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

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Technique for surgical replacement of the ascending aorta with concomitant aortic valve and hemiarch replacement: a procedural guide. 手术置换升主动脉并同时置换主动脉瓣和半主动脉瓣的技术：手术指南。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-26 DOI: 10.1510/mmcts.2024.045
Djamila Abjigitova, Samuel A Max, Amir H Sadeghi, Jelena Sjatskig, Edris A F Mahtab
{"title":"Technique for surgical replacement of the ascending aorta with concomitant aortic valve and hemiarch replacement: a procedural guide.","authors":"Djamila Abjigitova, Samuel A Max, Amir H Sadeghi, Jelena Sjatskig, Edris A F Mahtab","doi":"10.1510/mmcts.2024.045","DOIUrl":"10.1510/mmcts.2024.045","url":null,"abstract":"<p><p>In this video tutorial case report, we show how to perform an open surgical correction of an ascending aortic aneurysm in a 74-year-old patient requiring concomitant aortic valve and hemiarch replacements, presenting with symptomatic stenosis of the aortic valve and moderate dilatation of the ascending aorta.</p>","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":"142332230","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
Pulmonary endarterectomy for subacute on top of chronic thromboembolic disease. 针对慢性血栓栓塞性疾病的亚急性肺动脉内膜切除术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-25 DOI: 10.1510/mmcts.2024.021
Nicholas A Oh, Mina Estafanos, Gustavo A Heresi, Michael Z Y Tong, Haytham Elgharably
{"title":"Pulmonary endarterectomy for subacute on top of chronic thromboembolic disease.","authors":"Nicholas A Oh, Mina Estafanos, Gustavo A Heresi, Michael Z Y Tong, Haytham Elgharably","doi":"10.1510/mmcts.2024.021","DOIUrl":"https://doi.org/10.1510/mmcts.2024.021","url":null,"abstract":"<p><p>Our objective is to describe our approach for a case of subacute on top of chronic thromboembolic disease and highlight operative learning points. Prior to incision, appropriate monitoring equipment, including an arterial line, Swan-Ganz catheter, brain saturation monitor and bispectral index monitor, is placed for proper management of haemodynamics. Sternotomy was performed, and the ascending aorta was cannulated, followed by bicaval cannulation for venous drainage. The patient was cooled to deep hypothermia. Once target temperature was achieved, circulatory arrest commenced. The left pulmonary artery was opened and the subacute component was removed without disrupting the plane of the chronic thromboembolic disease. An endarterectomy plane was then created proximally and dissected into the distal segmental/subsegmental branches. Once the endarterectomy was completed, the left pulmonary artery was closed. Circulation was resumed for end-organ perfusion. Once the right pulmonary artery was ready for dissection, circulatory arrest was restarted. Similarly to the left side, the subacute component was removed without disrupting the plane of the chronic thromboembolic disease. An endarterectomy plane was then created proximally and dissected into the distal segmental/subsegmental branches. Circulation was then resumed. Once rewarmed to 35.5°C, the patient was decannulated and the sternum was closed.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332228","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
Cardiac transplantation after HeartMate3. 心脏移植后的 HeartMate3。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-24 DOI: 10.1510/mmcts.2024.006
Maksym Rzhanyi, Gustavo Woll, Elena Sandoval Martínez, Maria Ascaso, Anton Pechenenko, Eduard Quintana
{"title":"Cardiac transplantation after HeartMate3.","authors":"Maksym Rzhanyi, Gustavo Woll, Elena Sandoval Martínez, Maria Ascaso, Anton Pechenenko, Eduard Quintana","doi":"10.1510/mmcts.2024.006","DOIUrl":"10.1510/mmcts.2024.006","url":null,"abstract":"<p><p>Heart transplant remains the gold standard treatment for patients with end-stage heart failure. However, given the limited availability of donor hearts, alternative approaches and strategies are required. The development of a variety of mechanical circulation support options, including left ventricular assist devices and total artificial heart, have allowed improved quality of life and eventually have facilitated a bridge to heart transplantation strategies for certain patients. However, the presence of an intracorporeal left ventricular assist device poses a technical challenge at the time of heart transplantation. In this video tutorial, we describe the surgical strategy and removal technique for a patient who had received a HeartMate 3 (Abbott, North Chicago, IL, USA) using a classic implantation technique via sternotomy, who underwent concomitant orthotopic heart transplant.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309126","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
How to treat systolic anterior motion of the anterior mitral valve leaflet during endoscopic minimally invasive surgery. 如何在内窥镜微创手术中治疗二尖瓣前叶收缩期前移。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-24 DOI: 10.1510/mmcts.2024.060
Gianpiero Buttiglione, Can Gollmann-Tepeköylü, Lukas Stastny, Leo Pölzl, Clemens Engler, Daniel Höfer, Michael Grimm, Nikolaos Bonaros
{"title":"How to treat systolic anterior motion of the anterior mitral valve leaflet during endoscopic minimally invasive surgery.","authors":"Gianpiero Buttiglione, Can Gollmann-Tepeköylü, Lukas Stastny, Leo Pölzl, Clemens Engler, Daniel Höfer, Michael Grimm, Nikolaos Bonaros","doi":"10.1510/mmcts.2024.060","DOIUrl":"10.1510/mmcts.2024.060","url":null,"abstract":"<p><p>Systolic anterior motion is characterized by the displacement of the anterior mitral leaflet towards the left ventricle outflow tract. Iatrogenic systolic anterior motion occurs after mitral valve repair as a result of mitral annuloplasty. Possible causes include excess height of a redundant posterior mitral leaflet and/or the use of an undersized ring. The condition is usually diagnosed after weaning from cardiopulmonary bypass by transoesophageal echocardiography. Apart from conservative measures, the treatment of systolic anterior motion may require the restoration of cardiopulmonary bypass and further surgical valve repair. Strategies for systolic anterior motion correction include an edge-to-edge repair or the use of a larger annuloplasty ring. In this tutorial, we present two ways of reducing posterior leaflet height as a simple option to move the leaflet coaptation more posteriorly.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309127","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
Percutaneous femoral venoarterial ECMO decannulation at the bedside using the Manta vascular closure device. 使用 Manta 血管闭合装置在床旁进行经皮股静脉动脉 ECMO 解禁。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-24 DOI: 10.1510/mmcts.2024.036
Alessandro Affronti, Isidoro Di Bella, Angelo Pisani, Cristina Todisco, Eleonora Natali, Federica Pesce, Romina Pantanella, Alessandra Battaglia, Marcello Bergonzini
{"title":"Percutaneous femoral venoarterial ECMO decannulation at the bedside using the Manta vascular closure device.","authors":"Alessandro Affronti, Isidoro Di Bella, Angelo Pisani, Cristina Todisco, Eleonora Natali, Federica Pesce, Romina Pantanella, Alessandra Battaglia, Marcello Bergonzini","doi":"10.1510/mmcts.2024.036","DOIUrl":"10.1510/mmcts.2024.036","url":null,"abstract":"<p><p>A case of peripheral venoarterial extracorporeal membrane oxygenation decannulation using the Teleflex Manta vascular closure device is presented.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309128","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
Uniportal VATS removal of a giant mediastinal goitre. 单孔 VATS 切除巨大纵隔甲状腺肿。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-24 DOI: 10.1510/mmcts.2024.030
Yousef Abu Asbeh, Raghad Sweity, Peter R Bael
{"title":"Uniportal VATS removal of a giant mediastinal goitre.","authors":"Yousef Abu Asbeh, Raghad Sweity, Peter R Bael","doi":"10.1510/mmcts.2024.030","DOIUrl":"10.1510/mmcts.2024.030","url":null,"abstract":"<p><p>We demonstrate the technical nuances and operative strategy of uniportal video-assisted thoracoscopic surgical excision of a giant mediastinal goitre in a patient with a complex medical history, including a prior total thyroidectomy for multinodular goitre and partial gastrectomy for gastrointestinal stromal tumour. The video tutorial presents the surgical removal of a substantial mediastinal goitre, persisting post-total thyroidectomy performed 2 years prior via a collar incision. We opted for a thoracoscopic technique for the removal of the residual mediastinal mass. A 3-cm uniportal incision was made at the fifth intercostal space along the mid-axillary line. Pleural exploration confirmed the absence of adhesions. Subsequent dissection revealed a large retrocaval goitre adjacent to the trachea. Utilizing a combination of LigaSure technology for sharp dissection, and blunt dissection techniques using the peanuts, we severed the goitre's attachments to surrounding critical structures, including the trachea, superior vena cava and oesophagus. The dissection continued, extending into the cervical region from the thoracic approach. The mass was safely enclosed within an endobag and extracted through the uniportal incision. This case demonstrates the feasibility and effectiveness of the uniportal thoracoscopic approach for complex mediastinal pathology. This approach was successfully executed with an uneventful perioperative course and no complications, indicating positive outcomes in complex thoracic cases despite a minimally invasive approach for the resection of mediastinal masses.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309129","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
Surgical techniques for cardiac procurement, preparation and perfusion using the Organ Care System. 使用器官护理系统进行心脏采集、准备和灌注的外科技术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-19 DOI: 10.1510/mmcts.2024.057
Manuel Egle, Sarah Longnus, Murat Yildiz, Matthias Siepe, David Reineke
{"title":"Surgical techniques for cardiac procurement, preparation and perfusion using the Organ Care System.","authors":"Manuel Egle, Sarah Longnus, Murat Yildiz, Matthias Siepe, David Reineke","doi":"10.1510/mmcts.2024.057","DOIUrl":"https://doi.org/10.1510/mmcts.2024.057","url":null,"abstract":"<p><p>We provide an audio-visual step-by-step guide to the preparation of a donor heart for the application of normothermic, ex situ cardiac perfusion on the TransMedics Organ Care System using a heart donated after brain death. The use of the Organ Care System increases heart transplantation activity by enabling the utilization of hearts donated after circulatory death, the use of extended criteria grafts and the extension of out-of-body time, which can help overcome geographic or surgical barriers. Ex situ cardiac perfusion is a new technique and is therefore not yet routinely performed in many centres. However, it can be assumed that this technique will become more established and widespread in the future. Our video tutorial, which summarizes all important steps, can therefore be of benefit to surgical teams for planning, training or as a refresher.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300753","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
Visualizing the invisible: aortopulmonary window diagnosis enhanced by 3D computer graphics. 将看不见的东西可视化：通过三维计算机图形增强主动脉肺窗诊断。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-19 DOI: 10.1510/mmcts.2024.059
Mayu Nishida, Kenichi Hashizume, Mio Kasai, Mitsuharu Mori, Yuika Kameda, Tsutomu Nara, Kentaro Hotoda, Hideyuki Shimizu
{"title":"Visualizing the invisible: aortopulmonary window diagnosis enhanced by 3D computer graphics.","authors":"Mayu Nishida, Kenichi Hashizume, Mio Kasai, Mitsuharu Mori, Yuika Kameda, Tsutomu Nara, Kentaro Hotoda, Hideyuki Shimizu","doi":"10.1510/mmcts.2024.059","DOIUrl":"10.1510/mmcts.2024.059","url":null,"abstract":"<p><p>An aortopulmonary window is a rare disorder that occurs in 0.1–0.2% of all congenital disorders. Our patient was a 1-month-old boy weighing 4180 g. The patient had heart failure associated with an aortopulmonary window. We used 3-dimensional computer graphic software (Viewtify, SCIEMENT) for diagnosis based on DICOM data from contrast-enhanced computed tomography. This made it easy to identify anatomical landmarks and findings and select the most suitable approach. We avoided stenosis of the right pulmonary artery and aorta. We encountered a case of an aortopulmonary window in which 3-dimensional computer graphic software was helpful in selecting the surgical technique. We report this case using 3-dimensional computer graphic images and present a review of the literature.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300755","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 intrapericardial upper lobectomy, pericardial reconstruction and diaphragmatic plication. 机器人左心包内上叶切除术、心包重建术和膈肌成形术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-18 DOI: 10.1510/mmcts.2024.058
Haisam Saad, Rachel Thavayogan, Joanna Fuentes-Warr, Caroline Reavley, Susana Alexander, Vasileios Kouritas
{"title":"Robotic left intrapericardial upper lobectomy, pericardial reconstruction and diaphragmatic plication.","authors":"Haisam Saad, Rachel Thavayogan, Joanna Fuentes-Warr, Caroline Reavley, Susana Alexander, Vasileios Kouritas","doi":"10.1510/mmcts.2024.058","DOIUrl":"https://doi.org/10.1510/mmcts.2024.058","url":null,"abstract":"<p><p>Primary mediastinal malignant germ cell tumours are rare, comprising only 1-4% of mediastinal tumours, of which 50-70% are non-seminomatous germ cell tumours. Non-seminomatous germ cell tumours typically demonstrate an excellent response to cisplatin-based chemotherapy. However, in some cases, tumours may persistently enlarge despite normal tumour markers following chemotherapy, leading to a rare condition known as growing teratoma syndrome. This poses a significant challenge for thoracic surgeons, especially when associated with infiltration of neighbouring pulmonary structures. Robot-assisted thoracoscopic surgery is not commonly employed in the resection of large mediastinal tumours. We present a case showcasing the robotic approach to complete resection of a sizeable mediastinal tumour originating from the left/main pulmonary artery, en bloc with a left upper lobectomy, pericardial resection, and reconstruction and diaphragmatic plication.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300752","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
Minimally invasive valve-sparing aortic root replacement via an upper mini-sternotomy in a young adult with Marfan syndrome. 通过上部小切口微创保瓣主动脉根部置换术治疗一名年轻的马凡氏综合征患者。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-18 DOI: 10.1510/mmcts.2024.056
Sabrina K Walsh, Mujtaba Mubashir, Sameh M Said
{"title":"Minimally invasive valve-sparing aortic root replacement via an upper mini-sternotomy in a young adult with Marfan syndrome.","authors":"Sabrina K Walsh, Mujtaba Mubashir, Sameh M Said","doi":"10.1510/mmcts.2024.056","DOIUrl":"https://doi.org/10.1510/mmcts.2024.056","url":null,"abstract":"<p><p>We describe an upper mini-sternotomy for valve-sparing aortic root replacement in a teenager.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300749","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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