Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery最新文献_第10页

Aortomitral curtain reconstruction: demystifying a complicated situation. 主动脉瓣帘重建：揭开复杂情况的神秘面纱。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-01-24 DOI: 10.1510/mmcts.2023.104

Stephen M Spindel, Reginald E Du, Katrina J Jiang, Jasmine Su

引用次数: 0

Aortic valve resuspension using the Florida sleeve technique with replacement of the aortic arch by stent grafting the thoracic aorta with the hybrid prosthesis E-Vita Open Plus in a patient with DeBakey type I acute aortic dissection. 在一名 DeBakey I 型急性主动脉夹层患者身上，使用佛罗里达套筒技术进行主动脉瓣再悬吊，并用 E-Vita Open Plus 混合型假体支架移植胸主动脉，以替代主动脉弓。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-01-23 DOI: 10.1510/mmcts.2023.091

Sergey Boldyrev, Denis Shumkov, Kirill Barbuhatti, Vladimir Porkhanov

{"title":"Aortic valve resuspension using the Florida sleeve technique with replacement of the aortic arch by stent grafting the thoracic aorta with the hybrid prosthesis E-Vita Open Plus in a patient with DeBakey type I acute aortic dissection.","authors":"Sergey Boldyrev, Denis Shumkov, Kirill Barbuhatti, Vladimir Porkhanov","doi":"10.1510/mmcts.2023.091","DOIUrl":"10.1510/mmcts.2023.091","url":null,"abstract":"Surgery for acute type A aortic dissection is highly challenging, even in expert hands. The goal in such emergency circumstances is primarily to save the patient's life. To minimize the perioperative risk, surgeons often choose surgery involving only supracoronary ascending aortic and hemiarch replacement. However, to achieve a successful repair, the extremely fragile dissected aortic layers must be reconstructed proximally and distally. Most of the surgical procedures for patients with acute type A aortic dissection are supracoronary ascending aortic replacements. Thereby, the Florida sleeve procedure is an attractive alternative for reimplanting the entire aortic root into a Dacron graft. This approach has overcome most of the technical problems associated with composite valve graft or valve-sparing procedures. The frozen elephant trunk procedure is particularly appealing for treating acute type A aortic dissection because of its ability to treat malperfusion by encouraging true lumen expansion and potentially reducing longer-term adverse remodelling within the descending aorta.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139520881","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 upper division segmentectomy of the left upper lobe without turning the lung. 无需翻转肺部的机器人左上叶上分段切除术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-01-16 DOI: 10.1510/mmcts.2023.097

Hitoshi Igai, Kazuhito Nii, Mitsuhiro Kamiyoshihara

{"title":"Robotic upper division segmentectomy of the left upper lobe without turning the lung.","authors":"Hitoshi Igai, Kazuhito Nii, Mitsuhiro Kamiyoshihara","doi":"10.1510/mmcts.2023.097","DOIUrl":"10.1510/mmcts.2023.097","url":null,"abstract":"The fissureless technique in lobectomy or the unidirectional dissection technique in segmentectomy is considered useful to avoid a postoperative prolonged air leak if a fissure is fused because it is not dissected. Another advantage of this technique is that it does not require repeated rotation of the lung to obtain a good surgical view, which may result in a shorter operating time. We believe that this technique is suitable for a robotic approach because we sometimes find it difficult to rotate the lung parenchyma in the limited rigid thoracic cavity when using the robotic approach. We demonstrate a robotic upper division segmentectomy of the left upper lobe with an explanation of the nuances of its performance. The console time was 74 minutes with minimal blood loss. The patient's postoperative course was uneventful. On the day of the operation, we removed the chest tube because we found no air leak. The patient was discharged on postoperative day (POD) 2. The final pathology report showed that a sufficient surgical margin was achieved. These good perioperative results indicate the feasibility of this technique.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139473110","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

Two cases of lower lobe segmentectomy (left and right) using the lung-inverted approach in a robotic operation. 两例在机器人手术中使用肺倒置方法进行的下叶分段切除术（左侧和右侧）。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-01-16 DOI: 10.1510/mmcts.2023.090

Hitoshi Igai, Kazuhito Nii, Mitsuhiro Kamiyoshihara

{"title":"Two cases of lower lobe segmentectomy (left and right) using the lung-inverted approach in a robotic operation.","authors":"Hitoshi Igai, Kazuhito Nii, Mitsuhiro Kamiyoshihara","doi":"10.1510/mmcts.2023.090","DOIUrl":"10.1510/mmcts.2023.090","url":null,"abstract":"In pulmonary segmentectomy, the dominant pulmonary arteries are conventionally divided at the fissure. However, this approach sometimes leads to accidental injury of the pulmonary artery and prolonged air leaks when the fissure is fused. To overcome these problems, we have adopted the lung-inverted approach without dissection of a fissure for segmentectomy, taking advantage of the good view provided by robotic surgery. We have successfully performed a robotic left S10 or right S6 segmentectomy using the lung-inverted approach. In addition to a good postoperative course, the console time was 72 minutes for the left S10 segmentectomy and 110 minutes for the right S6 segmentectomy; these times were considered relatively short. This approach did not require repeated rotation of the lung, which may have contributed to the short operating time. A clear understanding of the anatomy was required to properly implement this approach, because each branch of the pulmonary vessels and of the bronchi was treated at the hilum. Preoperative 3-dimensional computed tomography broncho-angiography was considered useful because it allowed us to recognize the relative positions of the dominant pulmonary vessels, bronchi and other preserved structures.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139473112","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

Treatment of cardiac implantable electronic device endocarditis in pacemaker-dependent patients utilizing a percutaneous aspiration system. 利用经皮抽吸系统治疗起搏器依赖患者的心脏植入电子装置心内膜炎。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-01-08 DOI: 10.1510/mmcts.2023.082

Julius Kaemmel, Roland Heck, Pia Lanmüeller, Leonhard Wert, Volkmar Falk, Christoph T Starck

引用次数: 0

Totally endoscopic, robotic-assisted tricuspid valve repair and biatrial CryoMAZE. 全内窥镜机器人辅助三尖瓣修复术和双腔冷冻瓣膜置换术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-01-03 DOI: 10.1510/mmcts.2023.074

Andrea Amabile, Michael LaLonde, Irbaz Hameed, Syed Usman Bin Mahmood, Alyssa Morrison, Christina Waldron, Wei-Guo Ma, Arnar Geirsson, Markus Krane

引用次数: 0

Left axillary approach for pulmonary valve replacement. 左腋窝入路肺动脉瓣置换术

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2023-12-18 DOI: 10.1510/mmcts.2023.096

Juan-Miguel Gil-Jaurena, Carlos Pardo, Ana Pita, Ramón Perez-Caballero

{"title":"Left axillary approach for pulmonary valve replacement.","authors":"Juan-Miguel Gil-Jaurena, Carlos Pardo, Ana Pita, Ramón Perez-Caballero","doi":"10.1510/mmcts.2023.096","DOIUrl":"https://doi.org/10.1510/mmcts.2023.096","url":null,"abstract":"A 14-year-old girl was scheduled for pulmonary valve replacement. A computed tomography scan showed an enlarged cardiac silhouette with an aneurysmal pulmonary artery. A less-invasive approach through the left axilla with peripheral cannulation was selected. The patient was draped in the decubitus position, with a roll under the left shoulder and the left arm over the head. The anatomical landmarks were the left nipple and the tip of the scapula. A 5-cm vertical incision in the mid-axillary line was performed, and the thorax was entered through the fourth intercostal space. Peripheral cannulation for cardiopulmonary bypass was achieved by a right groin dissection. Partial bypass was instituted and, on an unloaded heart, the ascending aorta plus the right appendage and the pulmonary artery were further cannulated. With the heart beating, the pulmonary artery was opened, and a 25-mm biological Carpentier Perimount-Magna valve was chosen. A second stitch was used to close the arteriotomy with large bites in a double row to reduce the perimeter of the trunk. Cardiopulmonary bypass was discontinued (after 64 minutes), and the cannulas were removed sequentially. Echocardiography showed a good result, with proper valve function and a reduced pulmonary artery. The patient was discharged on postoperative day 12 on antiplatelet therapy.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2023 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138800411","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

Truncal valve repair in an adolescent with severe annular dilatation. 为一名严重瓣环扩张的青少年进行截流瓣修复术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2023-12-14 DOI: 10.1510/mmcts.2023.080

Igor E Konstantinov, Bosco Moscoso, Shuta Ishigami, Alexey Zubritskiy, Regina Marliau

引用次数: 0

A robotic left S1+2c subsegmentectomy using preoperative simulation. 采用术前模拟的机器人左S1+2c亚段切除术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2023-12-07 DOI: 10.1510/mmcts.2023.086

Hitoshi Igai, Kazuhito Nii, Mitsuhiro Kamiyoshihara

引用次数: 0

Bio-Bentall and hybrid arch frozen elephant trunk repair for acute type A aortic dissection with malperfusion. Bio-Bentall 和混合拱形冰冻象鼻修复术治疗急性 A 型主动脉夹层伴灌注不良。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2023-12-07 DOI: 10.1510/mmcts.2023.092

Djalal Fakim, Chaoyi Qin, Michael W A Chu

引用次数: 0