Giant saphenous vein graft aneurysm compressing the lingular bronchus

Abstract

Central Message Saphenous vein graft aneurysms with mechanical complications should be repaired via a non-sternotomy open surgical technique.

JCS/JHRS 2019 guideline on non‐pharmacotherapy of cardiac arrhythmias

“…A meta‐analysis of 11 articles including RCTs and non‐RCTs (RCT analysis up to 1 year after surgery) did not show any significant effect in preventing postoperative late‐stage cerebral infarction. 1255 Conversely, 2 studies from Japan 1263 , 1264 (up to 10 and 8 years of follow‐up) showed significant prevention of cerebral infarction in the late stage, and a meta‐analysis of 5 non‐RCTs, including those 2 articles, 1255 found similar results. Another meta‐analysis 1260 showed that the longer the postoperative observation period, the higher the odds ratio of preventing cerebral infarction.…”

“…A meta‐analysis found no significant difference in the incidence of cerebral infarction or other major complications during the perioperative period; however, the frequency of implantation of a new pacemaker after surgery increased with the application of the maze procedure. 1255 Another meta‐analysis did not find a significant difference in postoperative renal function impairment, although the incidence was increased according to an analysis of the STS database. 1262 …”

“… 1247 , 1248 , 1249 , 1250 , 1251 , 1252 Clinical data have been accumulated, and even after the publication of the 2012 guidelines, consensus statements and guidelines of various overseas academic societies were updated based on the new data. 7 , 578 , 691 , 1253 , 1254 , 1255 …”

“…Regardless of the difference in invasiveness, the operative mortality rate is not increased by concomitant AF surgery. 1257 , 1258 , 1259 , 1260 , 1261 A meta‐analysis of 10 RCTs and 14 non‐RCTs 1255 and an analysis of the Society of Thoracic Surgeons (STS) database 1262 indicated that AF surgery can improve the postoperative 30‐day mortality. A meta‐analysis found no significant difference in the incidence of cerebral infarction or other major complications during the perioperative period; however, the frequency of implantation of a new pacemaker after surgery increased with the application of the maze procedure.…”

“…The effect of improving life prognosis in the long‐term postoperative period was not significantly different up to 1 year after surgery in an RCT; however, a meta‐analysis of 28 articles, including non‐RCTs with extended follow‐up, showed that AF surgery significantly improved the long‐term prognosis. 1255 …”