Tomás D'Angelo, Germán Fortunato, Guido Busnelli, Florencia Valdecantos, Vadim Kotowicz
{"title":"The hemi-Yacoub procedure and valve repair in a patient with Turner syndrome and bicuspid aortic valve.","authors":"Tomás D'Angelo, Germán Fortunato, Guido Busnelli, Florencia Valdecantos, Vadim Kotowicz","doi":"10.1510/mmcts.2024.122","DOIUrl":"https://doi.org/10.1510/mmcts.2024.122","url":null,"abstract":"<p><p>Bicuspid aortic valve is a common congenital anomaly often associated with aortic valve degeneration and ascending aorta dilation, leading to stenosis or insufficiency. We present the case of a 46-year-old female with Turner syndrome, a Sievers type 1 bicuspid aortic valve, moderate aortic insufficiency and a dilated aortic root. Given her age and anatomical features, a valve-sparing aortic root replacement using the hemi-Yacoub technique was performed. This technique preserved the patient's native aortic valve, thereby avoiding the need for anticoagulation therapy. Postoperatively, no residual valve insufficiency was detected, and the patient demonstrated a normal valve coaptation height.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191013","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}
{"title":"Minimally invasive Bentall-de Bono procedure through an upper ministernotomy.","authors":"Arnaud Van Linden, Thomas Walther, Tomas Holubec","doi":"10.1510/mmcts.2024.142","DOIUrl":"https://doi.org/10.1510/mmcts.2024.142","url":null,"abstract":"<p><p>The replacement of the aortic root and the aortic valve with a composite graft (Bentall-de Bono procedure) is a valid treatment option for patients with an aneurysm of the aortic root with valve pathology. The standard approach is still the full sternotomy. In this video tutorial, we present the Bentall-de Bono procedure using a self-made composite graft in a minimally invasive technique through an upper ministernotomy.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191006","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}
Yuriy Stukov, Jeffrey P Jacobs, Kayla V Lucas, Mark Bleiweis, Giles J Peek
{"title":"Conversion technique of pulsatile-to-continuous flow single ventricular assist device.","authors":"Yuriy Stukov, Jeffrey P Jacobs, Kayla V Lucas, Mark Bleiweis, Giles J Peek","doi":"10.1510/mmcts.2024.125","DOIUrl":"https://doi.org/10.1510/mmcts.2024.125","url":null,"abstract":"<p><p>Patients with a congenital heart disease and unfavourable anatomy that are not amenable to the primary correction of the defect might need a ventricular assist device as a bridge to a transplant. Pulsatile paracorporeal ventricular assist devices represent excellent options for supporting these patients with complex conditions. The Berlin Heart EXCOR is a such a paracorporeal pulsatile ventricular device. Pulsatile flow is more physiologic because it resembles the natural circulation pumped by the heart. The Berlin Heart EXCOR is a displacement pump; therefore, the risk for increased haemolysis is greater. If the patient experiences haemolysis despite a change the pump flow rate while on a Berlin Heart EXCOR ventricular assist device, a pump exchange to continuous flow may be beneficial. In this case report, we present a patient with severe haemolysis due to a displacement pump and the step-by-step technique for changing from a pulsatile to a continuous flow ventricular assist device.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190994","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}
{"title":"Three-dimensional, totally endoscopic mitral valve repair of anomalous mitral arcade.","authors":"Hideki Kitamura, Yuichiro Fukumoto, Yusuke Imamura, Chiaki Aichi","doi":"10.1510/mmcts.2024.131","DOIUrl":"https://doi.org/10.1510/mmcts.2024.131","url":null,"abstract":"<p><p>We report the case of a 15-year-old boy with severe mitral valve insufficiency due to an anomalous mitral arcade. Both papillary muscles were elongated and attached directly to the anterior leaflet, creating an arcade shape. He underwent an operation using a right minithoracotomy approach under three-dimensional endoscopic vision. Both papillary muscles were dissected off the anterior leaflet and trimmed. A muscle bar existed from the left ventricular wall to the right-side tip of the posterior papillary muscle and was also dissected off. Four loops were reconstructed from the papillary muscles and fixed to the free margin of the anterior leaflet in appropriate positions. After a 28-mm semi-rigid band was inserted, the posterior commissure was closed, and edge-to-edge stitches were applied from the posterior commissure to the P3 and the A3 segments to achieve better competence. His mitral valve was successfully repaired. The transoesophageal echocardiogram showed good opening of the mitral valve and trace regurgitation. The endoscope was useful for detailed observation and evaluation of the structure and abnormalities of the mitral valve and subvalvular apparatus.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191017","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}
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}
{"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}
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}
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}
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}
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}