Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia最新文献

Total Arterial Revascularization: Evaluating the Length of the Radial Artery in a Composite Graft Configuration. 全动脉血运重建：评估复合移植物配置中桡动脉的长度。

Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Pub Date : 2024-01-26 Epub Date: 2023-10-28 DOI: 10.5761/atcs.oa.23-00084

Jasmin H Shahinian, Harry Lappiere, Juan Grau, David Glineur

{"title":"Total Arterial Revascularization: Evaluating the Length of the Radial Artery in a Composite Graft Configuration.","authors":"Jasmin H Shahinian, Harry Lappiere, Juan Grau, David Glineur","doi":"10.5761/atcs.oa.23-00084","DOIUrl":"10.5761/atcs.oa.23-00084","url":null,"abstract":"Purpose: Reimplanting the radial artery in the left internal thoracic artery as a composite graft allows total arterial revascularization (TAR) without aortic manipulation. The limitation of this strategy is the length of the radial artery required to reach distal right coronary artery (RCA) branches. Our analysis focuses on the feasibility of this strategy.Methods: A total of 169 patients underwent TAR using the radial artery in a composite grafting configuration. Length of the radial artery, number of sequential anastomoses, heart size, target location, length of the arm, patient height, body surface area, and flow in the composite graft were prospectively collected.Results: The mean length of the radial artery was 18.02 cm. Patients with a mean length of the radial artery of 15.9 cm needed an extension of the radial artery with another conduit to reach the RCA distal branches. When T-configuration is used, the length of the radial artery should be 0.53 cm per sequential anastomosis to reach the RCA distal branches.Conclusions: Our study shows that an average length of 18.02 cm of radial artery is needed to reach targets on the RCA distal branches in composite grafting. In T-configuration, we need 0.53 cm more length per anastomosis to achieve TAR.","PeriodicalId":93877,"journal":{"name":"Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10902649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71415902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","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 Simple Endovascular Aneurysm Repair Based on the Initial Aortic Diameter. 基于初始主动脉直径的简单血管内动脉瘤修复的长期结果。

Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Pub Date : 2024-01-26 Epub Date: 2023-10-24 DOI: 10.5761/atcs.oa.23-00098

Yuki Orimoto, Hiroyuki Ishibashi, Takahiro Arima, Yusuke Imaeda, Yuki Maruyama, Hiroki Mitsuoka, Akio Kodama

{"title":"Long-Term Outcomes of Simple Endovascular Aneurysm Repair Based on the Initial Aortic Diameter.","authors":"Yuki Orimoto, Hiroyuki Ishibashi, Takahiro Arima, Yusuke Imaeda, Yuki Maruyama, Hiroki Mitsuoka, Akio Kodama","doi":"10.5761/atcs.oa.23-00098","DOIUrl":"10.5761/atcs.oa.23-00098","url":null,"abstract":"Purpose: We aimed to investigate the effects of initial abdominal aortic aneurysm (AAA) diameter on aneurysmal sac expansion/shrinkage, endoleaks, and reintervention postelective simple endovascular aneurysm repair (EVAR).Methods: Overall, 228 patients monitored for >1 year after EVAR were analyzed. Male and female participants with initial AAA diameters <55 mm and <50 mm, respectively, composed the small group (group S), while those with initial AAA diameters ≥55 mm (men) and ≥50 mm (women) composed the large group (group L). Aneurysmal sac expansion of 10 mm and/or reintervention during follow-up (composite event) and its related factors were evaluated.Results: The 5-year freedom from composite event rate was significantly higher in group S (92.4 ± 2.8%) than that in group L (79.1 ± 4.9%; P <0.01). Multivariate analysis revealed AAA diameters before EVAR in group S (hazard ratio, 0.38; 95% confidence interval, 0.18-0.81; P = 0.01) and type II endoleak (T2EL) at discharge (hazard ratio, 2.83; 95% confidence interval, 1.29-6.20; P <0.01) as factors associated with the composite event. The freedom from composite event rate decreased to 51 ± 13% at 5 years in group L with T2EL.Conclusions: Group S had high freedom from composite event rate; in group L, the rate decreased to 51% at 5 years with T2EL at discharge.","PeriodicalId":93877,"journal":{"name":"Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10902653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50164114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lateral Dorsal Basal Lung Resection Based on Functional Preserving Sublobectomy Method: Single-Center Experience. 基于保留功能的肺叶切除术的背侧基底肺切除术：单中心经验。

Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Pub Date : 2024-01-26 Epub Date: 2023-09-20 DOI: 10.5761/atcs.oa.23-00025

Bing Han, Zheng Qin, Peirui Chen, Liqiang Yuan, Mingqiang Diao

{"title":"Lateral Dorsal Basal Lung Resection Based on Functional Preserving Sublobectomy Method: Single-Center Experience.","authors":"Bing Han, Zheng Qin, Peirui Chen, Liqiang Yuan, Mingqiang Diao","doi":"10.5761/atcs.oa.23-00025","DOIUrl":"10.5761/atcs.oa.23-00025","url":null,"abstract":"Purpose: Functional preserving sublobectomy (FPSL), a novel balancing strategy for segmentectomy and wedge resection, allows rapid and accurate removal of invisible nodules without the use of any preoperative localization markers. This study aimed to share single-center experience of lateral dorsal basal lung resection based on FPSL, so as to provide new surgical options for thoracic surgeons.Methods: A retrospective analysis was performed on 13 patients who underwent thoracoscopic basal lung resection after FPSL at XX hospital from January 2021 to August 2022.Results: The operation was successfully performed in 13 patients by using FPSL, including 12 patients with malignant tumors. The mean operating time was 107.5 ± 25.6 min. The mean postoperative hospital stay was 3.7 ± 2.4 days. None of the patients needed extended excision, such as an entire basal or inferior lobectomy.Conclusion: Our single-center experience showed that the FPSL method only dealt with the target vessels, which greatly reduced the technical difficulty of surgery. In addition, both arteries and veins could be used as target vessels, and in particular cases such as undeveloped interlobar fissure, the operation could still be completed successfully. Lateral dorsal basal lung resection based on FPSL may be a new surgical option for surgeons.","PeriodicalId":93877,"journal":{"name":"Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10902666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41164780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Can Open Distal Repair Be Safely Used in All Patients with Type A Acute Aortic Dissection? 开放性远端修复术能安全地用于所有A型急性主动脉夹层患者吗？

Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Pub Date : 2024-01-26 Epub Date: 2023-09-20 DOI: 10.5761/atcs.oa.23-00086

Georgi Manchev, Vassil Gegouskov, Vladimir Kornovski, Georgi Yankov, Valya Goranovska, Vicktoria Ilieva, Vicktoria Petrova

{"title":"Can Open Distal Repair Be Safely Used in All Patients with Type A Acute Aortic Dissection?","authors":"Georgi Manchev, Vassil Gegouskov, Vladimir Kornovski, Georgi Yankov, Valya Goranovska, Vicktoria Ilieva, Vicktoria Petrova","doi":"10.5761/atcs.oa.23-00086","DOIUrl":"10.5761/atcs.oa.23-00086","url":null,"abstract":"Purpose: The distal suture line during aortic dissection repair can be performed by a closed technique or by an open technique. This study presents a retrospective comparison of both methods regarding their postoperative outcomes.Patients and methods: 120 patients who underwent surgery for acute aortic dissection type A were divided into two groups. In group A (n = 81), open distal anastomosis was performed under hypothermic circulatory arrest and selective cerebral perfusion. In group B (n = 39), distal anastomosis was performed with the aorta cross-clamped under mildly hypothermic cardiopulmonary bypass. Primary outcomes were operative mortality, neurologic morbidity, and long-term survival.Results: Hospital mortality (17.3% for the open group vs. 12.8% for the closed group, p = 0.53), permanent neurologic dysfunction (8.7% vs. 8.3%, p = 1.0), and temporary neurologic dysfunction (31.9% vs. 22.2%, p = 0.298) were not significantly different between groups. No significant difference in actuarial 5- and 10-year survival was observed (88% vs. 86% and 53 vs. 73%, respectively, p = 0.396). After propensity-score adjustment, the technique of distal aortic repair was not found to be a predictor of the primary outcomes.Conclusion: We conclude that the open repair can be used in most if not all cases of surgical repair of type A acute aortic dissection.","PeriodicalId":93877,"journal":{"name":"Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10902668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41175220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An Off-Pump Repair Technique for Postinfarction Apical Left Ventricular Aneurysm. 梗死后左室尖动脉瘤的非泵血修复技术。

Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Pub Date : 2024-01-26 Epub Date: 2023-11-21 DOI: 10.5761/atcs.oa.23-00131

Liangwan Chen, Zhihuang Qiu, Yunnan Hu, Yue Shen, Guanhua Fang, Heng Lu, Qingsong Wu

{"title":"An Off-Pump Repair Technique for Postinfarction Apical Left Ventricular Aneurysm.","authors":"Liangwan Chen, Zhihuang Qiu, Yunnan Hu, Yue Shen, Guanhua Fang, Heng Lu, Qingsong Wu","doi":"10.5761/atcs.oa.23-00131","DOIUrl":"10.5761/atcs.oa.23-00131","url":null,"abstract":"Purpose: The conventional surgical treatment for postinfarction left ventricular aneurysm (LVA) is open-heart repair with cardiopulmonary bypass. However, the risk of the open-heart surgery under cardiopulmonary bypass may result in an unacceptable risk for many patients with multiple comorbidities. Here, we reported a new off-pump repair technique for postinfarction apical LVA.Methods: A new off-pump repair technique, circular banding and occlusion technique, was applied to repair the postinfarction apical LVA in 12 patients. Clinical data of all those 12 patients were retrospectively reviewed. Patients were followed up prospectively by direct interviews and echocardiographic examination.Results: The new repair technique was successfully performed in all these 12 patients. Acute reduction of the LVA mouth diameter, the left ventricular (LV) end-diastolic volume and end-systolic volume, and an increase in the LV ejection fraction (EF) were immediately obtained after the repair. Patients had an uneventful postoperative course. They were in New York Heart Association class 1-2, and the LV volume and EF detected by echocardiography remained unchanged during an average 28.4 ± 9.9 months (range 13 to 45 months) follow-up.Conclusions: Circular banding and occlusion is a simple, safe, and effective off-pump repair technique for postinfarction apical LVA. It can allow effective LV remodeling and improve heart function.","PeriodicalId":93877,"journal":{"name":"Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10902652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138292571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Aortic Annular Enlargement with Modified Y-Incision Technique Devised from Preoperative Three-Dimensional Computed Tomography. 与术前三维计算机断层扫描不同的改良Y切口主动脉瓣环扩大术。

Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Pub Date : 2024-01-26 Epub Date: 2023-11-02 DOI: 10.5761/atcs.nm.23-00153

Goki Inno, Yosuke Takahashi, Kenta Nishiya, Munehide Nagao, Takumi Kawase, Akimasa Morisaki, Toshihiko Shibata

引用次数: 0

A Novel Method of Real-Time Assessment for Coronary Artery Anastomosis Skill. 一种新的冠状动脉吻合技术实时评估方法。

Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Pub Date : 2024-01-26 Epub Date: 2023-09-29 DOI: 10.5761/atcs.oa.23-00089

Kohei Abe, Hiroyuki Nishi, Kazuma Okamoto, Hitoshi Yokoyama, Hirokuni Arai, Hitoshi Yaku, Shuichiro Takanashi, Hirofumi Takemura, Tohru Asai, Young-Kwang Park

{"title":"A Novel Method of Real-Time Assessment for Coronary Artery Anastomosis Skill.","authors":"Kohei Abe, Hiroyuki Nishi, Kazuma Okamoto, Hitoshi Yokoyama, Hirokuni Arai, Hitoshi Yaku, Shuichiro Takanashi, Hirofumi Takemura, Tohru Asai, Young-Kwang Park","doi":"10.5761/atcs.oa.23-00089","DOIUrl":"10.5761/atcs.oa.23-00089","url":null,"abstract":"Purpose: Coronary anastomosis is the most key factor to accomplish coronary artery bypass grafting, which is one of the largest areas in cardiovascular surgery. Although we have organized on-site simulator training courses of coronary anastomosis using BEAT YOUCAN, it became difficult to continue it because of COVID-19. Therefore, we established a real-time evaluation sheet instead of an Objective Structured Assessment of Technical Skills (OSATS) evaluation sheet. The purposes of this study was to develop the real-time assessment system and to prove the correlation between the score obtained by the OSATS and the score obtained by the real-time evaluation system.Subjects and methods: A total of 22 videos from the qualifying round of real-time coronary anastomosis competition evaluated by both the modified OSATS and the real-time evaluation system were utilized in this study. The global rating score of OSATS was compared with the global rating score of real-time evaluation system.Results: When examined the relationship between the OSATS total score and the real-time total score, there was a significant correlation (R = 0.752, p <0.001). The OSATS general definition score and the real-time total score also showed a strong correlation (R = 0.733, p <0.001).Conclusions: We developed a real-time assessment sheet to evaluate coronary anastomosis. This assessment sheet had a good correlation with the OSATS evaluation sheet.","PeriodicalId":93877,"journal":{"name":"Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10902660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41165227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Challenges in Robotic Lung Lobectomy through the Anterior Approach. 机器人肺叶前路切除术的挑战。

Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Pub Date : 2024-01-26 Epub Date: 2023-11-30 DOI: 10.5761/atcs.oa.23-00146

Atsushi Osoegawa, Miyuki Abe, Michiyo Miyawaki, Takashi Karashima, Yohei Takumi, Shinkichi Takamori, Kenji Sugio

{"title":"Challenges in Robotic Lung Lobectomy through the Anterior Approach.","authors":"Atsushi Osoegawa, Miyuki Abe, Michiyo Miyawaki, Takashi Karashima, Yohei Takumi, Shinkichi Takamori, Kenji Sugio","doi":"10.5761/atcs.oa.23-00146","DOIUrl":"10.5761/atcs.oa.23-00146","url":null,"abstract":"Purpose: Robot-assisted thoracic surgery (RATS) has become popular because of its minimally invasive nature and reduced burden on surgeons. The anterior approach (AA) is beneficial because it utilizes the same field of view and procedures as thoracotomy and video-assisted thoracic surgery, although the disadvantages are less well-known.Methods: We retrospectively examined 35 consecutive patients who underwent RATS lobectomy via the AA, focusing on clinical factors and postoperative complications.Results: The study included 12 males and 23 females with a median console time of 177 (120-346) min, median blood loss of 0 (0-100) mL, and median stapler usage of 5 (2-10) units. Postoperative complications, classified as Clavien-Dindo grade ≥III, included three cases of grade IIIa (prolonged air leakage) and one case each of grade IIIb and grade IVa (middle lobe torsion and ventricular arrhythmia). The influence of stapling device operation cannot be ruled out in prolonged air leakage and middle lobe torsion. A moderate correlation (correlation coefficient = 0.492, p = 0.003) was observed between console time and the number of staplers used.Conclusion: Although no severe incidence of vascular injury was observed with the AA, complications related to the use of stapling devices were noted.","PeriodicalId":93877,"journal":{"name":"Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10902646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","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 Tegafur-Uracil in Resected Stage IB Lung Adenocarcinoma According to Presence or Absence of Epidermal Growth Factor Receptor Gene Mutation: A Retrospective Cohort Study. 根据表皮生长因子受体基因突变的有无对已切除的 IB 期肺癌 Tegafur-Uracil 的影响：一项回顾性队列研究。

Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Pub Date : 2024-01-26 Epub Date: 2023-12-16 DOI: 10.5761/atcs.oa.23-00134

Masaya Aoki, Ryo Miyata, Go Kamimura, Aya Harada Takeda, Takayuki Suetsugu, Keiko Mizuno, Kazuhiro Ueda

{"title":"Effect of Tegafur-Uracil in Resected Stage IB Lung Adenocarcinoma According to Presence or Absence of Epidermal Growth Factor Receptor Gene Mutation: A Retrospective Cohort Study.","authors":"Masaya Aoki, Ryo Miyata, Go Kamimura, Aya Harada Takeda, Takayuki Suetsugu, Keiko Mizuno, Kazuhiro Ueda","doi":"10.5761/atcs.oa.23-00134","DOIUrl":"10.5761/atcs.oa.23-00134","url":null,"abstract":"Purpose: Tegafur-uracil (UFT) is the standard postoperative adjuvant therapy for stage IB lung adenocarcinoma (LUAD) in Japan. This study aimed to determine whether UFT is effective in stage IB LUAD with and without epidermal growth factor receptor (EGFR) mutations.Methods: This retrospective study included 169 patients with stage IB LUAD who underwent complete resection at our department between 2010 and 2021. We investigated the clinicopathological and prognostic impact of EGFR mutations as well as the postoperative use of UFT.Results: EGFR mutation-positive cases tended to show a higher cumulative recurrence rate than EGFR mutation-negative cases (p = 0.081), while overall survival was comparable between the groups (p = 0.238). In the entire cohort, UFT administration was not an independent prognostic factor in the multivariate regression analysis (p = 0.112). According to a stratification analysis, UFT administration was independently associated with favorable overall survival (p = 0.031) in EGFR mutation-negative cases, while it was not associated with recurrence-free survival (p = 0.991) or overall survival (p = 0.398) in EGFR mutation-positive cases.Conclusion: UFT administration can improve the prognosis of EGFR mutation-negative LUAD but not EGFR mutation-positive LUAD. Thus, clinical trials of adjuvant-targeted therapy for EGFR mutation-positive stage IB LUAD should also be conducted in Japan.","PeriodicalId":93877,"journal":{"name":"Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10902659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138803872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Scattered Media Elastic Fibers from the Aortic Root to the Ascending Aorta in a 30-Year-Old Marfan Syndrome Patient. 一名 30 岁马凡氏综合征患者主动脉根部至升主动脉的散在介质弹性纤维

Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Pub Date : 2024-01-25 Epub Date: 2022-05-19 DOI: 10.5761/atcs.cr.22-00044

Tomohiro Nakajima, Yutaka Iba, Syuichi Naraoka, Tsuyoshi Shibata, Shintaro Sugita, Nobuyoshi Kawaharada

引用次数: 0