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

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Cobrahead reimplantation of anomalous coronary arteries arising from the left coronary sinus. 左冠状窦异常冠状动脉的眼镜蛇头再植术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-02-04 DOI: 10.1510/mmcts.2024.121
Nicholas A Oh, Olivia McCloskey, Ahmad Munir, Tara Karamlou, Hani K Najm
{"title":"Cobrahead reimplantation of anomalous coronary arteries arising from the left coronary sinus.","authors":"Nicholas A Oh, Olivia McCloskey, Ahmad Munir, Tara Karamlou, Hani K Najm","doi":"10.1510/mmcts.2024.121","DOIUrl":"https://doi.org/10.1510/mmcts.2024.121","url":null,"abstract":"<p><p>Cobrahead reimplantation is a novel technique that we have implemented to address an anomalous right coronary artery arising from the left coronary sinus, particularly in patients with a short intramural course. This technique requires complete mobilization of the anomalous vessel, detachment of the right coronary artery from its origin at the aorta and creation of a splay incision or 'cobrahead' within the proximal vessel. This cobrahead apparatus is then utilized to create a wide anastomosis during reimplantation of the vessel in the aorta, minimizing the risk of kinking or stenosis at this site. Our single-centre experience with this method has demonstrated excellent postoperative outcomes with long-term patency of the reimplanted coronary artery. These findings have been reaffirmed with longitudinal follow-up, which has demonstrated improvement in the instantaneous wave-free ratio, resolution of ischaemic symptoms and clearance for resumption of physical activity without restrictions. Furthermore, we have yet to encounter damage to the aortic valve apparatus utilizing this technique, reaffirming its utility in this patient population and its advantages relative to similar operative methods.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190993","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
One-stage relief of bilateral outflow tract obstruction and left main coronary ostial stenosis in an infant with Williams syndrome: the technique. 一期解除威廉姆斯综合征婴儿双侧流出道阻塞和左冠状动脉主支狭窄：技术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-02-03 DOI: 10.1510/mmcts.2024.117
Ali H Mashadi, Yasin Essa, Sameh M Said
{"title":"One-stage relief of bilateral outflow tract obstruction and left main coronary ostial stenosis in an infant with Williams syndrome: the technique.","authors":"Ali H Mashadi, Yasin Essa, Sameh M Said","doi":"10.1510/mmcts.2024.117","DOIUrl":"https://doi.org/10.1510/mmcts.2024.117","url":null,"abstract":"<p><p>A 3-month-old, 5.2-kg infant with Williams syndrome presented with failure to thrive and a systolic murmur. He was taken to the cardiac catheterization laboratory for a planned pulmonary valvotomy based on findings of severe pulmonary stenosis on the transthoracic echocardiogram. However, he suffered cardiac arrest and had to be resuscitated; the procedure was aborted. Cardiac catheterization revealed suprasystemic right ventricular pressure and severe bilateral branch pulmonary artery stenosis with bilateral branch hypoplasia. The decision was made to proceed with surgical relief of the obstruction.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191007","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
Extended resection of a mediastinal tumour with diaphragm reconstruction.
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-01-31 DOI: 10.1510/mmcts.2024.127
Yuriy Stukov, Mohammad Aladaileh, Elan Sherazee, Mindaugas Rackauskas
{"title":"Extended resection of a mediastinal tumour with diaphragm reconstruction.","authors":"Yuriy Stukov, Mohammad Aladaileh, Elan Sherazee, Mindaugas Rackauskas","doi":"10.1510/mmcts.2024.127","DOIUrl":"https://doi.org/10.1510/mmcts.2024.127","url":null,"abstract":"<p><p>In this case report, we present a 39-year-old patient with a large space-occupying tumour of the right hemichest and anterior mediastinum. Due to the large size of the tumour and involvement of the right lung, a right pneumonectomy, right hemidiaphragm and partial pericardial resection were completed.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069474","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
Berlin Heart EXCOR sVAD implantation technique for neonates and infants with functionally univentricular ductal-dependent systemic circulation.
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-01-30 DOI: 10.1510/mmcts.2024.135
Mark Bleiweis, Yuriy Stukov, Liam R Kugler, Ahmet Bilgili, Giles J Peek, Jeffrey P Jacobs
{"title":"Berlin Heart EXCOR sVAD implantation technique for neonates and infants with functionally univentricular ductal-dependent systemic circulation.","authors":"Mark Bleiweis, Yuriy Stukov, Liam R Kugler, Ahmet Bilgili, Giles J Peek, Jeffrey P Jacobs","doi":"10.1510/mmcts.2024.135","DOIUrl":"https://doi.org/10.1510/mmcts.2024.135","url":null,"abstract":"<p><p>The Berlin Heart EXCOR is a pulsatile paracorporeal ventricular assist device (VAD) for neonates, infants, children and adults with congenital or acquired severe ventricular dysfunction. Berlin Heart EXCOR VADs are routinely used as either a bridge to a cardiac transplantation, or occasionally as a bridge to ventricular recovery. Our programmatic philosophy is to bridge neonates and infants with functionally univentricular ductal-dependent systemic circulation or functionally univentricular ductal-dependent pulmonary circulation who are at high risk for staged palliation because of important cardiac risk factors with a single-ventricle VAD (sVAD) as a bridge to a cardiac transplant. This video tutorial documents our approach to a patient who underwent ductal stenting and placement of internal flow restrictors at another institution and subsequently had an operation at the University of Florida that included placement of a Berlin Heart sVAD, removal of internal flow restrictors and placement of bilateral external pulmonary artery bands.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069473","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
Total autologous reconstruction of the right and left ventricular outflow tracts: the case for the modified Ross-Ozaki procedure.
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-01-24 DOI: 10.1510/mmcts.2024.129
Sameh M Said, Ali H Mashadi, Mohamed A Gabr, Fetoh Alaaeldin, Mohamed Kamalou, Shady Elhadidi, Mohamed A Abdelhameed, Mahmoud N Badr-Eldin, Rania Yousef, Ahmad Elderie, Mohammed Sanad
{"title":"Total autologous reconstruction of the right and left ventricular outflow tracts: the case for the modified Ross-Ozaki procedure.","authors":"Sameh M Said, Ali H Mashadi, Mohamed A Gabr, Fetoh Alaaeldin, Mohamed Kamalou, Shady Elhadidi, Mohamed A Abdelhameed, Mahmoud N Badr-Eldin, Rania Yousef, Ahmad Elderie, Mohammed Sanad","doi":"10.1510/mmcts.2024.129","DOIUrl":"https://doi.org/10.1510/mmcts.2024.129","url":null,"abstract":"<p><p>The Ross procedure continues to be the best procedure to address unrepairable aortic valve pathology, especially in young adults. The Achilles heel of this procedure has been aortic root dilation and the potential need for a reoperation that may be associated with slightly increased risks in addition to the need for intervention on the pulmonary outflow tract. Modifying the Ross procedure by autograft inclusion inside a Dacron graft seems to have the potential advantage of stabilizing the autograft diameter, which may be associated with improved durability and decrease the need for future intervention. Although the long-term data are satisfactory, the pulmonary homografts are costly and have limited availability, so the need for alternate options for reconstruction of the right ventricular outflow tract exists. Utilization of the autologous pericardium in the reconstruction of neo-pulmonary leaflets may be considered an alternative to other pulmonary valve reconstruction options. We present a few different modifications to the Ross procedure that may have the potential of being more reproducible and more cost effective, especially in areas of the world where homografts and bioprosthetic valves are not readily available.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034790","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
Supravalvular aortic stenosis repair in a 3-year-old child with Williams syndrome using an interdigitating slide aortoplasty.
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-01-22 DOI: 10.1510/mmcts.2024.096
Maximiliaan L Notenboom, Lennie van Osch-Gevers, Pieter Van de Woestijne, Yannick J H J Taverne
{"title":"Supravalvular aortic stenosis repair in a 3-year-old child with Williams syndrome using an interdigitating slide aortoplasty.","authors":"Maximiliaan L Notenboom, Lennie van Osch-Gevers, Pieter Van de Woestijne, Yannick J H J Taverne","doi":"10.1510/mmcts.2024.096","DOIUrl":"https://doi.org/10.1510/mmcts.2024.096","url":null,"abstract":"<p><p>Several techniques for the surgical correction of congenital supravalvular aortic stenosis have been devised. We describe the step-by-step surgical approach of a slide aortoplasty to correct localized supravalvular aortic stenosis in a 3-year-old child with Williams syndrome.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025771","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
Atrial septal defect closure via a partial lower ministernotomy. 房间隔缺损经部分下胸骨切开术封闭。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-01-22 DOI: 10.1510/mmcts.2024.119
Igor E Konstantinov, Natasha Bocchetta, Tyson A Fricke
{"title":"Atrial septal defect closure via a partial lower ministernotomy.","authors":"Igor E Konstantinov, Natasha Bocchetta, Tyson A Fricke","doi":"10.1510/mmcts.2024.119","DOIUrl":"https://doi.org/10.1510/mmcts.2024.119","url":null,"abstract":"<p><p>Patients with secundum atrial septal defects preferentially undergo device closure;  however, this procedure is not always feasible. Instead, patients can safely undergo surgical closure. At a time when minimally invasive surgery can now be utilized with improved cosmetic results and the same excellent outcomes as a conventional sternotomy for an atrial septal defect closure, we propose the partial lower ministernotomy as the new standard for surgical atrial septal defect closure. We present a surgical case demonstrating this technique.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016182","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
Awake video-assisted surgical lung biopsy for the diagnosis of interstitial lung disease. 清醒电视辅助手术肺活检诊断间质性肺疾病。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-01-21 DOI: 10.1510/mmcts.2024.134
Vincenzo Verzeletti, Eleonora Faccioli, Alessandro Bonis, Demetrio Pittarello, Marco Schiavon, Samuele Nicotra, Andrea Dell'Amore, Federico Rea
{"title":"Awake video-assisted surgical lung biopsy for the diagnosis of interstitial lung disease.","authors":"Vincenzo Verzeletti, Eleonora Faccioli, Alessandro Bonis, Demetrio Pittarello, Marco Schiavon, Samuele Nicotra, Andrea Dell'Amore, Federico Rea","doi":"10.1510/mmcts.2024.134","DOIUrl":"https://doi.org/10.1510/mmcts.2024.134","url":null,"abstract":"<p><p>In patients with suspected interstitial lung disease, diagnostic confirmation can be achieved through an awake video-assisted surgical lung biopsy. This procedure enables the collection of a substantial amount of parenchymal tissue for diagnostic purposes while minimizing perioperative complications associated with mechanical ventilation with the patient under general anaesthesia, given the impaired lung function due to the underlying condition.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016187","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
Tetralogy of Fallot with absent pulmonary valve syndrome and severe diffuse tracheobronchomalacia in an infant: the value of modified Lecompte manoeuver and reduction pulmonary arterioplasty. 婴儿法洛四联症合并肺瓣缺失综合征和严重弥漫性气管支气管软化症：改良勒孔特手法和肺动脉复位成形术的价值。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-01-20 DOI: 10.1510/mmcts.2024.124
Ali H Mashadi, Yasin Essa, Sameh M Said
{"title":"Tetralogy of Fallot with absent pulmonary valve syndrome and severe diffuse tracheobronchomalacia in an infant: the value of modified Lecompte manoeuver and reduction pulmonary arterioplasty.","authors":"Ali H Mashadi, Yasin Essa, Sameh M Said","doi":"10.1510/mmcts.2024.124","DOIUrl":"https://doi.org/10.1510/mmcts.2024.124","url":null,"abstract":"<p><p>An 8-week-old, 3.4-kg infant, who was diagnosed prenatally with tetralogy of Fallot and absent pulmonary valve syndrome, was intubated after birth and failed extubation due to severe tracheobronchomalacia. He was deemed inoperable prior to being transferred to our institution. The left pulmonary artery was severely aneurysmal to the point of occupying almost the entire left upper lobe. Standard tetralogy of Fallot repair was performed together with bilateral reduction pulmonary arterioplasties and a modified Lecompte manoeuvre. No interventions were done directly to the airways. In this video tutorial, we demonstrate the technique used and the outcomes.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016203","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
Reversed valved Potts shunt for refractory primary pulmonary arterial hypertension. 反向瓣膜Potts分流术治疗难治性原发性肺动脉高压。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-01-16 DOI: 10.1510/mmcts.2024.120
Sebastian Michel, Joseph Pattathu, Jürgen Hörer, Fabian A Kari
{"title":"Reversed valved Potts shunt for refractory primary pulmonary arterial hypertension.","authors":"Sebastian Michel, Joseph Pattathu, Jürgen Hörer, Fabian A Kari","doi":"10.1510/mmcts.2024.120","DOIUrl":"https://doi.org/10.1510/mmcts.2024.120","url":null,"abstract":"<p><p>This procedure is carried out via a full sternotomy using standard aortic and bicaval cannulations. For the aortic and pulmonary anastomoses, selective antegrade unilateral cerebral perfusion is used after cooling the body temperature to 26 °Celsius. A 12-mm Hancock conduit is interposed between the pulmonary artery and the proximal descending aorta using standard running suture techniques. Critical decisions during the challenging postoperative management include, but are not limited to, the use of venovenous extracorporeal membrane oxygenation for intermittent support in case of systemic deoxygenation and the anticoagulation and antiplatelet regimen to provide optimal long-term function of the intermittently opening Hancock valve.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016200","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
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