JTCVS TechniquesPub Date : 2025-02-01DOI: 10.1016/j.xjtc.2024.11.003
Hüseyin Sicim MD, Daniel A. Velez MD, Mohamad Alaeddine MD
{"title":"Surgical excision of giant obstructive ventricular fibroma of the interventricular septum in an infant","authors":"Hüseyin Sicim MD, Daniel A. Velez MD, Mohamad Alaeddine MD","doi":"10.1016/j.xjtc.2024.11.003","DOIUrl":"10.1016/j.xjtc.2024.11.003","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"29 ","pages":"Pages 127-128"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146378","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.2024.10.007
Annette M. Ilg MD , Ryan M. Gardner MD , Stephen D. Hallisey MD , Antonio Coppolino III MD , Raghu R. Seethala MD
{"title":"A case of extracorporeal carbon dioxide removal for postpneumonectomy acute respiratory distress syndrome","authors":"Annette M. Ilg MD , Ryan M. Gardner MD , Stephen D. Hallisey MD , Antonio Coppolino III MD , Raghu R. Seethala MD","doi":"10.1016/j.xjtc.2024.10.007","DOIUrl":"10.1016/j.xjtc.2024.10.007","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"29 ","pages":"Pages 193-196"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143147533","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.2024.09.025
Mary C. Marciniak MMS , Rohan Kubba BS , Jade C. Tran MD , Gregory J. Jutzy MD , Jennifer Newcombe DNP , Anees J. Razzouk MD , Randall S. Fortuna MD
{"title":"Novel lateral tunnel Fontan operation in children promotes continued pathway growth into adulthood","authors":"Mary C. Marciniak MMS , Rohan Kubba BS , Jade C. Tran MD , Gregory J. Jutzy MD , Jennifer Newcombe DNP , Anees J. Razzouk MD , Randall S. Fortuna MD","doi":"10.1016/j.xjtc.2024.09.025","DOIUrl":"10.1016/j.xjtc.2024.09.025","url":null,"abstract":"<div><h3>Objective</h3><div>Most Fontan operation techniques currently used in children are limited by a blood flow pathway with no growth potential. The external pericardial lateral tunnel Fontan is a novel technique using the patient's pedicled pericardium and atrial wall in situ to create a Fontan pathway. We hypothesize that viable, autologous tissue will allow growth potential of the pathway and adapt to increasing physiologic demands of somatic growth.</div></div><div><h3>Methods</h3><div>We performed a single-center retrospective review of serial echocardiographic measurements of the inferior vena cava junction and mid tunnel in patients with an external pericardial lateral tunnel Fontan. Linear mixed model and Pearson correlation tests were used for analysis of changes in pathway size with time and body surface area.</div></div><div><h3>Results</h3><div>A total of 1592 echocardiographic studies from 172 patients up to 23 years after the procedure were identified. Significant enlargement of the pathway at the inferior vena cava junction and mid tunnel was observed over time (<em>P</em> < .0001, <em>P</em> < .0001, respectively). There is a strong positive correlation between increasing size of the inferior vena cava junction and increasing body surface area (R = 0.81, <em>P</em> < .0001). There is also a strong positive correlation between increasing size of the mid tunnel with increasing body surface area (r = 0.67, <em>P</em> < .0001).</div></div><div><h3>Conclusions</h3><div>The external pericardial lateral tunnel Fontan technique creates a Fontan pathway that enlarges into adulthood. The correlation of increasing pathway size with increasing body surface area suggests pathway growth, responding to increasing physiologic demands of somatic growth into adulthood. Further studies are needed to investigate the impact of this novel technique on Fontan physiology and long-term patient outcomes.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"29 ","pages":"Pages 138-145"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143145881","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.2024.11.011
{"title":"Commentator Discussion: Minimally invasive coronary artery bypass grafting via left anterior mini-thoracotomy: Setup, results, and evolution of a new surgical procedure","authors":"","doi":"10.1016/j.xjtc.2024.11.011","DOIUrl":"10.1016/j.xjtc.2024.11.011","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"29 ","pages":"Pages 40-42"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146130","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.2024.11.002
Hugo Monteiro Neder Issa MD , Gyaandeo Maharajh MD, FRCSC , Fraser Rubens MD, MSc, FACS, FRCSC
{"title":"Commentary: We mustn’t be blinded by the elegance of a complex approach and not consider the simplest solutions","authors":"Hugo Monteiro Neder Issa MD , Gyaandeo Maharajh MD, FRCSC , Fraser Rubens MD, MSc, FACS, FRCSC","doi":"10.1016/j.xjtc.2024.11.002","DOIUrl":"10.1016/j.xjtc.2024.11.002","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"29 ","pages":"Pages 68-69"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143145816","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.2024.10.015
Hani K. Najm MD, MSc, Lama Dakik MD, Batol Barodi MD (c), John P. Costello MD, Munir Ahmad MD, Justin T. Tretter MD
{"title":"Aortic leaflet remodeling for the repair of congenitally malformed aortic valve","authors":"Hani K. Najm MD, MSc, Lama Dakik MD, Batol Barodi MD (c), John P. Costello MD, Munir Ahmad MD, Justin T. Tretter MD","doi":"10.1016/j.xjtc.2024.10.015","DOIUrl":"10.1016/j.xjtc.2024.10.015","url":null,"abstract":"<div><h3>Objective</h3><div>Aortic valve repair techniques are still evolving with better understanding of aortic root and leaflet imaging. This study seeks to present the results of an additional new technique in aortic valve repair of patients with congenital heart disease. The technique entails remodeling of the leaflet by intentional peeling of the myxomatous tissue to remodel the thickened leaflets (from the ventricular side of the aortic valve along with thinning and plication of the central region of the leaflets). Other repair techniques are added to complete the repair.</div></div><div><h3>Methods</h3><div>We performed a retrospective chart analysis of 19 patients who underwent aortic valve remodeling for aortic regurgitation and received advanced imaging preoperative assessment from January 2022 to February 2024. Institutional Review Board approval was obtained under expedited review for retrospective studies.</div></div><div><h3>Results</h3><div>All patients with a wide range of congenital pathologies underwent leaflet remodeling; 9 patients (47%) underwent additional valve-sparing root replacement, and 6 patients (32%) received subaortic annuloplasty. Fifteen patients (79%) had moderate or severe aortic insufficiency at the time of presentation. Mean clinical follow-up was 10 months (range, 1.9-31). At follow-up, 7 patients did not have aortic regurgitation on echocardiogram, and the remaining 12 patients had mild regurgitation. None of the patients had more than mild regurgitation. All patients assessed for left ventricular ejection fraction at follow-up had an ejection fraction greater than 50%. None of the patients required reoperation.</div></div><div><h3>Conclusions</h3><div>Leaflet remodeling by intentional peeling of myxomatous tissue expands leaflet dimensions by freeing tethered portions and improves mobility and coaptation. This additional technique will preserve more valves from replacement. However, further follow-up is needed.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"29 ","pages":"Pages 106-110"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146390","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.2024.11.010
Meilynn Shi BA , Katherine G. Verdi MD , Y. Joseph Woo MD
{"title":"Surgical repair of aneurysmal left circumflex coronary artery fistula to coronary sinus","authors":"Meilynn Shi BA , Katherine G. Verdi MD , Y. Joseph Woo MD","doi":"10.1016/j.xjtc.2024.11.010","DOIUrl":"10.1016/j.xjtc.2024.11.010","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"29 ","pages":"Pages 77-81"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143131286","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}