Pub Date : 2026-01-30DOI: 10.1016/j.athoracsur.2026.01.019
Ashtyn P Philipsheck, Matthew S Khouzam, Nayer Khouzam, Kevin D Accola
Primary cardiac spindle cell sarcoma is a rare, aggressive tumor with poor prognosis. An 82-year-old woman presented with dizziness and was found to have two left atrial masses. After resection and no initial metastasis, she developed widespread delayed metastases and died 279 days post-op. Even after successful resection with clear margins and no metastasis, vigilant follow-up and multidisciplinary care are crucial for management.
{"title":"Unusual Presentation of Dual Left Atrial Masses Including Pulmonary Vein Involvement: A Rare Spindle Cell Sarcoma.","authors":"Ashtyn P Philipsheck, Matthew S Khouzam, Nayer Khouzam, Kevin D Accola","doi":"10.1016/j.athoracsur.2026.01.019","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2026.01.019","url":null,"abstract":"<p><p>Primary cardiac spindle cell sarcoma is a rare, aggressive tumor with poor prognosis. An 82-year-old woman presented with dizziness and was found to have two left atrial masses. After resection and no initial metastasis, she developed widespread delayed metastases and died 279 days post-op. Even after successful resection with clear margins and no metastasis, vigilant follow-up and multidisciplinary care are crucial for management.</p>","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146101059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-30DOI: 10.1016/j.athoracsur.2026.01.018
Syed T Hussain
{"title":"Invasive Aortic Valve Endocarditis: Don't Miss the Early Signs!","authors":"Syed T Hussain","doi":"10.1016/j.athoracsur.2026.01.018","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2026.01.018","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146101069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-30DOI: 10.1016/j.athoracsur.2026.01.021
Laura Seese
{"title":"Beyond the Rhythm: Multi-Center Comparison of Long-Term Outcomes: Extra Cardiac Conduit Fontan vs Lateral Tunnel Fontan at 15-Year Follow-Up.","authors":"Laura Seese","doi":"10.1016/j.athoracsur.2026.01.021","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2026.01.021","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146101066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-30DOI: 10.1016/j.athoracsur.2026.01.020
Sara Sakowitz, Peyman Benharash
{"title":"Regionalization, Not Without Consequences.","authors":"Sara Sakowitz, Peyman Benharash","doi":"10.1016/j.athoracsur.2026.01.020","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2026.01.020","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146101042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-30DOI: 10.1016/j.athoracsur.2026.01.022
Li-Xi Gan, Yi Chang, Hong-Wei Guo
{"title":"Y-incision aortic annular enlargement with Chimney mitral valve replacement for double small annuli: an alternative to Commando procedure?","authors":"Li-Xi Gan, Yi Chang, Hong-Wei Guo","doi":"10.1016/j.athoracsur.2026.01.022","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2026.01.022","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146101051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-30DOI: 10.1016/j.athoracsur.2026.01.016
Joseph A Dearani
{"title":"Phenotype-Guided Septal Myectomy in Obstructive HCM.","authors":"Joseph A Dearani","doi":"10.1016/j.athoracsur.2026.01.016","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2026.01.016","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146101018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-29DOI: 10.1016/j.athoracsur.2026.01.012
Matthew Dean, Cesar Rodrigo Zoni, Garrett Frady, Timothy E Moore, Laurel A Copeland, Ana Carolina Alba, Aviral Mahajan, Stephen Akinfenwa, C B Sai Sudhakar, Yazhini Ravi
Background: Variables associated with permanent pacemaker (PPM) implantation post-heart transplantation and the relationship between PPM placement and mortality, are poorly understood. This study evaluates factors contributing to PPM insertion and subsequent mortality rates, with emphasis on the timing of implantation.
Methods: The United Network for Organ Sharing registry was queried for adult heart transplant recipients from 2010-2023. A multi-state model was constructed, assessing the probability of three transitions, 1) transplant to pacemaker, 2) pacemaker to death, and 3) transplant to death. Multivariable Cox proportional hazards models evaluated clinical factors influencing transitions, including early and late PPM (≤30, >30 days) implantation.
Results: Of the 30,566 patients included in the model, 1,698 (5.6%) received a PPM, with most occurring in the late period (n=1,354, 79.7%). At 5 years, late PPM recipients had a significantly higher cardiac allograft vasculopathy burden (30.3%) than non-PPM (14.9%) and early PPM (15.7%) recipients. Factors associated with increased probability of PPM insertion included antiarrhythmic use (hazard ratio [HR] =1.19, 1.02-1.40), ischemic time (HR=1.08 per hour, 1.03-1.12), and older donor age (HR=1.02 per year, 1.01-1.02). Bicaval anastomosis decreased the likelihood of PPM insertion (HR=0.69, 0.62-0.78). Factors associated with increased probability of transition from PPM to death included late PPM insertion (HR=2.58, 1.93-3.46), recipient diabetes (HR=1.29, 1.05-1.58), and ischemic cardiomyopathy (HR=1.25, 1.01-1.54).
Conclusions: Longer ischemic time and antiarrhythmic use increased PPM likelihood. Late PPM recipients had a significantly higher probability of transitioning from implantation to death, warranting further investigation into contributing factors and its relationship with cardiac allograft vasculopathy.
{"title":"Implications of Early and Late Pacemaker Implantation Following Heart Transplantation.","authors":"Matthew Dean, Cesar Rodrigo Zoni, Garrett Frady, Timothy E Moore, Laurel A Copeland, Ana Carolina Alba, Aviral Mahajan, Stephen Akinfenwa, C B Sai Sudhakar, Yazhini Ravi","doi":"10.1016/j.athoracsur.2026.01.012","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2026.01.012","url":null,"abstract":"<p><strong>Background: </strong>Variables associated with permanent pacemaker (PPM) implantation post-heart transplantation and the relationship between PPM placement and mortality, are poorly understood. This study evaluates factors contributing to PPM insertion and subsequent mortality rates, with emphasis on the timing of implantation.</p><p><strong>Methods: </strong>The United Network for Organ Sharing registry was queried for adult heart transplant recipients from 2010-2023. A multi-state model was constructed, assessing the probability of three transitions, 1) transplant to pacemaker, 2) pacemaker to death, and 3) transplant to death. Multivariable Cox proportional hazards models evaluated clinical factors influencing transitions, including early and late PPM (≤30, >30 days) implantation.</p><p><strong>Results: </strong>Of the 30,566 patients included in the model, 1,698 (5.6%) received a PPM, with most occurring in the late period (n=1,354, 79.7%). At 5 years, late PPM recipients had a significantly higher cardiac allograft vasculopathy burden (30.3%) than non-PPM (14.9%) and early PPM (15.7%) recipients. Factors associated with increased probability of PPM insertion included antiarrhythmic use (hazard ratio [HR] =1.19, 1.02-1.40), ischemic time (HR=1.08 per hour, 1.03-1.12), and older donor age (HR=1.02 per year, 1.01-1.02). Bicaval anastomosis decreased the likelihood of PPM insertion (HR=0.69, 0.62-0.78). Factors associated with increased probability of transition from PPM to death included late PPM insertion (HR=2.58, 1.93-3.46), recipient diabetes (HR=1.29, 1.05-1.58), and ischemic cardiomyopathy (HR=1.25, 1.01-1.54).</p><p><strong>Conclusions: </strong>Longer ischemic time and antiarrhythmic use increased PPM likelihood. Late PPM recipients had a significantly higher probability of transitioning from implantation to death, warranting further investigation into contributing factors and its relationship with cardiac allograft vasculopathy.</p>","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146097439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-29DOI: 10.1016/j.athoracsur.2026.01.010
Mujtaba Mubashir
{"title":"Robotic versus Video-Assisted Thoracoscopic Surgery in Non-Small Cell Lung Cancer After Neoadjuvant Therapy: which is superior?!","authors":"Mujtaba Mubashir","doi":"10.1016/j.athoracsur.2026.01.010","DOIUrl":"https://doi.org/10.1016/j.athoracsur.2026.01.010","url":null,"abstract":"","PeriodicalId":50976,"journal":{"name":"Annals of Thoracic Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146097444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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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