Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery最新文献_第5页

Aortic uncrossing of the left circumflex aorta. 左侧环状主动脉未交叉。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-07-09 DOI: 10.1510/mmcts.2024.061

Mina Farag, Elizabeth Fonseca Escalante, Angéla Czundel, Charlotte Steeg, Birgit Shelton, Rebecca Krey, Philippe Grieshaber, Tsvetomir Loukanov

{"title":"Aortic uncrossing of the left circumflex aorta.","authors":"Mina Farag, Elizabeth Fonseca Escalante, Angéla Czundel, Charlotte Steeg, Birgit Shelton, Rebecca Krey, Philippe Grieshaber, Tsvetomir Loukanov","doi":"10.1510/mmcts.2024.061","DOIUrl":"https://doi.org/10.1510/mmcts.2024.061","url":null,"abstract":"The following video tutorial presents the surgical correction of the left circumflex aortic arch in a 6-month-old boy with severe respiratory distress and stridor. The diagnosis was confirmed using cardiac catheterization and computed tomography. Intraoperative bronchoscopy showed marked compression of the trachea. An operation was planned to translocate the aortic arch anteriorly and to close the atrial septal defect. After a median sternotomy, the mediastinal structures were carefully mobilized and dissected. The trachea was carefully mobilized and the right ligamentum arteriosum was clipped and divided. Control of the aortic arch vessels, as well as the aberrant right subclavian artery from the right descending aorta, was achieved using vessel loops. An arterial line inserted in the femoral artery was connected to the heart-lung machine. Hence the surgical procedure was undertaken in selective antegrade cerebral perfusion combined with distal body perfusion, avoiding the need for deep hypothermic arrest. Careful mobilization of the complete course of the proximal and distal sections of the circumflex arch allowed its translocation from its retro-oesophageal course. The aortic stump distal to the left subclavian artery was closed by running polypropylene suture. An appropriate site on the ascending aorta was selected to ensure tension- and torsion-free anastomoses. Postoperative bronchoscopy confirmed relief of the tracheal compression.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560347","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 aortic valve replacement through a right anterior thoracotomy. 通过右前胸廓切开术进行微创主动脉瓣置换术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-07-09 DOI: 10.1510/mmcts.2024.041

Hugo Monteiro Neder Issa, Marc Ruel

{"title":"Minimally invasive aortic valve replacement through a right anterior thoracotomy.","authors":"Hugo Monteiro Neder Issa, Marc Ruel","doi":"10.1510/mmcts.2024.041","DOIUrl":"https://doi.org/10.1510/mmcts.2024.041","url":null,"abstract":"This study elucidates the efficacy and outcomes of a minimally invasive aortic valve replacement via a right anterior mini-thoracotomy, emphasizing its potential to minimize surgical trauma and expedite recovery while maintaining procedural integrity comparable to that of a traditional full sternotomy. This video tutorial demonstrates a successful aortic valve replacement procedure using the right anterior mini-thoracotomy approach, characterized by the absence of sutureless valves and specialized instruments. The detailed surgical procedure includes specific steps to optimize visibility and access through strategic incisions and rib dislocations, adhering to \"the box principle\" for effective exposure of the aortic valve. This video tutorial suggests that a right anterior mini-thoracotomy is a viable, cost-effective alternative to a conventional sternotomy for aortic valve replacement, offering significant patient benefits without compromising long-term valve function or safety. The broader implications for patient selection and surgical techniques highlight the need for meticulous preoperative planning and anatomical assessment to maximize the potential of a right anterior mini-thoracotomy in clinical practice.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560348","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

Implantation and removal of central temporary paracorporeal biventricular support for COVID-19-associated myocarditis. 为 COVID-19 相关性心肌炎患者植入和移除中央临时体外循环双心室支持装置。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-07-05 DOI: 10.1510/mmcts.2024.031

Ramón Aranda-Domene, Ihar Kiziukevich, Elena Sandoval, Jorge Alcocer, Eduard Quintana

引用次数: 0

Right coronary sinus aneurysm repair. 右冠状窦动脉瘤修复术

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-07-01 DOI: 10.1510/mmcts.2024.034

Thomas Martens, Joke Verlinden, Isabelle Claus, Jens Czapla, Tine Philipsen, Katrien François, Thierry Bove

{"title":"Right coronary sinus aneurysm repair.","authors":"Thomas Martens, Joke Verlinden, Isabelle Claus, Jens Czapla, Tine Philipsen, Katrien François, Thierry Bove","doi":"10.1510/mmcts.2024.034","DOIUrl":"https://doi.org/10.1510/mmcts.2024.034","url":null,"abstract":"In this case report, we describe the surgical treatment of a right coronary sinus aneurysm. A 69-year-old male patient was screened because of palpitations. He was finally diagnosed with an aneurysm of the sinus of Valsalva of the right coronary cusp. According to current aortic guidelines, surgical reconstruction was proposed. The patient underwent a cardiac operation through a median sternotomy under routine cardiopulmonary bypass. After aortic cross-clamping, the aorta was opened and the connection between the aorta and the aneurysm was clearly visualized, underneath the ostium of the right coronary artery. After excision of the right coronary button and the remaining right coronary sinus wall, this sinus was reconstructed with a Dacron graft, with subsequent coronary reimplantation. The postoperative course was uneventful. The patient was discharged on postoperative day 7. A complete sinus reconstruction was preferred over local patching of the defect because of the proximity of the aneurysm sac to the right coronary artery and the fragile, thin aortic tissue just underneath the coronary ostium.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535907","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

Double lung en bloc procurement and back table separation of lungs. 双肺整块采集和后台式肺分离。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-06-28 DOI: 10.1510/mmcts.2024.050

Yuriy Stukov, Mindaugas Rackauskas

引用次数: 0

Single-stage total aortic replacement in a young patient with chronic type A aortic dissection, Marfan and mega-aorta syndromes. 一名患有慢性 A 型主动脉夹层、马凡氏综合征和巨主动脉综合征的年轻患者的单阶段全主动脉置换术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-06-13 DOI: 10.1510/mmcts.2024.017

Eduard Charchyan, Denis Breshenkov, Boris Tivelev, Yuriy Belov

引用次数: 0

Single patch technique for aortic annulus reconstruction in prosthetic valve endocarditis. 人工瓣膜心内膜炎主动脉瓣环重建的单补片技术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-05-24 DOI: 10.1510/mmcts.2024.014

Kenta Zaikokuji, Hayoung Lee, Chen Ken, Yosuke Mukae, Tomohiro Iwakura, Junichi Shimamura

引用次数: 0

An indocyanine green fluorescence-guided operation for diagnosing and treating pleuroperitoneal communication. 吲哚菁绿荧光引导手术诊断和治疗胸膜腹腔沟通。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-05-23 DOI: 10.1510/mmcts.2024.016

Tetsuto Takeda, Yui Watanabe, Kosuke Sato, Tadahisa Numakura, Ken Onodera, Hirotsugu Notsuda, Hiromichi Niikawa, Yoshinori Okada

{"title":"An indocyanine green fluorescence-guided operation for diagnosing and treating pleuroperitoneal communication.","authors":"Tetsuto Takeda, Yui Watanabe, Kosuke Sato, Tadahisa Numakura, Ken Onodera, Hirotsugu Notsuda, Hiromichi Niikawa, Yoshinori Okada","doi":"10.1510/mmcts.2024.016","DOIUrl":"10.1510/mmcts.2024.016","url":null,"abstract":"Pleuroperitoneal communication occurs when ascites moves from the abdominal cavity to the pleural cavity via a diaphragmatic fistula. Managing large pleural fluid volumes is challenging, often requiring an operation. Identifying small diaphragmatic fistulas during the operation can be problematic, but ensuring their detection improves outcomes. This video tutorial presents a recent empirical case in which we successfully identified and closed a pleuroperitoneal contact using a thoracoscopic surgical procedure aided by indocyanine green fluorescence imaging. The patient, a 66-year-old woman, was hospitalized due to acute dyspnoea from a right thoracic pleural effusion during hepatic ascites treatment for cirrhosis. Because ascites decreased with pleural fluid drainage, surgical intervention was considered due to suspicion of a pleuroperitoneal connection. During the operation, indocyanine green was injected intraperitoneally, and near-infrared fluorescence-guided thoracoscopy pinpointed the location of the diaphragmatic fistula. The fistula was sutured and reinforced with a polyglycolic acid sheet and fibrin glue. Detecting the fistula intraoperatively is crucial to prevent recurrence, and the indocyanine green fluorescence method is a safe and effective technique for detecting small fistulas.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082915","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

Arterial switch operation in a child with commissural malalignment and unusual coronary anatomy. 为一名伴有滑膜错位和异常冠状动脉解剖的儿童实施动脉转换手术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-05-22 DOI: 10.1510/mmcts.2024.027

Igor E Konstantinov, Bosco Moscoso, Tyson A Fricke, Alexey Zubritskiy, Regina Marliau Lijanto

引用次数: 0

Half-turned truncal switch operation for dextro-transposition of the great arteries with ventricular septal defect and left ventricular outflow tract obstruction and an abnormal coronary pattern. 伴有室间隔缺损、左室流出道梗阻和异常冠状动脉形态的大动脉右侧横切半转体手术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-05-16 DOI: 10.1510/mmcts.2024.037

Naveen Srinivasan, Ranjith Chandran, Jahnavi Narayanan, Divya Kadavanoor Sasikumar, Vijayakumar Raju

引用次数: 0