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

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Percutaneous femoral venoarterial ECMO decannulation at the bedside using the Manta vascular closure device. 使用 Manta 血管闭合装置在床旁进行经皮股静脉动脉 ECMO 解禁。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-24 DOI: 10.1510/mmcts.2024.036
Alessandro Affronti, Isidoro Di Bella, Angelo Pisani, Cristina Todisco, Eleonora Natali, Federica Pesce, Romina Pantanella, Alessandra Battaglia, Marcello Bergonzini
{"title":"Percutaneous femoral venoarterial ECMO decannulation at the bedside using the Manta vascular closure device.","authors":"Alessandro Affronti, Isidoro Di Bella, Angelo Pisani, Cristina Todisco, Eleonora Natali, Federica Pesce, Romina Pantanella, Alessandra Battaglia, Marcello Bergonzini","doi":"10.1510/mmcts.2024.036","DOIUrl":"10.1510/mmcts.2024.036","url":null,"abstract":"<p><p>A case of peripheral venoarterial extracorporeal membrane oxygenation decannulation using the Teleflex Manta vascular closure device is presented.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309128","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
Uniportal VATS removal of a giant mediastinal goitre. 单孔 VATS 切除巨大纵隔甲状腺肿。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-24 DOI: 10.1510/mmcts.2024.030
Yousef Abu Asbeh, Raghad Sweity, Peter R Bael
{"title":"Uniportal VATS removal of a giant mediastinal goitre.","authors":"Yousef Abu Asbeh, Raghad Sweity, Peter R Bael","doi":"10.1510/mmcts.2024.030","DOIUrl":"10.1510/mmcts.2024.030","url":null,"abstract":"<p><p>We demonstrate the technical nuances and operative strategy of uniportal video-assisted thoracoscopic surgical excision of a giant mediastinal goitre in a patient with a complex medical history, including a prior total thyroidectomy for multinodular goitre and partial gastrectomy for gastrointestinal stromal tumour. The video tutorial presents the surgical removal of a substantial mediastinal goitre, persisting post-total thyroidectomy performed 2 years prior via a collar incision. We opted for a thoracoscopic technique for the removal of the residual mediastinal mass. A 3-cm uniportal incision was made at the fifth intercostal space along the mid-axillary line. Pleural exploration confirmed the absence of adhesions. Subsequent dissection revealed a large retrocaval goitre adjacent to the trachea. Utilizing a combination of LigaSure technology for sharp dissection, and blunt dissection techniques using the peanuts, we severed the goitre's attachments to surrounding critical structures, including the trachea, superior vena cava and oesophagus. The dissection continued, extending into the cervical region from the thoracic approach. The mass was safely enclosed within an endobag and extracted through the uniportal incision. This case demonstrates the feasibility and effectiveness of the uniportal thoracoscopic approach for complex mediastinal pathology. This approach was successfully executed with an uneventful perioperative course and no complications, indicating positive outcomes in complex thoracic cases despite a minimally invasive approach for the resection of mediastinal masses.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309129","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
Surgical techniques for cardiac procurement, preparation and perfusion using the Organ Care System. 使用器官护理系统进行心脏采集、准备和灌注的外科技术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-19 DOI: 10.1510/mmcts.2024.057
Manuel Egle, Sarah Longnus, Murat Yildiz, Matthias Siepe, David Reineke
{"title":"Surgical techniques for cardiac procurement, preparation and perfusion using the Organ Care System.","authors":"Manuel Egle, Sarah Longnus, Murat Yildiz, Matthias Siepe, David Reineke","doi":"10.1510/mmcts.2024.057","DOIUrl":"https://doi.org/10.1510/mmcts.2024.057","url":null,"abstract":"<p><p>We provide an audio-visual step-by-step guide to the preparation of a donor heart for the application of normothermic, ex situ cardiac perfusion on the TransMedics Organ Care System using a heart donated after brain death. The use of the Organ Care System increases heart transplantation activity by enabling the utilization of hearts donated after circulatory death, the use of extended criteria grafts and the extension of out-of-body time, which can help overcome geographic or surgical barriers. Ex situ cardiac perfusion is a new technique and is therefore not yet routinely performed in many centres. However, it can be assumed that this technique will become more established and widespread in the future. Our video tutorial, which summarizes all important steps, can therefore be of benefit to surgical teams for planning, training or as a refresher.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300753","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
Visualizing the invisible: aortopulmonary window diagnosis enhanced by 3D computer graphics. 将看不见的东西可视化：通过三维计算机图形增强主动脉肺窗诊断。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-19 DOI: 10.1510/mmcts.2024.059
Mayu Nishida, Kenichi Hashizume, Mio Kasai, Mitsuharu Mori, Yuika Kameda, Tsutomu Nara, Kentaro Hotoda, Hideyuki Shimizu
{"title":"Visualizing the invisible: aortopulmonary window diagnosis enhanced by 3D computer graphics.","authors":"Mayu Nishida, Kenichi Hashizume, Mio Kasai, Mitsuharu Mori, Yuika Kameda, Tsutomu Nara, Kentaro Hotoda, Hideyuki Shimizu","doi":"10.1510/mmcts.2024.059","DOIUrl":"10.1510/mmcts.2024.059","url":null,"abstract":"<p><p>An aortopulmonary window is a rare disorder that occurs in 0.1–0.2% of all congenital disorders. Our patient was a 1-month-old boy weighing 4180 g. The patient had heart failure associated with an aortopulmonary window. We used 3-dimensional computer graphic software (Viewtify, SCIEMENT) for diagnosis based on DICOM data from contrast-enhanced computed tomography. This made it easy to identify anatomical landmarks and findings and select the most suitable approach. We avoided stenosis of the right pulmonary artery and aorta. We encountered a case of an aortopulmonary window in which 3-dimensional computer graphic software was helpful in selecting the surgical technique. We report this case using 3-dimensional computer graphic images and present a review of the literature.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300755","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 left intrapericardial upper lobectomy, pericardial reconstruction and diaphragmatic plication. 机器人左心包内上叶切除术、心包重建术和膈肌成形术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-18 DOI: 10.1510/mmcts.2024.058
Haisam Saad, Rachel Thavayogan, Joanna Fuentes-Warr, Caroline Reavley, Susana Alexander, Vasileios Kouritas
{"title":"Robotic left intrapericardial upper lobectomy, pericardial reconstruction and diaphragmatic plication.","authors":"Haisam Saad, Rachel Thavayogan, Joanna Fuentes-Warr, Caroline Reavley, Susana Alexander, Vasileios Kouritas","doi":"10.1510/mmcts.2024.058","DOIUrl":"https://doi.org/10.1510/mmcts.2024.058","url":null,"abstract":"<p><p>Primary mediastinal malignant germ cell tumours are rare, comprising only 1-4% of mediastinal tumours, of which 50-70% are non-seminomatous germ cell tumours. Non-seminomatous germ cell tumours typically demonstrate an excellent response to cisplatin-based chemotherapy. However, in some cases, tumours may persistently enlarge despite normal tumour markers following chemotherapy, leading to a rare condition known as growing teratoma syndrome. This poses a significant challenge for thoracic surgeons, especially when associated with infiltration of neighbouring pulmonary structures. Robot-assisted thoracoscopic surgery is not commonly employed in the resection of large mediastinal tumours. We present a case showcasing the robotic approach to complete resection of a sizeable mediastinal tumour originating from the left/main pulmonary artery, en bloc with a left upper lobectomy, pericardial resection, and reconstruction and diaphragmatic plication.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300752","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 valve-sparing aortic root replacement via an upper mini-sternotomy in a young adult with Marfan syndrome. 通过上部小切口微创保瓣主动脉根部置换术治疗一名年轻的马凡氏综合征患者。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-18 DOI: 10.1510/mmcts.2024.056
Sabrina K Walsh, Mujtaba Mubashir, Sameh M Said
{"title":"Minimally invasive valve-sparing aortic root replacement via an upper mini-sternotomy in a young adult with Marfan syndrome.","authors":"Sabrina K Walsh, Mujtaba Mubashir, Sameh M Said","doi":"10.1510/mmcts.2024.056","DOIUrl":"https://doi.org/10.1510/mmcts.2024.056","url":null,"abstract":"<p><p>We describe an upper mini-sternotomy for valve-sparing aortic root replacement in a teenager.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300749","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
Paediatric donor lung preservation using Paragonix BAROguard. 使用 Paragonix BAROguard 保存儿科供体肺。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-17 DOI: 10.1510/mmcts.2024.070
Yuriy Stukov, Jeffrey P Jacobs, Mark Bleiweis, Mohammad Aladaileh, Giles J Peek, Liam Kugler, Ahmet Bilgili, Mindaugas Rackauskas
{"title":"Paediatric donor lung preservation using Paragonix BAROguard.","authors":"Yuriy Stukov, Jeffrey P Jacobs, Mark Bleiweis, Mohammad Aladaileh, Giles J Peek, Liam Kugler, Ahmet Bilgili, Mindaugas Rackauskas","doi":"10.1510/mmcts.2024.070","DOIUrl":"https://doi.org/10.1510/mmcts.2024.070","url":null,"abstract":"<p><p>Paediatric lung transplantation is a lifesaving option in selected patients with end-stage lung disease. Favourable long-term outcomes are limited by impaired mucus clearance, increased risk of infection resulting from immunosuppression, and chronic lung allograft dysfunction. Organ preservation techniques play an important role in the quality of donated organs. Barotrauma to donated lungs may arise from a combination of excessive recruitment manoeuvres and altitude change during air transportation. The Paragonix BAROguard Donor Lung Preservation System is an FDA-approved advanced organ recovery system that maintains continuous airway pressure of 15 cm of water during transportation of the donated lung(s) to the recipient. The Paragonix LUNGguard monitors temperature during transportation of donor lung(s), while the new BAROguard monitors both temperature and pressure during transportation of donor lung(s). In this publication, we present technical aspects of advanced preservation of paediatric donor lungs using the Paragonix BAROguard Donor Lung Preservation System.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300751","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
Adjuncts to annuloplasty in atrial functional mitral regurgitation. 心房功能性二尖瓣反流瓣环成形术的辅助治疗。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-16 DOI: 10.1510/mmcts.2024.035
Anton Tomšič, Tatiana Sequeira-Gross, Christian Dumps, Evaldas Girdauskas
{"title":"Adjuncts to annuloplasty in atrial functional mitral regurgitation.","authors":"Anton Tomšič, Tatiana Sequeira-Gross, Christian Dumps, Evaldas Girdauskas","doi":"10.1510/mmcts.2024.035","DOIUrl":"https://doi.org/10.1510/mmcts.2024.035","url":null,"abstract":"<p><p>Atrial fibrillation is the most common cardiac arrhythmia, leading to progressive dilation of cardiac chambers, abnormal contraction patterns of the atria and ventricles and, potentially, atrioventricular valvular insufficiency. Moreover, heart failure with preserved ejection fraction is often present and closely intertwined with disease initiation and progression. Surgical valve repair with a true-sized ring annuloplasty is a well-established treatment option in atrial functional mitral regurgitation. While early results are good, recent studies have brought the durability of this repair approach into question, highlighting the need for further refinement of the surgical strategy. In particular, repair strategies that simultaneously target the mitral valve as well as the left ventricle could provide improved repair durability.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300747","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
Off-pump ascending aorta-abdominal aorta bypass in patient with endoleak. 内漏患者的腹主动脉-升主动脉旁路术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-16 DOI: 10.1510/mmcts.2024.040
Sergey Boldyrev, Aslan Zakeryaev, Arman Khudoyan, Susanna Abidzakh, Eduard Petrosyan, Alexey Kovalenko, Meri Khurshudyan, Kirill Barbuhatti
{"title":"Off-pump ascending aorta-abdominal aorta bypass in patient with endoleak.","authors":"Sergey Boldyrev, Aslan Zakeryaev, Arman Khudoyan, Susanna Abidzakh, Eduard Petrosyan, Alexey Kovalenko, Meri Khurshudyan, Kirill Barbuhatti","doi":"10.1510/mmcts.2024.040","DOIUrl":"10.1510/mmcts.2024.040","url":null,"abstract":"<p><p>Thoracic endovascular aortic repair is commonly used in the surgical treatment of patients with aortic coarctation, but complications such as endoleaks can occur. This video tutorial presents a case study involving the exclusion of a stent graft from the bloodstream through total transection of the aortic arch and abdominal aorta, with off-pump aortic grafting and debranching of the left carotid and subclavian arteries.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300750","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
Innovative combined Ozaki and Bentall procedures for aortic root replacement. 主动脉根部置换的创新性联合尾崎和本托尔手术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-09-11 DOI: 10.1510/mmcts.2024.038
Shinji Kanemitsu, Keizo Tanaka, Renta Ishikawa, Shunsuke Sakamoto, Toru Mizumoto
{"title":"Innovative combined Ozaki and Bentall procedures for aortic root replacement.","authors":"Shinji Kanemitsu, Keizo Tanaka, Renta Ishikawa, Shunsuke Sakamoto, Toru Mizumoto","doi":"10.1510/mmcts.2024.038","DOIUrl":"10.1510/mmcts.2024.038","url":null,"abstract":"<p><p>In treating aortic root diseases, the Bentall procedure offers reliable and stable results. However, it requires a prosthetic valved conduit, which presents inherent challenges due to the need for anticoagulation. The Ozaki procedure, which uses pericardium for aortic valve neocuspidization, is an alternative to prosthetic valves and does not need anticoagulation. We developed a surgical technique combining the Bentall and Ozaki procedures to treat patients with aortic root disease, which we describe in this article. Because the risk of bleeding due to anticoagulation after prosthetic valve replacement was a concern, we combined the Bentall and Ozaki procedures with a graft conduit using bovine pericardial patch neocuspidization. Postoperative echocardiography showed a competent aortic valve with no regurgitation. We believe that this novel procedure provides hope for a more adaptable and patient-friendly option.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300748","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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