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

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

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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 , Yasuyuki Kobayashi MD , Yasuhiro Kotani MD. PhD , Hirofumi Seo MD, PhD , 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

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

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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

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

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 : 2025-12-01 Epub Date: 2025-10-28 DOI: 10.1053/j.optechstcvs.2025.10.001

引用次数: 0

New Ozaki Procedure Overview 新尾崎程序概述

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2025-12-01 Epub Date: 2025-03-24 DOI: 10.1053/j.optechstcvs.2025.03.003

Takuya Fujikawa MD, Shigeyuki Ozaki MD, PhD, Nagaki Kiyohara MD, Masami Goda MD, Mikio Takatoo MD, Shinichiro Shimura MD, PhD

{"title":"New Ozaki Procedure Overview","authors":"Takuya Fujikawa MD, Shigeyuki Ozaki MD, PhD, Nagaki Kiyohara MD, Masami Goda MD, Mikio Takatoo MD, Shinichiro Shimura MD, PhD","doi":"10.1053/j.optechstcvs.2025.03.003","DOIUrl":"10.1053/j.optechstcvs.2025.03.003","url":null,"abstract":"<div><div>Seventeen years have passed since the Ozaki procedure started in 2007. In the first series we reported in 2010, we used the first generation template and sizer, and we had already achieved excellent outcomes with them. Many surgeons worldwide have started using the Ozaki procedure, and their reports are now being published from all over the world. However, with the conventional templates, actual points to suture on the new cusp could vary depending on the surgeons because the dots on the template were not the actual suture points. We also experienced 3 cases in which coronary artery occlusion by the valve cusps occurred after releasing the aortic cross-clamp. The previous sizer also had some issues because of the position of the handle and the top corner height. And it might cause inaccurate measurements of each cusp size. Based on the above experience, we have gradually upgraded the template and sizer to improve the outcomes and standardize the procedure. The current ones are the third generation, and each shape is completely different from the previous ones. With this new template and sizer, the tips for actual procedures have also changed. Here, we will once again describe the Ozaki procedure using the third generation sizer and template as the “New Ozaki Procedure.”</div></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"30 4","pages":"Pages 246-274"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145610246","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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Introduction to Winter 2025 《2025年冬天》简介

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2025-12-01 Epub Date: 2025-11-28 DOI: 10.1053/j.optechstcvs.2025.11.001

引用次数: 0