Technological development frontier and future trend of cardiovascular surgery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

SHANG Xiaoke , ZHANG Changdong , ZHONG Yucheng ,  DONG Nianguo

Cardiovascular Surgery, Huazhong University of Science and Technology, Union Hospital Affiliated Tongji Medical College, Wuhan, 430022, P. R. China;

Corresponding author：

DONG Nianguo, Email: sxs_dng@163.com

Keywords：

Lifelong management; new artificial heart valve prosthesis; valve in valve; beating-heart septal myectomy; cardiac structural intervention; extended standard donors; ventricular assist device

DOI：

10.7507/1007-4848.202408005

Video：

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In recent years, the field of cardiovascular surgery has undergone revolutionary changes and made rapid progress in various aspects, bringing more hope and possibilities for the health and well-being of patients. As in every era full of change, opportunities and challenges always coexist. The constant emergence of new technologies brings new opportunities and hope, as well as constant challenges to past concepts. This article aims to comprehensively summarize the latest developments in cardiovascular surgery, especially since 2023, introduce cutting-edge knowledge and technologies in the field of cardiovascular surgery, and deeply analyze and explore future development directions, in order to provide useful references and inspirations for cardiovascular doctors and jointly promote the continuous progress of cardiovascular surgery in China.

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2. Blankenberg S, Seiffert M, Vonthein R, et al. Transcatheter or surgical treatment of aortic-valve stenosis. N Engl J Med, 2024, 390(17): 1572-1583.
3. Thyregod HGH, Jørgensen TH, Ihlemann N, et al. Transcatheter or surgical aortic valve implantation: 10-year outcomes of the NOTION trial. Eur Heart J, 2024, 45(13): 1116-1124.
4. Elbasha K, Kaur J, Abdelghani M, et al. Ten-year durability, hemodynamic performance, and clinical outcomes after transcatheter aortic valve implantation using a self-expanding device. Cardiol Ther, 2024, 13(3): 529-540.
5. Tarantini G, Dvir D, Tang GHL. Transcatheter aortic valve implantation in degenerated surgical aortic valves. EuroIntervention, 2021, 17(9): 709-719.
6. Mehta CK, Liu TX, Bonnell L, et al. Age-stratified surgical aortic valve replacement for aortic stenosis. Ann Thorac Surg, 2024, 118(2): 430-438.
7. Sharma T, Krishnan AM, Lahoud R, et al. National trends in TAVR and SAVR for patients with severe isolated aortic stenosis. J Am Coll Cardiol, 2022, 80(21): 2054-2056.
8. Basman C, Pirelli L, Singh VP, et al. Lifetime management for aortic stenosis: Planning for future therapies. J Cardiol, 2022, 80(3): 185-189.
9. Russo G, Tang GHL, Sangiorgi G, et al. Lifetime management of aortic stenosis: Transcatheter versus surgical treatment for young and low-risk patients. Circ Cardiovasc Interv, 2022, 15(11): 915-927.
10. Baman JR, Medhekar AN, Malaisrie SC, et al. Management challenges in patients younger than 65 years with severe aortic valve disease: A review. JAMA Cardiol, 2023, 8(3): 281-289.
11. Mylonas KS, Angouras DC. Bioprosthetic valves for lifetime management of aortic stenosis: Pearls and pitfalls. J Clin Med, 2023, 12(22): 7063.
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