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

Combined conventional-to-sutureless repair of the supracardiac total anomalous pulmonary venous drainage. 常规-无缝线联合修复心上全异常肺静脉引流。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-09-18 DOI: 10.1510/mmcts.2026.071

Yaroslav Ivanov, Yaroslav Mykychak, Kira Kuschnerus, Sulejman Abdusalamov, Mi-Young Cho, Joachim Photiadis

引用次数: 0

Autologous pulmonary artery patch repair: a promising technique for type B aortic arch interruption. 自体肺动脉补片修复：一种治疗B型主动脉弓中断的有前途的技术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-09-17 DOI: 10.1510/mmcts.2026.069

Sameh M Said, Ahmed Wahba, Yasin Essa

引用次数: 0

Resection of a symptomatic complex anterior mediastinal teratoma via sternotomy. 胸骨切开术治疗有症状的复杂前纵隔畸胎瘤。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-09-15 DOI: 10.1510/mmcts.2026.074

Grace Lee, Mujtaba Mubashir, Matthew Wang, Savas Tsikis, Justin Heidel, David Liu, Michael Kent, Yusuke Tsukioka

引用次数: 0

Robotic tracheal resection and reconstruction for tracheobronchial mucoepidermoid carcinoma. 机器人气管切除与气管支气管黏液表皮样癌重建。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-09-11 DOI: 10.1510/mmcts.2026.034

Anil Heroor, Abhijeet Tehre, Saneya Pandrowala, Manas Mengar, Ajay Yadhav, Sangeeta Shetty

{"title":"Robotic tracheal resection and reconstruction for tracheobronchial mucoepidermoid carcinoma.","authors":"Anil Heroor, Abhijeet Tehre, Saneya Pandrowala, Manas Mengar, Ajay Yadhav, Sangeeta Shetty","doi":"10.1510/mmcts.2026.034","DOIUrl":"https://doi.org/10.1510/mmcts.2026.034","url":null,"abstract":"Tracheobronchial mucoepidermoid carcinoma is a rare malignancy characterized by indolent growth and often delayed clinical presentation. While surgical resection remains the definitive treatment with excellent long-term outcomes, the surgical approach continues to evolve. While traditional techniques include thoracotomy or sternotomy, robotic-assisted surgery is emerging as a compelling alternative, offering enhanced three-dimensional visualization, superior instrument precision, and improved ergonomic control for complex airway reconstructions. This video tutorial details a robotic approach for the resection of residual tracheal mucoepidermoid carcinoma following initial debulking. We highlight the technical nuances required to transition from conventional methods to a robotic platform. The procedure is performed using a four-arm robotic configuration supplemented by a single assistant port. Airway management is maintained via single-lung ventilation using a specialized \"North Pole\" endotracheal tube. The video illustrates the systematic dissection of the trachea, precise margin control, and the intraoperative manoeuvres utilized to ensure a tension-free anastomosis with the endotracheal tube in situ.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148946184","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 left lower lobectomy for Stage IB adenocarcinoma with critical exercise capacity. 机器人左下肺叶切除术治疗具有临界运动能力的IB期腺癌。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-09-09 DOI: 10.1510/mmcts.2026.054

José Yaryura Montero, Juan Medina, Nicolás Castaño, Mario Cafaro, Rodrigo Benavidez

引用次数: 0

Y-incision aortic annular enlargement using the arc patch modification: a step-by-step tutorial. 使用弧形贴片修改的y切口主动脉环扩大：一步一步的教程。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-09-08 DOI: 10.1510/mmcts.2026.076

Maksym Rzhanyi, Polina Danchenko, Kostiantyn Rudenko, Liliana Hrubiak, Mykhailo Ischenko, Vladyslav Stepanov, Dmytro Vichev, Anna Bei

{"title":"Y-incision aortic annular enlargement using the arc patch modification: a step-by-step tutorial.","authors":"Maksym Rzhanyi, Polina Danchenko, Kostiantyn Rudenko, Liliana Hrubiak, Mykhailo Ischenko, Vladyslav Stepanov, Dmytro Vichev, Anna Bei","doi":"10.1510/mmcts.2026.076","DOIUrl":"https://doi.org/10.1510/mmcts.2026.076","url":null,"abstract":"Aortic annular enlargement is an important adjunct to aortic valve replacement in patients with a small aortic annulus and restricted aortic root anatomy. The Y-incision technique facilitates implantation of a larger prosthetic valve, reducing the risk of prosthesis-patient mismatch and improving postoperative haemodynamics. This video tutorial demonstrates Y-incision aortic annular enlargement combined with bioprosthetic aortic valve replacement in a 67-year-old woman with symptomatic severe aortic stenosis and a severely restricted aortic root anatomy. Preoperative imaging revealed a 19 mm aortic annulus, small aortic root dimensions and a narrow sinotubular junction. Following extensive aortic root mobilization, a Y-shaped incision was extended through the aortomitral curtain and reconstructed using an arc-shaped patch modification to facilitate annular, root and sinotubular junction enlargement. The enlarged annulus allowed implantation of a 23 mm bioprosthetic valve with careful commissural alignment and root reconstruction. Postoperative imaging demonstrated excellent valve position and function without paravalvular leak. Peak and mean transvalvular gradients were 14 and 8 mmHg at discharge, and remained stable at 4-month follow-up. This video tutorial highlights the key technical steps of Y-incision aortic annular enlargement and demonstrates excellent early haemodynamic results following implantation of an appropriately sized prosthesis.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914389","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

Superior vena cava reconstruction using autologous femoral vein graft. 自体股静脉移植物重建上腔静脉。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-09-08 DOI: 10.1510/mmcts.2026.058

Oscar Holmvard, Alexandra Murillo Solera, Korbe Otis, Matheus Falasa, Elan Sherazee, William Ricks, Sarah Commander, Zain Shahid, Thomas M Beaver

{"title":"Superior vena cava reconstruction using autologous femoral vein graft.","authors":"Oscar Holmvard, Alexandra Murillo Solera, Korbe Otis, Matheus Falasa, Elan Sherazee, William Ricks, Sarah Commander, Zain Shahid, Thomas M Beaver","doi":"10.1510/mmcts.2026.058","DOIUrl":"https://doi.org/10.1510/mmcts.2026.058","url":null,"abstract":"Chronic superior vena cava obstruction is a recognized complication of transvenous pacemaker and implantable cardioverter-defibrillator leads. A 39-year-old woman with genetically confirmed left ventricular non-compaction cardiomyopathy and a transvenous implantable cardioverter-defibrillator placed for primary prevention developed progressive superior vena cava syndrome. Computed tomography angiography demonstrated chronic occlusion of the superior vena cava and left brachiocephalic vein with extensive collateralization. Endovascular recanalization was attempted from femoral, bilateral internal jugular, and left brachial approaches, but no guidewire could traverse the multilevel chronic occlusion, precluding balloon angioplasty or stenting. Open reconstruction was performed. The left femoral-popliteal vein was harvested, inverted and rendered valve-free. Lead extraction was performed in two stages: the generator and extrathoracic lead were mobilized using a locking stylet and mechanical extraction sheaths, followed by intrathoracic lead removal through median sternotomy and a controlled superior vena cava venotomy. The autologous graft was anastomosed end-to-side to the right subclavian vein, tunnelled through the mediastinum, and anastomosed to the superior vena cava venotomy. Doppler ultrasound confirmed excellent flow. Follow-up imaging demonstrated a patent graft with marked symptomatic improvement.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914229","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 resection of an anterior mediastinal mass en bloc with the left innominate vein and pericardium post induction treatment for thymic carcinoma. 胸腺癌诱导治疗后机器人切除前纵隔肿块及左无名静脉和心包膜。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-09-08 DOI: 10.1510/mmcts.2026.052

Vasileios Kouritas, Alice Cartwright, Munir Adamu Bala, Ra'fat Tawalbeh, Haisam Saad, Ahmad Asqalan, Manu Naik

{"title":"Robotic resection of an anterior mediastinal mass en bloc with the left innominate vein and pericardium post induction treatment for thymic carcinoma.","authors":"Vasileios Kouritas, Alice Cartwright, Munir Adamu Bala, Ra'fat Tawalbeh, Haisam Saad, Ahmad Asqalan, Manu Naik","doi":"10.1510/mmcts.2026.052","DOIUrl":"https://doi.org/10.1510/mmcts.2026.052","url":null,"abstract":"This case report describes the robot assisted resection of a 70 year old man's anterior mediastinal mass. Preoperative imaging showed an 85 × 45 mm thymic squamous cell carcinoma invading the pericardium and occluding the left innominate vein. After neoadjuvant chemotherapy, a bilateral robotic approach was used. The phrenic nerves and great vessels were skeletonized; the left innominate vein was encircled and transected with a vascular stapler; the mass was mobilized off the sternum; the pericardium was opened and resected en bloc with the tumour; and the robot was re docked on the right to dissect the right phrenic nerve and control the superior vena cava, which underwent stapled plasty before division of the left innominate vein. Reconstruction included a bovine pericardial patch. Operative time was 300 minutes with no intraoperative complications; the patient developed transient atrial fibrillation and was discharged on Day 9. Final pathology confirmed an R0 resection. This case highlights that robot assisted thoracic surgery can safely manage complex mediastinal tumours involving the pericardium and great vessels, offering advantages in blood loss and recovery compared with sternotomy.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914260","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

Totally endoscopic transaortic septal myectomy for hypertrophic obstructive cardiomyopathy. 全内窥镜经主动脉间隔肌切除术治疗肥厚性阻塞性心肌病。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-09-08 DOI: 10.1510/mmcts.2026.055

Carolina Orlandi, Ghazi Elshafie, Joseph Zacharias

{"title":"Totally endoscopic transaortic septal myectomy for hypertrophic obstructive cardiomyopathy.","authors":"Carolina Orlandi, Ghazi Elshafie, Joseph Zacharias","doi":"10.1510/mmcts.2026.055","DOIUrl":"10.1510/mmcts.2026.055","url":null,"abstract":"Hypertrophic obstructive cardiomyopathy is characterized by asymmetric septal hypertrophy and dynamic left ventricular outflow tract obstruction, often associated with systolic anterior motion of the mitral valve. In symptomatic patients who are not responders to medical therapy, surgical septal myectomy is considered the gold standard. We present a case of totally endoscopic transaortic septal myectomy performed in a symptomatic patient with severe left ventricular outflow tract obstruction and systolic anterior motion of the mitral valve. Preoperative imaging demonstrated marked asymmetric septal hypertrophy, hyperdynamic ventricular function and significant outflow tract gradient. The procedure was performed using a totally endoscopic approach with femoro-femoral cardiopulmonary bypass and transthoracic aortic cross-clamping. After the pericardial opening and aortotomy, a transaortic septal myectomy was performed under three-dimensional endoscopic visualization. Intraoperative transoesophageal echocardiography confirmed resolution of systolic anterior motion and marked reduction of outflow tract obstruction. Postoperative transthoracic echocardiography demonstrated preserved ventricular function and absence of systolic anterior motion, and a peak gradient of 18 mmHg. This case highlights the feasibility and reproducibility of a totally endoscopic approach for septal myectomy, combining the effectiveness of conventional surgery with the advantages of a non-sternotomy technique.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914320","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

Tricuspidization of a unicuspid aortic valve in an adolescent using selective single-cusp replacement. 选择性单尖置换术治疗青少年单尖主动脉瓣三尖化。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-09-08 DOI: 10.1510/mmcts.2026.063

Ivan Kozyrev, Mathieu Vergnat, Philipp Suchowerskyj, Claudia Arenz, Boulos Asfour

引用次数: 0