A 20-year study on treating childhood infective endocarditis with valve replacement in a single cardiac center in China.

Abstract:

BACKGROUND:Children with infective endocarditis (IE) have to undergo valve replacement instead of valve repair in China due to severe valve damage. The present study is to review our experience on surgical treatment of children with IE in reference to the incidence, pathologic status, diagnosis, surgical strategies and outcomes. METHODS:We reviewed 35 patients with a mean age of 13.7±2.2 years who were underwent valve replacement surgery for IE during the period from January 1993 to December 2013. Preoperative transthoracic echocardiographic (TTE) evaluation and transesophageal echocardiography during operation were performed in all patients. All the children underwent chart review and retrospective risk-hazard analysis. RESULTS:Among the patients surveyed congenital cardiac lesions were present in 15 (42.8%), rheumatic heart valve disease in 2 (5.7%) and previous heart surgery in 2 (5.7%). The median stay of intensive care unit was 6 days. Intraoperative findings showed that the endocarditis involved mostly the mitral and aortic valves (88.5%). Triple or quadruple valve involvement was found in one patient each. Ten-year freedom from IE-related death and re-intervention was 94.2% and 91.6%, respectively. CONCLUSIONS:Children undergoing surgery for IE frequently have advanced disease with embolic complications. Although valve replacement is not the primary option for pediatric IE, the rate of 5-year survival and freedom from re-operation was optimal prognostically. Pediatric physicians should pay attention to the common clinical features of IE so that the native valve is preserved well.

journal_name

J Thorac Dis

authors

Xiao J,Yin L,Lin Y,Zhang Y,Wu L,Wang Z

doi

10.21037/jtd.2016.06.15

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

1618-24

issue

7

eissn

2072-1439

issn

2077-6624

pii

jtd-08-07-1618

journal_volume

8

pub_type

杂志文章
  • Uniportal video assisted thoracic surgery with 2 cm skin incision for right middle lobectomy with systematic lymphadenectomy.

    abstract::Today, video-assisted thoracic surgery (VATS) was very popular and more and more common, which could be carried out at all levels of medical centers, most of which used multiple-ports VATS techniques. However, uniportal VATS was more difficult technique compared with multiple-ports VATS, and was not yet completely uni...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2017.10.40

    authors: Liu R,Tan Q,Huang J,Li J,Luo Q

    更新日期:2017-11-01 00:00:00

  • Applications of cell-free circulating tumor DNA detection in EGFR mutant lung cancer.

    abstract::Analyses of cell-free tumor DNA (ctDNA) have provided a non-invasive strategy for cancer diagnosis, the identification of molecular aberrations for treatment identification, and evaluation of tumor response. Sensitive and specific ctDNA sequencing strategies have allowed for implementation into clinical practice for t...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2020.01.66

    authors: Bulbul A,Leal A,Husain H

    更新日期:2020-05-01 00:00:00

  • Clinical results of multimodality therapy for esophageal cancer with distant metastasis.

    abstract:Background:The purpose of this study is to evaluate outcomes in upfront local response and survival of patients with esophageal cancer and distant metastasis. Methods:This retrospective study included 34 patients (25 males) aged 42-92 years (median, 70 years) with a histological diagnosis of esophageal squamous cell c...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2018.03.45

    authors: Sakaguchi M,Maebayashi T,Aizawa T,Ishibashi N,Saito T

    更新日期:2018-03-01 00:00:00

  • Association between NADPH oxidase (NOX) and lung cancer: a systematic review and meta-analysis.

    abstract:BACKGROUND:Lung cancer is a leading cause of death worldwide. Considerable studies have reported that NADPH oxidase (NOX) expression or activity may play an important role in the tumorigenesis of lung cancer. However, the results are inconsistent. Thus, a systematic review and meta-analysis were conducted in this study...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2016.06.31

    authors: Han M,Zhang T,Yang L,Wang Z,Ruan J,Chang X

    更新日期:2016-07-01 00:00:00

  • Experimental studies in the bronchial circulation. Which is the ideal animal model?

    abstract:BACKGROUND:The importance of the role of bronchial arteries is notable in modern days thoracic surgery. The significance of their anastomoses with adjusted structures has not yet been sufficiently rated, especially in cases of haemoptysis, heart-lung transplantations and treatment of aneurysms of the thoracic aorta. Th...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.3978/j.issn.2072-1439.2014.09.32

    authors: Kotoulas C,Panagiotou I,Tsipas P,Melachrinou M,Alexopoulos D,Dougenis D

    更新日期:2014-10-01 00:00:00

  • Quick spontaneous remodelling of thrombosed false lumen in acute type-A aortic dissection.

    abstract::Natural history of acute Stanford type A aortic dissection (AAAD) implies the need of emergent surgical treatment in the vast majority of cases. Nevertheless, conservative treatment has been described to yield acceptable outcomes, when compared to surgery, in selected high risk cases of thrombosed false lumen. We repo...

    journal_title:Journal of thoracic disease

    pub_type: 社论

    doi:10.21037/jtd.2017.04.33

    authors: Piñón M,Acuña B,Lugo J,Pradas G

    更新日期:2017-05-01 00:00:00

  • Aortic and mitral valve surgery for infective endocarditis with reconstruction of the intervalvular fibrous body: an analysis of clinical outcomes.

    abstract:Background:Reconstruction of the aorto-mitral curtain (AMC) for invasive double-valve infective endocarditis (IE) is a rare and challenging procedure. This study presents the short- and mid-term results of reconstruction of AMC in a single center. Methods:From 2016 to 2019, 14 patients with invasive double-valve under...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2020.03.04

    authors: Jiang X,Liu J,Khan F,Tang R,Zhang Y,Gu T

    更新日期:2020-04-01 00:00:00

  • Independent risk factors for postoperative AKI and the impact of the AKI on 30-day postoperative outcomes in patients with type A acute aortic dissection: an updated meta-analysis and meta-regression.

    abstract:Background:This meta-analysis aims to investigate the effects of postoperative acute kidney injury (AKI) on 30-day postoperative outcomes and the independent risk factors for postoperative AKI in patients with type A acute aortic dissection (TAAD). Methods:Relevant reports published between January 1, 2011 and May 31,...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2018.05.47

    authors: Wang J,Yu W,Zhai G,Liu N,Sun L,Zhu J

    更新日期:2018-05-01 00:00:00

  • Prognostic value of COX-2 expression in patients with non-small cell lung cancer: a systematic review and meta-analysis.

    abstract:BACKGROUND:Cyclooxygenase-2 (COX-2) has been implicated in tumorigenesis and metastasis, and it presumably mediates the proliferation of endothelial cells and promotes vascular permeability. However, the prognostic value of COX-2 overexpression in patients with non-small cell lung cancer (NSCLC) remains controversial. ...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2013.01.02

    authors: Zhan P,Qian Q,Yu LK

    更新日期:2013-02-01 00:00:00

  • Giant bronchogenic cyst with pericardial defect: a case report & literature review in Japan.

    abstract::Congenital pericardial defects are a rare anomaly, found during autopsy and cardiothoracic surgery. We describe a case of a 69-year-old female, with a right-sided congenital pericardial defect associated with a giant bronchogenic cyst (BC) found during surgery. The cyst was resected and the patient developed arrhythmi...

    journal_title:Journal of thoracic disease

    pub_type:

    doi:10.21037/jtd.2016.06.65

    authors: Kamata T,Yoshida S,Iwata T,Nakatani Y,Yoshino I

    更新日期:2016-08-01 00:00:00

  • Enhanced recovery pathways in thoracic surgery from Italian VATS Group: preoperative optimisation.

    abstract::Preoperative patient optimisation is a key point of enhanced recovery after thoracic surgery pathways. This could be particularly advantageous when considering video-assisted thoracic surgery (VATS) lobectomy, because reduced trauma related to minimally invasive techniques is one of the main factors favouring improved...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2017.12.82

    authors: D'Andrilli A,Massullo D,Rendina EA

    更新日期:2018-03-01 00:00:00

  • Heart failure in cancer: role of checkpoint inhibitors.

    abstract::The introduction of immune checkpoint inhibitors have greatly improved clinical outcomes in several cancer types, revolutionizing the management of a wide variety of tumors endowed with poor prognosis. Despite its success, high grade immune related adverse events were observed in patients treated with checkpoint inhib...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2018.10.07

    authors: Delgobo M,Frantz S

    更新日期:2018-12-01 00:00:00

  • Percutaneous tracheostomy: a comprehensive review.

    abstract::Tracheostomy is a common procedure. It can be done surgically or percutaneously by dilating the stoma using Seldinger technique. Percutaneous tracheostomy (PT) is now routinely performed by surgeons and non-surgeons such as intensivists and anesthesiologists in the intensive care units (ICU) all over the world. Althou...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2017.09.33

    authors: Rashid AO,Islam S

    更新日期:2017-09-01 00:00:00

  • CT findings of pulmonary nocardiosis: a report of 9 cases.

    abstract:Background:Pulmonary nocardiosis often occurs among immunocompromised patients, especially in those with impaired cell immunity related to AIDS and transplant. As the number of patients receiving transplant, the occurrence of pulmonary nocardiosis may also increase. Radiologic characteristics of this entity have not be...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2017.09.122

    authors: Liu B,Zhang Y,Gong J,Jiang S,Huang Y,Wang L,Xu J,Qiu C

    更新日期:2017-11-01 00:00:00

  • Erroneous diagnosis of small cell lung cancer based on small biopsies with far-reaching consequences: case report of a typical carcinoid tumor.

    abstract::Although neuroendocrine tumors (NETs) of the lung are frequently discussed together, carcinoids are very different from high-grade small cell lung carcinoma (SCLC). SCLC is found in heavy-smoking, older patients, whereas smoking is not strongly associated with carcinoid tumors. We present the case of a 46-year-old nev...

    journal_title:Journal of thoracic disease

    pub_type:

    doi:10.21037/jtd.2017.02.35

    authors: Kyritsis I,Krebs B,Kampe S,Theegarten D,Aigner C,Welter S

    更新日期:2017-02-01 00:00:00

  • Fertility counseling of young breast cancer patients.

    abstract::Approximately 6% of women with breast cancer are diagnosed before the age of 40. Young age is an independent predictor of adverse outcome and most young breast cancer patients receive systemic treatment with chemotherapy, hormonal therapy or both. The loss or impairment of fertility is a potential side effect of antin...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2013.05.22

    authors: Lambertini M,Anserini P,Levaggi A,Poggio F,Del Mastro L

    更新日期:2013-06-01 00:00:00

  • Cost-effectiveness analysis of sealant impact in management of moderate intraoperative alveolar air leaks during video-assisted thoracoscopic surgery lobectomy: a multicentre randomised controlled trial.

    abstract:Background:Intraoperative alveolar air leak (IOAAL) is one of most common complications after video-assisted thoracoscopic surgery (VATS) lobectomy. The study aimed to evaluate if, in moderate IOAAL, intraoperative polymeric biodegradable sealant (ProgelTM) reduced postoperative air leak (PAL) and consequently was cost...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2017.11.109

    authors: Zaraca F,Vaccarili M,Zaccagna G,Maniscalco P,Dolci G,Feil B,Perkmann R,Bertolaccini L,Crisci R

    更新日期:2017-12-01 00:00:00

  • Cone beam navigation bronchoscopy: the next frontier.

    abstract::Navigation bronchoscopy has reached a new horizon in its evolution. Combining with real-time imaging modalities, such as cone-beam computed tomography (CBCT) and augmented fluoroscopy (AF), navigation success can finally be confirmed with high degree of accuracy in real-time. With utilization of this modality, additio...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2020.03.85

    authors: Cheng GZ,Liu L,Nobari M,Miller R,Wahidi M

    更新日期:2020-06-01 00:00:00

  • Limiting the risk of cardiac toxicity with esophageal-sparing intensity modulated radiotherapy for locally advanced lung cancers.

    abstract:BACKGROUND:Intensity modulated radiotherapy (IMRT) is routinely utilized in the treatment of locally advanced non-small cell lung cancer (NSCLC). RTOG 0617 found that overall survival was impacted by increased low (5 Gy) and intermediate (30 Gy) cardiac doses. We evaluated the impact of esophageal-sparing IMRT on cardi...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2016.03.64

    authors: Woodford K,Panettieri V,Ruben JD,Senthi S

    更新日期:2016-05-01 00:00:00

  • Initial experience with uniportal video-assisted thoracoscopic surgery for the treatment of lung cancer performed by a surgeon who did not have previous experience performing multiportal thoracoscopic surgery: a single center retrospective study.

    abstract:Background:The purpose of this study was to evaluate the surgical outcome of uniportal video-assisted thoracoscopic surgery (VATS) for the treatment of non-small cell lung cancer performed by a surgeon who did not have previous experience performing open thoracotomy and multiportal VATS. Methods:From January 2017 to D...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd-20-242

    authors: Moon Y

    更新日期:2020-05-01 00:00:00

  • Bronchoscopic light delivery method for peripheral lung cancer photodynamic therapy.

    abstract:Background:Trans-bronchoscope treatment for early stage small peripheral lung cancer, such as photodynamic therapy (PDT), has been investigated. However, despite the efficacy of PDT, light delivery issues limit its application. A method of administering mineral oil with a high refractive index (RI) was previously propo...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd-19-3887

    authors: Chang H,Liao KS,Hsieh YS

    更新日期:2020-07-01 00:00:00

  • Major morbidity after lung resection: a comparison between the European Society of Thoracic Surgeons Database system and the Thoracic Morbidity and Mortality system.

    abstract:OBJECTIVE:The Thoracic Morbidity and Mortality (TM&M) classification system is a method for univocally coding the postoperative adverse events by their complexity of management. The aim of the present study was to compare the distribution of the severity of complications according to the TM&M system versus the distribu...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2013.05.03

    authors: Salati M,Refai M,Pompili C,Xiumè F,Sabbatini A,Brunelli A

    更新日期:2013-06-01 00:00:00

  • Predictors of arterial desaturation during intubation: a nested case-control study of airway management-part I.

    abstract:Background:Arterial desaturations experienced during endotracheal intubation (ETI) may lead to poor outcomes. Thus, our primary aim was to identify predictors of arterial desaturation (pulse oximetry <90%) during the peri-intubation period and to assess outcomes of those who developed arterial hypoxemia. Methods:Adult...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2017.08.138

    authors: Smischney NJ,Seisa MO,Heise KJ,Wiegand RA,Busack KD,Loftsgard TO,Schroeder DR,Diedrich DA

    更新日期:2017-10-01 00:00:00

  • Surgical and endoscopic treatment for COPD: patients selection, techniques and results.

    abstract::Chronic obstructive pulmonary disease (COPD) is a very heterogeneous disease characterised by an obstructive lung pattern that constitutes worldwide a major cause of high morbidity and mortality. In the last decades, lung volume reduction surgery (LVRS) has demonstrated to be a potential good alternative to transplant...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2018.06.156

    authors: Minervini F,Kestenholz PB,Paolini V,Pesci A,Libretti L,Bertolaccini L,Scarci M

    更新日期:2018-10-01 00:00:00

  • Sudden hypotension occurring after 4 days of left-sided central catheter placement.

    abstract::Central venous catheters (CVCs) have an important role in the management of critically ill patients. In contrast to the immediate complications after CVC insertion, the late complications were difficult to be noticed without high suspicion despite their life-threatening outcome. We report a rare but fatal delayed vasc...

    journal_title:Journal of thoracic disease

    pub_type:

    doi:10.21037/jtd.2017.08.50

    authors: Kim YJ,Kim WY

    更新日期:2017-09-01 00:00:00

  • Right upper sleeve lobectomy by video-assisted thoracic surgery.

    abstract::With accumulation of experiences in video-assisted thoracic surgery (VATS) lobectomy, complete VATS sleeve lobectomy (SL) has been carried out in more and more medical centers. We here presented a procedure of sleeve right upper lobectomy by complete VATS for a 62-year-old male patient with central squamous cell carci...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2018.03.112

    authors: Guo J,Liu Y,Liang C

    更新日期:2018-07-01 00:00:00

  • Prognostic analysis of the bronchoplastic and broncho-arterioplastic lobectomy of non-small cell lung cancers-10-year experiences of 161 patients.

    abstract:BACKGROUND:Bronchoplastic and broncho-arterioplastic lobectomy is technically demanding. Present study performed a prognostic analysis of lobectomy patient based on 10-year data in a high-volume center. METHODS:Overall, 161 non-small cell lung cancer (NSCLC) cases underwent bronchoplastic and broncho-arterioplastic lo...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2015.12.59

    authors: Zhao LL,Zhou FY,Dai CY,Ren YJ,Jiang GN,Fei K,Chen C

    更新日期:2015-12-01 00:00:00

  • Management of drug-resistant tuberculosis in special sub-populations including those with HIV co-infection, pregnancy, diabetes, organ-specific dysfunction, and in the critically ill.

    abstract::Tuberculosis remains a major problem globally, and is the leading cause of death from an infectious agent. Drug-resistant tuberculosis threatens to marginalise the substantial gains that have recently been made in the fight against tuberculosis. Drug-resistant TB has significant associated morbidity and a high mortali...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2018.05.11

    authors: Esmail A,Sabur NF,Okpechi I,Dheda K

    更新日期:2018-05-01 00:00:00

  • Management of clinical T2N0 esophageal cancer: a review.

    abstract::While management of locally advanced esophageal cancer has mostly involved multimodality therapy, management of clinical T2N0 patients has been more controversial, primarily as a result of inaccurate clinical staging with existing modalities. This review article examines current literature on this topic and provides r...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2019.07.85

    authors: Vining P,Birdas TJ

    更新日期:2019-08-01 00:00:00

  • Severe intraoperative complications during VATS Lobectomy compared with thoracotomy lobectomy for early stage non-small cell lung cancer.

    abstract:BACKGROUND:Video-assisted thoracic surgery (VATS) lobectomy has been proved to have shorter hospital stay, less perioperative complications and less pain compared with lobectomy by thoracotomy, but severe intraoperative complications during VATS lobectomy is rare reported. We compared intraoperative safety between VATS...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2013.08.13

    authors: Liang C,Wen H,Guo Y,Shi B,Tian Y,Song Z,Liu D

    更新日期:2013-08-01 00:00:00