{"title":"Recent Articles in AATS Journals","authors":"","doi":"10.1053/S1522-2942(22)00088-5","DOIUrl":"https://doi.org/10.1053/S1522-2942(22)00088-5","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 3","pages":"Pages e4-e6"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1522294222000885/pdfft?md5=3159d8058ddc64a8ac0bf8af75ff02dc&pid=1-s2.0-S1522294222000885-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136596600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Introduction for Volume 27 Issue 3","authors":"","doi":"10.1053/j.optechstcvs.2022.08.003","DOIUrl":"https://doi.org/10.1053/j.optechstcvs.2022.08.003","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 3","pages":"Page 245"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136919611","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}
Malakh Shrestha , Erik Beckmann , Tim Kaufeld, Axel Haverich, Andreas Martens
{"title":"Total Aortic Arch Replacements With a 4 Branched Frozen Elephant Trunk (FET) Graft in Acute Aortic Dissection (DeBakey type I)","authors":"Malakh Shrestha , Erik Beckmann , Tim Kaufeld, Axel Haverich, Andreas Martens","doi":"10.1053/j.optechstcvs.2021.12.004","DOIUrl":"10.1053/j.optechstcvs.2021.12.004","url":null,"abstract":"<div><p>The “frozen elephant trunk” (FET) technique was developed by Karck et al., who modified Borst's ET technique by using a stent graft to secure the distal ET section. Working in collaboration with Vascutek Terumo, we in Hannover Medical School introduced the 4-branched hybrid FET graft In 2012 (Thoraflex Hybrid). However, the results after open aortic arch repair mainly depend on perioperative management and patient factors. Over the years, peri-operative management and operative techniques have evolved greatly contributing to better results. We describe our surgical technique of implantation of this hybrid graft in acute aortic dissection Stanford type A, DeBakey type I (AADA DeBakey I) patients.</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 3","pages":"Pages 246-260"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46600491","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}
{"title":"Recent Articles in AATS Journals","authors":"","doi":"10.1053/j.optechstcvs.2022.08.002","DOIUrl":"https://doi.org/10.1053/j.optechstcvs.2022.08.002","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 3","pages":"Pages iv-vi"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1522294222000769/pdfft?md5=0aa2faca04f2e7e2b32eacac14ca5960&pid=1-s2.0-S1522294222000769-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136919612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Extended Replacement of the Aortic Arch and Descending Aorta","authors":"Yutaka Okita","doi":"10.1053/j.optechstcvs.2022.06.003","DOIUrl":"10.1053/j.optechstcvs.2022.06.003","url":null,"abstract":"<div><p><em>Objective:</em> Reporting our experience of total arch replacement through the left thoracotomy. <em>Patients:</em> From October 1999 to April 2021, 69 patients, aging 62.4 ± 13.7 years (26-84), underwent extensive aortic arch replacement from the ascending aorta, aortic arch, and to the descending aorta. The aneurysm consisted with 2 acute type A dissection, 35 chronic type A dissection, 1 acute type B dissection, 11 chronic type B dissection, 12 non-dissection plus chronic type B dissection, 11 nondissection with mega-aorta, and 4 Kommerell diverticulum. Various segments of aorta were replaced prior to extensive surgery, such as aortic root 7, ascending aorta 25, arch 3, descending aorta 1, thoracoabdominal aorta 1, and AAA 3. Two had ruptured aneurysm, 2 had intraoperative aortic dissection, 3 had graft infection, 2 had tracheotomy, and 1 had cardiac arrest. Methods: Forty-five patients had left posterolateral thoracotomy, 8 had anterolateral left thoracotomy plus partial midsternotomy, 2 had midsternotomy plus left thoracotomy, 2 had right posterolateral thoracotomy, I had Clamshell bilateral thoracotomy, and 13 had left thoracotomy + retroperitoneal approach. All patients underwent total arch and descending aorta replacement. In addition, three had aortic root replacement, 3 had ST junction plication, on had AVR, 12 had reconstruction of the segmental arteries, 13 had replacement of the thoracoabdominal aorta, and 2 had esophagus resection. Sixty-five had antegrade cerebral perfusion and 4 had deep hypothermic circulatory arrest with retrograde cerebral perfusion. <em>Results:</em> There were 4 early deaths (5.8 %). The causes of deaths were preoperative cardiac arrest due to aneurysm rupture, low cardiac output, acute myocardial infarction, and head injury. <em>Conclusion:</em> Extended replacement of the aortic arch and the descending aorta might be useful for the selected patients.</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 3","pages":"Pages 278-288"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42138287","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}
{"title":"Commentary: Reasons to Bother","authors":"Todd L. Demmy , Mark W. Hennon","doi":"10.1053/j.optechstcvs.2022.06.006","DOIUrl":"10.1053/j.optechstcvs.2022.06.006","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 3","pages":"Pages 359-362"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45440375","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}
{"title":"Lower Partial Mini-Sternotomy for Congenital Cardiac Surgery","authors":"David Blitzer, Ismail Bouhout, Emile Bacha","doi":"10.1053/j.optechstcvs.2022.06.007","DOIUrl":"10.1053/j.optechstcvs.2022.06.007","url":null,"abstract":"<div><p>With the continuous decrease in morbidity and mortality associated with cardiac surgery, there has been a trend toward the development of operative techniques that are aimed toward improving other measures such as cosmetic outcomes. We have previously reported on such efforts, where a lower partial mini sternotomy is utilized to limit the skin incision and extent of median sternotomy. In this article we detail the operative technique for lower partial mini-sternotomy for the repair of congenital cardiac defects.</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 3","pages":"Pages 289-293"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45638671","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}
Sameer A. Hirji , Aaron Dezube , William Phillips , S. Stafford Balderson , H. Volkan Kara , Thomas A. D'Amico
{"title":"Video-Assisted Thoracic Surgery Technique for Chest Wall Resection","authors":"Sameer A. Hirji , Aaron Dezube , William Phillips , S. Stafford Balderson , H. Volkan Kara , Thomas A. D'Amico","doi":"10.1053/j.optechstcvs.2022.03.004","DOIUrl":"https://doi.org/10.1053/j.optechstcvs.2022.03.004","url":null,"abstract":"<div><p>Chest wall resection is indicated in the management of operable primary chest wall tumors and lung cancers with chest wall invasion in carefully selected patients. Traditionally, chest wall resection has been performed via open thoracotomy, which is associated with significant postoperative pain and other associated morbidities. Furthermore, depending on the size and location of the resulting chest wall defect, chest wall reconstruction is warranted to maintain overall chest wall integrity, preserve inherent respiratory mechanics, and protect underlying intrathoracic structures. Video assisted thoracic surgery (VATS) techniques are an emerging and alternative technique to open chest wall resection, and have the potential benefit of minimizing the overall incision size, avoiding extensive rib spreading, and reducing tissue trauma. Given the technical challenges and lack of robust prospective outcomes data, VATS chest wall resection has not been widely adopted, but early reports appear to demonstrate its feasibility without apparent detriment to safety in selected patient populations. In this review, we detail relevant operative steps related to patient positioning and strategic port placement, anatomical dissection, and reconstruction options, as well as provide useful trouble shooting tips and tricks to help optimize outcomes following VATS chest wall resection.</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 3","pages":"Pages 345-358"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136919613","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}
{"title":"Repair of Common Atrioventricular Valve in Univentricular Circulation Using Adjustable Annular Bridging Technique","authors":"Shingo Kasahara, Yasuhiro Kotani","doi":"10.1053/j.optechstcvs.2022.03.003","DOIUrl":"10.1053/j.optechstcvs.2022.03.003","url":null,"abstract":"<div><p>The main reason for common atrioventricular valve regurgitation is the enlargement of the valve annulus contralaterally to the aorta and pulmonary artery. Edge-to-edge repair can be used to address the regurgitation; however, there might be potential disadvantage that a fixed bridging leaflet could have a restrictive motion, leading to recurrence of atrioventricular valve regurgitation. To avoid this issue and address the anteroposterior dilatation of the annulus, we have developed an adjustable annular bridging technique.</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 3","pages":"Pages 302-308"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45545960","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}