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Repair of aorto-left ventricular tunnel type IV with origin above the left main coronary artery.
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-03-06 DOI: 10.1510/mmcts.2024.137
Fabian A Kari, Sebastian Michel, Zahra Alalawi, Jürgen Hörer
{"title":"Repair of aorto-left ventricular tunnel type IV with origin above the left main coronary artery.","authors":"Fabian A Kari, Sebastian Michel, Zahra Alalawi, Jürgen Hörer","doi":"10.1510/mmcts.2024.137","DOIUrl":"https://doi.org/10.1510/mmcts.2024.137","url":null,"abstract":"<p><p>Using full-flow cardiopulmonary bypass, mild hypothermia and cardioplegic arrest, the aortic orifice of the aorto-left ventricular tunnel is closed with an autologous pericardial patch. After a longitudinal incision into the tunnel, a second patch of polytetrafluoroethylene is placed as far distally into the tunnel as possible to exclude most of its lumen from perfusion.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568819","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
A robotic fissureless left upper lobectomy for a dense fissure.
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-03-03 DOI: 10.1510/mmcts.2024.130
Hitoshi Igai, Akinobu Ida, Kazuki Numajiri, Kazuhito Nii, Mitsuhiro Kamiyoshihara
{"title":"A robotic fissureless left upper lobectomy for a dense fissure.","authors":"Hitoshi Igai, Akinobu Ida, Kazuki Numajiri, Kazuhito Nii, Mitsuhiro Kamiyoshihara","doi":"10.1510/mmcts.2024.130","DOIUrl":"https://doi.org/10.1510/mmcts.2024.130","url":null,"abstract":"<p><p>Many articles document the efficacy of the fissureless technique, most of which focus on a right upper lobectomy. However, there are a few reports on a fissureless left upper lobectomy, especially using a robotic approach. This report presents a successful case of a robotic fissureless left upper lobectomy in a patient with a dense fissure. The total console time was 111 minutes. The postoperative course was uneventful, with the chest tube being removed on postoperative day 1. The patient was successfully discharged on postoperative day 2. The final pathology report confirmed adenocarcinoma, staged as pT1cN1M0, stage IIB. Precise preoperative evaluation using three-dimensional computed tomography broncho-angiography is essential to understand the anatomy accurately and to avoid complications in this challenging procedure.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544457","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
Robotic sleeve resection of the intermediate bronchial trunk followed by bronchoplasty for a bronchial hamartoma.
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-03-03 DOI: 10.1510/mmcts.2025.010
Hitoshi Igai, Akinobu Ida, Kazuki Numajiri, Kazuhito Nii, Mitsuhiro Kamiyoshihara
{"title":"Robotic sleeve resection of the intermediate bronchial trunk followed by bronchoplasty for a bronchial hamartoma.","authors":"Hitoshi Igai, Akinobu Ida, Kazuki Numajiri, Kazuhito Nii, Mitsuhiro Kamiyoshihara","doi":"10.1510/mmcts.2025.010","DOIUrl":"https://doi.org/10.1510/mmcts.2025.010","url":null,"abstract":"<p><p>Performing a bronchial sleeve resection followed by bronchoplasty is considered technically challenging. This procedure is still frequently performed via a thoracotomy, although thoracoscopic approaches are also used. Compared to the thoracoscopic approach, the robotic approach offers distinct advantages for performing technically demanding procedures. Additionally, a bronchial anastomosis is considered easier to perform with the robotic approach due to its unique characteristics, such as the use of articulated forceps. In this video tutorial, we demonstrate a robotic sleeve resection of the intermediate bronchial trunk followed by bronchoplasty for a bronchial hamartoma and discuss the nuances of this procedure. The console time was 150 minutes, with minimal blood loss. The patient's postoperative course was uneventful. The chest tube was removed on postoperative day 1, and the patient was discharged on postoperative day 3. The final pathology report confirmed the diagnosis of bronchial hamartoma.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544459","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
Paediatric aortic regurgitation secondary to Behçet's disease: aortic cusp replacement with autologous pericardium.
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-02-26 DOI: 10.1510/mmcts.2025.006
Kai Ma, Xinjie Lin, Zheng Dou, Qiyu He, Jing Zhang, Shoujun Li
{"title":"Paediatric aortic regurgitation secondary to Behçet's disease: aortic cusp replacement with autologous pericardium.","authors":"Kai Ma, Xinjie Lin, Zheng Dou, Qiyu He, Jing Zhang, Shoujun Li","doi":"10.1510/mmcts.2025.006","DOIUrl":"https://doi.org/10.1510/mmcts.2025.006","url":null,"abstract":"<p><p>Behçet's disease is a multisystem inflammatory disorder, occasionally complicated by the need for aortic surgery due to vasculitis in children in whom growth potential is crucial. This report details the case of a 4-year-old girl with severe aortic regurgitation secondary to Behçet's disease. An initial echocardiographic scan revealed a thickened, prolapsed aortic valve with severe regurgitation, leading to a confirmed diagnosis of Behçet's disease with aortic regurgitation. Following stabilization with steroids and immunosuppressants, aortic cusp replacement surgery using autologous pericardium was performed. The surgical technique adhered to Ozaki's method, ensuring precise pericardial preparation and interrupted suturing. The postoperative recovery was uneventful, and the patient continued anti-inflammatory treatment. At the 3-year follow-up, the patient was asymptomatic with normal activity levels, and an echocardiographic scan confirmed excellent aortic valve function. This case highlights the feasibility and long-term efficacy of using autologous pericardium for aortic cusp replacement in paediatric patients with Behçet's disease and emphasizes the need for further studies to establish standardized protocols for this challenging patient population.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538164","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
Beating heart arch replacement without circulatory arrest: a standardized surgical strategy. 无循环心跳停止的心脏起搏弓置换术：标准化手术策略。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-02-17 DOI: 10.1510/mmcts.2025.005
Jamie Romeo, Anne Simone Lotfalla, Erik P J Körver, Ehsan Natour, Jos Maessen, Roberto Lorusso, Michael Jacobs, Elham Bidar
{"title":"Beating heart arch replacement without circulatory arrest: a standardized surgical strategy.","authors":"Jamie Romeo, Anne Simone Lotfalla, Erik P J Körver, Ehsan Natour, Jos Maessen, Roberto Lorusso, Michael Jacobs, Elham Bidar","doi":"10.1510/mmcts.2025.005","DOIUrl":"https://doi.org/10.1510/mmcts.2025.005","url":null,"abstract":"<p><p>Deep hypothermic circulatory arrest, antegrade brain perfusion and cardioplegic arrest are commonly used organ protection techniques during aortic arch surgery. We present our surgical strategy for beating heart aortic arch surgery without circulatory arrest. Cardiopulmonary bypass access is achieved through the right and/or left axillary artery for continuous cerebral perfusion under neurophysiological monitoring and femoral cannulation through an EndoReturn cannula while using a Coda balloon catheter for visceral perfusion. Systemic cooling is applied between 28 and 32 °C.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442545","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
Post-oesophagectomy hiatal hernia.
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-02-12 DOI: 10.1510/mmcts.2024.128
Marie-Eve Tuchon, Alicia Truchon, Denise Ouellette, George Rakovich
{"title":"Post-oesophagectomy hiatal hernia.","authors":"Marie-Eve Tuchon, Alicia Truchon, Denise Ouellette, George Rakovich","doi":"10.1510/mmcts.2024.128","DOIUrl":"https://doi.org/10.1510/mmcts.2024.128","url":null,"abstract":"<p><p>This video tutorial presents the laparoscopic repair of a post-oesophagectomy hiatal hernia in a 69-year-old patient who had an oesophagectomy 5 years previously for distal oesophageal cancer. He presented acutely with epigastric pain, nausea and hiccups. During the operation, the herniated small bowel was reduced and found to be viable. The defect was sealed by suturing the conduit to the diaphragm. At a follow-up examination 23 months after the repair, the patient is asymptomatic and there is no evidence of recurrence.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400386","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
Staged biventricular repair in aortic hypoplasia: the value of intraoperative myocardial perfusion.
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-02-10 DOI: 10.1510/mmcts.2024.089
Igor E Konstantinov, Natasha Bocchetta, Tyson A Fricke
{"title":"Staged biventricular repair in aortic hypoplasia: the value of intraoperative myocardial perfusion.","authors":"Igor E Konstantinov, Natasha Bocchetta, Tyson A Fricke","doi":"10.1510/mmcts.2024.089","DOIUrl":"https://doi.org/10.1510/mmcts.2024.089","url":null,"abstract":"<p><p>The patient had a hypoplastic aortic arch with coarctation, a right aberrant subclavian artery, a bicuspid aortic valve, a ventricular septal defect and severe long-segment left ventricular outflow tract obstruction. The patient underwent initial univentricular palliation with subsequent biventricular conversion. Initially the patient had a Norwood operation with a Sano conduit at 23 days of age. The operation was performed on a beating heart with full-body perfusion for optimal preservation of heart cardiac function. At 9 months of age, the patient had a biventricular conversion that required ventricular septal defect enlargement and placement of the valve conduit from the right ventricle to the pulmonary artery (i.e. the Yasui procedure). The patient also had recurrent coarctation and left pulmonary artery stenosis; both were repaired with the heart beating to minimize myocardial ischaemic time.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383950","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
Edge-to-edge repair with ring annuloplasty for post-transplant biopsy-related tricuspid regurgitation.
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-02-10 DOI: 10.1510/mmcts.2024.140
Sooyun Caroline Tavolacci, Corazon de la Pena, Suguru Ohira
{"title":"Edge-to-edge repair with ring annuloplasty for post-transplant biopsy-related tricuspid regurgitation.","authors":"Sooyun Caroline Tavolacci, Corazon de la Pena, Suguru Ohira","doi":"10.1510/mmcts.2024.140","DOIUrl":"https://doi.org/10.1510/mmcts.2024.140","url":null,"abstract":"<p><p>We experienced an early biopsy-related tricuspid regurgitation post-transplant. Transthoracic and transoesophageal echocardiography showed a frail anterior leaflet with a possible ruptured chorda. The tricuspid valve was inspected, and a ruptured chorda was noted in the anterior leaflet with a single torn chorda on the septal leaflet. The corresponding papillary muscle was difficult to identify. The patient underwent successful tricuspid valve repair with edge-to-edge repair and ring annuloplasty. Compared to a complex repair procedure such as the replacement of multiple artificial chordae, the edge-to-edge repair to correct prolapse without creating a gradient across the valve is reproducible.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383947","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 arch replacement with a branched frozen elephant trunk with potential to reliably reconstruct a narrow-diameter vertebral anomalous artery using a self-expandable stent graft.
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-02-10 DOI: 10.1510/mmcts.2024.111
Kenichi Hashizume, Mitsuharu Mori, Mio Kasai, Yuika Kameda, Daiki Harada, Mayu Nishida, Yutaro Aoyagi, Hideyuki Shimizu
{"title":"Total arch replacement with a branched frozen elephant trunk with potential to reliably reconstruct a narrow-diameter vertebral anomalous artery using a self-expandable stent graft.","authors":"Kenichi Hashizume, Mitsuharu Mori, Mio Kasai, Yuika Kameda, Daiki Harada, Mayu Nishida, Yutaro Aoyagi, Hideyuki Shimizu","doi":"10.1510/mmcts.2024.111","DOIUrl":"https://doi.org/10.1510/mmcts.2024.111","url":null,"abstract":"<p><p>We describe a total arch replacement using a hybrid frozen elephant trunk device. The procedure required reconstruction of the left vertebral anomalous artery using a triple branched stented anastomosis frozen elephant trunk repair. The novelty of this procedure lies in the impressive results that we obtained at this preliminary stage. The good results indicated an effective safe technique that facilitates aortic arch reconstruction using the hybrid frozen elephant trunk for an arch aneurysm with a left vertebral anomalous artery. Three-dimensional computed tomography performed 6 months postoperatively showed a well-reconstructed aortic arch and left vertebral anomalous artery. The use of self-expandable stent grafts may facilitate reconstruction of the left vertebral anomalous artery and is expected to improve patency. In this case, a longer follow-up with further procedural improvements is still necessary to pass this preliminary stage and obtain a definitive optimal outcome with an advantage in operating time.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383919","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
Anaortic total arterial minimally invasive coronary artery bypass grafting: The Leipzig technique.
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-02-06 DOI: 10.1510/mmcts.2025.001
Zara Dietze, Mateo Marín-Cuartas, Manuela De La Cuesta, Alexey Dashkevich, Michael Andrew Borger, Alexander Verevkin
{"title":"Anaortic total arterial minimally invasive coronary artery bypass grafting: The Leipzig technique.","authors":"Zara Dietze, Mateo Marín-Cuartas, Manuela De La Cuesta, Alexey Dashkevich, Michael Andrew Borger, Alexander Verevkin","doi":"10.1510/mmcts.2025.001","DOIUrl":"https://doi.org/10.1510/mmcts.2025.001","url":null,"abstract":"<p><p>The Heart Center Leipzig has implemented an innovative off-pump minimally invasive cardiac surgery-coronary artery bypass grafting approach, focusing on complete arterial revascularization using bilateral mammary arteries through a minimally invasive incision (left anterolateral minithoracotomy). This technique has been successfully incorporated into routine clinical practice at our centre for the past 8 years. The majority of patients are eligible for this procedure. This video tutorial provides an overview of patient selection, the preoperative protocol and a step-by-step description of this procedure.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257208","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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