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

Trans-Atrial Approach to the “Swiss-Cheese” Ventricular Septal Defects: Sandwich Technique 经心房入路治疗“瑞士干酪”室间隔缺损：三明治技术

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2024-06-01 DOI: 10.1053/j.optechstcvs.2022.12.003

Naoki Yoshimura MD, PhD , Hironori Matsuhisa MD, PhD , Yoshihiro Oshima MD, PhD

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Simple But Effective Modifications to the Cox Maze Procedure Using Only Cryoablation 仅使用低温消融术对 Cox 迷宫术进行简单而有效的修改

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2024-06-01 DOI: 10.1053/j.optechstcvs.2023.05.006

Patrick M. McCarthy MD

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Trans-Ventricular Approach to “Swiss-Cheese” Ventricular Septal Defects: Septal Exclusion Technique 经心室入路治疗“瑞士干酪”室间隔缺损：间隔排除技术。

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2024-06-01 DOI: 10.1053/j.optechstcvs.2022.12.002

Igor E. Konstantinov MD, PhD, FRACS , Antonia Schulz MD , Edward Buratto MBBS, PhD, FRACS

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Robotic-Assisted Transthoracic Diaphragm Plication 机器人辅助经胸横膈膜穿刺术

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2024-06-01 DOI: 10.1053/j.optechstcvs.2023.10.004

Anna K. Gergen MD , Christina M. Stuart MD , Brandon M. Wojcik MD , Robert A. Meguid MD, MPH , Christopher D. Scott MD

{"title":"Robotic-Assisted Transthoracic Diaphragm Plication","authors":"Anna K. Gergen MD , Christina M. Stuart MD , Brandon M. Wojcik MD , Robert A. Meguid MD, MPH , Christopher D. Scott MD","doi":"10.1053/j.optechstcvs.2023.10.004","DOIUrl":"10.1053/j.optechstcvs.2023.10.004","url":null,"abstract":"<div><p><span>Diaphragm dysfunction, either from congenital eventration or acquired paralysis, impairs the ability of the diaphragm to contract, thereby disrupting normal respiratory mechanics. While a proportion of patients will present with respiratory insufficiency or </span>symptoms<span><span> of dyspnea, the majority of patients are asymptomatic and most cases are identified incidentally on chest imaging by the presence of an elevated </span>hemidiaphragm<span><span>. In symptomatic patients, surgical plication<span><span> of the diaphragm remains the gold standard treatment. Traditionally, diaphragm plication is performed through an open transthoracic approach via a posterolateral </span>thoracotomy. However, more recently there has been increased utilization of </span></span>minimally invasive techniques<span>, including video-assisted thoracoscopic and laparoscopic approaches. Here, we present our technique for robotic-assisted transthoracic plication, with advantages including enhanced ergonomics, seamless motion, decreased surgeon fatigue, tremor filtering, and 3-dimensional vision. This approach has been demonstrated to be a technically feasible and safe option for performing diaphragm plications with an associated decreased hospital length of stay and trend towards decreased 30-day postoperative complications compared to open plication.</span></span></span></p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139194042","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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Operative Techniques in Thoracic and Cardiovascular Surgery Introduction to Summer 2024 胸腔和心血管外科手术技术 2024 年夏季课程介绍

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2024-06-01 DOI: 10.1053/j.optechstcvs.2024.05.003

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Recent Articles in AATS Journals 最近在 AATS 期刊上发表的文章

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2024-06-01 DOI: 10.1053/j.optechstcvs.2024.05.001

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Transatrial Approach to the “Swiss-cheese” Ventricular Septal Defects: Re-endocardialization Technique 经心房方法治疗 "瑞士奶酪 "室间隔缺损：再心内膜化技术

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2024-06-01 DOI: 10.1053/j.optechstcvs.2023.12.002

Osami Honjo MD, PhD , Mimi Xiaoming Deng MD

{"title":"Transatrial Approach to the “Swiss-cheese” Ventricular Septal Defects: Re-endocardialization Technique","authors":"Osami Honjo MD, PhD , Mimi Xiaoming Deng MD","doi":"10.1053/j.optechstcvs.2023.12.002","DOIUrl":"10.1053/j.optechstcvs.2023.12.002","url":null,"abstract":"<div><p>Transatrial re-endocardialization (TAR) is a technique used to complement conventional patch repair of multiple ventricular septal defects (mVSD). To inform operative strategy, pre-operative imaging is supplemented by pre-cardiopulmonary bypass (CPB) intraoperative epicardial echocardiography to understand the size and location of all VSDs. After standard cannulation and arrest, L-shaped right atriotomy is performed and the superior margin of VSDs are marked. Perimembraneous and moderate-large VSDs with insufficient surrounding trabeculae are closed with patch repair. Remaining small muscular VSDs are addressed by TAR, whereby the defect is closed in 2-layers with fine polypropylene suture for superficial re-approximation of adjacent right ventricular trabeculation. Success of repair is evaluated with high-pressure left ventricular injection and pulmonary-systemic flow ratio after CPB is weaned. Adding TAR to the armamentarium of mVSD repair strategies allows for reduction of patch size, thereby decreasing the risk of ventricular septal dyskinesis and heart block.</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139193583","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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Three-dimensional printing in the closure of multiple muscular ventricular septal defects 三维打印在多发性肌性室间隔缺损闭合中的应用

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2024-06-01 DOI: 10.1053/j.optechstcvs.2023.04.001

Shalom Andugala MS, MCh (CTh) , Caroline Grant PhD , Jennifer Powell FRANZCR , Supreet Marathe MD, MCh (CTh) , Prem Venugopal FRACS, FRCS (CTh) , Nelson Alphonso FRACS, FRCS (CTh)

{"title":"Three-dimensional printing in the closure of multiple muscular ventricular septal defects","authors":"Shalom Andugala MS, MCh (CTh) , Caroline Grant PhD , Jennifer Powell FRANZCR , Supreet Marathe MD, MCh (CTh) , Prem Venugopal FRACS, FRCS (CTh) , Nelson Alphonso FRACS, FRCS (CTh)","doi":"10.1053/j.optechstcvs.2023.04.001","DOIUrl":"10.1053/j.optechstcvs.2023.04.001","url":null,"abstract":"<div><p><span>The closure of multiple muscular ventricular septal defects<span> poses a unique challenge to the surgeon with inherent risks of residual defects, conduction blocks, and ventricular dysfunction<span>. The trabeculations in the right ventricle often make it difficult to identify and visualize the edges of the defects. More recently 3 dimensional (3D) models are increasingly being used in the management of various complex </span></span></span>congenital heart defects<span><span>. We present our technique of closing multiple muscular ventricular septal defects (VSDs) using individualized 3D printed models. The stepwise process requires a multidisciplinary approach between the cardiologist, cardiac surgeon, cardiac radiologist, and 3D engineer. As the 3D model exactly replicates the intracardiac anatomy<span> including that of the trabeculations in the region of the multiple VSDs, this technique facilitates the precise location of the defects and obviates the requirement to ‘search’ for the defects intraoperatively. The defects can be located through a shorter right ventricular incision and the defects can be closed with a shorter </span></span>myocardial ischemia<span> time. Three-dimensional printing facilitates individualization of surgical management, and we recommend the addition of 3D printing to the armamentarium of surgeons dealing with the challenge of closing multiple muscular VSDs in children.</span></span></p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48698011","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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Implantation Technique for the Aeson Total Artificial Heart Aeson 全人工心脏的植入技术

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2024-06-01 DOI: 10.1053/j.optechstcvs.2024.01.002

André Vincentelli MD, PhD , Yuriy Pya MD , Ivan Netuka MD, PhD , Assad Haneya MD, PhD , Jan Schmitto MD, PhD , Michel Kindo MD, PhD , Peter Wearden MD, PhD , Piet Jansen MD, PhD , Christian Latremouille MD, PhD

{"title":"Implantation Technique for the Aeson Total Artificial Heart","authors":"André Vincentelli MD, PhD , Yuriy Pya MD , Ivan Netuka MD, PhD , Assad Haneya MD, PhD , Jan Schmitto MD, PhD , Michel Kindo MD, PhD , Peter Wearden MD, PhD , Piet Jansen MD, PhD , Christian Latremouille MD, PhD","doi":"10.1053/j.optechstcvs.2024.01.002","DOIUrl":"10.1053/j.optechstcvs.2024.01.002","url":null,"abstract":"<div><p>The autoregulated, pulsatile Aeson total artificial heart (Carmat SA, Vélizy, France) is a single-unit biventricular device. The central body comprises the 2 blood pumping ventricles and separate technical compartments which house 2 electrohydraulic pumps and control electronics which employ an algorithm informed by pressure sensors and volume detection transducers in each ventricle. The prosthesis is connected by an 8 mm driveline, which exits the skin in the lower right quadrant, to an external routing module and a controller powered by batteries. Since the first implantation took place in 2013, more than 50 patients have been successfully implanted during clinical studies, and commercially after the Aeson obtained its CE mark in 2020, as a bridge to transplant device. The size of the device and the lack of adhesions around the device body have been shown to facilitate relatively easy explanation and subsequent transplantation.</p><p>With the growing experience, the implant procedure has evolved from experimental to a well-established routine procedure. The purpose of this article is to provide a guide for potential implanters in order to ensure that the advanced design benefits of the Aeson TAH are realized by incorporating optimal surgical techniques.</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1522294224000047/pdfft?md5=24bdf33bbcc8b2e7b8976019caf1387c&pid=1-s2.0-S1522294224000047-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139819389","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}

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Minimally Invasive Complex Segmentectomies of the Right Upper Lobe: Anterior Segmentectomy, Apical Segmentectomy, and Posterior Segmentectomy 右上叶复杂节段的微创切除术:前节段切除术、根尖节段切除术和后节段切除术

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2024-03-01 DOI: 10.1053/j.optechstcvs.2023.06.002

Eserval Rocha Júnior MD , Ricardo Mingarini Terra MD, PhD

{"title":"Minimally Invasive Complex Segmentectomies of the Right Upper Lobe: Anterior Segmentectomy, Apical Segmentectomy, and Posterior Segmentectomy","authors":"Eserval Rocha Júnior MD , Ricardo Mingarini Terra MD, PhD","doi":"10.1053/j.optechstcvs.2023.06.002","DOIUrl":"10.1053/j.optechstcvs.2023.06.002","url":null,"abstract":"<div><p><span>Anatomic segmentectomy becomes an actual therapeutic option for the thoracic surgeon on lung cancer treatment. Mostly applied for early-stage lung cancer resections, its applications go further passing from localized benign disease and metastatic </span>lung lesions<span>. Due to the anatomic complexity and the vascular anatomic variations of the segments, It is usually more technically challenging than a standard lobectomy. This complexity is noted mainly in single-segment resections where there is a need to treat more than 1 intersegmental plane. The great anatomical variation and the high occurrence of lesions in the upper lobes make it important to study sublobar resections of the right upper lobe. Performing it with minimally invasive access requires a great knowledge of the technique to standardize the approach avoid pitfalls and optimize the procedure outcomes. This paper aims to describe the anatomic segmental resections of the right upper lobe performed by minimally invasive access, anticipating instructions for video thoracoscopic and robotic approaches.</span></p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43720917","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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