Annals of Thoracic and Cardiovascular Surgery最新文献

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I-Composite Graft with Right Internal Thoracic Artery and Right Gastroepiploic Artery in Coronary Artery Bypass Grafting. 右胸内动脉与右胃网膜动脉复合移植在冠状动脉搭桥术中的应用。
IF 1.3 4区 医学
Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-04-20 DOI: 10.5761/atcs.oa.22-00171
Makoto Shirakawa, Masami Ochi, Yosuke Ishii
{"title":"I-Composite Graft with Right Internal Thoracic Artery and Right Gastroepiploic Artery in Coronary Artery Bypass Grafting.","authors":"Makoto Shirakawa,&nbsp;Masami Ochi,&nbsp;Yosuke Ishii","doi":"10.5761/atcs.oa.22-00171","DOIUrl":"https://doi.org/10.5761/atcs.oa.22-00171","url":null,"abstract":"<p><strong>Purpose: </strong>When added to the internal thoracic artery (ITA), the right gastroepiploic artery (GEA) has been used as an in-situ graft or an I-composite right ITA-right GEA graft in coronary artery bypass grafting (CABG). We aimed to verify its potential.</p><p><strong>Methods: </strong>We evaluated 104 patients who underwent first isolated CABG with this I-composite graft. The number of distal anastomoses, graft flow (GF) and pulsatility index (PI) during surgery, and graft patency in the early term regarding this I-composite graft were evaluated.</p><p><strong>Results: </strong>The number of total distal anastomoses and distal anastomoses with arterial grafts were 4.17 ± 0.81 and 3.63 ± 0.81, respectively. This I-composite graft achieved 2.38 ± 0.69 distal anastomoses. GF tended to increase according to the increased number of distal anastomoses (p = 0.241), and the PI maintained a low score regardless of the number of distal anastomoses (p = 0.834). Graft patency was 95.5%; moreover, the number of distal anastomoses with this I-composite graft did not affect early-term graft patency.</p><p><strong>Conclusion: </strong>Right GEA utility was expanded as this I-composite graft in addition to in-situ graft. This I-composite graft has an adequate flow capacity for revascularization in non-left anterior descending coronary artery lesions.</p>","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"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/6d/9c/atcs-29-086.PMC10126763.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9720107","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
Multifocal Cholesterol Granulomas of the Thymus: A Case Report of Positron Emission Tomography- Positive Benign Tumor of the Anterior Mediastinum. 胸腺多灶性胆固醇肉芽肿:前纵隔正电子发射断层扫描阳性良性肿瘤1例。
IF 1.3 4区 医学
Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-04-20 DOI: 10.5761/atcs.cr.21-00198
Mikito Suzuki, Hirotoshi Horio, Azusa Yamada, Reiko Shimizu, Toshiyuki Shima, Masahiko Harada, Tsunekazu Hishima
{"title":"Multifocal Cholesterol Granulomas of the Thymus: A Case Report of Positron Emission Tomography- Positive Benign Tumor of the Anterior Mediastinum.","authors":"Mikito Suzuki,&nbsp;Hirotoshi Horio,&nbsp;Azusa Yamada,&nbsp;Reiko Shimizu,&nbsp;Toshiyuki Shima,&nbsp;Masahiko Harada,&nbsp;Tsunekazu Hishima","doi":"10.5761/atcs.cr.21-00198","DOIUrl":"https://doi.org/10.5761/atcs.cr.21-00198","url":null,"abstract":"<p><p>Cholesterol granulomas of the thymus are extremely rare benign entities. Herein, we describe a case of cholesterol granuloma in a 45-year-old man who presented with multifocal anterior mediastinal lesions on computed tomography (CT). Positron emission tomography (PET)-CT revealed increased fluorodeoxyglucose uptake, with a maximum standardized uptake value of 8.3. Diffusion-weighted magnetic resonance imaging (MRI) revealed extreme hypointensity. He underwent total thymectomy by median sternotomy for presumed multiple thymoma. On histopathological analysis, cholesterol granuloma of the thymus was confirmed, and the patient had an uneventful postoperative course without recurrence for 28 months. Cholesterol granuloma of the thymus is a PET-CT-positive benign tumor with unique histological findings. The MRI findings were indicative of hypocellularity associated with a benign entity, whereas the PET-CT findings corresponded to granulomatous inflammation. Therefore, concurrent use of PET-CT and MRI can be helpful in distinguishing between benign cholesterol granulomas and malignant anterior mediastinal tumors.</p>","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"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/fd/6e/atcs-29-103.PMC10126764.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9406425","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
Operative Timing and Feasibility of Mitral Valve Repair in Active Infective Endocarditis. 活动性感染性心内膜炎二尖瓣修复术的手术时机和可行性。
IF 1.3 4区 医学
Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-02-20 DOI: 10.5761/atcs.oa.22-00135
Tadashi Omoto, Atsushi Aoki, Kazuto Maruta, Tomoaki Masuda
{"title":"Operative Timing and Feasibility of Mitral Valve Repair in Active Infective Endocarditis.","authors":"Tadashi Omoto,&nbsp;Atsushi Aoki,&nbsp;Kazuto Maruta,&nbsp;Tomoaki Masuda","doi":"10.5761/atcs.oa.22-00135","DOIUrl":"https://doi.org/10.5761/atcs.oa.22-00135","url":null,"abstract":"<p><strong>Purpose: </strong>We studied the association between operative timing and the feasibility of mitral valve (MV) repair in active infective endocarditis (IE).</p><p><strong>Methods: </strong>Forty-nine active IE patients who underwent MV operation were classified according to operative timing: within 48 hours (Term I: n = 7), between 3 and 14 days (Term II: n = 22), and ≥15 days (Term III: n = 20). Patient profiles, operative outcomes, and feasibility of MV repair were evaluated. Complexity score and severity score were used to define the feasibility of MV repair depending on the extent of infected lesion and technical difficulties.</p><p><strong>Results: </strong>There were no differences in basic profile in the three groups. Rate of major complications was higher in Term I (86%) than II (41%, p = 0.031) and III (25%, p = 0.005). In-hospital mortality was also higher in Term I (43%) than II (9%, p = 0.039) and III (5%, p = 0.015). The three groups did not differ by feasibility of MV repair calculated by the two-score system or by frequency of MV repair (I: 57%, II: 59%, and III: 55%).</p><p><strong>Conclusions: </strong>Morbidity and mortality were high in urgent cases. Feasibility of MV repair is associated with the extent of infected lesion and technical difficulties, and not with operative timing.</p>","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/77/4a/atcs-29-023.PMC9939675.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9318644","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
Solitary Cardiac Metastasis from Esophageal Cancer. 食道癌的孤立性心脏转移灶
IF 1.3 4区 医学
Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-02-20 Epub Date: 2021-09-07 DOI: 10.5761/atcs.cr.21-00149
Miho Akabane, Masayuki Urabe, Yu Ohkura, Shusuke Haruta, Masaki Ueno, Harushi Udagawa
{"title":"Solitary Cardiac Metastasis from Esophageal Cancer.","authors":"Miho Akabane, Masayuki Urabe, Yu Ohkura, Shusuke Haruta, Masaki Ueno, Harushi Udagawa","doi":"10.5761/atcs.cr.21-00149","DOIUrl":"10.5761/atcs.cr.21-00149","url":null,"abstract":"<p><p>A 72-year-old woman with past medical history of rectal cancer resection (adenocarcinoma, pT3N1aM0) presented with a 2-month history of dysphagia. Imaging studies found a thoracic esophageal cancer, for which subtotal esophagectomy with gastric conduit reconstruction via retrosternal route followed by chemoradiotherapy were performed (squamous cell carcinoma, pT4N1M0, RM1). Seven months after the esophagectomy, a contrast-enhanced computed tomography (CT) demonstrated a new asymptomatic mass inside the right atrium. A thrombus or a tumorous lesion was suspected. Positron emission tomography (PET)/CT showed abnormal uptake in the mass. After a thorough discussion by a multidisciplinary oncology group, we performed 1-week anticoagulant therapy first, resulting in mass enlargement. Then tumorectomy was carried out. The final pathological findings revealed that the mass was squamous cell carcinoma, yielding the diagnosis of cardiac metastasis from esophageal cancer. The patient's postoperative course was unremarkable. PET/CT may help to estimate malignancy and to omit invasive heart surgery.</p>","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0c/f8/atcs-29-044.PMC9939676.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10758909","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
Development of Paraneoplastic Neuromyelitis Optica after Lung Resection in a Patient with Squamous Cell Carcinoma. 鳞状细胞癌患者肺切除术后视神经脊髓炎的发展。
IF 1.3 4区 医学
Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-02-20 DOI: 10.5761/atcs.cr.21-00144
Shunsuke Eba, Shuhei Nishiyama, Hirotsugu Notsuda, Hisashi Oishi, Masafumi Noda, Masashi Aoki, Yoshinori Okada
{"title":"Development of Paraneoplastic Neuromyelitis Optica after Lung Resection in a Patient with Squamous Cell Carcinoma.","authors":"Shunsuke Eba,&nbsp;Shuhei Nishiyama,&nbsp;Hirotsugu Notsuda,&nbsp;Hisashi Oishi,&nbsp;Masafumi Noda,&nbsp;Masashi Aoki,&nbsp;Yoshinori Okada","doi":"10.5761/atcs.cr.21-00144","DOIUrl":"https://doi.org/10.5761/atcs.cr.21-00144","url":null,"abstract":"<p><p>Neurological paraneoplastic syndrome is a relatively rare condition in patients with malignant tumors. Recently, it has been reported that anti-Aquaporin 4 (AQP4) antibody is highly specific for neuromyelitis optica. The patient was a 76-year-old man. He underwent right upper lobectomy for squamous cell carcinoma of the lung. Although the immediate postoperative course was uneventful, neurological symptoms became apparent from postoperative day (POD) 4. Magnetic resonance imaging showed longitudinally extended edematous lesions in the spinal cord, and a cerebrospinal fluid examination was positive for anti-AQP4 antibody, leading to the diagnosis of paraneoplastic neuromyelitis optica. Despite multiple rounds of steroid pulse therapy and plasma exchange, the neurological symptoms worsened and the patient died on POD 46. The development of neuromyelitis optica in the early postoperative period could be related to the influence of surgical stress or epidural anesthesia.</p>","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/29/c0/atcs-29-049.PMC9939678.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9317040","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
Inadvertently Swallowed Needle Pierced the Pulmonary Artery in an Adult. 误吞针头刺穿成人肺动脉。
IF 1.3 4区 医学
Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-02-20 DOI: 10.5761/atcs.cr.21-00161
Xiaoyi Dai, Shengjun Wu
{"title":"Inadvertently Swallowed Needle Pierced the Pulmonary Artery in an Adult.","authors":"Xiaoyi Dai,&nbsp;Shengjun Wu","doi":"10.5761/atcs.cr.21-00161","DOIUrl":"https://doi.org/10.5761/atcs.cr.21-00161","url":null,"abstract":"<p><strong>Background: </strong>Esophageal foreign body (FB) is usually seen in children, prisoners, or patients with psychiatric disorders, most of which can be removed with endoscope.</p><p><strong>Case presentation: </strong>We herein report a mentally normal adult inadvertently swallowing a needle, which pierced through the esophagus into the adventitia of pulmonary artery. Computed tomography angiography confirmed its specific location, and urgently, surgical removal was performed after the endoscopic attempt. The patient recovered well and was discharged without any complication of the esophageal perforation.</p><p><strong>Conclusion: </strong>Surgical treatment should be carried out aggressively if the esophageal FB is out of reach for endoscopic removal or if complications cannot be resolved endoscopically.</p>","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d3/bc/atcs-29-040.PMC9939673.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10754104","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
Circ_0006220 Contributes to NSCLC Progression through miR-342-3p/GOT2 Axis. Circ_0006220通过miR-342-3p/GOT2轴促进NSCLC进展。
IF 1.3 4区 医学
Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-02-20 DOI: 10.5761/atcs.oa.22-00090
Jichun Tang, Xuan Li, Lili Zhao, Jiajun Hui, Ning Ding
{"title":"Circ_0006220 Contributes to NSCLC Progression through miR-342-3p/GOT2 Axis.","authors":"Jichun Tang,&nbsp;Xuan Li,&nbsp;Lili Zhao,&nbsp;Jiajun Hui,&nbsp;Ning Ding","doi":"10.5761/atcs.oa.22-00090","DOIUrl":"https://doi.org/10.5761/atcs.oa.22-00090","url":null,"abstract":"<p><strong>Purpose: </strong>Dysregulated circular RNAs (circRNAs) have shown crucial modulatory functions in tumorigenesis, containing non-small cell lung cancer (NSCLC). The purpose of this study was to explore the biological functions and regulatory theory of circ_0006220 in NSCLC.</p><p><strong>Methods: </strong>Reverse transcription-quantitative polymerase chain reaction and Western blot assay were conducted to measure RNA and protein expression, respectively. A total of 73 cases of NSCLC tumor samples were collected for expression analysis, and A-549 and NCI-H1299 cell lines were used for functional experiments. Cell proliferation was assessed by cell counting kit-8 assay, colony formation assay, 5-ethynyl-2'-deoxyuridine assay, and flow cytometry. Cell apoptosis, motility, and angiogenesis ability were analyzed by flow cytometry, transwell assays, and capillary-like network formation assay. Dual-luciferase reporter assay and RNA immunoprecipitation assay were conducted to verify the target relationships.</p><p><strong>Results: </strong>Circ_0006220 was highly expressed in NSCLC tissues and cell lines. Circ_0006220 silencing inhibited the proliferation, migration, invasion, and angiogenesis but induced the apoptosis of NSCLC cells. Circ_0006220 acted as a microRNA-342-3p (miR-342-3p) sponge, and circ_0006220 knockdown-induced changes on the phenotypes of NSCLC cells were largely overturned by the knockdown of miR-342-3p. miR-342-3p interacted with the 3' untranslated region of glutamic-oxaloacetic transaminase 2 (GOT2), and GOT2 overexpression largely diminished miR-342-3p overexpression-mediated influences in NSCLC cells. Circ_0006220 could up-regulate GOT2 expression by sponging miR-342-3p.</p><p><strong>Conclusion: </strong>Circ_0006220 promoted the malignant behaviors of NSCLC cells through mediating the miR-342-3p/GOT2 regulation cascade.</p>","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9e/bd/atcs-29-011.PMC9939679.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10781956","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
Changes in Internal Thoracic Artery Blood Flow According to the Degree of Stenosis of the Anterior Descending Branch of the Left Coronary Artery. 胸内动脉血流随左冠状动脉前降支狭窄程度的变化。
IF 1.3 4区 医学
Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-02-20 DOI: 10.5761/atcs.oa.22-00153
Ken Nakamura, Mitsutaka Nakao, Makoto Wakatabe, Kouan Orii, Takatomo Nakajima, Shohei Miyazaki, Takashi Kunihara
{"title":"Changes in Internal Thoracic Artery Blood Flow According to the Degree of Stenosis of the Anterior Descending Branch of the Left Coronary Artery.","authors":"Ken Nakamura,&nbsp;Mitsutaka Nakao,&nbsp;Makoto Wakatabe,&nbsp;Kouan Orii,&nbsp;Takatomo Nakajima,&nbsp;Shohei Miyazaki,&nbsp;Takashi Kunihara","doi":"10.5761/atcs.oa.22-00153","DOIUrl":"https://doi.org/10.5761/atcs.oa.22-00153","url":null,"abstract":"Purpose: Computational fluid dynamics has enabled the evaluation of coronary flow reserve. The purpose of this study was to clarify the hemodynamic variation and reserve potential of the left internal thoracic artery (LITA). Methods: Four patients were selected on the basis of various native coronary stenosis patterns and graft design. The wall shear stress and oscillatory shear index were measured, and one patient was selected. Next, we created three hypothetical lesions with 75%, 90%, and 99% stenosis in front of the graft anastomosis, and compared the changes in LITA blood flow and coronary flow distribution. Results: In the 75% to 90% stenosis model, blood flow was significantly higher in the native coronary flow proximal to the coronary artery bypass anastomosis regardless of time phase. In the 99% stenosis model, blood flow from the LITA was significantly dominant compared to native coronary flow at the proximal site of anastomosis. The range of LITA flow variability was the largest at 99% stenosis, with a difference of 70 ml/min. Conclusion: The 99% stenosis model showed the highest LITA flow. The range of LITA flow variability is large, suggesting that it may vary according to the rate of native coronary stenosis.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/da/35/atcs-29-029.PMC9939674.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10756179","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
Surgical Approaches to Single-Stage Extended Aortic Repair from the Ascending to the Distal Descending Aorta. 从升主动脉到远降主动脉单期扩展主动脉修复的手术入路。
IF 1.3 4区 医学
Annals of Thoracic and Cardiovascular Surgery Pub Date : 2023-02-20 DOI: 10.5761/atcs.ra.22-00148
Norihiko Shiiya, Naoki Washiyama, Daisuke Takahashi, Kazumasa Tsuda, Yuko Ohashi, Kayoko Natsume, Masahiro Hirano
{"title":"Surgical Approaches to Single-Stage Extended Aortic Repair from the Ascending to the Distal Descending Aorta.","authors":"Norihiko Shiiya,&nbsp;Naoki Washiyama,&nbsp;Daisuke Takahashi,&nbsp;Kazumasa Tsuda,&nbsp;Yuko Ohashi,&nbsp;Kayoko Natsume,&nbsp;Masahiro Hirano","doi":"10.5761/atcs.ra.22-00148","DOIUrl":"https://doi.org/10.5761/atcs.ra.22-00148","url":null,"abstract":"<p><p>Single-stage extended replacement from the ascending to the distal descending aorta or beyond is a formidable operation that should be preserved for those who have no other option or those who are physically fit, and should be performed in the experienced centers. Hybrid operations combining open surgical repair with thoracic endovascular aortic repair through a median sternotomy incision are preferable because these operations are less invasive than the extended open aortic repair and the risk of spinal cord ischemia is lower compared with the frozen elephant trunk operation. However, these operations are associated with the inherent demerits of endovascular aneurysm exclusion. When the underlying aortic pathology necessitates extended open aortic repair in a single stage, approaches such as the anterolateral partial sternotomy, straight incision with rib cross, and extended thoracotomy with sternal transection may be useful to provide sufficient exposure for both aortic reconstruction and organ protection, with less surgical stress to the patients.</p>","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7f/12/atcs-29-001.PMC9939677.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10776258","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
Prediction of Postoperative Respiratory Complications after Lobectomy in Lung Cancer Patients with COPD by Quantitative Image Analysis: A Historical Cohort Study. 定量图像分析预测肺癌合并COPD患者肺叶切除术后呼吸系统并发症:一项历史队列研究。
IF 1.3 4区 医学
Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-12-20 DOI: 10.5761/atcs.oa.22-00133
Ryo Nonomura, Toshiharu Tabata, Takanobu Sasaki, Hideki Mitomo, Naoya Ishibashi, Takafumi Sugawara, Hirohito Metoki
{"title":"Prediction of Postoperative Respiratory Complications after Lobectomy in Lung Cancer Patients with COPD by Quantitative Image Analysis: A Historical Cohort Study.","authors":"Ryo Nonomura,&nbsp;Toshiharu Tabata,&nbsp;Takanobu Sasaki,&nbsp;Hideki Mitomo,&nbsp;Naoya Ishibashi,&nbsp;Takafumi Sugawara,&nbsp;Hirohito Metoki","doi":"10.5761/atcs.oa.22-00133","DOIUrl":"https://doi.org/10.5761/atcs.oa.22-00133","url":null,"abstract":"<p><strong>Purpose: </strong>We examined whether preoperative assessment of percentage of low attenuation area (LAA%) on the non-resected side can predict postoperative respiratory complications (PRC) after lobectomy.</p><p><strong>Materials and methods: </strong>We conducted a historical cohort study of 217 smokers (175 males and 42 females) who underwent lobectomy for primary lung cancer at our hospital between January 2014 and March 2021. First, the relationship between LAA% and respiratory function parameters (RFPs) calculated for both the bilateral and non-resected sides was used to estimate the most effective patient group. Next, multivariate analyses of the relationship between LAA% of the non-resected side and PRC were performed using logistic regression analysis after adjusting for basic patient attributes and respiratory function.</p><p><strong>Results: </strong>A correlation was found between LAA% and RFP in smoking males. Multivariate analysis showed a strong relationship between model 3, adjusted for basic patient attributes and lung function factors, and PRC (odds ratio, 2.43; 95% confidence interval, 1.05-5.63).</p><p><strong>Conclusion: </strong>LAA% of the non-resected side suggested that it may be able to predict the occurrence of PRC after lung cancer lobectomy.</p>","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c5/d0/atcs-28-411.PMC9763719.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10452224","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
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