Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery最新文献_第4页

Robotic transabdominal repair of giant hiatal hernia with upside-down stomach. 胃倒立型巨大裂孔疝机器人经腹修复术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-07-22 DOI: 10.1510/mmcts.2026.056

Jericho Hallare, Alexander Pohlman, Zaid M Abdelsattar

{"title":"Robotic transabdominal repair of giant hiatal hernia with upside-down stomach.","authors":"Jericho Hallare, Alexander Pohlman, Zaid M Abdelsattar","doi":"10.1510/mmcts.2026.056","DOIUrl":"10.1510/mmcts.2026.056","url":null,"abstract":"An 82-year-old female was referred for a symptomatic large hiatal hernia that was incidentally noted on computed tomography scan obtained for aortic vasculitic pseudoaneurysm. She presented with chronic intermittent dyspnoea, globus and frequent cough. Preoperative evaluation included a barium swallow study demonstrating an upside-down stomach within the thorax. Computed tomography scan confirmed a giant retrocardiac hiatal hernia containing the majority of the stomach. She consented to robotic giant hiatal hernia repair. On initial inspection in the operating room, we noted a giant hiatal hernia containing the entire stomach and part of the pancreas. Hernia sac reduction was accomplished with meticulous mediastinal dissection, with special attention to given to the aortic vasculitic pseudoaneurysm. After hernia sac reduction and resection, the lesser sac was entered and the short gastric arteries were ligated. We cleared the hiatus and bilateral crura, then resected the gastro-oesophageal junction fat pad. Next, we performed a modified three-stitch Dor fundoplication and finally a single-stitch gastropexy. The patient had an uneventful postoperative course, was discharged on postoperative Day 3 on a soft diet and was doing well at 6-month follow-up without postoperative complications or hernia recurrence.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551138","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

Managing a right sinking sinus anatomy during valve-sparing aortic root replacement. 瓣保留主动脉根置换术中右窦下沉解剖的处理。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-07-16 DOI: 10.1510/mmcts.2026.041

Amartya Dave, Bo Yang, Elaine E Tseng, Marko T Boskovski

引用次数: 0

Impella 5.5 insertion: step by step. Impella 5.5插入：循序渐进。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-07-10 DOI: 10.1510/mmcts.2026.044

Fiamma Furiasse, Elena Roselló-Díez, Sandra Casellas, Manel Taurón, Ángela Irabién-Ortiz, Exzequiel Pueblas, Jessica Arias, María Oglione, Antonino Ginel-Iglesias

{"title":"Impella 5.5 insertion: step by step.","authors":"Fiamma Furiasse, Elena Roselló-Díez, Sandra Casellas, Manel Taurón, Ángela Irabién-Ortiz, Exzequiel Pueblas, Jessica Arias, María Oglione, Antonino Ginel-Iglesias","doi":"10.1510/mmcts.2026.044","DOIUrl":"10.1510/mmcts.2026.044","url":null,"abstract":"A 56-year-old patient with no relevant medical history was admitted to our hospital due to ST elevation myocardial infarction. Echocardiography showed severe left ventricular dysfunction due to extensive anterior hypokinesia. Coronary angiography revealed acute proximal occlusion of the anterior descending artery with total chronic occlusion of the right coronary artery and the circumflex artery. Due to haemodynamic instability, it was decided to implant a stent in the anterior descending artery under Impella CP support. As the patient's condition worsened, additional support was required. It was decided to perform a transaxillary Impella 5.5 implantation. A 10 mm Dacron graft was anastomosed to the right axillary artery and extracted by counterincision through the adjacent skin. Using a 23Fr introducer, a curved Teflon-coated guidewire was progressed through the aortic valve to the left ventricle. The curved guidewire was then replaced with a rigid 0.018 guidewire that was used to advance the Impella 5.5 under fluoroscopy and echocardiography guidance. Once the correct position was assessed, the therapy was started. As days went by under Impella 5.5 support, inotropes were gradually tapered off and the ventricular assist device could be explanted a week later. Significant improvement of the left ventricular ejection fraction was observed before discharge from the hospital.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148426439","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 dissection of the left internal mammary artery from the left upper lobe in a lobectomy case. 机器切除左上叶左内乳动脉一例。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-07-08 DOI: 10.1510/mmcts.2026.031

Moslem Abdelghafar, Lukacs Veres

{"title":"Robotic dissection of the left internal mammary artery from the left upper lobe in a lobectomy case.","authors":"Moslem Abdelghafar, Lukacs Veres","doi":"10.1510/mmcts.2026.031","DOIUrl":"10.1510/mmcts.2026.031","url":null,"abstract":"Robotic-assisted lung resection in patients with prior coronary artery bypass grafting presents unique technical challenges, particularly when the left internal mammary artery is adherent to the left upper lobe. Injury to this graft can result in catastrophic myocardial ischaemia. This video tutorial describes a robotic technique for safe identification and dissection of the left internal mammary artery during left upper lobectomy. The case involves a 78-year-old man with early-stage squamous cell carcinoma of the left upper lobe and a history of coronary artery bypass grafting using the left internal mammary artery. A robotic approach was selected to facilitate meticulous dissection under high-definition three-dimensional visualization. The tutorial focuses on stepwise exposure of the graft, controlled adhesiolysis, and preservation of graft integrity while completing anatomical lobectomy and lymph node dissection. The procedure was completed without intraoperative complications. We aim to provide practical guidance for thoracic surgeons performing robotic lung resections in patients with prior mammary artery grafts, highlighting key anatomical landmarks, dissection strategies, and technical precautions to minimize risk.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406866","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

Root replacement after transcatheter aortic valve replacement in homograft explant. 经导管主动脉瓣置换术后主动脉根置换。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-07-03 DOI: 10.1510/mmcts.2026.051

Michele Galeazzi, Erlil Mali, Simone D'Alessio, Alessandro D'Alfonso, Filippo Capestro, Paolo Berretta, Pietro Malvindi, Marco Di Eusanio

引用次数: 0

Totally endoscopic three-dimensional tricuspid valve repair in an adult with Ebstein's anomaly. 成人Ebstein畸形全内窥镜三维三尖瓣修复一例。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-07-03 DOI: 10.1510/mmcts.2026.029

Hideki Kitamura, Mototsugu Tamaki, Yuichiro Fukumoto, Chiaki Aichi

引用次数: 0

Tetralogy of Fallot with single coronary artery and pulmonary thromboembolism in a 7-year-old child: surgical management and technical considerations. 7岁儿童法洛四联症合并单冠状动脉和肺血栓栓塞：手术治疗和技术考虑。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-06-25 DOI: 10.1510/mmcts.2026.066

Anish Gupta, Yash Srivastava, Ajay Mishra

{"title":"Tetralogy of Fallot with single coronary artery and pulmonary thromboembolism in a 7-year-old child: surgical management and technical considerations.","authors":"Anish Gupta, Yash Srivastava, Ajay Mishra","doi":"10.1510/mmcts.2026.066","DOIUrl":"10.1510/mmcts.2026.066","url":null,"abstract":"A 7-year-old cyanotic child with unrepaired tetralogy of Fallot, a single coronary artery arising from the left coronary sinus, and suspected pulmonary thromboembolism underwent complete intracardiac repair. This video tutorial demonstrates a comprehensive surgical strategy that simultaneously addresses intracardiac repair and pulmonary thromboendarterectomy while safely managing a rare coronary anomaly. Following median sternotomy and establishment of cardiopulmonary bypass, the pulmonary arteries were carefully inspected because preoperative imaging suggested thrombotic material within the pulmonary artery. Pulmonary arteriotomy revealed organized thromboembolic material, which was meticulously removed, restoring pulmonary arterial patency. Attention was then directed to correction of the congenital cardiac defect. The large malaligned ventricular septal defect was closed with a polyester patch through the right atrial approach. Severe right ventricular outflow tract obstruction caused by infundibular and valvular pulmonary stenosis was relieved by extensive muscle resection and pulmonary valvotomy.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148320756","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

Non-intubated robotic-assisted apicodorsal left lung segmentectomy (S¹⁺²b-c) for a non-small cell lung carcinoma. 非插管机器人辅助左肺尖嗅段切除术（S + 2 b-c）治疗非小细胞肺癌。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-06-22 DOI: 10.1510/mmcts.2026.040

Giovanni Mattioni, Olfa Sassi, Erik Kovacs, Konstantin Filiakin, Asma Saad, Darko Arnaudovski, Maxime Giwerc, Alessio Vincenzo Mariolo

引用次数: 0

Percutaneous dilation tracheostomy guided by rigid bronchoscopy. 硬支气管镜引导下经皮扩张气管造口术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-06-22 DOI: 10.1510/mmcts.2026.024

Alfonso Fiorelli, Massimo Ciaravola, Francesco Coppolino, Giovanni Liguori, Angela Iovine, Martina Robustelli, Domenico Carbone, Fausto Ferraro

引用次数: 0

Extent II open thoracoabdominal aortic aneurysm repair in severe cachexia. 严重恶病质的胸腹主动脉瘤开放性修复。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2026-06-19 DOI: 10.1510/mmcts.2026.021

Simone Gasser, Robert Pruna-Guillen, María Ascaso, Cristina Ibanez, Eduard Quintana

{"title":"Extent II open thoracoabdominal aortic aneurysm repair in severe cachexia.","authors":"Simone Gasser, Robert Pruna-Guillen, María Ascaso, Cristina Ibanez, Eduard Quintana","doi":"10.1510/mmcts.2026.021","DOIUrl":"10.1510/mmcts.2026.021","url":null,"abstract":"A 62-year-old woman with a symptomatic Crawford extent II thoracoabdominal aortic aneurysm (maximum diameter 73 mm) presented with severe dysphagia and dyspnoea and was deemed at very high operative risk because of profound underweight (35 kg, 1.65 m; body mass index 12.9) and chronic obstructive pulmonary disease stage Gold III. As endovascular repair was unlikely to provide relief of compressive symptoms and would have required extensive aortic coverage, an open strategy was selected. To improve physiological reserve, a period of preoperative conditioning was undertaken with nutritional support (including percutaneous endoscopic gastrostomy feeding) and respiratory optimization, achieving 43 kg at surgery (body mass index 15.8). Repair was performed through a left thoraco-phreno-laparotomy using femoral arterial and right atrial venous cannulation, deep hypothermia (18°C), and hypothermic circulatory arrest (24 minutes) to facilitate a controlled proximal anastomosis in a fragile, ulcerated aorta. Because sequential distal clamping was unsafe, selective visceral and renal protection was applied during reconstruction and reimplantation. The postoperative course was prolonged due to respiratory complications requiring tracheostomy, but no other major complications were observed. At 6-month follow-up, compressive symptoms had resolved and the patient was living independently.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2026 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148280027","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