Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery最新文献

Aortic arch repair with a beating heart in a neonate with complex transposition of the great arteries. 复杂大动脉转位新生儿心脏跳动修复主动脉弓。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-05-07 DOI: 10.1510/mmcts.2026.016

Igor E Konstantinov, Vincent Le, Amine Mazine, Tyson A Fricke

引用次数: 0

Aortic valve repair in children: a tale of two different pathologies. 儿童主动脉瓣修复：两种不同病理的故事。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-05-07 DOI: 10.1510/mmcts.2026.017

Ali H Mashadi, Moesha Dewan, Nora Smahi, Sameh M Said

引用次数: 0

Pericardial patch augmentation with partial ring annuloplasty for rheumatic tricuspid regurgitation. 风湿性三尖瓣反流部分环成形术的心包贴片增强术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-05-06 DOI: 10.1510/mmcts.2026.003

Nouman Ahmad, Xuliang Chen, Yingjie Huang, Jiawei Li, Yaowei Wang, Lingjin Huang

{"title":"Pericardial patch augmentation with partial ring annuloplasty for rheumatic tricuspid regurgitation.","authors":"Nouman Ahmad, Xuliang Chen, Yingjie Huang, Jiawei Li, Yaowei Wang, Lingjin Huang","doi":"10.1510/mmcts.2026.003","DOIUrl":"https://doi.org/10.1510/mmcts.2026.003","url":null,"abstract":"Tricuspid regurgitation, associated with poor functional status and reduced survival, is common in patients with rheumatic heart disease after left-sided valve replacement. Although repair is preferred over replacement, surgical repair remains technically challenging. A 60-year-old woman presented with recurrent bilateral leg oedema for 2 years and dizziness with palpitations for 2 months. She had undergone mechanical mitral and aortic valve replacement 18 years earlier for rheumatic heart disease. Echocardiography demonstrated severe central tricuspid regurgitation with preserved prosthetic valve function and atrial arrhythmia. Via median sternotomy and cardiopulmonary bypass, classic rheumatic pathology of the tricuspid valve was identified. Repair consisted of detachment of the anterior and posterior leaflets, augmentation with an annuloplasty-shaped bovine pericardial patch to increase leaflet height and coaptation, and implantation of a partial rigid annuloplasty ring slightly smaller than the patch. Intra-operative echocardiography showed trace residual tricuspid regurgitation. Recovery was uneventful, with early resolution of oedema. Leaflet augmentation combined with partial ring annuloplasty is a simple and reproducible technique that restores early valve competence in complex rheumatic tricuspid regurgitation. Long-term follow-up is required to confirm durability.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846138","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

Off-pump debranching with hybrid aortic arch repair. 非泵脱分支混合型主动脉弓修复。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-04-29 DOI: 10.1510/mmcts.2026.009

Sergey Boldyrev, Akhmedov Sarvarbek, Chibirov Saslan, Kirill Barbuhatti, Vladimir Porkhanov

引用次数: 0

Complex coronary bypass surgery with endarterectomy: surgical planning supported by computed tomography. 复杂冠状动脉搭桥手术合并动脉内膜切除术：计算机断层扫描支持的手术计划。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-04-29 DOI: 10.1510/mmcts.2025.157

Shegu Gilbert, Arunkumar Ulaganathan, Krishnan Elayappan, Ankit Maheshwari, Vijayakumar Ranganathan, Vigneshkumar Kuppuraj

{"title":"Complex coronary bypass surgery with endarterectomy: surgical planning supported by computed tomography.","authors":"Shegu Gilbert, Arunkumar Ulaganathan, Krishnan Elayappan, Ankit Maheshwari, Vijayakumar Ranganathan, Vigneshkumar Kuppuraj","doi":"10.1510/mmcts.2025.157","DOIUrl":"10.1510/mmcts.2025.157","url":null,"abstract":"Comprehensive preoperative evaluation plays a pivotal role in managing patients with diffuse coronary artery disease, particularly when conventional angiography reveals poor-quality targets. Detailed assessment of coronary anatomy, plaque morphology, vessel wall characteristics and distal vessel patency-especially in totally occluded arteries-is essential for planning complex surgical revascularization. coronary computed tomography angiography offers superior visualization of extra-luminal structures and plaque composition, enabling surgeons to better understand disease distribution and anticipate technical challenges. Diffuse atherosclerotic coronary artery disease presenting with angina is increasingly common, and many such patients are suboptimal candidates for standard coronary artery bypass grafting due to diffuse disease, heavy calcification, thin-calibre distal vessels and poor landing zones. These limitations often necessitate advanced reconstructive bypass techniques to achieve complete revascularization. We present the case of an elderly man with diffuse triple vessel disease, where multimodality imaging-including coronary computed tomography angiography-guided the formulation of a complex yet successful revascularization strategy, resulting in an excellent postoperative outcome.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789136","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

Resection of a large fibroma of the interventricular septum. 切除室间隔大纤维瘤。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-04-23 DOI: 10.1510/mmcts.2026.023

Koray Ak, Azize Yolageldi, Narges Ajilian, Elif Demirbas, Fatih Öztürk, Yaşar Birkan, Berna Şaylan, Sinan Arsan, Veysel Alpaslan

引用次数: 0

Indocyanine green-guided thoracoscopic wedge resection for pulmonary sequestration. 吲哚菁绿引导胸腔镜楔形切除术治疗肺隔离。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-04-23 DOI: 10.1510/mmcts.2026.032

José Gabriel Yaryura Montero, Juan Carlos Medina, Mario Alberto Cafaro, Rodrigo Adrián Benavidez

{"title":"Indocyanine green-guided thoracoscopic wedge resection for pulmonary sequestration.","authors":"José Gabriel Yaryura Montero, Juan Carlos Medina, Mario Alberto Cafaro, Rodrigo Adrián Benavidez","doi":"10.1510/mmcts.2026.032","DOIUrl":"https://doi.org/10.1510/mmcts.2026.032","url":null,"abstract":"This video tutorial demonstrates a right-sided video-assisted thoracoscopic surgery approach for the management of an intralobar pulmonary sequestration in an adult. Although conservative or endovascular approaches exist, surgical resection is recommended to prevent recurrent infections and mitigate the risk of malignant transformation. While anatomical lobectomy has traditionally been the standard, lung-sparing techniques are increasingly preferred to preserve pulmonary function. The procedure emphasizes the isolation and division of the aberrant systemic arterial supply arising from the descending aorta, mitigating haemorrhagic risks. Subsequently, intravenous indocyanine green is administered to achieve real-time, high-contrast near-infrared fluorescence demarcation of the non-perfused sequestered lung tissue. Guided by this distinct intersegmental boundary, a precise parenchymal-sparing wedge resection of the right lower lobe is performed. Final indocyanine green assessment confirms adequate perfusion of the remaining parenchyma and complete resection with negative margins. This approach ensures definitive treatment while optimizing functional outcomes.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789146","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 Ivor Lewis oesophagectomy with intrathoracic hybrid anastomosis. 机器人Ivor Lewis食管切除术与胸内混合吻合。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-04-23 DOI: 10.1510/mmcts.2025.121

Karthik Venkataramani, Sabita Jiwnani, Devayani Niyogi, Virendra Kumar Tiwari, C S Pramesh

引用次数: 0

A totally beating heart transplant from donation after circulatory death and thoracoabdominal normothermic regional perfusion. 循环性死亡和胸腹恒温局部灌注后的全跳动心脏移植。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-04-23 DOI: 10.1510/mmcts.2026.004

Bleri Çelmeta, Daniele Ronco, Giulia Pisani, Mattia Barbiero, Cecilia Marchetti, Antioco Cappai, Aldo Cannata, Claudio Russo

{"title":"A totally beating heart transplant from donation after circulatory death and thoracoabdominal normothermic regional perfusion.","authors":"Bleri Çelmeta, Daniele Ronco, Giulia Pisani, Mattia Barbiero, Cecilia Marchetti, Antioco Cappai, Aldo Cannata, Claudio Russo","doi":"10.1510/mmcts.2026.004","DOIUrl":"https://doi.org/10.1510/mmcts.2026.004","url":null,"abstract":"In this video tutorial, we describe the step-by-step procedure of a totally beating heart transplant in a setting of controlled donation after circulatory death. The donor and recipient of the cardiac allograft were present in the same hospital, the same operating block and different operating rooms. After a mandatory no-touch time of asystolic electrocardiographic registering, which per Italian law is 20 minutes, the sternum is opened and supra-aortic vessels are occluded. Thoraco-abdominal normothermic regional perfusion is promptly initiated, interrupting the warm ischaemia time. After the multiparametric evaluation of the cardiac allograft, its procurement from the donor, its transportation from the donor to the recipient and its subsequent implantation are performed completely on a beating heart. Cardiac perfusion in the aortic root was guaranteed continuously with the donor blood during procurement and transportation, and with the recipient blood from the cardiopulmonary bypass during the implantation. By avoiding the two periods of cold ischaemic cardiac arrest typically used in a donation after circulatory death setting, this procedure may reduce ischaemic cardiac injury and potentially improve the allograft performance after the transplant procedure.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147789126","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

Modified Tran Viet-Neveux technique with monocusp valve for truncus type 1 repair. 改良Tran - Viet-Neveux技术与单瓣修复干1型。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-04-21 DOI: 10.1510/mmcts.2025.167

Ventsislav Boshnakov, Maruti Haranal, Sivakumar Sivalingam

引用次数: 0