Operative Techniques in Thoracic and Cardiovascular Surgery最新文献_第3页

Senning Procedure: Use of a 3D Printed, Silicone Molded Model for Surgical Training Senning程序：使用3D打印，硅胶模塑模型进行外科训练

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2024-12-01 DOI: 10.1053/j.optechstcvs.2024.02.002

David J. Barron FRCS , Ankavipar Saprungruang MD , Shi-Joon Yoo MD

引用次数: 0

Introduction to Winter 2024 2024年冬季简介

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2024-12-01 DOI: 10.1053/j.optechstcvs.2024.11.001

引用次数: 0

Operative management of a difficult problem: Cervical esophagogastric anastomotic stricture 颈部食管胃吻合口狭窄的手术治疗

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2024-12-01 DOI: 10.1053/j.optechstcvs.2024.06.002

Mai G. Al Khadem MBBCh , Arvind Krishnamurthy MS. MCh , Puja Gaur Khaitan MD, FACS

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 : 2024-12-01 DOI: 10.1053/j.optechstcvs.2024.10.001

引用次数: 0

Modified Aortic Valve Neocuspidization (Ozaki AVNeo) Procedure 改良主动脉瓣新瓣化（Ozaki AVNeo）手术

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2024-12-01 DOI: 10.1053/j.optechstcvs.2024.07.004

Leah Bourgan BS , Teimour Nasirov MD , Olaf Reinhartz MD , Danny Chu MD

{"title":"Modified Aortic Valve Neocuspidization (Ozaki AVNeo) Procedure","authors":"Leah Bourgan BS , Teimour Nasirov MD , Olaf Reinhartz MD , Danny Chu MD","doi":"10.1053/j.optechstcvs.2024.07.004","DOIUrl":"10.1053/j.optechstcvs.2024.07.004","url":null,"abstract":"<div><div>There is a substantial need for interventions to replace or repair diseased aortic valves. As an alternative to conventional replacement with prostheses, we illustrate a modified technique of aortic valve neocuspidization (AVNeo).</div><div>The procedure includes harvesting of autologous pericardium and cutting it into shapes analogous to the patient's aortic valve cusps to create neocusps. The native cusps are then resected and replaced with the neocusps. We highlight details of how to create, size, and attach the autologous cusps to ensure efficacy and durability.</div><div>The AVNeo technique offers abundant advantages to standard aortic valve treatments. The technique is versatile and can be applied in the treatment of essentially all underlying aortic valve pathologies, whether congenital, rheumatic, degenerative, or infectious in etiology. AVNeo appears to be suitable in the growing annuli of children. The technique avoids foreign material and its drawbacks, like stiffness of the annulus and the need for anticoagulation. Though it leads to superior hemodynamic performance and low intervention rates in the short and medium term, long term durability has yet to be proven.</div></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"29 4","pages":"Pages 320-335"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130403","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

Approach to Severe Mitral Annular Calcification Using Ultrasonic Aspiration 超声抽吸治疗严重二尖瓣环钙化的方法

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2024-12-01 DOI: 10.1053/j.optechstcvs.2024.05.004

Nicholas J. Goel MD, Mauer Biscotti III MD, Michael A. Catalano MD, Michael A. Acker MD

{"title":"Approach to Severe Mitral Annular Calcification Using Ultrasonic Aspiration","authors":"Nicholas J. Goel MD, Mauer Biscotti III MD, Michael A. Catalano MD, Michael A. Acker MD","doi":"10.1053/j.optechstcvs.2024.05.004","DOIUrl":"10.1053/j.optechstcvs.2024.05.004","url":null,"abstract":"<div><div>Severe mitral annular calcification (MAC) is perhaps the greatest challenge faced in mitral valve surgery. Valve replacement in the setting of severe MAC carries with it the risk of numerous surgical complications and modes of technical failure, including catastrophic atrioventricular (AV) groove disruption. In the face of these challenges, a variety of surgical approaches to severe MAC have been described but without clear consensus. We describe an approach using the Cavitron Ultrasonic Surgical Aspirator (CUSA) emphasizing minimal, focal disruption of annular calcium. Ultrasonic aspiration is applied only when needed and only at the precise site of valve suture placement to aspirate away or merely soften dense calcium such that sutures can be placed through or around the calcified annulus. Our approach is simple and eliminates the need for complete annular decalcification which risks avoidable AV groove destabilization and requires complex annular reconstruction. In our experience of 55 cases of high-risk mitral replacement in the setting of very severe MAC, we report 2 cases of AV groove disruption (4%), 2 cases of coronary injury (4%), and 2 cases of stroke (4%), with no cases of paravalvular leak worse than mild. In-hospital mortality was 16%, due largely to significant underlying cardiac and non-cardiac comorbidity and underscoring the often underestimated nontechnical risks inherent in these cases. While no single approach may be optimal in every case of severe MAC, we feel our technique of limited ultrasonic aspiration is an important tool in the mitral surgeon's armamentarium.</div></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"29 4","pages":"Pages 310-319"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130408","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

Reply: “Samurai Cannulation for Acute Stanford Type A Aortic Dissection” 回复："Samurai 插管术治疗急性斯坦福 A 型主动脉夹层

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2024-09-01 DOI: 10.1053/j.optechstcvs.2024.03.003

引用次数: 0

Modified Starnes Procedure With Patch Occlusion of the Main Pulmonary Artery and Other Technical Modifications to Facilitate Subsequent Biventricular Repair of Ebstein Anomaly 修改后的 Starnes 手术，采用补片闭塞主肺动脉和其他技术修改，以促进随后的双心室埃布斯坦畸形修补术。

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2024-09-01 DOI: 10.1053/j.optechstcvs.2023.12.005

{"title":"Modified Starnes Procedure With Patch Occlusion of the Main Pulmonary Artery and Other Technical Modifications to Facilitate Subsequent Biventricular Repair of Ebstein Anomaly","authors":"","doi":"10.1053/j.optechstcvs.2023.12.005","DOIUrl":"10.1053/j.optechstcvs.2023.12.005","url":null,"abstract":"<div><p><span>The Starnes procedure, introduced in 1991, has been a valuable advancement in the surgical treatment of critically ill neonates with Ebstein's anomaly (EA). However, it used to be followed by the </span>single ventricle<span><span> pathway, which presents long-term outcome limitations. In 2019, this management concept was modified by taking down the Starnes procedure and performing the Cone repair of the tricuspid valve<span>, which resulted in a biventricular reconstruction. This approach rehabilitates the right ventricle<span>, likely improving the patients' long-term outcomes. However, it requires modifications in the classical Starnes operation and observing certain surgical details. In cases of circular shunt, we use a patch to occlude the pulmonary artery instead of dividing and oversewing it, simplifying the succeeding pulmonary artery reconstruction<span>. Regarding the tricuspid valve we use a PTFE fenestrated patch placed in a supra-valvar position, preserving the underneath valve integrity, facilitating the </span></span></span></span>tricuspid valve repair, and decreasing the possibility of heart block.</span></p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"29 3","pages":"Pages 249-258"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140466016","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 Volume 29 Number 3 Autumn 2024 第 29 卷第 3 号导言 2024 年秋

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2024-09-01 DOI: 10.1053/j.optechstcvs.2024.08.001

引用次数: 0

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 : 2024-09-01 DOI: 10.1053/j.optechstcvs.2024.07.001

引用次数: 0