Operative Techniques in Thoracic and Cardiovascular Surgery最新文献_第2页

Surgical Implantation of Melody Valve in Mitral Position in Infants and Small Children: Toronto SickKids Method 婴儿和儿童二尖瓣位置的外科植入：多伦多病童方法

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2025-06-01 DOI: 10.1053/j.optechstcvs.2024.11.002

Osami Honjo MD, PhD , Mimi X. Deng MD

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引用次数: 0

Adult Articles in AATS Journals 成人文章在AATS期刊

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2025-06-01 DOI: 10.1053/j.optechstcvs.2025.05.001

引用次数: 0

The Ventricular Switch Procedure Atlas: Adopting the Right Ventricle for the Systemic Circulation 心室开关程序图集：采用右心室进行体循环

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2025-06-01 DOI: 10.1053/j.optechstcvs.2024.07.007

Hani K. Najm MD, MSc, Munir Ahmad MD, John P. Costello MD, Tara Karamlou MD, MSc

{"title":"The Ventricular Switch Procedure Atlas: Adopting the Right Ventricle for the Systemic Circulation","authors":"Hani K. Najm MD, MSc, Munir Ahmad MD, John P. Costello MD, Tara Karamlou MD, MSc","doi":"10.1053/j.optechstcvs.2024.07.007","DOIUrl":"10.1053/j.optechstcvs.2024.07.007","url":null,"abstract":"<div><div>Patients born with complex heterotaxy syndromes and patients with complex intra-cardiac connections are generally routed to univentricular pathways. This subgroup of patients typically carries poor long-term prognosis due to the frequent presence of unpartitioned atrioventricular valve and other morphological determinants that are associated with univentricular failure. Adopting the left ventricle in the systemic circulation would be the ideal choice if achievable. However, the presence of complex venous or arterial connections may make this infeasible. To overcome these limitations, we have introduced the concept of the “Ventricular Switch Procedure” (VSP) wherein the right ventricle is harnessed to serve as the systemic ventricle, while utilizing the left ventricle for the subpulmonary ventricle. The VSP paradigm offers prospect of a either a one-and-a-half or biventricular circulation for these patients. Here, we present 4 examples of complex congenital cardiac malformations and their surgical management to exemplify the principles of this surgical concept and illustrate how different techniques may be employed to achieve a right ventricle-based biventricular circulation.</div></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"30 2","pages":"Pages 144-153"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144557063","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

Valve Sparing Root Replacement in Acute Type A Dissection 保留瓣膜根置换术治疗急性A型夹层

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2025-05-20 DOI: 10.1053/j.optechstcvs.2025.04.001

Alexander P. Nissen MD, Bradley G. Leshnower MD

引用次数: 0

Step-by-Step Approach for Septal Myectomy in Patients With Obstructive Hypertrophic Cardiomyopathy 阻塞性肥厚性心肌病患者中隔肌切除术的分步方法

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2025-04-17 DOI: 10.1053/j.optechstcvs.2025.03.005

Tedy Sawma MD, Hartzell V. Schaff MD

引用次数: 0

Personalized External Root Support for the Pulmonary Autograft in the Aortic Position: The ROSS-PEARS Procedure 主动脉位置自体肺移植物的个性化外根支持：ROSS-PEARS手术

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2025-03-21 DOI: 10.1053/j.optechstcvs.2025.01.004

Muhammed Hebala FRCS(CTh) , Mohamed Nassar FRCS(CTh) , Conal Austin FRCS(CTh) , Louise Kenny FRCS(CTh)

引用次数: 0

Comprehensive surgical technique for the neonatal and infant Ross Konno procedure – technical pearls 新生儿和婴儿罗斯科诺手术的综合外科技术-技术珍珠

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2025-03-01 DOI: 10.1053/j.optechstcvs.2024.07.006

Yishay Orr MBBS BSc (med) PhD FRACS , Richard B. Chard MBBS FRACS

{"title":"Comprehensive surgical technique for the neonatal and infant Ross Konno procedure – technical pearls","authors":"Yishay Orr MBBS BSc (med) PhD FRACS , Richard B. Chard MBBS FRACS","doi":"10.1053/j.optechstcvs.2024.07.006","DOIUrl":"10.1053/j.optechstcvs.2024.07.006","url":null,"abstract":"<div><div>The Ross Konno procedure is a technically demanding operation in neonates and infants, particularly in small babies and those with significant aortic annular and left ventricular outflow tract hypoplasia. There are several key technical considerations for harvesting the pulmonary autograft with care to preserve the left main coronary artery and the septal perforating arteries in addition to ensuring an optimal muscle cuff on the base of the autograft. Accommodation of the autograft deep within the native aortic valve annulus by performing an appropriate Konno incision and ensuring correct suture placement is essential. Adequate epicardial mobilisation and subsequent reimplantation of the coronary arteries into the autograft neo-aortic root is also a key consideration given the significant radial displacement of the coronary arteries required to accommodate the often much larger autograft into the space of a previously very small aortic root. Although the overall technical details of the Ross Konno procedure have previously been described by others the specific granular technical detail and meticulous approach required for a successful procedural outcome in neonates and infants remains to be fully elucidated. Key technical considerations such as suture spacing, positioning of the autograft with in the Konno incision and management of the coronary arteries require detailed description. We describe our institutional approach to the Ross Konno procedure in neonates and infants to clarify these important technical considerations.</div></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"30 1","pages":"Pages 46-66"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143642917","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}

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Commentary: The more the merrier. Another technique to treat left ventricular outflow tract obstruction 评论：人越多越好。另一种治疗左心室流出道阻塞的技术

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2025-03-01 DOI: 10.1053/j.optechstcvs.2024.09.001

Nicholas G. Smedira MD

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Commentary: Avoid Flying Blind During TEVAR for Acute Type B Aortic Dissection 评论：急性B型主动脉夹层患者在TEVAR期间避免盲目飞行

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2025-03-01 DOI: 10.1053/j.optechstcvs.2025.01.003

Alexander P. Nissen MD, Bradley G. Leshnower MD

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Adult Articles in AATS Journals 成人文章在AATS期刊

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2025-03-01 DOI: 10.1053/j.optechstcvs.2025.03.001

引用次数: 0