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Operative Techniques in Thoracic and Cardiovascular Surgery最新文献

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Fully Magnetically Levitated Durable Biventricular Assist Device Insertion 全磁悬浮耐用型双心室辅助装置植入术
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2024-09-01 DOI: 10.1053/j.optechstcvs.2024.01.001
Luke A. Ziegler BA , Nicholas R. Hess MD , David J. Kaczorowski MD
{"title":"Fully Magnetically Levitated Durable Biventricular Assist Device Insertion","authors":"Luke A. Ziegler BA ,&nbsp;Nicholas R. Hess MD ,&nbsp;David J. Kaczorowski MD","doi":"10.1053/j.optechstcvs.2024.01.001","DOIUrl":"10.1053/j.optechstcvs.2024.01.001","url":null,"abstract":"<div><p><span>Durable mechanical circulatory support<span> options for patients with biventricular failure are limited. One emerging strategy is the use of 2 fully magnetically levitated durable ventricular assist devices (HeartMate 3s) in a biventricular configuration. The use of a HeartMate 3 as a right ventricular assist device (RVAD) requires several complex technical modifications. Here, we provide step-wise detailed figures and a comprehensive description of bilateral HeartMate 3 insertion, with a particular focus on right atrial inflow </span></span>cannulation for the RVAD. Potential pitfalls and solutions are also described.</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"29 3","pages":"Pages 230-246"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142094698","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
Repair of Ebstein Anomaly in Children: Avoiding Pitfalls 修复儿童 Ebstein 异常：避免陷阱
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2024-09-01 DOI: 10.1053/j.optechstcvs.2024.05.002
Luciana da Fonseca da Silva MD , Jose Pedro da Silva MD , Victor O. Morell MD
{"title":"Repair of Ebstein Anomaly in Children: Avoiding Pitfalls","authors":"Luciana da Fonseca da Silva MD ,&nbsp;Jose Pedro da Silva MD ,&nbsp;Victor O. Morell MD","doi":"10.1053/j.optechstcvs.2024.05.002","DOIUrl":"10.1053/j.optechstcvs.2024.05.002","url":null,"abstract":"<div><p><span>Ebstein anomaly<span><span> (EA) is a congenital heart disease, which main feature is the rotational displacement of the </span>tricuspid valve<span> (TV) into the right ventricle<span><span> (RV). Tricuspid regurgitation and RV dysfunction are common findings. The Cone procedure is a well-recognized technique for anatomical repair of EA. The basic principles of Cone repair are mobilization of all available TV leaflets and construction of a cone-like valve that is reattached to the normal </span>atrioventricular junction. Since creation of the technique in 1993, we have introduced many technical refinements to improve TV performance, prevent </span></span></span></span>cardiac arrhythmias<span>, and improve RV function<span>. Here, we provide some surgical details to avoid atrioventricular block and coronary compromise, facilitate patient recovery, and provide sustainable long-term results. From 2016, we have applied these refinements to 110 consecutive patients at our institution, including those with previous Starnes procedure or valve replacement, resulting in no mortality, very low morbidity, and excellent valve function.</span></span></p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"29 3","pages":"Pages 270-280"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142094700","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
Commentary: To BE or NOT to be – That is the Conundrum ! 评论：要还是不要--这是一个难题......！
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2024-09-01 DOI: 10.1053/j.optechstcvs.2024.03.002
{"title":"Commentary: To BE or NOT to be – That is the Conundrum !","authors":"","doi":"10.1053/j.optechstcvs.2024.03.002","DOIUrl":"10.1053/j.optechstcvs.2024.03.002","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"29 3","pages":"Pages 259-260"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140281569","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
Letter to Editor “Samurai Cannulation for Acute Stanford Type-A Aortic Dissection” 致编辑的信 "Samurai 插管治疗急性斯坦福 A 型主动脉夹层
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2024-09-01 DOI: 10.1053/j.optechstcvs.2023.12.006
{"title":"Letter to Editor “Samurai Cannulation for Acute Stanford Type-A Aortic Dissection”","authors":"","doi":"10.1053/j.optechstcvs.2023.12.006","DOIUrl":"10.1053/j.optechstcvs.2023.12.006","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"29 3","pages":"Page 247"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140790651","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
Bi-Ventricular Repair of Critically Ill Neonates With Ebstein's Anomaly – Keeping it Simple 对患有埃布斯坦氏异常的重症新生儿进行双心室修复 - 保持简单
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2024-09-01 DOI: 10.1053/j.optechstcvs.2024.03.004
Christopher J Knott-Craig MD, FACS , Karthik Ramakrishnan MD, MBA, FRCS
{"title":"Bi-Ventricular Repair of Critically Ill Neonates With Ebstein's Anomaly – Keeping it Simple","authors":"Christopher J Knott-Craig MD, FACS ,&nbsp;Karthik Ramakrishnan MD, MBA, FRCS","doi":"10.1053/j.optechstcvs.2024.03.004","DOIUrl":"10.1053/j.optechstcvs.2024.03.004","url":null,"abstract":"<div><p><span>Surgical management of critically ill neonates with Ebstein anomaly<span> (EA) remains challenging with most published hospital and 1-year mortalities approximating 30%-40% irrespective of the surgical or palliative strategy. We have adopted an initial bi-ventricular repair strategy for most symptomatic neonates and young infants since 1994 and sought to identify whether our simplified tricuspid valve repair will be associated with improved outcome by a wider audience of experienced surgeons. The essential principles of the repair include (i) monocusp tricuspid valve repair based on the anterior leaflet, (ii) fenestrated </span></span>ASD closure), (iii) repair of all associated cardiac defects, and (iv) reduction right atrioplasty. The technique of tricuspid valve repair depicted in the following figures was associated with a 100% 1-year survival for the most recent 6 years (n = 9).</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"29 3","pages":"Pages 261-269"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142094699","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
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
{"title":"Trans-Atrial Approach to the “Swiss-Cheese” Ventricular Septal Defects: Sandwich Technique","authors":"Naoki Yoshimura MD, PhD ,&nbsp;Hironori Matsuhisa MD, PhD ,&nbsp;Yoshihiro Oshima MD, PhD","doi":"10.1053/j.optechstcvs.2022.12.003","DOIUrl":"10.1053/j.optechstcvs.2022.12.003","url":null,"abstract":"<div><p>The closure of Swiss-cheese multiple ventricular septal defects<span> remains a difficult technical challenge and it is associated with increased mortality. Recently, the felt sandwich technique has been widely used to close muscular ventricular septal defects because the technique is simple, safe, effective, and reproducible. This technique may be useful, especially in complex cases, because it does not require prolonged surgical time. However, the use of numerous felt patches may disturb the movement of interventricular septum and cause cardiac dysfunction in infants. To avoid postoperative cardiac dysfunction, our current strategy is implemented to close muscular ventricular septal defects directly as much as possible. When the ventricular septal defect is considered unsuitable for direct closure, the felt sandwich technique is a useful tool that can be applied as needed by surgeons.</span></p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"29 2","pages":"Pages 175-183"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47012690","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
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
{"title":"Simple But Effective Modifications to the Cox Maze Procedure Using Only Cryoablation","authors":"Patrick M. McCarthy MD","doi":"10.1053/j.optechstcvs.2023.05.006","DOIUrl":"10.1053/j.optechstcvs.2023.05.006","url":null,"abstract":"<div><p>We describe an effective and practical approach for concomitant ablation that we use in 100% of mitral surgery patients with a history of atrial fibrillation. There are 3 steps. First the left atrial appendage is closed with a Clip with is highly effective and electrically isolates it. Second, 3 cryoablation lines are used to recreate the key Cox-Maze III lesion set with a total of 8 minutes of ablation time. In some patients, usually with tricuspid regurgitation, 3 right atrial ablations are placed within 6 minutes of ablation time. The procedure added 10.5 minutes and 13.4 minutes of cross clamp and bypass times. For patients with 3-minute box lesion freezes, 12-month freedom from atrial fibrillation off anti-arrthymics was 90%. There was no increase in peri-operative complications and late survival was the same as mitral patients without AF and a matched population.</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"29 2","pages":"Pages 134-148"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139193152","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
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
{"title":"Trans-Ventricular Approach to “Swiss-Cheese” Ventricular Septal Defects: Septal Exclusion Technique","authors":"Igor E. Konstantinov MD, PhD, FRACS ,&nbsp;Antonia Schulz MD ,&nbsp;Edward Buratto MBBS, PhD, FRACS","doi":"10.1053/j.optechstcvs.2022.12.002","DOIUrl":"10.1053/j.optechstcvs.2022.12.002","url":null,"abstract":"<div><p><span>“Swiss-cheese” multiple muscular ventricular septal defects<span> (VSDs) are often very challenging to close. Herein we describe our trans-ventricular approach that allows simple and effective closure of multiple muscular VSDs and does not appear to adversely affect ventricular function. (</span></span><span>Video 1</span> and <span>2</span>)</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"29 2","pages":"Pages 168-174"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41700159","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
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
{"title":"Operative Techniques in Thoracic and Cardiovascular Surgery Introduction to Summer 2024","authors":"","doi":"10.1053/j.optechstcvs.2024.05.003","DOIUrl":"https://doi.org/10.1053/j.optechstcvs.2024.05.003","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"29 2","pages":"Page 133"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141322375","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
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 ,&nbsp;Christina M. Stuart MD ,&nbsp;Brandon M. Wojcik MD ,&nbsp;Robert A. Meguid MD, MPH ,&nbsp;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":"29 2","pages":"Pages 216-227"},"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}
引用次数: 0
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