Annals of Thoracic and Cardiovascular Surgery最新文献

Impact of Graft Velocity on Saphenous Vein Graft Atherosclerosis after Coronary Artery Bypass Grafting. 冠状动脉旁路移植术后移植物速度对隐静脉移植物动脉粥样硬化的影响

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-26 Epub Date: 2023-07-19 DOI: 10.5761/atcs.oa.23-00066

Ryo Nakamura, Kentaro Honda, Hideki Kunimoto, Takahiro Fujimoto, Kota Agematsu, Yoshiharu Nishimura

{"title":"Impact of Graft Velocity on Saphenous Vein Graft Atherosclerosis after Coronary Artery Bypass Grafting.","authors":"Ryo Nakamura, Kentaro Honda, Hideki Kunimoto, Takahiro Fujimoto, Kota Agematsu, Yoshiharu Nishimura","doi":"10.5761/atcs.oa.23-00066","DOIUrl":"10.5761/atcs.oa.23-00066","url":null,"abstract":"Purpose: Saphenous vein grafts (SVGs) sometimes occur as vein graft stenosis or failure in coronary artery bypass grafting. The purpose of this study was to detect the factors affecting vein graft atherosclerosis.Methods: We performed two analysis. In the first analysis, we enrolled 120 grafts using conventionally harvested saphenous vein graft (C-SVG) and followed-up with multiple coronary computed tomography angiography (CCTA). We examined the factors that contribute to the graft atherosclerosis defined by graft failure at subsequent CCTA or substantial progression of graft stenosis (a decrease of ≥0.6 mm in diameter). In the second analysis, 66 grafts using no-touch harvested saphenous vein graft (N-SVG) were compared with those in the first analysis using C-SVG, focusing on the differences in intraoperative factors using propensity score-matched analysis.Results: In the first analysis, graft atherosclerosis+ group comprised 27 grafts, which had a larger SVG diameter, lower graft velocity, and higher graft/native ratio in diameter than the graft atherosclerosis- group. In the multivariable analysis, slow graft velocity and graft/native ≥2 in diameter were independently associated with the graft atherosclerosis. In the second analysis, the N-SVG group had a much greater graft velocity than the C-SVG group.Conclusion: Lower graft velocity and higher graft/native ratio in diameter were associated with the graft atherosclerosis. The N-SVG group had increased graft velocity, which may contribute to prevent the graft atherosclerosis.(Trial registration: UMIN Clinical Trial Registry no. UMIN000050482. Registered 3 March 2023, retrospectively registered.).","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10902658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9828254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Arterial Embolization and Cone-Beam Computed Tomography-Guided Lung Resection for Anomalous Systemic Arterial Blood Supply to Normal Lung: Two Case Reports. 动脉栓塞和锥形束计算机断层扫描引导的肺切除术治疗正常肺的异常系统动脉供血：两个病例报告。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-26 Epub Date: 2023-03-15 DOI: 10.5761/atcs.cr.23-00023

Momoko Asami, Hitoshi Dejima, Yoshikane Yamauchi, Yuichi Saito, Koji Saito, Hiroshi Kondo, Yukinori Sakao

{"title":"Arterial Embolization and Cone-Beam Computed Tomography-Guided Lung Resection for Anomalous Systemic Arterial Blood Supply to Normal Lung: Two Case Reports.","authors":"Momoko Asami, Hitoshi Dejima, Yoshikane Yamauchi, Yuichi Saito, Koji Saito, Hiroshi Kondo, Yukinori Sakao","doi":"10.5761/atcs.cr.23-00023","DOIUrl":"10.5761/atcs.cr.23-00023","url":null,"abstract":"Systemic arterial blood supply to a normal lung is a rare anatomical abnormality. Surgery is usually indicated because this abnormality leads to pulmonary hypertension. Herein, we report our experience and ideas for safe vessel dissection. Case 1 was a woman in her 50s. We performed a left lower lobectomy following percutaneous coil embolization. The aberrant artery with emboli was confirmed intraoperatively by cone-beam computed tomography (CBCT) to safely dissect under thoracoscopic surgery (TS). Case 2 was a man in his 40s. Following percutaneous endovascular plug occlusion, we performed a left partial resection using indocyanine green fluorescence navigation. Intraoperatively, CBCT imaging demonstrated the aberrant artery and exact position of the emboli. This combination technique of interventional radiology and TS with CBCT imaging was considered safe and more secure for the treatment of anomalous systemic arterial blood supply to a normal lung.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10902647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9476307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reconstruction of the Bifurcation of Right Upper Bronchus Using Miyamoto's Technique for Typical Carcinoid. 使用宫本技术重建右上支气管分叉，治疗典型类癌。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-26 Epub Date: 2022-08-25 DOI: 10.5761/atcs.cr.22-00084

Ayaka Asakawa, Hironori Ishibashi, Kuniyo Sueyoshi, Erika Mori, Yasuhiro Nakashima, Masashi Kobayashi, Kenichi Okubo

引用次数: 0

Impact of Impella Support on Clinical Outcomes in Patients with Postcardiotomy Cardiogenic Shock. Impella 支持对心肌梗死术后心源性休克患者临床疗效的影响。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-26 Epub Date: 2023-08-03 DOI: 10.5761/atcs.oa.23-00076

Yukiharu Sugimura, Moritz Benjamin Immohr, Arash Mehdiani, Udo Boeken, Hug Aubin, Artur Lichtenberg, Payam Akhyari

{"title":"Impact of Impella Support on Clinical Outcomes in Patients with Postcardiotomy Cardiogenic Shock.","authors":"Yukiharu Sugimura, Moritz Benjamin Immohr, Arash Mehdiani, Udo Boeken, Hug Aubin, Artur Lichtenberg, Payam Akhyari","doi":"10.5761/atcs.oa.23-00076","DOIUrl":"10.5761/atcs.oa.23-00076","url":null,"abstract":"Purpose: This study aimed to elucidate the strategy of an effective Impella support for better clinical outcomes in patients with a postcardiotomy cardiogenic shock (PCCS).Methods: This single-center retrospective observational study enrolled 31 patients with PCCS undergoing an elective open-heart surgery followed by Impella support between November 2018 and February 2022 for further analysis.Results: The preoperative Euroscore II and left ventricular (LV) ejection fraction were 9.1 ± 10.4 and 35.7% ± 12.6%, respectively. The in-hospital mortality rate was 51.6% (n = 16). In survivors (n = 15), the mean Impella support time was 6.9 ± 3.5 days. Patients were discharged on the postoperative day 24.9 ± 16.4. Regarding LV remodeling, LV end-diastolic diameter was significantly decreased after Impella support (59.2 ± 6.0 mm vs. 54.4 ± 4.7 mm, p = 0.01, preoperative vs. postoperative). In-hospital mortality rates were comparable with small (CP, n = 6) or large (5.0, n = 25) Impella systems (33.3% [n = 2] vs. 56.0% [n = 14], p = 0.39). However, a lower in-hospital mortality rate was observed in the group with early initiation (i.e., intraoperative) of Impella support (n = 14) than that with delayed Impella initiation (i.e., in the postoperative course) (n = 11) (28.6% [n = 4] vs. 90.9% [n = 10], p = 0.004).Conclusions: Impella support contributes to LV remodeling in PCCS patients. In-hospital mortality was comparable in different Impella sizes and lower in early Impella initiation.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10902663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9929350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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 Case of Ascending Aortic Replacement and Aortic Valve Replacement in a Patient with Giant Pseudoaneurysm of the Ascending Aorta due to Prosthetic Valve Endocarditis after Transcatheter Aortic Valve Replacement Using Evolut PRO. 一例使用 Evolut PRO 进行经导管主动脉瓣置换术后因人工瓣膜心内膜炎导致升主动脉巨大假性动脉瘤和主动脉瓣置换术的患者。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-26 Epub Date: 2022-08-24 DOI: 10.5761/atcs.cr.22-00089

Satoru Tomita, Koichi Maeda, Kazuo Shimamura, Kizuku Yamashita, Ai Kawamura, Daisuke Yoshioka, Shigeru Miyagawa

{"title":"A Case of Ascending Aortic Replacement and Aortic Valve Replacement in a Patient with Giant Pseudoaneurysm of the Ascending Aorta due to Prosthetic Valve Endocarditis after Transcatheter Aortic Valve Replacement Using Evolut PRO.","authors":"Satoru Tomita, Koichi Maeda, Kazuo Shimamura, Kizuku Yamashita, Ai Kawamura, Daisuke Yoshioka, Shigeru Miyagawa","doi":"10.5761/atcs.cr.22-00089","DOIUrl":"10.5761/atcs.cr.22-00089","url":null,"abstract":"An 82-year-old man who underwent transcatheter aortic valve replacement (TAVR) using a 34-mm Evolut PRO (Medtronic, Minneapolis, MN, USA) for severe aortic stenosis 21 months previously presented with fever. Transesophageal echocardiography showed thickening of the valve leaflets of the transcatheter heart valve and movable structures such as verrucae on the upper edge of the Evolut PRO stent. Contrast-enhanced cardiac computed tomography showed a 72-mm saccular pseudoaneurysm on the dorsal aspect of the ascending aorta at the superior border of the Evolut PRO stent. Because of a suspected infected aortic aneurysm caused by prosthetic valve endocarditis (PVE), we performed aortic valve replacement using 23 mm Avalus (Medtronic, Minneapolis, MN, USA) and ascending aortic replacement using 26 mm Gelweave (Vascutek Terumo Inc, Scotland, UK). The postoperative course was uneventful. This report highlights that patients with PVE after TAVR may develop pseudoaneurysms of the ascending aorta.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10902662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40439040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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 Comparison of the Efficacies of OK-432 and Talc Slurry for Pleurodesis in Patients with Prolonged Air Leak after Pulmonary Resection. 比较 OK-432 和滑石粉浆对肺切除术后长期漏气患者进行胸膜穿刺的疗效。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-26 Epub Date: 2023-08-30 DOI: 10.5761/atcs.oa.23-00115

Tomohiro Watanabe, Yoshikane Yamauchi, Ryo Takeyama, Shinya Kohmaru, Hitoshi Dejima, Yuichi Saito, Yukinori Sakao

{"title":"A Comparison of the Efficacies of OK-432 and Talc Slurry for Pleurodesis in Patients with Prolonged Air Leak after Pulmonary Resection.","authors":"Tomohiro Watanabe, Yoshikane Yamauchi, Ryo Takeyama, Shinya Kohmaru, Hitoshi Dejima, Yuichi Saito, Yukinori Sakao","doi":"10.5761/atcs.oa.23-00115","DOIUrl":"10.5761/atcs.oa.23-00115","url":null,"abstract":"Purpose: A prolonged air leak (PAL) is one of the common postoperative complications of pulmonary resection. The aim of this study was to evaluate the efficacy and safety of pleurodesis with sterile talc or OK-432 for postoperative air leak.Methods: Patients with postoperative air leak who received chemical pleurodesis using sterile talc or OK-432 were retrospectively identified from medical records data. For pleurodesis with either agent, prior assessment and approval by the hospital safety department were carried out for each case, in addition to individual consent.Results: Between February 2016 and June 2022, 39 patients had PALs and underwent chemical pleurodesis. Among them, 24 patients received pleurodesis with talc (Talc group) and 15 with OK-432 (OK-432 group). The leak resolved after less than two pleurodesis treatments in 22 patients (91.7%) in the Talc group compared with 14 patients (93.3%) in the OK-432 group. Pleurodesis significantly increased white blood cell counts, C-reactive protein concentration, and body temperature in the OK-432 group compared with that in the Talc group (p <0.001, p = 0.003, and p <0.001, respectively).Conclusions: Pleurodesis with talc may be an effective treatment option for postoperative air leak. Our findings suggest that talc was as effective as OK-432 and resulted in a milder systemic inflammatory response.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10902650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10476429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Post-Intubation Tracheoesophageal Fistula: Surgical Management by Complete Cervical Tracheal Transection. 插管后气管食管瘘：通过完全颈部气管切开术进行手术治疗。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-26 Epub Date: 2022-10-29 DOI: 10.5761/atcs.cr.22-00134

Dario Amore, Dino Casazza, Umberto Caterino, Marco Rispoli, Emanuele Muto, Alessandro Saglia, Carlo Curcio

引用次数: 0

Successful Repair of the Quadricuspid Aortic Valve. 成功修复四尖瓣主动脉瓣

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-26 Epub Date: 2022-11-09 DOI: 10.5761/atcs.cr.22-00186

Wenzong Luo, Peng Hu, Liang Ma

引用次数: 0

Surgery for Secondary Spontaneous Pneumothorax with Chronic Lung Diseases. 慢性肺部疾病继发性自发性气胸的手术治疗。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-26 Epub Date: 2023-07-28 DOI: 10.5761/atcs.oa.23-00061

Kazuhisa Tanaka, Hidemi Suzuki, Terunaga Inage, Takamasa Ito, Yuichi Sakairi, Ichiro Yoshino

{"title":"Surgery for Secondary Spontaneous Pneumothorax with Chronic Lung Diseases.","authors":"Kazuhisa Tanaka, Hidemi Suzuki, Terunaga Inage, Takamasa Ito, Yuichi Sakairi, Ichiro Yoshino","doi":"10.5761/atcs.oa.23-00061","DOIUrl":"10.5761/atcs.oa.23-00061","url":null,"abstract":"Purposes: Secondary spontaneous pneumothorax (SSP) is occasionally observed in elderly patients suffering from diffuse lung diseases. The purpose of this study was to analyze the outcomes of surgical treatment of SSP patients with chronic lung diseases.Methods: In total, 242 patients who underwent surgery for spontaneous pneumothorax at Chiba University Hospital from January 2006 to October 2016 were included in this study. The patients' records were reviewed retrospectively for data on their background, surgical treatment, morbidity, mortality, and recurrence.Results: Of the spontaneous pneumothorax cohort, primary spontaneous pneumothorax (PSP) accounted for 144 patients. Among the 98 patients with SSP, 57 cases were caused by chronic obstructive pulmonary disease (COPD) and 21 were caused by interstitial pneumonia (IP). The postoperative complication rate was 19.3% in the COPD group, 42.9% in the IP group, and 11.1% in the PSP group. The recurrence rate was 5.3% in the COPD group, 28.6% in the IP group, and 21.5% in the PSP group.Conclusions: The morbidity and recurrence were comparable between PSP and SSP cases with COPD, whereas these values were unfavorable in SSP cases with IP compared with PSP ones. Surgical intervention should be carefully considered in SSP patients with IP.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10902674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9897784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surgery for Ascending Aortic Aneurysm and Aortic Valve Insufficiency in Conditions of Active Proceeding Syphilitic Aortitis and Valvulitis. 主动脉瘤和主动脉瓣关闭不全的手术治疗梅毒性主动脉炎和瓣膜炎。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-26 Epub Date: 2023-03-25 DOI: 10.5761/atcs.cr.22-00236

Michael Malyshev, Alexander Safuanov, Anton Malyshev, Andrey Rostovykh, Dmitry Sinyukov, Natalie Rostovykh, Vladlena Trushina

{"title":"Surgery for Ascending Aortic Aneurysm and Aortic Valve Insufficiency in Conditions of Active Proceeding Syphilitic Aortitis and Valvulitis.","authors":"Michael Malyshev, Alexander Safuanov, Anton Malyshev, Andrey Rostovykh, Dmitry Sinyukov, Natalie Rostovykh, Vladlena Trushina","doi":"10.5761/atcs.cr.22-00236","DOIUrl":"10.5761/atcs.cr.22-00236","url":null,"abstract":"A syphilitic aortitis is a late cardiovascular lesion of tertiary syphilis that has become exceptionally rare in the antibiotic era but not eradicated completely. Syphilitic aortitis of ascending aorta complicates in ascending aortic aneurysm formation and aortic valve regurgitation, both requiring surgical treatment. After surgery, lifelong surveillance of the remainder of the aorta is recommended because of a priori supposed high incidence of delayed involvement of noninvolved aortic segments. A 3-year follow-up result of surgery of syphilitic ascending aortic aneurysm with aortic valve regurgitation in condition of active ongoing syphilitic aortitis and valvulitis is described with addressing the dimensions of remaining aortic segments. This case demonstrates that the dilatation of the remainder of the aorta does not occur during 3 years, at least when anti-syphilitic course of antibiotic is used just after operation without additional treatment during the follow-up period. A few reports on surgical treatment of syphilitic aneurysms of the ascending aorta are discussed.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10902664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9527922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0