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Survival Correlates with Regurgitation Degree Before and After Invasive Atrioventricular Valve Treatment Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-09-13 Torsten Doenst, Tulio Caldonazo, Murat Mukharyamov, Panagiotis Tasoudis, Hristo Kirov
The degree of both mitral (MR) and tricuspid valve regurgitation (TR) correlates with mortality. A vicious cycle has been proposed consisting of increasing regurgitation and decreasing ventricular function. Restoration of valve competence should break this vicious cycle and improve life expectancy. However, a “pop-off” mechanism keeps being entertained, presumably allowing poorly pumping ventricles
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Gender Differences in 381 Patients Undergoing Isolated Mitral Regurgitation Repair Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-09-09 Yu-Hua Cheng, Wei-Guo Ma, Jian-Wen Zeng, Yun-Fei Han, Kai Sun, Wei-Qin Huang
Objective This study aimed to compare the gender differences in isolated mitral regurgitation (MR) repair. Methods Of 381 adults aged 54.8 ± 12.3 years undergoing mitral valve repair (MVP) for isolated MR from January 2019 to December 2022, the baseline and operative data, and outcomes were compared between 161 women (42.3%) and 220 men (57.7%). Results Women tended to be nonsmokers (98.1 vs. 45%,
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Pulmonary metastasectomy after immune checkpoint inhibitors in renal cell carcinoma. Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-09-09 Ichiro Sakanoue,Masatsugu Hamaji,Daisuke Nakajima,Hiroshi Date
The management of oligometastatic renal cell carcinoma with pulmonary metastases is controversial and occasionally requires multimodality management, including salvage pulmonary metastasectomy after immune checkpoint inhibitors (ICIs). However, limited data are available on these patients. We described a case series of three consecutive patients who underwent salvage pulmonary metastasectomy after
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Pulmonary Endarterectomy: Risk Factors for Early and Late Mortality. Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-09-04 Sehnaz Olgun Yildizeli,Hüseyin Arikan,Sinem Güngör,Aslı Tufan-Çinçin,Derya Kocakaya,Halil Ataş,Bulent Mutlu,Serpil Gezer Tas,Koray Ak,G Nural Bekiroğlu,Bedrettin Yildizeli
Background Pulmonary endarterectomy is a potentially curative treatment option for chronic thromboembolic pulmonary hypertension (CTEPH). This study aimed to identify predictors of short- and long-term outcomes after pulmonary endarterectomy for CTEPH patients, including age. Methods Patients who underwent surgery between March 2014 and January 2024 were included in the study. Perioperative and follow-up
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Evaluation of Risk Factors for Early Insufficiency after Bronchial Sleeve Resections Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-08-29 Evgeny Levchenko, Viktoriia Shabinskaya, Nikita Levchenko, Alexander Mikhnin, Oleg Mamontov, Stepan Ergnyan
Background Bronchoplastic resections are now widely used as a surgical treatment for resectable central lung cancer. However, bronchial dehiscence is one of the most life-threatening complications, making it important to identify its risk factors to separate patients who require more attention during the postoperative period. Methods The data of 285 patients who underwent bronchoplasty from 2006 to
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Single-Port daVinci Robot-Assisted Cervical Esophagectomy (SP-RACE) - How to Do It. Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-08-29 Edin Hadzijusufovic,Vladimir J Lozanovski,Eva-Verena Griemert,Luca Bellaio,Hauke Lang,Peter Philipp Grimminger
Minimally invasive esophagectomies, including robot-assisted procedures, have demonstrated superiority over traditional open surgery. Despite the prevalence of transhiatal and transthoracic approaches, cervical access is less common in minimally invasive esophageal surgery. Advancements in robotic systems, such as the daVinci Single-Port (SP), now enable controlled transcervical extrapleural mediastinoscopic
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Staging of early-stage lung cancer without routine PET in candidates for segmentectomy. Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-08-29 Alberto Lopez-Pastorini,Zehra Tatli,Antonia von Bargen,Dennis Faltenberg,Hendrik Beling,Aris Koryllos,Thomas Galetin,Erich Stoelben
INTRODUCTION We aimed to investigate the accuracy of clinical staging without the routine use of PET/CT in cIA1 and cIA2 NSCLC scheduled for segmentectomy. METHODS 305 consecutive segmentectomies were retrospectively analyzed. Overall survival was calculated using the Kaplan-Meier method. Logistic regression was performed to investigate factors independently associated with pathologic upstaging. RESULTS
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Comparison of Pulmonary Outcome in Minimally Invasive (TCRAT) and Full Sternotomy CABG Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-08-27 Christian Sellin, Ulrike Sand, Volodymyr Demianenko, Christoph Schmitt, Benedikt Schäfer, Robert Schier, Hilmar Doerge
Background Pulmonary complications are among the main causes of increased mortality, and morbidity, as well as prolonged intensive care unit (ICU) and hospital stay after cardiac surgery. Recently, a sternum-sparing concept of minimally invasive total coronary revascularization via anterior minithoracotomy (TCRAT) was introduced. A higher risk of pulmonary injury could be anticipated due to the thoracic
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Fontan Completion in Adult Patients with Functionally Univentricular Hearts Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-08-16 Safak Alpat, Ahmet Aydin, Hakan Aykan, Mustafa Yilmaz
Background Although there are considerable amounts of data on the outcomes of pediatric patients who have undergone Fontan repair, little is known about having Fontan completed in adulthood. The study presented the midterm results of our unit's experience with the Fontan completion procedure in adult patients with functionally univentricular hearts. Methods Between 2014 and 2023, 16 adult patients
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Evaluation of Point-of-Care-Directed Coagulation Management in Pediatric Cardiac Surgery Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-08-13 Thomas Zajonz, Fabian Edinger, Johannes Hofmann, Uygar Yoerueker, Hakan Akintürk, Melanie Markmann, Matthias Müller
Background Coagulatory alterations are common after pediatric cardiac surgery and can be addressed with point-of-care (POC) coagulation analysis. The aim of the present study is to evaluate a preventive POC-controlled coagulation algorithm in pediatric cardiac surgery. Methods This single-center, retrospective data analysis included patients younger than 18 years who underwent cardiac surgery with
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Impella 5.5 Support for Delayed Surgical Ventricular Septal Defect Repair—A Paradigm Shift? Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-08-12 Kaveh Eghbalzadeh, Clara Großmann, Ihor Krasivskyi, Ilija Djordjevic, Elmar W. Kuhn, Christian Origel Romero, Farhad Bakhtiary, Navid Mader, Antje Christin Deppe, Thorsten C. W. Wahlers
Background Ventricular septal defects (VSDs) remain a rare but life-threatening complication of myocardial infarction. Although the incidence has decreased due to better treatment options, the mortality rate remains high. The timing of VSD repair remains critical to outcome. The use of mechanical circulatory support is rarely described in the literature, although it may help to delay repair to allow
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solid volume ratio in predicting pathological features of cT1 lung adenocarcinoma. Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-08-06 Yu Liu,Ning Jiang,Zhiqiang Zou,Hongxiu Liu,Chuanhang Zang,Jia Gu,Ning Xin
BACKGROUND More effective methods are urgently needed for predicting the pathological grade and lymph node metastasis of cT1-stage lung adenocarcinoma. METHODS We analyzed the relationships between CT quantitative parameters (including three-dimensional parameters) and pathological grade and lymph node metastasis in cT1-stage lung adenocarcinoma patients of our center between January 2015 and December
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German Heart Surgery Report 2023: The Annual Updated Registry of the German Society for Thoracic and Cardiovascular Surgery Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-07-30 Andreas Beckmann, Renate Meyer, Jana Eberhardt, Jan Gummert, Volkmar Falk
Based on a voluntary registry, founded by the German Society for Thoracic and Cardiovascular Surgery (DGTHG) in 1980, a well-defined but limited dataset of all cardiac and vascular surgery procedures performed in 77 German heart surgery departments is reported annually. For the year 2023, a total of 168,841 procedures were submitted to the registry. Of these operations, 100,606 are defined as heart
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Artificial Neochordae for Tricuspid Valve Repair in Adults: A Review Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-07-11 Andrea Lechiancole, Sandro Sponga, Uberto Bortolotti, Alessandro De Pellegrin, Ugolino Livi, Igor Vendramin
Expanded polytetrafluoroethylene (ePTFE) neochordae are predominantly used for mitral valve repair (MVr), while the frequency of their employment in tricuspid valve surgery is not well assessed. We have performed a review of the available literature to verify incidence, indications, techniques, and outcomes of the use of artificial neochordae in a variety of tricuspid valve pathologies. We found a
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German Registry for Cardiac Operations and Interventions in Congenital Heart Disease: Annual Report 2022 Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-07-09 Michael Hofbeck, Claudia Arenz, Ulrike M. M. Bauer, Alexander Horke, Gunter Kerst, Renate Meyer, Anja Tengler, Andreas Beckmann
Background The German Registry for Cardiac Operations and Interventions in Patients with Congenital Heart Disease is a voluntary registry initiated by the German Society for Thoracic and Cardiovascular Surgery and the German Society for Pediatric Cardiology and Congenital Heart Defects. Since 2012, the registry collects data for the assessment of treatment and outcomes of surgical and interventional
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Minimal Learning Curve for Minimally Invasive Aortic Valve Replacement Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-06-28 Dror B. Leviner, Tom Ronai, Dana Abraham, Hadar Eliad, Naama Schwartz, Erez Sharoni
Background Minimally invasive aortic valve replacement (MiAVR) is an established technique for surgical aortic valve replacement (AVR). Although MiAVR was first described in 1993 and has shown good results compared with full sternotomy AVR (FSAVR) only a minority of patients undergo MiAVR. We recently started using MiAVR via an upper hemisternotomy. We aimed to examine the early results of our initial
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The Impact of High-Fidelity Simulator System on Bronchoscopy Operation Skills of Trainees Who Receive Refresher Training: A Teaching Study Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-06-28 Guoping Jin, Xiaofen Tao, Hongzhen Xu
Objective This study aimed to explore the impact of high-fidelity simulator (HFS) training on the bronchoscopy operation skills, confidence, stress, and learning satisfaction of trainees who further their training at endoscopy center in our hospital. The study also investigated the practical application effects of HFS training and provided a reference for the development of clinical teaching and training
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Surgical Ablation of Atrial Fibrillation in High-Risk Patients: Success versus Risk Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-06-27 Bernd Niemann, Nicolas Doll, Herko Grubitzsch, Thorsten Hanke, Michael Knaut, Jochen Senges, Taoufik Ouarrak, Maximilian Vondran, Andreas Böning
Background Surgical atrial ablation is evaluated by surgeons in relation to the estimated surgical risk. We analyze whether high-risk patients (HRPs) experience risk escalation by ablation procedures. Methods The CASE-Atrial Fibrillation (AF) registry is a prospective, multicenter, all-comers registry of atrial ablation in cardiac surgery. We analyzed the 1-year outcome regarding survival and rhythm
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Retention Rate of Free Pericardial Fat Grafts after Bronchial Stump Coverage Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-06-23 Takahiro Karasaki, Sakashi Fujimori, Souichiro Suzuki, Shinichiro Kikunaga
The postoperative course of the graft tissue after bronchial stump coverage remains unclear. We retrospectively analyzed 44 patients who underwent anatomical lung resection followed by bronchial stump coverage using free pericardial fat grafts. All patients underwent minimally invasive video-assisted thoracoscopic surgery. Computed tomography scans showed a graft retention rate of 100% on 60 days after
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Does Timing of Coronary Artery Bypass Grafting after ST-Elevation Myocardial Infarction Impact Early- and Long-Term Outcomes? Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-06-23 Jagdip Kang, Mateo Marin-Cuartas, Luise Auerswald, Salil V. Deo, Michael Borger, Piroze Davierwala, Alexander Verevkin
Background The optimal timing of surgical revascularization after ST-elevation myocardial infarction (STEMI) is controversial, with some suggesting higher mortality rates in patients undergoing early surgery. The aim of the study is to determine the effect of the timing of surgical revascularization on 30-day mortality and long-term outcomes in these patients. Methods Retrospective single-center analysis
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Neurological Impact of Slower Rewarming during Bypass Surgery in Infants Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-06-23 Geeske Muehlschlegel, Rouven Kubicki, Julia Jacobs-LeVan, Johannes Kroll, Rolf Klemm, Frank Humburger, Brigitte Stiller, Thilo Fleck
Background Hypothermia is a neuroprotective strategy during cardiopulmonary bypass. Rewarming entailing a rapid rise in cerebral metabolism might lead to secondary neurological sequelae. In this pilot study, we aimed to validate the hypothesis that a slower rewarming rate would lower the risk of cerebral hypoxia and seizures in infants. Methods This is a prospective, clinical, single-center study.
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Reply to Letter to the Editor. Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-06-23 Shiho Naito,Hermann Reichenspurner,Björn Sill
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Comments on "Is Single LIMA-LAD Bypass Appropriate for OPCAB Training?" Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-06-23 Christos Voucharas,Georgios Tagarakis
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Impact of Different Valve-in-Valve Positions on Functional Results of the New Generation of Balloon-Expandable Transcatheter Heart Valve Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-06-18 Najla Sadat, Michael Scharfschwerdt, Stefan Reichert, Buntaro Fujita, Stephan Ensminger
Objectives Very precise positioning of the transcatheter heart valve (THV) inside the degenerated SAV is a crucial factor for valve-in-valve (ViV) procedure to achieve optimal hemodynamic results. Therefore, our study aimed to investigate the impact of implantation depth on functional results after ViV procedures in a standardized in vitro setting. Methods THV (SAPIEN 3 Ultra 23-mm size) and three
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DEX Inhibits H/R-induced Cardiomyocyte Ferroptosis by the miR-141-3p/lncRNA TUG1 Axis Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-06-18 Mei Zhu, Zhiguo Yuan, Chuanyun Wen, Xiaojia Wei
Background Ferroptosis is emerging as a critical pathway in ischemia/reperfusion (I/R) injury, contributing to compromised cardiac function and predisposing individuals to sepsis and myocardial failure. The study investigates the underlying mechanism of dexmedetomidine (DEX) in hypoxia/reoxygenation (H/R)-induced ferroptosis in cardiomyocytes, aiming to identify novel targets for myocardial I/R injury
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Surgical and Histopathological Results in Carotid Body Tumors Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-06-12 Mehmet Işık, Fahriye Kılınç, Yüksel Dereli, Ömer Tanyeli, Serkan Yıldırım, Rabia Alakuş, Hamdi Arbağ, Niyazi Görmüş
Objective The possible relationships between the histopathological findings of carotid body tumors and age, gender, tumor diameter, and Shamblin classification were investigated. In addition, preoperative embolization status, development of neurological complications, need for vascular reconstruction, hemoglobin change, and discharge time were examined and the effects of these variables on each other
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Cool-Shot Technique to Protect Spinal Cord during Thoracoabdominal Aortic Replacement Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-06-11 Taira Yamamoto, Daisuke Endo, Yasutaka Yokoyama, Minoru Tabata
Deep hypothermia helps protect the spinal cord, but is invasive. Here, we present a method to avoid reperfusion injury by selectively circulating cold blood under high pressure to the intercostal artery during reperfusion after intercostal artery reconstruction. Of the 23 patients who underwent thoracoabdominal aortic aneurysm open repair, one died. The motor evoked potential disappeared during aortic
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The Ongoing Debate: Longevity of Biological Valves in Pulmonary Position Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-06-04 Marlene Müller, Daniel Biermann, Miriam Mkanyika Righa, Henning Carstens, Rainer Gerhard Kozlik-Feldmann, Michael Hübler, Jörg Siegmar Sachweh
Background In patients with tetralogy of Fallot (ToF) or ToF-like anatomy, factors possibly impacting the longevity of biological valves in the pulmonary position were investigated. Method Between 1997 and 2017, 79 consecutive hospital survivors with a median age of 8.7 years (range: 0.2–56.1 years; interquartile range [IQR]: 14.8 years) with ToF or ToF-like anatomy underwent surgical implantation
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Off-Pump Reduces Risk of Coronary Bypass Grafting in Patients with High MELD-XI Score Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-05-23 Markus Richter, Alexandros Moschovas, Steffen Bargenda, Sebastian Freiburger, Murat Mukharyamov, Tulio Caldonazo, Hristo Kirov, Torsten Doenst
Background This study aimed to assess the influence of the model of end-stage liver disease without International Normalized Ratio (INR) (MELD-XI) score on outcomes after elective coronary artery bypass surgery (CABG) without (Off-Pump) or with (On-Pump) cardiopulmonary bypass. Methods We calculated MELD-XI (5.11 × ln serum bilirubin + 11.76 × ln serum creatinine in + 9.44) for 3,535 consecutive patients
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Coronary Artery Bypass Grafting versus Percutaneous Coronary Intervention in Patients with Chronic Total Occlusion Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-05-17 Hristo Kirov, Johannes Fischer, Tulio Caldonazo, Panagiotis Tasoudis, Angelique Runkel, Giovanni Jr. Soletti, Gianmarco Cancelli, Michele Dell'Aquila, Murat Mukharyamov, Torsten Doenst
Objectives Mechanisms of coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) differ as CABG provides surgical collateralization and may prolong life by preventing future myocardial infarctions (MIs). However, evidence for CABG in patients with chronic total occlusion (CTO) has not been fully elucidated and the impact of PCI is discussed controversially. Methods We performed
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Left Ventricular Reconstruction after Dor—Sailing Close to the Wind? Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-05-15 Clara Großmann, Ihor Krasivskyi, Ilija Djordjevic, Navid Mader, Thorsten Wahlers, Kaveh Eghbalzadeh
Postinfarction left ventricular aneurysm (LVA) still remains a complication after myocardial infarction with a poor prognosis. Its incidence has decreased due to improved treatment, however, it may have experienced a renaissance due to the coronavirus disease 2019 pandemic. In this retrospective, single-center cohort study, we analyzed n = 17 patients who underwent left ventricular reconstruction after
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Cardiac Surgery 2023 Reviewed Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-05-13 Hristo Kirov, Tulio Caldonazo, Murat Mukharyamov, Sultonbek Toshmatov, Johannes Fischer, Ulrich Schneider, Thierry Siemeni, Torsten Doenst
We reviewed the cardiac surgical literature for 2023. PubMed displayed almost 34,000 hits for the search term “cardiac surgery AND 2023.” We used a PRISMA approach for a results-oriented summary. Key manuscripts addressed the mid- and long-term effects of invasive treatment options in patient populations with coronary artery disease (CAD), comparing interventional therapy (percutaneous coronary intervention
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Outcomes of 881 Consecutive Coronary Artery Bypass Graft Patients Using Heartstring Device Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-05-13 Kentaro Amano, Yoshiyuki Takami, Atsuo Maekawa, Koji Yamana, Kiyotoshi Akita, Kazuki Matsuhashi, Wakana Niwa, Yasushi Takagi
Backgrounds One of the strategies to prevent stroke after coronary artery bypass grafting (CABG) may be the use of a device for proximal anastomosis without partial clamp of the ascending aorta. Methods We retrospectively investigated early and late outcomes in consecutive 881 patients undergoing isolated CABG using Heartstring for proximal anastomosis from January 2008 to December 2022, to reveal
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Age-Related Quality of Life in Cardiac Surgical Patients with Extracorporeal Life Support Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-05-10 Jesús A. Terrazas, Andrea C. Stadlbauer, Jing Li, Diane Bitzinger, Claudius Diez, Christof Schmid, Daniele Camboni
Background The rationale of the study was to analyze the impact of age on quality of life (QoL) in patients who had undergone cardiac surgery with consecutive extracorporeal life support (ECLS) treatment. Methods The study population consisted of 200 patients, operated upon between August 2006 and December 2018. The patient cohort was divided into two groups following an arbitrary cutoff age of 70
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Female Surgeons in Cardiac Surgery: Does the Surgeon's Gender Affect the Outcome of Routine Coronary Artery Bypass Graft and Isolated Aortic Valve Surgery? Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-05-10 Viyan Sido, Filip Schröter, Jacqueline Rashvand, Roya Ostovar, Sofia Chopsonidou, Johannes M. Albes
Background The increasing presence of female doctors in the field of cardiac surgery has raised questions about their surgical quality compared to their male colleagues. Despite their success, female surgeons are still underrepresented in leadership positions, and biases and concerns regarding their performance persist. This study aims to examine whether female surgeons perform worse, equally well
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Mesenteric Ischemia after Cardiac Surgery Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-05-03 Asen Petrov, Ali Taghizadeh-Waghefi, Fabio Hotz, Christian Georgi, Klaus Ehrhard Matschke, Albert Busch, Manuel Wilbring
Background Mesenteric ischemia (Me-Is) after cardiac surgery is underreported in present literature but has still earned the bad reputation of a dismal prognosis. This study adds clinical outcomes in a large patient cohort. Methods Between 2009 and 2019 of the 22,590 patients undergoing cardiac surgery at our facility 106 (0.47%) developed Me-Is postoperatively. Retrospective patient data was analyzed
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Isolated Tricuspid Valve Surgery for Functional Tricuspid Regurgitation Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-05-03 Daisuke Kaneyuki, Andrew M. Jordan, Jake L. Rosen, Thomas Reese Macmillan, Rohinton J. Morris, Vakhtang Tchantchaleishvili
Background Severe tricuspid regurgitation (TR) adversely affects long-term survival; however, isolated tricuspid valve (TV) surgery has been rarely performed due to high operative mortality. In addition, the previous literature included heterogeneous TR etiologies. Therefore, we aimed to elucidate early and long-term outcomes of isolated TV surgery for functional TR. Methods An electronic search was
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Pulmonary Arterial Anatomical Patterns: a Classification Scheme Based on Lobectomy and 3D-CTBA Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-05-02
Purpose Preoperative evaluation of pulmonary vascular and tracheal routes and variations is of great importance to the surgeon. Three-dimensional computed tomography bronchography and angiography (3D-CTBA) has evolved in recent years with the optimization of 3D reconstruction techniques and artificial intelligence. We aim to apply CT angiography and Exoview 3D reconstruction technology to assess patients'
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The Incidence of Winged Scapula after Thoracic Cancer Surgery: A Prospective Cohort Study Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-05-02
Background Lung cancer is the leading cause of cancer-related deaths, and surgery is still the first treatment of choice in early and locally advanced cases. One of the iatrogenic complications is the serratus anterior palsy, which could lead to a winged scapula (WS). Unfortunately, the incidence of this deficit in thoracic surgery is unclear. Our primary aim was to determine the incidence of WS in
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miR-92b-3p Protects against Myocardial Ischemia-Reperfusion Injury by Inhibiting MAP3K2 in a Mouse Model Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-05-01 Kun Zhao, Mei Wang
Objective MicroRNAs are well-known RNA regulators modulating biological functions in complex signaling networks. This work aims to explore the impact of microRNA-92b-3p (miR-92b-3p) on myocardial ischemia-reperfusion (I/R) injury. Materials and Methods The I/R model was established by left anterior descending coronary artery ligation in mice. The hemodynamic parameters were detected through a multichannel
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Probabilistic Prediction of Gastrointestinal Ischemia after Cardiothoracic Surgery Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-04-23 Francois Stephan, Mathilde Facque, Fares Ben Salem, Olivia Picq, Audrey Imbert, Thibaut Genty, Marc Zins
Background Gastrointestinal ischemia (GIisch) is challenging to diagnose in patients after cardiothoracic surgery. Computed tomography angiography (CTA) carries substantial false-negative and false-positive rates. The aim of the study was to evaluate if a combination of readily available variables improves the diagnosis of GIisch after cardiothoracic surgery. Methods This retrospective study included
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Impact of Modified Frailty Index on Readmissions Following Surgery for NSCLC Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-04-19 Nicola Tamburini, Francesco Dolcetti, Nicolò Fabbri, Danila Azzolina, Salvatore Greco, Pio Maniscalco, Giampiero Dolci
Background Analyzing the risk factors that predict readmissions can potentially lead to more individualized patient care. The 11-factor modified frailty index is a valuable tool for predicting postoperative outcomes following surgery. The objective of this study is to determine whether the frailty index can effectively predict readmissions within 90 days after lung resection surgery in cancer patients
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Temporal Analysis in Outcomes of Long-Term Mechanical Circulatory Support: Retrospective Study Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-04-19 Matej Ondrusek, Panagiotis Artemiou, Branislav Bezak, Ivo Gasparovic, Theo MMH de By, Stefan Durdik, Peter Lesny, Eva Goncalvesova, Michal Hulman
Background Mechanical assist device indications have changed in recent years. Reduced incidence of complications, better survival, and the third generation of mechanical support devices contributed to this change. In this single-center study, we focused on two time periods that are characterized by the use of different types of mechanical support devices, different patient characteristics, and change
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Impact of Age on the Relationship between Cross-Clamp Time and Mortality in Cardiac Surgery Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-04-16 Murat Mukharyamov, Hristo Kirov, Tulio Caldonazo, Torsten Doenst
Age is an independent risk factor for mortality even when all known comorbidities are considered. Thus, other factors may additionally contribute to the age-associated risk. We performed a systematic literature search and identified 161 manuscripts, of which 32 studies (18,256 patients) were analyzed. Cross-clamp time correlated with observed mortality. The increase in mortality risk with cross-clamp
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Computed Tomography-Based Body Composition is Related to Perioperative Morbidity in Older Lung Transplant Recipients Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-04-16 Daria Kifjak, Helmut Prosch, Stefan Schwarz, Peter Jaksch, Michael Weber, Konrad Hoetzenecker, Thomas Schweiger
Background In older patients, a limited physical reserve is considered a contraindication for lung transplantation (LTx). Herein, we aimed to establish a computed tomography (CT)-based quantification of physical reserve in older patients scheduled for transplantation. Methods This retrospective study included patients older than 60 years who received LTx. Semiautomatic measurements of the mediastinal
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Managing One-Lung Ventilation in Tracheostomized Patients: A 6-Year Retrospective Analysis Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-04-16 Tobias Golditz, Joachim Schmidt, Andreas Ackermann, Anja Danzl, Torsten Birkholz, Horia Sirbu, Andrea Irouschek
Background To ensure safe and optimal surgical conditions in thoracic surgery, one-lung ventilation is crucial. Various techniques exist to achieve one-lung ventilation. Tracheotomized patients who require one-lung ventilation represent a unique and rare subgroup that demands specialized knowledge and skills. The very limited literature has discussed alternative methods, no randomized controlled trials
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Recent Outcomes of Surgical Redo Aortic Valve Replacement in Prosthetic Valve Failure Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-04-16 Yoonjin Kang, Nazla Amanda Soehartono, Jae Woong Choi, Kyung Hwan Kim, Ho Young Hwang, Joon Bum Kim, Hong Rae Kim, Seung Hyun Lee, Yang Hyun Cho
Background As redo surgical aortic valve replacement (AVR) is relatively high risk, valve-in-valve transcatheter AVR has emerged as an alternative for failed prostheses. However, the majority of studies are outdated. This study assessed the current clinical outcomes of redo AVR. Methods and Results This study enrolled 324 patients who underwent redo AVR due to prosthetic valve failure from 2010 to
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Early and Late Results after Surgical Mitral Valve Repair: A High-Volume Center Experience Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-04-16 Julia Götte, Armin Zittermann, Marcus-Andre Deutsch, Rene Schramm, Sabine Bleiziffer, Andre Renner, Jan F. Gummert
Background Surgical mitral valve repair is the gold standard treatment of severe primary mitral regurgitation (MR). In the light of rapidly evolving percutaneous technologies, current surgical outcome data are essential to support heart-team-based decision-making. Methods This retrospective, high-volume, single-center study analyzed in 1779 patients with primary MR early morbidity and mortality, postoperative
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Partial versus Complete Sternotomy for Aortic Valve Replacement—Multicenter Study Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-04-16 Nora Goebel, Tomasz Stankowski, Francesco Pollari, Kambiz Hassan, Helena Jueckstock, Jens Schubel, Christian Sellin, Thorsten Zielezinski, Yacine Elhmidi, Falk-Udo Sack, Richard Feyrer, Hilmar Doerge, Harald Hausmann, Parwis Massoudy, Michael Schmoeckel, Samer Hakmi, Theodor Fischlein, Dirk Fritzsche, Ulrich F. W. Franke
Background The benefits of minimally invasive techniques in cardiac surgery remain poorly defined. We evaluated the short- and mid-term outcomes after surgical aortic valve replacement through partial upper versus complete median sternotomy (MS) in a large, German multicenter cohort. Methods A total of 2,929 patients underwent isolated surgical aortic valve replacement via partial upper sternotomy
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Isolated or Combined Ascending Aortic Replacement through a Partial Sternotomy: Early and Midterm Outcomes Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-04-16 Matthias Angerer, Francesco Pollari, Wolfgang Hitzl, Lucia Weber, Joachim Sirch, Theodor Fischlein
Background We aimed to investigate the in-hospital and midterm outcomes of patients undergoing ascending aortic replacement (AAR) through a partial or a full sternotomy approach through a propensity matching analysis. Methods We retrospectively included all patients (n = 167) who underwent elective AAR in our institution between 2013 and 2020. The study population was divided into two groups according
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Comments on "Comparison between Off-Pump and On-Pump Beating Heart Coronary Artery Bypass Grafting". Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-02-14 Christos Voucharas,Georgios Tagarakis
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Comparison of Different Surgical Approaches for Treating Aortic Graft Infections Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-04-05 Yu Xia, Lizhong Sun, Kaitao Jian, Hao Peng, Yi Lin, Wei Liu
Background There is still no guideline or consensus on the treatment of aortic graft infection. This study reported and compared conservative and surgical treatment and different surgical methods for aortic graft infection. Methods Data from aortic graft infections treated at our institution between February 2017 and June 2022 were retrospectively analyzed. Clinical data and surgical approaches were
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Is Single LIMA-LAD Bypass Appropriate for OPCAB Training? Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-02-23 Shiho Naito, Hermann Reichenspurner, Björn Sill
Background A significant impact of surgeons' experience on outcomes of off-pump coronary artery bypass (OPCAB) has been recognized through previous large-scale studies. However, a safe, effective, and concrete OPCAB training was yet to be identified. We evaluate a safety of our OPCAB training model with single left internal mammary artery (LIMA)–left anterior descending artery (LAD) as a reasonable
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Natural Sequential Collapse Method: A Common Technique to Identify the Intersegmental Plane Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-02-22 Yuanlin Deng, Yilin Luo, Min Zhang, Mingjian Ge
The natural sequential collapse method (NSCM) can be employed during surgery to reduce the duration of segmentectomy. This method avoids inflating the lung by rapidly blocking vessels within the tumor basin. It is important to note that the color of the lungs should be used to determine the surgical procedure. The NSCM is efficient and straightforward in revealing the intersegmental plane.
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Risk Factor Analysis for 30-day Mortality After Surgery for Infective Endocarditis Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-02-19 Jill Jussli-Melchers, Christine Friedrich, Kira Mandler, Mohamad Hosam Alosh, Mohamed Ahmed Salem, Jan Schoettler, Jochen Cremer, Assad Haneya
Background Infective endocarditis (IE) remains a challenging disease associated with high mortality. Several scores have been suggested to assess surgical risk. None was sufficiently adequate. We therefore analyzed risk factors for 30-day mortality. Methods A total of 438 consecutive patients had surgery for IE in our department between 2002 and 2020. Patients were divided into two groups, one consisting
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Current Status of Cardiac Xenotransplantation: Report of a Workshop of the German Heart Transplant Centers, Martinsried, March 3, 2023 Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-02-12 Michael Schmoeckel, Matthias Längin, Bruno Reichart, Jan-Michael Abicht, Martin Bender, Sebastian Michel, Christine-Elena Kamla, Joachim Denner, Ralf Reinhard Tönjes, Reinhard Schwinzer, Georg Marckmann, Eckhard Wolf, Paolo Brenner, Christian Hagl
This report comprises the contents of the presentations and following discussions of a workshop of the German Heart Transplant Centers in Martinsried, Germany on cardiac xenotransplantation. The production and current availability of genetically modified donor pigs, preservation techniques during organ harvesting, and immunosuppressive regimens in the recipient are described. Selection criteria for
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Sex Differences in the Histopathology of Acute Type A Aortic Dissections Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-02-12 Nimrat Grewal, Onur Baris Dolmaci, Robert JM Klautz, Robert E. Poelmann
Background Although sex-related differences in cardiovascular surgery outcomes have increasingly garnered attention in the past decades, knowledge about sex disparities in the pathophysiology of acute type A aortic dissections (ATAADs) remains sparse. In this study, we evaluate the histopathologic and atherosclerotic lesions in female and male ATAAD patients. Methods A total of 68 patients were studied:
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Does Xenotransplantation Offer a Large Benefit for Human Patients?-A Reply. Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-02-13 Michael Schmoeckel,Joachim Denner,Bruno Reichart,Eckhard Wolf,Christian Hagl
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New Insights into Mortality-Related Risk Factors in Infective Endocarditis: Results from the Brandenburg State Endocarditis Register Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-02-09 Roya Ostovar, Filip Schroeter, Frarzane Seifi Zinab, Dirk Fritzsche, Hans-Heinrich Minden, Nirmeen Lasheen, Martin Hartrumpf, Oliver Ritter, Gesine Dörr, Johannes Maximilian Albes
Objective Endocarditis as a potentially life-threatening disease with high complication and mortality rates. In recent years, an increase in the incident of endocarditis has been reported throughout Europe. In the aging society, successful treatment is complex and challenging owing to the high rate of multimorbidity. Methods We initiated a statewide prospective multicenter endocarditis registry in
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Comparison between Off-Pump and On-Pump Beating Heart Coronary Artery Bypass Grafting Thorac. Cardiovasc. Surg. (IF 1.3) Pub Date : 2024-02-09 Kazuki Matsuhashi, Yoshiyuki Takami, Atsuo Maekawa, Koji Yamana, Kiyotoshi Akita, Kentaro Amano, Yasushi Takagi
Background Although coronary artery bypass grafting (CABG) is performed via three different techniques, conventional, on-pump beating heart CABG (ONBHCAB), or off-pump CABG (OPCAB), data are limited to compare ONBHCAB with OPCAB. Methods We retrospectively investigated the postoperative cardiac biomarkers, creatine kinase-MB (CK-MB), and troponin I (cTnI), and early and late outcomes in 806 patients