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

Robotic mitral valve repair: quadrangular resection and bidirectional sliding valvuloplasty. 机器人二尖瓣修复：四边形切除和双向滑动瓣成形术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-10-16 DOI: 10.1510/mmcts.2025.114

Paul Cullen, Tarek Malas, Marc Gillinov

引用次数: 0

Stepwise surgical approach to left ventricular fibroma. 渐进式手术治疗左心室纤维瘤。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-10-13 DOI: 10.1510/mmcts.2025.102

Chellasamy Rajeev Thilak, Wahi Pritja, Rezaei Mohammad, Cusimano Robert, Ansari Bilal

引用次数: 0

Mediastinoscopy followed by uniportal video assisted fissureless right upper lobectomy for cT3 (chest wall involvement) tumour. 纵隔镜下单门视频辅助无裂隙右上肺叶切除术治疗cT3（累及胸壁）肿瘤。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-10-13 DOI: 10.1510/mmcts.2025.104

Virendra Kumar Tiwari, Sabita Jiwnani, Devayani Niyogi, Karthik Venkataramani, Aditya Singh, C S Pramesh

引用次数: 0

Carbon fibre-enforced stabilization system for ministernotomy resynthesis. 用于椎板切开再合成的碳纤维强化稳定系统。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-10-13 DOI: 10.1510/mmcts.2025.058

Bruno Chiarello, Sherif Negm, Lorena Mujica, Brayan Rubio, Gustavo Woll, Manuel Castellà

{"title":"Carbon fibre-enforced stabilization system for ministernotomy resynthesis.","authors":"Bruno Chiarello, Sherif Negm, Lorena Mujica, Brayan Rubio, Gustavo Woll, Manuel Castellà","doi":"10.1510/mmcts.2025.058","DOIUrl":"https://doi.org/10.1510/mmcts.2025.058","url":null,"abstract":"Sternal dehiscence incidence ranges from 0.2% to 5%]. Risk factors include obesity, advanced age, use of bilateral internal thoracic arteries, diabetes mellitus and chronic obstructive pulmonary disease [1]. Traditional techniques with steel wires have been associated with dehiscence rates of up to 11.8% [2]. Utilizing titanium plates, the incidence of sternal dehiscence has reduced to 1.5% [3]. The STERN FIX Sternal Stabilization System is a biocompatible carbon-fibre reinforced poly-ether-ether-ketone tool constituting two components, both with a curved arm that embraces the sternum at the level of an intercostal space and does not perforate the intercostal fascia, reducing the retrosternal bleeding [4]. The sternal closure is performed following five steps: sizing using a gauger (device available for sternal bone thicknesses between 9.5 and 17mm); marking the selected intercostal space bilaterally to allow the passage of the device; placement of both device parts; closure of the device; and cutting the excess segment. The sternal closure is complemented with cerclage wire. The first results are very satisfactory, with 0% sternal dehiscence at 6 months on 30 patients [5], comparable to those achieved by adopting the Robicsek technique [6]. We present a video tutorial case of ministernotomy closure using the STERN FIX system.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330744","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

Operative management for extent II thoracoabdominal aortoiliac reconstruction for pneumococcal aortitis. 肺炎球菌性大动脉炎II度胸腹主动脉髂动脉重建的手术治疗。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-09-30 DOI: 10.1510/mmcts.2025.105

Xavier Guzmán S, María Ascaso, Robert Pruna-Guillen, Juan Perdomo Linares, Marta Hernandez-Meneses, Eduard Quintana

{"title":"Operative management for extent II thoracoabdominal aortoiliac reconstruction for pneumococcal aortitis.","authors":"Xavier Guzmán S, María Ascaso, Robert Pruna-Guillen, Juan Perdomo Linares, Marta Hernandez-Meneses, Eduard Quintana","doi":"10.1510/mmcts.2025.105","DOIUrl":"10.1510/mmcts.2025.105","url":null,"abstract":"Infectious aortitis is an uncommon but life-threatening condition due to its potential to cause mycotic aneurysms, which may lead to vascular rupture. When signs of vascular disruption are present, isolated antibiotic therapy is insufficient, requiring combined open surgical resection of the infected aorta. A 68-year-old woman diagnosed with Streptococcus pneumoniae aortitis is presented. Multiple saccular mycotic aneurysms of varying sizes along the thoracoabdominal aorta, with intense fluorodeoxyglucose uptake on positron emission tomography scan were present in conjunction with extravascular infectious sources. Urgent Crawford extent II thoracoabdominal aortoiliac reconstruction was indicated. Due to extensive atheromatosis of the proximal descending aorta and the relative contraindication to cerebrospinal fluid drainage (spondylodiscitis), repair was performed with profound hypothermia (18°C). Renal protection was achieved using Custodiol and visceral perfusion maintained with cold blood. Each visceral artery was individually reimplanted using a 26mm multibranched graft. Distal reconstruction was completed with a bifurcated prosthesis, given the presence of severe aortic bifurcation calcification. Despite negative intra-operative cultures, histopathology confirmed extensive aortic inflammatory/reparative findings. Post-operative recovery was uneventful. At 1-year follow-up, the patient remains in good condition, with no clinical recurrence, no pathological positron emission tomography/computed tomography uptake, and a stable aortic repair without suppressive antibiotics.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193907","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

Repeat right axillary thoracotomy: a feasible and safe approach for recurrent subaortic membrane resection. 重复右腋窝开胸术：复发性主动脉下膜切除术的一种可行而安全的方法。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-09-30 DOI: 10.1510/mmcts.2025.107

Ali H Mashadi, Yasin Essa, Sameh M Said

引用次数: 0

Robotic-assisted thoracoscopic oesophagotomy for impacted denture removal. 机器人辅助胸腔镜食道切开术去除阻生义齿。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-09-29 DOI: 10.1510/mmcts.2025.092

Belal Asaf, Sukhram Bishnoi, Mohan Pulle, Harsh Puri, Deepika Bhardwaj, Arvind Kumar

引用次数: 0

Third-time redo aortic valve replacement with posterior annular enlargement and myectomy. 第三次重做主动脉瓣置换术合并后环扩大和肌瘤切除术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-09-22 DOI: 10.1510/mmcts.2025.081

Davut Cekmecelioglu, Nicholas Smedira, Haytham Elgharably

引用次数: 0

Robotic-assisted bronchial reimplantation for post-tuberculosis bronchial stenosis: surgical technique. 机器人辅助支气管再植治疗结核后支气管狭窄：外科技术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-09-22 DOI: 10.1510/mmcts.2025.035

Mariana Canevari de Oliveira, Luciahelena Morello Prata Trevisan, Marcelo Manzano Said, Isabele Alves Chirichela, Luis Gustavo Abdalla, Gustavo Calado Ribeiro, Alessandro Wasum Mariani

{"title":"Robotic-assisted bronchial reimplantation for post-tuberculosis bronchial stenosis: surgical technique.","authors":"Mariana Canevari de Oliveira, Luciahelena Morello Prata Trevisan, Marcelo Manzano Said, Isabele Alves Chirichela, Luis Gustavo Abdalla, Gustavo Calado Ribeiro, Alessandro Wasum Mariani","doi":"10.1510/mmcts.2025.035","DOIUrl":"https://doi.org/10.1510/mmcts.2025.035","url":null,"abstract":"This report presents a novel robotic-assisted surgical technique for bronchial reimplantation in patients with complete bronchial stenosis after tuberculosis treatment. A 34-year-old female patient with progressive dyspnoea was diagnosed with complete bronchial stenosis and total left lung atelectasis. After unsuccessful bronchial dilation attempts, robotic-assisted bronchial reimplantation with veno-venous extracorporeal membrane oxygenation support was undertaken. Intra-operative bronchoscopy ensured airway patency throughout the procedure. At 1-year follow-up, the patient remained asymptomatic in daily activities, with no late complications or restenosis, reinforcing the long-term efficacy of the procedure. This technique demonstrates the potential for enhanced surgical outcomes in managing complex bronchial stenosis. The findings highlight the viability of this advanced technique in improving respiratory function and patient recovery.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114869","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 robotic assisted thoracic surgery (RATS) stellate ganglion ganglioneuroma resection with post-operative Harlequin syndrome. 左机器人辅助胸外科手术（RATS）星状神经节神经节神经瘤切除术合并术后丑角综合征。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-09-22 DOI: 10.1510/mmcts.2025.110

Anam Ali, Ahmed Abdelmajeed, Aishah Zubaid Mughal, Ahmed M Habib

{"title":"Left robotic assisted thoracic surgery (RATS) stellate ganglion ganglioneuroma resection with post-operative Harlequin syndrome.","authors":"Anam Ali, Ahmed Abdelmajeed, Aishah Zubaid Mughal, Ahmed M Habib","doi":"10.1510/mmcts.2025.110","DOIUrl":"10.1510/mmcts.2025.110","url":null,"abstract":"Ganglioneuromas are rare, benign neurogenic tumours, most often located in the posterior mediastinum. We present an exceptional case of a stellate ganglion ganglioneuroma at the left cervicothoracic junction, abutting the subclavian artery, oesophagus, sympathetic chain and vertebral bodies. The patient presented with significant shortness of breath and paraesthesia in the left arm. Cross-sectional imaging confirmed a well-encapsulated paravertebral mass in the left posterior mediastinum. Given the intricate anatomy of the thoracic inlet and proximity to multiple critical structures, a robotic-assisted thoracic surgical approach using the da Vinci Xi platform was employed. Robot-assisted resection transformed this complex and confined space into a clear, magnified operative field, enabling micro-instrument precision to safely mobilize the mass while avoiding injury to adjacent neurovascular structures. Complete excision was achieved with histopathology confirming ganglioneuroma. The patient's compressive symptoms resolved, though she developed Harlequin syndrome as a direct consequence of partial stellate ganglion resection. This case highlights both the rarity of stellate ganglion ganglioneuromas and the unique value of robotic-assisted surgery in navigating anatomically complex regions. The enhanced visualization and precision of the da Vinci Xi system enabled safe resection with reduced morbidity and expedited recovery.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126486","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