The Journal of thoracic and cardiovascular surgery
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The use of limited anatomic resection for early-stage lung cancer is widely practiced worldwide. However, most studies have focused on standard segmentectomy or subsegmentectomy, and data on the short-term outcomes after anatomic sublobar resection in China are lacking. ⋯ Despite the increasing proportion of complex cases treated with APL, the incidence of postoperative complications decreased as our center accumulated surgical experience. APL procedures are safe and feasible when conducted in a specialized center.
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J. Thorac. Cardiovasc. Surg. · Sep 2022
Comparison of homografts and bovine jugular vein conduits in the pulmonary position in patients <20 years of age.
To compare the performance of homografts and bovine jugular vein (BJV) conduits in the pulmonary position. ⋯ In patients age <20 years with a conduit >15 mm, PHs outperformed BJV conduits and AHs in the pulmonary position. The performance of AH and BJV was comparable. Small conduits (≤15 mm) had similar performance across all conduit types.
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J. Thorac. Cardiovasc. Surg. · Sep 2022
Priming protects the spinal cord in an experimental aortic occlusion model.
Paraplegia is a devastating complication in aortic aneurysm surgery. Modifying the spinal cord vasculature is a promising method in spinal cord protection. The aim of this study was to assess whether the spinal cord can be primed by occluding thoracic segmental arteries before simulated aneurysm repair in a porcine model. ⋯ Acute priming protects the spinal cord from ischemic injury in an experimental aortic crossclamp model.
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J. Thorac. Cardiovasc. Surg. · Sep 2022
Outcome after pulmonary endarterectomy for segmental chronic thromboembolic pulmonary hypertension.
Determine the long-term outcome and need for additional therapy after pulmonary endarterectomy (PEA) for segmental chronic thromboembolic pulmonary hypertension. ⋯ PEA achieved excellent early and long-term results in segmental chronic thromboembolic pulmonary hypertension. However, patients with segmental disease are at increased risk of requiring additional therapy after PEA and should be carefully monitored.
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J. Thorac. Cardiovasc. Surg. · Sep 2022
Current status of open surgery for acute type A aortic dissection in Japan.
The study objective was to report the clinical outcomes of open surgery for acute aortic dissection by using the Japan Cardiovascular Database. ⋯ Approximately 30,000 patients with acute aortic dissection in the recent 6 years (2013 - 2018) underwent open surgery according to the nationwide Japanese database. The number of operations has increased, and in-hospital mortality has been stable or in a decreasing trend. Although the early outcomes are acceptable, there is still room for improvement in patients with preoperative comorbidities.