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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 Oesophageal Spindle Cell Lipoma Excision. 机器人食管梭形细胞脂肪瘤切除术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-08-04 DOI: 10.1510/mmcts.2025.059
Rajesh Shinde, Monika Pohekar, D Saikumar, Anil D'Cruz
{"title":"Robotic Oesophageal Spindle Cell Lipoma Excision.","authors":"Rajesh Shinde, Monika Pohekar, D Saikumar, Anil D'Cruz","doi":"10.1510/mmcts.2025.059","DOIUrl":"10.1510/mmcts.2025.059","url":null,"abstract":"<p><p>Oesophageal lipoma is a benign oesophageal tumour accounting for less than 1% of all the gastrointestinal lipomas. The spindle cell variant of oesophageal lipoma is an even rarer entity. Histologically it is characterized by the presence of varying amounts of mature fat, uniform spindle cells and collagen. To the best of our knowledge, only two cases of spindle cell lipoma (SCL) of the oesophagus have been reported so far. Herein, we present a case of a 52-year-old lady who was evaluated for dysphagia. Oesophago-gastroscopy showed a submucosal mass on the posterolateral wall of the oesophagus on the right side arising at 18-20 cm from incisors. Biopsy was suggestive of squamous hyperplasia with no evidence of dysplasia or malignancy. On computerized tomography (CT) scan of the chest, the mass measured 11.2x3.2x3.3 cm and was seen to extend from the post-cricoid to the infra-carinal region. In view of the major intrathoracic extent, she underwent robotic trans-thoracic excision of the oesophageal lesion. The final histopathology report confirmed SCL of the oesophagus. Immunohistochemical examination was positive for CD 34 and negative for desmin and MDM2. Complete excision of the lesion remains the standard treatment. It is essential to establish a precise diagnosis of SCL of the oesophagus and rule out malignancy.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790724","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
Redo aortic root replacement (Cabrol procedure) and Commando operation for extensive prosthetic valve endocarditis with aortic root pseudoaneurysm involving mitral-aortic intervalvular fibrosa. 重做主动脉根置换术（Cabrol手术）和Commando手术治疗广泛假瓣膜心内膜炎伴主动脉根假性动脉瘤累及二尖瓣-主动脉瓣间纤维。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-07-30 DOI: 10.1510/mmcts.2025.057
Joon Young Kim, Jae Suk Yoo
{"title":"Redo aortic root replacement (Cabrol procedure) and Commando operation for extensive prosthetic valve endocarditis with aortic root pseudoaneurysm involving mitral-aortic intervalvular fibrosa.","authors":"Joon Young Kim, Jae Suk Yoo","doi":"10.1510/mmcts.2025.057","DOIUrl":"https://doi.org/10.1510/mmcts.2025.057","url":null,"abstract":"<p><p>Mitral-aortic intervalvular fibrosa pseudoaneurysm is a rare but potentially fatal complication, most commonly arising from infective endocarditis or a prior cardiac operation. Rupture of a mitral-aortic intervalvular fibrosa pseudoaneurysm constitutes a surgical emergency and presents considerable technical challenges, with reported early mortality rates between 20% and 30%. We report the case of a high-risk 72-year-old man with a history of two prior cardiac operations who presented with a contained rupture of a mitral-aortic intervalvular fibrosa  pseudoaneurysm and an aortic root abscess. Surgical management involved mitral-aortic intervalvular fibrosa reconstruction using a double-layer bovine pericardial patch within a Commando operation with a modified bio-Bentall procedure and coronary artery reimplantation via a Cabrol procedure. This integrated approach enabled complete debridement of the infected aortic root tissue and successful repair of the mitral-aortic intervalvular fibrosa defect, highlighting the value of combining these complex techniques in select high-risk reoperative settings.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144745952","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
Driveline transposition with omentoplasty in a patient supported with a left ventricular assist device. 在左心室辅助装置的支持下，驱动系转位伴网膜成形术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-07-28 DOI: 10.1510/mmcts.2025.070
Anna Stegmann, Gaik Nersesian, Yuriy Hrytsyna, Johanna Mulzer, Volkmar Falk, Wenzel Schoening, Evgenij Potapov, Pia Lanmüeller
{"title":"Driveline transposition with omentoplasty in a patient supported with a left ventricular assist device.","authors":"Anna Stegmann, Gaik Nersesian, Yuriy Hrytsyna, Johanna Mulzer, Volkmar Falk, Wenzel Schoening, Evgenij Potapov, Pia Lanmüeller","doi":"10.1510/mmcts.2025.070","DOIUrl":"10.1510/mmcts.2025.070","url":null,"abstract":"<p><p>Major infections remain a leading cause of readmission and reduced quality of life in patients with a durable left ventricular assist device. The driveline exit site is most commonly affected, and surgical management of severe driveline infections becomes necessary when conservative therapy of intensified dressing changes and antibiotic therapy fails. We present a standardized approach involving the transposition of the driveline with subsequent omentoplasty. The procedure aims to eradicate chronic infection, reduce microbial reservoirs by removing velour coverings and leverage the omentum's anti-inflammatory properties.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735261","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
Tracheal resection and primary anastomosis through a cervical incision in a child with a tracheal mass causing near total occlusion of the upper trachea. 儿童气管肿块导致上气管几乎完全闭塞，经颈部切口气管切除及一期吻合。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-07-21 DOI: 10.1510/mmcts.2025.034
Hari Haran Krishnamurthi, Vijayakumar Raju, Naveen Srinivasan, Kaushik Jothinath, Karthik Babu Murugesan, Antony Terance Benjamin
{"title":"Tracheal resection and primary anastomosis through a cervical incision in a child with a tracheal mass causing near total occlusion of the upper trachea.","authors":"Hari Haran Krishnamurthi, Vijayakumar Raju, Naveen Srinivasan, Kaushik Jothinath, Karthik Babu Murugesan, Antony Terance Benjamin","doi":"10.1510/mmcts.2025.034","DOIUrl":"10.1510/mmcts.2025.034","url":null,"abstract":"<p><p>Tracheal resections are uncommon procedures in children. A tracheal resection is usually indicated for short-segment tracheal stenosis or tracheal tumours. A tracheal resection is very demanding, and success demands a collaborative effort from the anaesthesiologist, the ear, nose, and throat surgeons and the pulmonologist. Up to 50% of the trachea can be safely resected with good preoperative and intraoperative planning. The surgical approach to the trachea depends on the location and the extent of the lesions. In this case report, we describe the upper tracheal resection with an end-to-end anastomosis through a cervical incision in an 8-year-old child who presented with a large upper tracheal tumour causing near total occlusion of the trachea. The histopathological analysis of the mass indicated it was a schwannoma.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676511","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
A novel modification for the Sano conduit during stage I Norwood palliation for hypoplastic left heart syndrome: towards a more anatomical and physiologic connection. 左心发育不全综合征I期Norwood姑息治疗期间Sano导管的一种新改良：走向更多的解剖和生理联系。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-07-09 DOI: 10.1510/mmcts.2025.066
Sameh M Said, Ali H Mashadi
{"title":"A novel modification for the Sano conduit during stage I Norwood palliation for hypoplastic left heart syndrome: towards a more anatomical and physiologic connection.","authors":"Sameh M Said, Ali H Mashadi","doi":"10.1510/mmcts.2025.066","DOIUrl":"10.1510/mmcts.2025.066","url":null,"abstract":"<p><p>We present a 3.7-kg neonate with a foetal diagnosis of hypoplastic left heart syndrome who underwent stage I Norwood palliation using two technical modifications. We reconstructed the aortic arch and the aorto-pulmonary connection by following the Birmingham technique. The source of pulmonary blood flow was provided via a right ventricular-to-pulmonary artery shunt (Sano). A novel modification to the Sano conduit is demonstrated that we believe is more anatomical and physiologic. The composite Sano conduit was constructed using a 5-mm externally reinforced polytetrafluoroethylene graft connected to a 7-mm aortic homograft valve. The homograft valve was placed at the right ventricular end of the Sano conduit. We believe this design mimics a more normal anatomical right ventricular-to-pulmonary arterial connection and will help preserve the single ventricle function due to the lack of free pulmonary regurgitation.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602196","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
Total arterial, anaortic, off-pump coronary artery bypass grafting. 全动脉，无动脉，非体外循环冠状动脉旁路移植术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-06-30 DOI: 10.1510/mmcts.2025.048
Alexandra E Sperry, Michael Catalano, John Kelly, Wilson Y Szeto, Chase R Brown
{"title":"Total arterial, anaortic, off-pump coronary artery bypass grafting.","authors":"Alexandra E Sperry, Michael Catalano, John Kelly, Wilson Y Szeto, Chase R Brown","doi":"10.1510/mmcts.2025.048","DOIUrl":"https://doi.org/10.1510/mmcts.2025.048","url":null,"abstract":"<p><p>Total arterial, anaortic, off-pump coronary artery bypass grafting is seen by many as a complex, specialized operation; however, when broken down into its component parts, it can be approached as multiple reproducible techniques that all trainees should master. These components include skeletonized mammary harvest, construction of composite arterial grafts and off-pump cardiac surgery. In this video tutorial, we describe step-by-step approaches to each of these elements and demonstrate how these principles come together to facilitate an excellent surgical outcome for the patient: revascularization of all diseased coronary arteries with arterial grafts while avoiding arresting the heart or aortic manipulation.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531036","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
Fissurating aneurysm of the right coronary artery repaired with interposition of a Gore-Tex graft. 右冠状动脉裂性动脉瘤经Gore-Tex移植修复。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-06-30 DOI: 10.1510/mmcts.2025.060
Olivier Fabre, Mihai Radutoiu, Ionut Carjaliu, Xavier Leroy, Anas Attanouti, Laurence Gautier, Ilir Hysi
{"title":"Fissurating aneurysm of the right coronary artery repaired with interposition of a Gore-Tex graft.","authors":"Olivier Fabre, Mihai Radutoiu, Ionut Carjaliu, Xavier Leroy, Anas Attanouti, Laurence Gautier, Ilir Hysi","doi":"10.1510/mmcts.2025.060","DOIUrl":"https://doi.org/10.1510/mmcts.2025.060","url":null,"abstract":"<p><p>Coronary artery aneurysms are exceedingly rare and are most often discovered incidentally. Rupture of such aneurysms is even more uncommon. In this case report, we describe an 82-year-old patient who presented with sudden-onset chest pain and was diagnosed with a fissurating aneurysm of the right coronary artery. The aneurysm was associated with a congenital abnormality of the coronary venous sinus return. The patient underwent emergency surgery. Given her advanced age, the surgical strategy focused solely on addressing the imminent risk of rupture. A 10-mm Gore-Tex graft was implanted because direct suture repair or vein grafting was deemed unsuitable. The patient recovered well postoperatively and was given dual antiplatelet therapy. At nine months of follow-up, she remains asymptomatic, with no recurrence of chest pain.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531035","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
Tumour thrombus of the pulmonary arteries: the value of precise imaging for segmental resection. 肺动脉肿瘤血栓：精确影像对节段性切除的价值。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-06-25 DOI: 10.1510/mmcts.2024.136
Igor E Konstantinov, Tyson A Fricke
{"title":"Tumour thrombus of the pulmonary arteries: the value of precise imaging for segmental resection.","authors":"Igor E Konstantinov, Tyson A Fricke","doi":"10.1510/mmcts.2024.136","DOIUrl":"10.1510/mmcts.2024.136","url":null,"abstract":"<p><p>We present a 12-year-old patient with periosteal osteosarcoma and bilateral pulmonary arterial tumour thrombi. The utility of a three-dimensional model to assess the feasibility of segmental resection is demonstrated.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487044","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
Redo minimally invasive LAA closure with WATCHMAN device. 用WATCHMAN器械重做微创LAA闭合。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-06-24 DOI: 10.1510/mmcts.2025.024
Maris Bartkevics, Fabio Pregaldini, Lorenz Räber, Matthias Siepe, Clarence Pingpoh
{"title":"Redo minimally invasive LAA closure with WATCHMAN device.","authors":"Maris Bartkevics, Fabio Pregaldini, Lorenz Räber, Matthias Siepe, Clarence Pingpoh","doi":"10.1510/mmcts.2025.024","DOIUrl":"10.1510/mmcts.2025.024","url":null,"abstract":"<p><p>This video tutorial demonstrates the minimally invasive closure of a left atrial appendage (LAA) using the WATCHMAN device in a patient with a prior history of heart surgery. Given the failure of anticoagulation therapy, the decision was made to perform surgical closure of the LAA. Due to the patient's previous heart surgery, our standard LAA closure device, the AtriClip, could not be used. As an alternative, the WATCHMAN device was chosen. This device is FDA- and EMA-approved and is designed for implantation via a transcatheter-based approach.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477806","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
Excision of a cardiac paraganglioma. 切除心脏副神经节瘤。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-06-23 DOI: 10.1510/mmcts.2025.044
Muslim Mustaev, Laith Kayyal, Minji Ho, Kamran Baig, Christopher Young
{"title":"Excision of a cardiac paraganglioma.","authors":"Muslim Mustaev, Laith Kayyal, Minji Ho, Kamran Baig, Christopher Young","doi":"10.1510/mmcts.2025.044","DOIUrl":"10.1510/mmcts.2025.044","url":null,"abstract":"<p><p>We present a case report detailing the surgical management of a cardiac paraganglioma in a 57-year-old man with a succinate dehydrogenase subunit B mutation and family history of paragangliomas. These neuroendocrine tumours arise from chromaffin cells and account for less than 3% of cardiac tumours. Succinate dehydrogenase subunit B mutations are associated with aggressive disease patterns and require a multidisciplinary approach for optimal management. The patient had multifocal disease involving the neck, abdomen and heart, yet was asymptomatic aside from a palpable neck mass. Positron emission tomography with fluorodeoxyglucose, echocardiography and coronary angiography identified a mass within the right atrial wall and concurrent significant narrowing of the left anterior descending coronary artery. The video tutorial demonstrates excision of the cardiac paraganglioma via median sternotomy, establishment of cardiopulmonary bypass, and right atrial exploration. No tumour was visualized within the chamber, and further inspection revealed a firm lesion in the right atrioventricular groove, infiltrating the myocardium and encasing the right coronary artery. The artery was transected and bypassed using a saphenous vein graft, allowing for complete tumour resection. A graft to the left anterior descending artery was also performed. Postoperative recovery was uncomplicated, and histopathology confirmed a cardiac paraganglioma with clear margins.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2025 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477805","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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