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

Robotic totally endoscopic rapid deployment aortic valve replacement and mitral valve repair. 机器人全内窥镜快速部署主动脉瓣置换术和二尖瓣修复。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-08-13 DOI: 10.1510/mmcts.2025.065

Hiroto Kitahara, Kaitlin Grady, Wonhee Oh, Sean Rollo, Husam H Balkhy

引用次数: 0

Re-operative minimally invasive endoscopic mitral valve repair after partial atrioventricular canal repair. 房室管部分修复后再手术微创内镜二尖瓣修复。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-08-11 DOI: 10.1510/mmcts.2025.080

Satoshi Arimura, Michael W A Chu

引用次数: 0

Segmentectomies made easy series: robotic-assisted right S3 segmentectomy. 节段切除术变得简单系列：机器人辅助右侧S3节段切除术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-08-11 DOI: 10.1510/mmcts.2025.063

Zakariya Mouyer, Aishah Zubaid Mughal, Ayyoub Elfiky, Ahmed M Habib

{"title":"Segmentectomies made easy series: robotic-assisted right S3 segmentectomy.","authors":"Zakariya Mouyer, Aishah Zubaid Mughal, Ayyoub Elfiky, Ahmed M Habib","doi":"10.1510/mmcts.2025.063","DOIUrl":"10.1510/mmcts.2025.063","url":null,"abstract":"Robotic-assisted thoracic surgery has become an increasingly valuable technique for performing complex lung resections, offering high-definition visualization, refined instrument control and tremor-free precision. When compared to open thoracotomy, robotic approaches are linked to lower perioperative morbidity, shorter hospitalizations and quicker recovery times. Nonetheless, sublobar resections such as segmentectomy remain technically and anatomically challenging procedures, particularly in the presence of anatomical anomalies, as demonstrated in this case involving the right S3 segment. Combined three-dimensional reconstruction imaging enables detailed preoperative mapping of pulmonary anatomy, allowing surgeons to visualize bronchovascular structures with greater clarity and tailor dissection plans accordingly. Despite its proven benefits, the routine use of three-dimensional virtual imaging in thoracic surgery remains vastly underutilized and under-represented in the current literature. This video tutorial forms part of the Segmentectomies Made Easy atlas and presents a robotic right S3 segmentectomy for an incidental small pulmonary lesion. Preoperative three-dimensional reconstruction revealed a unique anatomical variation, which proved critical in guiding the dissection strategy. The tutorial offers a comprehensive, step-by-step overview of the operative process-from port configuration to anatomical isolation and resection-highlighting the value of three-dimensional imaging in improving surgical precision, intraoperative decision making and overall outcomes in robotic segmental lung surgery.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818228","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

Isolated subpulmonary ventricular assist device support for failing Fontan circulation in hypoplastic left heart syndrome. 孤立肺下心室辅助装置支持左心发育不全综合征方坦循环衰竭。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-08-11 DOI: 10.1510/mmcts.2025.085

Fabian A Kari, Jürgen Hörer, Sebastian Michel

{"title":"Isolated subpulmonary ventricular assist device support for failing Fontan circulation in hypoplastic left heart syndrome.","authors":"Fabian A Kari, Jürgen Hörer, Sebastian Michel","doi":"10.1510/mmcts.2025.085","DOIUrl":"https://doi.org/10.1510/mmcts.2025.085","url":null,"abstract":"A 13-year-old boy born with hypoplastic left heart syndrome, who underwent all three stages of univentricular palliation and multiple interstage operations, developed failing Fontan circulation with protein-losing enteropathy and massive pleural and peritoneal effusions. In this video tutorial, surgical assessment and implanting an isolated subpulmonary ventricular assist device for support using the EXCOR Venous Cannula and a 30-cc EXCOR system are described. In addition, aspects of the surgical removal of \"fenestration\" devices are reported. Cardiopulmonary bypass is established in a central fashion, and the procedure is conducted under mild hypothermia and partially induced ventricular fibrillation. The superior vena cava and an 18-mm extracardiac Fontan conduit are completely divided. The fenestration devices are partially removed through the opening in the right pulmonary artery. The EXCOR venous inlet cannula is first anastomosed to a rim of the Fontan graft connected to the inferior vena cava. Then it is anastomosed to the superior vena cava by means of an interposition graft. The final anastomosis connects the outflow cannula to the superior part of the former Fontan conduit.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818226","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

Valve-sparing aortic root and partial aortic arch replacement with reimplantation of the brachiocephalic trunk for chronic type ІA aortic dissection. 保留主动脉根和部分主动脉弓置换术联合头臂干再植治疗慢性ІA主动脉夹层。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-08-06 DOI: 10.1510/mmcts.2025.075

Mykhailo Kryvetskyi, María Ascaso, Robert Pruna-Guillen, Simone Gasser, Francisco Javier Mancebon, Manuel López-Baamonde, Eduard Quintana

{"title":"Valve-sparing aortic root and partial aortic arch replacement with reimplantation of the brachiocephalic trunk for chronic type ІA aortic dissection.","authors":"Mykhailo Kryvetskyi, María Ascaso, Robert Pruna-Guillen, Simone Gasser, Francisco Javier Mancebon, Manuel López-Baamonde, Eduard Quintana","doi":"10.1510/mmcts.2025.075","DOIUrl":"10.1510/mmcts.2025.075","url":null,"abstract":"A 47-year-old female with dyspnoea, poor blood pressure control and a family history of aortic disease presented with chronic type IA aortic dissection (with a maximal aortic diameter of 50 mm at the ascending aorta level). Anatomically, the patient presented with involvement of the brachiocephalic trunk and the left renal artery originated from the false lumen. The aortic valve was trileaflet but demonstrated severe eccentric insufficiency. Due to this constellation of findings, urgent surgical repair was indicated. Cardiopulmonary bypass was established centrally by direct true lumen cannulation with Seldinger echo-guided technique and cross-clamping between the distal ascending aorta and the proximal aortic arch (zone 0) performed while cooling. A period of high-moderate hypothermic circulatory arrest (26°C core temperature) with bilateral selective antegrade cerebral perfusion was utilized to complete the distal reconstruction. To repair the morphologically normal trileaflet but severely regurgitant aortic valve prolapsing in the dissected aortic root a valve-sparing aortic root replacement (David procedure) was performed.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790725","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

Bentall procedure with a continuous suture technique. 本特尔手术与连续缝合技术。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-08-06 DOI: 10.1510/mmcts.2025.075

Chaitanya Chittimuri, Murali Mohan Soma, Satyajit Bose, Srirup Chatterjee, Srikant Sharma, Manpreet Kaur

引用次数: 0

Video atlas of pulmonary segmentectomy: robotic-assisted right S1 segmentectomy with 3-dimensional imaging. 肺节段切除术视频图谱：机器人辅助右肺S1节段切除术的三维成像。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-08-05 DOI: 10.1510/mmcts.2025.076

Aishah Zubaid Mughal, Ahmed El-Zeki, Ahmed Oliemy

{"title":"Video atlas of pulmonary segmentectomy: robotic-assisted right S1 segmentectomy with 3-dimensional imaging.","authors":"Aishah Zubaid Mughal, Ahmed El-Zeki, Ahmed Oliemy","doi":"10.1510/mmcts.2025.076","DOIUrl":"10.1510/mmcts.2025.076","url":null,"abstract":"Robotic-assisted thoracic surgery has seen a significant rise in recent years, particularly for complex lung cancer resections. Robotic surgery offers advantages such as three-dimensional visualization, improved tissue manipulation and precise instrument control. In conjunction with other minimally invasive techniques, robotic-assisted thoracic surgery is increasingly preferred over traditional open thoracotomy for lung cancer resections. This development has been suggested to reduce postoperative morbidity, shorten hospital stay and hasten postoperative recovery. Although pulmonary segmentectomy can present technical challenges, the use of three-dimensional reconstruction imaging allows for detailed preoperative visualization of the tumour and the adjacent bronchovascular structures. This enables more accurate and anatomically tailored resections. However, despite its potential, the discussions of the integration of virtual three-dimensional lung reconstruction into routine thoracic surgical practice remain limited in the current literature. We present a video atlas series of robotic-assisted segmentectomies guided by three-dimensional reconstruction imaging. This video tutorial includes a step-by-step guide for performing a right S1 segmentectomy for a patient presenting with a right upper lobe tumour.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790726","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

Left atrial appendage tear due to blunt trauma to the chest. 左心房附件因胸部钝性创伤撕裂。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-08-05 DOI: 10.1510/mmcts.2025.061

Belal Bin Asaf, Sukhram Bishnoi, Anil Bhan, Mohan Venkatesh Pulle, Harsh Vardhan Puri, Anjali Singh, Arvind Kumar

{"title":"Left atrial appendage tear due to blunt trauma to the chest.","authors":"Belal Bin Asaf, Sukhram Bishnoi, Anil Bhan, Mohan Venkatesh Pulle, Harsh Vardhan Puri, Anjali Singh, Arvind Kumar","doi":"10.1510/mmcts.2025.061","DOIUrl":"10.1510/mmcts.2025.061","url":null,"abstract":"This case report presents the successful surgical management of a 34-year-old male who had blunt chest trauma resulting in a left atrial appendage tear after a traffic accident. He arrived at the emergency department 30 minutes post-injury in a gasping state, showing signs of hypovolemic shock, tachycardia (132 bpm), hypotension (blood pressure 88/48 mm Hg) and decreased breath sounds on the left side. The initial management included fluid resuscitation and the insertion of an intercostal drain, which drained 1.2 litres of blood. After the initial fluid resuscitation, haemodynamic stability was achieved with no further drainage from the chest tube. A computed tomography scan revealed haemothorax, bilateral rib fractures, right clavicular and scapular fractures and no active contrast extravasation. However, in the intensive care unit, the chest tube drainage suddenly increased to 250-300 ml/hour with escalating vasopressor requirements. An emergency left chest exploration was performed using thoracoscopy, which revealed significant blood clots and active bleeding from a pericardial defect, leading to conversion to an antero-lateral thoracotomy. The left atrial appendage tear was identified and repaired, achieving complete haemostasis. Postoperatively, the patient stabilized with ongoing intensive care management. This case underscores the challenges in managing traumatic cardiac injuries and highlights the critical need for timely surgical intervention to enhance survival outcomes in severely injured patients.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790722","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

Open surgical conversion after debranching thoracic endovascular aortic repair for chronic aortic dissection in a young patient with connective tissue disease. 年轻结缔组织疾病患者慢性主动脉夹层去分支胸血管内主动脉修复术后开放手术转换一例。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-08-05 DOI: 10.1510/mmcts.2025.077

Susumu Oshima, Kensuken Ozaki, Sakurai Shigeru, Hirokami Tomohiro, Makoto Okiyama, Ko Yamaguchi, Kazumasa Ishiko, Takuya Nishijima, Koichi Akutsu

{"title":"Open surgical conversion after debranching thoracic endovascular aortic repair for chronic aortic dissection in a young patient with connective tissue disease.","authors":"Susumu Oshima, Kensuken Ozaki, Sakurai Shigeru, Hirokami Tomohiro, Makoto Okiyama, Ko Yamaguchi, Kazumasa Ishiko, Takuya Nishijima, Koichi Akutsu","doi":"10.1510/mmcts.2025.077","DOIUrl":"10.1510/mmcts.2025.077","url":null,"abstract":"Open surgical conversion after debranching thoracic endovascular aortic repair in young patients with connective tissue disease is a formidable challenge, posing a high risk of cerebral air embolism. We report a case and describe a novel neuroprotection strategy to mitigate this risk. A 41-year-old female with connective tissue disease presented with a rapidly expanding 62-mm descending thoracic aortic aneurysm, five years after an initial debranching thoracic endovascular aortic repair. Following a staged oophorectomy for a borderline ovarian tumour, she underwent definitive open aortic repair. The operation was performed via a left thoracotomy with the patient under deep hypothermic circulatory arrest. To prevent air entry into the non-anatomical arch vessels, retrograde cerebral perfusion was initiated to establish positive venous pressure before the institution of selective antegrade cerebral perfusion. The stent graft was subsequently explanted, and the aorta was reconstructed. The procedure was completed successfully. The patient's postoperative course was uneventful, and she was discharged without any neurologic deficits. The proactive use of retrograde cerebral perfusion prior to selective antegrade cerebral perfusion is a simple, safe and effective technique to prevent catastrophic cerebral air embolism during complex open conversions. This case also highlights concerns regarding the long-term durability of thoracic endovascular aortic repair in young patients with connective tissue disease.","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790723","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

Heart transplant in a paediatric patient with restrictive cardiomyopathy on biventricular assist device support. 双心室辅助装置支持下限制性心肌病患儿的心脏移植。

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-08-05 DOI: 10.1510/mmcts.2025.074

Sebastian G Michel, Jürgen Hörer, Christoph Müller, Christine Kamla, Christian Hagl, Fabian A Kari

引用次数: 0