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Anatomical repair for late presentation of congenitally corrected transposition of the great arteries with ventricular septal defect and left ventricular outflow tract obstruction in an 18-year-old.
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-04-01 DOI: 10.1510/mmcts.2024.141
Ali H Mashadi, Yasin Essa, Sameh M Said
{"title":"Anatomical repair for late presentation of congenitally corrected transposition of the great arteries with ventricular septal defect and left ventricular outflow tract obstruction in an 18-year-old.","authors":"Ali H Mashadi, Yasin Essa, Sameh M Said","doi":"10.1510/mmcts.2024.141","DOIUrl":"https://doi.org/10.1510/mmcts.2024.141","url":null,"abstract":"<p><p>An 18-year-old female presented with cyanosis and clubbing. She was diagnosed late with congenitally corrected transposition of the great arteries with a ventricular septal defect and severe left ventricular outflow tract obstruction. She had no history of prior interventions. Anatomical repair was performed, and she is doing well as of the most recent follow-up.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755921","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
Feasibility of the lung base-flip approach for complex segmentectomy of the lower lobe.
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-03-31 DOI: 10.1510/mmcts.2024.132
Megumi Kobayashi, Akihiro Ohsumi, Satona Tanaka, Hiroshi Date
{"title":"Feasibility of the lung base-flip approach for complex segmentectomy of the lower lobe.","authors":"Megumi Kobayashi, Akihiro Ohsumi, Satona Tanaka, Hiroshi Date","doi":"10.1510/mmcts.2024.132","DOIUrl":"https://doi.org/10.1510/mmcts.2024.132","url":null,"abstract":"<p><p>Segmentectomies of the lung base, such as S9, S10 or S9+S10, present technical difficulties because they do not connect directly to the interlobar fissure. The lung base-flip approach offers easier access to the individual segmental vessels and bronchi. We performed a segmentectomy of the lung base using this approach. To identify the corresponding vessels and bronchi, flipped three-dimensional chest computed tomography images and intraoperative bronchoscopy are essential.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755924","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
Robotic resection of a mediastinal liposarcoma.
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-03-31 DOI: 10.1510/mmcts.2025.013
Alexander Pohlman, Bilal Odeh, Zaid M Abdelsattar
{"title":"Robotic resection of a mediastinal liposarcoma.","authors":"Alexander Pohlman, Bilal Odeh, Zaid M Abdelsattar","doi":"10.1510/mmcts.2025.013","DOIUrl":"https://doi.org/10.1510/mmcts.2025.013","url":null,"abstract":"<p><p>A 76-year-old man presented with new onset atrial fibrillation. During his workup, he underwent a computed tomography angiogram of his coronary arteries that revealed multivessel disease and an incidental heterogeneous fat and complex fluid density in the posterior aortopulmonary window space. The mass was further characterized with the use of magnetic resonance imaging and a dedicated computed tomography scan of the chest showing a complex fat-containing tumour most consistent with either an atypical lipomatous tumour or a well-differentiated liposarcoma. Given this differential, the patient was offered and agreed to proceed with robot-assisted surgical resection. Four ports were placed along the eighth intercostal space. The inferior pulmonary ligament was lysed, and the mediastinal pleura was opened to access the mass. The mass was dissected free laterally and superiorly from the aorta and the recurrent laryngeal nerve and medially from the lung and pulmonary vasculature. After circumferential dissection of the mass, it was completely freed and removed from the chest with an endo catch bag. The final pathological analysis revealed a 6-cm, well-differentiated liposarcoma with prominent myxoid changes, so the patient was treated with a 59.4 Gy, 33 fraction course of radiation. The patient was doing well at the 6-month follow-up with no adverse surgical events or signs of recurrent disease.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755926","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
Post-traumatic chilothorax treated with thoracic duct closure guided by an indocyanine green-sensitive camera system during uniportal video-assisted thoracic surgery.
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-03-25 DOI: 10.1510/mmcts.2025.003
Carolina Sassorossi, Marco Chiappetta, Dania Nachira, Alberto Biondi, Stefano Margaritora
{"title":"Post-traumatic chilothorax treated with thoracic duct closure guided by an indocyanine green-sensitive camera system during uniportal video-assisted thoracic surgery.","authors":"Carolina Sassorossi, Marco Chiappetta, Dania Nachira, Alberto Biondi, Stefano Margaritora","doi":"10.1510/mmcts.2025.003","DOIUrl":"https://doi.org/10.1510/mmcts.2025.003","url":null,"abstract":"<p><p>Chylothorax is caused by lymphatic chyle fluid leaking through the thoracic duct and accumulating in the pleural cavity. It is related to a thoracic duct injury or occlusion. Our 26-year-old patient sustained a traumatic injury to the thoracic duct.  We used a novel approach to treat this patient, that is, we identified the leaking chyle by combining uniportal video-assisted thoracic surgery with the injection of indocyanine green bilaterally in the inguinal lymph nodes.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702227","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
Redo aortic root surgery with a homograft for prosthetic valve endocarditis.
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-03-17 DOI: 10.1510/mmcts.2024.022
Nestor Manuel Clusa, Guillermo Sebastian Gutierrez, Juan Cruz Ponceliz, Benjamin Chiostri, Daniel Klinger Daniel, Guillermo Vaccarino
{"title":"Redo aortic root surgery with a homograft for prosthetic valve endocarditis.","authors":"Nestor Manuel Clusa, Guillermo Sebastian Gutierrez, Juan Cruz Ponceliz, Benjamin Chiostri, Daniel Klinger Daniel, Guillermo Vaccarino","doi":"10.1510/mmcts.2024.022","DOIUrl":"https://doi.org/10.1510/mmcts.2024.022","url":null,"abstract":"<p><p>We demonstrate the surgical resolution of prosthetic valve endocarditis using a homograft in a 76-year-old patient.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651942","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
Staged repair for infected aortic arch graft and branched endograft post type A dissection repair. 分阶段修复感染的主动脉弓移植物和 A 型夹层修复后的分支内移植物。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-03-11 DOI: 10.1510/mmcts.2025.009
Sooyun Caroline Tavolacci, David Spielvogel, Suguru Ohira
{"title":"Staged repair for infected aortic arch graft and branched endograft post type A dissection repair.","authors":"Sooyun Caroline Tavolacci, David Spielvogel, Suguru Ohira","doi":"10.1510/mmcts.2025.009","DOIUrl":"https://doi.org/10.1510/mmcts.2025.009","url":null,"abstract":"<p><p>A quinquagenarian underwent zone 2 arch repair for acute type A dissection followed by endovascular repair utilizing a branch endoprosthesis and covered stents. He developed a fever and positive blood culture results 3 weeks after the thoracic endovascular repair. A preoperative left carotid to subclavian artery bypass was performed. First stage: A right axillary artery was re-cannulated. The innominate vein was divided to facilitate the exposure. At a bladder temperature of 20℃, selective antegrade cerebral perfusion was established. A bifurcated graft was anastomosed to the left common carotid artery and the innominate artery. The endografts, including a branch endograft, were removed. A classical elephant trunk graft was inserted into the descending aorta and the left subclavian artery was ligated. The elephant trunk was pulled out and a proximal anastomosis was performed. Finally, the bifurcated graft was anastomosed to the elephant trunk. The innominate vein was repaired. Delayed closure with the pectoralis major muscle flap was performed. Second stage: A descending aortic repair was performed using a partial femoro-femoral bypass. The distal aortic arch was clamped, including the residual endograft and the elephant trunk. Covered endografts were removed. An open distal anastomosis was performed above the celiac axis utilizing a Dacron graft followed by the proximal elephant trunk-to-graft anastomosis. After completion of the repair, residual covered endografts were removed completely.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607235","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
Totally 3-dimensional endoscopic ventricular septal defect closure and aortic valve replacement via a periareolar incision.
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-03-10 DOI: 10.1510/mmcts.2025.012
Shun Watanabe, Toshiaki Ito, Taiki Ito, Satoshi Sugimoto, Kiyotaka Morimoto, Hideo Yokoyama, Masato Suzuki, Toshiro Ito
{"title":"Totally 3-dimensional endoscopic ventricular septal defect closure and aortic valve replacement via a periareolar incision.","authors":"Shun Watanabe, Toshiaki Ito, Taiki Ito, Satoshi Sugimoto, Kiyotaka Morimoto, Hideo Yokoyama, Masato Suzuki, Toshiro Ito","doi":"10.1510/mmcts.2025.012","DOIUrl":"https://doi.org/10.1510/mmcts.2025.012","url":null,"abstract":"<p><p>There are no prior reports of totally endoscopic minimally invasive cardiac surgery for combined ventricular septal defect closure and aortic valve replacement. We utilized a periareolar incision as the main access, inserting a cardioplegia line, vent tube and the aortic cross-clamp entirely through this incision. Only three ports (main incision, camera port and left-hand port) were used. A three-dimensional endoscope facilitated precise techniques. The type I ventricular septal defect was approached and closed from the aortic side using a Gore-Tex patch, with mattress sutures for the lower edge and shared sutures with the aortic valve replacement for the upper edge. A stented bioprosthetic valve was sewn in a supra-annular position. The patient recovered rapidly, with excellent cosmetic results and minimal invasiveness.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588075","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
Recurrent subaortic membrane removal with homograft explant.
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-03-07 DOI: 10.1510/mmcts.2025.004
Leah D'Silva, Omar A Jarral, Stevan Pupovac, Jui-Chuang Tseng, Nirav C Patel, S Jacob Scheinerman, Alan Hartman, Derek R Brinster
{"title":"Recurrent subaortic membrane removal with homograft explant.","authors":"Leah D'Silva, Omar A Jarral, Stevan Pupovac, Jui-Chuang Tseng, Nirav C Patel, S Jacob Scheinerman, Alan Hartman, Derek R Brinster","doi":"10.1510/mmcts.2025.004","DOIUrl":"https://doi.org/10.1510/mmcts.2025.004","url":null,"abstract":"<p><p>This 27-year-old female patient is undergoing a reoperation for a recurrent subaortic membrane causing significant left ventricular outflow obstruction. The re-sternotomy is uneventful and cardiopulmonary bypass is established. The left ventricular outflow tract is accessed through the previously implanted semi-calcified homograft aortic root. The fibrous tissue of the subaortic membrane is resected as a crescent, along with a septal myectomy. The aortic annulus and previous aortic homograft are resected to enlarge the aortic root from 12 mm to 21 mm. The left ventricular outflow tract is then reconstructed with pericardium, and a valved conduit aortic root replacement, size 21 mm Konect prosthesis, is implanted. The pericardium is closed with Gore-Tex membrane, should future surgery be needed. A 21-mm valve was considered adequate, given her height of 157 cm and low body surface area of 1.45 m2. This patient was not an appropriate candidate for a Ross-Konno procedure or a mechanical valve due to extremely challenging social circumstances, medical noncompliance and housing insecurity.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574673","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 aorto-left ventricular tunnel type IV with origin above the left main coronary artery.
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-03-06 DOI: 10.1510/mmcts.2024.137
Fabian A Kari, Sebastian Michel, Zahra Alalawi, Jürgen Hörer
{"title":"Repair of aorto-left ventricular tunnel type IV with origin above the left main coronary artery.","authors":"Fabian A Kari, Sebastian Michel, Zahra Alalawi, Jürgen Hörer","doi":"10.1510/mmcts.2024.137","DOIUrl":"https://doi.org/10.1510/mmcts.2024.137","url":null,"abstract":"<p><p>Using full-flow cardiopulmonary bypass, mild hypothermia and cardioplegic arrest, the aortic orifice of the aorto-left ventricular tunnel is closed with an autologous pericardial patch. After a longitudinal incision into the tunnel, a second patch of polytetrafluoroethylene is placed as far distally into the tunnel as possible to exclude most of its lumen from perfusion.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568819","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
A robotic fissureless left upper lobectomy for a dense fissure.
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-03-03 DOI: 10.1510/mmcts.2024.130
Hitoshi Igai, Akinobu Ida, Kazuki Numajiri, Kazuhito Nii, Mitsuhiro Kamiyoshihara
{"title":"A robotic fissureless left upper lobectomy for a dense fissure.","authors":"Hitoshi Igai, Akinobu Ida, Kazuki Numajiri, Kazuhito Nii, Mitsuhiro Kamiyoshihara","doi":"10.1510/mmcts.2024.130","DOIUrl":"https://doi.org/10.1510/mmcts.2024.130","url":null,"abstract":"<p><p>Many articles document the efficacy of the fissureless technique, most of which focus on a right upper lobectomy. However, there are a few reports on a fissureless left upper lobectomy, especially using a robotic approach. This report presents a successful case of a robotic fissureless left upper lobectomy in a patient with a dense fissure. The total console time was 111 minutes. The postoperative course was uneventful, with the chest tube being removed on postoperative day 1. The patient was successfully discharged on postoperative day 2. The final pathology report confirmed adenocarcinoma, staged as pT1cN1M0, stage IIB. Precise preoperative evaluation using three-dimensional computed tomography broncho-angiography is essential to understand the anatomy accurately and to avoid complications in this challenging procedure.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544457","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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