"JTCVS open","volume":"22 ","pages":"Pages 65-75"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960086","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":"Commentator Discussion: Multimodal analgesia with parasternal plane block protocol within an enhanced recovery after cardiac surgery program decreases opioid use","authors":"","doi":"10.1016/j.xjon.2024.09.014","DOIUrl":"10.1016/j.xjon.2024.09.014","url":null,"abstract":"","PeriodicalId":74032,"journal":{"name":"JTCVS open","volume":"22 ","pages":"Pages 36-37"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959924","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}