{"title":"A Simplified Approach Step-by-Step with Pearls and Pitfalls for Minimally Invasive Mitral Valve Surgery (Non-redo)","authors":"Mario Castillo-Sang , Tom C. Nguyen","doi":"10.1053/j.optechstcvs.2022.01.003","DOIUrl":"10.1053/j.optechstcvs.2022.01.003","url":null,"abstract":"<div><p><span><span>Minimally invasive mitral valve surgery was introduced in Europe and the United States in the late 1990's. There has been a low, but increasing adoption rate in the United States. The low adoption rate is likely secondary to the lack of formalized training during </span>cardiothoracic surgery residency and a culture that has failed to accept the procedure. In this manuscript, we provide a detailed, step-by-step guide to minimally invasive mitral valve surgery via a limited right </span>thoracotomy.</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 2","pages":"Pages 161-174"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43513488","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}
{"title":"Commentary: Pearls in Plain Sight for the Taking","authors":"Kyle W. Prochno, T. Sloane Guy","doi":"10.1053/j.optechstcvs.2022.04.002","DOIUrl":"https://doi.org/10.1053/j.optechstcvs.2022.04.002","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 2","pages":"Pages 175-176"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137329700","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}
{"title":"Recent Articles in AATS Journals","authors":"","doi":"10.1053/j.optechstcvs.2022.05.001","DOIUrl":"https://doi.org/10.1053/j.optechstcvs.2022.05.001","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 2","pages":"Pages iv-vi"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1522294222000411/pdfft?md5=5af0ba18dcc7e1da5fbc09b9b8a3d9a2&pid=1-s2.0-S1522294222000411-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90024059","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}
Farhang Yazdchi , Gilbert H.L. Tang , Tom C. Nguyen , Tsuyoshi Kaneko
{"title":"Transcatheter Edge to Edge Mitral Valve Repair (MitraClip) Step by Step Guide","authors":"Farhang Yazdchi , Gilbert H.L. Tang , Tom C. Nguyen , Tsuyoshi Kaneko","doi":"10.1053/j.optechstcvs.2021.12.007","DOIUrl":"10.1053/j.optechstcvs.2021.12.007","url":null,"abstract":"<div><p><span>Surgical mitral valve repair<span><span> has been the gold standard treatment for severe degenerative </span>mitral regurgitation<span>. However, a segment of patient population is considered too high risk for surgery because of their age and/or comorbidities.Catheter-based interventions have been developed during the last decade to address mitral regurgitation in high surgical risk patients. MitraClip System (Abbott Vascular, Santa Clara, CA, USA) is FDA approved in high risk patients with primary or secondary mitral regurgitation who meet certain criteria. This article touches briefly on indications for transcatheter edge to edge mitral valve<span> repair (TEER) and focuses on describing procedural steps to perform TEER usig MitraClip device. These steps include preoperative assessment and planning using </span></span></span></span>TEE images, transseptal access to mitral valve, introducing transseptal sheath, steerable guide catheter (SGC), and clip delivery system (CDS), crossing the mitral valve, grasping the leaflets in desired location, and deployment. Procedural steps are also demonstrated in a brief video.</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 2","pages":"Pages 177-197"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44767491","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}
{"title":"Rigid Plate Fixation for Sternal Closure","authors":"Pankaj Saxena , Jaishankar Raman","doi":"10.1053/j.optechstcvs.2021.12.003","DOIUrl":"10.1053/j.optechstcvs.2021.12.003","url":null,"abstract":"<div><p><span>Median sternotomy provides standard access in cardiac surgery. Sternal closure traditionally involves use of stainless steel wires with satisfactory results. Fixation of </span>sternum<span><span> using titanium plates with screws has been used in some institutions over the last two decades. This technique uses sternal wires in combination with a rigid plate fixation system. The wires are passed at the </span>manubrium<span> and xiphoid to help with approximation, while plates are used to fix the body of the sternum. The screws are passed through the outer table and penetrate the inner table of the sternum. There is increasing evidence to suggest that rigid plate fixation provides better mechanical stability of sternum; which seems to translate to less post-operative pain; better healing of sternum; lower incidence of deep sternal wound infection and sternal non-union. This approach is particularly useful in patients who have multiple risk factors predisposing them to post-operative sternal complications.</span></span></p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 2","pages":"Pages 152-160"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44819030","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}
{"title":"Recent Articles in AATS Journals","authors":"","doi":"10.1053/S1522-2942(22)00055-1","DOIUrl":"https://doi.org/10.1053/S1522-2942(22)00055-1","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 2","pages":"Pages e4-e6"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1522294222000551/pdfft?md5=0c52aa3fa48c3d04ac8fd923b525aef2&pid=1-s2.0-S1522294222000551-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137329703","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}
{"title":"Commentary: Multiple Arterial Grafting for Coronary Artery Bypass Surgery: Choosing the Right Conduits for The Right Vessels for The Right Patients","authors":"Harold L. Lazar","doi":"10.1053/j.optechstcvs.2022.04.004","DOIUrl":"https://doi.org/10.1053/j.optechstcvs.2022.04.004","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 2","pages":"Pages 149-151"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137330254","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}
{"title":"Commentary: Time to Set New Standards for Coronary Bypass Surgery?","authors":"Piero Farina , Mario Gaudino","doi":"10.1053/j.optechstcvs.2021.12.001","DOIUrl":"10.1053/j.optechstcvs.2021.12.001","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 2","pages":"Pages 147-148"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42808238","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}
Edward Buratto , Peter D. Skillington , Igor E. Konstantinov
{"title":"Autograft Stabilization for the Ross Procedure in Children","authors":"Edward Buratto , Peter D. Skillington , Igor E. Konstantinov","doi":"10.1053/j.optechstcvs.2022.01.001","DOIUrl":"10.1053/j.optechstcvs.2022.01.001","url":null,"abstract":"<div><p><span><span>Aortic valve disease in children presents a considerable surgical challenge. When repair is not feasible, the </span>Ross procedure represents the best option for replacement as it allows growth and does not require </span>anticoagulation<span>. However, there is a risk of progressive autograft dilatation, and eventual failure of the autograft with severe regurgitation. Autograft stabilization has proven beneficial in adults but has not been widely adopted in children undergoing the Ross procedure. We present a series of techniques for autograft stabilization which can be used at different stages of development, from infants to fully grown adolescents.</span></p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 2","pages":"Pages 198-205"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43008900","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}
{"title":"Introduction for Volume 27 Issue 2","authors":"","doi":"10.1053/j.optechstcvs.2022.05.002","DOIUrl":"https://doi.org/10.1053/j.optechstcvs.2022.05.002","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 2","pages":"Page 125"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137329704","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}