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

Longitudinal valvotomy of anterior leaflet for endoscopic transmitral myectomy for hypertrophic obstructive cardiomyopathy. 前叶纵向瓣膜切开术用于肥厚型梗阻性心肌病的内镜下经瓣膜切除术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-08-30 DOI: 10.1510/mmcts.2024.047

Toshiaki Ito, Sadanari Sawaki, Masayoshi Tokoro, Riku Kato

{"title":"Longitudinal valvotomy of anterior leaflet for endoscopic transmitral myectomy for hypertrophic obstructive cardiomyopathy.","authors":"Toshiaki Ito, Sadanari Sawaki, Masayoshi Tokoro, Riku Kato","doi":"10.1510/mmcts.2024.047","DOIUrl":"https://doi.org/10.1510/mmcts.2024.047","url":null,"abstract":"Transmitral myectomy for hypertrophic obstructive cardiomyopathy is compatible with minimally invasive surgery compared with traditional transaortic access. It has often been performed in conjunction with mitral valve replacement or temporary detachment of the anterior leaflet from its annulus. We present a novel approach: longitudinal incision at the midline of the anterior mitral leaflet for septal myectomy. The procedure is ideally conducted endoscopically or robotically through the right chest. Cardiopulmonary bypass is established in the usual manner. After cardioplegic arrest, the mitral valve is exposed, and the anterior mitral leaflet is incised longitudinally at the midline. Both parts of the leaflet are tentatively fixed to the atrial wall with sutures to keep them open. Using the look-up mode of a 30° scope, the right cusp of the aortic valve is observed. Myectomy is initiated close to the aortic annulus using the pure-cut mode of electrocautery and scissors, then extended apically as necessary. After myectomy, the anterior leaflet is reapproximated with interrupted sutures. This technique is simpler than the detachment of the anterior leaflet and does not require patch materials that could lead to durability issues for the reconstruction of the anterior leaflet.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114723","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 mitral valve repair in a patient with severe pectus excavatum: a case report. 重度鸡胸患者的二尖瓣微创修复术：病例报告。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-08-30 DOI: 10.1510/mmcts.2024.049

Andreas Blindeman, Koen Cathenis

引用次数: 0

Robotic totally endoscopic aortic valve replacement with a sutured bioprosthesis. 机器人全内窥镜主动脉瓣置换术与缝合生物假体。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-08-29 DOI: 10.1510/mmcts.2024.071

Akihito Arai, Hiroto Kitahara, Husam H Balkhy

引用次数: 0

Evolut transcatheter aortic valve replacement explant and aortic root repair with an annular patch in the setting of endocarditis. Evolut 经导管主动脉瓣置换术在发生心内膜炎的情况下使用瓣环补片进行瓣膜剥离和主动脉根部修复。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-08-29 DOI: 10.1510/mmcts.2024.062

Catalin Constantin Badiu, Andreea Blindaru, Andrei Danet, Maximilian Cristu, Florin Anghel

引用次数: 0

A robotic fissureless right upper lobectomy using a posterior approach. 采用后入路的机器人无裂隙右上叶切除术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-08-28 DOI: 10.1510/mmcts.2024.053

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

{"title":"A robotic fissureless right upper lobectomy using a posterior approach.","authors":"Hitoshi Igai, Akinobu Ida, Kazuki Numajiri, Kazuhito Nii, Mitsuhiro Kamiyoshihara","doi":"10.1510/mmcts.2024.053","DOIUrl":"10.1510/mmcts.2024.053","url":null,"abstract":"The fissureless technique in a lobectomy is considered useful to avoid postoperative prolonged air leak when a fissure is fused because it is not dissected. In particular, this technique has been used most frequently in right upper lobectomies because the dense fissure was most frequently found between the right upper and middle lobes. We believe that the surgical steps in this technique should be modified depending on the surgical approach, although the concept that the hilar structures, including the pulmonary vessels and bronchi, are each transected prior to division of a dense fissure is the same. We demonstrate a robotic right upper lobectomy with an explanation of the nuances of its performance. The operating time was 135 minutes with a blood loss of 50 ml. The patient's postoperative course was uneventful. We removed the chest tube on postoperative day 1, and the patient was discharged on postoperative day 3. The final pathology report was pT1bN0M0, stage 1A2, squamous cell carcinoma. These good perioperative results indicate the feasibility of this technique.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082559","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

Conversion technique from venovenous to venopulmonary ECMO support. 从静脉到静脉肺 ECMO 支持的转换技术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-08-28 DOI: 10.1510/mmcts.2024.055

Yuriy Stukov, Mindaugas Rackauskas, Marc O Maybauer

引用次数: 0

Robotic-assisted left atrial appendage occlusion. 机器人辅助左心房阑尾闭塞术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-08-28 DOI: 10.1510/mmcts.2024.065

Massimo Baudo, Amanda Yakobitis, Courtney Murray, Gianluca Torregrossa

引用次数: 0

Subxiphoid robot-assisted complete resection for postchemotherapy primary mediastinal yolk sac tumour. 剑突下机器人辅助完全切除化疗后原发性纵隔卵黄囊肿瘤。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-08-28 DOI: 10.1510/mmcts.2023.103

Yasunori Fukushima, Koyo Shirahashi, Hiroyasu Komuro, Yusaku Miyamoto, Mitsuyoshi Matsumoto, Hirotaka Yamamoto, Norihiko Ishikawa, Hisashi Iwata

{"title":"Subxiphoid robot-assisted complete resection for postchemotherapy primary mediastinal yolk sac tumour.","authors":"Yasunori Fukushima, Koyo Shirahashi, Hiroyasu Komuro, Yusaku Miyamoto, Mitsuyoshi Matsumoto, Hirotaka Yamamoto, Norihiko Ishikawa, Hisashi Iwata","doi":"10.1510/mmcts.2023.103","DOIUrl":"10.1510/mmcts.2023.103","url":null,"abstract":"The standard treatment for primary mediastinal yolk sac tumour involves neoadjuvant chemotherapy followed by residual tumour resection, typically performed through a median sternotomy or a thoracotomy. However, in this case, a 16-year-old patient with a large anterior mediastinal tumour underwent less invasive, subxiphoid, robot-assisted surgery using a 4-arm da Vinci Xi system with CO2 insufflation at 8 mmHg. The tumour, located in the right thymic lobe, was dissected using a technique similar to blunt dissection, bipolar electrocautery and vessel sealer. Pericardiotomy was performed suspecting tumour invasion, with the thickened pericardial border incised circularly from the left side. Preservation of the right phrenic nerve involved careful separation from the densely adherent tumour. A pulmonary wedge resection was also performed using a stapler. The pericardial defect was reconstructed using an expanded polytetrafluoroethylene sheet, sutured together with nylon threads, and the resected tumour was extracted with a retrieval bag. This subxiphoid robot-assisted approach is a minimally invasive option for malignant mediastinal tumours.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082562","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

Successful minimally invasive treatment of a young patient with a dislocated Amplatzer Septal Occluder. 成功微创治疗一名 Amplatzer 间隔闭塞器脱位的年轻患者。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-08-21 DOI: 10.1510/mmcts.2024.043

Gianpiero Buttiglione, Can Gollmann-Tepeköylü, Daniel Höfer, Michael Grimm, Nikolaos Bonaros

引用次数: 0

The role of 3-dimensional reconstruction imaging in bronchopulmonary sequestration. 三维重建成像在支气管肺栓塞中的作用。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-08-21 DOI: 10.1510/mmcts.2024.076

Aishah Z Mughal, Ahmed El-Zeki, Ahmed M Habib

{"title":"The role of 3-dimensional reconstruction imaging in bronchopulmonary sequestration.","authors":"Aishah Z Mughal, Ahmed El-Zeki, Ahmed M Habib","doi":"10.1510/mmcts.2024.076","DOIUrl":"10.1510/mmcts.2024.076","url":null,"abstract":"Bronchopulmonary sequestration is a congenital abnormality characterized by non-functioning lung tissue, abnormal connection with the tracheobronchial tree and anomalous systemic arterial supply. Although considered a rare phenomenon presenting early in life, sequestration may also present with recurrent chest infections in late adulthood. Additionally, bronchopulmonary sequestration may rarely be incidentally encountered during thoracic surgery. Several subtypes exist including intralobar, extralobar and hybrid bronchopulmonary sequestration (congenital pulmonary artery malformation). Surgical resection is curative and serves as the treatment of choice for symptomatic patients. Radiological imaging prior to surgery is essential in these patients because the arterial supply may be anatomically complex, and aberrant artery branches are common. Utilization of virtual 3-dimensional remodelling and computed tomography reconstruction imaging can not only establish a diagnosis of bronchopulmonary sequestration but can also optimize preoperative planning. This approach will ultimately prove useful in anticipating surgically challenging steps and avoiding unnecessary intraoperative complications. We present a video tutorial on the role of 3-dimensional reconstruction imaging in bronchopulmonary sequestration and a step-by-step guide for performing a right robotic-assisted surgical resection of an S2 hybrid bronchopulmonary sequestrated segment. This case is followed by a second case of intralobar bronchopulmonary sequestration encountered incidentally during thoracic surgery.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082564","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