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

Re-sternotomy in complex aortic surgery: careful individualized planning for a safe opening. 复杂主动脉手术中的再司脉切开术：为安全开腹而进行的个体化精心规划。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-08-01 DOI: 10.1510/mmcts.2023.106

Ignacio Morales-Rey, Eduard Quintana, Jorge Alcocer, Daniel Pereda, María Ascaso

引用次数: 0

Thoracoscopic S1 segmentectomy, right upper lobe: alternative posterior approach. 胸腔镜 S1 区段切除术（右上叶）：另一种后入路。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-08-01 DOI: 10.1510/mmcts.2024.019

George Rakovich

{"title":"Thoracoscopic S1 segmentectomy, right upper lobe: alternative posterior approach.","authors":"George Rakovich","doi":"10.1510/mmcts.2024.019","DOIUrl":"10.1510/mmcts.2024.019","url":null,"abstract":"Minimally invasive pulmonary segmentectomy allows adequate oncological treatment in selected cases while preserving lung parenchyma and minimizing perioperative morbidity and length of hospital stay. Although several variations of minimally invasive pulmonary segmentectomy have been described, a fully thoracoscopic multiport approach that allows direct access to the segmental structures, is straightforward and is versatile enough to allow adaptation in case of unexpected intraoperative findings (such as conversion to lobectomy in the case of positive margins) is preferable. The S1 (apical) segment of the right upper lobe has some unique features that may make a conventional anterior approach challenging. The presence of multiple vascular structures bearing complex anatomical relationships and the requirement for preserving these structures may make identification of and access to the apical artery, and subsequent access to the segmental bronchus, challenging. In contradistinction, a posterior approach may obviate some of these challenges by allowing direct access to the segmental bronchus. Once the bronchus is divided, the apical artery is in direct alignment with the operating instruments, without encroachment from other troublesome vascular structures. This situation, however, remains contingent on individual anatomy, which may vary.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861644","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 aortic root and arch replacement with 3 different homografts. 用 3 种不同的同种移植物重做主动脉根和弓置换术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-07-17 DOI: 10.1510/mmcts.2024.044

Andrey Protopopov, Alexey Limansky, Dmitry Khvan, Dmitry Sirota, Maxim Zhulkov, Alexander Bogachev-Prokophiev, Maxim Nikitin, Alexander Zheravin, Khava Agaeva

引用次数: 0

Minimally invasive off-pump bypass grafting-positioning the right posterior descending coronary artery. 微创离泵旁路移植术--右冠后降支动脉定位。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-07-15 DOI: 10.1510/mmcts.2024.012

Ferdi Akca

引用次数: 0

Right uniportal video-assisted thoracoscopic surgery lung-sparing sleeve resection of the bronchus intermedius 右侧单孔视频辅助胸腔镜手术--中间气道支气管袖式保肺切除术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-07-10 DOI: 10.1510/mmcts.2024.054

Rihards Mikilps-Mikgelbs, Helmuts Bināns, Marina Gaidukova, Ints Siliņš

引用次数: 0

Aortic uncrossing of the left circumflex aorta. 左侧环状主动脉未交叉。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-07-09 DOI: 10.1510/mmcts.2024.061

Mina Farag, Elizabeth Fonseca Escalante, Angéla Czundel, Charlotte Steeg, Birgit Shelton, Rebecca Krey, Philippe Grieshaber, Tsvetomir Loukanov

{"title":"Aortic uncrossing of the left circumflex aorta.","authors":"Mina Farag, Elizabeth Fonseca Escalante, Angéla Czundel, Charlotte Steeg, Birgit Shelton, Rebecca Krey, Philippe Grieshaber, Tsvetomir Loukanov","doi":"10.1510/mmcts.2024.061","DOIUrl":"10.1510/mmcts.2024.061","url":null,"abstract":"The following video tutorial presents the surgical correction of the left circumflex aortic arch in a 6-month-old boy with severe respiratory distress and stridor. The diagnosis was confirmed using cardiac catheterization and computed tomography. Intraoperative bronchoscopy showed marked compression of the trachea. An operation was planned to translocate the aortic arch anteriorly and to close the atrial septal defect. After a median sternotomy, the mediastinal structures were carefully mobilized and dissected. The trachea was carefully mobilized and the right ligamentum arteriosum was clipped and divided. Control of the aortic arch vessels, as well as the aberrant right subclavian artery from the right descending aorta, was achieved using vessel loops. An arterial line inserted in the femoral artery was connected to the heart-lung machine. Hence the surgical procedure was undertaken in selective antegrade cerebral perfusion combined with distal body perfusion, avoiding the need for deep hypothermic arrest. Careful mobilization of the complete course of the proximal and distal sections of the circumflex arch allowed its translocation from its retro-oesophageal course. The aortic stump distal to the left subclavian artery was closed by running polypropylene suture. An appropriate site on the ascending aorta was selected to ensure tension- and torsion-free anastomoses. Postoperative bronchoscopy confirmed relief of the tracheal compression.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560347","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 aortic valve replacement through a right anterior thoracotomy. 通过右前胸廓切开术进行微创主动脉瓣置换术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-07-09 DOI: 10.1510/mmcts.2024.041

Hugo Monteiro Neder Issa, Marc Ruel

{"title":"Minimally invasive aortic valve replacement through a right anterior thoracotomy.","authors":"Hugo Monteiro Neder Issa, Marc Ruel","doi":"10.1510/mmcts.2024.041","DOIUrl":"10.1510/mmcts.2024.041","url":null,"abstract":"This study elucidates the efficacy and outcomes of a minimally invasive aortic valve replacement via a right anterior mini-thoracotomy, emphasizing its potential to minimize surgical trauma and expedite recovery while maintaining procedural integrity comparable to that of a traditional full sternotomy. This video tutorial demonstrates a successful aortic valve replacement procedure using the right anterior mini-thoracotomy approach, characterized by the absence of sutureless valves and specialized instruments. The detailed surgical procedure includes specific steps to optimize visibility and access through strategic incisions and rib dislocations, adhering to \"the box principle\" for effective exposure of the aortic valve. This video tutorial suggests that a right anterior mini-thoracotomy is a viable, cost-effective alternative to a conventional sternotomy for aortic valve replacement, offering significant patient benefits without compromising long-term valve function or safety. The broader implications for patient selection and surgical techniques highlight the need for meticulous preoperative planning and anatomical assessment to maximize the potential of a right anterior mini-thoracotomy in clinical practice.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560348","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

Implantation and removal of central temporary paracorporeal biventricular support for COVID-19-associated myocarditis. 为 COVID-19 相关性心肌炎患者植入和移除中央临时体外循环双心室支持装置。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-07-05 DOI: 10.1510/mmcts.2024.031

Ramón Aranda-Domene, Ihar Kiziukevich, Elena Sandoval, Jorge Alcocer, Eduard Quintana

引用次数: 0

Right coronary sinus aneurysm repair. 右冠状窦动脉瘤修复术

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-07-01 DOI: 10.1510/mmcts.2024.034

Thomas Martens, Joke Verlinden, Isabelle Claus, Jens Czapla, Tine Philipsen, Katrien François, Thierry Bove

{"title":"Right coronary sinus aneurysm repair.","authors":"Thomas Martens, Joke Verlinden, Isabelle Claus, Jens Czapla, Tine Philipsen, Katrien François, Thierry Bove","doi":"10.1510/mmcts.2024.034","DOIUrl":"10.1510/mmcts.2024.034","url":null,"abstract":"In this case report, we describe the surgical treatment of a right coronary sinus aneurysm. A 69-year-old male patient was screened because of palpitations. He was finally diagnosed with an aneurysm of the sinus of Valsalva of the right coronary cusp. According to current aortic guidelines, surgical reconstruction was proposed. The patient underwent a cardiac operation through a median sternotomy under routine cardiopulmonary bypass. After aortic cross-clamping, the aorta was opened and the connection between the aorta and the aneurysm was clearly visualized, underneath the ostium of the right coronary artery. After excision of the right coronary button and the remaining right coronary sinus wall, this sinus was reconstructed with a Dacron graft, with subsequent coronary reimplantation. The postoperative course was uneventful. The patient was discharged on postoperative day 7. A complete sinus reconstruction was preferred over local patching of the defect because of the proximity of the aneurysm sac to the right coronary artery and the fragile, thin aortic tissue just underneath the coronary ostium.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535907","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 lung en bloc procurement and back table separation of lungs. 双肺整块采集和后台式肺分离。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-06-28 DOI: 10.1510/mmcts.2024.050

Yuriy Stukov, Mindaugas Rackauskas

引用次数: 0