Volume 66, Issue 5, November 2024
Editorial
Expanding the horizons of surgical research: let us move towards P4 surgery
Review article
Surgeon preferences for self-treatment in locally advanced non–small cell lung cancer: Would we practice what we preach?
Thoracic
Early outcomes of robotic versus video-thoracoscopic anatomical segmentectomy: a propensity score-matched real-world study
Pulmonary anatomical segmentectomy procedures have gained increasing relevance in recent years.
European multicentre study evaluating the prognosis of peripheral early-stage lung adenocarcinoma patients operated on by segmentectomy or lobectomy
Adenocarcinoma is the largest subset of lung cancer worldwide [1].
Sternal elevation in pectus excavatum repair: comparison of a unilateral versus bilateral frame crane system
Pectus excavatum, the most common congenital chest wall deformity, can be surgically corrected by the minimally invasive Nuss procedure (i.e. minimally invasive repair of pectus excavatum or MIRPE) [1–3].
Predictive and prognostic factors in patients with anaplastic lymphoma kinase rearranged early-stage lung adenocarcinoma
Early-stage non-small cell lung cancer (NSCLC) has an 80% 5-year overall survival (OS) rate, and surgery remains the standard treatment.
Thoracic posture-related morphological changes in patients with pectus excavatum versus healthy controls
Pectus excavatum (PE) is a congenital deformity of the anterior chest wall, with a prevalence of at least 1 per 1000 people [1].
Clinical stage IA non-small cell lung cancer with occult pathologic N1 and N2 disease after segmentectomy: does a completion lobectomy justify?
Anatomic lobe resection has been standard surgical treatment for early stage non-small-cell lung cancer (NSCLC) [1, 2].
Congenital
Improvement in patient selection, management and outcomes in infant heart transplant from 2000 to 2020
There has been an increase in paediatric heart transplants (HTs) since 2010 [1], and there has been an active effort to improve outcomes.
Residual pulmonary stenosis and right ventricular contractility in repaired tetralogy of Fallot
Right ventricular outflow tract (RVOT) dysfunction is a common late complication following tetralogy of Fallot (TOF) repair.
TX & MCS
Long-term health outcomes of young patients with low-complexity coronary disease: a weighted analysis according to revascularization strategy
In patients with obstructive coronary artery disease (CAD), myocardial revascularization—either by percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG)—may offer additional clinical benefits on top of aggressive medical therapy in specific clinical settings and anatomical subsets [1, 2].
Comparison between invasive cardiac output and left ventricular assist device flow parameter
In recent years, there has been a rise in the proportion of patients implanted with a left ventricular assist device (LVAD) as destination therapy [1, 2], along with improved survival rates post-LVAD implantation [2].
Incidence and outcomes of prosthetic valve thrombosis during peripheral extracorporeal membrane oxygenation
Prosthetic valve thrombosis is a rare event in routine valve surgery.
Conventional Aortic Surgery
Mid-term results of a case series on branched xenopericardial roll graft replacement to treat aortic arch/arch graft infection
The standard procedure for treating infected native aortic arch and arch graft infection is resection of the infected native aortic arch/arch graft, debridement of the surrounding tissue, in situ graft replacement and tissue filling [1].
Luminal shape and aortic remodelling after total arch replacement for type A aortic dissection: conventional and frozen elephant trunks
Total arch replacement (TAR) with a frozen elephant trunk (FET) has become increasingly common for treating acute type A aortic dissection (AAD) because of its effective outcomes in postoperative aortic remodelling (AR) [1–3].
Aortic arch replacement in patients with previous repair of acute aortic dissection: a systematic review and meta-analysis
The extent of the initial aortic arch repair in the setting of acute aortic dissection (AAD) remains controversial and significantly influences the requirement for future reintervention [1, 2].
Sex-related differences in early morphological and clinical outcomes in patients with type A intramural haematoma: an observational cohort study
Aortic intramural haematoma (IMH), characterized by haemorrhage within the aortic wall media, accounts for 26–44% of acute aortic syndromes in Asian populations [1].
Finite element analysis and computational fluid dynamics to elucidate the mechanism of distal stent graft-induced new entry after frozen elephant trunk technique
The frozen elephant trunk (FET) is a hybrid prosthesis consisting of a woven aortic arch graft and an aortic endovascular stent graft.
Ascending aortic length predicts adverse outcomes in type A intramural haematoma
Aortic intramural haematoma (IMH) is an important acute aortic syndrome that presents with symptoms similar to those of classic aortic dissection [1].
Multicentre frozen elephant trunk technique experience as redo surgery to treat residual type A aortic dissections following ascending aortic replacement
Ascending aortic replacement ideally involving hemiarch replacement remains the established treatment of choice for patients presenting with acute type A aortic dissection [1].
Endovascular Aortic Surgery
Simultaneous versus staged approach in transcatheter aortic valve implantation for severe stenosis and endovascular aortic repair for thoracic and abdominal aortic aneurysm
According to the current international guidelines, transcatheter aortic valve implantation (TAVI) is the recommended option for treating patients with symptomatic and severe aortic valve stenosis (AS) in older patients (≥75 years) and at high-risk or anatomically unsuitable for surgical aortic valve replacement (SAVR).
Comparison of open and hybrid endovascular repair for aortic arch: a multi-centre study of 1052 adult patients
Open total arch repair (OAR) for aortic arch disease has evolved over the last 2 decades [1–3].
The impact of large aneurysm diameter on the outcomes of thoracoabdominal aneurysm repair by fenestrated and branched endografts
Fenestrated/branched endovascular aneurysm repair (F/B-EVAR) is an established technique to treat thoracoabdominal aneurysm (TAAAs) with reliable early and mid-term results in anatomically selected high-risk patients [1–3].
Multicentre retrospective analysis of physician-modified fenestrated/inner-branched endovascular repair for complex aortic aneurysms
Despite the evolution of endovascular technology [1], open repair remains the gold standard for treating complex aortic aneurysms (CAAs), including pararenal aortic aneurysms (PRAAs) and thoracoabdominal aortic aneurysms (TAAAs) [2, 3].
General Adult Cardiac
Systolic anterior motion-mediated mitral regurgitation and surgical management in hypertrophic obstructive cardiomyopathy
Hypertrophic cardiomyopathy (HCM) is a relatively common genetic cardiovascular disease, with a prevalence of approximately 0.2% to 0.5% in the general population [1].
Myocardial Revascularization
Ten-year survival benefit and appropriateness of surgical versus percutaneous revascularization in synergy between percutaneous coronary intervention with Taxus and cardiac surgery randomized trial
The Synergy between percutaneous coronary intervention (PCI) with Taxus and Cardiac Surgery Extended (SYNTAXES) trial is the extended 10-year follow-up of the SYNTAX trial [1].
Conventional Valve Operation
Short-term outcome after isolated tricuspid valve surgery: prognostic role of right ventricular strain
Severe tricuspid regurgitation (TR) is associated with significant mortality and morbidity [1–3], leading to progressive right ventricular (RV) dilatation and dysfunction, right heart failure and ultimately end-organ damage [4].
Prognostic impact of mild renal dysfunction in patients undergoing valve surgery
Baseline renal dysfunction adversely affects the short- and long-term outcomes following heart valve surgery [1–3].
Optimizing ring selection for secondary tricuspid regurgitation: the role of body size
Tricuspid regurgitation (TR) frequently accompanies degenerative mitral valve disease, increasing the risk of mortality, heart failure and reduced functional capacity [1, 2].