JTCVS TechniquesPub Date : 2025-02-01DOI: 10.1016/j.xjtc.2024.10.013
David Moros MD, Jean-Luc A. Maigrot BS, Nicholas G. Smedira MD, MBA, Michael Z.Y. Tong MD, MBA, Faisal G. Bakaeen MD, Edward G. Soltesz MD, MPH, Eric E. Roselli MD, Eugene H. Blackstone MD, A. Marc Gillinov MD, Lars G. Svensson MD, PhD, Aaron J. Weiss MD, PhD
{"title":"Re-repair of post–myocardial infarction ventricular septal rupture","authors":"David Moros MD, Jean-Luc A. Maigrot BS, Nicholas G. Smedira MD, MBA, Michael Z.Y. Tong MD, MBA, Faisal G. Bakaeen MD, Edward G. Soltesz MD, MPH, Eric E. Roselli MD, Eugene H. Blackstone MD, A. Marc Gillinov MD, Lars G. Svensson MD, PhD, Aaron J. Weiss MD, PhD","doi":"10.1016/j.xjtc.2024.10.013","DOIUrl":"10.1016/j.xjtc.2024.10.013","url":null,"abstract":"<div><h3>Background</h3><div>Survivors of post–myocardial infarction (MI) ventricular septal rupture (VSR) repair may require reintervention if initial repairs are incomplete or fail. We assessed patients undergoing post-MI VSR re-repair.</div></div><div><h3>Methods</h3><div>Between January 1976 and July 2023, 38 consecutive patients underwent re-repair of post-MI VSR at Cleveland Clinic. Preoperative characteristics, operative details, and postoperative outcomes were obtained through medical records review, and patients were followed for survival.</div></div><div><h3>Results</h3><div>Thirty-two (84%) re-repairs were elective/urgent, and 6 (16%) were emergencies. Preoperative temporary mechanical circulatory support was used in 14 (37%), with 12 isolated intra-aortic balloon pumps. Indications for re-repair were recurrent VSR detected during postoperative surveillance (n = 25; 66%) and residual VSR after incomplete initial repair (n = 13; 34%). The median time from initial repair to re-repair was 55 days (15th/85th percentiles: 5-331 days). Two patients (5.3%) had residual or recurrent VSR after re-repair but received no intervention due to hemodynamic insignificance. Postoperative complications included sepsis (n = 7; 18%), stroke (n = 6; 16%), and new-onset dialysis (n = 6; 16%). Operative mortality was 32% (n = 12), with differences between patients who underwent surgery before January 2001 (n = 10/18; 56%) and those who did so after January 2001 (n = 2/20; 10%), as well as between patients who received preoperative temporary mechanical circulatory support (n = 8/14; 57%) and those who did not (n = 4/24; 17%).</div></div><div><h3>Conclusions</h3><div>Patients with failed or incomplete initial post-MI VSR repairs may be considered for re-repair, as modern-day improvements in perioperative care may be associated with more favorable outcomes. Referral to an expert tertiary center should be considered owing to the surgical complexity of re-repair.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"29 ","pages":"Pages 43-55"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143145880","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}
JTCVS TechniquesPub Date : 2025-02-01DOI: 10.1016/j.xjtc.2024.10.021
Aravind Krishnan MD , Moeed M. Fawad BS , Stefan Elde MD , Vishal K. Shah MS , Yasuhiro Shudo MD, PhD , Gundeep Dhillon MD , John W. MacArthur MD , Chawannuch Ruaengsri MD , Y. Joseph Woo MD , Brandon A. Guenthart MD
{"title":"Ex vivo lung perfusion of pediatric lungs for adult recipients","authors":"Aravind Krishnan MD , Moeed M. Fawad BS , Stefan Elde MD , Vishal K. Shah MS , Yasuhiro Shudo MD, PhD , Gundeep Dhillon MD , John W. MacArthur MD , Chawannuch Ruaengsri MD , Y. Joseph Woo MD , Brandon A. Guenthart MD","doi":"10.1016/j.xjtc.2024.10.021","DOIUrl":"10.1016/j.xjtc.2024.10.021","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"29 ","pages":"Pages 189-192"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143147532","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}
JTCVS TechniquesPub Date : 2025-02-01DOI: 10.1016/j.xjtc.2024.11.009
Zain Shahid MD, Zaid Abu-Mowis BS, Jordyn L. Pendarvis BS, Gilbert R. Upchurch Jr. MD, Eric I. Jeng MD, MBA
{"title":"Thoracic branched endoprosthesis landing in zone 1 with left carotid-subclavian bypass and left common carotid artery ligation","authors":"Zain Shahid MD, Zaid Abu-Mowis BS, Jordyn L. Pendarvis BS, Gilbert R. Upchurch Jr. MD, Eric I. Jeng MD, MBA","doi":"10.1016/j.xjtc.2024.11.009","DOIUrl":"10.1016/j.xjtc.2024.11.009","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"29 ","pages":"Pages 4-5"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143145876","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}
JTCVS TechniquesPub Date : 2025-02-01DOI: 10.1016/j.xjtc.2024.10.001
Ali Hage MD, MPH, Tarek Malas MD, MPH, Marc Gillinov MD
{"title":"Robotic mitral valve surgery in the very thin patient: Tips and tricks","authors":"Ali Hage MD, MPH, Tarek Malas MD, MPH, Marc Gillinov MD","doi":"10.1016/j.xjtc.2024.10.001","DOIUrl":"10.1016/j.xjtc.2024.10.001","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"29 ","pages":"Pages 9-11"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143145877","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}
JTCVS TechniquesPub Date : 2025-02-01DOI: 10.1016/j.xjtc.2024.11.014
Matthew A. Brown MD , Ronak Shah MD , Max Shin MD , Omar Toubat MD, PhD , Wilson Y. Szeto MD , Michael E. Ibrahim MD, PhD
{"title":"Use of contrast-enhanced echocardiography to confirm endo-aortic balloon placement in robotic mitral valve surgery","authors":"Matthew A. Brown MD , Ronak Shah MD , Max Shin MD , Omar Toubat MD, PhD , Wilson Y. Szeto MD , Michael E. Ibrahim MD, PhD","doi":"10.1016/j.xjtc.2024.11.014","DOIUrl":"10.1016/j.xjtc.2024.11.014","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"29 ","pages":"Pages 15-17"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143145879","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}
JTCVS TechniquesPub Date : 2025-02-01DOI: 10.1016/j.xjtc.2024.10.018
Alice L. Zhou MS , Iris Feng BS , Katherine G. Verdi MD , Katrina Liou MS , Y. Joseph Woo MD
{"title":"Mitral valve repair of papillary muscle rupture using multi-neochord reconstruction","authors":"Alice L. Zhou MS , Iris Feng BS , Katherine G. Verdi MD , Katrina Liou MS , Y. Joseph Woo MD","doi":"10.1016/j.xjtc.2024.10.018","DOIUrl":"10.1016/j.xjtc.2024.10.018","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"29 ","pages":"Pages 23-26"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146133","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":"Coronary ostial interposition using an external iliac artery graft for left main coronary artery atresia in an adult","authors":"Takayuki Kawamura MD, Kenji Wada MD, Tomoya Uchimuro MD, Shuichiro Takanashi MD, PhD","doi":"10.1016/j.xjtc.2024.10.016","DOIUrl":"10.1016/j.xjtc.2024.10.016","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"29 ","pages":"Pages 65-67"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143145874","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}