JTCVS Techniques最新文献

{"title":"Minimally invasive beating-heart mitral valve surgery: How I do it","authors":"Razan Salem MD, Feras Kabbesh MD, Michael Weißenfels, Helen Weis MD, Diyar Saeed MD, PhD","doi":"10.1016/j.xjtc.2026.102575","DOIUrl":"10.1016/j.xjtc.2026.102575","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102575"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096795","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":"A modified T-tube–based laryngotracheal stent for extended cricotracheal resection and anastomosis","authors":"Saviz Pejhan MD, Arman Hasanzade MD, Mahdi Zargarani MD, Fariba Ghorbani MD, MPH, PhD","doi":"10.1016/j.xjtc.2026.102580","DOIUrl":"10.1016/j.xjtc.2026.102580","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102580"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096801","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":"Construction and implantation of a modified trileaflet polytetrafluoroethylene valved conduit for pulmonary valve replacement","authors":"Abel Getachew BS,&nbsp;Nikita Zadneulitca MD,&nbsp;Ashok Muralidaran MD,&nbsp;Castigliano M. Bhamidipati DO, PhD, MSc,&nbsp;Yoshio Ootaki MD, PhD","doi":"10.1016/j.xjtc.2026.102563","DOIUrl":"10.1016/j.xjtc.2026.102563","url":null,"abstract":"<div><h3>Objectives</h3><div>Handmade expanded polytetrafluoroethylene (ePTFE) valved conduits have emerged as a durable and cost-effective option for pulmonary valve replacement. We have reported excellent results of trileaflet ePTFE valved conduit and the longest follow-up exceeded 10 years. Technical precision during valve construction and implantation is critical to optimize valve function and conduit geometry, and we recently modified the technique. We report our updated technique and clinical outcomes.</div></div><div><h3>Methods</h3><div>The conduit was constructed intraoperatively on a sterile back table while the patient was being prepared by the anesthesia team. Leaflet dimensions were calculated based on conduit diameter, and leaflets were fashioned with 1 mm extensions at each end to reinforce commissural attachment, then sutured to an ePTFE tube graft using 3 CV-5 sutures with external knot tying. The graft was rotated during construction to ensure accurate leaflet alignment and valve competence was confirmed prior to implantation. During implantation, the main pulmonary artery was divided to optimize conduit geometry, minimizing the posterior conduit length and the graft trimmed in a trapezoidal fashion to reduce tension and improve alignment.</div></div><div><h3>Results</h3><div>Fifty-four patients received ePTFE valved conduit. Conduit sizes were 18 mm (n = 7), 20 mm (n = 9), 22 mm (n = 1), 24 mm (n = 36), and 28 mm (n = 1). Median follow-up was 1.4 years (maximum, 4.3 years). There was 1 mortality during follow-up due to infectious pseudoaneurysm of the aortic root after Ross procedure. One patient developed severe pulmonary insufficiency after surgery. Recent echocardiography showed no significant pulmonary stenosis, pulmonary insufficiency, or valve deterioration in the remaining patients, and no catheter-based or surgical reinterventions have been required to date.</div></div><div><h3>Conclusions</h3><div>This refined technique for the construction and implantation of a trileaflet ePTFE valved conduit is simple, reproducible, and yields excellent early hemodynamic results. Attention to leaflet design, commissural security, and conduit geometry may contribute to low early failure rates and favorable valve performance. Longer-term follow-up is ongoing to assess durability.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102563"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096662","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":"Rare cause of symptoms: Cardiac fibroma in an adult","authors":"Philipp Witte MD,&nbsp;Julian D. Widder MD,&nbsp;Anne K.E. Bruening MD,&nbsp;Reinhard Zabel MD,&nbsp;René Schramm MD, PhD,&nbsp;Julia Goette MD,&nbsp;Jan Rabe MD,&nbsp;Raihanatou Danebrock MD,&nbsp;André Renner MD,&nbsp;Jan Gummert MD,&nbsp;Michiel Morshuis MD,&nbsp;Sabina P.W. Guenther MD","doi":"10.1016/j.xjtc.2026.102511","DOIUrl":"10.1016/j.xjtc.2026.102511","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102511"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096664","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":"Reconsidering operability in late-presenting Taussig-Bing anomaly","authors":"Bastien Provost MD,&nbsp;Francesco Bertelli MD,&nbsp;Rajiv Chaturvedi MD,&nbsp;Osami Honjo MD","doi":"10.1016/j.xjtc.2026.102498","DOIUrl":"10.1016/j.xjtc.2026.102498","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102498"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149095535","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":"Three-dimensional totally endoscopic quadruple procedure in a high-risk patient who is a Jehovah's Witness: A comprehensive bloodless strategy","authors":"Joon Young Kim MD,&nbsp;Jae Suk Yoo MD, PhD","doi":"10.1016/j.xjtc.2026.102506","DOIUrl":"10.1016/j.xjtc.2026.102506","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102506"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096785","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":"Tubeless thoracoscopic carinal resection via a subcutaneous tunneled periareolar uniportal approach: A case report","authors":"Zhenyuan Yang MD,&nbsp;Maohui Chen MD,&nbsp;Chenhui Ni MD,&nbsp;Yizhou Huang MD,&nbsp;Hongmu Li MD,&nbsp;Taidui Zeng MD,&nbsp;Shuliang Zhang MD,&nbsp;Chun Chen MD,&nbsp;Chunyu Zhou MD,&nbsp;Bin Zheng MD","doi":"10.1016/j.xjtc.2026.102561","DOIUrl":"10.1016/j.xjtc.2026.102561","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102561"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096808","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":"Mid-term results of the Lugones procedure for scimitar syndrome repair","authors":"Ignacio Lugones MD, PhD,&nbsp;Antonio Gonzalez Calle MD, PhD,&nbsp;Ramón Pérez-Caballero MD, PhD,&nbsp;Giuseppe Pelella MD,&nbsp;Virginie Fouilloux MD,&nbsp;Inés A. Martínez MD,&nbsp;Veronica Laudani MD,&nbsp;Ashish Katewa MD,&nbsp;Héctor S. Díliz-Nava MD,&nbsp;Javier H. López Terrazas MD,&nbsp;Alexis J. Palacios Macedo-Quenot MD,&nbsp;Juan Miguel Gil-Jaurena MD,&nbsp;Daniel A. Klinger MD,&nbsp;Benjamin Chiostri MD,&nbsp;Andrés Rosso MD,&nbsp;Norberto Berber MD,&nbsp;María Sol De Los Santos MD,&nbsp;Natalia Troncoso MD,&nbsp;Victoria E. Zerpa Pacheco MD,&nbsp;Fernanda Biancolini MD,&nbsp;James D. St. Louis MD","doi":"10.1016/j.xjtc.2026.102571","DOIUrl":"10.1016/j.xjtc.2026.102571","url":null,"abstract":"<div><h3>Objective</h3><div>The study objective was to report the mid-term outcomes of the Lugones procedure (in situ pericardial rerouting technique) and its variants for scimitar syndrome repair.</div></div><div><h3>Methods</h3><div>We performed a multicenter retrospective descriptive study of patients undergoing scimitar syndrome repair with the Lugones procedure. Three variants were used: original, variant A with atrial septum repositioning, and variant B with an interatrial pericardial flap. Primary end points were survival, freedom from reoperation, and freedom from pulmonary venous obstruction. Follow-up was based on clinical assessment and serial echocardiography; computed tomography scan, magnetic resonance imaging/4-dimensional flow magnetic resonance imaging, or cardiac catheterization was obtained when echocardiographic assessment was limited, clinical or imaging findings were equivocal, or complementary anatomic/hemodynamic information was sought.</div></div><div><h3>Results</h3><div>Thirty-eight patients from 11 institutions were included (median age, 5 years; range, 0.7-43). Preoperative scimitar vein stenosis was present in approximately 29%; aortopulmonary collaterals were embolized preoperatively in 24 patients (63%). The original procedure was performed in 28 cases, variant A in 5 cases, and variant B in 5 cases. In-hospital mortality was 0%. Early complications were uncommon (1 postoperative pulmonary venous pathway obstruction due to extrinsic compression; 1 transient diaphragmatic dysfunction). Mean follow-up was 74 months (maximum 13.5 years), with no late deaths, reoperations, recurrent obstruction, or additional late pulmonary venous pathway obstruction. Computed tomography scans consistently demonstrated wide reconstructed pathways; 4-dimensional flow magnetic resonance imaging showed physiological pulmonary venous flow patterns after repair.</div></div><div><h3>Conclusions</h3><div>The Lugones procedure yielded excellent mid-term outcomes with no deaths or reoperations and a very low incidence of postoperative pulmonary venous obstruction.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102571"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096659","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":"Direct aortic Y-graft for cardiopulmonary bypass initiation and Impella 5.5 insertion through a single aortotomy","authors":"Tommaso Cambiaghi MD","doi":"10.1016/j.xjtc.2026.102444","DOIUrl":"10.1016/j.xjtc.2026.102444","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102444"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149095537","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":"A neonatal extra-anatomical bypass for a “corkscrew” descending aorta associated with interrupted right aortic arch","authors":"Yasuyuki Kobayashi MD, PhD,&nbsp;Jill J. Savla MD, MSCE,&nbsp;Ankita Chauhan MD,&nbsp;Ammie M. White MD,&nbsp;Jonathan M. Chen MD","doi":"10.1016/j.xjtc.2026.102501","DOIUrl":"10.1016/j.xjtc.2026.102501","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"39 ","pages":"Article 102501"},"PeriodicalIF":2.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149096663","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}