Pub Date : 2025-08-22DOI: 10.1053/j.semtcvs.2025.08.001
Chigozirim N Ekeke
{"title":"A Precision-Pathway to Preservation - Mastering Left S9,10 Segmentectomy in the Era of Lung-Sparing Surgery.","authors":"Chigozirim N Ekeke","doi":"10.1053/j.semtcvs.2025.08.001","DOIUrl":"10.1053/j.semtcvs.2025.08.001","url":null,"abstract":"","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-21DOI: 10.1053/S1043-0679(25)00112-1
{"title":"Masthead (copyright and information page)","authors":"","doi":"10.1053/S1043-0679(25)00112-1","DOIUrl":"10.1053/S1043-0679(25)00112-1","url":null,"abstract":"","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":"37 3","pages":"Page I"},"PeriodicalIF":2.5,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144878415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-18DOI: 10.1053/j.semtcvs.2025.07.004
Samuel M Hoenig, Justin Robinson, Tara Karamlou
In this review, we describe the evolution of the surgical management of Hypoplastic Left Heart Syndrome from its initial description through the development of contemporary interventional strategies. Through this account, we highlight lessons learned from prior comparisons and how these apply to the current debate, Norwood vs Hybrid palliations. The Congenital Heart Surgeons Society - Critical Left Ventricular Outflow Tract Obstruction Cohort has played an important role in defining outcomes and shows promise for future understanding.
{"title":"Seventy Years Managing Hypoplastic Left Heart Syndrome - What has been Learned and What Remains to be Learned.","authors":"Samuel M Hoenig, Justin Robinson, Tara Karamlou","doi":"10.1053/j.semtcvs.2025.07.004","DOIUrl":"10.1053/j.semtcvs.2025.07.004","url":null,"abstract":"<p><p>In this review, we describe the evolution of the surgical management of Hypoplastic Left Heart Syndrome from its initial description through the development of contemporary interventional strategies. Through this account, we highlight lessons learned from prior comparisons and how these apply to the current debate, Norwood vs Hybrid palliations. The Congenital Heart Surgeons Society - Critical Left Ventricular Outflow Tract Obstruction Cohort has played an important role in defining outcomes and shows promise for future understanding.</p>","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-05DOI: 10.1053/j.semtcvs.2025.07.003
{"title":"Recent Articles in AATS Journals","authors":"","doi":"10.1053/j.semtcvs.2025.07.003","DOIUrl":"10.1053/j.semtcvs.2025.07.003","url":null,"abstract":"","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":"37 3","pages":"Pages e1-e4"},"PeriodicalIF":2.5,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144878414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-15DOI: 10.1053/j.semtcvs.2025.04.010
Michael A Catalano, Chase R Brown, Shinichi Fukuhara, Michael C Moon, Wilson Y Szeto
{"title":"Expert Opinion: Where Does the Novel Hybrid Aortic Prosthesis Fit Into the Management of the Aortic Arch in DeBakey Type I Aortic Dissections?","authors":"Michael A Catalano, Chase R Brown, Shinichi Fukuhara, Michael C Moon, Wilson Y Szeto","doi":"10.1053/j.semtcvs.2025.04.010","DOIUrl":"10.1053/j.semtcvs.2025.04.010","url":null,"abstract":"","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-14DOI: 10.1053/j.semtcvs.2025.07.001
Eilon Ram, Christopher Lau, Danica Germain, Ivancarmine Gambardella, Giovanni Jr Soletti, Mario Gaudino, Leonard N Girardi
Reoperative total arch replacement (TAR) following prior cardiovascular surgery presents significant technical challenges and is associated with higher risk profiles. With increasing numbers of patients undergoing reoperation as a result of successful outcomes from primary procedures, we sought to compare the clinical outcomes of reoperative TAR with those of first-time TAR. We reviewed 474 patients who underwent TAR at our institution from 1997 to 2024. Of these, 171 patients (36%) had previously undergone cardiovascular surgery, while the remaining 303 (64%) were undergoing TAR for the first time. Demographic, procedural, and outcome data were collected and analyzed. Comparisons between the reoperative and primary groups were made, and multivariable regression was used to identify covariates associated with major postoperative adverse events (MAEs). Patients in the reoperative group were younger on average (61.5 ± 13.5 vs 70.7 ± 10.9 years, P < 0.001), but presented with a higher burden of comorbidities, including ischemic heart disease (15.8% vs 7.3%, P = 0.006), prior strokes (38.6% vs 15.5%, P < 0.001), and renal impairment (24.6% vs 12.5%, P = 0.001). Operative times were significantly longer for reop TAR, with extended circulatory arrest (48.4 ± 12.8 vs 36 ± 10.8 minutes, P < 0.001), cardiac ischemia (118.2 ± 44.2 vs 99 ± 32.1 minutes, P < 0.001), and cardiopulmonary bypass duration (180.7 ± 38.2 vs 146.7 ± 26.3 minutes, P < 0.001). The reoperative group had higher operative mortality (4.1% vs 0.3%, P = 0.007) and a 2.3-fold increased risk of MAEs (OR 2.27, 95% CI 1.01-5.1, P = 0.046). Reoperative TAR is associated with increased operative risk, longer procedural times, and higher rates of operative complications compared to first-time TAR. Despite these challenges, successful outcomes can be achieved with thorough preoperative planning and attention to key technical details.
{"title":"Reoperative Arch Replacement: Outcomes and Technical Considerations.","authors":"Eilon Ram, Christopher Lau, Danica Germain, Ivancarmine Gambardella, Giovanni Jr Soletti, Mario Gaudino, Leonard N Girardi","doi":"10.1053/j.semtcvs.2025.07.001","DOIUrl":"10.1053/j.semtcvs.2025.07.001","url":null,"abstract":"<p><p>Reoperative total arch replacement (TAR) following prior cardiovascular surgery presents significant technical challenges and is associated with higher risk profiles. With increasing numbers of patients undergoing reoperation as a result of successful outcomes from primary procedures, we sought to compare the clinical outcomes of reoperative TAR with those of first-time TAR. We reviewed 474 patients who underwent TAR at our institution from 1997 to 2024. Of these, 171 patients (36%) had previously undergone cardiovascular surgery, while the remaining 303 (64%) were undergoing TAR for the first time. Demographic, procedural, and outcome data were collected and analyzed. Comparisons between the reoperative and primary groups were made, and multivariable regression was used to identify covariates associated with major postoperative adverse events (MAEs). Patients in the reoperative group were younger on average (61.5 ± 13.5 vs 70.7 ± 10.9 years, P < 0.001), but presented with a higher burden of comorbidities, including ischemic heart disease (15.8% vs 7.3%, P = 0.006), prior strokes (38.6% vs 15.5%, P < 0.001), and renal impairment (24.6% vs 12.5%, P = 0.001). Operative times were significantly longer for reop TAR, with extended circulatory arrest (48.4 ± 12.8 vs 36 ± 10.8 minutes, P < 0.001), cardiac ischemia (118.2 ± 44.2 vs 99 ± 32.1 minutes, P < 0.001), and cardiopulmonary bypass duration (180.7 ± 38.2 vs 146.7 ± 26.3 minutes, P < 0.001). The reoperative group had higher operative mortality (4.1% vs 0.3%, P = 0.007) and a 2.3-fold increased risk of MAEs (OR 2.27, 95% CI 1.01-5.1, P = 0.046). Reoperative TAR is associated with increased operative risk, longer procedural times, and higher rates of operative complications compared to first-time TAR. Despite these challenges, successful outcomes can be achieved with thorough preoperative planning and attention to key technical details.</p>","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-11DOI: 10.1053/j.semtcvs.2025.05.015
Damien M Wu, Edward Buratto, Tyson A Fricke, Christian P Brizard, Igor E Konstantinov
Transcatheter pulmonary valve replacement (TPVR) has been associated with an increased risk of infective endocarditis. However, there are few reports investigating the risk of endocarditis with the specific prostheses used in TPVR-the Melody valve and SAPIEN valve. Rarely, endocarditis of the pulmonary valve may also extend to adjacent tissue, resulting in the need for more complex surgical management. This article reviews current literature on infective endocarditis following TPVR and compares this to rates following surgical pulmonary valve replacement, with a particular focus on the Melody valve, SAPIEN valve, and Contegra conduit. We will also discuss our experiences with pulmonary valve endocarditis and several reported cases of its extension to the aortic valve and paravalvular area.
{"title":"Endocarditis of Bovine Jugular Vein Conduits.","authors":"Damien M Wu, Edward Buratto, Tyson A Fricke, Christian P Brizard, Igor E Konstantinov","doi":"10.1053/j.semtcvs.2025.05.015","DOIUrl":"10.1053/j.semtcvs.2025.05.015","url":null,"abstract":"<p><p>Transcatheter pulmonary valve replacement (TPVR) has been associated with an increased risk of infective endocarditis. However, there are few reports investigating the risk of endocarditis with the specific prostheses used in TPVR-the Melody valve and SAPIEN valve. Rarely, endocarditis of the pulmonary valve may also extend to adjacent tissue, resulting in the need for more complex surgical management. This article reviews current literature on infective endocarditis following TPVR and compares this to rates following surgical pulmonary valve replacement, with a particular focus on the Melody valve, SAPIEN valve, and Contegra conduit. We will also discuss our experiences with pulmonary valve endocarditis and several reported cases of its extension to the aortic valve and paravalvular area.</p>","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-11DOI: 10.1053/j.semtcvs.2025.07.002
Vuong-Lam Hoang Pham, Ramiro Fernandez
{"title":"Commentary: If You Can't Beat Them, Join Them - Thoracoabdominal Normothermic Regional Perfusion in Lung Transplantation.","authors":"Vuong-Lam Hoang Pham, Ramiro Fernandez","doi":"10.1053/j.semtcvs.2025.07.002","DOIUrl":"10.1053/j.semtcvs.2025.07.002","url":null,"abstract":"","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-11DOI: 10.1053/j.semtcvs.2025.03.016
Nazari Dvirnik, Vivek Rao
{"title":"Extracorporeal Membrane Oxygenation for Cardiogenic Shock-Who Should Cannulate?","authors":"Nazari Dvirnik, Vivek Rao","doi":"10.1053/j.semtcvs.2025.03.016","DOIUrl":"10.1053/j.semtcvs.2025.03.016","url":null,"abstract":"","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-10DOI: 10.1053/j.semtcvs.2025.05.016
Caitlin T Demarest
{"title":"Commentary: Primary Graft Dysfunction - Lung Transplantation's Most Relentless Opponent.","authors":"Caitlin T Demarest","doi":"10.1053/j.semtcvs.2025.05.016","DOIUrl":"10.1053/j.semtcvs.2025.05.016","url":null,"abstract":"","PeriodicalId":48592,"journal":{"name":"Seminars in Thoracic and Cardiovascular Surgery","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144620939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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