Annals of Thoracic and Cardiovascular Surgery最新文献_第2页

Metachronous Primary Lung Cancer Occurring during the Spontaneous Regression of Locally Advanced Lung Cancer: A Rare Case Report. 在局部晚期肺癌自然消退期间发生的并发原发性肺癌：罕见病例报告

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-26 Epub Date: 2022-10-05 DOI: 10.5761/atcs.cr.22-00138

Ryosuke Amemiya, Ikki Takada, Hiroya Kanzawa, Shotaro Ono, Yukio Morishita, Norihiko Ikeda, Kinya Furukawa

引用次数: 0

A Case of TAV-in-SAV in a Patient with Structural Valve Deterioration after Surgical Aortic Valve Replacement with the INSPIRIS RESILIA Valve. INSPIRIS RESILIA瓣膜手术主动脉瓣置换术后结构性瓣膜恶化患者的TAV-in-SAV病例。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-25 Epub Date: 2022-08-23 DOI: 10.5761/atcs.cr.22-00083

Masaru Matsuda, Koichi Maeda, Kazuo Shimamura, Kizuku Yamashita, Ai Kawamura, Daisuke Yoshioka, Shigeru Miyagawa

{"title":"A Case of TAV-in-SAV in a Patient with Structural Valve Deterioration after Surgical Aortic Valve Replacement with the INSPIRIS RESILIA Valve.","authors":"Masaru Matsuda, Koichi Maeda, Kazuo Shimamura, Kizuku Yamashita, Ai Kawamura, Daisuke Yoshioka, Shigeru Miyagawa","doi":"10.5761/atcs.cr.22-00083","DOIUrl":"10.5761/atcs.cr.22-00083","url":null,"abstract":"The INSPIRIS RESILIA valve is designed to dilate its valve annulus in transcatheter aortic valve-in-surgical aortic valve (TAV-in-SAV), a catheter therapy for biological valve deterioration. RESILIA tissue has improved anti-calcification properties. An 83-year-old man on hemodialysis undergoing surgical aortic valve replacement (SAVR) with a 25-mm INSPIRIS for severe aortic stenosis 22 months ago presented with general malaise. Transthoracic echocardiography revealed severe bioprosthetic stenosis (peak velocity: 3.5 m/s, mean pressure gradient: 32 mmHg, and effective orifice area: 0.45 cm2) and severely reduced left ventricular function (ejection fraction: 17%). Because redo-SAVR was extremely risky (society of thoracic surgeons [STS] risk score: 31%), the patient underwent transfemoral-TAV-in-SAV using a 26-mm SAPIEN 3️. Pre- and postoperative computed tomography showed that the internal diameter of the INSPIRIS had expanded from 22.2 mm to 24.2 mm. This case demonstrated the dilatable design of INSPIRIS but not the durability of RESILIA tissue.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40634253","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

Effect of Optimizing Regional Cerebral Oxygen Saturation during Infant Cardiac Surgery on the Incidence of Postoperative Delirium: A Retrospective Study. 婴儿心脏手术期间优化区域脑氧饱和度对术后谵妄发生率的影响：一项回顾性研究。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-25 Epub Date: 2023-07-01 DOI: 10.5761/atcs.oa.23-00057

Jian-Feng Liu, Si-Jia Zhou, Xiu-Hua Chen, Hua Cao, Qiang Chen

{"title":"Effect of Optimizing Regional Cerebral Oxygen Saturation during Infant Cardiac Surgery on the Incidence of Postoperative Delirium: A Retrospective Study.","authors":"Jian-Feng Liu, Si-Jia Zhou, Xiu-Hua Chen, Hua Cao, Qiang Chen","doi":"10.5761/atcs.oa.23-00057","DOIUrl":"10.5761/atcs.oa.23-00057","url":null,"abstract":"Purpose: To investigate the effect of optimizing regional cerebral oxygen saturation (rScO2) on the incidence of postoperative delirium and surgical outcome in infants with congenital heart disease.Methods: Sixty-one infants experienced desaturation in rScO2 of 10% from baseline for more than 30 seconds during surgery between January 2020 and January 2022. Among them, 32 cases (Group A) received the corresponding treatment in the process of desaturation and 29 cases (Group B) were observed without receiving any treatment. General information, cerebral oxygen saturation, the incidence of postoperative delirium, and other relevant clinical data were collected.Results: The duration and severity of intraoperative rScO2 desaturation in Group A were significantly lower than those in Group B. The incidence of postoperative delirium in Group A was significantly lower than that in Group B. There was no significant difference in the positive screening score for delirium between the two groups. Binary logistic regression analysis showed that the aortic cross-clamp time, mechanical ventilation duration, and severity of intraoperative rScO2 desaturation were significantly correlated with the occurrence of postoperative delirium.Conclusion: Aggressive rScO2 desaturation treatment is associated with a lower incidence of postoperative delirium and improved surgical outcomes.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9742984","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

Determination of Treatment Efficacy after Revascularization of Intermittent Claudication Patients by Physical Function Assessment. 通过身体功能评估确定间歇性跛行患者血管再通术后的治疗效果

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-25 Epub Date: 2023-07-01 DOI: 10.5761/atcs.oa.23-00069

Masaharu Nakajima, Hiroki Mitsuoka, Yuki Orimoto, Shota Otsuka, Tomoyuki Morisawa, Tetsuya Takahashi, Hiroyuki Ishibashi

{"title":"Determination of Treatment Efficacy after Revascularization of Intermittent Claudication Patients by Physical Function Assessment.","authors":"Masaharu Nakajima, Hiroki Mitsuoka, Yuki Orimoto, Shota Otsuka, Tomoyuki Morisawa, Tetsuya Takahashi, Hiroyuki Ishibashi","doi":"10.5761/atcs.oa.23-00069","DOIUrl":"10.5761/atcs.oa.23-00069","url":null,"abstract":"Purpose: There have been few reports examining changes in physical activity (PA) after revascularization of lower extremities from the perspective of physical function at discharge. The purpose of this study was to clarify the effects of physical function before discharge on the amount of PA after discharge in patients who underwent revascularization.Methods: The subjects were 34 Fontaine class II patients admitted for elective surgical revascularization or endovascular treatment at two hospitals from September 2017 to October 2019. Triaxial accelerometers were used to measure changes in sedentary behavior (SB) before admission and 1 month after discharge. Multiple regression analysis was performed on the 6-min walking distance (6MWD) at the time of discharge and the change in SB 1 month after discharge; the cutoff value was calculated from the receiver operating characteristic (ROC) curve.Results: SB 1 month after discharge significantly decreased in the decreased SB group compared to the increased SB group (575.5 [400-745.2] vs. 649.5 [453.8-809.2], p <0.01). ROC curve was plotted with SB increase/decrease as the dependent variable and 6MWD at discharge as the independent variable; the cutoff value was 357.5 m.Conclusion: 6MWD measurement at discharge may help predict changes in SB after discharge.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9742985","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 CABG in a Patient with High Risk of Coronary Obstruction during TAV-in-TAV. 一例 TAV-in-TAV 期间冠状动脉阻塞高风险患者的 CABG。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-25 Epub Date: 2022-06-23 DOI: 10.5761/atcs.cr.22-00038

Satoshi Sakakibara, Koichi Maeda, Kazuo Shimamura, Kizuku Yamashita, Ai Kawamura, Daisuke Yoshioka, Shigeru Miyagawa

引用次数: 0

Endoscopic Pedicle Saphenous Vein Graft Harvesting. 内窥镜下腓骨隐静脉移植物采集术

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-25 Epub Date: 2023-07-07 DOI: 10.5761/atcs.nm.23-00054

Yuji Katayama, Takahiro Miho, Eijiro Nogami, Kohei Hamada, Masahide Shichijo, Kouta Shimauchi, Keiji Kamohara

引用次数: 0

A Predictive Nomogram for Intensive Care-Acquired Weakness after Cardiopulmonary Bypass. 心肺搭桥术后重症监护引起的虚弱的预测提名图。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-25 Epub Date: 2023-07-15 DOI: 10.5761/atcs.oa.23-00029

Fuxiu Zhong, Haoruo Zhang, Yanchun Peng, Xueying Lin, Liangwan Chen, Yanjuan Lin

{"title":"A Predictive Nomogram for Intensive Care-Acquired Weakness after Cardiopulmonary Bypass.","authors":"Fuxiu Zhong, Haoruo Zhang, Yanchun Peng, Xueying Lin, Liangwan Chen, Yanjuan Lin","doi":"10.5761/atcs.oa.23-00029","DOIUrl":"10.5761/atcs.oa.23-00029","url":null,"abstract":"Purpose: Intensive care unit-acquired weakness (ICUAW) affects patient prognosis after cardiopulmonary bypass (CPB) surgery, but its risk factors remain unclear. We investigated these risk factors and developed a nomogram for predicting ICUAW after CPB.Methods: Baseline characteristics, preoperative laboratory data, and intra- and postoperative variables of 473 patients after CPB were determined in this prospective cohort study. Lower limb muscles on bedside ultrasound images were compared 1 day before and 7 days after CPB. Risk factors were assessed using logistic regression models.Results: Approximately 50.95% of the patients developed ICUAW after CPB. The body mass index (BMI), New York Heart Association (NYHA) class, lactate, albumin, aortic clamping time, operation time, and acute physiological and chronic health evaluation II were determined as independent risk factors. The average absolute error of coincidence was 0.019; the area under the curve, sensitivity, and specificity were 0.811, 0.727, and 0.733, respectively, for the predictive nomogram.Conclusion: A high BMI, poor NYHA class, preoperative high serum lactate, low serum albumin, long surgical duration, aortic clamping, and high acute physiological and chronic health evaluation II score are risk factors for ICUAW after CPB. This robust and easy-to-use nomogram was developed for clinical decision-making.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10185803","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

Characteristics and In-Hospital Outcomes of Patients Who Underwent Coronary Artery Bypass Grafting during Hospitalization for ST-Segment Elevation or Non-ST-Segment Elevation Myocardial Infarction. 因 ST 段抬高或非 ST 段抬高心肌梗死住院期间接受冠状动脉旁路移植术的患者的特征和院内疗效。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2024-01-25 Epub Date: 2023-07-07 DOI: 10.5761/atcs.oa.23-00016

Nobunari Tomura, Satoshi Honda, Misa Takegami, Kensaku Nishihira, Sunao Kojima, Morimasa Takayama, Satoshi Yasuda

{"title":"Characteristics and In-Hospital Outcomes of Patients Who Underwent Coronary Artery Bypass Grafting during Hospitalization for ST-Segment Elevation or Non-ST-Segment Elevation Myocardial Infarction.","authors":"Nobunari Tomura, Satoshi Honda, Misa Takegami, Kensaku Nishihira, Sunao Kojima, Morimasa Takayama, Satoshi Yasuda","doi":"10.5761/atcs.oa.23-00016","DOIUrl":"10.5761/atcs.oa.23-00016","url":null,"abstract":"Purpose: Little is known about the outcomes of patients with ST-segment elevation myocardial infarction (STEMI) or non-ST-segment elevation myocardial infarction (NSTEMI) who undergo coronary artery bypass grafting (CABG) in the current percutaneous coronary intervention (PCI) era.Methods: We analyzed 25120 acute myocardial infarction (AMI) patients hospitalized between January 2011 and December 2016. In-hospital outcomes were compared between patients who underwent CABG during hospitalization and those who did not undergo CABG in the STEMI group (n = 19428) and NSTEMI group (n = 5692).Results: Overall, CABG was performed in 2.3% of patients, while 90.0% of registered patients underwent primary PCI. In both the STEMI and NSTEMI groups, patients who underwent CABG were more likely to have heart failure, cardiogenic shock, diabetes, left main trunk lesion, and multivessel disease than those who did not undergo CABG. In multivariable analysis, CABG was associated with lower all-cause mortality in both the STEMI group (adjusted odds ratio [OR] = 0.43, 95% confidence interval [CI] 0.26-0.72) and NSTEMI group (adjusted OR = 0.34, 95% CI 0.14-0.84).Conclusion: AMI patients undergoing CABG were more likely to have high-risk characteristics than those who did not undergo CABG. However, after adjusting for baseline differences, CABG was associated with lower in-hospital mortality in both the STEMI and NSTEMI groups.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10851447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9764565","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

Long-Term Outcomes of Bioprosthetic and Mechanical Tricuspid Valve Replacement after Left-Sided Valves Surgery. 左侧瓣膜手术后生物人工三尖瓣和机械三尖瓣置换术的长期疗效。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-12-20 Epub Date: 2023-06-29 DOI: 10.5761/atcs.oa.23-00041

Ye Yuan, Yangyong Sun, Ning Li, Lin Han, Fanglin Lu, Bailing Li, Zhiyun Xu

{"title":"Long-Term Outcomes of Bioprosthetic and Mechanical Tricuspid Valve Replacement after Left-Sided Valves Surgery.","authors":"Ye Yuan, Yangyong Sun, Ning Li, Lin Han, Fanglin Lu, Bailing Li, Zhiyun Xu","doi":"10.5761/atcs.oa.23-00041","DOIUrl":"10.5761/atcs.oa.23-00041","url":null,"abstract":"Purpose: This study aimed to show the outcomes of isolated tricuspid valve replacement (ITVR) after left-sided valve surgery (LSVS).Methods: Patients who underwent ITVR after LSVS were divided into bioprosthetic tricuspid valve (BTV) and mechanical tricuspid valve (MTV) groups. Clinical data were collected and analyzed between groups.Results: 101 patients were divided into BTV (n = 46) and MTV (n = 55) groups. The mean ages of the BTV and MTV groups were 63.4 ± 8.9 and 52.4 ± 7.6 years, respectively (P <0.01). There was no significant difference in 30-day mortality (BTV 10.9% vs. MTV 5.5%), early postoperative complications, and long-term tricuspid valve (TV)-related adverse events between these two groups. New-onset renal insufficiency was an independent risk factor for early mortality. Survival rates in the BTV group were 94.8% ± 3.6%, 86.5% ± 6.5%, and 54.2% ± 17.6% and in the MTV group were 96.0% ± 2.8%, 79.0% ± 7.4%, and 59.4% ± 14.8% at 1, 5, and 10 years, respectively (P = 0.826).Conclusion: The TV prosthesis selection in ITVR after LSVS seems to not affect 30-day mortality and early postoperative complications. Long-term survival and the occurrence of TV-related events were also comparable between these two groups.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10767654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9748684","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

Efficacy of Orexin Receptor Antagonist for Postoperative Atrial Fibrillation in Patients Who Underwent Off-Pump Coronary Artery Bypass Grafting. 奥列克辛受体拮抗剂对接受体外循环冠状动脉旁路移植术患者术后房颤的疗效。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-12-20 Epub Date: 2023-06-02 DOI: 10.5761/atcs.oa.23-00008

Kiyoshi Tamura, Shogo Sakurai

{"title":"Efficacy of Orexin Receptor Antagonist for Postoperative Atrial Fibrillation in Patients Who Underwent Off-Pump Coronary Artery Bypass Grafting.","authors":"Kiyoshi Tamura, Shogo Sakurai","doi":"10.5761/atcs.oa.23-00008","DOIUrl":"10.5761/atcs.oa.23-00008","url":null,"abstract":"Purpose: We retrospectively evaluated the postoperative efficacy of an orexin receptor antagonist for patients who underwent off-pump coronary artery bypass grafting (OPCAB).Materials and methods: We invested 108 patients who underwent cardiovascular surgery at our hospital. Patients were categorized as those received orexin receptor antagonist after surgery (S group, n = 64) or without orexin receptor antagonist (N group, n = 44), and the following data were analyzed between both groups.Results: The incidence of postoperative delirium (POD) was significantly less in the S group than in the N group (N vs. S = 36.4 vs. 6.3%, p <0.001). Postoperative new atrial fibrillation (POAF) was significantly less in the S group compared with the N group (N vs. S = 36.4% vs. 12.5%, p = 0.003). Intensive care unit stay (N vs. S = 5.0 ± 1.5 vs. 3.8 ± 0.9 days, p <0.001) and hospitalization (N vs. S = 20.5 ± 9.2 vs. 17.1 ± 7.2 days, p = 0.037) were significantly shorter in the S group compared with the N group.Conclusion: Orexin receptor antagonists might reduce POD and POAF, and this effect could introduce the shortness of intensive care unit stay and hospitalization. Orexin receptor antagonist could be useful for patients who undergo OPCAB.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10767660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9946210","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