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

Technique for surgical replacement of the ascending aorta with concomitant aortic valve and hemiarch replacement: a procedural guide. 手术置换升主动脉并同时置换主动脉瓣和半主动脉瓣的技术：手术指南。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-26 DOI: 10.1510/mmcts.2024.045

Djamila Abjigitova, Samuel A Max, Amir H Sadeghi, Jelena Sjatskig, Edris A F Mahtab

引用次数: 0

Robotic-assisted carinal reconstruction using cross-table ventilation. 机器人辅助下的椎动脉重建，采用跨台通气。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-26 DOI: 10.1510/mmcts.2024.085

Aishah Z Mughal, Ahmed El-Zeki, Deepak Ravindran, Ramesh Giri, Ahmed M Habib

{"title":"Robotic-assisted carinal reconstruction using cross-table ventilation.","authors":"Aishah Z Mughal, Ahmed El-Zeki, Deepak Ravindran, Ramesh Giri, Ahmed M Habib","doi":"10.1510/mmcts.2024.085","DOIUrl":"https://doi.org/10.1510/mmcts.2024.085","url":null,"abstract":"Carinal reconstruction remains a technically challenging procedure for thoracic surgeons due to the complexity of airway resection and management. This is typically performed in the setting of tumour resection affecting the carina and distal trachea. Airway management of patients undergoing surgical resection of tumours involving the carina is highly challenging. This is due to an open, shared airway and the need for single-lung ventilation to facilitate surgery. Common modalities used for intraoperative ventilation include cross-table ventilation, veno-venous extra-corporeal membrane oxygenation and cardiopulmonary bypass. Cardiopulmonary bypass is usually avoided due to the requirement of full heparinization, which increases the demands of a technically challenging procedure, in addition to its contraindication in oncological resections. Extra-corporeal membrane oxygenation is not readily available in most thoracic units. This leaves cross-table ventilation, which is commonly used for open thoracotomy and sternotomy cases, but has never been reported for minimally invasive procedures. Specifically, to the best of our knowledge, cross-table ventilation has never been used for minimally invasive robotic carinal reconstruction. We present a step-by-step video tutorial in performing surgical resection of a mediastinal tumour that was found invading the carina. This was performed in a young patient who underwent carinal reconstruction using a novel technique combining cross-table ventilation and robotic-assisted surgery.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332229","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

Pulmonary endarterectomy for subacute on top of chronic thromboembolic disease. 针对慢性血栓栓塞性疾病的亚急性肺动脉内膜切除术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-25 DOI: 10.1510/mmcts.2024.021

Nicholas A Oh, Mina Estafanos, Gustavo A Heresi, Michael Z Y Tong, Haytham Elgharably

{"title":"Pulmonary endarterectomy for subacute on top of chronic thromboembolic disease.","authors":"Nicholas A Oh, Mina Estafanos, Gustavo A Heresi, Michael Z Y Tong, Haytham Elgharably","doi":"10.1510/mmcts.2024.021","DOIUrl":"https://doi.org/10.1510/mmcts.2024.021","url":null,"abstract":"Our objective is to describe our approach for a case of subacute on top of chronic thromboembolic disease and highlight operative learning points. Prior to incision, appropriate monitoring equipment, including an arterial line, Swan-Ganz catheter, brain saturation monitor and bispectral index monitor, is placed for proper management of haemodynamics. Sternotomy was performed, and the ascending aorta was cannulated, followed by bicaval cannulation for venous drainage. The patient was cooled to deep hypothermia. Once target temperature was achieved, circulatory arrest commenced. The left pulmonary artery was opened and the subacute component was removed without disrupting the plane of the chronic thromboembolic disease. An endarterectomy plane was then created proximally and dissected into the distal segmental/subsegmental branches. Once the endarterectomy was completed, the left pulmonary artery was closed. Circulation was resumed for end-organ perfusion. Once the right pulmonary artery was ready for dissection, circulatory arrest was restarted. Similarly to the left side, the subacute component was removed without disrupting the plane of the chronic thromboembolic disease. An endarterectomy plane was then created proximally and dissected into the distal segmental/subsegmental branches. Circulation was then resumed. Once rewarmed to 35.5°C, the patient was decannulated and the sternum was closed.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332228","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

Cardiac transplantation after HeartMate3. 心脏移植后的 HeartMate3。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-24 DOI: 10.1510/mmcts.2024.006

Maksym Rzhanyi, Gustavo Woll, Elena Sandoval Martínez, Maria Ascaso, Anton Pechenenko, Eduard Quintana

引用次数: 0

How to treat systolic anterior motion of the anterior mitral valve leaflet during endoscopic minimally invasive surgery. 如何在内窥镜微创手术中治疗二尖瓣前叶收缩期前移。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-24 DOI: 10.1510/mmcts.2024.060

Gianpiero Buttiglione, Can Gollmann-Tepeköylü, Lukas Stastny, Leo Pölzl, Clemens Engler, Daniel Höfer, Michael Grimm, Nikolaos Bonaros

引用次数: 0

Percutaneous femoral venoarterial ECMO decannulation at the bedside using the Manta vascular closure device. 使用 Manta 血管闭合装置在床旁进行经皮股静脉动脉 ECMO 解禁。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-24 DOI: 10.1510/mmcts.2024.036

Alessandro Affronti, Isidoro Di Bella, Angelo Pisani, Cristina Todisco, Eleonora Natali, Federica Pesce, Romina Pantanella, Alessandra Battaglia, Marcello Bergonzini

引用次数: 0

Uniportal VATS removal of a giant mediastinal goitre. 单孔 VATS 切除巨大纵隔甲状腺肿。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-24 DOI: 10.1510/mmcts.2024.030

Yousef Abu Asbeh, Raghad Sweity, Peter R Bael

{"title":"Uniportal VATS removal of a giant mediastinal goitre.","authors":"Yousef Abu Asbeh, Raghad Sweity, Peter R Bael","doi":"10.1510/mmcts.2024.030","DOIUrl":"10.1510/mmcts.2024.030","url":null,"abstract":"We demonstrate the technical nuances and operative strategy of uniportal video-assisted thoracoscopic surgical excision of a giant mediastinal goitre in a patient with a complex medical history, including a prior total thyroidectomy for multinodular goitre and partial gastrectomy for gastrointestinal stromal tumour. The video tutorial presents the surgical removal of a substantial mediastinal goitre, persisting post-total thyroidectomy performed 2 years prior via a collar incision. We opted for a thoracoscopic technique for the removal of the residual mediastinal mass. A 3-cm uniportal incision was made at the fifth intercostal space along the mid-axillary line. Pleural exploration confirmed the absence of adhesions. Subsequent dissection revealed a large retrocaval goitre adjacent to the trachea. Utilizing a combination of LigaSure technology for sharp dissection, and blunt dissection techniques using the peanuts, we severed the goitre's attachments to surrounding critical structures, including the trachea, superior vena cava and oesophagus. The dissection continued, extending into the cervical region from the thoracic approach. The mass was safely enclosed within an endobag and extracted through the uniportal incision. This case demonstrates the feasibility and effectiveness of the uniportal thoracoscopic approach for complex mediastinal pathology. This approach was successfully executed with an uneventful perioperative course and no complications, indicating positive outcomes in complex thoracic cases despite a minimally invasive approach for the resection of mediastinal masses.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309129","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

Surgical techniques for cardiac procurement, preparation and perfusion using the Organ Care System. 使用器官护理系统进行心脏采集、准备和灌注的外科技术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-19 DOI: 10.1510/mmcts.2024.057

Manuel Egle, Sarah Longnus, Murat Yildiz, Matthias Siepe, David Reineke

引用次数: 0

Visualizing the invisible: aortopulmonary window diagnosis enhanced by 3D computer graphics. 将看不见的东西可视化：通过三维计算机图形增强主动脉肺窗诊断。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-19 DOI: 10.1510/mmcts.2024.059

Mayu Nishida, Kenichi Hashizume, Mio Kasai, Mitsuharu Mori, Yuika Kameda, Tsutomu Nara, Kentaro Hotoda, Hideyuki Shimizu

引用次数: 0

Robotic left intrapericardial upper lobectomy, pericardial reconstruction and diaphragmatic plication. 机器人左心包内上叶切除术、心包重建术和膈肌成形术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-18 DOI: 10.1510/mmcts.2024.058

Haisam Saad, Rachel Thavayogan, Joanna Fuentes-Warr, Caroline Reavley, Susana Alexander, Vasileios Kouritas

引用次数: 0