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

da Vinci-facilitated harvesting of pericardium for Ozaki procedure through partial sternotomy. 达·芬奇通过部分胸骨切开术为尾崎手术切除心包。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-04-07 DOI: 10.1510/mmcts.2026.005

Jaroslav Benedik, Yurii Tymochko, Jan Kritek, Jan Sindelar, Marian Kohut

引用次数: 0

Indocyanine green-guided video-assisted thoracoscopic surgery thoracic duct ligation and talc pleurodesis for refractory chylothorax after Ivor Lewis oesophagectomy. 吲啶青绿引导胸腔镜手术胸导管结扎及滑石胸膜切除术治疗Ivor Lewis食管切除术后难治性乳糜胸。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-03-27 DOI: 10.1510/mmcts.2026.012

José Montero, Juan Medina, Pablo Carmignani, Mario Cafaro, Rodrigo Benavidez

{"title":"Indocyanine green-guided video-assisted thoracoscopic surgery thoracic duct ligation and talc pleurodesis for refractory chylothorax after Ivor Lewis oesophagectomy.","authors":"José Montero, Juan Medina, Pablo Carmignani, Mario Cafaro, Rodrigo Benavidez","doi":"10.1510/mmcts.2026.012","DOIUrl":"https://doi.org/10.1510/mmcts.2026.012","url":null,"abstract":"Refractory chylothorax following oesophagectomy is a challenging complication, often requiring surgical re-intervention. We describe a standardized technique for thoracic duct ligation using indocyanine green (ICG) fluorescence guidance. A 62-year-old male presented with high-output chylothorax 40 days after a minimally invasive Ivor Lewis oesophagectomy, refractory to conservative management. The procedure involved pre-operative bilateral inguinal lymph node injection of ICG. A right-sided three-port VATS approach was utilized. Intra-operatively, a provocative fatty meal test (cream and olive oil) was administered via the nasogastric tube. Using near-infrared fluorescence, the thoracic duct was rapidly identified. The technique included meticulous dissection, mass ligation with silk sutures, and reinforcement with polymer clips. Chemical pleurodesis with talc was added to ensure pleural symphysis. The patient was discharged on post-operative Day 5 with no recurrence at 30-day follow-up. This video tutorial demonstrates that ICG-guided VATS ligation, combined with inguinal lymph node injection, provides a safe, reproducible, and highly effective strategy for managing complex post-oesophagectomy chylothorax.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147534508","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

Lung transplant feasibility after lobar resection in a case of pectus excavatum and severe unilateral space loss. 漏斗胸肺叶切除后肺移植的可行性及单侧肺间隙严重丧失。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-03-27 DOI: 10.1510/mmcts.2025.155

Sanjay Agrawal, Antonia Gkouma, Anton Sabashnikov, Diana Garcia, Vladimir Anikin, Maria Monteagudo-Vela

{"title":"Lung transplant feasibility after lobar resection in a case of pectus excavatum and severe unilateral space loss.","authors":"Sanjay Agrawal, Antonia Gkouma, Anton Sabashnikov, Diana Garcia, Vladimir Anikin, Maria Monteagudo-Vela","doi":"10.1510/mmcts.2025.155","DOIUrl":"https://doi.org/10.1510/mmcts.2025.155","url":null,"abstract":"An optimized approach to donor-recipient size matching is essential to expand transplant opportunities and improve post-operative outcomes. A commonly used and pragmatic metric is the donor-to-recipient predicted total lung capacity ratio. However, thoracic deformities or unilateral lung parenchymal disease may significantly distort true intrathoracic volume, leading to misleading predicted total lung capacity estimates and inappropriate donor lung selection. Clinical experience has shown increased morbidity and mortality in cases of severe size mismatch. To address such discrepancies, several strategies have been described in the literature, including split-lung transplantation, lobar transplantation, and peripheral segmental resections. When these options are not feasible, temporary measures such as diaphragmatic plication, open-chest management or chest wall stenting may be used to accommodate oversized grafts until post-operative oedema resolves. We present the case of a young female with pectus excavatum and severe unilateral loss of intrathoracic space on the lung transplant waiting list. She successfully underwent lung transplant, which was made possible by ex-vivo donor lobar resection, permitting optimal size adjustment and preventing post-operative compression within the severely reduced left thoracic cavity.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147534484","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

Emergency resternotomy in the cardiac surgery intensive care unit. 急诊胸骨切开术在心脏外科加护病房。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-03-27 DOI: 10.1510/mmcts.2026.018

Alessandro Affronti, Rosita Ciampichini, Virginia Beato, Dario Begliomini, Francesco Loreni, Natascia Carlini, Jessica Pispola, Bianca Reitano, Luigi Furiani, Cristina Todisco, Marcello Bergonzini

引用次数: 0

Posterior pericardiotomy in J-shaped ministernotomy. j型胸骨切开术中的后心包切开术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-03-24 DOI: 10.1510/mmcts.2025.159

Dmitri Panfilov, Andrey Sofronov, Elizaveta Petrakova, Stepan Zyryanov, Boris Kozlov

引用次数: 0

Vertical right axillary thoracotomy: strategic insights for reproducible outcomes. 垂直右腋窝开胸术：可重复结果的策略见解。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-03-24 DOI: 10.1510/mmcts.2025.149

Hani Nabeel Mufti, Sultan Askar, Mohannad Dawary

{"title":"Vertical right axillary thoracotomy: strategic insights for reproducible outcomes.","authors":"Hani Nabeel Mufti, Sultan Askar, Mohannad Dawary","doi":"10.1510/mmcts.2025.149","DOIUrl":"10.1510/mmcts.2025.149","url":null,"abstract":"Vertical right axillary thoracotomy (VRAT) has become a useful minimally invasive technique for treating certain congenital and acquired heart conditions. By making a vertical cut along the right axillary line, VRAT provides excellent access to the heart while reducing chest wall trauma and improving cosmetic results. It has been effectively used for repairing atrial septal defects, partial anomalous pulmonary venous return, tricuspid valve issues, and some aortic and left-sided lesions in suitable patients. Although these benefits are clear, broader adoption is constrained by concerns about limited visibility and unfamiliar surgical angles. Nevertheless, growing experience shows that, with careful patient selection, proper planning, and adherence to standardized procedures, VRAT can be performed safely and achieve outcomes comparable to those of traditional sternotomy. It also reduces post-operative pain, shortens recovery time, and improves patient satisfaction. As demand for less invasive cardiac surgeries increases, VRAT stands out as a valuable and adaptable surgical option in modern minimally invasive practice.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505597","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

Robot-assisted resection of a large intrathoracic osteochondroma originating from the third rib in the context of hereditary multiple osteochondroma syndrome. 在遗传性多发性骨软骨瘤综合征的背景下，机器人辅助切除起源于第三肋骨的大型胸内骨软骨瘤。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-03-20 DOI: 10.1510/mmcts.2025.140

Benoit Rouiller, Hauke Winter, Peter Reimer, Martin Eichhorn

引用次数: 0

Frozen elephant trunk implantation in zone 0 using a left subclavian stented prosthesis. 冷冻象鼻植入左锁骨下支架假体0区。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-03-13 DOI: 10.1510/mmcts.2026.006

Arnaud Van Linden, Ulrich Schneider, Gloria Färber

引用次数: 0

Multidisciplinary management of endobronchial carcinoid tumours through a combined bronchoscopic and surgical approach. 支气管镜联合手术治疗支气管内类癌的多学科治疗。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-03-12 DOI: 10.1510/mmcts.2025.146

Laith Ayasa, Kai Swenson, Paolo de Angelis, Mujtaba Mubashir, Pavel Kopach, Adnan Majid, Sidhu Gangadharan, Jennifer Wilson

{"title":"Multidisciplinary management of endobronchial carcinoid tumours through a combined bronchoscopic and surgical approach.","authors":"Laith Ayasa, Kai Swenson, Paolo de Angelis, Mujtaba Mubashir, Pavel Kopach, Adnan Majid, Sidhu Gangadharan, Jennifer Wilson","doi":"10.1510/mmcts.2025.146","DOIUrl":"https://doi.org/10.1510/mmcts.2025.146","url":null,"abstract":"We report the case of a 44-year-old woman with a typical carcinoid tumour of the left mainstem bronchus managed through a multidisciplinary and combined approach. Initial symptoms included haemoptysis and progressive wheezing. A subsequent bronchoscopy revealed a highly vascular, pedunculated mass nearly occluding the airway. En bloc resection using electrocautery and a cryoprobe enabled airway recanalization and diagnosis. Endobronchial ultrasound-guided transbronchial fine needle aspiration ruled out nodal disease. Histopathological examination confirmed a typical carcinoid tumour. Robotic-assisted sleeve resection was subsequently performed, preserving parenchyma and achieving negative margins. Surveillance bronchoscopy showed a well-healed anastomosis with no granulation. This case highlights the importance of bronchoscopic interventions in staging and treatment planning, as well as their role in facilitating lung-sparing surgical strategies.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147445857","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

Explant of a 21-mm homograft with redo aortic root replacement with a 25-mm bioprosthesis. 用25毫米生物假体置换21毫米同种异体主动脉根部。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-03-09 DOI: 10.1510/mmcts.2025.152

Kyle McCullough, Vanessa Klopfer, Suguru Ohira

{"title":"Explant of a 21-mm homograft with redo aortic root replacement with a 25-mm bioprosthesis.","authors":"Kyle McCullough, Vanessa Klopfer, Suguru Ohira","doi":"10.1510/mmcts.2025.152","DOIUrl":"https://doi.org/10.1510/mmcts.2025.152","url":null,"abstract":"Re-operative management of a failing aortic homograft presents substantial technical challenges due to progressive calcification of the valve leaflets, annulus, coronary button attachments and surrounding aortic root structures. In this video tutorial, we demonstrate the explantation of a heavily calcified 21-mm aortic homograft and performance of a redo aortic root replacement using a handmade composite Bentall graft with a 25-mm bioprosthesis and 28-mm straight Dacron graft. A 73-year-old man, 23 years post-homograft root replacement, presented with torrential aortic regurgitation and a small, densely calcified aortic root. Following redo sternotomy and cardiopulmonary bypass initiation, the homograft was meticulously debrided with careful preparation of the coronary buttons, which required extensive decalcification. A composite graft was created with a tailored skirt to accommodate upsizing of the valve despite the small native annulus. Reimplantation of the left coronary button was performed, followed by distal aortic anastomosis. After removing the aortic cross-clamp, the anastomotic site of the right coronary button anastomosis was identified. The aorta was cross-clamped again, and the right coronary button was anastomosed.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391671","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