Annals of Thoracic and Cardiovascular Surgery最新文献_第8页

Endobronchial Seeding of Squamous Lung Carcinoma with Mediastinal Lymph Involvement Node after EBUS: A Case Report. 支气管内植癌合并纵隔淋巴结累及EBUS一例报告。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-10-20 Epub Date: 2021-05-08 DOI: 10.5761/atcs.cr.20-00271

Boris Duchemann, Ana Maria Portela, Pascal Joudiou, Olivia Freynet, Laurent Zelek, Emmanuel Martinod, Marianne Kambouchner

{"title":"Endobronchial Seeding of Squamous Lung Carcinoma with Mediastinal Lymph Involvement Node after EBUS: A Case Report.","authors":"Boris Duchemann, Ana Maria Portela, Pascal Joudiou, Olivia Freynet, Laurent Zelek, Emmanuel Martinod, Marianne Kambouchner","doi":"10.5761/atcs.cr.20-00271","DOIUrl":"https://doi.org/10.5761/atcs.cr.20-00271","url":null,"abstract":"In locally advanced non-small-cell lung cancer (NSCLC), mediastinal staging is the cornerstone of the therapeutic decision and echoendoscopy is the most practiced exam to assess the lymph node involvement. We describe a rare case of endobronchial involvement by cells originating from a metastatic lymph node after endobronchial ultrasound (EBUS). A 64-year-old man was diagnosed with a squamous cell lung cancer with mediastinal nodal involvement proven by EBUS. The patient received neoadjuvant chemotherapy with partial response and was scheduled for a lobectomy. Before surgery, a fibroscopy was performed which demonstrated a 1-cm polypoid lesion settled on the internal face of the main right bronchus corresponding to the EBUS puncture site. The histological analysis confirmed tumoral cell in this lesion. The patient was rejected for surgery and undergo chemoradiation. This case highlights the need for a careful endoscopic control before surgical resection in case of prior positive EBUS followed by an interval of time.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/79/b1/atcs-28-359.PMC9585338.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38883724","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

Necessity of Multi-Step Surgical Treatment for Patients with Interstitial Lung Disease and a Pneumothorax. 间质性肺疾病合并气胸患者多步骤手术治疗的必要性。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-10-20 Epub Date: 2022-08-02 DOI: 10.5761/atcs.oa.22-00087

Akira Iyoda, Yoko Azuma, Takashi Sakai, Satoshi Koezuka, Hajime Otsuka, Atsushi Sano

{"title":"Necessity of Multi-Step Surgical Treatment for Patients with Interstitial Lung Disease and a Pneumothorax.","authors":"Akira Iyoda, Yoko Azuma, Takashi Sakai, Satoshi Koezuka, Hajime Otsuka, Atsushi Sano","doi":"10.5761/atcs.oa.22-00087","DOIUrl":"https://doi.org/10.5761/atcs.oa.22-00087","url":null,"abstract":"Purpose: A pneumothorax occurs in 3%-8% of patients with idiopathic pulmonary fibrosis. A pneumothorax may predict a poor outcome in patients with interstitial lung disease (ILD), and it is difficult to treat patients with ILD and a pneumothorax.Patients and methods: We retrospectively studied data from all 12 patients with ILD and a pneumothorax who underwent surgical treatment at Toho University Omori Medical Center Hospital between 2009 and 2021.Results: Of the 12 patients, 2 had home oxygen therapy preoperatively and were classified with grade IV interstitial pneumonia (IP). Six patients had preoperative pleurodesis and two had postoperative one using auto-blood. Three patients (25%) had multi-step surgery ≥2, and 5 patients had surgical resection of bullae. No patients had postoperative acute exacerbations and all were discharged from the hospital in a stable condition. The 5-year overall survival rate for all patients was 70.0%. The median survival time was not reached. One patient with unclassified IP was doing well 116 months after surgery.Conclusion: Patients with ILD and a pneumothorax were shown to require multi-step surgical treatment and can anticipate long-term survival.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7b/af/atcs-28-329.PMC9585332.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40579106","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

Prognosis for Mitral Valve Repair Surgery in Functional Mitral Regurgitation. 二尖瓣修复手术治疗功能性二尖瓣返流的预后。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-10-20 Epub Date: 2022-07-15 DOI: 10.5761/atcs.oa.22-00051

Rafael Campos-Arjona, Jorge Rodríguez-Capitán, José D Martínez-Carmona, Alexey Lavreshin, Loudes Fernández-Romero, José M Melero-Tejedor, Manuel Jiménez-Navarro

{"title":"Prognosis for Mitral Valve Repair Surgery in Functional Mitral Regurgitation.","authors":"Rafael Campos-Arjona, Jorge Rodríguez-Capitán, José D Martínez-Carmona, Alexey Lavreshin, Loudes Fernández-Romero, José M Melero-Tejedor, Manuel Jiménez-Navarro","doi":"10.5761/atcs.oa.22-00051","DOIUrl":"https://doi.org/10.5761/atcs.oa.22-00051","url":null,"abstract":"Purpose: Our aim was to evaluate the development of new significant mitral regurgitation and long-term survival after mitral repair surgery in functional mitral regurgitation.Methods: A retrospective observational analysis of the recurrence of functional mitral regurgitation (ischemic and nonischemic) and global mortality during follow-up of 176 patients who underwent mitral repair surgery between 1999 and 2018 in our center was conducted.Results: The etiology of functional mitral regurgitation was ischemic in 55.7% of cases. After surgery, mitral regurgitation was 0-I in 92.3% of cases. We conducted a long-term clinical follow-up of a mean 42.2 months and an echocardiographic follow-up of a mean 41.8 months. We observed mitral regurgitation of at least grade II in 52 patients (36.9%). Survival at 1, 3, and 5 years was 78.8%, 66.7%, and 52.3%, respectively. Predictive factors for global mortality were age (hazard ratio = 1.038, p = 0.01) and a depressed preoperative ejection fraction. After a competing risk analysis, we found the only predictive factor for the recurrence of mitral regurgitation in our series to be age (sub-hazard ratio = 1.03, 95% confidence interval = 1.01-1.06, p = 0.016).Conclusion: Repair surgery for functional mitral regurgitation shows age as the only independent predictor of recurrence. Age and depressed ejection fraction were predictors of mortality.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/83/bb/atcs-28-342.PMC9585337.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40605864","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

Paraneoplastic Neuromyelitis Optica Spectrum Disorder Associated with Atypical Thymic Carcinoid: A Case Report. 非典型胸腺类癌伴视谱神经脊髓炎1例。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-10-20 Epub Date: 2021-04-27 DOI: 10.5761/atcs.cr.20-00354

Suguru Mitsui, Yugo Tanaka, Kenji Kimura, Naoe Jimbo, Norio Chihara, Yoshimasa Maniwa

引用次数: 2

Hsa_circ_0079530/AQP4 Axis Is Related to Non-Small Cell Lung Cancer Development and Radiosensitivity. Hsa_circ_0079530/AQP4轴与非小细胞肺癌的发展和放射敏感性相关

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-10-20 Epub Date: 2022-07-26 DOI: 10.5761/atcs.oa.21-00237

Xianghui Yang, Min Li, Yang Zhao, Xiaolang Tan, Jiqing Su, Xi Zhong

{"title":"Hsa_circ_0079530/AQP4 Axis Is Related to Non-Small Cell Lung Cancer Development and Radiosensitivity.","authors":"Xianghui Yang, Min Li, Yang Zhao, Xiaolang Tan, Jiqing Su, Xi Zhong","doi":"10.5761/atcs.oa.21-00237","DOIUrl":"https://doi.org/10.5761/atcs.oa.21-00237","url":null,"abstract":"Background: Circular RNAs are associated with non-small cell lung cancer (NSCLC) development and radiosensitivity. Nevertheless, the function and regulation mechanism of hsa_circ_0079530 (circ_0079530) in NSCLC development and radiosensitivity are largely unknown.Methods: The abundances of circ_0079530, microRNA (miR-409-3p), aquaporin 4 (AQP4), E-cadherin, intercellular adhesion molecule-1, vitronectin, proliferating cell nuclear antigen, and matrix metalloproteinase 9 were determined via quantitative reverse transcription polymerase chain reaction or western blotting. Cell proliferation, survival fraction, cycle process, migration, invasion, and in vivo growth were examined by cell counting kit-8, colony formation, flow cytometry, transwell, and xenograft analyses. The binding relationship was assessed via dual-luciferase reporter assay and RNA immunoprecipitation assay.Results: Circ_0079530 expression was increased in NSCLC tissues and radioresistant samples. Circ_0079530 knockdown restrained cell proliferation, migration, and invasion, and facilitated radiosensitivity. Circ_0079530 silence decreased tumor growth with or without radiation treatment. Circ_0079530 was verified as a miR-409-3p sponge, and miR-409-3p downregulation mitigated the effects of circ_0079530 interference on NSCLC cell malignancy and radiosensitivity. AQP4 was directly targeted by miR-409-3p. MiR-409-3p restrained cell proliferation, migration, and invasion, and enhanced radiosensitivity by decreasing AQP4 expression. Notably, circ_0079530 silence decreased AQP4 expression by regulating miR-409-3p expression.Conclusion: Circ_0079530 silence repressed cell proliferation, migration, and invasion, and facilitated radiosensitivity in NSCLC cells by mediating miR-409-3p/AQP4 axis.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5f/fc/atcs-28-307.PMC9585336.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40637964","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

Radiofrequency Ablation in Patients Undergoing Mitral Valve Surgery with or without Giant Left Atria. 伴有或不伴有巨大左心房的二尖瓣手术患者的射频消融。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-10-20 Epub Date: 2022-07-06 DOI: 10.5761/atcs.oa.22-00033

Qing Ye, Yichen Zhao, Kemin Liu, Cheng Zhao, Yang Liu, Yuqi Li, Jiangang Wang

{"title":"Radiofrequency Ablation in Patients Undergoing Mitral Valve Surgery with or without Giant Left Atria.","authors":"Qing Ye, Yichen Zhao, Kemin Liu, Cheng Zhao, Yang Liu, Yuqi Li, Jiangang Wang","doi":"10.5761/atcs.oa.22-00033","DOIUrl":"https://doi.org/10.5761/atcs.oa.22-00033","url":null,"abstract":"Purpose: We aimed to compare the efficacy of radiofrequency ablation (RFA) in patients undergoing mitral valve (MV) surgery with or without giant left atria.Methods: This retrospective, single-center, cohort study investigated patients who underwent MV surgery and concomitant RFA from 2009 to 2019. Patients were divided into non-giant left atria (diameter ≤65 mm, n = 1543) and giant left atria (diameter >65 mm, n = 241) groups. Five-year freedom from atrial tachyarrhythmia recurrence and thromboembolic event (TE) rates were assessed with death as the competing risk factor with and without propensity-score matching.Results: Patients with giant left atria had higher mortality (10.8% versus 6.2%, P = 0.008) and readmission rates for heart failure than those without (12.0% versus 6.8%, P = 0.004). Atrial tachyarrhythmia recurrence rates were higher in patients with giant left atria than in those without (49% versus 24% at 5 years, P <0.001), but the cumulative incidence of TEs before (P = 0.944) and after (P = 0.695) propensity-score matching was comparable.Conclusions: RFA effectively prevented TEs in patients with giant left atria, despite significant atrial tachyarrhythmia recurrence. Atrial tachyarrhythmia recurrence did not increase the risk of TEs. A lower success rate should be considered when deciding whether to perform surgical ablation in patients with giant left atria.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/90/80/atcs-28-349.PMC9585334.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40565098","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

Esophageal Cancer Surgery in Dialyzed Patients: A Single Institution Case Series. 透析患者的食管癌手术：单一机构病例系列。

IF 1.1 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-10-20 Epub Date: 2021-04-27 DOI: 10.5761/atcs.cr.20-00361

Masayuki Urabe, Masaki Ueno, Akikazu Yago, Hayato Shimoyama, Yu Ohkura, Shusuke Haruta, Harushi Udagawa

{"title":"Esophageal Cancer Surgery in Dialyzed Patients: A Single Institution Case Series.","authors":"Masayuki Urabe, Masaki Ueno, Akikazu Yago, Hayato Shimoyama, Yu Ohkura, Shusuke Haruta, Harushi Udagawa","doi":"10.5761/atcs.cr.20-00361","DOIUrl":"10.5761/atcs.cr.20-00361","url":null,"abstract":"We sought to evaluate the feasibility of esophageal carcinoma (EC) surgery in cases requiring dialysis. Among 250 consecutive patients undergoing surgical resection for EC, three on maintenance dialysis were identified. We retrospectively analyzed their clinical characteristics. The three dialyzed patients were all males, 39-77 years old at EC surgery. The operations were thoracoscopic esophagectomy with nodal clearance (Case 1), cervical esophageal resection without thoracic procedures (Case 2), and thoracoscopic esophagectomy without reconstruction, emergently conducted for tumor bleeding (Case 3). Reoperation had been required for postoperative abdominal hematoma in Case 1. Postoperative tracheostomy had been performed due to severe pneumonia in Case 2. EC surgery for dialyzed patients, despite appearing to be feasible, might be associated with a high risk of life-threatening morbidities. To minimize surgical risk, therapeutic decision-making for such cases should be based on the balance between radicality and safety.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2022-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/eb/a2/atcs-28-366.PMC9585335.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38913613","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

Exacerbation of Secondary Pulmonary Hypertension by Flat Chest after Lung Transplantation. 肺移植术后平胸加重继发性肺动脉高压的研究。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-08-20 Epub Date: 2020-11-03 DOI: 10.5761/atcs.cr.20-00230

Haruhiko Shiiya, Masaaki Sato, Aya Shinozaki-Ushiku, Chihiro Konoeda, Kentaro Kitano, Jun Nakajima

引用次数: 3

Evaluation of Short-Term Outcomes and the Learning Curve Wherein a Thoracic Resident Doctor Performed Video-Assisted Thoracoscopic Anatomical Lung Resection for Lung Cancer. 一名胸外科住院医师对肺癌进行电视胸腔镜解剖肺切除术的短期疗效和学习曲线的评估。

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-08-20 Epub Date: 2022-01-29 DOI: 10.5761/atcs.oa.21-00216

Tomohiro Fujita, Shigeyuki Morino, Akihiro Nakamura

{"title":"Evaluation of Short-Term Outcomes and the Learning Curve Wherein a Thoracic Resident Doctor Performed Video-Assisted Thoracoscopic Anatomical Lung Resection for Lung Cancer.","authors":"Tomohiro Fujita, Shigeyuki Morino, Akihiro Nakamura","doi":"10.5761/atcs.oa.21-00216","DOIUrl":"https://doi.org/10.5761/atcs.oa.21-00216","url":null,"abstract":"Purpose: The surgical approach for anatomical lung resection includes open thoracotomy, video-assisted thoracoscopic surgery, and robot-assisted thoracoscopic surgery. We evaluated the short-term outcomes and the learning curve wherein a thoracic resident doctor consecutively performed video-assisted thoracoscopic anatomical lung resection for lung cancer.Methods: We retrospectively reviewed 91 cases of consecutive video-assisted thoracoscopic anatomical lung resections for lung cancer performed by a thoracic resident doctor between November 2017 and March 2020. The thoracic resident doctor had no previous experience performing video-assisted thoracoscopic or open anatomical lung resection.Results: Lobectomy was performed in 80 cases. Simple segmentectomy was performed in 11 cases. No cases required intraoperative conversion to open thoracotomy. The median operative time and blood loss were 148 min and 10 ml, respectively. There were no serious postoperative complications or deaths 30 days after surgery. The learning curve was examined using the cumulative sum method with operative time as a factor, and it took 21 cases to attain experience.Conclusion: Our resident doctor safely performed video-assisted thoracoscopic anatomical lung resections and it took 21 cases to stabilize the surgical technique. The surgical technique was possibly stabilized earlier than previously reported, although this was a study of a single resident doctor.","PeriodicalId":8037,"journal":{"name":"Annals of Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2022-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/26/a3/atcs-28-249.PMC9433889.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39871840","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

Extended Bronchoplasty Anastomosed between the Left Main and the Superior Segmental Bronchi for Locally Advanced Left Upper Lobe Lung Cancer with Invasion of the Basal Segment. 局部晚期左上肺叶肺癌基底段浸润的扩展支气管成形术

IF 1.3 4区医学

Annals of Thoracic and Cardiovascular Surgery Pub Date : 2022-08-20 Epub Date: 2020-11-03 DOI: 10.5761/atcs.cr.20-00215

Keisuke Yokota, Katsuhiro Okuda, Ichiro Fukai, Ryoichi Nakanishi

引用次数: 2