EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY

Multicentre retrospective analysis of physician-modified fenestrated/inner-branched endovascular repair for complex aortic aneurysms
Shibata T, Iba Y, Yasuhara K, Kuwada N, Katada Y, Hashiguchi H, Uzuka T, Hosaka I, Nakajima T and Kawaharada N
In this multicentre retrospective observational study, we present the early outcomes of physician-modified fenestrated/inner-branched endovascular repair for pararenal and thoraco-abdominal aortic aneurysms in patients at high risk for open surgical repair.
Corrigendum to: Mechanical circulatory support in patients with congenital heart disease: a European Registry for Patients with Mechanical Circulatory Support (EUROMACS) study
Predictive and prognostic factors in patients with anaplastic lymphoma kinase rearranged early-stage lung adenocarcinoma
Gallina FT, Cecere FL, Tajè R, Bertolaccini L, Casiraghi M, Spaggiari L, Cannone G, Busetto A, Rea F, Martucci N, De Luca G, Mercadante E, Mazzoni F, Bongiolatti S, Voltolini L, Melis E, Sperduti I, Cappuzzo F, Rayes R, Ferri L, Facciolo F and Spicer J
This study aimed to evaluate the predictive and prognostic factors in clinical stage I, anaplastic lymphoma kinase (ALK)-rearranged lung adenocarcinoma following radical surgery. Additionally, it sought to compare these factors with an external cohort of ALK wild-type patients.
Residual pulmonary stenosis and right ventricular contractility in repaired tetralogy of fallot
Tominaga Y, Iwai S, Taira M, Tsumura S, Kurosaki K, Sakaniwa R, Ueno T, Miyagawa S and
The impact of residual pulmonary stenosis (rPS) or right ventricular (RV) outflow tract obstruction on prognosis after surgical pulmonary valve insertion (SPVI) in repaired tetralogy of Fallot (TOF) patients with pulmonary regurgitation (PR) remains controversial. rPS assessment is partially dependent on RV contractility. We investigated the impact of rPS according to RV ejection fraction (RVEF).
Sex-related differences in early morphological and clinical outcomes in patients with type A intramural haematoma: an observational cohort study
Xiao Y, Tian C, Hu K, Qian X and Shu C
To investigate sex-based differences in presenting characteristics and early outcomes of type A intramural haematoma.
Prognostic impact of mild renal dysfunction in patients undergoing valve surgery
Kim K, Kim T, Yoon S, Kim HR, Kim HJ, Kang PJ, Yoo JS, Jung SH, Chung CH and Kim JB
To analyze the impact of mild renal dysfunction on the prognosis of patients undergoing valve surgery.
Surgeon preferences for self-treatment in locally advanced non-small cell lung cancer: Would we practice what we preach?
Brunelli A, Antonoff MB, Petersen RH, Stiles BM, Wigle DA and
Reply to Miguel Lia Tedde
Dunning J
Clinical stage IA non-small cell lung cancer with occult pathologic N1 and N2 disease after segmentectomy: does a completion lobectomy justify?
Luo X, Hayanga JWA, Mehaffey JH, Lamb J, Campbell S, Reddy S, Badhwar V and Toker A
When final pathology shows pathologic N1 or N2 disease after a pulmonary segmentectomy for early stage non-small cell lung cancer (NSCLC), completion of lobectomy could be considered and recommended as an option for treatment. We explored outcomes after segmentectomy for clinical stage IA NSCLC with occult pN1 or pN2 disease.
Advantage of smoking cessation after coronary artery bypass grafting: a mortality study
Kawada T
Association between warfarin use and thromboembolic events in patients post-Fontan operation: propensity-score overlap weighting analyses
Maki W, Aso S, Inuzuka R, Matsui H, Fushimi K and Yasunaga H
The appropriate antithrombotic regimen after a Fontan operation is yet to be elucidated. Hence, this study aimed to compare the incidence of thromboembolic events in patients with and without receiving warfarin for thromboprophylaxis in a large post-Fontan population.
7-Year outcomes after surgical aortic valve replacement with a stented bovine pericardial bioprosthesis in over 1100 patients: a prospective multicenter analysis
Sabik JF, Rao V, Dagenais F, Moront MG, Reardon MJ, Patel HJ, Oh JK, Fukuhara S, Labrousse L, Günzinger R, Baig K, Ito S, Wu T and Klautz RJM
Safety, efficacy, and durability are important considerations when selecting a bioprosthesis for aortic valve replacement (AVR). This study assessed 7-year clinical outcomes and haemodynamic performance of the Avalus bioprosthesis.
Prone position in obese patients with acute respiratory distress syndrome after cardio-thoracic surgery
Bouteau A, Sarfati C, Cachanado M, Perrier J, Imbert A, Genty T and Stéphan F
Prone positioning (PP) has benefits in patients with acute respiratory distress syndrome (ARDS). The objective of this study was to compare the effects and complications of PP in obese vs non-obese patients with moderate-to-severe ARDS after cardiothoracic surgery.
Short-term outcome after isolated tricuspid valve surgery: prognostic role of right ventricular strain
Ancona F, Bellettini M, Polizzi G, Paci G, Margonato D, Ingallina G, Stella S, Fiore G, Tavernese A, Belli M, Biondi F, Castiglioni A, Denti P, Buzzatti N, De Ferrari GM, Alfieri O, Lapenna E, De Bonis M, Maisano F and Agricola E
To assess the incremental prognostic value of right ventricular free wall longitudinal strain over conventional risk scores in predicting the peri-operative mortality in patients with severe tricuspid regurgitation (TR) undergoing isolated tricuspid valve (TV) surgery.
Intensive care unit admissions following enhanced recovery video-assisted thoracoscopic surgery lobectomy
Visby L, Secher EL, Møller-Sørensen H, Kehlet H and Petersen RH
Video-assisted thoracoscopic surgery (VATS) lobectomy combined with enhanced recovery after surgery (ERAS) protocols has improved postoperative outcomes, yet concerns persist regarding complications and readmissions. Limited research has explored intensive care unit (ICU) admissions and outcomes within this context. This study aimed to analyze ICU admissions following VATS lobectomy within an established ERAS protocol.
Multicentre frozen elephant trunk technique experience as redo surgery to treat residual type A aortic dissections following ascending aortic replacement
Kreibich M, Pitts L, Kempfert J, Yildiz M, Schönhoff F, Gaisendrees C, Luehr M, Berger T, Demal T, Jahn J, Kremer J, Dumfarth J, Grimm M, Pfeiffer P, Dohle DS, Dietze Z, Leontyev S, Voetsch A, Krombholz-Reindl P, Nagel F, Finster A, Czerny M and Detter C
To assess the efficacy of reoperative frozen elephant trunk (FET) surgery for treating residual type A aortic dissections.
Optimizing ring selection for secondary tricuspid regurgitation: the role of body size
Ono Y, Yajima S, Kainuma S, Kawamoto N, Tadokoro N, Fujita T and Fukushima S
To investigate whether a larger prosthetic ring relative to a patient's body surface area (BSA) is associated with an increased risk of tricuspid regurgitation (TR) recurrence after tricuspid annuloplasty and adverse effects on long-term outcomes.
Expanding the horizons of surgical research: let us move towards P4 surgery
Alifano M, Falcoz PE and Iannelli A
Thoracic posture-related morphological changes in patients with pectus excavatum vs healthy controls
Suzuki T, Asakura K, Yamada Y, Masai K, Yamada M, Yokoyama Y, Okubo Y, Kaseda K, Hishida T and Jinzaki M
Cases of severe pectus excavatum presenting with worsening cardiopulmonary symptoms in the upright position have been reported. However, the underlying mechanism remains unclear. We evaluated posture-related morphological changes of the thorax in patients with pectus excavatum.
Ascending aortic length predicts adverse outcomes in type A intramural haematoma
Chen Z, Wu J, Liu J, Song J, Qiu H and Zhuang J
Ascending aortic length has recently been recognized as a novel predictor of adverse events in aortic diseases, but its prognostic value in type A intramural haematoma is unknown. We aimed to evaluate the association between ascending aortic length and outcomes in patients with type A intramural haematoma initially managed medically.
Optimizing nurse staffing in thoracic surgery: the imperative of Enhanced Recovery Programs-a statement of the European Society of Thoracic Surgeons Nursing & Allied Health Professionals Working Group
Fehlmann F, Moons J and Missel M
Enhanced Recovery Programs (ERPs) have revolutionized thoracic surgery by reducing hospital stays and fostering quicker patient recoveries through minimally invasive procedures. However, the perception that patients in ERPs are less complex and require fewer nursing resources is misleading. Despite shorter hospital stays, the complexity of postoperative care remains high, with patients often needing vigilant monitoring and timely interventions. This article challenges the assumption of reduced nursing needs in ERPs, arguing that the fast-paced nature of these programmes intensifies the demand for skilled nursing care. The European Society of Thoracic Surgeons (ESTS) Nurses & Allied Health Professionals Working Group emphasizes that nurse staffing levels must be maintained or even increased to ensure quality care in ERPs. Adequate staffing is crucial for supporting not only the technical aspects of care but also the patient's experience of illness and recovery. Failure to recognize this complexity could compromise patient outcomes, eroding the benefits of ERPs. This paper advocates for a comprehensive approach that balances efficiency with sufficient nursing support to optimize outcomes in thoracic surgery ERPs. It calls for a reassessment of staffing models to meet the evolving demands of these programmes, ensuring that the advantages of shorter recovery times are not undermined by insufficient care.