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

'Thinking outside the sternum' in redo CABG: radial artery from descending aorta to obtuse marginal branch. 重做冠脉搭桥“胸骨外思考”：桡动脉从降主动脉到钝缘支。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-02-12 DOI: 10.1510/mmcts.2025.141

Francesco Cabrucci, Akshaj Darbar, Alexander White, Vivek Rao, Piroze M Davierwala

{"title":"'Thinking outside the sternum' in redo CABG: radial artery from descending aorta to obtuse marginal branch.","authors":"Francesco Cabrucci, Akshaj Darbar, Alexander White, Vivek Rao, Piroze M Davierwala","doi":"10.1510/mmcts.2025.141","DOIUrl":"10.1510/mmcts.2025.141","url":null,"abstract":"Redo coronary artery bypass grafting (CABG) is arguably one of the most technically demanding procedures in cardiac surgery due to the presence of dense mediastinal/pericardial adhesions making target vessel identification challenging, limited conduit availability and the risk of injury to the heart and patent grafts. Resternotomy, in particular with the right ventricle and/or previous grafts adjacent/adherent to the posterior sternal table, could result in catastrophic complications. In selected patients, alternative strategies can be used to reduce these hazards and increase procedural safety. This video tutorial presents the surgical technique performed in a 77-year-old gentleman with a prior history of CABG, who underwent successful off-pump revascularization of the obtuse marginal branch with a radial artery graft anastomosed to the descending thoracic aorta through a left thoracotomy approach. The step-by-step video demonstrates conduit harvesting, patient positioning, descending aorta exposure and key technical nuances associated with both, proximal and distal anastomoses. This approach exemplifies how 'thinking outside the sternum' can transform a high-risk redo operation into a safe, reproducible procedure, thereby eliminating the above-mentioned risks associated with a resternotomy. The tutorial aims to provide practical guidance for experienced coronary teams seeking to expand their surgical armamentarium and improve outcomes of complex redo CABG procedures.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146167754","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

Manual three-dimensional reconstruction of patient specific lung anatomy from CT scans. 从CT扫描中手工三维重建患者特定的肺解剖结构。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-02-02 DOI: 10.1510/mmcts.2025.151

Quinten Mank, Alexander P W M Maat, Sabrina Siregar, Jolanda Kluin, Amir H Sadeghi

引用次数: 0

Use of right atrial wall to repair severely dysplastic tricuspid valve in an infant with Ebstein's anomaly. 应用右心房壁修复Ebstein畸形婴儿严重发育不良的三尖瓣。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-02-02 DOI: 10.1510/mmcts.2025.127

Igor E Konstantinov, Bakhytzhan Nurkeyev, Erbol Aldabergenov, Elmira Kuandykova, Bauyrzhan Tuyakbayev, Assel Kabakanova, Amangeldy Kerimkulov, Arailym Kenzhebaeva, Natasha Bocchetta

引用次数: 0

Robotic left atrial appendage ligation: a safe strategy for a frail octogenarian with recurrent bleeding. 机器人左心耳结扎：一个安全的策略，一个虚弱的八十多岁的老人与复发性出血。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-01-28 DOI: 10.1510/mmcts.2025.162

Robinson Poffo, Henry Eiji Toma, Sergio Augusto Fudaba Curcio, Albert Salviano Dos Santos, Francisco Ferrier, Alessandra Joslin Oliveira, Alisson Parrilha Tosch, Renato Bastos Pope

引用次数: 0

Uniportal video-assisted thoracoscopic surgery left upper lobe apicoposterior segmentectomy (S1+2): Step-by-step Surgery with 3-dimensional planning. 单门电视胸腔镜手术左上叶顶后段切除术（S1+2）：分步手术，三维规划。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-01-28 DOI: 10.1510/mmcts.2025.153

Rihards Mikilps-Mikgelbs, Helmuts Bināns, Marina Gaidukova, Oksana Mahmajeva, Muskan Khan Shakur Khan Pathan, Gustavs Pētersons, Arta Sirgeda, Ints Siliņš

引用次数: 0

Infective endocarditis with aortic root abscess and septic coronary occlusion: Aortic allograft implantation and DOR ventriculoplasty in a redo-operation. 感染性心内膜炎合并主动脉根部脓肿和感染性冠状动脉闭塞：主动脉异体移植物植入和DOR脑室成形术在再手术中的应用。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-01-21 DOI: 10.1510/mmcts.2025.129

Ahmed K. Awad, Daniel Ragheb, Gösta Pettersson, Nicholas Smedira, Haytham Elgharably

{"title":"Infective endocarditis with aortic root abscess and septic coronary occlusion: Aortic allograft implantation and DOR ventriculoplasty in a redo-operation.","authors":"Ahmed K. Awad, Daniel Ragheb, Gösta Pettersson, Nicholas Smedira, Haytham Elgharably","doi":"10.1510/mmcts.2025.129","DOIUrl":"10.1510/mmcts.2025.129","url":null,"abstract":"Our goal is to present how we handled a complex case of prosthetic aortic valve endocarditis that resulted in severe complications, including an aortic root abscess, complete heart block and coronary artery embolic occlusion leading to myocardial infarction and a left ventricular aneurysm. The patient needed multi-component surgery to treat the infection and address the ventricular issues. Our approach involved exposing the right axillary artery, performing a redo sternotomy, lysing pericardial adhesions and then establishing axillary and bicaval cannulation. Myocardial protection was achieved through both antegrade and direct retrograde cardioplegia. The previous aortic valve and ascending aorta graft were removed, the coronary buttons were created and mobilized, and the aortic root abscess was debrided. The distal aortic stump was fragile and short, necessitating hemi-arch aortic replacement under brief hypothermic circulatory arrest. The left ventricular apical aneurysm was opened, clots removed and a Dor procedure was performed using a Dacron patch. The aortic root was replaced with an aortic allograft. Three epicardial leads were placed and connected to a biventricular pacemaker for resynchronization therapy. The procedure concluded without complications, and the chest was closed.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146013215","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 management of a centrally located pulmonary aspergilloma in an adolescent patient. 青少年患者中心位置肺曲菌瘤的微创治疗。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-01-14 DOI: 10.1510/mmcts.2025.145

Rihards Mikilps-Mikgelbs, Filips Aksjutins, Elīna Aleksejeva, Helmuts Bināns, Beatriz Lima Coelho, Marina Gaidukova, Oksana Mahmajeva, Ints Siliņš, Ģirts Aleksejevs

{"title":"Minimally invasive management of a centrally located pulmonary aspergilloma in an adolescent patient.","authors":"Rihards Mikilps-Mikgelbs, Filips Aksjutins, Elīna Aleksejeva, Helmuts Bināns, Beatriz Lima Coelho, Marina Gaidukova, Oksana Mahmajeva, Ints Siliņš, Ģirts Aleksejevs","doi":"10.1510/mmcts.2025.145","DOIUrl":"10.1510/mmcts.2025.145","url":null,"abstract":"Pulmonary aspergillosis is a fungal lung infection caused by inhalation of Aspergillus spores. While traditionally associated with immunocompromised patients, it may also develop in immunocompetent individuals. The clinical presentation is wide, varying from asymptomatic colonization to invasive disease with significant morbidity. Despite advances in antifungal therapy with agents such as voriconazole, medical treatment alone often fails to achieve complete eradication of the infection, especially in cases of aspergilloma, where a dense fungal ball forms within a pre-existing pulmonary cavity. Surgical resection remains the mainstay management of localized aspergilloma. The type of surgery and how much tissue is removed are determined by the size and location of the lesion, as well as the patient's lung function. Traditionally, these operations have been performed via thoracotomy because of the complexity of the procedure and the possibility of intra-operative bleeding. However, recent developments in minimally invasive thoracic surgery, such as video-assisted thoracoscopic surgery, combined with comprehensive multidisciplinary management, offer a safer and less morbid alternative. This case demonstrates successful integration of multidisciplinary medical management, including antifungal therapy and minimally invasive surgical resection in treating a centrally located pulmonary aspergilloma.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145985854","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 lung herniation repair. 重做肺疝修补。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-01-07 DOI: 10.1510/mmcts.2025.130

Liam R Kugler, Yuriy Stukov, Griffin Stinson, Ahmet Bilgili, William Weir

引用次数: 0

Type 1 hybrid arch repair - a simplified strategy for complex aortic arch pathologies. 1型混合弓修复-复杂主动脉弓病理的简化策略。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-01-07 DOI: 10.1510/mmcts.2025.128

Payel Sarkar, Subhendhu Adhikari, Hari Govind Varma, Rajesh Kumaar, Raghav Maheshwary, Rakesh Gayen, Lalit Kapoor

引用次数: 0

Clampless transcarotid transcatheter aortic valve implantation. 无夹钳经颈动脉经导管主动脉瓣植入术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-01-05 DOI: 10.1510/mmcts.2025.120

Joshua Crane, Ansley Smith, Toyokazu Endo, Siddharth Pahwa, Mark Slaughter, Jaimin Trivedi, Brian Ganzel, Michele Gallo

{"title":"Clampless transcarotid transcatheter aortic valve implantation.","authors":"Joshua Crane, Ansley Smith, Toyokazu Endo, Siddharth Pahwa, Mark Slaughter, Jaimin Trivedi, Brian Ganzel, Michele Gallo","doi":"10.1510/mmcts.2025.120","DOIUrl":"10.1510/mmcts.2025.120","url":null,"abstract":"The use of transcatheter aortic valve implantation (TAVI) has become the most popular technique of aortic valve intervention. Classically, TAVI is performed via femoral arterial access. However, some patients who have severe peripheral arterial disease do not have safely accessible femoral arteries. In such patients, the use of carotid access has been well described via the 'clamp-and-sew' technique. We describe a minimally invasive carotid access technique for TAVI deployment. The right common carotid is accessed by a 3 cm suprasternal incision. The carotid sheath is entered, and the surgeon obtains proximal and distal control of the carotid artery. The surgeon then makes two opposing purse strings over the anterior surface of the carotid artery. The Seldinger technique is used to obtain access to the carotid artery, followed by placement of the TAVI sheath. The valve is then deployed and echocardiographically confirmed. Upon removal of the TAVI sheath, the purse strings are tightened and sequentially tied. Haemostasis is achieved and skin is closed. This minimally invasive TAVI technique provides an option for patients with unfavourable peripheral access sites while offering the benefits of TAVI compared to open valve replacement.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913870","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