Annals of Thoracic and Cardiovascular Surgery最新文献_第6页

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, Mitsutaka Nakao, Makoto Wakatabe, Kouan Orii, Takatomo Nakajima, Shohei Miyazaki, 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":"29 1","pages":"29-39"},"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, Naoki Washiyama, Daisuke Takahashi, Kazumasa Tsuda, Yuko Ohashi, Kayoko Natsume, Masahiro Hirano","doi":"10.5761/atcs.ra.22-00148","DOIUrl":"https://doi.org/10.5761/atcs.ra.22-00148","url":null,"abstract":"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.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"29 1","pages":"1-10"},"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

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-12-20 DOI: 10.5761/atcs.cr.21-00052

Akihiro Sasaki, Tatsuya Kato, Hideki Ujiie, Satoru Wakasa, Setsuyuki Otake, Keisuke Kikuchi, Koichi Ohno

引用次数: 3

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, Toshiharu Tabata, Takanobu Sasaki, Hideki Mitomo, Naoya Ishibashi, Takafumi Sugawara, Hirohito Metoki","doi":"10.5761/atcs.oa.22-00133","DOIUrl":"https://doi.org/10.5761/atcs.oa.22-00133","url":null,"abstract":"Purpose: 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.Materials and methods: 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.Results: 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).Conclusion: LAA% of the non-resected side suggested that it may be able to predict the occurrence of PRC after lung cancer lobectomy.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"28 6","pages":"411-419"},"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

Management of Malignant Pleural Effusions in U.S. Veterans: A Retrospective Review. 美国退伍军人恶性胸腔积液的处理:回顾性回顾。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-12-20 DOI: 10.5761/atcs.oa.22-00124

Zachary Mohs, Megan DeVillers, Stephanie Ziegler, Marc D Basson, William Newman

{"title":"Management of Malignant Pleural Effusions in U.S. Veterans: A Retrospective Review.","authors":"Zachary Mohs, Megan DeVillers, Stephanie Ziegler, Marc D Basson, William Newman","doi":"10.5761/atcs.oa.22-00124","DOIUrl":"https://doi.org/10.5761/atcs.oa.22-00124","url":null,"abstract":"Purpose: To compare malignant pleural effusion (MPE) treatment outcomes and complications among patients receiving indwelling pleural catheter (IPC), talc pleurodesis (TPS), or dual therapy. Outcomes were determined by measuring length of stay (LOS) and post-procedure dyspnea scores. Complications were measured by comparing intervention failures and adverse events.Methods: The Veterans Affairs' Corporate Data Warehouse was utilized to retrospectively review the charts of 314 MPE subjects. Dyspnea scores were estimated by researchers and LOS was determined by adding the duration of stay for all admissions post procedure. Complications were recorded through chart review.Results: IPC exhibited higher failure rates than the other approaches 1 year post intervention. Pneumonia/chest infection rate and lung entrapment were also more prevalent. There was no significant difference in dyspnea rates. LOS illustrated a significant difference between groups, with talc patients spending a median of 7 days in the hospital immediately post procedure, while IPC and IPC + TPS patients spent a median of 3 and 2 days, respectively.Conclusion: Patients receiving IPC or combination treatment spend fewer days in the hospital than TPS patients. However, IPC appears to be associated with more adverse events and higher long-term failure rates than other management strategies.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"28 6","pages":"420-428"},"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/34/76/atcs-28-420.PMC9763720.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10452259","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

The Predictive Value of Stair Climbing Test on Postoperative Complications in Lung Cancer Patients with Limited Pulmonary Function. 爬楼梯试验对肺功能受限肺癌患者术后并发症的预测价值。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-12-20 DOI: 10.5761/atcs.oa.22-00034

Fei Xiao, Weipeng Shao, Jin Zhang, Huanshun Wen, Yongqing Guo, Deruo Liu, Chaoyang Liang

{"title":"The Predictive Value of Stair Climbing Test on Postoperative Complications in Lung Cancer Patients with Limited Pulmonary Function.","authors":"Fei Xiao, Weipeng Shao, Jin Zhang, Huanshun Wen, Yongqing Guo, Deruo Liu, Chaoyang Liang","doi":"10.5761/atcs.oa.22-00034","DOIUrl":"https://doi.org/10.5761/atcs.oa.22-00034","url":null,"abstract":"Purpose: To evaluate the predictive value of stair climbing test (SCT) on postoperative complications in lung cancer patients with limited pulmonary function.Methods: A total of 727 hospitalized lung cancer patients with limited pulmonary function were retrospectively reviewed. Included in the cohort were 424 patients who underwent SCT preoperatively. Patients were grouped according to general condition, past medical history, surgical approach, pulmonary function test, and SCT results. Comparison of the postoperative cardiopulmonary complication rates was made and independent risk factors were identified.Results: A total of 89 cardiopulmonary-related complications occurred in 69 cases, accounting for 16.3% of the entire cohort. The postoperative cardiopulmonary complication rates were significantly different between groups stratified by smoking index, percentage of forced expiratory volume in one second, percentage of diffusion capacity for carbon monoxide, SCT results, excision extension, and anesthetic duration (p <0.05). Multivariate analysis showed that only height achieved (p <0.001), changes in heart rate (∆HR; p <0.001), and excision extension (p = 0.006) were independent risk factors for postoperative cardiopulmonary complications.Conclusions: The SCT could be used as a preoperative screening method for lung cancer patients with limited pulmonary function. For those patients who could only climb less than 6 floors or had ∆HR >30 bpm in the test, sublobar resection should be selected to reduce the postoperative cardiopulmonary complication rate.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"28 6","pages":"381-388"},"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/ac/7d/atcs-28-381.PMC9763715.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10503937","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

Acquired Benign Tracheoesophageal Fistula: An Alternative Tracheoplastic Technique. 获得性良性气管食管瘘:一种可选择的气管整形技术。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-12-20 DOI: 10.5761/atcs.nm.22-00077

Dario Amore, Dino Casazza, Marco Rispoli, Cristiano Cesaro, Emanuele Muto, Pasquale Imitazione, Carlo Curcio

引用次数: 2

Unexpected Histopathological Diagnosis of Placental Transmogrification of the Lung after Bullectomy for Recurrent Spontaneous Pneumothorax: A Case Report and Literature Review. 复发性自发性气胸大球切除后肺胎盘变形的意外组织病理学诊断:1例报告及文献复习。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-12-20 DOI: 10.5761/atcs.cr.21-00005

Jin Shiraishi, Takaki Akamine, Seiya Kato, Naoko Miura, Takuro Kometani, Yasunori Shikada, Takuo Hayashi

{"title":"Unexpected Histopathological Diagnosis of Placental Transmogrification of the Lung after Bullectomy for Recurrent Spontaneous Pneumothorax: A Case Report and Literature Review.","authors":"Jin Shiraishi, Takaki Akamine, Seiya Kato, Naoko Miura, Takuro Kometani, Yasunori Shikada, Takuo Hayashi","doi":"10.5761/atcs.cr.21-00005","DOIUrl":"https://doi.org/10.5761/atcs.cr.21-00005","url":null,"abstract":"We report a 33-year-old man who presented with recurrent right pneumothorax. Computed tomography (CT) showed the presence of a large bulla with a maximum diameter of 8 cm in the right middle lobe; he subsequently underwent bullectomy. Histopathology revealed that pulmonary parenchyma adjacent to the bulla represented nodular proliferation of clear cells characterized by a papillary structure resembling placental chorionic villi. Immunohistochemically, clear cells were positive for CD10, suggesting placental transmogrification of the lung (PTL). We reviewed 36 surgical cases of PTL, and only 2 cases (5.6%), including our case, were operated for spontaneous pneumothorax. Bullous lesions secondary to PTL tend to appear as unilateral large cystic masses in non-upper lobes, which is atypical for primary spontaneous pneumothorax (PSP). Although PTL is considered a very rare cause of secondary pneumothorax, we must carefully differentiate this condition.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"28 6","pages":"438-443"},"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/bb/9b/atcs-28-438.PMC9763717.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10501843","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

Effects of Different Treatment Regimens on Primary Spontaneous Pneumothorax: A Systematic Review and Network Meta-Analysis. 不同治疗方案对原发性自发性气胸的影响:系统综述和网络荟萃分析。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-12-20 DOI: 10.5761/atcs.oa.22-00113

Muredili Muhetaer, Keriman Paerhati, Qingchao Sun, Desheng Li, Liang Zong, Haiping Zhang, Liwei Zhang

{"title":"Effects of Different Treatment Regimens on Primary Spontaneous Pneumothorax: A Systematic Review and Network Meta-Analysis.","authors":"Muredili Muhetaer, Keriman Paerhati, Qingchao Sun, Desheng Li, Liang Zong, Haiping Zhang, Liwei Zhang","doi":"10.5761/atcs.oa.22-00113","DOIUrl":"https://doi.org/10.5761/atcs.oa.22-00113","url":null,"abstract":"Purpose: The best treatment strategy for primary spontaneous pneumothorax is controversial and varies widely in practice.Methods: Literatures were searched from databases till 24 August 2021. A Bayesian network meta-analysis was conducted to compare the outcomes of various treatments with the following endpoints: recurrence rate, postoperative chest tube duration, postoperative air leakage duration, length of hospital stay, and complications rate.Results: In all, 7210 patients of 20 randomized controlled trials and 17 cohort studies were included. Surgery had a significantly lower recurrence rate compared to other treatments. Besides, bullectomy (BT) combined with chemical pleurodesis (CP), mechanical pleurodesis, or staple line coverage (SLC) can reduce the recurrence rate compared to BT alone, but none of them were statistically significant. In terms of reducing chest tube duration, BT with tubular Neoveil outperformed BT + pleural abrasion (mean difference [MD], 95% confidence interval [CI]: -2.5 [-4.63, -0.35]) and BT + apical pleurectomy (MD, 95% CI: -2.72 [-5.16, -0.27]).Conclusions: Surgical methods were superior to manual aspiration (MA), chest tube drainage (CTD), and conservative treatment in terms of recurrence reduction. There was no significant difference between MA and CTD in reducing the recurrence rate. Among surgical methods, CP is more effective than mechanical pleurodesis and SLC among the additional procedures based on BT.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"28 6","pages":"389-402"},"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/9b/2f/atcs-28-389.PMC9763716.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10447010","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: 3

Positive Intrapleural Pressure with Carbon Dioxide May Limit Intraoperative Pulmonary Arterial Bleeding: Verification by Animal Model. 胸腔内二氧化碳正压可限制术中肺动脉出血:动物模型验证。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-12-20 DOI: 10.5761/atcs.oa.22-00104

Momoko Asami, Eiichi Kanai, Yoshikane Yamauchi, Yuichi Saito, Noriyuki Matsutani, Masafumi Kawamura, Yukinori Sakao

{"title":"Positive Intrapleural Pressure with Carbon Dioxide May Limit Intraoperative Pulmonary Arterial Bleeding: Verification by Animal Model.","authors":"Momoko Asami, Eiichi Kanai, Yoshikane Yamauchi, Yuichi Saito, Noriyuki Matsutani, Masafumi Kawamura, Yukinori Sakao","doi":"10.5761/atcs.oa.22-00104","DOIUrl":"https://doi.org/10.5761/atcs.oa.22-00104","url":null,"abstract":"Purpose: Intraoperative complications, especially unexpected bleeding, are of great concern in the safety of thoracoscopic surgery. We investigated the hemostatic efficacy and safety of positive intrapleural pressure (PIP) with carbon dioxide insufflation by assessing the amount of blood loss in a pulmonary arterial hemorrhage model.Methods: An ex vivo experimental model of saline flow into a swine vessel was created in a container simulating a chest cavity. From the results, in vivo experiments (swine model) were conducted to compare the pulmonary arterial bleeding volume while applying PIP.Results: In the ex vivo experiment, regardless of the incision type, the outflow volumes did not significantly differ at flow pressures of 20, 30, and 40 mmHg. At each flow pressure, the outflow volumes at 10, 15, and 20 mmHg of positive pressure in the container were significantly smaller than those of the control (p = 0.027, p = 0.002, and p = 0.005, respectively). Similarly, the in vivo experiments showed that bleeding decreased as intrapleural pressure increased (slope = -0.22, F = 55.13, p <0.0001).Conclusion: It may be possible to temporarily suppress pulmonary arterial bleeding by increasing the intrapleural pressure to 10 to 20 mmHg using carbon dioxide insufflation. This method may be an adjunctive hemostatic maneuver for intraoperative bleeding.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":"28 6","pages":"403-410"},"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/ab/bc/atcs-28-403.PMC9763713.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10447011","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