The Journal of thoracic and cardiovascular surgery
-
J. Thorac. Cardiovasc. Surg. · Sep 2024
Evaluating ChatGPT as a Patient Resource for Frequently Asked Questions about Lung Cancer Surgery - A Pilot Study.
Chat-based artificial intelligence (AI) programs like ChatGPT are re-imagining how patients seek information. This study aims to evaluate the quality and accuracy of ChatGPT-generated answers to common patient questions about lung cancer surgery. ⋯ Chat-based AI programs have potential to become a useful information tool for lung cancer surgery patients. However, the quality and accuracy of ChatGPT-generated answers need improvement before thoracic surgeons could consider this method as a primary education source for patients.
-
J. Thorac. Cardiovasc. Surg. · Sep 2024
Postoperative Aortic Isthmus Size After Arch Reconstruction with Patch Augmentation Predicts Arch Reintervention.
Reintervention rates after patch-augmented reconstruction for hypoplastic aortic arch remain moderately high. We analyzed mid-term outcomes of aortic arch reconstruction to define modifiable reintervention risk factors. ⋯ Aortic undersizing during patch-augmented reconstruction of hypoplastic aortic arch results in over 10% rate of reintervention at mid-term follow-up. Achieving adequate postoperative arch size is critical for preventing reintervention, with aortic isthmus size being of utmost importance.
-
J. Thorac. Cardiovasc. Surg. · Sep 2024
Elective Root Replacement Increases the Risk of Type B Dissection in Patients with Marfan Syndrome.
Marfan syndrome (MFS) is a genetic disorder with increased risk of aortic dissection. Currently, type A aortic dissection risk is mitigated by aortic root replacement with Dacron. It is unclear if root replacement increases the risk of distal aortic disease given the non-compliant nature of Dacron. ⋯ Marfan syndrome patients who undergo elective aortic root replacement appear to have a higher incidence of subsequent type B aortic dissection, independent of other risk factors. Careful consideration must be made to the management of the distal aorta in MFS patients who undergo root replacement.
-
J. Thorac. Cardiovasc. Surg. · Sep 2024
Clinical Effectiveness of Genetic Testing Guidelines in Patients with Thoracic Aortic Aneurysms.
To analyze the effectiveness of the current genetic testing guidelines for patients with thoracic aortic aneurysms (TAA). ⋯ Refining genetic testing guidelines to incorporate multiple patient criteria could enhance risk stratification and support informed decision-making in TAD genetic testing. Limiting testing to genes strongly associated with TAD could lower VUS rates.
-
J. Thorac. Cardiovasc. Surg. · Sep 2024
Protective effects of 10°C preservation on donor lungs with lipopolysaccharide-induced acute lung injury.
Hypothermic lung preservation at 10°C has recently shown to enhance quality of healthy donor lungs during ischemia. This study aims to show generalizability of the 10°C lung preservation using an endotoxin-induced lung injury with specific focus on the benefits of post-transplant lung function and mitochondrial preservation. ⋯ Favorable metabolism during 10°C preservation prevented ischemia-induced mitochondrial damages in injured lungs, leading to better post-transplant outcomes.