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Cardioprotective role of royal jelly in the prevention of celecoxib-mediated cardiotoxicity in adult male albino rats J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-03-18 Naglaa Z. H. Eleiwa, Hesham A. M. I. Khalifa, Heba A. Nazim
Celecoxib, a cyclooxygenase-2 selective inhibitor non-steroidal anti-inflammatory drugs, is used for the management of short- and long-term pain as well as in other inflammatory conditions. Unfortunately, its chronic use is highly associated with serious abnormal cardiovascular events. The current study was designed to explore the effect of long-term administration of celecoxib on the cardiac tissues
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Significant thrombus in saccular aneurysm in a patient with polycythemia: a case report J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-03-15 Atsuyuki Mitsuishi, Hiromasa Nakamura, Yujiro Miura, Tsuyoshi Miyata, Kazumasa Orihashi, Keisuke Yoshida, Kouhei Araki
Morphologically, the risk of aortic aneurysm rupture is mainly evaluated based on its type (e.g., fusiform or saccular) and diameter. Based on the finite element analysis, peak wall stress has been identified as a more sensitive and specific predictor of rupture in recent years. Moreover, in finite analysis, the neck of aneurysm is the highest peak wall stress and is associated with the rupture point
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Evaluation of intramural hematoma: a novel use of 18F-fluorodeoxyglucose positron emission tomography/magnetic resonance imaging J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-03-15 Fan Yang, Yuanwei Chen, Yongrong Zhou, Dan Shao, Jianfang Luo
Aortic intramural hematoma (IMH) is one of the typical entities of acute aortic syndrome and probably accounts for 5–25% of all cases. The ulcer-like projections (ULP), which are described as a focal, blood-filled pouch protruding into the hematoma of the aortic wall, are regarded as one of the high-risk imaging features of IMH and may cause initial medical treatment failure and death. We present a
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A case report of drug interaction between co-packaged nirmatrelvir-ritonavir and tacrolimus causing hyponatremia in a lung transplant recipient J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-03-15 Chien-Ming Lo, Wei-Hsun Chen, Meng-Yun Tsai, Hung-I Lu, Yu-Hsin Hsiao, Kai-Hao Chuang, Yu Chen, Hsuan-Feng Wu, Kuo-Tung Huang, Yi-Hsi Wang
Coronavirus disease 2019 (COVID-19) infection in lung transplant recipients can be lethal owing to the use of immunosuppressants. Antiviral agents may be administered to these patients. Co-packaged nirmatrelvir-ritonavir is a new agent currently being used in combination. In this report, we present a case of a 64-year-old woman, a lung transplant recipient, who experienced hyponatremia and showed a
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Huge mediastinal ancient schwannoma causing acute respiratory failure: a case report J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-03-15 Hsuan-Ying Huang, Chien-Ming Lo, Hung-I Lu, Jen-Ping Chang
Benign mediastinal tumor is usually asymptomatic and exhibits uncomplicated clinical course. Posterior mediastinal schwannoma is common, but a huge benign tumor causing acute respiratory failure due to mass effect is unusual. We present a patient who suffered from acute respiratory failure due to huge mediastinal mass effect and improved after en bloc surgical resection. A 56-year-old woman had no
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Fixation devices made of poly-L-lactide composite for rib reconstruction after thoracotomy J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-03-15 Naoto Fukunaga, Hideki Sato, Tatsuto Wakami, Akio Shimoji, Otohime Mori, Kosuke Yoshizawa, Nobushige Tamura
GRAND FIX mesh-type plates and pins (Gunze, Kyoto, Japan) are thin, bioabsorbable fixation devices made of poly-L-lactide (PLLA) composite. These devices are new, and how best to use them in clinical practice remains to be determined. Thus, we describe our approach to rib fixation after thoracotomy in an aortic surgery using GRAND FIX mesh-type plates and pins. The advantage of our approach is that
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Expression level of neutrophil extracellular traps in peripheral blood of patients with chronic heart failure complicated with venous thrombosis and its clinical significance J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-03-15 Fang Liu, Qian Zhai
Previous studies have reported that neutrophil extracellular traps (NETs) have been identified to be involved in thrombosis, but the clinical value in chronic heart failure (CHF) patients with venous thrombosis is unclear. This study focused on the expression level of NETs in the peripheral blood of patients with CHF complicated with venous thrombosis and its clinical value. 80 patients with CHF were
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Decision making of iatrogenic coronary embolism after SAVR: a case report J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-03-15 Atsuyuki Mitsuishi, Kazumasa Orihashi, Yujiro Miura, Ren Saito
Acute coronary artery obstruction is a rare but lethal complication of surgical aortic valve replacement (SAVR), which may be caused by embolization of resected native tissue such as calcium plaque, thrombus, or perivalvular aortic tissue like fat embolus. Coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) are the main treatment modalities. PCI is less invasive, but
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Thoracoscopic McKeown esophagectomy in a patient with an azygos lobe J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-03-15 Rie Nakashima, Kohei Tajima, Kazuo Koyanagi, Akihito Kazuno, Miho Yamamoto, Yoshiaki Shoji, Kentaro Yatabe, Kohei Kanamori, Mika Ogimi, Kazuhito Nabeshima, Kenji Nakamura, Masaki Mori
The azygos lobe is a relatively rare anatomical variation, and there have been no reports, until date, of thoracoscopic McKeown esophagectomy for esophageal cancer in a patient with an azygos lobe. The azygos lobe can be diagnosed by chest X-ray or CT, and is usually not associated with any symptoms. However, surgeons should be aware that transthoracic surgical procedures in patients with an azygos
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An innovative reconstruction of an enbloc resected composite giant chest and abdominal wall chondrosarcoma with 3D-composite mesh J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-03-14 Klein Dantis, Ramandeep Singh, Archit Goel, Brijesh Garg
Chest wall chondrosarcomas, although common, pose unique challenges due to their aggressive nature, rarity of abdominal wall involvement, and propensity for recurrence. We highlight the critical role of meticulous surgical planning, multidisciplinary collaboration, and innovative reconstruction techniques in achieving optimal outcomes for patients with composite giant chest and abdominal wall chondrosarcoma
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The effectiveness of a web-based information-knowledge-attitude-practice continuous intervention on the psychological status, medical compliance, and quality of life of patients after coronary artery bypass grafting surgery: a parallel randomized clinical trial J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-03-13 Jin Li, Yueli Deng, Yan Jiang
Coronary artery disease (CAD) patients who have undergone coronary artery bypass grafting (CABG) often experience a severe psychological burden for a long period of time, which can adversely affect their post-operative prognosis. Therefore, this study aimed to evaluate the effect of a web-based Information-Knowledge-Attitude-Practice (WIKAP) continuous intervention on the psychological status, medical
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The association of regional block with intraoperative opioid consumption in patients undergoing video-assisted thoracoscopic surgery: a single-center, retrospective study J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-03-13 Yan Xiang, Liang Chen, Jiang Jia, Fu Yili, Wei Changwei
Regional block, such as thoracic epidural analgesia (TEA), thoracic paravertebral block (TPVB), or serratus anterior plane block (SAPB) has been recommended to reduce postoperative opioid use in recent guidelines, but the optimal options for intraoperative opioid minimization remain unclear. The aim of this study was to evaluate the intraoperative opioids-sparing effects of three regional blocks (TEA
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Acute type a aortic intramural hematoma complicated with preoperative hemopericardium: early and late surgical outcome analyses J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-03-13 Chun-Yu Lin, Ming-Chang Kao, Hsin-Fu Lee, Meng-Yu Wu, Chi-Nan Tseng
Acute type A aortic intramural hematoma (ATAIMH) is a variant of acute type A aortic dissection (ATAAD), exhibiting an increased risk of hemopericardium and cardiac tamponade. It can be life-threatening without emergency treatment. However, comprehensive studies of the clinical features and surgical outcomes of preoperative hemopericardium in patients with ATAIMH remain scarce. This retrospective study
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Axillary vein as an alternative venous access site for VV-ECMO cannulation: a case report J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-03-13 Tao Pan, Xiaoyang Zhou, Jianneng Pan, Bixin Chen, Chang Xu, Zhaojun Xu, Pingping Dong, Tingting Yu
Ultrasound-guided percutaneous axillary vein cannulation can reduce cannulation failure and mechanical complications, is as safe and effective as internal jugular vein cannulation, and is superior to subclavian vein cannulation using landmark technique. As far, reports of venovenous extracorporeal membrane oxygenation (VV-ECMO) with percutaneous axillary vein cannulation are rare. A 64-year-old man
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Predictive value of preoperative platelet count and D-dimer levels for spinal cord injury following acute type a aortic dissection J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-03-13 Fengbo Pei, Jinhua Wei, Yao Yao, Hui Wu, Zujun Chen
This study aims to identify the risk factors contributing to spinal cord injury (SCI) following a type A acute aortic dissection (TA-AAD). This retrospective study was conducted at a single center and involved 481 patients who received frozen elephant trunk stent implantation for TA-AAD. Additionally, these patients underwent total arch replacement with deep hypothermic circulatory arrest. This study
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Zero-leak prediction during major lung resection aiming for minimal chest drainage duration: a retrospective analysis J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-03-13 Kuniyo Sueyoshi, McAndrew Merlini, Kosuke Otsubo, Fumitsugu Kojima, Toru Bando
Early chest tube removal should be considered to enhance recovery after surgery. The current study aimed to provide a predictive algorithm for air leak episodes (ALE) and to create a knowledge base for early chest tube removal. This retrospective study enrolled patients who underwent thoracoscopic anatomical pulmonary resections in our unit. We defined ALE as any airflow ≥ 10 mL/min recorded in the
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Decreased levels of sex hormones in females with solitary pulmonary nodules were risk factors for malignancy J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-03-12 Wang Wendan, Li Mengyu, Zhang Qiufeng
The purpose of this research was to detect the relationship between the levels of sex hormones in females with solitary pulmonary nodules (SPNs) and their potential malignancies. A total of 187 consecutive patients with pathologically confirmed SPNs by chest CT were enrolled in our study. They were divided into two groups based on the pathologic findings of SPNs after surgery: benign and malignant
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Pleural epithelioid hemangioendothelioma in a 39-Year-old female: a case report J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-03-12 Parviz Mardani, Reza Shahriarirad, Mohammad Nekooeian, Mohammad Hossein Anbardar, Bizhan Ziaian, Hooman Kamran, Nazanin Ayare, Masoud Vafabin, Damoun Fouladi
Epithelioid hemangioendothelioma (EHE) is a rare malignancy of vascular origin which can be primarily be seen in various tissues. EHE originating from the pleura is an even more uncommon subtype which may mimic mesothelioma and pleural carcinomatosis. The prognosis of pleural EHE is poor and there is no consensus on the optimal therapeutic approach. A 39-year-old middle-eastern female presented with
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Surgery for pulmonary lesions in patients with a history of urinary tract transitional cell carcinoma J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-03-12 Ryu Kanzaki, Akihiro Nagoya, Seiji Taniguchi, Hiroto Ishida, Kenji Kimura, Eriko Fukui, Toru Kimura, Takashi Kanou, Naoko Ose, Soichiro Funaki, Masato Minami, Eiichi Morii, Yasushi Shintani
There has been little information on the actual diagnosis of pulmonary lesions in patients with a history of urinary tract transitional cell carcinoma (TCC) and short- and long- outcomes of pulmonary resection for these patients. In the present study, the data of 37 consecutive patients with a history of TCC who underwent pulmonary resection for solitary pulmonary lesions were reviewed, and the clinical
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Systematic review of the effect of cerebrospinal fluid drainage on outcomes after endovascular type B aortic dissection repair J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-03-12 Huajie Zheng, Deqing Lin, Yongbo Cheng, Chaojun Yan, Sanjiu Yu, Jun Li, Wei Cheng
The aim of the present systematic review was to determine whether prophylactic use of cerebrospinal fluid drainage (CSFD) contributes to a lower rate of spinal cord ischemia (SCI) after thoracic endovascular aortic repair (TEVAR) for type B aortic dissection (TBAD). PubMed, Embase, Web of Science and Cochrane Library databases were systematically searched to identify all relevant studies reported before
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Temporary pacing following cardiac surgery – a reference guide for surgical teams J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-03-11 Steve W F R Waqanivavalagi
Temporary pacing wires are often used following cardiac surgery to optimise the heart rhythm. Although setting and checking temporary pacemakers is typically undertaken by anaesthetists, intensivists, and nursing staff who care for post-cardiac surgical patients, almost all patients with temporary pacing wires are transferred to the ward with the pacing wires left in situ, where surgical, often junior
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Myocardial infarction due to coronary embolism after mechanical aortic valve replacement: a case report J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-03-11 Mukan Kagan Kus, Anil Karaagac, Burak Bozkurt, Ufuk Sadik Ceylan, Mehmet Kaplan
Prosthetic valve thrombosis (PVT) in aortic valve and its complication coronary embolism is a very rare condition. Diagnosis and treatment process is challenging. We present a young patient with acute myocardial infarction who underwent mechanical aortic valve replacement (AVR) operation one month earlier. Percutaneous coronary intervention was performed and it was succesful. Transeasophageal ecocardiography
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Prognostic significance of T lymphocyte subgroups (CD4 and CD8) in lung cancer patients after neoadjuvant chemotherapy J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-03-11 Aykut Elicora, Busra Yaprak Bayrak, Cigdem Vural, Huseyin Fatih Sezer, Semra Uzun Erkal, Elif Metin
The basis for current and future lung cancer immunotherapy depends on our knowledge of molecular mechanisms of interactions between tumor and immune system cells. Interactions that occur between different intratumoral populations of the same cells are important. In our study, we aimed to evaluate relationship between the clinical and prognostic features and T lymphocyte subgroups of patients with lung
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Vascular covered stent and video-assisted thoracoscopic surgery for Aortoesophageal fistula caused by esophageal fishbone: a case report J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-03-09 Jianfeng Chen
Aortoesophageal fistula (AEF) is a rare condition characterized by communication between the aorta and esophagus. AEF caused by an esophageal foreign body is even rare, and there is currently no recommended standard treatment protocol. We report a case of delayed aortic rupture after the endoscopic removal of a fish bone, which was successfully treated with a combined approach of vascular stenting
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Comparison of surgical and conservative treatment outcomes for type a aortic intramural hematoma J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-03-06 Li Yin, Jiankai Wang, Zhibing Qiu, Xin Chen, Cunhua Su
This study aimed to compare hospital and long-term clinical outcomes associated with various treatment methods for Stanford A type aortic intramural hematoma (IMH) to provide a reference for clinical decision-making. In this single-center cohort study, we retrospectively analyzed 73 patients with Type A IMH treated at our center from August 1, 2018 to August 1, 2021. Among these patients, 26 were treated
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Study on the rationality of small diameter metallic airway stent in treatment of tracheal stenosis in injured rabbits J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-03-05 Xiaoxiao Li, Changguo Wang, Ziyi Liu, Kai Wu, Zhenyu Yang, Daxiong Zeng, Dang Lin, Junhong Jiang
To observe the occurrence of related complications after self-expandable metallic (SEM) airway stents implantation with different diameters at different time points, and to provide theoretical basis for the optimal chioce of existing airway stents in clinical practice. Healthy New Zealand white rabbits were used to establish benign tracheal stenosis models after chest CT examination. Forty-fivemodel
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Operative treatment of pulmonary primitive neuroectodermal tumor: a case report and literature review J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-03-05 Yiyuan Zhang, Ke Shang, Jialin Li, Mengyao Sun, Xiaoying Gu
Pulmonary primitive neuroectodermal tumor (PNET), a member of the Ewing sarcoma family of tumors, is a rare malignancy that is associated with a grim prognosis. To date, fewer than 30 cases of pulmonary PNET have been reported. In this case report, we present the clinical details of a 12-year-old girl with pulmonary PNET who underwent surgical treatment. We also conducted an analysis and summary of
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Can ChatGPT transform cardiac surgery and heart transplantation? J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-26 S C Clark
Artificial intelligence (AI) is a transformative technology with many benefits, but also risks when applied to healthcare and cardiac surgery in particular. Surgeons must be aware of AI and its application through generative pre-trained transformers (GPT/ChatGPT) to fully understand what this offers to clinical care, decision making, training, research and education. Clinicians must appreciate that
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MSCT study for adult esophageal diverticulum with secondary broncho-esophageal fistula J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-26 Xin Dong, Ruonan Pan, Lijun Duan, Xiaoqian Lu, Dianbo Cao
Broncho-esophageal fistula (BEF) secondary to esophageal diverticulum is a rare clinical condition, which is often misdiagnosed for a long time. The aim of our study is to summarize and clarify the advantages of MSCT in diagnosing BEF secondary to esophageal diverticulum. We retrospectively analyzed patients clinically diagnosed with BEF from January 2005 to January 2022 at Jilin University First Hospital
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Risk factors for postoperative delirium in elderly patients undergoing heart valve surgery with cardiopulmonary bypass J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-22 Na Chen, Yun-chang Mo, Min Xu, Si-si Chen, Wei Gao, Qiong Zheng, Jue Wang, Xiao-chu Wang, Jun-lu Wang
The aim of this study was to identify the risk factors for postoperative delirium (POD) in elderly patients undergoing heart valve surgery with cardiopulmonary bypass (CPB). Elderly patients undergoing elective heart valve surgery with CPB in The First Affiliated Hospital of Wenzhou Medical University between March 2022 and March 2023 were selected for this investigation. They were divided into a POD
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Resection of hypertrophic papillary muscles and mitral valve replacement in a patient with midventricular hypertrophic obstructive cardiomyopathy – a new approach J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-22 Julian J. Berg, Jan Eckstein, Marcus-André Deutsch, Jan F. Gummert, Masatoshi Hata
Midventricular hypertrophic obstructive cardiomyopathy (HOCM) is characterized by hypertrophy of the interventricular septum (IVS) and - in rare cases - of the papillary muscles (PM), which subsequently can cause dynamic left ventricular outflow tract obstruction (LVOTO) and severe heart failure symptoms. We report on a rare case of a 44-year-old patient suffering from midventricular HOCM with hypertrophic
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Image fusion guidance for left subclavian artery in situ fenestration during thoracic endovascular repair J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-22 Liang Zhao, Jidong Liu, Xiaoshu Cai, Wengang Yang, Ji Wang
To evaluate the feasibility and clinical benefit of utilizing image fusion for thoracic endovascular repair (TEVAR) with in situ fenestration (ISF-TEVAR). Between January 2020 and December 2020, we prospectively collected 18 consecutive cases with complex thoracic aortic lesions who underwent image fusion guided ISF-TEVAR. As a control group, 18 patients were collected from historical medical records
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Ectopic colloid goiter in mediastinum with normal thyroid gland J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-20 Jagannath Kolwalkar, Dattaprasad Samant, Shirish Borkar, M. Sunil Chandra Vidyasagar, Jagadeesh N. Vaggar
Ectopic thyroid tissue is a rare developmental abnormality involving aberrant embryogenesis of the thyroid gland during passage from the primitive foregut to the pretracheal position. The most frequent position is the base of the tongue (lingual thyroid); however, it has been described in other sites, such as the submandibular region, trachea, mediastinum, and subdiaphragmatic regions. Here, we report
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Totally endoscopic concomitant aortic and mitral valve surgery in junctional epidermolysis bullosa: a case report J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-20 Kazufumi Yoshida, Soshi Yoshida, Yoshimasa Hori, Hideki Tsubota, Ryosuke Mochizuki, Tohru Nagano, Tadaaki Koyama
Junctional epidermolysis bullosa is a rare skin and mucosal disorder characterized by blister formation in response to minor trauma and extracutaneous manifestations. There have been no reports of cardiac surgery and prognostication in patients with epidermolysis bullosa due to skin and mucosal fragility. A 55-year-old man presented with congenital junctional epidermolysis bullosa, hypertension, and
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Intrapulmonary migration of a fractured acupuncture needle: a case report J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-19 Lei Liu, Dong-Jie Ma, Ying-Zhi Qin, Hongsheng Liu
Acupuncture, a traditional Chinese medical treatment, has been gaining popularity over the years. However, it also presents certain risks. We report a case of a patient who discovered a foreign body in their lung several years after undergoing acupuncture. A middle-aged woman presented to our hospital with chest pain. An X-ray revealed a needle-like foreign body in the middle lobe of her right lung
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Successful tricuspid valve repair and right atrial mass excision for calcified thrombus causing severe tricuspid regurgitation and near-occlusion of inferior vena cava J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-19 Caroline Pennacchio, Brad Rosinski, Richard Grimm, Shinya Unai
Calcified right atrial thrombus is rare and commonly occurs secondary to atrial fibrillation and long-term central venous catheterization which present risk for embolization. Treatment typically involves anticoagulation and antiplatelet therapy but rarely surgical excision can be performed, especially in patients with venous obstruction or concomitant valvular dysfunction. We present the case of a
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Resolution of insulin resistance, lactic acidosis, and decrease in mechanical support requirements in patients post orthotopic heart transplant with the use of long-acting insulin glargine J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-16 Ribal Darwish, Eva Chen, Steven Minear, Cedric Sheffield
This study investigates the efficacy of using a long-acting insulin analog, along with the infusion of regular insulin, in achieving appropriate glycemic control and correcting lactic acidosis in patients post orthotopic heart transplant who demonstrate severe lactic acidosis and insulin resistance. This was a retrospective study of two cohorts (IRB FLA 20-003) of patients post orthotopic heart transplant
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Staged therapeutic surgery for progressive pulmonary regurgitation and pacemaker induced cardiomyopathy after the tetralogy of fallot repair J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-16 Goki Inno, Keiichi Itatani, Kenta Nishiya, Yosuke Takahashi, Toshihiko Shibata
Recently, improvements in the repair of tetralogy of Fallot have increased the need for reoperation in adulthood, and it’s not rare that these reoperation candidates suffer from biventricular failure. However, there are no firm treatment guidelines, and each country, and even each facility, treats each case individually. We report the successful staged treatment of pulmonary regurgitation and pacemaker-induced
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Association between preoperative hemoglobin with length of hospital stay among non-cardiac and non-obstetric surgery patients: a secondary analysis of a retrospective cohort study J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-16 Zhaopeng Wang, Min Liu, Hengtong Men, Chunfeng Lyu, Ning Zheng
Previous studies concerning the association between preoperative Hemoglobin (HB) level and the Length Of hospital Stay (LOS) in patients with non-cardiac surgery and non-obstetric surgery remain inconclusive. Herein, the objective of this study was to analyze whether and to what extent the preoperative HB level was connected with the LOS in non-cardiac and non-obstetric surgery patients. This retrospective
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The effect of ulinastatin on acute kidney injury in patients undergoing off-pump cardiac bypass surgery J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-15 Soo Jung Park, Sung Yong Park, Se Yoon Kang, Ji Ho Kim, Ji Yeong Heo, Ji Young Yoo
Ulinastatin, an anti-inflammatory and antioxidant trypsin inhibitor, has shown potential in mitigating acute kidney injury (AKI) and reducing serum creatinine levels after various surgeries. This retrospective study aimed to evaluate the effects of ulinastatin on AKI in patients undergoing off-pump coronary artery bypass (OPCAB) surgery. We hypothesized that the administration of ulinastatin could
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Perceval sutureless bioprosthesis versus Perimount sutured bioprosthesis for aortic valve replacement in patients with aortic stenosis: a retrospective, propensity-matched study J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-14 Sharan J Kapadia, Mohammed Yousuf Salmasi, Alicja Zientara, Isabelle Roussin, Cesare Quarto, George Asimakopoulos
Rapid-deployment aortic valve replacement (RDAVR) is an alternative to conventional AVR (cAVR) for aortic stenosis. Benefits include a reduction in operative times, facilitation of minimal access surgery and superior haemodynamics compared to conventional valves. However, further evidence is required to inform guidelines, preferably in the form of propensity-matched studies that include mid-term follow-up
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Enhancing surgical performance in cardiothoracic surgery with innovations from computer vision and artificial intelligence: a narrative review J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-14 Merryn D. Constable, Hubert P. H. Shum, Stephen Clark
When technical requirements are high, and patient outcomes are critical, opportunities for monitoring and improving surgical skills via objective motion analysis feedback may be particularly beneficial. This narrative review synthesises work on technical and non-technical surgical skills, collaborative task performance, and pose estimation to illustrate new opportunities to advance cardiothoracic surgical
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Improved early risk stratification of deep sternal wound infection risk after coronary artery bypass grafting J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-14 Tina Kamensek, Jurij Matija Kalisnik, Mirek Ledwon, Giuseppe Santarpino, Matthias Fittkau, Ferdinand Aurel Vogt, Janez Zibert
Deep sternal wound infection (DSWI) following open heart surgery is associated with excessive morbidity and mortality. Contemporary DSWI risk prediction models aim at identifying high-risk patients with varying complexity and performance characteristics. We aimed to optimize the DSWI risk factor set and to identify additional risk factors for early postoperative detection of patients prone to DSWI
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Clinical and functional outcomes associated with pulmonary complications after coronary artery bypass grafting J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-14 Altina Vitória Souza, Raquel da Cunha Carvalho, Daniela da Cruz Dias, Darley Gabrielle Teles Santana, Hayssa de Cássia Mascarenhas, André Luiz Lisboa Cordeiro, André Raimundo França Guimarães
Coronary artery bypass grafting(CABG) is a surgical treatment for coronary artery disease aiming at improving symptoms and life expectancy. Despite this, there are pulmonary and functional complications that may arise during the postoperative period due to invasive mechanical ventilation(IMV), cardiopulmonary bypass and immobility, leading to longer hospital stays. To evaluate the clinical and functional
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Factors associated with safe and successful postoperative day 1 discharge after lung operations: a systematic review and meta-analysis J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-14 Russell Seth Martins, Asad Saulat Fatimi, Amna Irfan Ansari, Hamna Raheel, Kostantinos Poulikidis, M. Jawad Latif, Syed Shahzad Razi, Faiz Y. Bhora
A shorter length of stay (LOS) is associated with fewer hospital-acquired adverse conditions and decreased utilization of hospital resources. While modern perioperative care protocols have enabled some ambitious surgical teams to achieve discharge as early as within postoperative day 1 (POD1), most other teams remain cautious about such an approach due to the perceived risk of missing postoperative
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Clinical relevance of transcranial Doppler in a cardiac surgery setting: embolic load predicts difficult separation from cardiopulmonary bypass J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-13 Stéphanie Jarry, Etienne J. Couture, William Beaubien-Souligny, Armindo Fernandes, Annik Fortier, Walid Ben-Ali, Georges Desjardins, Karel Huard, Tanya Mailhot, André Y. Denault
During cardiac surgery, transcranial Doppler (TCD) represents a non-invasive modality that allows measurement of red blood cell flow velocities in the cerebral arteries. TCD can also be used to detect and monitor embolic material in the cerebral circulation. Detection of microemboli is reported as a high intensity transient signal (HITS). The importance of cerebral microemboli during cardiac surgery
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The clinical value of P-wave terminal force in lead V1 in evaluating pericardial thickness in tuberculous constrictive pericarditis J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-12 Yanhong Ren
To investigate the relationship between p wave terminal force (Ptfv1) and pericardial thickness in patients with tuberculous constrictive pericarditis. From January 2018 to October 2022, 95 patients with tuberculous constrictive pericarditis who needed pericarditis dissection in a hospital were collected, and 3 patients who did not meet the criteria were excluded, a total of 92 cases. The absolute
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Regulation of overexpression lncRNA ATP2B1-AS1 on lung adenocarcinoma progression J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-12 Shiyi Chen, Chao Huang, E Jin
LncRNA ATP2B1-AS1 (ATP2B1-AS1) is involved in the occurrence and development of various diseases, while the relationship between lung adenocarcinoma (LUAD) and ATP2B1-AS1 is unclear. This study was to investigate the expression of ATP2B1-AS1 in LUAD and its influence on survival and prognosis of patients. LUAD tissue samples from patients participating in this study were collected, and the expression
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The negative pressure wound therapy for prevention of sternal wound infection: Can we reduce infection rate after the use of bilateral internal thoracic arteries? A systematic literature review and meta-analysis J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-12 Hind Elhassan, Ridha Amjad, Unna Palaniappan, Mahmoud Loubani, David Rose
Negative pressure wound therapy (NPWT) is traditionally used to treat postoperative wound infections. However, its use in closed wound sternotomy post cardiac surgery in high-risk patients has become increasingly popular. The potential preventive benefit of reducing sternal wound infections has been recently acknowledged. Bilateral internal mammary artery (BIMA) grafts are used in coronary artery bypass
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The effect of body mass index on short-term outcomes in patients undergoing off-pump coronary artery bypass grafting surgery: a retrospective study from a single cardiovascular center J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-11 Chen-ying Ding, Wen-hui Qi, Yu-jie An, Xin Yuan, Yun-tai Yao
This study is designed to investigate the impact of body mass index (BMI) on the short-term outcomes of patients undergoing off-pump coronary artery bypass graft (OPCAB) surgery. Data was obtained from 1006 Chinese patients who underwent isolated, primary OPCAB at a high-traffic cardiovascular center during 2020. Subjects were categorized, by BMI, into a low & normal weight (LN) group (BMI < 24 kg/m2)
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Hybrid operating room with ceiling mounted imaging system assisted pre-operative and intra-operative lung nodule localization for thoracoscopic resections: a 5-year case series J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-10 Audrey Qi Xin Chia, Apoorva Gogna, Angela Maria Takano Pena, Vishnu Vemula Sri Sai, Sivanathan Chandramohan, Shaun Ju Min Xavier Chan, Boon-Hean Ong
Video-assisted thoracoscopic (VATS) lung resections are increasingly popular and localization techniques are necessary to aid resection. We describe our experience with hybrid operating room (OR) cone-beam computed tomography (CT) assisted pre-operative and intra-operative lesion localization of lung nodules for VATS wedge resections, including our novel workflow using the hybrid OR cone-beam CT to
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Hospital infections and health-related quality of life after cardiac surgery: a multicenter survey J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-10 Hilda G. Rijnhart-de Jong, Jo Haenen, Fabiano Porta, Marijke Timmermans, E. Christiaan Boerma, Kim de Jong
Recent research suggested that hospital infections are a predictive marker for physical non-recovery one year after cardiothoracic surgery. The purpose of this study was to explore whether this risk factor is etiologic. Additional, the influence of a potential effect modifying factor, diabetes mellitus, was investigated. In this multicenter study, patients underwent elective or urgent cardiothoracic
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Determinants of survival following heart transplantation in adults with congenital heart disease J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-10 Hüseyin Sicim, Pierre Emmanuel Noly, Suyash Naik, Vikram Sood, Richard G. Ohye, Jonathan W. Haft, Keith D. Aaronson, Francis D. Pagani, Ming-Sing Si, Paul C. Tang
Adult patients surviving with congenital heart disease (ACHD) is growing. We examine the factors associated with heart transplant outcomes in this challenging population with complex anatomy requiring redo-surgeries. We reviewed the United Network for Organ Sharing-Standard Transplant Analysis and Research database and analyzed 35,952 heart transplants from January 1st, 2000, to September 30th, 2018
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When to anatomically excise a benign lung tumor-correspondence regarding the article: “large mesenchymal cystic and chondroid pulmonary hamartoma mimicking lung cancer: case report” J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-09 Fani Tsolaki, Georgios I. Tagarakis, Ioannis Tagarakis
The decision of whether to perform a large anatomic resection for a lung mass that is not definitely malignant comes often forward in the everyday practice of the thoracic surgeon. The general characteristics of the tumor as well as of the patient and the instinct and experience of the surgeon are the ones that dictate the final choice. Such a decision was made in the case of a large pulmonary hamartoma
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Off-pump bilateral internal thoracic artery grafting in patients with left main coronary artery disease J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-09 Kohei Hachiro, Noriyuki Takashima, Tomoaki Suzuki
To compare postoperative outcomes in patients with left main coronary artery disease who underwent off-pump isolated coronary artery bypass grafting for multivessel disease using either skeletonized bilateral or single internal thoracic artery (ITA). Among 1583 patients who underwent isolated coronary artery bypass grafting (CABG) in our hospital between 2002 and 2022, 604 patients with left main coronary
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Aortic elastic fiber degeneration during acute type a aortic dissection and reverse aortic remodeling J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-09 Trina Chen, Ivana Kholova, Timo Paavonen, Ari Mennander
Progression of proximal or distal aortic dilatation is defined as reverse aortic remodeling after surgery for acute type A aortic dissection (ATAAD) that may be dependent on aortic wall degeneration. We investigated whether aortic wall degeneration is associated with reverse aortic remodeling leading to aortic reoperation after surgery for ATAAD. Altogether, 141 consecutive patients undergoing surgery
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Papillary fibroelastoma originating from the atrial septum touching the mitral valve leading to infective endocarditis: a case report J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-09 Koji Funaishi, Hirofumi Kasahara, Naohiko Oki, Tomoyori Nakatogawa, Kazuhiro Yamanoi
Cardiac papillary fibroelastoma is a rare benign tumor, which is often mistaken for a vegetation. Predominantly asymptomatic, it can cause life-threatening complications. Although rare, mobile papillary fibroelastoma movement between affected valves may hamper valve closure and damage the valve, leading to valvular regurgitation. Endothelial damage increases the risk of developing infective endocarditis
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The chief culprit of intractable hypoxemia: a case report of rare pulmonary arteriovenous fistula complicated with giant hemangioma J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-09 Zhangmin Wu, Chunyu Zeng, Hongyong Wang, Weibin Shi, Xiaoli Luo
Pulmonary arteriovenous fistula (PAVF) is a rare disease, which can lead to the direct return of unoxidized venous blood to pulmonary veins and left heart, resulting in right-to-left shunt leading to hypoxia. Long term, the right-to-left shunt will cause severe pathophysiological changes in the patient’s body and pulmonary circulation, and the prognosis will be poor if PAVF is not treated timely. Here
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Tricuspid mechanical valve replacement for severe tricuspid stenosis in a child who underwent surgical correction of complete atrioventricular septal defect, a rare long-term complications J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-09 Qi-Liang Zhang, Yu-Kun Chen, Shi-Hao Lin, Xin-Wei Du, Qiang Chen, Shun-Min Wang, Hua Cao
Complete atrioventricular septal defect is a complicated congenital heart malformations, and surgical correction is the best treatment, the severe tricuspid stenosis is a rare long-term complication after the surgery. We report a case with the complication of severe tricuspid stenosis 7 years after the surgical correction of complete atrioventricular septal defect in a child. Then the patient underwent
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Pectoral muscle mass is not a robust prognostic factor for survival after left ventricular assist device (LVAD) implantation J. Cardiothorac Surg. (IF 1.6) Pub Date : 2024-02-09 Freya Sophie Jenkins, Jan-Philipp Minol, Tarik Akar, Esma Yilmaz, Moritz Benjamin Immohr, Ismail Dalyanoglu, Bernhard Korbmacher, Joel Aissa, Udo Boeken, Artur Lichtenberg, Payam Akhyari, Hannan Dalyanoglu
Left ventricular assist devices (LVAD) are an established treatment for end-stage left ventricular heart failure. Parameters are needed to identify the most appropriate patients for LVADs. This study aimed to evaluate pectoral muscle mass and density as prognostic parameters. This single-center study included all patients with LVAD implantation between January 2010 and October 2017 and a preoperative