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Beating heart arch replacement without circulatory arrest: a standardized surgical strategy. 无循环心跳停止的心脏起搏弓置换术：标准化手术策略。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-02-17 DOI: 10.1510/mmcts.2025.005
Jamie Romeo, Anne Simone Lotfalla, Erik P J Körver, Ehsan Natour, Jos Maessen, Roberto Lorusso, Michael Jacobs, Elham Bidar
{"title":"Beating heart arch replacement without circulatory arrest: a standardized surgical strategy.","authors":"Jamie Romeo, Anne Simone Lotfalla, Erik P J Körver, Ehsan Natour, Jos Maessen, Roberto Lorusso, Michael Jacobs, Elham Bidar","doi":"10.1510/mmcts.2025.005","DOIUrl":"https://doi.org/10.1510/mmcts.2025.005","url":null,"abstract":"<p><p>Deep hypothermic circulatory arrest, antegrade brain perfusion and cardioplegic arrest are commonly used organ protection techniques during aortic arch surgery. We present our surgical strategy for beating heart aortic arch surgery without circulatory arrest. Cardiopulmonary bypass access is achieved through the right and/or left axillary artery for continuous cerebral perfusion under neurophysiological monitoring and femoral cannulation through an EndoReturn cannula while using a Coda balloon catheter for visceral perfusion. Systemic cooling is applied between 28 and 32 °C.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442545","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-oesophagectomy hiatal hernia.
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-02-12 DOI: 10.1510/mmcts.2024.128
Marie-Eve Tuchon, Alicia Truchon, Denise Ouellette, George Rakovich
{"title":"Post-oesophagectomy hiatal hernia.","authors":"Marie-Eve Tuchon, Alicia Truchon, Denise Ouellette, George Rakovich","doi":"10.1510/mmcts.2024.128","DOIUrl":"https://doi.org/10.1510/mmcts.2024.128","url":null,"abstract":"<p><p>This video tutorial presents the laparoscopic repair of a post-oesophagectomy hiatal hernia in a 69-year-old patient who had an oesophagectomy 5 years previously for distal oesophageal cancer. He presented acutely with epigastric pain, nausea and hiccups. During the operation, the herniated small bowel was reduced and found to be viable. The defect was sealed by suturing the conduit to the diaphragm. At a follow-up examination 23 months after the repair, the patient is asymptomatic and there is no evidence of recurrence.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400386","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 biventricular repair in aortic hypoplasia: the value of intraoperative myocardial perfusion.
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-02-10 DOI: 10.1510/mmcts.2024.089
Igor E Konstantinov, Natasha Bocchetta, Tyson A Fricke
{"title":"Staged biventricular repair in aortic hypoplasia: the value of intraoperative myocardial perfusion.","authors":"Igor E Konstantinov, Natasha Bocchetta, Tyson A Fricke","doi":"10.1510/mmcts.2024.089","DOIUrl":"https://doi.org/10.1510/mmcts.2024.089","url":null,"abstract":"<p><p>The patient had a hypoplastic aortic arch with coarctation, a right aberrant subclavian artery, a bicuspid aortic valve, a ventricular septal defect and severe long-segment left ventricular outflow tract obstruction. The patient underwent initial univentricular palliation with subsequent biventricular conversion. Initially the patient had a Norwood operation with a Sano conduit at 23 days of age. The operation was performed on a beating heart with full-body perfusion for optimal preservation of heart cardiac function. At 9 months of age, the patient had a biventricular conversion that required ventricular septal defect enlargement and placement of the valve conduit from the right ventricle to the pulmonary artery (i.e. the Yasui procedure). The patient also had recurrent coarctation and left pulmonary artery stenosis; both were repaired with the heart beating to minimize myocardial ischaemic time.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383950","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
Edge-to-edge repair with ring annuloplasty for post-transplant biopsy-related tricuspid regurgitation.
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-02-10 DOI: 10.1510/mmcts.2024.140
Sooyun Caroline Tavolacci, Corazon de la Pena, Suguru Ohira
{"title":"Edge-to-edge repair with ring annuloplasty for post-transplant biopsy-related tricuspid regurgitation.","authors":"Sooyun Caroline Tavolacci, Corazon de la Pena, Suguru Ohira","doi":"10.1510/mmcts.2024.140","DOIUrl":"https://doi.org/10.1510/mmcts.2024.140","url":null,"abstract":"<p><p>We experienced an early biopsy-related tricuspid regurgitation post-transplant. Transthoracic and transoesophageal echocardiography showed a frail anterior leaflet with a possible ruptured chorda. The tricuspid valve was inspected, and a ruptured chorda was noted in the anterior leaflet with a single torn chorda on the septal leaflet. The corresponding papillary muscle was difficult to identify. The patient underwent successful tricuspid valve repair with edge-to-edge repair and ring annuloplasty. Compared to a complex repair procedure such as the replacement of multiple artificial chordae, the edge-to-edge repair to correct prolapse without creating a gradient across the valve is reproducible.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383947","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
Total arch replacement with a branched frozen elephant trunk with potential to reliably reconstruct a narrow-diameter vertebral anomalous artery using a self-expandable stent graft.
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-02-10 DOI: 10.1510/mmcts.2024.111
Kenichi Hashizume, Mitsuharu Mori, Mio Kasai, Yuika Kameda, Daiki Harada, Mayu Nishida, Yutaro Aoyagi, Hideyuki Shimizu
{"title":"Total arch replacement with a branched frozen elephant trunk with potential to reliably reconstruct a narrow-diameter vertebral anomalous artery using a self-expandable stent graft.","authors":"Kenichi Hashizume, Mitsuharu Mori, Mio Kasai, Yuika Kameda, Daiki Harada, Mayu Nishida, Yutaro Aoyagi, Hideyuki Shimizu","doi":"10.1510/mmcts.2024.111","DOIUrl":"https://doi.org/10.1510/mmcts.2024.111","url":null,"abstract":"<p><p>We describe a total arch replacement using a hybrid frozen elephant trunk device. The procedure required reconstruction of the left vertebral anomalous artery using a triple branched stented anastomosis frozen elephant trunk repair. The novelty of this procedure lies in the impressive results that we obtained at this preliminary stage. The good results indicated an effective safe technique that facilitates aortic arch reconstruction using the hybrid frozen elephant trunk for an arch aneurysm with a left vertebral anomalous artery. Three-dimensional computed tomography performed 6 months postoperatively showed a well-reconstructed aortic arch and left vertebral anomalous artery. The use of self-expandable stent grafts may facilitate reconstruction of the left vertebral anomalous artery and is expected to improve patency. In this case, a longer follow-up with further procedural improvements is still necessary to pass this preliminary stage and obtain a definitive optimal outcome with an advantage in operating time.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383919","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
Anaortic total arterial minimally invasive coronary artery bypass grafting: The Leipzig technique.
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-02-06 DOI: 10.1510/mmcts.2025.001
Zara Dietze, Mateo Marín-Cuartas, Manuela De La Cuesta, Alexey Dashkevich, Michael Andrew Borger, Alexander Verevkin
{"title":"Anaortic total arterial minimally invasive coronary artery bypass grafting: The Leipzig technique.","authors":"Zara Dietze, Mateo Marín-Cuartas, Manuela De La Cuesta, Alexey Dashkevich, Michael Andrew Borger, Alexander Verevkin","doi":"10.1510/mmcts.2025.001","DOIUrl":"https://doi.org/10.1510/mmcts.2025.001","url":null,"abstract":"<p><p>The Heart Center Leipzig has implemented an innovative off-pump minimally invasive cardiac surgery-coronary artery bypass grafting approach, focusing on complete arterial revascularization using bilateral mammary arteries through a minimally invasive incision (left anterolateral minithoracotomy). This technique has been successfully incorporated into routine clinical practice at our centre for the past 8 years. The majority of patients are eligible for this procedure. This video tutorial provides an overview of patient selection, the preoperative protocol and a step-by-step description of this 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":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257208","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
The hemi-Yacoub procedure and valve repair in a patient with Turner syndrome and bicuspid aortic valve. 一名特纳综合征和主动脉瓣双尖瓣患者的半亚库伯手术和瓣膜修复术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-02-05 DOI: 10.1510/mmcts.2024.122
Tomás D'Angelo, Germán Fortunato, Guido Busnelli, Florencia Valdecantos, Vadim Kotowicz
{"title":"The hemi-Yacoub procedure and valve repair in a patient with Turner syndrome and bicuspid aortic valve.","authors":"Tomás D'Angelo, Germán Fortunato, Guido Busnelli, Florencia Valdecantos, Vadim Kotowicz","doi":"10.1510/mmcts.2024.122","DOIUrl":"https://doi.org/10.1510/mmcts.2024.122","url":null,"abstract":"<p><p>Bicuspid aortic valve is a common congenital anomaly often associated with aortic valve degeneration and ascending aorta dilation, leading to stenosis or insufficiency. We present the case of a 46-year-old female with Turner syndrome, a Sievers type 1 bicuspid aortic valve, moderate aortic insufficiency and a dilated aortic root. Given her age and anatomical features, a valve-sparing aortic root replacement using the hemi-Yacoub technique was performed. This technique preserved the patient's native aortic valve, thereby avoiding the need for anticoagulation therapy. Postoperatively, no residual valve insufficiency was detected, and the patient demonstrated a normal valve coaptation height.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191013","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
Minimally invasive Bentall-de Bono procedure through an upper ministernotomy. 通过上部小切口进行的微创 Bentall-de Bono 手术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-02-05 DOI: 10.1510/mmcts.2024.142
Arnaud Van Linden, Thomas Walther, Tomas Holubec
{"title":"Minimally invasive Bentall-de Bono procedure through an upper ministernotomy.","authors":"Arnaud Van Linden, Thomas Walther, Tomas Holubec","doi":"10.1510/mmcts.2024.142","DOIUrl":"https://doi.org/10.1510/mmcts.2024.142","url":null,"abstract":"<p><p>The replacement of the aortic root and the aortic valve with a composite graft (Bentall-de Bono procedure) is a valid treatment option for patients with an aneurysm of the aortic root with valve pathology. The standard approach is still the full sternotomy. In this video tutorial, we present the Bentall-de Bono procedure using a self-made composite graft in a minimally invasive technique through an upper ministernotomy.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191006","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
Conversion technique of pulsatile-to-continuous flow single ventricular assist device. 脉动到连续流单心室辅助装置的转换技术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-02-05 DOI: 10.1510/mmcts.2024.125
Yuriy Stukov, Jeffrey P Jacobs, Kayla V Lucas, Mark Bleiweis, Giles J Peek
{"title":"Conversion technique of pulsatile-to-continuous flow single ventricular assist device.","authors":"Yuriy Stukov, Jeffrey P Jacobs, Kayla V Lucas, Mark Bleiweis, Giles J Peek","doi":"10.1510/mmcts.2024.125","DOIUrl":"https://doi.org/10.1510/mmcts.2024.125","url":null,"abstract":"<p><p>Patients with a congenital heart disease and unfavourable anatomy that are not amenable to the primary correction of the defect might need a ventricular assist device as a bridge to a transplant. Pulsatile paracorporeal ventricular assist devices represent excellent options for supporting these patients with complex conditions. The Berlin Heart EXCOR is a such a paracorporeal pulsatile ventricular device. Pulsatile flow is more physiologic because it resembles the natural circulation pumped by the heart. The Berlin Heart EXCOR is a displacement pump; therefore, the risk for increased haemolysis is greater. If the patient experiences haemolysis despite a change the pump flow rate while on a Berlin Heart EXCOR ventricular assist device, a pump exchange to continuous flow may be beneficial. In this case report, we present a patient with severe haemolysis due to a displacement pump and the step-by-step technique for changing from a pulsatile to a continuous flow ventricular assist device.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190994","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
Three-dimensional, totally endoscopic mitral valve repair of anomalous mitral arcade. 三维全内窥镜二尖瓣修复术治疗二尖瓣弧异常。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-02-05 DOI: 10.1510/mmcts.2024.131
Hideki Kitamura, Yuichiro Fukumoto, Yusuke Imamura, Chiaki Aichi
{"title":"Three-dimensional, totally endoscopic mitral valve repair of anomalous mitral arcade.","authors":"Hideki Kitamura, Yuichiro Fukumoto, Yusuke Imamura, Chiaki Aichi","doi":"10.1510/mmcts.2024.131","DOIUrl":"https://doi.org/10.1510/mmcts.2024.131","url":null,"abstract":"<p><p>We report the case of a 15-year-old boy with severe mitral valve insufficiency due to an anomalous mitral arcade. Both papillary muscles were elongated and attached directly to the anterior leaflet, creating an arcade shape. He underwent an operation using a right minithoracotomy approach under three-dimensional endoscopic vision. Both papillary muscles were dissected off the anterior leaflet and trimmed. A muscle bar existed from the left ventricular wall to the right-side tip of the posterior papillary muscle and was also dissected off. Four loops were reconstructed from the papillary muscles and fixed to the free margin of the anterior leaflet in appropriate positions. After a 28-mm semi-rigid band was inserted, the posterior commissure was closed, and edge-to-edge stitches were applied from the posterior commissure to the P3 and the A3 segments to achieve better competence. His mitral valve was successfully repaired. The transoesophageal echocardiogram showed good opening of the mitral valve and trace regurgitation. The endoscope was useful for detailed observation and evaluation of the structure and abnormalities of the mitral valve and subvalvular apparatus.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191017","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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