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

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Robotic mitral valve repair: patient positioning and port placement in male patients. 机器人二尖瓣修复：男性患者的患者定位和端口放置。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-09-03 DOI: 10.1510/mmcts.2025.096
Paul Cullen, Tarek Malas, Marc Gillinov
{"title":"Robotic mitral valve repair: patient positioning and port placement in male patients.","authors":"Paul Cullen, Tarek Malas, Marc Gillinov","doi":"10.1510/mmcts.2025.096","DOIUrl":"10.1510/mmcts.2025.096","url":null,"abstract":"<p><p>Optimal exposure in mitral valve surgery is crucial for procedural success. Robotic techniques provide unparalleled visualization when ports and retraction sutures are positioned precisely. Here, we outline our standardized approach for patient positioning, marking and port placement, derived from extensive institutional experience. Adherence to this technique reliably ensures excellent valve exposure and facilitates reproducible surgical outcomes.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977872","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 valve repair: pericardiotomy and aortic cross-clamp application. 机器人二尖瓣修复：心包切开术和主动脉交叉夹的应用。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-09-03 DOI: 10.1510/mmcts.2025.098
Paul Cullen, Tarek Malas, Marc Gillinov
{"title":"Robotic mitral valve repair: pericardiotomy and aortic cross-clamp application.","authors":"Paul Cullen, Tarek Malas, Marc Gillinov","doi":"10.1510/mmcts.2025.098","DOIUrl":"10.1510/mmcts.2025.098","url":null,"abstract":"<p><p>Robotic mitral valve surgery requires pericardiotomy via the right chest. Opening more anterior than traditionally described enhances visualization of the right ventricle, obviates the need for anterior pericardial stays, and keeps the lung out of the way posteriorly. We prefer to utilize an external cross-clamp for aortic occlusion due to its simplicity and reproducibility and now use a detachable clamp, which avoids potential conflicts with robotic instruments. Herein we describe our current technique for these important components of robotic valve surgery.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977867","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 valve repair: patient positioning and port placement in female patients. 机器人二尖瓣修复：女性患者的患者定位和端口放置。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-09-03 DOI: 10.1510/mmcts.2025.097
Paul Cullen, Tarek Malas, Marc Gillinov
{"title":"Robotic mitral valve repair: patient positioning and port placement in female patients.","authors":"Paul Cullen, Tarek Malas, Marc Gillinov","doi":"10.1510/mmcts.2025.097","DOIUrl":"10.1510/mmcts.2025.097","url":null,"abstract":"<p><p>There are several important differences when positioning and placing ports for robotic mitral surgery in female patients. Herein we demonstrate our technique while highlighting some important tips and tricks. This approach almost universally results in a perfect view, as well as a scar that is cosmetically pleasing.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977946","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
Combined David procedure and mitral valve repair in Marfan syndrome with mitral annular disjunction. 大卫手术联合二尖瓣修复合并二尖瓣环分离的马凡氏综合征。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-09-02 DOI: 10.1510/mmcts.2025.091
Martin Chrabalowski, Germán Fortunato, Florencia Valdecantos, Fiore T D Angelo, E Gallardo, Vadim Kotowicz
{"title":"Combined David procedure and mitral valve repair in Marfan syndrome with mitral annular disjunction.","authors":"Martin Chrabalowski, Germán Fortunato, Florencia Valdecantos, Fiore T D Angelo, E Gallardo, Vadim Kotowicz","doi":"10.1510/mmcts.2025.091","DOIUrl":"10.1510/mmcts.2025.091","url":null,"abstract":"<p><p>The David procedure has been extensively studied as an elective treatment when valve anatomy and function permit valve-sparing aortic root replacement. This approach is particularly beneficial in young patients who also require mitral valve repair and treatment for mitral annular disjunction. This video tutorial provides a step-by-step guide to the David V procedure in a female patient with Marfan syndrome, presenting with an aortic root aneurysm, severe mitral regurgitation and mitral annular disjunction.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978470","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
Single-leaflet aortic valve reconstruction combined with a hemi-Yacoub procedure for a thrombosed ruptured sinus of Valsalva aneurysm. 单瓣主动脉瓣重建联合半yacoub手术治疗血栓性破裂的Valsalva动脉瘤窦。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-09-01 DOI: 10.1510/mmcts.2025.079
Sameh M Said, Ali H Mashadi, Mohamed A Gabr, Islam Esam, Ibrahim Tharwat Abdelmoneim, Sherif Sakr, Mohmed Abdalgaleel, Mohammed Sanad
{"title":"Single-leaflet aortic valve reconstruction combined with a hemi-Yacoub procedure for a thrombosed ruptured sinus of Valsalva aneurysm.","authors":"Sameh M Said, Ali H Mashadi, Mohamed A Gabr, Islam Esam, Ibrahim Tharwat Abdelmoneim, Sherif Sakr, Mohmed Abdalgaleel, Mohammed Sanad","doi":"10.1510/mmcts.2025.079","DOIUrl":"https://doi.org/10.1510/mmcts.2025.079","url":null,"abstract":"<p><p>We present a 62-year-old female with severe aortic valve regurgitation and a ruptured large sinus of Valsalva aneurysm. The aneurysm was resected in its entirety. A single-leaflet aortic valve reconstruction combined with a left coronary sinus aortic root replacement (hemi-Yacoub procedure) was performed with success.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978132","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
Concomitant valve-sparing pulmonic root replacement and valve-sparing aortic root replacement for giant cell arteritis. 巨细胞动脉炎伴行保瓣肺动脉根置换术和保瓣主动脉根置换术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-09-01 DOI: 10.1510/mmcts.2025.083
Joshua R Chen, Bradley Taylor, Aakash Shah
{"title":"Concomitant valve-sparing pulmonic root replacement and valve-sparing aortic root replacement for giant cell arteritis.","authors":"Joshua R Chen, Bradley Taylor, Aakash Shah","doi":"10.1510/mmcts.2025.083","DOIUrl":"https://doi.org/10.1510/mmcts.2025.083","url":null,"abstract":"<p><p>Concomitant aortic root and pulmonic root aneurysms secondary to giant cell arteritis are extremely rare. We present a case of a patient with giant cell arteritis who underwent concomitant valve-sparing aortic root replacement and valve-sparing pulmonary root replacement along with tricuspid valve repair.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978451","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
Segmentectomies Made Easy series: robotic-assisted left S3 segmentectomy. 节段切除术Made Easy系列：机器人辅助左S3节段切除术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-08-28 DOI: 10.1510/mmcts.2025.064
Zakariya Mouyer, Aishah Zubaid Mughal, Ayyoub Elfiky, Ahmed M Habib
{"title":"Segmentectomies Made Easy series: robotic-assisted left S3 segmentectomy.","authors":"Zakariya Mouyer, Aishah Zubaid Mughal, Ayyoub Elfiky, Ahmed M Habib","doi":"10.1510/mmcts.2025.064","DOIUrl":"https://doi.org/10.1510/mmcts.2025.064","url":null,"abstract":"<p><p>Robotic-assisted thoracic surgery is increasingly recognized as a valuable approach for the most complex of pulmonary resections, offering high-definition 3D visualization, enhanced instrument articulation and tremor-free precision. Compared to open thoracotomy, the robotic platform is associated with reduced peri-operative morbidity, shorter hospital stays and faster post-operative recovery. However, sublobar resections such as segmentectomies remain technically demanding, particularly in the context of anatomical variations, as illustrated in this case. 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 third entry in the 'Segmentectomies Made Easy' atlas and demonstrates a robotic left S3 segmentectomy performed for a metastatic pulmonary lesion. Pre-operative 3D imaging revealed distinct anatomical variants, which played a pivotal role in shaping the dissection strategy. The tutorial provides a structured, step-by-step account of the procedure, from port placement to segmental resection and complex anatomical identification, emphasizing how 3D visualization can enhance surgical accuracy, improve intra-operative decision-making and optimize outcomes in robotic segmentectomy.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978134","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 robotically harvest the internal mammary artery in a skeletonized, clipless fashion using bipolar micro forceps. 如何利用双极微型钳以无夹、无骨的方式自动切除乳腺内动脉。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-08-27 DOI: 10.1510/mmcts.2025.093
Tugba Arslan, Samuel Heuts, Husam H Balkhy, Steven Jacobs, Wouter Oosterlinck
{"title":"How to robotically harvest the internal mammary artery in a skeletonized, clipless fashion using bipolar micro forceps.","authors":"Tugba Arslan, Samuel Heuts, Husam H Balkhy, Steven Jacobs, Wouter Oosterlinck","doi":"10.1510/mmcts.2025.093","DOIUrl":"https://doi.org/10.1510/mmcts.2025.093","url":null,"abstract":"<p><p>In minimally invasive direct coronary artery bypass surgery, the integrity of the internal mammary artery graft depends on the minimization of trauma during its harvesting. Moreover, bipolar cauterization of side branches has shown superiority in animal studies. This report highlights the use of bipolar micro forceps in robotic skeletonized internal mammary artery harvesting. Its application offers optimal tissue handling, safe cauterization, minimal thermal spread, and time-efficiency, as instrument exchange is minimized, significantly decreasing harvesting time.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977454","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
Endoscopic treatment of hypertrophic obstructive cardiomyopathy performed via a transmitral approach through a right-sided mini-thoracotomy. 肥厚性梗阻性心肌病的内镜治疗，经右侧小开胸经经尿道入路。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-08-22 DOI: 10.1510/mmcts.2025.095
Artem Paivin, Dmitrii Denisyuk, Oleg Paivin, Nikolai Khvan, Abduvakhov Rashidov, Nusratullo Shomrodov, Lana Sichinava, Irina Denisyuk
{"title":"Endoscopic treatment of hypertrophic obstructive cardiomyopathy performed via a transmitral approach through a right-sided mini-thoracotomy.","authors":"Artem Paivin, Dmitrii Denisyuk, Oleg Paivin, Nikolai Khvan, Abduvakhov Rashidov, Nusratullo Shomrodov, Lana Sichinava, Irina Denisyuk","doi":"10.1510/mmcts.2025.095","DOIUrl":"https://doi.org/10.1510/mmcts.2025.095","url":null,"abstract":"<p><p>The patient was positioned supine with the right chest slightly elevated. Following induction of general anaesthesia and intubation using an endotracheal tube, connection to the cardiopulmonary bypass was established via the groin vessels under the guidance of transoesophageal echocardiography. Additionally, a venous cannula was inserted through the right internal jugular vein to facilitate bicaval cannulation. The surgery was performed via a 5 cm right mini-thoracotomy at the fourth intercostal space. After soft tissue retraction and pericardial traction sutures, a 3D camera port (Aesculap EinsteinVision, Germany) and a Chitwood clamp for aortic cross-clamping were inserted through separate incisions. Antegrade cold blood cardioplegia was administered via a catheter in the ascending aorta. The surgery involved several steps. For the 1st step, transatrial approach to the mitral valve through Waterston's groove was used. After that transmitral approach to the interventricular septum and submitral structures of the left ventricle was performed. Next step was septal myectomy and secondary chordae resection to the mitral valve. Finally, the anterior mitral valve leaflet reattachment to the annulus was done.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978525","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
Biventricular assist device (Berlin Heart EXCOR) as a bridge for heart transplantation. 双心室辅助装置（柏林心脏EXCOR）作为心脏移植的桥梁。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-08-20 DOI: 10.1510/mmcts.2025.055
Alexey Limansky, Andrey Protopopov, Dmitry Khvan, Dmitry Sirota, Maxim Zhulkov, Alexander Bogachev-Prokopfiev, Alexander Chernyavskiy
{"title":"Biventricular assist device (Berlin Heart EXCOR) as a bridge for heart transplantation.","authors":"Alexey Limansky, Andrey Protopopov, Dmitry Khvan, Dmitry Sirota, Maxim Zhulkov, Alexander Bogachev-Prokopfiev, Alexander Chernyavskiy","doi":"10.1510/mmcts.2025.055","DOIUrl":"10.1510/mmcts.2025.055","url":null,"abstract":"<p><p>The Berlin Heart EXCOR Adult biventricular assist device (BiVAD) is an approved option for mechanical circulatory support in patients experiencing end-stage biventricular heart failure. In this video tutorial we demonstrate a clinical case of BiVAD EXCOR implantation in an adult.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884293","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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