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

En bloc excision of a large hydatid cyst originating from the posterior wall of the left ventricle. 整块切除起源于左心室后壁的大包虫囊肿。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-10-16 DOI: 10.1510/mmcts.2026.078

Koray Ak, Çağrı Gürpınar, Fatih Öztürk, Elif Demirbas, Azize Yolageldi, Furkan Kallek, Atakan Şentürk, Sinan Arsan

引用次数: 0

'Double-dunk' implantation of valveless ring-reinforced PTFE conduits for neonatal truncus arteriosus repair. 新生儿动脉干修复中无阀环增强聚四氟乙烯导管的“双灌篮”植入。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-10-16 DOI: 10.1510/mmcts.2026.102

Yaroslav Ivanov, Yaroslav Mykychak, Sulejman Abdusalamov, Valentin Vadiunec, Oliver Miera, Mi-Young Cho, Joachim Photiadis

引用次数: 0

Endoscopic secondary chordae transfer and edge-to-edge repair for the treatment of asymmetric anterior leaflet prolapse. 内镜下继发性脊索转移及边缘修复治疗不对称前小叶脱垂。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-10-14 DOI: 10.1510/mmcts.2026.083

Martina Giusti, Can Gollmann-Tepeköylü, Leo Pölzl, Hannes Abfalterer, Daniel Höfer, Nikolaos Bonaros

{"title":"Endoscopic secondary chordae transfer and edge-to-edge repair for the treatment of asymmetric anterior leaflet prolapse.","authors":"Martina Giusti, Can Gollmann-Tepeköylü, Leo Pölzl, Hannes Abfalterer, Daniel Höfer, Nikolaos Bonaros","doi":"10.1510/mmcts.2026.083","DOIUrl":"https://doi.org/10.1510/mmcts.2026.083","url":null,"abstract":"Anterior leaflet prolapse remains a challenging lesion in mitral valve repair, particularly in the presence of asymmetric degenerative disease. We present the case of a 59-year-old patient with severe mitral regurgitation due to asymmetric anterior leaflet prolapse in the setting of Barlow's disease, treated through a totally endoscopic right minithoracotomy. Intraoperative valve analysis demonstrated prolapse of the A2M2 and A3 segments with elongated secondary chordae. Mitral valve repair was performed using secondary chordae transfer, followed by asymmetric edge-to-edge repair at the A2-P2 scallops and ring annuloplasty. Intraoperative assessment showed satisfactory leaflet coaptation with trivial residual regurgitation. Postoperative echocardiography confirmed the absence of residual mitral regurgitation and no evidence of clinically significant mitral stenosis. This report describes the technical aspects of endoscopic secondary chordae transfer combined with asymmetric edge-to-edge repair and ring annuloplasty for the treatment of asymmetric anterior leaflet prolapse, demonstrating the feasibility of this repair strategy in a complex mitral valve anatomy.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186089","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 selective thoracic sympathectomy for hyperhidrosis: refined technique and anatomical variation. 机器人选择性胸交感神经切除术治疗多汗症：精细技术和解剖变异。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-10-14 DOI: 10.1510/mmcts.2026.094

Wajeeh Ullah Mahmood, Ahmed M Habib

{"title":"Robotic selective thoracic sympathectomy for hyperhidrosis: refined technique and anatomical variation.","authors":"Wajeeh Ullah Mahmood, Ahmed M Habib","doi":"10.1510/mmcts.2026.094","DOIUrl":"https://doi.org/10.1510/mmcts.2026.094","url":null,"abstract":"Primary hyperhidrosis substantially impairs quality of life. Conventional sympathectomy risks compensatory hyperhidrosis through trunk disruption, whilst selective sympathectomy preserves the trunk while dividing preganglionic and postganglionic fibres. We describe a technique refinement and a previously undescribed anatomical variant. A 23-year-old man had severe refractory palmar, axillary, plantar and gustatory hyperhidrosis (SSDS 4) profoundly affecting his confidence, social functioning and mental wellbeing, despite conservative management. He underwent staged bilateral robotic selective dorsal thoracic sympathectomy. Preganglionic and postganglionic fibres were divided from the top of T2 to T4 with trunk preservation. Refinements included resection from the top of the second rib, minimal diathermy with sharp dissection and non-touch technique using Maryland bipolar forceps. On the right, a postganglionic ramus ascending retrogradely from a displaced T3 ganglion into the third intercostal space was identified, previously undescribed in the literature, requiring dissection across the fourth rib to prevent hypothesized residual axillary hyperhidrosis. Both stages were completed 1 month apart, drain-free, with next-day discharge. There was complete symptom resolution, no Horner's syndrome and no compensatory hyperhidrosis at follow-up.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186205","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 intimal sarcoma presenting with pseudo-pulmonary embolism: surgical debulking, RVOT reconstruction and pulmonary valve replacement. 以假性肺栓塞为表现的心脏内膜肉瘤：手术切除、RVOT重建和肺动脉瓣置换术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-09-30 DOI: 10.1510/mmcts.2026.080

Dario Brenna, Paola Redaelli, Mattia Facchetti, Roberta Maggini, Stefano Benussi

{"title":"Cardiac intimal sarcoma presenting with pseudo-pulmonary embolism: surgical debulking, RVOT reconstruction and pulmonary valve replacement.","authors":"Dario Brenna, Paola Redaelli, Mattia Facchetti, Roberta Maggini, Stefano Benussi","doi":"10.1510/mmcts.2026.080","DOIUrl":"https://doi.org/10.1510/mmcts.2026.080","url":null,"abstract":"Intimal sarcoma is a malignant mesenchymal tumour arising in large blood vessels of systemic and pulmonary circulation, depicted as undifferentiated and aggressive. Clinical presentation of these cardiac masses is often subtle, making misdiagnosis possible. We discuss the case of a 27-year-old woman with a recent history of delivery, admitted for dyspnoea and signs of right-heart failure. A diagnosis of pulmonary embolism was made on a computed tomography angiogram and transoesophageal echocardiography basis. Emergency surgery was performed due to haemodynamic instability. Pulmonary arteriotomy revealed a large solid polylobate mass instead of a thrombus. Surgical debulking, with reconstruction of the right ventricle outflow tract, and pulmonary valve replacement were therefore necessary. Partial pulmonary annulus reconstruction was furthermore performed with a strip of heterologous pericardium with a 'sandwich technique'. Prompt diagnosis of intimal sarcoma was made, permitting initiation of timely treatment with anthracycline. Surgical resection of malignancies involving either the heart or great vessels is uncommonly performed because of the potential morbidity and mortality and the unknown probability of significant cure. Preoperative imaging is then of paramount importance in determining the diagnosis and planning for surgery. In this specific case, the haemodynamic instability, the high suspicion of a thrombotic nature of the mass, and young age precluded the performing of any second-level examination, leading surgeons to an unexpected reconstruction.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082478","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

Transverse infundibulotomy for resection of a right ventricular outflow tract myxoma. 右心室流出道粘液瘤横切术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-09-30 DOI: 10.1510/mmcts.2026.068

Kevin Lim, Nausheen Akhtar, Jon Lomasney, S Malaisrie

{"title":"Transverse infundibulotomy for resection of a right ventricular outflow tract myxoma.","authors":"Kevin Lim, Nausheen Akhtar, Jon Lomasney, S Malaisrie","doi":"10.1510/mmcts.2026.068","DOIUrl":"https://doi.org/10.1510/mmcts.2026.068","url":null,"abstract":"A 25-year-old asymptomatic 64 kg female with an incidental heart murmur was found, on echocardiography, to have a 2 cm echogenic mass beneath the pulmonary valve, with a peak gradient of 11 mmHg and mild pulmonic regurgitation. Gated computed tomography angiogram showed that the mass was located within the infundibulum of the right ventricle, beneath the non-adjacent leaflet of the pulmonary valve. The tumour had a broad base attachment to the interventricular septum and was in close proximity to the left anterior descending artery. The patient underwent median sternotomy via a limited skin incision. Cardiopulmonary bypass was initiated via aortic, superior vena cava and femoral vein cannulation. After diastolic cardioplegic arrest, a transverse infundibulotomy was made. A firm, multilobulated tumour was excised en bloc with a shallow cuff of septal muscle, including a white pedunculated base and gelatinous yellow stalk. A feeding septal artery was oversewn. The infundibulotomy was closed in two layers with 5/0 polypropylene sutures. The heart was de-aired, the cross-clamp removed, and the procedure completed routinely.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082526","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

Segmental sternal resection for metastatic ovarian cancer: surgical technique and clinical outcome. 转移性卵巢癌的胸骨节段性切除术：手术技术和临床结果。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-09-29 DOI: 10.1510/mmcts.2026.087

Francesco Petrella, Emanuele Pirondini, Andrea Marchesi, Tommaso Bianchi, Tommaso Grassi, Andrea Alberto Lissoni, Robert Fruscio

{"title":"Segmental sternal resection for metastatic ovarian cancer: surgical technique and clinical outcome.","authors":"Francesco Petrella, Emanuele Pirondini, Andrea Marchesi, Tommaso Bianchi, Tommaso Grassi, Andrea Alberto Lissoni, Robert Fruscio","doi":"10.1510/mmcts.2026.087","DOIUrl":"10.1510/mmcts.2026.087","url":null,"abstract":"Isolated sternal recurrence from ovarian cancer is exceptionally rare, and its optimal surgical management remains poorly defined. In selected patients with a prolonged disease-free interval and a solitary metastatic lesion, radical resection may provide durable local control while preserving chest stability and respiratory function. This video tutorial describes the surgical technique and clinical outcome of segmental sternectomy performed for a single-site sternal recurrence of ovarian cancer occurring after a disease-free interval of 12 years. Following comprehensive multidisciplinary evaluation and staging confirming isolated disease, an en-bloc segmental resection of the involved sternum was performed. Chest wall reconstruction was achieved using a rigid methyl methacrylate prosthesis, restoring anterior thoracic stability while protecting the mediastinal structures without compromising respiratory mechanics. The postoperative course was uneventful, with satisfactory functional recovery and stable chest wall integrity. At 1-year follow-up, contrast-enhanced computed tomography positron emission tomography demonstrated no evidence of local or distant recurrence. This video tutorial highlights the feasibility and safety of segmental sternectomy with prosthetic reconstruction for highly selected patients with isolated sternal metastasis from ovarian cancer, and emphasizes the importance of individualized multidisciplinary decision-making in the management of uncommon late recurrences.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076684","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

Cervical aortic arch with severe left ventricular dysfunction in a neonate: successful repair using whole-body perfusion. 新生儿颈主动脉弓伴严重左心室功能障碍：全身灌注修复成功。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-09-25 DOI: 10.1510/mmcts.2026.038

Marisha Aryal, Nicholas Wong Zi Jing, Sivakumar Sivalingam

引用次数: 0

Concomitant orthotopic heart transplantation and repair of left partial anomalous pulmonary venous return. 伴发原位心脏移植及左部分肺静脉回流异常修复。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-09-22 DOI: 10.1510/mmcts.2026.084

Gabrielle Amar, Olivia Stebbins, Kyle McCullough, Abhishek Jaiswal, Suguru Ohira

{"title":"Concomitant orthotopic heart transplantation and repair of left partial anomalous pulmonary venous return.","authors":"Gabrielle Amar, Olivia Stebbins, Kyle McCullough, Abhishek Jaiswal, Suguru Ohira","doi":"10.1510/mmcts.2026.084","DOIUrl":"10.1510/mmcts.2026.084","url":null,"abstract":"We report the technique of concomitant heart transplantation and repair of left partial anomalous pulmonary venous return (PAPVR). The patient was a 64-year-old male with a past medical history significant for non-ischaemic cardiomyopathy and a ventricular septal defect. He developed cardiogenic shock requiring insertion of a surgically implanted microaxial pump. He was listed for heart transplantation. Preoperative computed tomography demonstrated left PAPVR draining into the coronary sinus, with a left superior vena cava and patent innominate vein. At explant, the left PAPVR drained into a dilated coronary sinus continuous with the left atrial cuff. The junction of the left PAPVR to the coronary sinus was unroofed, and the septum was resected to form a common chamber. The caudal side of the coronary sinus was closed from both the left atrium and right atrium. The donor left atrium was anastomosed to the common chamber formed by the coronary sinus and left atrial cuff with a running 3-0 polypropylene suture. The rest of the donor heart anastomoses were performed in a standard fashion. The left SVC was identified outside the pericardial space and ligated. The patient was discharged with normal graft function.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018791","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

Double-switch procedure - Mustard atrial switch, arterial switch and ventricular septal defect closure. 双开关程序-芥子气心房开关，动脉开关和室间隔缺损闭合。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-09-21 DOI: 10.1510/mmcts.2026.036

Vijayakumar Raju, Hari Haran Krishnamurthi, Naveen Srinivasan, Rajalakshmi Moorthi, Sanchitha Guruchandrasekar, Kaushik Jothinath, Sridevi Sundararajan

引用次数: 0