Pub Date : 2025-03-01DOI: 10.1016/j.atssr.2024.07.017
Abhishek Shrinivas Joshi MCh, CVTS , Mahaadev Damodar Dixit DNB, CVTS , Nikhil Mahaadev Dixit MCh, CVTS , Avinash Prakash Londhe MD , Prashantha M B MD , Amrutraj Gopalrao Nerlikar MCh, CVTS
A 37-year-old woman underwent off-pump triple-vessel total arterial revascularization in her 27th week of pregnancy. She was diagnosed to have ischemic heart disease along with type 2 familial hypercholesterolemia with chest pain and orthopnea at rest. She underwent grafting to the left anterior descending, obtuse marginal, and posterior descending arteries by the left internal mammary artery–right internal mammary artery–Y technique. Postoperative recovery was uneventful, and the baby was delivered uneventfully after an elective cesarean section at 36 weeks.
{"title":"Off-Pump Total Arterial Three-Vessel Coronary Artery Bypass in a Pregnant Woman","authors":"Abhishek Shrinivas Joshi MCh, CVTS , Mahaadev Damodar Dixit DNB, CVTS , Nikhil Mahaadev Dixit MCh, CVTS , Avinash Prakash Londhe MD , Prashantha M B MD , Amrutraj Gopalrao Nerlikar MCh, CVTS","doi":"10.1016/j.atssr.2024.07.017","DOIUrl":"10.1016/j.atssr.2024.07.017","url":null,"abstract":"<div><div>A 37-year-old woman underwent off-pump triple-vessel total arterial revascularization in her 27th week of pregnancy. She was diagnosed to have ischemic heart disease along with type 2 familial hypercholesterolemia with chest pain and orthopnea at rest. She underwent grafting to the left anterior descending, obtuse marginal, and posterior descending arteries by the left internal mammary artery–right internal mammary artery–Y technique. Postoperative recovery was uneventful, and the baby was delivered uneventfully after an elective cesarean section at 36 weeks.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 1","pages":"Pages 18-20"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143512411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01DOI: 10.1016/j.atssr.2024.07.022
Orazio Amabile MD , Andrew Keogan MD , Modesto Colón MD , Mark Tasset MD , Ryan Ung DO , Ambar Andrade MD , Anantharam Kalya MD , Marc Silver MD , Radha Gopalan MD , Francisco Arabía MD, MBA
Patients with cardiomyopathy and aortic dissection presents significant challenges. Some patients are too ill to go directly to transplantation and require a bridge strategy to address the cardiomyopathy and dissection. This case combines a total artificial heart with a frozen elephant trunk procedure to increase the likelihood of survival. The patient underwent transposition of the left subclavian artery to the left carotid artery prior to frozen elephant trunk combined with implantation of a total artificial heart, bridge to transplantation. The patient remained inpatient, and underwent heart transplantation, with discharge from the hospital. Bridge to transplantation in patients with dissection is feasible in selected patients.
{"title":"Concomitant Frozen Elephant Trunk and Total Artificial Heart as a Bridge to Heart Transplantation","authors":"Orazio Amabile MD , Andrew Keogan MD , Modesto Colón MD , Mark Tasset MD , Ryan Ung DO , Ambar Andrade MD , Anantharam Kalya MD , Marc Silver MD , Radha Gopalan MD , Francisco Arabía MD, MBA","doi":"10.1016/j.atssr.2024.07.022","DOIUrl":"10.1016/j.atssr.2024.07.022","url":null,"abstract":"<div><div>Patients with cardiomyopathy and aortic dissection presents significant challenges. Some patients are too ill to go directly to transplantation and require a bridge strategy to address the cardiomyopathy and dissection. This case combines a total artificial heart with a frozen elephant trunk procedure to increase the likelihood of survival. The patient underwent transposition of the left subclavian artery to the left carotid artery prior to frozen elephant trunk combined with implantation of a total artificial heart, bridge to transplantation. The patient remained inpatient, and underwent heart transplantation, with discharge from the hospital. Bridge to transplantation in patients with dissection is feasible in selected patients.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 1","pages":"Pages 250-252"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143512424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Thoracoscopic right medial-basal (S7) segmentectomy is technically challenging due to its small size, depth, and anatomical complexity, especially through a uniportal thoracoscopic approach because of the limited angulation of the surgical instruments or staplers used. Herein, we report a successful case of right S7 segmentectomy through a uniportal approach with sufficient surgical margin. Key aspects are to mobilize the lung by dissecting the pulmonary ligament, dividing a fissure, and exposing the pulmonary vein branches to the periphery, which allowed us to perform smooth and safe stapling through the single skin incision.
{"title":"Feasibility of Uniportal Thoracoscopic Right Medial-Basal (S7) Segmentectomy","authors":"Hitoshi Igai MD, PhD , Akinobu Ida MD , Kazuki Numajiri MD , Kazuhito Nii MD, PhD , Mitsuhiro Kamiyoshihara MD, PhD","doi":"10.1016/j.atssr.2024.09.022","DOIUrl":"10.1016/j.atssr.2024.09.022","url":null,"abstract":"<div><div>Thoracoscopic right medial-basal (S7) segmentectomy is technically challenging due to its small size, depth, and anatomical complexity, especially through a uniportal thoracoscopic approach because of the limited angulation of the surgical instruments or staplers used. Herein, we report a successful case of right S7 segmentectomy through a uniportal approach with sufficient surgical margin. Key aspects are to mobilize the lung by dissecting the pulmonary ligament, dividing a fissure, and exposing the pulmonary vein branches to the periphery, which allowed us to perform smooth and safe stapling through the single skin incision.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 1","pages":"Pages 179-182"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143512425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01DOI: 10.1016/j.atssr.2024.07.032
Maxime Têtu BS , Pedro Guimarães Rocha Lima MD, MS , Wilfredy Castano MD , Luciano Bulgarelli Maqueda MD , Pasquale Ferraro MD , Basil Nasir MD , Moishe Liberman MD, PhD
We describe a case of outside the cage nonintercostal robotic esophagectomy, a feasible approach for minimally invasive esophageal resection with potential benefits of reducing postoperative pain and related complications.
{"title":"Outside the Cage (OTC) Non-Intercostal Robotic-Assisted Esophagectomy","authors":"Maxime Têtu BS , Pedro Guimarães Rocha Lima MD, MS , Wilfredy Castano MD , Luciano Bulgarelli Maqueda MD , Pasquale Ferraro MD , Basil Nasir MD , Moishe Liberman MD, PhD","doi":"10.1016/j.atssr.2024.07.032","DOIUrl":"10.1016/j.atssr.2024.07.032","url":null,"abstract":"<div><div>We describe a case of outside the cage nonintercostal robotic esophagectomy, a feasible approach for minimally invasive esophageal resection with potential benefits of reducing postoperative pain and related complications.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 1","pages":"Pages 216-218"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143512555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01DOI: 10.1016/j.atssr.2024.07.012
Berk Aykut MD , Hoe King Lim BEng , Smith M. Ngeve BA , Anna Hoover BS , Cathlyn K. Medina BA , Jacob Scherba BS , Ashley Menken BS , Douglas M. Overbey MD, MPH , Tariq M. Omer MS , Scott P. Commins MD, PhD , Joseph R. Nellis MD, MBA , Joseph W. Turek MD, PhD
Background
Alpha-gal syndrome from tick bites, due to sensitivity to alpha-gal, can cause severe allergies. Heart valve implants contain alpha-gal, yet alpha-gal syndrome screening is not standard before valve replacement. This study examines perioperative outcomes in patients with alpha-gal antibodies.
Methods
This is a single-institution prospective cohort study of patients undergoing bioprosthetic aortic valve replacement between January 2022 and January 2023. Anti-alpha-gal immunoglobulin E levels were measured, with primary outcomes being severe allergic reactions and in-hospital mortality, and secondary outcomes including intensive care unit and hospital stay.
Results
Of 155 patients, 32.7% (n = 19) of surgical aortic valve replacement and 29.9% (n = 29) of transcatheter aortic valve replacement patients had detectable immunoglobulin E levels without subsequent serious allergic reactions or in-hospital mortality. Postoperative hospital stay and valve function were similar across groups.
Conclusions
In this study, sensitization to alpha-gal was not associated with serious allergic reactions and did not affect immediate aortic valve function after surgical aortic valve replacement or transcatheter aortic valve replacement.
{"title":"Perioperative Outcomes After Bioprosthetic Valve Replacement in Patients Sensitized to Alpha-Gal","authors":"Berk Aykut MD , Hoe King Lim BEng , Smith M. Ngeve BA , Anna Hoover BS , Cathlyn K. Medina BA , Jacob Scherba BS , Ashley Menken BS , Douglas M. Overbey MD, MPH , Tariq M. Omer MS , Scott P. Commins MD, PhD , Joseph R. Nellis MD, MBA , Joseph W. Turek MD, PhD","doi":"10.1016/j.atssr.2024.07.012","DOIUrl":"10.1016/j.atssr.2024.07.012","url":null,"abstract":"<div><h3>Background</h3><div>Alpha-gal syndrome from tick bites, due to sensitivity to alpha-gal, can cause severe allergies. Heart valve implants contain alpha-gal, yet alpha-gal syndrome screening is not standard before valve replacement. This study examines perioperative outcomes in patients with alpha-gal antibodies.</div></div><div><h3>Methods</h3><div>This is a single-institution prospective cohort study of patients undergoing bioprosthetic aortic valve replacement between January 2022 and January 2023. Anti-alpha-gal immunoglobulin E levels were measured, with primary outcomes being severe allergic reactions and in-hospital mortality, and secondary outcomes including intensive care unit and hospital stay.</div></div><div><h3>Results</h3><div>Of 155 patients, 32.7% (n = 19) of surgical aortic valve replacement and 29.9% (n = 29) of transcatheter aortic valve replacement patients had detectable immunoglobulin E levels without subsequent serious allergic reactions or in-hospital mortality. Postoperative hospital stay and valve function were similar across groups.</div></div><div><h3>Conclusions</h3><div>In this study, sensitization to alpha-gal was not associated with serious allergic reactions and did not affect immediate aortic valve function after surgical aortic valve replacement or transcatheter aortic valve replacement.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 1","pages":"Pages 264-268"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141846254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01DOI: 10.1016/j.atssr.2024.07.010
Anhthi H. Luong BA , S. Kendall Smith MD, PhD , Karishma Bhatia MD , MohammedMehdi Kafashan PhD , Thomas Nguyen BS , Orlandrea Hyche BS , Matthew Schill MD , Ralph J. Damiano Jr. MD , Ben Julian A. Palanca MD, PhD
Background
New-onset postoperative atrial fibrillation is associated with adverse clinical outcomes in older adults. Poor preoperative sleep quality is a putative modifiable risk factor. The relationships between new-onset postoperative atrial fibrillation and preoperative sleep structure in older adults undergoing elective cardiac surgery were investigated at a single center.
Methods
This was a prespecified substudy within a prospective observational study of perioperative electroencephalographic markers (ClinicalTrials.gov; NCT03291626). We analyzed preoperative sleep recordings from 71 cardiac surgical patients aged ≥60 years without a prior history of atrial fibrillation. Overnight recordings were acquired using a consumer-grade headband and underwent manual sleep staging. Electroencephalographic slow wave activity (power in the 0.5-4 Hz frequency band) was computed in 1-minute intervals for non-rapid eye movement sleep stages. Associations between new-onset postoperative atrial fibrillation incidence and sleep measures were evaluated using univariate logistic regression models and multivariate logistic regression models including age and sex.
Results
New-onset postoperative atrial fibrillation was present in 22 of 71 (31%) patients. A higher preoperative percentage of total sleep time in non-rapid eye movement stage 1 was associated with new-onset postoperative atrial fibrillation (median difference of 5.4%, P = .0002, Mann-Whitney U-test), independent of age and sex. No associations were observed between new-onset postoperative atrial fibrillation and other sleep metrics, including slow wave activity (all P > .05, Mann-Whitney U-test).
Conclusions
Excess preoperative non-rapid eye movement stage 1 sleep, consistent with greater sleep fragmentation, is a potential modifiable target for mitigating new-onset postoperative atrial fibrillation risk in older adults undergoing elective cardiac surgery requiring cardiopulmonary bypass.
{"title":"New-Onset Postoperative Atrial Fibrillation and Preoperative Sleep in Cardiac Surgical Patients","authors":"Anhthi H. Luong BA , S. Kendall Smith MD, PhD , Karishma Bhatia MD , MohammedMehdi Kafashan PhD , Thomas Nguyen BS , Orlandrea Hyche BS , Matthew Schill MD , Ralph J. Damiano Jr. MD , Ben Julian A. Palanca MD, PhD","doi":"10.1016/j.atssr.2024.07.010","DOIUrl":"10.1016/j.atssr.2024.07.010","url":null,"abstract":"<div><h3>Background</h3><div>New-onset postoperative atrial fibrillation is associated with adverse clinical outcomes in older adults. Poor preoperative sleep quality is a putative modifiable risk factor. The relationships between new-onset postoperative atrial fibrillation and preoperative sleep structure in older adults undergoing elective cardiac surgery were investigated at a single center.</div></div><div><h3>Methods</h3><div>This was a prespecified substudy within a prospective observational study of perioperative electroencephalographic markers (<span><span>ClinicalTrials.gov</span><svg><path></path></svg></span>; <span><span>NCT03291626</span><svg><path></path></svg></span>). We analyzed preoperative sleep recordings from 71 cardiac surgical patients aged ≥60 years without a prior history of atrial fibrillation. Overnight recordings were acquired using a consumer-grade headband and underwent manual sleep staging. Electroencephalographic slow wave activity (power in the 0.5-4 Hz frequency band) was computed in 1-minute intervals for non-rapid eye movement sleep stages. Associations between new-onset postoperative atrial fibrillation incidence and sleep measures were evaluated using univariate logistic regression models and multivariate logistic regression models including age and sex.</div></div><div><h3>Results</h3><div>New-onset postoperative atrial fibrillation was present in 22 of 71 (31%) patients. A higher preoperative percentage of total sleep time in non-rapid eye movement stage 1 was associated with new-onset postoperative atrial fibrillation (median difference of 5.4%, <em>P</em> = .0002, Mann-Whitney U-test), independent of age and sex. No associations were observed between new-onset postoperative atrial fibrillation and other sleep metrics, including slow wave activity (all <em>P</em> > .05, Mann-Whitney U-test).</div></div><div><h3>Conclusions</h3><div>Excess preoperative non-rapid eye movement stage 1 sleep, consistent with greater sleep fragmentation, is a potential modifiable target for mitigating new-onset postoperative atrial fibrillation risk in older adults undergoing elective cardiac surgery requiring cardiopulmonary bypass.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 1","pages":"Pages 258-263"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141851177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
It is still controversial whether prosthesis-patient mismatch (PPM) adversely affects long-term outcomes after aortic valve replacement (AVR). The aim of this study was to examine whether flow-adjusted pressure gradient is a valid new indicator of long-term outcomes.
Methods
Data collected from 184 patients undergoing isolated AVR for severe aortic stenosis from October 2012 to September 2016 were analyzed. Flow-adjusted pressure gradient was defined as mean pressure gradient divided by stroke volume (MPG/SV). The effect of PPM and MPG/SV on long-term cardiac events and survival was evaluated.
Results
Overall mortality was 8.2%, and the incidence of cardiac events was 9.2% (median follow-up period, 5.5 years). Moderate to severe PPM was present in 30.0% of patients and did not correlate with cardiac events (P = .13). The mean pressure gradient and stroke volume were also not predictive, but MPG/SV was significantly associated with cardiac events (P = 0.016), and the cutoff value of MPG/SV was 0.24 mm Hg/mL. MPG/SV ≥ 0.24 mm Hg/mL was detected as an independent risk factor (adjusted hazard ratio, 5.67; P < .001). The 5-year cardiac event-free rate was lower in patients with MPG/SV ≥ 0.24 mm Hg/mL (72.7% ± 9.6% vs 96.6% ± 1.7%; P < .001). Additionally, the left ventricular mass index at 1 month was significantly lower in patients with MPG/SV ≥ 0.24 mm Hg/mL (P = .028), although there was no significant difference at 6 months (P = .12).
Conclusions
Flow-adjusted pressure gradient has the potential to be a better predictor of long-term outcomes after AVR.
{"title":"Clinical Impact of Flow-Adjusted Transprosthetic Pressure Gradient After Aortic Valve Replacement","authors":"Takahiro Ohmori MD , Arudo Hiraoka MD, PhD , Toshinori Totsugawa MD, PhD , Satoru Kishimoto MD, PhD , Yuki Yoshioka MD , Genta Chikazawa MD, PhD , Taichi Sakaguchi MD, PhD","doi":"10.1016/j.atssr.2024.07.008","DOIUrl":"10.1016/j.atssr.2024.07.008","url":null,"abstract":"<div><h3>Background</h3><div>It is still controversial whether prosthesis-patient mismatch (PPM) adversely affects long-term outcomes after aortic valve replacement (AVR). The aim of this study was to examine whether flow-adjusted pressure gradient is a valid new indicator of long-term outcomes.</div></div><div><h3>Methods</h3><div>Data collected from 184 patients undergoing isolated AVR for severe aortic stenosis from October 2012 to September 2016 were analyzed. Flow-adjusted pressure gradient was defined as mean pressure gradient divided by stroke volume (MPG/SV). The effect of PPM and MPG/SV on long-term cardiac events and survival was evaluated.</div></div><div><h3>Results</h3><div>Overall mortality was 8.2%, and the incidence of cardiac events was 9.2% (median follow-up period, 5.5 years). Moderate to severe PPM was present in 30.0% of patients and did not correlate with cardiac events (<em>P</em> = .13). The mean pressure gradient and stroke volume were also not predictive, but MPG/SV was significantly associated with cardiac events (<em>P</em> = 0.016), and the cutoff value of MPG/SV was 0.24 mm Hg/mL. MPG/SV ≥ 0.24 mm Hg/mL was detected as an independent risk factor (adjusted hazard ratio, 5.67; <em>P</em> < .001). The 5-year cardiac event-free rate was lower in patients with MPG/SV ≥ 0.24 mm Hg/mL (72.7% ± 9.6% vs 96.6% ± 1.7%; <em>P</em> < .001). Additionally, the left ventricular mass index at 1 month was significantly lower in patients with MPG/SV ≥ 0.24 mm Hg/mL (<em>P</em> = .028), although there was no significant difference at 6 months (<em>P</em> = .12).</div></div><div><h3>Conclusions</h3><div>Flow-adjusted pressure gradient has the potential to be a better predictor of long-term outcomes after AVR.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 1","pages":"Pages 42-46"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141853525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01DOI: 10.1016/j.atssr.2024.09.014
Faisal K. AlGhamdi MBBS , Mustafa Mohammed Barakat MD , Abdulaziz Al-Khaldi MD
Left ventricular aneurysm is a rare abnormality of the left ventricle. It has many etiologies, such as coronary artery disease or infection, and it can be congenital. It occurs in multiple locations; one location is beneath the mitral valve annulus, submitral left ventricular aneurysm. We report a case of a 10-year-old girl who presented with severe mitral regurgitation and was found to have congenital left ventricular aneurysm, which was repaired surgically.
{"title":"Surgical Repair of Congenital Submitral Left Ventricular Aneurysm","authors":"Faisal K. AlGhamdi MBBS , Mustafa Mohammed Barakat MD , Abdulaziz Al-Khaldi MD","doi":"10.1016/j.atssr.2024.09.014","DOIUrl":"10.1016/j.atssr.2024.09.014","url":null,"abstract":"<div><div>Left ventricular aneurysm is a rare abnormality of the left ventricle. It has many etiologies, such as coronary artery disease or infection, and it can be congenital. It occurs in multiple locations; one location is beneath the mitral valve annulus, submitral left ventricular aneurysm. We report a case of a 10-year-old girl who presented with severe mitral regurgitation and was found to have congenital left ventricular aneurysm, which was repaired surgically.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 1","pages":"Pages 92-95"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143508427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Achromobacter xylosoxidans, a rare gram-negative rod, often causes pneumonia. Here, we describe the case of a previously healthy 78-year-old woman who worked at a vegetable plant nursery. A 4.5-cm cavitary lesion with a 2.5-cm-diameter lobulated nodule in the left lingula segment, resembling an aspergillosis fungus ball, was coincidentally detected on chest computed tomography. Bronchoscopic culture eventually revealed A. xylosoxidans, which was sensitive to penicillin; however, the infection did not respond to oral antibiotics. Thus, surgical resection is likely to be indicated for A. xylosoxidans infection that mimics aspergillosis.
{"title":"Resected Pulmonary Achromobacter xylosoxidans Mimicking Aspergillosis Fungus Ball","authors":"Sota Nakamura MD , Takaki Akamine MD, PhD , Satoshi Ikegame MD, PhD , Mikiko Hashisako MD, PhD , Taisuke Nakagawa MD , Fumihiko Kinoshita MD, PhD , Mikihiro Kohno MD, PhD , Keigo Ozono MD, PhD , Tomoyoshi Takenaka MD, PhD , Tomoharu Yoshizumi MD, PhD","doi":"10.1016/j.atssr.2024.09.005","DOIUrl":"10.1016/j.atssr.2024.09.005","url":null,"abstract":"<div><div><em>Achromobacter xylosoxidans</em>, a rare gram-negative rod, often causes pneumonia. Here, we describe the case of a previously healthy 78-year-old woman who worked at a vegetable plant nursery. A 4.5-cm cavitary lesion with a 2.5-cm-diameter lobulated nodule in the left lingula segment, resembling an aspergillosis fungus ball, was coincidentally detected on chest computed tomography. Bronchoscopic culture eventually revealed <em>A</em>. <em>xylosoxidans</em>, which was sensitive to penicillin; however, the infection did not respond to oral antibiotics. Thus, surgical resection is likely to be indicated for <em>A</em>. <em>xylosoxidans</em> infection that mimics aspergillosis.</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 1","pages":"Pages 171-174"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01DOI: 10.1016/j.atssr.2024.08.001
Ashley Toussaint DO , Francis Kang MD , John Nosher MD , Ilia Berim MD , John Langenfeld MD
This case report describes a novel endoscopic approach to manage a bronchopleural fistula (BPF) of a patient with coronavirus disease 2019. A 66-year-old man with multiple comorbidities presented with coronavirus disease 2019 pneumonia that required prolonged ventilatory support, and developed BPFs. Bronchopleural valves caused large pleural airspace and empyema. Lung filling expanded after decortication, but the BPF reoccurred. Medical management and blood patch failed. Surgical options were limited due to the complexity of the BPF and the patient’s high surgical risk. The patient’s BPF was ultimately treated bronchoscopically with bare-platinum coils, TRUFILL n-butyl cyanoacrylate glue (Cerenovus), and an Amplatzer Vascular Plug (Abbott).
{"title":"Treatment of Bronchopleural Fistulas in Coronavirus Disease 2019 With Coils, Glue, and an Amplatzer Vascular Plug","authors":"Ashley Toussaint DO , Francis Kang MD , John Nosher MD , Ilia Berim MD , John Langenfeld MD","doi":"10.1016/j.atssr.2024.08.001","DOIUrl":"10.1016/j.atssr.2024.08.001","url":null,"abstract":"<div><div>This case report describes a novel endoscopic approach to manage a bronchopleural fistula (BPF) of a patient with coronavirus disease 2019. A 66-year-old man with multiple comorbidities presented with coronavirus disease 2019 pneumonia that required prolonged ventilatory support, and developed BPFs. Bronchopleural valves caused large pleural airspace and empyema. Lung filling expanded after decortication, but the BPF reoccurred. Medical management and blood patch failed. Surgical options were limited due to the complexity of the BPF and the patient’s high surgical risk. The patient’s BPF was ultimately treated bronchoscopically with bare-platinum coils, TRUFILL <em>n</em>-butyl cyanoacrylate glue (Cerenovus), and an Amplatzer Vascular Plug (Abbott).</div></div>","PeriodicalId":72234,"journal":{"name":"Annals of thoracic surgery short reports","volume":"3 1","pages":"Pages 161-163"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143511696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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