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

Efficacy of a sutureless aortic valve-reoperative alternative to a composite graft replacement. 无缝线主动脉瓣--手术替代复合移植物置换术的疗效。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-10-28 DOI: 10.1510/mmcts.2024.074

Taisuke Nakayama, Yoshitsugu Nakamura, Yuto Yasumoto, Kosuke Nakamae, Yujiro Ito, Hiroaki Yusa

{"title":"Efficacy of a sutureless aortic valve-reoperative alternative to a composite graft replacement.","authors":"Taisuke Nakayama, Yoshitsugu Nakamura, Yuto Yasumoto, Kosuke Nakamae, Yujiro Ito, Hiroaki Yusa","doi":"10.1510/mmcts.2024.074","DOIUrl":"10.1510/mmcts.2024.074","url":null,"abstract":"Findings in the present case underscore the potential of sutureless aortic valve utilization in patients with prior prosthetic root replacement, thereby obviating the need for high-risk procedures such as replacing a prosthetic root or reimplanting a coronary artery. A 75-year-old male who had undergone a Bio-Bentall operation with a bioprosthetic Trifecta valve for aortic regurgitation and annuloaortic ectasia eight years prior presented with symptoms of heart failure, notably dyspnoea, attributed to prosthetic valve dysfunction. Although a transcatheter aortic valve implant is often recommended, it was deemed unsuitable in this case due to a history of type B aortic dissection. Aortic valve replacement utilizing a sutureless Perceval valve with a Trifecta cuff as the valve ring was successfully performed through a repeat median sternotomy, which enabled aortic valve replacement via a higher than usual aortotomy with minimal adhesion dissection. Despite the inherent risks associated with a reoperation post-Bentall surgery, the duration of the procedure was notably short, with only 85 minutes required for cardiopulmonary bypass and 51 minutes for aortic clamping, resulting in an overall operating time of 198 minutes, thus highlighting the minimally invasive and safe nature of this approach.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512819","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

The combination of Florida sleeve and Ozaki procedures for aortic root repair. 佛罗里达套筒术和尾崎术联合用于主动脉根部修复。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-10-28 DOI: 10.1510/mmcts.2024.026

Mikhail A Snegirev, Vladimir K Noginov, Timur Ruzmatov, Vidadi U Efendiev

引用次数: 0

Redo totally endoscopic, robotic-assisted correction of previously failed approximation of papillary muscles. 在机器人辅助下，通过完全内窥镜重做以前失败的乳头肌近似矫正术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-10-21 DOI: 10.1510/mmcts.2024.068

Andrea Amabile, James Antonios, Michael LaLonde, Syed Usman Bin Mahmood, Wei-Guo Ma, Markus Krane, Arnar Geirsson

引用次数: 0

Unicuspid aortic valve repair in a neonate. 新生儿单尖主动脉瓣修复术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-10-21 DOI: 10.1510/mmcts.2024.094

Igor E Konstantinov, Natasha Bocchetta, Tyson A Fricke

引用次数: 0

Intraoperative intra-aortic balloon pump insertion: step by step. 术中插入主动脉内球囊泵：逐步进行。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-10-18 DOI: 10.1510/mmcts.2024.066

Carla Gotsens-Asenjo, Constanza Fernández-De Vinzenzi, Elena Roselló-Díez, César Piedra, Marta Molina, Juan Francisco Tabilo, Manel Tauron, Sandra Casellas, Ángela Irabién, Laura Corominas, Antonino Ginel, Jose Montiel

{"title":"Intraoperative intra-aortic balloon pump insertion: step by step.","authors":"Carla Gotsens-Asenjo, Constanza Fernández-De Vinzenzi, Elena Roselló-Díez, César Piedra, Marta Molina, Juan Francisco Tabilo, Manel Tauron, Sandra Casellas, Ángela Irabién, Laura Corominas, Antonino Ginel, Jose Montiel","doi":"10.1510/mmcts.2024.066","DOIUrl":"10.1510/mmcts.2024.066","url":null,"abstract":"A 76-year-old patient with non-ST elevation myocardial infarction was admitted to our hospital. Coronary angiography revealed significant left main and two-vessel coronary artery disease. Preoperative testing indicated severe left ventricular dysfunction. The patient was scheduled for urgent off-pump coronary artery bypass grafting. Due to the low ejection fraction, an intra-aortic balloon pump was inserted in the operating theatre before sternotomy, to enhance the patient's haemodynamic stability during surgery. A 6 Fr introducer was inserted into the femoral artery under echocardiographic guidance. Using a 150-cm guidewire, the intra-aortic balloon catheter was advanced through the introducer to the descending thoracic aorta. The catheter's tip position, just distal to the origin of the left subclavian artery, was confirmed via transoesophageal echocardiography. The external part of the catheter was secured to the skin and connected to the balloon console. Therapy was initiated, and the inflation/deflation parameters were optimized. A double off-pump coronary artery bypass was performed via median sternotomy. The patient remained haemodynamically stable throughout the surgery, aided by the intra-aortic balloon pump, and careful volume and vasoactive management. The patient was extubated promptly, and the device was removed on the second postoperative day without complications.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480578","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

Removal of an intra-aortic thrombus. 清除主动脉内血栓。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-10-18 DOI: 10.1510/mmcts.2024.080

Benedikt Mayr, Ulf Herold, Christian Noebauer, Markus Krane

{"title":"Removal of an intra-aortic thrombus.","authors":"Benedikt Mayr, Ulf Herold, Christian Noebauer, Markus Krane","doi":"10.1510/mmcts.2024.080","DOIUrl":"https://doi.org/10.1510/mmcts.2024.080","url":null,"abstract":"A 70-year-old female patient was referred from a peripheral hospital to our department with an incidental finding of an intra-aortic mass. Chest access was gained by a median sternotomy, and visualization of the intra-aortic mass was achieved using epiaortic ultrasound. After systemic heparinization, arterial cannulation was performed in the distal aortic arch. The right atrium was cannulated; the patient was cooled to a target temperature of 22°C. With the patient under hypothermic circulatory arrest, a transverse aortotomy was performed 3 cm proximal to the brachiocephalic trunk, and prompt removal of the tumour was achieved. After establishing antegrade cerebral perfusion, proper visualization of the aortic wall was achieved, and no pathological alterations of the aortic wall were encountered. After closure of the aorta and complete rewarming, the patient was easily weaned from cardiopulmonary bypass. Chest closure was performed in the usual fashion. The postoperative course was uneventful, and the histopathological diagnosis was thrombus formation. Consequently, the patient was placed on lifelong phenprocoumon therapy.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480591","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

Coronary orifice rotation for symmetric bicuspidization of a paediatric unicuspid aortic valve. 对小儿单尖主动脉瓣进行对称双尖瓣化的冠状动脉口旋转。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-10-16 DOI: 10.1510/mmcts.2024.092

Shunsuke Matsushima, Sara Kubo, Akihiko Higashida, Yoshihiro Oshima, Hironori Matsuhisa

引用次数: 0

Robotic right lower lobectomy following neoadjuvant nivolumab combined with platinum-based chemotherapy. 新辅助nivolumab联合铂类化疗后的机器人右下叶切除术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-10-16 DOI: 10.1510/mmcts.2024.098

Hitoshi Igai, Akinobu Ida, Kazuki Numajiri, Kazuhito Nii, Mitsuhiro Kamiyoshihara

{"title":"Robotic right lower lobectomy following neoadjuvant nivolumab combined with platinum-based chemotherapy.","authors":"Hitoshi Igai, Akinobu Ida, Kazuki Numajiri, Kazuhito Nii, Mitsuhiro Kamiyoshihara","doi":"10.1510/mmcts.2024.098","DOIUrl":"10.1510/mmcts.2024.098","url":null,"abstract":"Despite the prognostic benefits for patients, surgical resection following nivolumab combined with platinum-based chemotherapy is technically challenging due to the inflammation or fibrosis in the thoracic cavity, particularly around the hilar structures. Performing this complex surgical resection using a minimally invasive approach requires the advantages offered by robotic surgery, including a high-definition 3-dimensional surgical view, precise, tremor-free motion and articulated forceps, which facilitate safe resection following neoadjuvant immunochemotherapy. In this video tutorial, we demonstrate a robotic right lower lobectomy performed after neoadjuvant nivolumab combined with platinum-based chemotherapy, highlighting the specific techniques and nuances involved. The console time was 138 minutes, with minimal blood loss. The patient's postoperative course was uneventful; the chest tube was removed on postoperative day (POD) 1, and the patient was discharged on POD 2. The final pathological report revealed pTisN0M0, stage 0, squamous cell carcinoma.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480592","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

Homograft implant for prosthetic aortic endocarditis with paravalvular abscess in a patient with persistent left superior vena cava. 在一名左上腔静脉持续存在的患者体内植入同种异体移植物，以治疗伴有腔旁脓肿的人工主动脉瓣膜心内膜炎。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-10-15 DOI: 10.1510/mmcts.2024.042

Martina Rizzo, Roberto Lorusso, Giuseppe Davoli, Daniele Marianello, Gianfranco Montesi, Sandro Gelsomino

引用次数: 0

Robotic-assisted carinal reconstruction using cross-table ventilation. 机器人辅助下的椎动脉重建，采用跨台通气。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-26 DOI: 10.1510/mmcts.2024.085

Aishah Z Mughal, Ahmed El-Zeki, Deepak Ravindran, Ramesh Giri, Ahmed M Habib

{"title":"Robotic-assisted carinal reconstruction using cross-table ventilation.","authors":"Aishah Z Mughal, Ahmed El-Zeki, Deepak Ravindran, Ramesh Giri, Ahmed M Habib","doi":"10.1510/mmcts.2024.085","DOIUrl":"https://doi.org/10.1510/mmcts.2024.085","url":null,"abstract":"Carinal reconstruction remains a technically challenging procedure for thoracic surgeons due to the complexity of airway resection and management. This is typically performed in the setting of tumour resection affecting the carina and distal trachea. Airway management of patients undergoing surgical resection of tumours involving the carina is highly challenging. This is due to an open, shared airway and the need for single-lung ventilation to facilitate surgery. Common modalities used for intraoperative ventilation include cross-table ventilation, veno-venous extra-corporeal membrane oxygenation and cardiopulmonary bypass. Cardiopulmonary bypass is usually avoided due to the requirement of full heparinization, which increases the demands of a technically challenging procedure, in addition to its contraindication in oncological resections. Extra-corporeal membrane oxygenation is not readily available in most thoracic units. This leaves cross-table ventilation, which is commonly used for open thoracotomy and sternotomy cases, but has never been reported for minimally invasive procedures. Specifically, to the best of our knowledge, cross-table ventilation has never been used for minimally invasive robotic carinal reconstruction. We present a step-by-step video tutorial in performing surgical resection of a mediastinal tumour that was found invading the carina. This was performed in a young patient who underwent carinal reconstruction using a novel technique combining cross-table ventilation and robotic-assisted surgery.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332229","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