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Operative Techniques in Thoracic and Cardiovascular Surgery最新文献

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Samurai Cannulation for Acute Stanford Type A Aortic Dissection 武士插管治疗急性Stanford A型主动脉夹层
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2023-05-26 DOI: 10.1053/j.optechstcvs.2023.05.003
Tadashi Kitamura, Masaomi Fukuzumi, Shunichiro Fujioka, Kagami Miyaji
{"title":"Samurai Cannulation for Acute Stanford Type A Aortic Dissection","authors":"Tadashi Kitamura,&nbsp;Masaomi Fukuzumi,&nbsp;Shunichiro Fujioka,&nbsp;Kagami Miyaji","doi":"10.1053/j.optechstcvs.2023.05.003","DOIUrl":"10.1053/j.optechstcvs.2023.05.003","url":null,"abstract":"<div><p>Direct true lumen cannulation through aortic incision for cardiopulmonary bypass during surgery for acute Stanford type A aortic dissection was reported by Jacob, followed by Conzelmann who used a Mersilene tourniquet to snag the ascending aorta. Since 2013, Samurai cannulation, a modified version of the direct true lumen cannulation, has been used in surgery for acute type A aortic dissection at Kitasato University Hospital. Here, this surgical technique is described.</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"28 4","pages":"Pages 240-248"},"PeriodicalIF":0.0,"publicationDate":"2023-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1522294223000405/pdfft?md5=391b24e2aa32ea5cfb611ed3919affb5&pid=1-s2.0-S1522294223000405-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44566777","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}
引用次数: 5
Techniques of Esophageal Lengthening 胸外科和心血管外科食管延长术的手术技术
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2023-05-22 DOI: 10.1053/j.optechstcvs.2023.05.002
Siva Raja, Monisha Sudarshan
{"title":"Techniques of Esophageal Lengthening","authors":"Siva Raja,&nbsp;Monisha Sudarshan","doi":"10.1053/j.optechstcvs.2023.05.002","DOIUrl":"10.1053/j.optechstcvs.2023.05.002","url":null,"abstract":"<div><p><span><span>The concept of a short esophagus defined as less than 2.5 cm of intra-abdominal esophageal is still a highly debated topic among benign UGI surgeons. Giant hiatal hernias and peptic strictures are a few conditions associated with lack of intra-abdominal esophageal length. All paraesophageal hernia operations necessitate adequate mediastinal esophageal mobilization until the inferior </span>pulmonary vein. However, if despite this maneuver, a short esophagus is encountered, then a lengthening procedure is recommended to reduce the risk of a slipped wrap and hernia recurrence. Several options for esophageal lengthening are available including a left transthoracic, or a right transthoracic Collis stapled approach, modified collis </span>gastroplasty and wedge gastroplasty.</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"28 4","pages":"Pages 300-307"},"PeriodicalIF":0.0,"publicationDate":"2023-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45864381","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
Role of Transapical Incision in the Surgical Management of Hypertrophic Cardiomyopathy 经根尖切口在肥厚性心肌病手术治疗中的作用
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2023-05-09 DOI: 10.1053/j.optechstcvs.2023.04.004
Hartzell V. Schaff, Fernando M. Juarez-Casso
{"title":"Role of Transapical Incision in the Surgical Management of Hypertrophic Cardiomyopathy","authors":"Hartzell V. Schaff,&nbsp;Fernando M. Juarez-Casso","doi":"10.1053/j.optechstcvs.2023.04.004","DOIUrl":"10.1053/j.optechstcvs.2023.04.004","url":null,"abstract":"<div><p><span><span><span>Transapical ventriculotomy is an important technique in the surgical management of hypertrophic cardiomyopathy (HCM). It is our preferred method for addressing complex long-segment subaortic obstruction and isolated midventricular HCM, as it provides better exposure of the midcavity than alternate methods such as the transaortic or transmitral approach. The procedure can also be used to improve symptoms of </span>diastolic heart failure caused by reduced left ventricular end-diastolic volume as may occur </span>in patients<span> with apical HCM. In this article, we describe our surgical method for transapical </span></span>myectomy<span> to relieve midventricular obstruction or enlarge the left ventricular cavity to improve diastolic dysfunction in cases of extensive apical hypertrophy.</span></p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"28 4","pages":"Pages 251-271"},"PeriodicalIF":0.0,"publicationDate":"2023-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48787875","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: 1
The Ross Procedure With the Inclusion Technique 包含技术的Ross程序
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2022-12-01 DOI: 10.1053/j.optechstcvs.2022.06.012
Mahmut Ozturk MD , Aybala Tongut MD , Sofia S. Hanabergh MSc , Can Yerebakan MD, PhD , Gebrine El Khoury MD , Yves d'Udekem MD, PhD
{"title":"The Ross Procedure With the Inclusion Technique","authors":"Mahmut Ozturk MD ,&nbsp;Aybala Tongut MD ,&nbsp;Sofia S. Hanabergh MSc ,&nbsp;Can Yerebakan MD, PhD ,&nbsp;Gebrine El Khoury MD ,&nbsp;Yves d'Udekem MD, PhD","doi":"10.1053/j.optechstcvs.2022.06.012","DOIUrl":"10.1053/j.optechstcvs.2022.06.012","url":null,"abstract":"<div><p>The Ross procedure is superior as a valve substitute in children and early adulthood because of its clear survival benefits. The free standing-root implantation is associated with failure of the autograft and inclusion techniques that support externally the autograft warrants its longevity. The current technique consists in the implantation of the autograft within the native aortic root thereby both supporting the autograft and avoiding any coronary distortion.</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 4","pages":"Pages 414-422"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1522294222000708/pdfft?md5=15cc5cef398130018542ac0fb9fd1f1c&pid=1-s2.0-S1522294222000708-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48720702","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}
引用次数: 4
Modified Root Inclusion Technique for the Ross Procedure in Children 改良牙根包体技术在儿童罗斯手术中的应用
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2022-12-01 DOI: 10.1053/j.optechstcvs.2022.07.001
Igor E. Konstantinov , Edward Buratto
{"title":"Modified Root Inclusion Technique for the Ross Procedure in Children","authors":"Igor E. Konstantinov ,&nbsp;Edward Buratto","doi":"10.1053/j.optechstcvs.2022.07.001","DOIUrl":"10.1053/j.optechstcvs.2022.07.001","url":null,"abstract":"<div><p><span>Autograft<span> stabilization has proven beneficial in adults but the same technique could not always be adopted in growing children undergoing the Ross procedure. The major concern regarding the longevity of autograft after the Ross operation in a growing child is the lack of means to stabilize the </span></span>aortic root. Herein we described a modified root inclusion technique that achieves aortic root stabilization using autologous tissue.</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 4","pages":"Pages 405-413"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45844754","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: 3
Introduction for Volume 27 Issue 4 第27卷第4期简介
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2022-12-01 DOI: 10.1053/j.optechstcvs.2022.11.003
{"title":"Introduction for Volume 27 Issue 4","authors":"","doi":"10.1053/j.optechstcvs.2022.11.003","DOIUrl":"https://doi.org/10.1053/j.optechstcvs.2022.11.003","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 4","pages":"Page 363"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92105744","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
Robot-Assisted Laparoscopic Diaphragm Plication 机器人辅助腹腔镜隔膜应用
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2022-12-01 DOI: 10.1053/j.optechstcvs.2022.01.005
Valerie X. Du, Shawn S. Groth
{"title":"Robot-Assisted Laparoscopic Diaphragm Plication","authors":"Valerie X. Du,&nbsp;Shawn S. Groth","doi":"10.1053/j.optechstcvs.2022.01.005","DOIUrl":"10.1053/j.optechstcvs.2022.01.005","url":null,"abstract":"<div><p><span><span>Though their etiology and pathology are distinct, the treatment of symptomatic </span>diaphragm eventration<span><span> and paralysis is the same – diaphragm plication. Though there is little data to objectively compare plication techniques, all offer significant improvement in symptoms, </span>pulmonary function, and respiratory quality-of-life scores. Nonetheless, potential advantages of a robot assisted laparoscopic approach to plication include lower morbidity than </span></span>thoracotomy<span><span> and laparotomy techniques; avoidance of single </span>lung ventilation<span>, less intercostal nerve pain, and greater working domain compared with thoracotomy and thoracoscopic approaches; and enhanced dexterity as compared with standard laparoscopic instrumentation.</span></span></p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 4","pages":"Pages 449-460"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48055021","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 Kommerell's Diverticulum and Aberrant Subclavian Arteries: Classification of the Five Groups in Declining Frequency and Their Operative Approaches Kommerell憩室及锁骨下动脉异常的修复:频率下降的五组分类及其手术入路
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2022-12-01 DOI: 10.1053/j.optechstcvs.2022.06.009
Lars G. Svensson
{"title":"Repair of Kommerell's Diverticulum and Aberrant Subclavian Arteries: Classification of the Five Groups in Declining Frequency and Their Operative Approaches","authors":"Lars G. Svensson","doi":"10.1053/j.optechstcvs.2022.06.009","DOIUrl":"10.1053/j.optechstcvs.2022.06.009","url":null,"abstract":"<div><p>Aberrant subclavian arteries are a result of unusual involution of the branchial arches resulting in persistent arteries that can cause tracheal or esophageal compression. Many are incidental findings but may be associated with dysphagia (dysphagia lusus naturae, Latin for “jest of nature”), a long history of asthma treatment for wheezing, or more uncommonly, aneurysms or aortic dissection. There are 5 basic approaches for repair discussed herein, determined by which subclavian artery is involved and where the aortic arch and descending thoracic aorta lie, as well as the size of the latter, classified as Groups A to E, in order of frequency. These include: A: Aberrant RSCA and left arch; B: Aberrant LSCA and right arch; C: Aberrant RSCA, no significant Kommerell's and descending aneurysm; D: Aberrant LSCA and right-sided arch but compression from a vascular ring; and E: Aberrant RSCA and extensive arch and descending aneurysm.</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 4","pages":"Pages 381-391"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S152229422200068X/pdfft?md5=502a198daca0b3eeffdc060fce3c9fe8&pid=1-s2.0-S152229422200068X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42255227","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}
引用次数: 0
Commentary: Three techniques for providing “living” support of the autograft with the Ross operation in children to improve long-term outcome 解说：为儿童Ross手术提供自体移植物“活体”支持的三种技术可改善长期疗效
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2022-12-01 DOI: 10.1053/j.optechstcvs.2022.09.001
Pedro J. del Nido
{"title":"Commentary: Three techniques for providing “living” support of the autograft with the Ross operation in children to improve long-term outcome","authors":"Pedro J. del Nido","doi":"10.1053/j.optechstcvs.2022.09.001","DOIUrl":"10.1053/j.optechstcvs.2022.09.001","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 4","pages":"Pages 447-448"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48124796","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-right Ventricular Repair of Postinfarction Ventricular Septal Rupture: Extended Sandwich Patch Technique 经右心室修复梗死后室间隔破裂:扩展夹心贴片技术
Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2022-12-01 DOI: 10.1053/j.optechstcvs.2022.07.002
Tohru Asai , Piers Vigers , Takeshi Kinoshita , Tomoaki Suzuki
{"title":"Trans-right Ventricular Repair of Postinfarction Ventricular Septal Rupture: Extended Sandwich Patch Technique","authors":"Tohru Asai ,&nbsp;Piers Vigers ,&nbsp;Takeshi Kinoshita ,&nbsp;Tomoaki Suzuki","doi":"10.1053/j.optechstcvs.2022.07.002","DOIUrl":"10.1053/j.optechstcvs.2022.07.002","url":null,"abstract":"<div><p>Postinfarction ventricular septal rupture, or postinfarction ventricular septal defect is rare but lethal if not repaired, and various repair techniques have been tried over many years. However, there still remain problems of high mortality rates and shunt recurrence, particularly in the acute phase and posterior defects. The extended sandwich patch repair via the right ventriculotomy was developed to overcome those problems. The 3 key features are, first, access and eventual closure through the low-pressure right ventricle; second, using the septal defect for a portal to reach into the left ventricle; and third, “sandwiching” the defect between 2 patches, both large enough to be anchored by transmural sutures through relatively stable myocardium. Detailed technical steps are presented here.</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 4","pages":"Pages 364-380"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43425469","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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