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

Valve-sparing reimplantation technique to correct a neo-aortic root/autograft aneurysm after the Ross procedure. 采用保瓣再植技术矫正罗斯手术后的新主动脉根部/自体移植动脉瘤。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-11-21 DOI: 10.1510/mmcts.2024.033

Markus Liebrich, Joerg Seeburger, Vladimir Voth

引用次数: 0

Yasui procedure for an interrupted aortic arch type C with an aberrant right subclavian artery from the pulmonary artery: right subclavian artery-free graft technique. 针对肺动脉右锁骨下动脉异常的 C 型主动脉弓中断的安井手术：无右锁骨下动脉移植技术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-11-15 DOI: 10.1510/mmcts.2024.084

Fabian A Kari, Sebastian Michel, André Jakob, Jürgen Hörer

引用次数: 0

Combined en bloc heart and liver transplant. 心脏和肝脏联合整体移植。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-11-15 DOI: 10.1510/mmcts.2024.110

Yuriy Stukov, Thiago Beduschi, Jeffrey P Jacobs, Werviston De Faria, Liam R Kugler, Giles J Peek, Mark Bleiweis

引用次数: 0

Emergency trans-mitral septal myectomy with resection of abnormal papillary muscles. 切除异常乳头肌的急诊经中耳室间隔肌瘤切除术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-11-14 DOI: 10.1510/mmcts.2024.083

Sooyun Caroline Tavolacci, David Spielvogel, Suguru Ohira

{"title":"Emergency trans-mitral septal myectomy with resection of abnormal papillary muscles.","authors":"Sooyun Caroline Tavolacci, David Spielvogel, Suguru Ohira","doi":"10.1510/mmcts.2024.083","DOIUrl":"10.1510/mmcts.2024.083","url":null,"abstract":"This patient was a septuagenarian female with a past medical history of hypertrophic cardiomyopathy with systolic anterior motion and moderate mitral regurgitation. Preprocedural transoesophageal echocardiography did not show any abnormal papillary muscle. An elective alcohol septal ablation was performed. During alcohol septal ablation at the catheterization laboratory, the patient developed acute cardiogenic shock with pulmonary oedema that required intubation. Transoesophageal echocardiography showed worsening obstruction of the left ventricular outflow tract due to swelling of the septum with severe mitral regurgitation. Emergency surgery via a median sternotomy revealed anomalous papillary muscles with direct insertion into the body of the leaflet and attachment to the free edge of the anterior leaflet (Mayo classification type II). The anterior leaflet and abnormal papillary muscles were resected, followed by septal myectomy through the same exposure. The mitral valve was replaced with a 29-mm tissue valve. Postoperative transoesophageal echocardiography confirmed the release of the left ventricular outflow tract obstruction. The patient's postoperative course was uneventful. This case highlights a rare but serious complication after alcohol septal ablation. Whereas anomalous papillary muscle is one of the important mechanisms of left ventricular outflow tract obstruction, its diagnosis can be challenging in a subset of patients prior to surgical repair.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649655","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

Commando procedure for radiation heart disease. 放射性心脏病突击队手术

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-11-11 DOI: 10.1510/mmcts.2024.073

Nicholas A Oh, Mina Estafanos, Anthony Zaki, Haytham Elgharably

引用次数: 0

Video-assisted thoracoscopic surgery repair of an idiopathic internal mammary artery aneurysm. 视频辅助胸腔镜手术修复特发性乳内动脉瘤。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-11-04 DOI: 10.1510/mmcts.2024.091

Kareem Ahmed, Mustafa Loay, Ahmed Gamal Ahmed, Mostafa Abdulhafeez, Asmaa M Ahmed, Abeer Refaiy, Hussein Elkhayat

{"title":"Video-assisted thoracoscopic surgery repair of an idiopathic internal mammary artery aneurysm.","authors":"Kareem Ahmed, Mustafa Loay, Ahmed Gamal Ahmed, Mostafa Abdulhafeez, Asmaa M Ahmed, Abeer Refaiy, Hussein Elkhayat","doi":"10.1510/mmcts.2024.091","DOIUrl":"https://doi.org/10.1510/mmcts.2024.091","url":null,"abstract":"A discussion of an internal mammary artery aneurysm is a rare finding in the literature. This condition can cause serious complications, including haemothorax and pneumo-haemothorax, and can lead to haemorrhagic shock; it can also be fatal. These effects can be explained by the rate of flow of the blood in the internal mammary artery, that is, 150 ml/minute, which leads to a blood loss of one litre in minutes. As reported in the literature, it has many different clinical presentations. Because an internal mammary artery aneurysm occurs so rarely, agreement regarding the best way to manage its treatment is rare. It can be discovered accidentally in imaging scans. The patient can present with chest pain, dyspnoea, or a mass in the chest wall, especially near the breast in women. We present a new management technique that, to the best of our knowledge, has not yet been described in the literature. Video-assisted thoracoscopic surgery could be used as a safe approach for managing such cases. It provides minimally invasive access and is less traumatic than open surgery. The procedure performed on our patient was uneventful. The artery was clipped, and the aneurysm was resected successfully. The total hospital stay was two days, and no complications occurred.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585107","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

Berlin Heart EXCOR sVAD upsizing and exchange technique. 柏林心脏 EXCOR sVAD 放大和交换技术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-11-04 DOI: 10.1510/mmcts.2024.102

Yuriy Stukov, Jeffrey P Jacobs, Breanne Collison, Efren D Atalig, Giles J Peek, Mark Bleiweis

引用次数: 0

Cerebrospinal fluid drain placement and comprehensive strategies for spinal cord protection in open thoracoabdominal aortic aneurysm repair. 开放式胸腹主动脉瘤修补术中的脑脊液引流管放置和脊髓保护综合策略。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-11-01 DOI: 10.1510/mmcts.2024.100

Robert Pruna-Guillen, Carlos Corredor, Thanakorn Rojanthagoon, Ana Lopez-Marco, Benjamin Adams, Aung Ye Oo

{"title":"Cerebrospinal fluid drain placement and comprehensive strategies for spinal cord protection in open thoracoabdominal aortic aneurysm repair.","authors":"Robert Pruna-Guillen, Carlos Corredor, Thanakorn Rojanthagoon, Ana Lopez-Marco, Benjamin Adams, Aung Ye Oo","doi":"10.1510/mmcts.2024.100","DOIUrl":"https://doi.org/10.1510/mmcts.2024.100","url":null,"abstract":"Ischaemic spinal cord injury remains a significant challenge in thoracoabdominal aortic repairs. Modern techniques have reduced spinal cord injury rates yet managing patients during and after thoracoabdominal aortic repairs remains complex. This article outlines our comprehensive approach to the prevention of spinal cord injuries in open thoracoabdominal aortic repair operations, focusing on the placement of cerebrospinal fluid drain and intraoperative strategies to enhance spinal cord protection. Preoperative planning involves thorough patient assessment, prehabilitation and nutritional support, detailed imaging review, thorough operative planning and patient blood management. Intraoperative measures include the use of neuromonitoring techniques like near-infrared spectroscopy and motor evoked potentials, as well as cerebrospinal fluid drainage together with blood pressure management to optimize spinal cord perfusion. Postoperative management focuses on maintaining haemodynamic stability with high mean arterial pressure, along with close monitoring and management of the cerebrospinal fluid drain to improve spinal cord perfusion. Additionally, thromboelastography-guided strategies are crucial for optimizing coagulation and addressing postoperative bleeding complications. The goal of this multifaceted approach is to minimize the risk of spinal cord injury, thereby improving patient outcomes and reducing the incidence of postoperative paraplegia. Our video tutorial shows some of our preoperative and intraoperative techniques for spinal cord protection in thoracoabdominal aortic repairs.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559457","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

Thoracoscopic non-anatomical lung segmentectomy for intralobar pulmonary sequestration using a 3-dimensional model and indocyanine green. 利用三维模型和吲哚菁绿对肺叶内嵌塞进行胸腔镜非解剖肺段切除术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-10-30 DOI: 10.1510/mmcts.2024.101

Giovanni Mattioni, Mohamed Rebei, Erik Kovacs, Guillaume Boddaert, Michel Menassa, Charlotte Duclos, Alessio Vincenzo Mariolo

{"title":"Thoracoscopic non-anatomical lung segmentectomy for intralobar pulmonary sequestration using a 3-dimensional model and indocyanine green.","authors":"Giovanni Mattioni, Mohamed Rebei, Erik Kovacs, Guillaume Boddaert, Michel Menassa, Charlotte Duclos, Alessio Vincenzo Mariolo","doi":"10.1510/mmcts.2024.101","DOIUrl":"https://doi.org/10.1510/mmcts.2024.101","url":null,"abstract":"Pulmonary sequestrations comprise a spectrum of congenital lung malformations, with abnormal lung tissue lacking connection with the tracheobronchial tree, supplied by an aberrant systemic artery. Until a few years ago, lobectomy was considered the standard treatment for intralobar pulmonary sequestration. However, minimally invasive sublobar resection gained a place as an interesting alternative therapeutic approach, guided by indocyanine green and computed tomography-based 3-dimensional anatomical models. Like pulmonary sequestrations, pulmonary pseudosequestrations are a congenital lung malformation, but characterized by a normal lung tissue fed by systemic arterial branches. To the best of our knowledge, there are no published cases of pulmonary pseudosequestration combined with sequestration. We present a case of an intralobar pulmonary sequestration coupled with an adjacent pseudosequestration, resected using thoracoscopic surgery with the aid of a 3-dimensional anatomical model and indocyanine green.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548916","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 subxiphoid radical thymectomy for a thymoma. 剑突下机器人根治性胸腺切除术治疗胸腺瘤。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-10-30 DOI: 10.1510/mmcts.2024.088

Giovanni Mattioni, Erik Kovacs, Michel Menassa, Mohamed Rebei, Nicolas Girard, Alessio Vincenzo Mariolo

{"title":"Robotic subxiphoid radical thymectomy for a thymoma.","authors":"Giovanni Mattioni, Erik Kovacs, Michel Menassa, Mohamed Rebei, Nicolas Girard, Alessio Vincenzo Mariolo","doi":"10.1510/mmcts.2024.088","DOIUrl":"https://doi.org/10.1510/mmcts.2024.088","url":null,"abstract":"Robotic-assisted thoracic surgery has emerged as a prominent technique for performing radical thymectomies in patients affected by early-stage thymic tumours. This technique is favoured because of its high ergonomics, superior image quality, enhanced instrument manoeuvrability and exceptional precision. Among the different surgical approaches developed, the unilateral and the bilateral intercostal approaches are the most widely diffused. The subxiphoid approach offers several advantages over these approaches, providing a wide visualization of the entire mediastinum and of both pleural cavities while enabling bilateral dissection through a single bilateral small intercostal incision. It brings an optimal central view of the mediastinum, easy control of both phrenic nerves and enhanced dissection at the level of the superior thymic horns and the left brachiocephalic vein, all while minimizing intercostal trauma. We present a robotic subxiphoid radical thymectomy using the da Vinci Xi platform, illustrated by a case involving a patient with a 5-cm thymoma close to the left phrenic nerve.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548915","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