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Operative Techniques in Thoracic and Cardiovascular Surgery最新文献

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Minimally Invasive Surgical Treatment of Atrial Fibrillation: A New Look at an Old Problem 心房颤动的微创手术治疗：一个老问题的新视角
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2026-03-01 Epub Date: 2024-11-22 DOI: 10.1053/j.optechstcvs.2024.10.003
Randall K. Wolf M.D. , Efrain A. Miranda Ph.D.
{"title":"Minimally Invasive Surgical Treatment of Atrial Fibrillation: A New Look at an Old Problem","authors":"Randall K. Wolf M.D. ,&nbsp;Efrain A. Miranda Ph.D.","doi":"10.1053/j.optechstcvs.2024.10.003","DOIUrl":"10.1053/j.optechstcvs.2024.10.003","url":null,"abstract":"<div><div>Over the past twenty years, we have utilized a minimally invasive, nonsternotomy, no-pump, beating heart surgical procedure to successfully treat over 3,000 atrial fibrillation (AF) patients<span><span><sup>1</sup></span></span> with outcomes that surpass those of tradition pulmonary vein isolation (PVI).<span><span><sup>1</sup></span></span><sup>,</sup><span><span><sup>2</sup></span></span> The procedure consists of bilateral minithoracotomies, left atrial isolation, electrical isolation of the superior vena cava, partial cardiac denervation, intraoperative EP testing and closure of the left atrial appendage. Patients are extubated at the end of the procedure in the operating room, and after a brief stay in PACU, are admitted to the regular floor (no ICU stay). This procedure has proven efficacious in all types of AF. Patient selection, details of the procedure, and postoperative care are described here. An alternative mechanism of action, and precise partial cardiac denervation, although not new, is presented.</div></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"31 1","pages":"Pages 2-26"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147661600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Introduction to Spring 2026 2026春季介绍
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2026-03-01 Epub Date: 2026-04-11 DOI: 10.1053/j.optechstcvs.2026.03.002
{"title":"Introduction to Spring 2026","authors":"","doi":"10.1053/j.optechstcvs.2026.03.002","DOIUrl":"10.1053/j.optechstcvs.2026.03.002","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"31 1","pages":"Page 1"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147661616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Commentary: The Technical and Technological Wonders of Minimally Invasive AF Ablation: How Do We Get From “Show and Tell” to Proof of Efficacy and Broad Clinical Adoption? 评论：微创房颤消融的技术奇迹：我们如何从“展示和讲述”到证明疗效和广泛的临床应用？
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2026-03-01 Epub Date: 2025-10-14 DOI: 10.1053/j.optechstcvs.2025.09.002
Michael Argenziano MD, FACS
{"title":"Commentary: The Technical and Technological Wonders of Minimally Invasive AF Ablation: How Do We Get From “Show and Tell” to Proof of Efficacy and Broad Clinical Adoption?","authors":"Michael Argenziano MD, FACS","doi":"10.1053/j.optechstcvs.2025.09.002","DOIUrl":"10.1053/j.optechstcvs.2025.09.002","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"31 1","pages":"Pages 41-43"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147661602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mustard Procedure With Gore-Tex Graft 芥末手术与Gore-Tex移植物
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2026-03-01 Epub Date: 2025-09-06 DOI: 10.1053/j.optechstcvs.2025.08.002
Yasuyuki Kobayashi MD, PhD, Sitaram M. Emani MD
{"title":"Mustard Procedure With Gore-Tex Graft","authors":"Yasuyuki Kobayashi MD, PhD,&nbsp;Sitaram M. Emani MD","doi":"10.1053/j.optechstcvs.2025.08.002","DOIUrl":"10.1053/j.optechstcvs.2025.08.002","url":null,"abstract":"<div><div>In an atrial switch operation, the choice between the Senning and Mustard procedures depends on the patient’s anatomy and is at the surgeon’s discretion. The comparative study of these procedures has been controversial in terms of survival and reintervention rates. Previous evidence has shown that baffle-related reoperations are not uncommon after the Mustard procedure with an autologous pericardial patch. The primary advantage of the Mustard procedure with a Gore-Tex graft is that the graft's curvature maintains the shape and lumen of the baffle, thereby reducing the risk of kinking, especially immediately after surgery. In this report, we describe the Mustard procedure as part of double-switch operations for usual levocardia, approached from the right-sided atrium, and for dextrocardia, approached from the left-sided atrium.</div></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"31 1","pages":"Pages 57-67"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147661613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Port-Access Totally Thoracoscopic Atrial Fibrillation Procedure: Epicardial Isolations and Left Atrial Appendage Stapler-Closure 全胸腔镜心房颤动手术：心外膜隔离和左心房附件吻合器关闭
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2026-03-01 Epub Date: 2024-12-03 DOI: 10.1053/j.optechstcvs.2024.10.004
Toshiya Ohtsuka MD
{"title":"Port-Access Totally Thoracoscopic Atrial Fibrillation Procedure: Epicardial Isolations and Left Atrial Appendage Stapler-Closure","authors":"Toshiya Ohtsuka MD","doi":"10.1053/j.optechstcvs.2024.10.004","DOIUrl":"10.1053/j.optechstcvs.2024.10.004","url":null,"abstract":"<div><div>Minimally invasive heart surgery<span> is developing to treat non-valvular atrial fibrillation, which can achieve rhythm-control and prevention of cardiogenic thromboembolisms<span><span>. Our procedure is a port-access totally thoracoscopic technique: radio-frequency bipolar endoscopic clamp-isolators and pen-coagulator perform endocardial<span> isolations of the left atrium and </span></span>superior vena cava<span> and an endoscopic stapler removes the left atrial appendage. This communication briefly explains the procedural indications, clinical settings, surgical technique (and its tips and pitfalls) and medication protocols associated with the operative course. The clinical outcomes, which were published before, are shared and the procedural characteristics, such as extensive clamp-isolations which can exclude important ganglionated plexi on the left atrium, is discussed. Our port-access totally thoracoscopic procedure for treatment of nonvalvular atrial fibrillation is a promising minimally invasive choice, which can satisfactorily maintain sinus rhythm and prevent cardiogenic stroke.</span></span></span></div></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"31 1","pages":"Pages 27-33"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147661615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Modified right ventricular overhaul procedure: Indications, techniques and outcome for pulmonary atresia with an intact ventricular septum 改良右心室检查程序：适应症，技术和结果肺闭锁与完整的室间隔
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2026-03-01 Epub Date: 2025-02-27 DOI: 10.1053/j.optechstcvs.2024.10.006
Shunji Sano MD, PhD , Yasuyuki Kobayashi MD , Yasuhiro Kotani MD. PhD , Hirofumi Seo MD, PhD , Nguyen Ly Thinh Truong MD, PhD
{"title":"Modified right ventricular overhaul procedure: Indications, techniques and outcome for pulmonary atresia with an intact ventricular septum","authors":"Shunji Sano MD, PhD ,&nbsp;Yasuyuki Kobayashi MD ,&nbsp;Yasuhiro Kotani MD. PhD ,&nbsp;Hirofumi Seo MD, PhD ,&nbsp;Nguyen Ly Thinh Truong MD, PhD","doi":"10.1053/j.optechstcvs.2024.10.006","DOIUrl":"10.1053/j.optechstcvs.2024.10.006","url":null,"abstract":"<div><div><span>The right ventricular (RV) overhaul procedure was proposed by Joshi and Mee as a part of early palliation<span> of pulmonary atresia and intact </span></span>ventricular septum<span> (PAIVS) in 1986. The purpose of this procedure was to immediately improve RV capacity, promote growth of right-sided cardiac structures, and foster successful biventricular repair (BVR). Although the number of cases of BVR has increased due to RV overhaul procedure, cases of RV dysfunction<span><span> after RV overhaul procedure have been reported. The original RV overhaul procedure included transatrial and transpulmonary resection of hypertrophied infundibular muscle, sinus myectomy<span>, and adjustment of an interatrial communication. Sinus myectomy may create RV free wall thinning, fibrosis at cutting edge of the infundibular myocardium and impaired </span></span>RV function<span>. Therefore, we have developed modified RV overhaul procedure, which is a transatrial and transpulmonary resection of hypertrophied infundibular muscle and transection/ resection only the muscle bundle at inlet and apical trabecular portion of RV instead of RV sinus myectomy. Modified RV overhaul procedure increased RV volume but also to promote growth of right-sided cardiac structures and improved RV diastolic function.</span></span></span></div></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"31 1","pages":"Pages 44-56"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147661603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Recent Articles in AATS Journals AATS期刊近期文章
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2026-03-01 Epub Date: 2026-03-14 DOI: 10.1053/j.optechstcvs.2026.03.001
{"title":"Recent Articles in AATS Journals","authors":"","doi":"10.1053/j.optechstcvs.2026.03.001","DOIUrl":"10.1053/j.optechstcvs.2026.03.001","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"31 1","pages":"Pages e3-e5"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147661617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Convergent Ablation and Left Atrial Appendage Exclusion: How to Do It Through a Unique Left Thoracoscopic Approach? 收敛消融和左心耳排除：如何通过独特的左胸腔镜入路进行？
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2026-03-01 Epub Date: 2025-07-22 DOI: 10.1053/j.optechstcvs.2025.06.003
Tesnim Besbes MD , Claudio Zamorano MD , Nebil Ajmi MD , Raoul Biondi MD , Frédéric Sebag MD , Konstantinos Zannis MD
{"title":"Convergent Ablation and Left Atrial Appendage Exclusion: How to Do It Through a Unique Left Thoracoscopic Approach?","authors":"Tesnim Besbes MD ,&nbsp;Claudio Zamorano MD ,&nbsp;Nebil Ajmi MD ,&nbsp;Raoul Biondi MD ,&nbsp;Frédéric Sebag MD ,&nbsp;Konstantinos Zannis MD","doi":"10.1053/j.optechstcvs.2025.06.003","DOIUrl":"10.1053/j.optechstcvs.2025.06.003","url":null,"abstract":"<div><div>Long standing persistent atrial fibrillation has a complex physiopathology with limited effective therapeutic options. We describe an alternative approach to the convergent hybrid ablation that is effective and allows an extended ablation with left atrial appendage exclusion through one access. We present the details of this surgical technique.</div></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"31 1","pages":"Pages 34-40"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147661601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mastering the Percutaneous Pigtail Thoracostomy Catheter Placement: A Technical Approach for Precision, Safety and Comfort 掌握经皮辫状胸造口导管置入：一种精确、安全、舒适的技术途径
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2026-03-01 Epub Date: 2025-08-05 DOI: 10.1053/j.optechstcvs.2025.07.002
Lise N. Tchouta MD, MS, Lucy Nam MD, Boateng Kubi MD, Jordan P. Bloom MD, MPH
{"title":"Mastering the Percutaneous Pigtail Thoracostomy Catheter Placement: A Technical Approach for Precision, Safety and Comfort","authors":"Lise N. Tchouta MD, MS,&nbsp;Lucy Nam MD,&nbsp;Boateng Kubi MD,&nbsp;Jordan P. Bloom MD, MPH","doi":"10.1053/j.optechstcvs.2025.07.002","DOIUrl":"10.1053/j.optechstcvs.2025.07.002","url":null,"abstract":"<div><div>Catheter-based thoracostomy using “pigtail catheters” has become a ubiquitous procedure for the management of pleural effusion or pneumothorax in many patient populations. Despite their widespread use, these small-bore catheters carry potential risks of significant morbidity and mortality, including intrathoracic vascular injury, parenchymal lung injury, and intra-abdominal placement. Moreover, malpositioned pigtail catheters are a notable cause of delayed care, increased cost, and frustration for patients and providers. Careful technique and understanding of the nuances in pigtail catheter placement can mitigate these complications and provide a roadmap for effective drainage.</div></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"31 1","pages":"Pages 68-76"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147661614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patch Augmentation of Superior Bridging Leaflet in Rastelli Type A Atrioventricular Septal Defect Repair 上桥小叶补片在Rastelli型A型房室间隔缺损修复中的应用
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2025-12-01 Epub Date: 2025-08-15 DOI: 10.1053/j.optechstcvs.2025.06.005
Hironori Matsuhisa MD, PhD
{"title":"Patch Augmentation of Superior Bridging Leaflet in Rastelli Type A Atrioventricular Septal Defect Repair","authors":"Hironori Matsuhisa MD, PhD","doi":"10.1053/j.optechstcvs.2025.06.005","DOIUrl":"10.1053/j.optechstcvs.2025.06.005","url":null,"abstract":"<div><div>The 2 patch technique is the most standardized procedure for complete atrioventricular septal defect. However, patch insertion into the ventricular septal defect is sometimes difficult, especially in patients with Rastelli type A, and the technique itself does not address the deficiency of the left superior leaflet. We present the simplified patch augmentation technique of the left superior bridging leaflet as part of the 2 patch technique. This technique gives enough leaflet volume to establish the left atrioventricular valvular competency with minimal leaflet dehiscence risk.</div></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"30 4","pages":"Pages 295-302"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145610249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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