Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia最新文献_第9页

Surgical Outcome in Hemodialysis Patients with Active-Phase Infective Endocarditis. 血透患者活动期感染性心内膜炎的手术疗效。

Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Pub Date : 2016-03-07 DOI: 10.5761/atcs.oa.16-00003

T. Omoto, A. Aoki, Kazuto Maruta, Tomoaki Masuda

{"title":"Surgical Outcome in Hemodialysis Patients with Active-Phase Infective Endocarditis.","authors":"T. Omoto, A. Aoki, Kazuto Maruta, Tomoaki Masuda","doi":"10.5761/atcs.oa.16-00003","DOIUrl":"https://doi.org/10.5761/atcs.oa.16-00003","url":null,"abstract":"PURPOSE\u0000The aim of this study was to elucidate the characteristics of chronic hemodialysis (HD) patients requiring surgery during the active phase of infective endocarditis (IE).\u0000\u0000\u0000METHODS\u0000From December 2004 to July 2015, 58 patients underwent surgery in our institute for active IE. Seven patients had been on HD for 1-15 years. Their preoperative profiles and surgical outcomes were compared to those of the other 51 patients (non-HD group).\u0000\u0000\u0000RESULTS\u0000The predominant causative microorganisms in the HD group were Staphylococcus spp, particularly methicillin-resistant Staphylococcus aureus (MRSA), whereas Streptococcus spp were predominant in the non-HD group. Prosthetic dysfunction (stuck valve after mechanical and structural valve dysfunction following bioprosthetic valve replacement), complete atrioventricular (AV) block, and annular abscess formation were more frequent in the HD group. In-hospital mortality was higher in the HD group (29% vs. 6%, p = 0.044). Actuarial survival in the HD and non-HD groups was 43% vs. 87% at 5 years and 43% vs. 76% at 10 years (p = 0.007).\u0000\u0000\u0000CONCLUSIONS\u0000Early and long term outcomes in patients with chronic HD were poor. Compared to other patients, chronic HD patients undergoing valve surgery during active IE had higher incidences of MRSA infection, annular abscess formation, postoperative valve dysfunction, and postoperative complete AV block.","PeriodicalId":93877,"journal":{"name":"Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia","volume":"50 1","pages":"181-5"},"PeriodicalIF":0.0,"publicationDate":"2016-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80858472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11

Current Topics on Salvage Thoracic Surgery in Patients with Primary Lung Cancer. 原发性肺癌患者救助性胸外科手术的最新主题。

Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Pub Date : 2016-03-04 DOI: 10.5761/atcs.ra.16-00019

H. Uramoto

引用次数: 24

Impact of Airflow Limitation on Comorbidities and Postoperative Complications in Patients Undergoing Thoracic Surgery: A Retrospective Observational Study. 气流限制对胸外科患者合并症和术后并发症的影响:一项回顾性观察研究。

Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Pub Date : 2016-03-01 DOI: 10.5761/atcs.oa.15-00301

K. Yoshimi, Shiaki Oh, Kenji Suzuki, Y. Kodama, M. Sekiya, K. Seyama, Y. Fukuchi

{"title":"Impact of Airflow Limitation on Comorbidities and Postoperative Complications in Patients Undergoing Thoracic Surgery: A Retrospective Observational Study.","authors":"K. Yoshimi, Shiaki Oh, Kenji Suzuki, Y. Kodama, M. Sekiya, K. Seyama, Y. Fukuchi","doi":"10.5761/atcs.oa.15-00301","DOIUrl":"https://doi.org/10.5761/atcs.oa.15-00301","url":null,"abstract":"PURPOSE\u0000To assess the frequency of airflow limitation (AFL), and the relationship between AFL and preoperative comorbidities or postoperative complications in patients who had undergone thoracic surgery.\u0000\u0000\u0000METHODS\u0000The medical records of patients who underwent non-cardiac thoracic surgery at our institution between August 1996 and January 2013 were retrospectively reviewed. On the basis of preoperative pulmonary function tests, patients were classified with those with FEV1/FVC <70% [AFL(+) group] or with FEV1/FVC ≥70% [AFL(-) group]. Patient characteristics, preoperative comorbidities and postoperative complications were compared between the groups.\u0000\u0000\u0000RESULTS\u0000Of the 3667 patients assessed, 738 (20.1%) were allocated to the AFL(+) group. AFL was an independent risk factor for three preoperative comorbidities: chronic obstructive pulmonary disease (odds ratio [OR]: 4.65), bronchial asthma (OR 4.30) and cardiac diseases (OR 1.41). Airflow limitation was also an independent risk factor for postoperative respiratory failure including long-term oxygen therapy (OR 2.14) and atelectasis (OR 1.90) in the patients who underwent lobectomy or partial resection of the lung.\u0000\u0000\u0000CONCLUSIONS\u0000Our retrospective study revealed that careful attention needs to be paid to airflow limitation in patients who undergo non-cardiac thoracic surgery since it appears to be an important feature of preoperative comorbidities and to increase postoperative complications.","PeriodicalId":93877,"journal":{"name":"Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia","volume":"10 1","pages":"146-52"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87785078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11

Importance of Cardiopulmonary Bypass Period on Systemic Inflammatory Response. 体外循环周期对全身炎症反应的重要性。

Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Pub Date : 2016-03-01 DOI: 10.5761/ATCS.LTE.15-00325

O. Gokalp, N. Yesilkaya, Y. Beşir, H. Iner, L. Yılık, G. Gokalp, A. Gurbuz

{"title":"Importance of Cardiopulmonary Bypass Period on Systemic Inflammatory Response.","authors":"O. Gokalp, N. Yesilkaya, Y. Beşir, H. Iner, L. Yılık, G. Gokalp, A. Gurbuz","doi":"10.5761/ATCS.LTE.15-00325","DOIUrl":"https://doi.org/10.5761/ATCS.LTE.15-00325","url":null,"abstract":"We would like to mention the study of Geyik et al. about coronary bypass (CBP) period and systemic inflamatory response is very interesting and useful.1) As the authors stated, strong systemic inflammatory response takes place due to mediators caused by contact of blood and extracorporeal surface during CBP, myocardial ischemia reperfusion secondary to aortic cross-clamping (ACC), endotoxemia and operative trauma.2–4) It is obviously seen that CBP is the most important factor among these. Related to that, when the study of Geyik et al. is considered, there is a general standardization of perioperative data between two groups that are distinguished up to operation period. However, we claim that there shouldn’t be any difference also in between CBP periods and between ACC periods in order to have a reliable comparison in terms of systemic inflamatory response; because many studies revealed that systemic inflammatory response is increased by longer periods of CPB and ACC.3–5) In this point, we suggest that the study would be more valuable if the authors share these data with us.","PeriodicalId":93877,"journal":{"name":"Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia","volume":"61 1","pages":"322"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75639805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

The Presence of a Reticulated Trabecula-Like Structure Increases the Risk for the Recurrence of Primary Spontaneous Pneumothorax after Thoracoscopic Bullectomy. 网状小梁样结构的存在增加了胸腔镜大球切除术后原发性自发性气胸复发的风险。

Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Pub Date : 2016-02-12 DOI: 10.5761/atcs.oa.15-00306

H. Ota, H. Kawai, S. Kuriyama

{"title":"The Presence of a Reticulated Trabecula-Like Structure Increases the Risk for the Recurrence of Primary Spontaneous Pneumothorax after Thoracoscopic Bullectomy.","authors":"H. Ota, H. Kawai, S. Kuriyama","doi":"10.5761/atcs.oa.15-00306","DOIUrl":"https://doi.org/10.5761/atcs.oa.15-00306","url":null,"abstract":"INTRODUCTION\u0000Deteriorated alveolar structure at the base of blebs and bullae is known as the reticulated trabecula-like structure. Its clinical significance in primary spontaneous pneumothorax (PSP) remains unclear. This study aimed to investigate the impact of the structure on recurrence of PSP after video-assisted thoracoscopic surgery (VATS) bullectomy.\u0000\u0000\u0000METHODS\u0000Between April 2010 and March 2014, 80 cases of PSP in 76 patients who underwent VATS bullectomy using endoscopic staplers were included. The staple line was covered with polyglycolic acid sheets and fibrin glue. Cases were assigned to a normal alveolar structure (NAS) group (n = 54) and a reticulated trabecula-like structure (RT) group (n = 26) based on the histological analysis. Factors associated with recurrence were analysed using logistic regression.\u0000\u0000\u0000RESULTS\u0000The reticulated trabecula-like structure was significantly related to apical lung blebs. The recurrence rate of PSP was significantly higher in the RT group than in the NAS group (38.5% vs. 3.7%; P <0.001). On multivariate analysis, the reticulated trabecula-like structure was an independent factor for recurrence of PSP after VATS bullectomy.\u0000\u0000\u0000CONCLUSION\u0000The change of alveolar structure at the base of apical lung blebs would increase the risk for recurrence of PSP after VATS bullectomy.","PeriodicalId":93877,"journal":{"name":"Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia","volume":"44 1","pages":"139-45"},"PeriodicalIF":0.0,"publicationDate":"2016-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78465895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Cardiac Valve Noise Reduction by Non-Drug Interventions Improves the Sleep Quality of Patients after Mechanical Cardiac Valve Implantation. 通过非药物干预降低心脏瓣膜噪声可改善机械瓣膜植入术后患者的睡眠质量。

Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Pub Date : 2016-02-08 DOI: 10.5761/atcs.oa.15-00275

Yanjuan Lin, Le Xu, Xizhen Huang, F. Jiang, F. Lin, Q. Ye, Jianling Lin

{"title":"Cardiac Valve Noise Reduction by Non-Drug Interventions Improves the Sleep Quality of Patients after Mechanical Cardiac Valve Implantation.","authors":"Yanjuan Lin, Le Xu, Xizhen Huang, F. Jiang, F. Lin, Q. Ye, Jianling Lin","doi":"10.5761/atcs.oa.15-00275","DOIUrl":"https://doi.org/10.5761/atcs.oa.15-00275","url":null,"abstract":"PURPOSE\u0000To investigate the effects of non-drug interventions on the sleep quality of patients after mechanical cardiac valve implantation.\u0000\u0000\u0000METHODS\u0000In this prospective, randomized, controlled trial, 64 patients scheduled for mechanical mitral valve replacement were recruited. Patients underwent cognitive behavioral therapy and wore noise cancelling earplugs and eye mask. Sleep quality was evaluated on the 4th after admission and the 5th days after operation. The primary outcome was the total sleep quality score differences between the 4th day after admission and the 5th day after operation.\u0000\u0000\u0000RESULTS\u0000All patients had been suffering from poor sleep quality for a month before admission. There was no difference between both groups on the 4th day after admission. Overall sleep quality in the intervention group was better than in the control group on the 5th day after operation. The subjective sleep quality of the patients in each group was significantly lower on the 5th day after the operation than on the 4th day after admission (P <0.05).\u0000\u0000\u0000CONCLUSION\u0000Non-drug intervention could improve the sleep quality of patients after mechanical cardiac valve implantation and help the postoperative recovery of the patients. (\u0000\u0000\u0000TRIAL REGISTRATION\u0000ChiCTR-TRC-14004405, 21 March 2014.).","PeriodicalId":93877,"journal":{"name":"Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia","volume":"80 1","pages":"69-75"},"PeriodicalIF":0.0,"publicationDate":"2016-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85811289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Pulmonary Myofibroblastic Tumour Involving the Pericardium and Left Atrium in an 18 Month Infant. 一例18个月婴儿肺肌成纤维细胞瘤累及心包和左心房。

Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Pub Date : 2016-02-08 DOI: 10.5761/ATCS.CR.15-00360

R. Lamas-Pinheiro, G. Rodesch, C. Devalck, V. Segers, K. Khelif, M. Cappello, H. Steyaert

引用次数: 4

Factors Determining the Choice of Surgical Procedure in Elderly Patients with Non-Small Cell Lung Cancer. 决定老年非小细胞肺癌手术方式选择的因素。

Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Pub Date : 2016-01-29 DOI: 10.5761/atcs.oa.15-00365

J. Okamoto, H. Kubokura, J. Usuda

{"title":"Factors Determining the Choice of Surgical Procedure in Elderly Patients with Non-Small Cell Lung Cancer.","authors":"J. Okamoto, H. Kubokura, J. Usuda","doi":"10.5761/atcs.oa.15-00365","DOIUrl":"https://doi.org/10.5761/atcs.oa.15-00365","url":null,"abstract":"BACKGROUND\u0000In the elderly patients, optimal surgical treatment can be difficult to achieve, because of comorbidity. Therefore, we aimed to clarify the preferred surgical management in this patient group.\u0000\u0000\u0000METHODS\u0000A retrospective study was conducted between April 2008 and March 2015 that included patients with non-small cell lung cancer (NSCLC) aged ≥ 75 years.\u0000\u0000\u0000RESULTS\u0000We included 44 patients who underwent partial resection (n = 20) or lobectomy (n = 24). There were no significant differences between the two groups on most variables, except for some character. Survival analysis revealed a significant difference in overall survival (OS) between the two groups; however, no significant differences existed in the disease-free survival or in the OS for stage I disease. Postoperative complications led to poor prognoses. Cox regression analysis revealed statistical significance for the Brinkman Index, the ratio of the pulmonary artery diameter to the ascending aorta diameter (PA:A), and the alveolar-arterial oxygen gradient. Only the PA:A ratio remained significant after multivariate analysis, with a higher ratio associated with better survival.\u0000\u0000\u0000CONCLUSION\u0000In elderly patients with NSCLC, surgical resection should not be denied because of age alone. However, partial resection should be favored to lobectomy when possible.","PeriodicalId":93877,"journal":{"name":"Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia","volume":"11 1","pages":"131-8"},"PeriodicalIF":0.0,"publicationDate":"2016-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84168825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11

Robotic Surgery for Thoracic Disease. 胸腔疾病的机器人手术。

Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Pub Date : 2016-01-26 DOI: 10.5761/atcs.ra.15-00344

S. Yamashita, Y. Yoshida, A. Iwasaki

引用次数: 13

Right Axillary Artery Cannulation in Aortic Valve Replacement. 主动脉瓣置换术中的右腋窝动脉插管。

Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Pub Date : 2016-01-15 DOI: 10.5761/atcs.oa.15-00296

M. Hosono, T. Shibata, T. Murakami, M. Sakaguchi, Yasuo Suehiro, S. Suehiro

{"title":"Right Axillary Artery Cannulation in Aortic Valve Replacement.","authors":"M. Hosono, T. Shibata, T. Murakami, M. Sakaguchi, Yasuo Suehiro, S. Suehiro","doi":"10.5761/atcs.oa.15-00296","DOIUrl":"https://doi.org/10.5761/atcs.oa.15-00296","url":null,"abstract":"OBJECTIVE\u0000This retrospective study aimed to evaluate the results of our experience with axillary artery cannulation via a side graft in aortic valve replacement in patients with ascending aortic atherosclerotic disease.\u0000\u0000\u0000METHODS\u0000From January 2002 to 2012, we operated on 76 patients for aortic valve disease with the use of the axillary artery for arterial inflow in our institute. The indications for cannulation of the axillary artery were aortic aneurysm in 37 patients, severe aortic atherosclerosis in 28 patients, and re do surgery in 11 patients.\u0000\u0000\u0000RESULTS\u0000Right axillary artery cannulation via a side graft provides sufficient antegrade aortic flow of 2.6 ± 0.1 L/m(2) during cardiopulmonary bypass. No additional arterial cannulation was necessary to obtain sufficient perfusion during cardiopulmonary bypass. Although permanent perioperative stroke was observed in two patients, this did not occur during the operation. There were no problems with cannulation or wound and graft infections. During the follow-up period, there were no thrombotic events due to an axillary graft stump in the right upper extremities.\u0000\u0000\u0000CONCLUSIONS\u0000Axillary artery cannulation via a side graft is a useful and safe option for cardiopulmonary bypass in patients with atherosclerotic disease of the ascending aorta undergoing aortic valve replacement.","PeriodicalId":93877,"journal":{"name":"Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia","volume":"1 1","pages":"84-9"},"PeriodicalIF":0.0,"publicationDate":"2016-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85556339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9