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General Thoracic and Cardiovascular Surgery OnlineFirst articles

22.04.2024 | Original Article

Simultaneous transapical transcatheter aortic and mitral valve replacement in patients with severe valve dysfunction: initial experience

Transcatheter aortic valve replacement (TAVR) has been used to treat native aortic valve disease and bioprosthetic valve failure (BVF) after surgical aortic valve replacement. Recently, transcatheter mitral valve in valve (VIV) replacement has …

verfasst von:
Jiawei Zhou, Yuehuan Li, JianGang Wang, Haibo Zhang

22.04.2024 | Original Article

Predictors of late outcomes after concomitant tricuspid valve repair with left-sided valve surgery

Untreated tricuspid regurgitation (TR) often progresses even after left-sided valve surgery [ 1 ], particularly late after mitral valve surgery, and heralds a poor prognosis [ 2 ]. Concomitant tricuspid valve (TV) repair is a safe and effective …

verfasst von:
Kazuki Noda, Naonori Kawamoto, Satoshi Kainuma, Naoki Tadokoro, Ayumi Ikuta, Satsuki Fukushima

20.04.2024 | Special Edition

Current management of tricuspid regurgitation: a focus on the spiral suspension approach

The indication for surgery for tricuspid regurgitation (TR) has reached a major turning point. It has become clear that the presence of moderate or severe TR alone worsens the prognosis of life, and the previous guidelines of Japanese Circulation …

verfasst von:
Kiyoyuki Eishi, Junichiro Eishi, Ichiro Matsumaru, Mizuki Sumi, Kikuko Obase, Takashi Miura

13.04.2024 | Original Article

Surgical outcomes of the systemic-to-pulmonary artery shunt: risk factors of post-operative acute events and effectiveness of regulation of pulmonary blood flow with metal clips

The systemic-to-pulmonary artery shunt (SPS) was introduced as a palliative procedure for patients requiring a reliable pulmonary blood source, and is still widely used in both biventricular (BV) and single ventricular (SV) physiology [ 1 , 2 ].

verfasst von:
Shuichi Shiraishi, Maya Watanabe, Ai Sugimoto, Masanori Tsuchida

12.04.2024 | Original Article

Safety and outcomes of surgical treatment of atrial fibrillation in emergency surgery cases

Since the Cox-maze procedure was introduced in 1984, the surgical treatment for atrial fibrillation (AF) has been modified and/or minimized according to the AF mechanism and combined surgery for the associated heart disease [ 1 – 3 ]. The …

verfasst von:
Shun-Ichiro Sakamoto, Tomohiro Murata, Motohiro Maeda, Atsushi Hiromoto, Takako Yamaguchi, Kenji Suzuki, Yosuke Ishii

10.04.2024 | Original Article

Is chest tube capnography effective in differentiating between true and false air leaks after minimally invasive thoracic surgery?

Air leak is one of the most common adverse events following lung resections, occurring in up to 25% of patients [ 1 , 2 ]. Prolonged air leaks (PAL), as defined by the Society of Thoracic Surgeons (STS) as lasting longer than five days, are one of …

verfasst von:
Giorgio Cannone, Alessio Campisi, Giovanni Maria Comacchio, Giulia Lorenzoni, Stefano Terzi, Alessandro Pangoni, Ivan Lomangino, Chiara Catelli, Federico Rea, Andrea Dell’Amore

10.04.2024 | Letter to the Editor

Perioperative vitamin support therapy to prevent postoperative atrial fibrillation

verfasst von:
Mesut Engin, Orhan Guvenc, Ahmet Kagan As, Ahmet Fatih Ozyazicioglu

09.04.2024 | Letter to the Editor

IABP use and outcomes in cardiac valvular surgery: a closer look!

verfasst von:
Rohan Magoon

26.03.2024 | Original Article

The effect of lobar shifting following right upper lobectomy on postoperative pulmonary function

Anatomic lobectomy is the standard procedure for lung cancer and metastatic lesions, and segmentectomy has recently been increasing in number of cases [ 1 ]. It is commonly thought that the difference in preservation of postoperative forced …

verfasst von:
Sanae Kuroda, Kenji Miura, Nahoko Shimizu, Yoshitaka Kitamura, Wataru Nishio

21.03.2024 | Original Article

Predictive factors for postoperative delirium in thoracic surgery

Delirium, which is defined as a short-term disturbance of consciousness and cognition, is a common and deleterious complication in geriatric patients undergoing surgery. The development of delirium is associated with functional decline, prolonged …

verfasst von:
Takashi Yaguchi, Hideomi Ichinokawa, Eiji Kirino, Mikiko Suzuki, Kazuyuki Komori, Takeshi Matsunaga, Kazuya Takamochi, Kenji Suzuki

Open Access 20.03.2024 | Original Article

Sequential composite BIMA grafting for 3v-CAD: factors that predict successful outcome of the one-inflow and two-inflow revascularization techniques

Triple-vessel coronary artery disease (3v-CAD) is more successfully treated by surgical revascularization than by catheter intervention [ 1 ] and revascularization to all three major vascular regions is an independent predictor of improved short- …

verfasst von:
Terézia B. Andrási, Alannah C. Glück, Ildar Talipov, Lachezar Volevski, Ion Vasiloi

19.03.2024 | Original Article

Autologous cell salvage in off-pump coronary artery bypass surgery reduces post-operative complications: a retrospective weighted-matching analysis

Coronary artery bypass grafting (CABG) remains a cornerstone in the treatment of coronary artery disease (CAD) and gives patients the possibility to preserve their heart function and quality of life. However, the success of CABG surgery …

verfasst von:
Amber Malhotra, Md Anamul Islam, Giuseppe Tavilla, Nikki E. Williams, Thomas d’Amato

18.03.2024 | Original Article

Metastatic pathways to the lower zone by segment in patients with clinical T1 lower lobe non-small cell lung cancer

Since Cahan reported “radical lobectomy [ 1 ]”, mediastinal LND has been improved with lobectomy. However, recently, the JCOG0802/WJOG4607 reported that segmentectomy with mediastinal lymph node dissection (LND) is superior to lobectomy and …

verfasst von:
Tomohiro Maniwa, Masayuki Ohue, Ryu Kanzaki, Yasushi Shintani, Jiro Okami

15.03.2024 | Original Article

Effect of preoperative vitamin D on postoperative atrial fibrillation incidence after coronary artery bypass grafting

Postoperative atrial fibrillation (POAF) is a supraventricular tachyarrhythmia characterized by an irregular and often rapid heartbeat that originates in the atria of the heart. It is also known to be the most common arrhythmia after CABG surgery.

verfasst von:
Toktam Alirezaei, Zahra Ansari Aval, Armin Karamian, Arezoo Hayati

10.03.2024 | Original Article

A surgical series on endometriosis-related diaphragmatic hernia

The presence of endometriosis in the thorax may give rise to a large spectrum of clinical and radiological manifestations that constitute thoracic endometriosis syndrome (TES) [ 1 ]. Although thoracic dissemination is considered a rare event in the …

verfasst von:
Antonio Bobbio, Lorenzo Gherzi, Francesco Tormen, Antoine Sion, Mathilde Prieto, Elisa Daffre, Ludovic Fournel, Marco Alifano

09.03.2024 | Original Article

Right transaxillary transcatheter aortic valve replacement is comparable to left despite challenges

Originally intended as a treatment modality for the highest surgical risk patients, transcatheter aortic valve replacement (TAVR) is now approved for low- and intermediate- risk patients, with overall volumes exceeding that of surgical aortic …

verfasst von:
Daniel McGrath, Hansuh Lee, Charley Sun, Masashi Kawabori, Yong Zhan

Open Access 07.03.2024 | Original Article

Descriptive analysis of long-term survival after aortic valve replacement for dialysis patients: importance of renal pathologies and age

The number of patients in the United States requiring chronic hemodialysis (HD) for end-stage renal disease (ESRD) has been increasing [ 1 – 3 ]. The Japanese annual dialysis data report shows that the elderly population, in particular, requires HD …

verfasst von:
Kaoru Matsuura, Hiroyuki Yamamoto, Goro Matsumiya, Noboru Motomura

Open Access 04.03.2024 | Original Article

Intraoperative robotic surgical system-related problems in robot-assisted thoracoscopic surgery

In recent years, robotic surgery, which has revolutionized surgery, has emerged all over the world [ 1 ]. Especially in Japan, the application of robot-assisted thoracoscopic surgery (RATS) for malignant lung tumors and mediastinal tumors by the …

verfasst von:
Akira Ogihara, Motoka Omata, Hiroaki Shidei, Shota Mitsuboshi, Hiroe Aoshima, Tamami Isaka, Takako Matsumoto, Masato Kanzaki

04.03.2024 | Letter to the Editor

Intra‑aortic balloon pump in heart surgery

verfasst von:
Mesut Engin, Tuğba Onur, Anıl Onur

28.02.2024 | How to Do It

Clover stitch technique for aortic valve in mitral valve repair

In the case of mitral repair with severe aortic regurgitation, aortotomy and selective cardioplegia are necessary for myocardiac protection. In this situation, the saline test for mitral valve repair cannot be accomplished due to incomplete left …

verfasst von:
Taro Nakatsu, Etsuro Suenaga, Yuta Kitagata