Annals of Thoracic and Cardiovascular Surgery最新文献_第4页

Sex Differences in the Outcomes of Degenerative Mitral Valve Repair. 退行性二尖瓣修复结果的性别差异。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-08-20 DOI: 10.5761/atcs.oa.22-00210

Kemin Liu, Qing Ye, Yichen Zhao, Cheng Zhao, Li Song, Jiangang Wang

{"title":"Sex Differences in the Outcomes of Degenerative Mitral Valve Repair.","authors":"Kemin Liu, Qing Ye, Yichen Zhao, Cheng Zhao, Li Song, Jiangang Wang","doi":"10.5761/atcs.oa.22-00210","DOIUrl":"https://doi.org/10.5761/atcs.oa.22-00210","url":null,"abstract":"Purpose: This study explored the sex differences in the outcomes of degenerative mitral valve repair (MVr).Methods: From 2010 to 2019, 1069 patients who underwent MVr due to degenerative mitral disease at Beijing Anzhen Hospital were analyzed. The average patient follow-up was 5.1 years (interquartile range: 5-7 years). The primary endpoint was overall survival. Secondary endpoints were freedom from reoperation and recurrent mitral regurgitation. A propensity-matched analysis was used to compare the outcomes of males and females.Results: Females were older, had a higher prevalence of atrial fibrillation and moderate-to-severe tricuspid regurgitation, and had smaller left atrial, left ventricular end-diastolic, and left ventricular end-systolic diameters. Males were more likely to undergo concomitant coronary artery bypass grafting and had longer cardiopulmonary bypass and aortic cross-clamp times. The in-hospital mortality was <1% (10/1,069). After propensity score matching of 331 pairs of patients, most variables were well balanced. Before and after propensity score matching, the long-term survival and freedom from reoperation rates were similar. Males had higher durability after surgery compared with females.Conclusions: Females were referred to surgery later and had more complications than males. Long-term survival and freedom from reoperation rates were not significantly different between the sexes.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"29 4","pages":"192-199"},"PeriodicalIF":1.3,"publicationDate":"2023-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/12/59/atcs-29-192.PMC10466113.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10479009","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 the Maze Procedure Combined with Endoatriectomy for Patients with Calcified Left Atria. 迷宫手术联合心房内膜切除术治疗左心房钙化的远期疗效。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-06-20 DOI: 10.5761/atcs.oa.23-00013

Yochun Jung, Kyo Seon Lee, Sang Gi Oh, Byoung Hee Ahn

{"title":"Long-Term Outcomes of the Maze Procedure Combined with Endoatriectomy for Patients with Calcified Left Atria.","authors":"Yochun Jung, Kyo Seon Lee, Sang Gi Oh, Byoung Hee Ahn","doi":"10.5761/atcs.oa.23-00013","DOIUrl":"https://doi.org/10.5761/atcs.oa.23-00013","url":null,"abstract":"Purpose: Left atrial calcification (LAC) is found in long-lasting rheumatic valvular disease and is almost always accompanied by atrial fibrillation (AF). In the presence of LAC, endoatriectomy is required when performing the maze procedure. However, the technical feasibility of endoatriectomy and the long-term outcomes of the maze procedure in patients with LAC are uncertain.Methods: The medical records of 18 consecutive patients who underwent combined endoatriectomy and maze procedure were analyzed retrospectively.Results: Accompanying operations were mitral valve replacement (n = 16) and commissurotomy (n = 2). There was 1 operative death from sepsis following mediastinitis. When patients were divided into \"broad\" (n = 11) and \"limited\" (n = 7) groups, with the extent of LAC either greater or less than half of the left atrium, respectively, there was no intergroup difference in postoperative complications. During follow-up (median, 11.4 years), AF recurred in 11 patients. At the last follow-up visits, electrocardiography revealed significantly fewer patients in the broad group maintaining sinus rhythm (1/11 vs 4/6, P = 0.03). The 10-year AF recurrence-free survival rates were 13.9% and 66.7% in the broad and limited groups, respectively (P = 0.01).Conclusions: The maze procedure combined with endoatriectomy seems technically feasible with acceptable long-term rhythm outcomes if the LAC extent is limited.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"29 3","pages":"141-147"},"PeriodicalIF":1.3,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6e/14/atcs-29-141.PMC10284664.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9706363","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

Effectiveness of Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic Injury. 胸主动脉血管内修复术治疗钝性胸主动脉损伤的疗效。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-06-20 DOI: 10.5761/atcs.oa.22-00095

Jun Okadome, Noritsugu Morishige, Yuta Sukehiro, Hirofumi Norio, Kazuhide Maetani, Go Yanase, Hiroyuki Ito

{"title":"Effectiveness of Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic Injury.","authors":"Jun Okadome, Noritsugu Morishige, Yuta Sukehiro, Hirofumi Norio, Kazuhide Maetani, Go Yanase, Hiroyuki Ito","doi":"10.5761/atcs.oa.22-00095","DOIUrl":"https://doi.org/10.5761/atcs.oa.22-00095","url":null,"abstract":"Purpose: Blunt thoracic aortic injury (BTAI) has a high mortality rate, and the occurrence of clinical complications is high. Several studies have reported the efficacy of thoracic endovascular aortic repair (TEVAR) for BTAI. This study aimed to clarify the use of TEVAR for BTAI.Methods: We analyzed 10 cases of TEVAR for BTAI from July 2011 to December 2020 at our hospital. Five of 10 cases of BTAI were caused by road traffic accidents, while five were caused by falls from a height.Results: The mean patient age was 59.3 years. When arriving at our hospital, seven of 10 patients were in shock. Nine of 10 cases of BTAI were at the aortic isthmus. With respect to BTAI severity, five of 10 patients were categorized as grade IV. Ps of non-survivors were extremely low. All patients underwent TEVAR. The mean surgical duration and volume of intraoperative blood loss were 77.5 minutes and 234 ml, respectively.Conclusion: The results of TEVAR for BTAI at our institution support previous reports, which show excellent clinical results. To further improve the outcomes, we must clarify the adaptation of nonoperative management (delayed repair), the optimal timing of invasive treatment, and the importance of long-term follow-up.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"29 3","pages":"133-140"},"PeriodicalIF":1.3,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b1/4b/atcs-29-133.PMC10284661.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9695795","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

Protective Efficacy on Adult Ischemic Myocardium under Bypass: Del Nido vs. St. Thomas Blood Cardioplegia. 搭桥术对成人缺血心肌的保护作用:Del Nido与St. Thomas血停搏。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-06-20 DOI: 10.5761/atcs.oa.22-00144

Xueqin Zhang, Yang Du, Anhui Wang

{"title":"Protective Efficacy on Adult Ischemic Myocardium under Bypass: Del Nido vs. St. Thomas Blood Cardioplegia.","authors":"Xueqin Zhang, Yang Du, Anhui Wang","doi":"10.5761/atcs.oa.22-00144","DOIUrl":"https://doi.org/10.5761/atcs.oa.22-00144","url":null,"abstract":"Purpose: To compare the myocardial protective efficacy of del Nido cardioplegia (DNC) with St. Thomas blood cardioplegia (SBC) in adult cardiac surgery.Methods: From January to December 2021, all the patients who underwent elective cardiac operation were randomly divided into two cohorts based on the type of cardioplegia: DNC group and SBC group. Three categories of variables were compared: patient demographics, clinical variables, and laboratory variables.Results: A total of 133 patients were enrolled in this study: DNC group, n = 65; and SBC group, n = 68. Except that the volume of cardioplegia administration were obvious less in the DNC group (P <0.01), no significant difference was found in the other postoperative clinical variables (P >0.05). No statistical significance was proved (P >0.05) in postoperative troponin I, creatine kinase, and B-type natriuretic peptide. The malondialdehyde concentration was higher in the SBC group, whether it is at 4 hours (P <0.05) or 24 hours (P >0.05) after operation. At the same two points in time, the change in superoxide dismutase activity was more significant in the SBC group (P <0.05).Conclusion: The DNC cardioplegia was safe and effective on adult myocardium protection. The potential antioxidant stress effect in DNC may provide a direction for further improvement on the formula of cardioplegic solution.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"29 3","pages":"125-132"},"PeriodicalIF":1.3,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/72/c7/atcs-29-125.PMC10284662.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9704848","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: 1

Conventional Prostheses versus Sutureless Perceval for Aortic Valve Replacement: A Meta-Analysis. 传统假体与无缝线的主动脉瓣置换术:meta分析。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-06-20 DOI: 10.5761/atcs.ra.22-00125

Giorgia Colarossi, Filippo Migliorini, Michael Becker, Jessica P Arias, Ruediger Autschbach, Ajay Moza, Ali Aljalloud

{"title":"Conventional Prostheses versus Sutureless Perceval for Aortic Valve Replacement: A Meta-Analysis.","authors":"Giorgia Colarossi, Filippo Migliorini, Michael Becker, Jessica P Arias, Ruediger Autschbach, Ajay Moza, Ali Aljalloud","doi":"10.5761/atcs.ra.22-00125","DOIUrl":"https://doi.org/10.5761/atcs.ra.22-00125","url":null,"abstract":"Purpose: Perceval sutureless valves have gained popularity. Whether this implant performs superior to the traditional sutured prosthesis remains unclear. This meta- analysis compared the Perceval implants versus the sutured conventional valves for aortic valve replacement (AVR).Methods: This meta-analysis was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The following databases were accessed: PubMed, Google Scholar, Web of Science, Scopus, and EMBASE. All clinical investigations comparing Perceval versus the conventional prostheses for AVR were considered.Results: The Perceval group demonstrated higher rate of pacemaker implantation (P <0.00001). Aortic cross-clamp (ACC) time (P <0.00001) and cardiopulmonary bypass (CPB) time (P <0.00001) were shorter in the Perceval group. Similarity was found in mean and peak pressure gradient (P = 0.8 and P = 0.2, respectively), mean aortic valve area (P = 0.3), length of intensive care unit (P = 0.4) and hospital stay (P = 0.2), rate of revision (P = 0.11), hemorrhages (P = 0.05), paravalvular leak (P = 0.3), cerebrovascular complication (P = 0.7), and early mortality (P = 0.06).Conclusion: Given the shorter ACC time and CPB time, Perceval AVR can be an alternative in high-risk patients. The higher rate of pacemaker implantation following Perceval may limit its routine implantation.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"29 3","pages":"107-124"},"PeriodicalIF":1.3,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2c/d2/atcs-29-107.PMC10284666.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9758470","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: 2

A Case of Acute Type A Aortic Dissection after Coronary Artery Bypass Grafting. 冠状动脉搭桥术后急性A型主动脉夹层1例。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-06-20 DOI: 10.5761/atcs.cr.21-00193

Hirotoshi Suzuki, Shota Kita, Masahide Komagamine, Daijun Tomimoto, Kiyoshi Chiba, Kan Nawata, Takeshi Miyairi

引用次数: 0

Reconstruction of the Esophagus with Sternohyoid Flap after Resection of a Large Cervical Esophageal Leiomyosarcoma. 胸骨舌骨瓣重建大颈型食管平滑肌肉瘤。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-06-20 DOI: 10.5761/atcs.cr.21-00213

Shenhai Wei, Bingqun Wu, Jintao Tian, Xiaoping Song

引用次数: 0

Aortic Valve Replacement by Subannular Endomyocardial Implantation of Valve Prosthesis in Behçet's Disease. 主动脉瓣置换术在behaperet病中的应用。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-06-20 DOI: 10.5761/atcs.cr.22-00231

Byoung Hee Ahn, Yochun Jung, Ho Young Hwang, Sang Gi Oh, Kyo Seon Lee, Jae Woong Choi

{"title":"Aortic Valve Replacement by Subannular Endomyocardial Implantation of Valve Prosthesis in Behçet's Disease.","authors":"Byoung Hee Ahn, Yochun Jung, Ho Young Hwang, Sang Gi Oh, Kyo Seon Lee, Jae Woong Choi","doi":"10.5761/atcs.cr.22-00231","DOIUrl":"https://doi.org/10.5761/atcs.cr.22-00231","url":null,"abstract":"The novel anastomosis technique, \"subannular endomyocardial implantation of valve prosthesis (SEIV),\" focuses on excluding aortic annular tissue from suture line to avoid vascular inflammation in Behçet's disease (BD). We aimed to validate that SEIV could prevent prosthetic valve detachment (PVD) after aortic valve replacement (AVR) in BD patients and retrospectively analyzed the medical records of five BD patients who underwent AVR. There was no operative death. Two complete atrioventricular blocks occurred; in one of them, a permanent pacemaker (PPM) was inserted before discharge. The other one was discharged without a PPM; however, he died suddenly 32 days postoperatively. The median follow-up period was 3.3 years. There was a case of PVD with newly developed Valsalva sinus aneurysm requiring the Bentall operation at 3.6 years postoperatively. In conclusion, SEIV might prevent PVD in BD patients who underwent AVR. However, aortic root pathology related to BD activity and resulting PVD may occur later.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"29 3","pages":"157-161"},"PeriodicalIF":1.3,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3b/cf/atcs-29-157.PMC10284663.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9706366","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

Salvage Robotic-Assisted Thoracoscopic Esophagectomy after Definitive Chemoradiotherapy for Clinical T4b Esophageal Cancer: A Case Report. 临床T4b食管癌放化疗后机械人辅助胸腔镜食管切除术1例报告。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-04-20 DOI: 10.5761/atcs.cr.21-00175

Ryohei Sasamori, Satoru Motoyama, Yusuke Sato, Akiyuki Wakita, Yushi Nagaki, Kazuhiro Imai, Yoshihiro Minamiya

{"title":"Salvage Robotic-Assisted Thoracoscopic Esophagectomy after Definitive Chemoradiotherapy for Clinical T4b Esophageal Cancer: A Case Report.","authors":"Ryohei Sasamori, Satoru Motoyama, Yusuke Sato, Akiyuki Wakita, Yushi Nagaki, Kazuhiro Imai, Yoshihiro Minamiya","doi":"10.5761/atcs.cr.21-00175","DOIUrl":"https://doi.org/10.5761/atcs.cr.21-00175","url":null,"abstract":"The advantages of salvage esophagectomy through robotic-assisted surgery for patients with clinically diagnosed tumor invasion of adjacent vital organs (cT4b) or patients with scar tissue from definitive chemoradiotherapy (dCRT) are still only rarely reported. A man in his 60s with middle thoracic esophageal cancer (cT4b [left main bronchus] N1 M0 cStage IIIC) received dCRT (60 Gy). After the chemoradiotherapy, upper gastrointestinal endoscopy revealed a residual primary tumor, and we performed robotic-assisted thoracoscopic subtotal esophagectomy and gastric tube reconstruction via a retrosternal route with three-field lymphadenectomy. Although it was difficult to dissect the tumor from adjacent organs, especially the left main bronchus and left inferior pulmonary vein, due to loss of the dissecting layer and scarring, R0 surgery was achieved. With robot-assisted thoracoscopic surgery, the high-magnification, high-resolution, and three-dimensional images; the stable surgical field with full countertraction made with the robotic arm forceps, which were readily adjusted; and the stable motion of the robotic arm without physiological tremor are considerable advantages for salvage esophagectomy for cT4b tumors. It goes without saying that sufficient experience with robot-assisted surgery and sufficient understanding and surgical skill in esophageal cancer surgery under suitable surgical indications and timing are required to make use of these advantages.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"29 2","pages":"97-102"},"PeriodicalIF":1.3,"publicationDate":"2023-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f3/eb/atcs-29-097.PMC10126768.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9704490","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: 2

Fluoroscopic Removal of Embedded Esophageal Self-Expanding Metal Stents: Stent-in-Stent Combined with Guidewire Lasso Technique. 透视下取出嵌入食管自扩张金属支架:支架内支架联合导丝套索技术。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-04-20 DOI: 10.5761/atcs.cr.21-00120

Yonghua Bi, Hongmei Chen, Wenguang Zhang, Xinwei Han, Jianzhuang Ren

引用次数: 1