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IF 1.9 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-01-29 DOI: 10.1016/j.xjtc.2026.102265
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引用次数: 0
Double-patch repair for acute sinus of valsalva rupture into the right atrium 双补片修复急性右心房瓣膜窦破裂
IF 1.9 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-12-18 DOI: 10.1016/j.xjtc.2025.102189
Hüseyin Sicim MD , Robert Geggel MD , Sitaram Emani MD
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引用次数: 0
“Resect & respect” surgical approach for anomalous right coronary artery aneurysm originating from the pulmonary artery “切除与尊重”手术入路治疗起源于肺动脉的右冠状动脉异常动脉瘤
IF 1.9 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-12-18 DOI: 10.1016/j.xjtc.2025.102184
Benjamin Yang MD, Faisal G. Bakaeen MD, Gosta B. Petterson MD, PhD, Haytham Elgharably MD, PhD
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引用次数: 0
Familial clustering of ventricular septal aneurysm 室间隔动脉瘤的家族聚集性
IF 1.9 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-12-17 DOI: 10.1016/j.xjtc.2025.102181
Esedullah Yagli MS , Valencia Adjei MBChB , Uzma Rahman MD , Sarah L. Miter MD , Maria Daskam MS , Hamza Aziz MD , Ahmet Kilic MD
{"title":"Familial clustering of ventricular septal aneurysm","authors":"Esedullah Yagli MS , Valencia Adjei MBChB , Uzma Rahman MD , Sarah L. Miter MD , Maria Daskam MS , Hamza Aziz MD , Ahmet Kilic MD","doi":"10.1016/j.xjtc.2025.102181","DOIUrl":"10.1016/j.xjtc.2025.102181","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"35 ","pages":"Article 102181"},"PeriodicalIF":1.9,"publicationDate":"2025-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146070759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Robotic sleeve resection of the left main bronchus with complete preservation of lung parenchyma 机器人套筒切除左主支气管,完整保存肺实质
IF 1.9 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-12-15 DOI: 10.1016/j.xjtc.2025.102188
Hitoshi Igai MD, PhD, Akinobu Ida MD, Kazuhito Nii MD, PhD, Mitsuhiro Kamiyoshihara MD, PhD
{"title":"Robotic sleeve resection of the left main bronchus with complete preservation of lung parenchyma","authors":"Hitoshi Igai MD, PhD, Akinobu Ida MD, Kazuhito Nii MD, PhD, Mitsuhiro Kamiyoshihara MD, PhD","doi":"10.1016/j.xjtc.2025.102188","DOIUrl":"10.1016/j.xjtc.2025.102188","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"35 ","pages":"Article 102188"},"PeriodicalIF":1.9,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146071130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hybrid robotic mitral valve surgery with staged percutaneous coronary intervention for degenerative mitral regurgitation and coronary artery disease 混合机器人二尖瓣手术与分阶段经皮冠状动脉介入治疗退行性二尖瓣反流和冠状动脉疾病
IF 1.9 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-12-13 DOI: 10.1016/j.xjtc.2025.102178
Ali Hage MD, MPH, Caroline Magro BSE, Eugene A. Grossi MD, Aubrey C. Galloway MD, Didier F. Loulmet MD

Objectives

Some patients with degenerative mitral valve regurgitation have incidental coronary artery disease. When these patients are referred to our robotic cardiac surgery program, they are offered robotic mitral valve surgery combined with staged percutaneous coronary intervention performed during the same hospital admission. The objective of this study is to compare this new “hybrid” approach with the “conventional” operation consisting of sternotomy mitral valve surgery with coronary artery bypass grafting performed as a single procedure.

Methods

Between 2011 and 2024, 181 consecutive patients with degenerative mitral valve regurgitation and coronary artery disease underwent hybrid robotic mitral valve surgery + percutaneous coronary intervention (n = 79) or conventional sternotomy mitral valve surgery + coronary artery bypass grafting (n = 102) at a single high-volume quaternary care center. Information was prospectively entered into Society of Thoracic Surgeons, regional, and institutional data collection instruments. Survival was obtained from a National Death Index.

Results

Significant mitral annular calcification (requiring en bloc excision and patch reconstruction) was more frequent in the hybrid group (7.6% [6/79] vs 2.0% [2/102], P = .06). The repair rate was significantly higher in the hybrid group. Median aortic occlusion time was shorter in the hybrid group (90.0 vs 106.0 minutes, P = .01). In the hybrid group, 92.4% (73/79) of percutaneous coronary interventions were performed after robotic mitral valve surgery and 58.7% (44/75) involved a single coronary distribution only. In the conventional group, 53.9% (55/102) coronary artery bypass grafting surgeries consisted of 1 distal anastomosis. In the hybrid group, the median hospital length of stay was shorter by 2 days. The 30-day mortality and 5-year survival were excellent and identical in both groups.

Conclusions

For patients with degenerative mitral valve regurgitation and coronary artery disease, a hybrid approach (robotic mitral valve surgery + percutaneous coronary intervention) provided enhanced postoperative outcomes with short- and mid-term survival comparable to the conventional operation (sternotomy mitral valve surgery + coronary artery bypass grafting).
目的退行性二尖瓣反流患者中有部分并发冠心病。当这些患者转到我们的机器人心脏手术项目时,他们在同一住院期间接受机器人二尖瓣手术联合分阶段经皮冠状动脉介入治疗。本研究的目的是比较这种新的“混合”入路与“传统”手术,包括胸骨切开二尖瓣手术和冠状动脉旁路移植术作为一个单一的手术。方法2011年至2024年间,181例退行性二尖瓣反流合并冠状动脉疾病患者在单个大容量四级护理中心连续接受机器人二尖瓣手术+经皮冠状动脉介入治疗(n = 79)或传统胸骨切开二尖瓣手术+冠状动脉搭桥手术(n = 102)。前瞻性地将信息输入胸外科学会、地区和机构数据收集工具。生存数据来源于国家死亡指数。结果杂交组明显的二尖瓣环钙化(需要整体切除和补片重建)发生率更高(7.6% [6/79]vs 2.0% [2/102], P = 0.06)。杂交组的修复率明显高于杂交组。混合组中位主动脉阻断时间较短(90.0 vs 106.0 min, P = 0.01)。在混合组中,92.4%(73/79)的经皮冠状动脉介入手术是在机器人二尖瓣手术后进行的,58.7%(44/75)的经皮冠状动脉介入手术仅涉及单一冠状动脉分布。在常规组中,53.9%(55/102)的冠状动脉搭桥术包括1个远端吻合。在混合组中,住院时间中位数缩短了2天。两组患者的30天死亡率和5年生存率均良好且相同。结论对于退行性二尖瓣返流合并冠状动脉疾病的患者,混合入路(机器人二尖瓣手术+经皮冠状动脉介入治疗)可提高术后预后,其短期和中期生存率与传统手术(胸骨切开二尖瓣手术+冠状动脉搭桥手术)相当。
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引用次数: 0
Retrograde intraluminal balloon occlusion for redo descending or thoracoabdominal aortic repair via left thoracotomy 逆行腔内球囊闭塞术经左开胸重降或胸腹主动脉修复
IF 1.9 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-12-13 DOI: 10.1016/j.xjtc.2025.102187
Kyokun Uehara MD, PhD , Mikage Inada MD , Masatomo Hayashi MD , Taku Shirakami MD , Makoto Takehara MD , Hiroyuki Hara MD , Mamoru Hamuro MD , Takashi Tsuji MD , Yoshio Arai MD, PhD
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引用次数: 0
Saline inflation–assisted unifocalization for pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries 生理盐水充气辅助定位治疗合并室间隔缺损及主主动脉-肺侧支肺动脉闭锁
IF 1.9 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-12-13 DOI: 10.1016/j.xjtc.2025.102176
Akio Ikai MD, PhD , Keiichi Hirose MD, PhD , Mizuhiko Ishigaki MD , Sung-Hae Kim MD , Maiko Tachi MD , Kisaburo Sakamoto MD , Hiroki Ito MD

Objectives

Unifocalization for pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries remains challenging due to vascular heterogeneity. This study evaluated the outcomes of a saline inflation–assisted unifocalization technique used to visually guide anastomosis site selection.

Methods

This retrospective, single-center study included 30 consecutive patients undergoing unifocalization between 2017 and 2023. The surgical protocol integrated dissection of major aortopulmonary collateral arteries and parenchymal pulmonary arteries, saline inflation to visually guide pulmonary reconstruction, and an intraoperative pulmonary flow study to assess suitability for ventricular septal defect closure. Outcomes analyzed were ventricular septal defect closure, survival, and catheter-based reintervention.

Results

Among 27 survivors, 100% ultimately achieved ventricular septal defect closure (63% primary, 37% staged). Early mortality was 10%, confined to patients with 22q11 deletion. Flow study values correlated with the number of anastomoses (r = 0.65, P < .001). One-year freedom from catheter-based reintervention was 45%, mainly balloon angioplasty for anastomotic stenosis. No surgical reinterventions were required after ventricular septal defect closure. Homograft augmentation was associated with lower postoperative right ventricular pressure than autologous pericardium (P = .03).

Conclusions

Saline inflation–assisted unifocalization provided visual guidance for anastomosis site selection and demonstrated acceptable midterm results in this cohort. This technique may serve as a practical adjunct in major aortopulmonary collateral arteries repair, and further evaluation is warranted to clarify its role and long-term durability.
目的肺动脉闭锁合并室间隔缺损及主肺动脉侧枝的血管异质性,对其进行统一定位仍具有挑战性。本研究评估了生理盐水膨胀辅助的聚焦技术用于视觉指导吻合部位选择的结果。方法本回顾性单中心研究纳入了2017年至2023年间连续30例患者。手术方案包括主要主动脉-肺侧支动脉和肺实质动脉的剥离,生理盐水膨胀目视指导肺重建,术中肺血流研究评估室间隔缺损闭合的适用性。结果分析为室间隔缺损闭合、生存和基于导管的再干预。结果27例幸存者中,100%最终实现室间隔缺损闭合(63%为原发,37%为分期)。早期死亡率为10%,仅限于22q11缺失的患者。血流研究值与吻合口数量相关(r = 0.65, P < 0.001)。一年内无导管再介入的比例为45%,主要是吻合口狭窄的球囊血管成形术。室间隔缺损闭合后无需再手术治疗。同种移植物增强术术后右心室压低于自体心包(P = 0.03)。结论生理盐水充气辅助下的吻合定位对吻合部位的选择提供了视觉指导,在该队列中表现出可接受的中期结果。该技术可作为主要主动脉-肺侧支动脉修复的实用辅助手段,需要进一步评估以阐明其作用和长期耐久性。
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引用次数: 0
Aortic arch approach using clampless anastomosis for high-flow microaxial pump: An alternative in challenging anatomy 大流量微轴泵无夹吻合主动脉弓入路:一种具有挑战性的解剖学选择
IF 1.9 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-12-12 DOI: 10.1016/j.xjtc.2025.102182
Yoshinori Nakahara MD, Tomohiro Iwakura MD, PhD, Akira Marui MD, PhD, Kohei Sumi MD, Ryogen Yun MD, Makoto Ono MD, PhD
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引用次数: 0
Patent ductus arteriosus stenting complicated by iatrogenic aortic dissection requiring aortic repair 动脉导管未闭支架置入合并医源性主动脉夹层需要主动脉修复
IF 1.9 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-12-12 DOI: 10.1016/j.xjtc.2025.102185
Aayah Keramane, Muhammad Faateh MBBS, Haleh Heydarian MD, Awais Ashfaq MD, FACS, FACC
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引用次数: 0
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