Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery最新文献_第2页

Arterial switch operation with autologous sinus tube for transposition of great vessels with single coronary. 自体窦管动脉转换术治疗单冠状动脉大血管转位。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-04-20 DOI: 10.1510/mmcts.2026.010

Ayush Shah, M Mujeeb Zubair, Nitin Madan, Edo Bedzra

{"title":"Arterial switch operation with autologous sinus tube for transposition of great vessels with single coronary.","authors":"Ayush Shah, M Mujeeb Zubair, Nitin Madan, Edo Bedzra","doi":"10.1510/mmcts.2026.010","DOIUrl":"10.1510/mmcts.2026.010","url":null,"abstract":"This video tutorial demonstrates an arterial switch operation utilizing an autologous coronary sinus tube in a 6-day-old female born with dextro-transposition of the great arteries, ventricular and atrial septal defects, and complex coronary anatomy, with a single coronary artery origin from left-facing running anterior to the aortic root. A standard button transfer was deliberately avoided to minimize the risk of distortion of the coronary arteries. Thus, native aortic sinus tissue was harvested as a contiguous flap and fashioned into a tubular conduit. The constructed tube was implanted into the neoaortic tube through a trapdoor incision. The autologous coronary tube was constructed to be a tension-free conduit while ensuring that coronary orientation and patency were preserved. A small residual atrial septal defect was left intentionally to facilitate post-operative haemodynamic adaptation. The patient was discharged on post-operative Day 10 with normal left ventricular function, stable mild aortic and pulmonary valve regurgitation, and laminar antegrade flow in the reimplanted proximal single coronary button.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730672","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

Left brachiocephalic vein replacement and superior vena cava reconstruction with aortic homograft for thymic carcinoma. 胸腺癌左头臂静脉置换术和同种主动脉腔静脉重建。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-04-20 DOI: 10.1510/mmcts.2026.015

Viola Sambataro, Vincenzo Verzeletti, Giulia Pagliarini, Gianluca Canu, Luigi Lione, Giovanni Comacchio, Marco Schiavon, Andrea Dell'Amore

引用次数: 0

Lung transplantation through bilateral anterolateral thoracotomy without sternal division: a procedural guide. 双侧前外侧开胸不开胸骨肺移植手术指南。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-04-20 DOI: 10.1510/mmcts.2026.001

Sanne J J Langmuur, Samuel A Max, Frans B S Oei, Edris A F Mahtab

引用次数: 0

Partial heart transplant in the setting of truncus arteriosus after several corrections and definitive contraindication for anticoagulation due to immune thrombocytopenia. 部分心脏移植在动脉干的设置经过几次纠正和明确禁忌症抗凝由于免疫性血小板减少。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-04-20 DOI: 10.1510/mmcts.2025.147

Julie Wacker, Alexandre Pelouze, Tomasz Nalecz, Mélanie Frei, Tornike Sologashvili

{"title":"Partial heart transplant in the setting of truncus arteriosus after several corrections and definitive contraindication for anticoagulation due to immune thrombocytopenia.","authors":"Julie Wacker, Alexandre Pelouze, Tomasz Nalecz, Mélanie Frei, Tornike Sologashvili","doi":"10.1510/mmcts.2025.147","DOIUrl":"10.1510/mmcts.2025.147","url":null,"abstract":"We report the case of a 12-year-old boy with a history of type I truncus arteriosus repaired in early infancy. He underwent initial correction at 2 months of age, conduit replacement between the right ventricle and pulmonary artery at 4 years, and truncal valve replacement with a bioprosthesis at 8 years. He was referred with severe aortic regurgitation, severe aortic stenosis, free regurgitation of the right ventricle-pulmonary artery conduit with moderate stenosis and preserved biventricular function. Long-term anticoagulation was formally contraindicated due to immune thrombocytopenic purpura treated with eltrombopag since 2020. A fourth redo sternotomy for mechanical aortic valve replacement was considered to be exceedingly high risk in the context of his complex anatomy, prior operative history, and haematological risk profile. In light of these factors, we elected to perform a partial heart transplantation, as recently described by Turek et al., to replace the dysfunctional aortic and pulmonary root and valve while preserving the patient's heart muscle, therefore minimizing the need for immunosuppression. This case illustrates the potential role of partial heart transplantation as an alternative to conventional valve replacement in complex congenital heart disease when anticoagulation is contraindicated.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730708","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

Completely robotic right Pancoast tumour resection with en bloc right upper lobectomy and chest wall resection using a high-speed pneumatic drill. 采用高速风钻进行全机器人右上肺叶整体切除和胸壁切除的右侧Pancoast肿瘤切除术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-04-07 DOI: 10.1510/mmcts.2025.161

Haisam Saad, Vasileios Kouritas

{"title":"Completely robotic right Pancoast tumour resection with en bloc right upper lobectomy and chest wall resection using a high-speed pneumatic drill.","authors":"Haisam Saad, Vasileios Kouritas","doi":"10.1510/mmcts.2025.161","DOIUrl":"https://doi.org/10.1510/mmcts.2025.161","url":null,"abstract":"Pancoast (superior sulcus) tumours continue to represent a demanding subset of thoracic malignancies, largely because of their close relationship with the thoracic inlet, and frequent encroachment on the upper ribs and surrounding neurovascular structures. Traditional operative strategies have relied heavily on extensive posterior or combined approaches to obtain the exposure required for chest wall control. Even as robotic minimally invasive lung surgery has matured, the technical constraints at the apex of the chest have limited the application of purely endoscopic methods for these lesions. Our team has developed broad experience with complex robotic lung resections and minimally invasive procedures involving the chest wall, which encouraged us to reconsider how robotic technology might be applied to Pancoast disease. In a patient with a tumour extending into both the second and third ribs, we aimed to complete the entire resection-including chest wall involvement-through a fully robotic set-up. By incorporating a high-speed drill under robotic visualization, we were able to divide the affected ribs entirely within the thoracic cavity, avoiding the need for additional incisions or hybrid access. The following case report outlines our operative strategy and key technical considerations.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147629140","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

Left ventricular assist device explantation after successful weaning in pediatric patients. 小儿患者成功脱机后的左心室辅助装置外植。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-04-07 DOI: 10.1510/mmcts.2026.011

Sebastian Michel, Christoph Mueller, Christine Kamla, Christian Hagl, Jürgen Hörer, Fabian A Kari

引用次数: 0

Ascending aorta and aortic valve replacement in circulatory arrest via upper hemisternotomy: a step-by-step video. 经上半叶切开术治疗循环骤停的升主动脉和主动脉瓣置换术：一步一步的视频。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-04-07 DOI: 10.1510/mmcts.2026.014

Martin Winter, Rabab Saleh, Paul Werner, Satoshi Kainuma, Arezu Aliabadi-Zuckermann, Marek Ehrlich, Daniel Zimpfer, Emilio Osorio-Jaramillo

{"title":"Ascending aorta and aortic valve replacement in circulatory arrest via upper hemisternotomy: a step-by-step video.","authors":"Martin Winter, Rabab Saleh, Paul Werner, Satoshi Kainuma, Arezu Aliabadi-Zuckermann, Marek Ehrlich, Daniel Zimpfer, Emilio Osorio-Jaramillo","doi":"10.1510/mmcts.2026.014","DOIUrl":"https://doi.org/10.1510/mmcts.2026.014","url":null,"abstract":"This video tutorial presents a step-by-step minimally invasive approach to combined aortic valve and ascending aortic replacement using circulatory arrest and antegrade cerebral perfusion. Upper hemisternotomy provides sufficient exposure for complex aortic procedures while reducing surgical trauma compared to full sternotomy. Central arterial inflow is established via innominate artery cannulation using a side graft, enabling selective antegrade cerebral perfusion without an additional axillary incision. Key technical steps include upper hemisternotomy, cannulation strategy, initiation of antegrade cerebral perfusion, distal open anastomosis during circulatory arrest, and subsequent aortic valve replacement with a proximal aortic anastomosis. Emphasis is placed on the perfusion setup, operative technique, and technical details critical to procedural safety. This video tutorial demonstrates that minimally invasive techniques combined with appropriate perfusion strategies can be safely applied to selected aortic procedures requiring circulatory arrest.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147629189","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

Hybrid mitral repair and coronary artery bypass with Penditure left atrial appendage closure. 复合式二尖瓣修复与冠状动脉搭桥术合并左心耳封闭。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-04-07 DOI: 10.1510/mmcts.2026.007

Tomoya Uchimuro, Junpei Yamauchi, Takayuki Kawamura, Kenji Wada, Motoki Fukutomi, Shunsuke Sasaki, Shuichiro Takanashi

引用次数: 0

Hybrid approach for aortic rupture during balloon coarctoplasty. 主动脉球囊成形术中主动脉破裂的混合入路。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-04-07 DOI: 10.1510/mmcts.2025.169

Srikanth Kasturi, Sruti Rao, Suresh Pujar Venkateshacharya, Sudesh Prabhu

引用次数: 0

Switch-back Ross, Bentall/Konno and valve-sparing root replacement: three cutting-edge solutions to complex left ventricular outflow tract obstruction post arterial switch in Taussig-Bing anomaly. Ross， Bentall/Konno和保留瓣膜的根置换术：三种尖端的方法治疗Taussig-Bing异常动脉开关后复杂的左心室流出道阻塞。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-04-07 DOI: 10.1510/mmcts.2026.019

Ali H Mashadi, Yasin Essa, Sameh M Said

引用次数: 0