Background: Thoracic trauma is one of the major causes of morbidity and mortality among trauma patients worldwide [1,2]. Video-assisted thoracic surgery (VATS) has evolved as a diagnostic and therapeutic approach for hemodynamically stable thoracic trauma patients [3–5]. This study aims to evaluate clinical outcomes and feasibility of early VATS as a first-line surgical option for thoracic trauma in selected cases. Methods: We present a case series of seven patients with thoracic trauma undergoing VATS between 2023 and 2025. Collected variables included demographics, injury mechanisms, intraoperative findings, need for conversion, complications, and hospital stay. Primary outcomes were technical success and safety; secondary outcomes included duration of hospital stay and postoperative complications. Results: In all cases, undetected pulmonary parenchymal injuries were identified and repaired thoracoscopically. No conversions to thoracotomy were required. Patients demonstrated shorter hospital stays (8.7± 3.4 days) and no postoperative infections or major complications. Conclusions: Early VATS appears to be a safe, minimally invasive, and effective first-line option for selected stable thoracic trauma, allowing accurate diagnosis, targeted intervention, and rapid recovery with minimal morbidity. Major multicenter studies are required to validate these preliminary results.

Background : Pulmonary hypertension (PH) is a common complication of heart failure (HF) with a significant impact on disease progression, and mortality. Left ventricular assist device (LVAD) implantation can improve haemodynamic status and survival as a “bridge to transplantation”. Aim of this study is to characterise haemodynamic after LVAD implantation based on the latest definitions of the PH Guidelines 2022, and to identify predictors of haemodynamic changes.