The Journal of thoracic and cardiovascular surgery
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J. Thorac. Cardiovasc. Surg. · Mar 2023
Anatomic evaluation of Pancoast tumors using three-dimensional models for surgical strategy development.
Pancoast tumor resection planning requires precise interpretation of 2-dimensional images. We hypothesized that patient-specific 3-dimensional reconstructions, providing intuitive views of anatomy, would enable superior anatomic assessment. ⋯ Although a consistent effect on surgical strategy was not identified, patient-specific 3-dimensional Pancoast tumor models provided accurate and user-friendly overviews of critical thoracic structures with perceived benefits for surgeons' clinical practices.
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J. Thorac. Cardiovasc. Surg. · Mar 2023
Clinical impact of the heart team on the outcomes of surgical aortic valve replacement among octogenarians.
The effectiveness of a multidisciplinary heart team in the management of patients with severe symptomatic aortic stenosis is unknown. This study evaluated the impact of a heart team on the outcomes of surgical aortic valve replacement in octogenarians. ⋯ Preoperative multidisciplinary assessment of octogenarians by a heart team was associated with lower in-hospital mortality and adverse events after surgical aortic valve replacement.
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J. Thorac. Cardiovasc. Surg. · Mar 2023
The V-shaped double-layer patch technique for complete atrioventricular septal defect: A novel surgical technique.
Several surgical techniques for repair of a complete atrioventricular septal defect have been developed. However, the postoperative complications with these methods may lead to reoperation during follow-up. The aim of this report is to share our experience with a modified surgical technique for complete atrioventricular septal defect that has anatomic advantages postoperatively and could reduce the reoperation rate. ⋯ The V-shaped double-layer patch technique is a valuable surgical option for patients with complete atrioventricular septal defects. The midterm results in our series document excellent performance of this technique, which augments the area of the anterior valve of the left atrioventricular valve to make it closer to a normal mitral valve and may also reduce the need for reoperation.
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J. Thorac. Cardiovasc. Surg. · Mar 2023
Intervention rates and outcomes in medically managed uncomplicated descending thoracic aortic dissections.
To evaluate the long-term incidence and outcome of aortic interventions for medically managed uncomplicated thoracic aortic dissections. ⋯ The need for secondary aortic interventions in patients with initially medically managed, uncomplicated descending aortic dissections is substantial. The full spectrum of aortic treatment options (endovascular, hybrid, conventional open surgical) is required in these patients.
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J. Thorac. Cardiovasc. Surg. · Mar 2023
Outcomes of transapical mitral valve repair with neochordae implantation.
Transapical off-pump beating-heart neochord implantation (NC) has shown encouraging early results in patients with degenerative mitral regurgitation. The aim of this study was to evaluate clinical and echocardiographic 5-year outcomes of patients who underwent NC. ⋯ Transapical off-pump beating heart NC might represent an acceptable option in patients with degenerative mitral valve disease and FA.