Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery最新文献_第3页

Hybrid one-stage atrial fibrillation ablation. 混合一期房颤消融。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-09-22 DOI: 10.1510/mmcts.2025.067

Raymond Pfister, Jorge Alcocer, Stefano Italiano, Sherif Negm, Ignacio Morales-Rey, Guichard Jean Baptiste, Porta-Sanchez Andreu, Castella Manel

引用次数: 0

Minimally invasive surgical repair of an aneurysmal coronary-pulmonary artery fistula. 动脉瘤性冠状-肺动脉瘘的微创手术修复。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-09-12 DOI: 10.1510/mmcts.2025.106

Yuichiro Fukumoto, Chiaki Aichi, Yusuke Imamura, Mototsugu Tamaki, Keiichi Itatani, Suda Hisao, Hideki Kitamura

{"title":"Minimally invasive surgical repair of an aneurysmal coronary-pulmonary artery fistula.","authors":"Yuichiro Fukumoto, Chiaki Aichi, Yusuke Imamura, Mototsugu Tamaki, Keiichi Itatani, Suda Hisao, Hideki Kitamura","doi":"10.1510/mmcts.2025.106","DOIUrl":"10.1510/mmcts.2025.106","url":null,"abstract":"We report a case of a 77-year-old woman with an aneurysmal coronary-pulmonary artery fistula, which was incidentally identified on contrast-enhanced computed tomography. To prevent rupture and other potential complications, surgical repair was indicated. The procedure was performed via bilateral minithoracotomy, providing sufficient exposure while minimizing invasiveness. The aneurysmal segment was successfully excluded without intra-operative complications. Post-operative contrast-enhanced computed tomography confirmed complete exclusion of the lesion with no residual opacification. The patient's recovery was uneventful. This video tutorial demonstrates the step-by-step surgical technique used in this case, highlighting key considerations in exposure, fistula identification and closure. A bilateral minimally invasive approach may be a safe and effective option for selected patients with aneurysmal coronary-pulmonary artery fistulae, especially when conventional sternotomy is not desirable. This case adds to the limited literature on minimally invasive treatment of this rare condition and may assist surgeons in planning similar procedures.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042316","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 mitral annuloplasty using a semi-continuous three-suture technique with a flexible band. 柔性带半连续三缝线技术的二尖瓣成形术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-09-11 DOI: 10.1510/mmcts.2025.099

Paul Cullen, Tarek Malas, Marc Gillinov

引用次数: 0

Segmentectomies Made Easy series: robotic-assisted left S1 and S2 segmentectomy. 节段切除术Made Easy系列：机器人辅助左S1和S2节段切除术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-09-08 DOI: 10.1510/mmcts.2025.101

Ahmed Abdelmajeed, Zakariya Mouyer, Ahmed M Habib

{"title":"Segmentectomies Made Easy series: robotic-assisted left S1 and S2 segmentectomy.","authors":"Ahmed Abdelmajeed, Zakariya Mouyer, Ahmed M Habib","doi":"10.1510/mmcts.2025.101","DOIUrl":"https://doi.org/10.1510/mmcts.2025.101","url":null,"abstract":"Three-dimensional (3D) guided robotic-assisted thoracic surgery is increasingly recognized as a leading technique for undertaking the most complex pulmonary resections, providing high-definition 3D visualization, advanced instrument control and tremor-free tissue handling. Compared with open thoracotomy, the robotic platform offers reduced peri-operative complications, shorter hospital stays and faster patient recovery. Nevertheless, sublobar resections, such as segmentectomies, remain both anatomically intricate and technically challenging, particularly when resecting multiple segments, as in this left S1 and S2 segmentectomy. Incorporating 3D reconstruction imaging facilitates comprehensive pre-operative evaluation of bronchovascular anatomy, enabling tailored operative planning and therefore more precise dissection. Despite these benefits, the consistent use of 3D virtual modelling in thoracic surgery is still limited and underrepresented within the current literature. This video tutorial constitutes the fifth entry in the \"Segmentectomies Made Easy\" atlas and showcases a robotic left S1 and S2 segmentectomy performed for a primary pulmonary lesion in the S2 segment. Pre-operative 3D imaging identified key anatomical variances that directly informed the surgical approach. The tutorial delivers a structured, step-by-step overview of the operation, from port placement through to vascular division and complex anatomical delineation, highlighting the ways in which 3D visualization augments surgical precision, enhances intra-operative decision-making and contributes to optimized robotic-assisted thoracic surgery outcomes.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145014412","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

Re-do VATS for recurrent pneumothorax in a Birt-Hogg-Dubé syndrome patient. 再做VATS治疗birt - hogg - dub<s:1>综合征复发性气胸1例。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-09-08 DOI: 10.1510/mmcts.2025.062

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

引用次数: 0

Aortic and mitral valve repair in a child with rheumatic heart disease. 风湿性心脏病患儿主动脉瓣和二尖瓣的修复

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-09-08 DOI: 10.1510/mmcts.2025.082

Igor E Konstantinov, Natasha Bocchetta, Valerii Iaprintsev

引用次数: 0

Segmentectomies Made Easy series: robotic-assisted right S1 and S2 segmentectomy. 节段切除术Made Easy系列：机器人辅助右侧S1和S2节段切除术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-09-08 DOI: 10.1510/mmcts.2025.089

Zakariya Mouyer, Ahmed Abdelmajeed, Ahmed M Habib

{"title":"Segmentectomies Made Easy series: robotic-assisted right S1 and S2 segmentectomy.","authors":"Zakariya Mouyer, Ahmed Abdelmajeed, Ahmed M Habib","doi":"10.1510/mmcts.2025.089","DOIUrl":"https://doi.org/10.1510/mmcts.2025.089","url":null,"abstract":"Three-dimensional (3D) guided robotic-assisted thoracic surgery is increasingly recognized as the pioneering approach for the most complex of pulmonary resections, offering high-definition 3D visualization, enhanced instrument augmentation and tremor-free tissue articulation. Compared with open thoracotomy, the robotic platform is associated with reduced peri-operative morbidity, shorter hospital admissions and faster patient recovery. However, sublobar resections such as segmentectomies remain anatomically and technically demanding, particularly in the context of resecting multiple segments, as showcased in this right S1 and S2 segmentectomy. The integration of 3D reconstruction imaging allows for meticulous pre-operative assessment of bronchovascular anatomy, enabling tailored surgical planning and more accurate dissection. Despite these clear advantages, the routine application of 3D virtual modelling in thoracic surgery is still underutilized and remains insufficiently represented in the existing body of evidence. This video tutorial is the fourth entry in the \"Segmentectomies Made Easy\" atlas and demonstrates a robotic right S1 and S2 segmentectomy performed for a primary pulmonary lesion in the S1 segment. Pre-operative 3D imaging revealed the distinct anatomical structures, which played a pivotal role in shaping the dissection strategy. The tutorial provides a clear, step-by-step account of the procedure, from port placement to vascular resection and complex anatomical identification, emphasizing how 3D visualization enhances surgical accuracy, improves intra-operative decision-making and optimizes outcomes in robotic-assisted thoracic surgery.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145014420","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

Salvage repair of complete aortic root detachment after Bentall procedure: a case of LVOT elongation. 本特尔手术后主动脉根部完全脱离的抢救修复：LVOT延长1例。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-09-05 DOI: 10.1510/mmcts.2025.084

Koray Ak, Narges Ajilian, Golnoosh Abbasian, Fatih Öztürk, Elif Demirbas, Emre Sakarya, Yaşar Birkan, Anil Guzel, Sinan Arsan

{"title":"Salvage repair of complete aortic root detachment after Bentall procedure: a case of LVOT elongation.","authors":"Koray Ak, Narges Ajilian, Golnoosh Abbasian, Fatih Öztürk, Elif Demirbas, Emre Sakarya, Yaşar Birkan, Anil Guzel, Sinan Arsan","doi":"10.1510/mmcts.2025.084","DOIUrl":"10.1510/mmcts.2025.084","url":null,"abstract":"Complete detachment of the aortic root following a Bentall procedure is an exceptionally rare complication. The vast majority of reported cases are secondary to prosthetic valve endocarditis or underlying vasculitis. Currently, the most reliable treatment for aortic root dehiscence-particularly in the context of prosthetic valve endocarditis-is repeat root replacement, typically via a second Bentall procedure or with the use of a homograft or allograft. However, re-root replacement is associated with significantly higher morbidity and mortality compared to the initial operation. In cases without evidence of endocarditis or known vasculitis, augmentation of the detached aortic root using a short-segment Dacron tube graft has been shown to be a safe and effective alternative. This technique avoids the need for coronary button mobilization and reimplantation. In this presentation, we describe the surgical management of a patient who experienced complete aortic root detachment after a Bentall procedure, treated via elongation of the left ventricular outflow tract.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145014437","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

Right thoracotomy for surgical repair of Kommerell's diverticulum with a right-sided aortic arch and aberrant left subclavian artery: a video case report. 右开胸手术修复Kommerell憩室伴右侧主动脉弓和左锁骨下动脉异常一例视频报告。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-09-05 DOI: 10.1510/mmcts.2025.088

Kensuken Ozaki, Susumu Oshima, Hirokami Tomohiro, Sakurai Shigeru

{"title":"Right thoracotomy for surgical repair of Kommerell's diverticulum with a right-sided aortic arch and aberrant left subclavian artery: a video case report.","authors":"Kensuken Ozaki, Susumu Oshima, Hirokami Tomohiro, Sakurai Shigeru","doi":"10.1510/mmcts.2025.088","DOIUrl":"https://doi.org/10.1510/mmcts.2025.088","url":null,"abstract":"Kommerell's diverticulum (KD) combined with a right-sided aortic arch (RAA) and an aberrant left subclavian artery (ALSA) is a rare congenital vascular anomaly causing significant compressive dysphagia. Treatment options, including open surgery, thoracic endovascular aortic repair and hybrid approaches, are debated due to anatomical complexities. We report a 48-year-old female with dysphagia from symptomatic KD, RAA and ALSA, clearly delineated by preoperative computed tomography angiography. A right thoracotomy enabled aortic arch replacement. Deep hypothermic circulatory arrest and retrograde cerebral perfusion were utilized for neuroprotection. KD was resected, and ALSA was reconstructed via interposition graft, anastomosed end-to-side to the main prosthetic graft. Meticulous dissection, including division of the ligament on the diverticulum's greater curvature, and careful handling of fragile aortic tissue with felt-pledgeted sutures were key. The patient recovered uneventfully, with complete dysphagia resolution and discharge on postoperative Day 10, without complications. Right thoracotomy offers excellent exposure for comprehensive repair of complex KD with RAA and ALSA. This case demonstrates the feasibility and effectiveness of open surgical repair with meticulous technique and cerebral protection for favourable outcomes in such rare and challenging vascular anomalies.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145014475","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 triangular resection for repair of posterior mitral leaflet prolapse. 机器人三角切除修复二尖瓣后小叶脱垂。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-09-03 DOI: 10.1510/mmcts.2025.100

Paul Cullen, Tarek Malas, Marc Gillinov

引用次数: 0