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

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Tracheal resection and primary anastomosis through a cervical incision in a child with a tracheal mass causing near total occlusion of the upper trachea. 儿童气管肿块导致上气管几乎完全闭塞，经颈部切口气管切除及一期吻合。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-07-21 DOI: 10.1510/mmcts.2025.034
Hari Haran Krishnamurthi, Vijayakumar Raju, Naveen Srinivasan, Kaushik Jothinath, Karthik Babu Murugesan, Antony Terance Benjamin
{"title":"Tracheal resection and primary anastomosis through a cervical incision in a child with a tracheal mass causing near total occlusion of the upper trachea.","authors":"Hari Haran Krishnamurthi, Vijayakumar Raju, Naveen Srinivasan, Kaushik Jothinath, Karthik Babu Murugesan, Antony Terance Benjamin","doi":"10.1510/mmcts.2025.034","DOIUrl":"https://doi.org/10.1510/mmcts.2025.034","url":null,"abstract":"<p><p>Tracheal resections are uncommon procedures in children. A tracheal resection is usually indicated for short-segment tracheal stenosis or tracheal tumours. A tracheal resection is very demanding, and success demands a collaborative effort from the anaesthesiologist, the ear, nose, and throat surgeons and the pulmonologist. Up to 50% of the trachea can be safely resected with good preoperative and intraoperative planning. The surgical approach to the trachea depends on the location and the extent of the lesions. In this case report, we describe the upper tracheal resection with an end-to-end anastomosis through a cervical incision in an 8-year-old child who presented with a large upper tracheal tumour causing near total occlusion of the trachea. The histopathological analysis of the mass indicated it was a schwannoma.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676511","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 novel modification for the Sano conduit during stage I Norwood palliation for hypoplastic left heart syndrome: towards a more anatomical and physiologic connection. 左心发育不全综合征I期Norwood姑息治疗期间Sano导管的一种新改良：走向更多的解剖和生理联系。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-07-09 DOI: 10.1510/mmcts.2025.066
Sameh M Said, Ali H Mashadi
{"title":"A novel modification for the Sano conduit during stage I Norwood palliation for hypoplastic left heart syndrome: towards a more anatomical and physiologic connection.","authors":"Sameh M Said, Ali H Mashadi","doi":"10.1510/mmcts.2025.066","DOIUrl":"10.1510/mmcts.2025.066","url":null,"abstract":"<p><p>We present a 3.7-kg neonate with a foetal diagnosis of hypoplastic left heart syndrome who underwent stage I Norwood palliation using two technical modifications. We reconstructed the aortic arch and the aorto-pulmonary connection by following the Birmingham technique. The source of pulmonary blood flow was provided via a right ventricular-to-pulmonary artery shunt (Sano). A novel modification to the Sano conduit is demonstrated that we believe is more anatomical and physiologic. The composite Sano conduit was constructed using a 5-mm externally reinforced polytetrafluoroethylene graft connected to a 7-mm aortic homograft valve. The homograft valve was placed at the right ventricular end of the Sano conduit. We believe this design mimics a more normal anatomical right ventricular-to-pulmonary arterial connection and will help preserve the single ventricle function due to the lack of free pulmonary regurgitation.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602196","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 arterial, anaortic, off-pump coronary artery bypass grafting. 全动脉，无动脉，非体外循环冠状动脉旁路移植术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-06-30 DOI: 10.1510/mmcts.2025.048
Alexandra E Sperry, Michael Catalano, John Kelly, Wilson Y Szeto, Chase R Brown
{"title":"Total arterial, anaortic, off-pump coronary artery bypass grafting.","authors":"Alexandra E Sperry, Michael Catalano, John Kelly, Wilson Y Szeto, Chase R Brown","doi":"10.1510/mmcts.2025.048","DOIUrl":"https://doi.org/10.1510/mmcts.2025.048","url":null,"abstract":"<p><p>Total arterial, anaortic, off-pump coronary artery bypass grafting is seen by many as a complex, specialized operation; however, when broken down into its component parts, it can be approached as multiple reproducible techniques that all trainees should master. These components include skeletonized mammary harvest, construction of composite arterial grafts and off-pump cardiac surgery. In this video tutorial, we describe step-by-step approaches to each of these elements and demonstrate how these principles come together to facilitate an excellent surgical outcome for the patient: revascularization of all diseased coronary arteries with arterial grafts while avoiding arresting the heart or aortic manipulation.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531036","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
Fissurating aneurysm of the right coronary artery repaired with interposition of a Gore-Tex graft. 右冠状动脉裂性动脉瘤经Gore-Tex移植修复。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-06-30 DOI: 10.1510/mmcts.2025.060
Olivier Fabre, Mihai Radutoiu, Ionut Carjaliu, Xavier Leroy, Anas Attanouti, Laurence Gautier, Ilir Hysi
{"title":"Fissurating aneurysm of the right coronary artery repaired with interposition of a Gore-Tex graft.","authors":"Olivier Fabre, Mihai Radutoiu, Ionut Carjaliu, Xavier Leroy, Anas Attanouti, Laurence Gautier, Ilir Hysi","doi":"10.1510/mmcts.2025.060","DOIUrl":"https://doi.org/10.1510/mmcts.2025.060","url":null,"abstract":"<p><p>Coronary artery aneurysms are exceedingly rare and are most often discovered incidentally. Rupture of such aneurysms is even more uncommon. In this case report, we describe an 82-year-old patient who presented with sudden-onset chest pain and was diagnosed with a fissurating aneurysm of the right coronary artery. The aneurysm was associated with a congenital abnormality of the coronary venous sinus return. The patient underwent emergency surgery. Given her advanced age, the surgical strategy focused solely on addressing the imminent risk of rupture. A 10-mm Gore-Tex graft was implanted because direct suture repair or vein grafting was deemed unsuitable. The patient recovered well postoperatively and was given dual antiplatelet therapy. At nine months of follow-up, she remains asymptomatic, with no recurrence of chest pain.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531035","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
Tumour thrombus of the pulmonary arteries: the value of precise imaging for segmental resection. 肺动脉肿瘤血栓：精确影像对节段性切除的价值。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-06-25 DOI: 10.1510/mmcts.2024.136
Igor E Konstantinov, Tyson A Fricke
{"title":"Tumour thrombus of the pulmonary arteries: the value of precise imaging for segmental resection.","authors":"Igor E Konstantinov, Tyson A Fricke","doi":"10.1510/mmcts.2024.136","DOIUrl":"10.1510/mmcts.2024.136","url":null,"abstract":"<p><p>We present a 12-year-old patient with periosteal osteosarcoma and bilateral pulmonary arterial tumour thrombi. The utility of a three-dimensional model to assess the feasibility of segmental resection is demonstrated.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487044","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 minimally invasive LAA closure with WATCHMAN device. 用WATCHMAN器械重做微创LAA闭合。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-06-24 DOI: 10.1510/mmcts.2025.024
Maris Bartkevics, Fabio Pregaldini, Lorenz Räber, Matthias Siepe, Clarence Pingpoh
{"title":"Redo minimally invasive LAA closure with WATCHMAN device.","authors":"Maris Bartkevics, Fabio Pregaldini, Lorenz Räber, Matthias Siepe, Clarence Pingpoh","doi":"10.1510/mmcts.2025.024","DOIUrl":"10.1510/mmcts.2025.024","url":null,"abstract":"<p><p>This video tutorial demonstrates the minimally invasive closure of a left atrial appendage (LAA) using the WATCHMAN device in a patient with a prior history of heart surgery. Given the failure of anticoagulation therapy, the decision was made to perform surgical closure of the LAA. Due to the patient's previous heart surgery, our standard LAA closure device, the AtriClip, could not be used. As an alternative, the WATCHMAN device was chosen. This device is FDA- and EMA-approved and is designed for implantation via a transcatheter-based approach.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477806","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
Excision of a cardiac paraganglioma. 切除心脏副神经节瘤。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-06-23 DOI: 10.1510/mmcts.2025.044
Muslim Mustaev, Laith Kayyal, Minji Ho, Kamran Baig, Christopher Young
{"title":"Excision of a cardiac paraganglioma.","authors":"Muslim Mustaev, Laith Kayyal, Minji Ho, Kamran Baig, Christopher Young","doi":"10.1510/mmcts.2025.044","DOIUrl":"10.1510/mmcts.2025.044","url":null,"abstract":"<p><p>We present a case report detailing the surgical management of a cardiac paraganglioma in a 57-year-old man with a succinate dehydrogenase subunit B mutation and family history of paragangliomas. These neuroendocrine tumours arise from chromaffin cells and account for less than 3% of cardiac tumours. Succinate dehydrogenase subunit B mutations are associated with aggressive disease patterns and require a multidisciplinary approach for optimal management. The patient had multifocal disease involving the neck, abdomen and heart, yet was asymptomatic aside from a palpable neck mass. Positron emission tomography with fluorodeoxyglucose, echocardiography and coronary angiography identified a mass within the right atrial wall and concurrent significant narrowing of the left anterior descending coronary artery. The video tutorial demonstrates excision of the cardiac paraganglioma via median sternotomy, establishment of cardiopulmonary bypass, and right atrial exploration. No tumour was visualized within the chamber, and further inspection revealed a firm lesion in the right atrioventricular groove, infiltrating the myocardium and encasing the right coronary artery. The artery was transected and bypassed using a saphenous vein graft, allowing for complete tumour resection. A graft to the left anterior descending artery was also performed. Postoperative recovery was uncomplicated, and histopathology confirmed a cardiac paraganglioma with clear margins.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477805","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
Technical aspects of INCOR implantation for a patient with end-stage heart failure. 终末期心力衰竭患者植入术的技术方面。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-06-17 DOI: 10.1510/mmcts.2025.008
Alexey Limansky, Andrey Protopopov, Dmitry Khvan, Dmitry Sirota, Maxim Zhulkov, Alexander Bogachev-Prokophiev, Dmitry V Doronin, Alexander Chernyavskiy
{"title":"Technical aspects of INCOR implantation for a patient with end-stage heart failure.","authors":"Alexey Limansky, Andrey Protopopov, Dmitry Khvan, Dmitry Sirota, Maxim Zhulkov, Alexander Bogachev-Prokophiev, Dmitry V Doronin, Alexander Chernyavskiy","doi":"10.1510/mmcts.2025.008","DOIUrl":"10.1510/mmcts.2025.008","url":null,"abstract":"<p><p>The rising number of people with heart failure is leading to a corresponding increase in heart failure-related deaths. End-of-life care for these patients involves supplementing standard treatments with therapies aimed at managing symptoms that don't respond to guideline-directed medical care. The INCOR, a lightweight (200 g), implantable, magnetically levitated axial flow pump (providing non-pulsatile flow), is designed for long-term left ventricular support. This video tutorial details the initial single-centre clinical experience with this 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":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318697","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-assisted removal of a large thymoma. 机器人辅助切除大胸腺瘤。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-06-16 DOI: 10.1510/mmcts.2025.046
Jamie Romeo, Florit Marcuse, Monique Hochstenbag, Myrurgia Abdul Hamid, Hester Gietema, Ulrich Ljalji, Jos Maessen
{"title":"Robotic-assisted removal of a large thymoma.","authors":"Jamie Romeo, Florit Marcuse, Monique Hochstenbag, Myrurgia Abdul Hamid, Hester Gietema, Ulrich Ljalji, Jos Maessen","doi":"10.1510/mmcts.2025.046","DOIUrl":"https://doi.org/10.1510/mmcts.2025.046","url":null,"abstract":"<p><p>An anterior mediastinal mass can comprise a wide variety of benign and malignant tumours that can present with diverse clinical symptoms. Diagnosis often requires multiple imaging modalities along with laboratory tests and, in specific cases, tissue biopsies. Upfront tumour resection is often preferred in cases with a substantial suspicion of malignancy whenever complete resection is deemed possible. We present a relatively common case of a substantial anterior mediastinal mass with a high suspicion of thymoma in a 73-year-old male patient without myasthenia gravis. Based on his computed tomography scan, a 3-dimensional model was built. Upfront resection without neo-adjuvant therapy was deemed feasible and therefore preferable. A DaVinci robot-assisted 3-port resection of the tumour was performed from the patient's left side. The intra- and postoperative courses were uneventful, after which the patient was discharged home on postoperative day 3.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303572","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
Bicuspid valve-sparing aortic root replacement with the remodelling procedure. 保留双尖瓣的主动脉根部置换术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-06-16 DOI: 10.1510/mmcts.2025.043
Seif Elmankabadi, Patrick Hoang, Elaine E Tseng, Marko T Boskovski
{"title":"Bicuspid valve-sparing aortic root replacement with the remodelling procedure.","authors":"Seif Elmankabadi, Patrick Hoang, Elaine E Tseng, Marko T Boskovski","doi":"10.1510/mmcts.2025.043","DOIUrl":"10.1510/mmcts.2025.043","url":null,"abstract":"<p><p>We present a case of a young male with severe aortic regurgitation and an aortic root aneurysm who underwent a valve-sparing aortic root replacement using a remodelling technique with annuloplasty, and bicuspid aortic valve repair.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303571","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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