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Volume 64, Issue 4, October 2023

Guidelines

Giuseppe Cardillo and others
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad222, https://doi.org/10.1093/ejcts/ezad222

Position Statement

Emma L O'Dowd and others
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad302, https://doi.org/10.1093/ejcts/ezad302

Lung cancer screening with low radiation dose computed tomography commonly detects incidental findings. This collaborative statement reviews the evidence and how this informs a clinically effective approach to these findings. https://bit.ly/3qlrlD3

Thoracic

Kenji Tsuboshima and others
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad331, https://doi.org/10.1093/ejcts/ezad331

Thoracic endometriosis-related pneumothorax (TERP) is caused by endometrial tissues reaching the pleural cavity through unknown mechanisms.

Minwei Bao and others
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad256, https://doi.org/10.1093/ejcts/ezad256

Lung cancer is the leading cause of cancer-related mortality worldwide [1].

Michael E Cowen and Michael R Gooseman
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad346, https://doi.org/10.1093/ejcts/ezad346

Congenital

Thierry Bove and others
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad305, https://doi.org/10.1093/ejcts/ezad305

The outcome of single ventricle palliation with the Fontan circulation is strongly compromised by atrioventricular valve regurgitation (AVVR).

Vincent Dahmen and others
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad349, https://doi.org/10.1093/ejcts/ezad349

Congenital

Dushan Bandara and others
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad314, https://doi.org/10.1093/ejcts/ezad314

Subaortic stenosis (SAS) represents a rare congenital heart defect accounting for 1–2% of all congenital cardiac anomalies [1].

Ali Dodge-Khatami
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad334, https://doi.org/10.1093/ejcts/ezad334
Aditya A Patukale and others
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad343, https://doi.org/10.1093/ejcts/ezad343

A variety of biomaterials including autologous pericardium are available for use as patches for the repair of congenital heart defects (CHD).

Experimental

Takuya Goto and others
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad304, https://doi.org/10.1093/ejcts/ezad304

Stem cell therapies have recently been shown to be feasible and safe interventions for treating patients with congenital heart diseases, such as dilated cardiomyopathy and single-ventricle lesions [1, 2].

TX & MCS

Nadia H Bakir and others
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad341, https://doi.org/10.1093/ejcts/ezad341

While remarkable advances have been made in durable mechanical support devices over the last decade, orthotopic heart transplantation (OHT) remains the preferred treatment for end-stage heart failure refractory to optimal medical therapy.

Consensus Statement

Simon H Sündermann and others
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad181, https://doi.org/10.1093/ejcts/ezad181

Conventional Aortic Surgery

Leonard Pitts and others
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad288, https://doi.org/10.1093/ejcts/ezad288

Acute type A aortic dissection (ATAAD) is a potentially lethal condition and requires urgent surgical repair [1].

Julia Dumfarth and others
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad329, https://doi.org/10.1093/ejcts/ezad329
Alicja Zientara and others
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad270, https://doi.org/10.1093/ejcts/ezad270

Gluing layers of dissected aortic tissue forms a fundamental component in the armamentarium of aortic surgeons.

Matteo Montagner and others
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad332, https://doi.org/10.1093/ejcts/ezad332
Ah Ran Oh and others
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad338, https://doi.org/10.1093/ejcts/ezad338

Although endovascular repair of a descending thoracic aortic aneurysm (TAA) or thoracoabdominal aortic aneurysm (TAAA) has been increasingly performed with better perioperative morbidity and mortality rates than those of open repair, the attained perioperative advantages are valid only during the early postoperative period [1–3].

Dov Levine and others
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad268, https://doi.org/10.1093/ejcts/ezad268

The incidence of prosthetic valve endocarditis (PVE) of the aortic valve is increasing, and the surgical procedures to treat these conditions are complex, frequently requiring aortic root replacement (ARR) for associated root abscess.

Endovascular Aortic Surgery

Nicola Leone and others
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad290, https://doi.org/10.1093/ejcts/ezad290

Most endografts currently available for thoracic endovascular aortic repair (TEVAR) require at least 20 mm of healthy aortic wall for an adequate proximal sealing according to their instructions for use, with European Association for Cardio-Thoracic Surgery (EACTS) recommending 25 mm [1].

Andrea Xodo and others
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad328, https://doi.org/10.1093/ejcts/ezad328
Daniel Becker and others
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad345, https://doi.org/10.1093/ejcts/ezad345

Anastomoses connecting robust prosthetic material with native tissue are known vulnerable locations, predominantly after previous repair of an acute aortic dissection [1].

General Adult Cardiac

Nikolaos Bonaros and Emeline Van Craenenbroeck
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad205, https://doi.org/10.1093/ejcts/ezad205
Daniel P Fudulu and others
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad259, https://doi.org/10.1093/ejcts/ezad259

Co-presentation with both valve and coronary disease is growing with the advancing age and clinical complexity of patients referred for cardiac surgery [1].

Samuel Heuts and others
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad340, https://doi.org/10.1093/ejcts/ezad340

Direct oral anticoagulants (DOACs) have progressively replaced vitamin K antagonists (VKAs) in the treatment of venous thromboembolism and atrial fibrillation (AF).

Bart J J Velders and others
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad271, https://doi.org/10.1093/ejcts/ezad271

In cardiothoracic research, many studies aim for causal inference by comparing different surgical interventions or strategies.

Myocardial Revascularization

José Glauco Lobo Filho and others
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad347, https://doi.org/10.1093/ejcts/ezad347

Catheter-based Valve Operations

Najla Sadat and others
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad333, https://doi.org/10.1093/ejcts/ezad333

Transcatheter aortic valve implantations are nowadays an established less invasive therapy for aortic valve stenosis, the most common valvular pathology in need of treatment [1–4].

Conventional Valve Operations

Emily Shih and others
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad260, https://doi.org/10.1093/ejcts/ezad260

The Ross procedure is traditionally offered to young adult patients with expected long-term survival to avoid the potential of early bioprosthetic valve failure and the risk of long-term anticoagulation and shortened life expectancy with mechanical valves [1, 2].

Marc W Gerdisch and others
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad306, https://doi.org/10.1093/ejcts/ezad306
Benedetto Del Forno and others
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad274, https://doi.org/10.1093/ejcts/ezad274

Surgical mitral valve (MV) repair represents the treatment of choice to address severe degenerative mitral regurgitation (MR).

Tomas Holubec and Thomas Walther
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad339, https://doi.org/10.1093/ejcts/ezad339
Giovanni Domenico Cresce and others
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad336, https://doi.org/10.1093/ejcts/ezad336

Neurological injury is a devastating complication after cardiovascular surgery.

Letter to the Editor

Dusko Nezic
European Journal of Cardio-Thoracic Surgery, Volume 64, Issue 4, October 2023, ezad326, https://doi.org/10.1093/ejcts/ezad326
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