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

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Bio-Bentall and hybrid arch frozen elephant trunk repair for acute type A aortic dissection with malperfusion. Bio-Bentall 和混合拱形冰冻象鼻修复术治疗急性 A 型主动脉夹层伴灌注不良。
Djalal Fakim, Chaoyi Qin, Michael W A Chu
{"title":"Bio-Bentall and hybrid arch frozen elephant trunk repair for acute type A aortic dissection with malperfusion.","authors":"Djalal Fakim, Chaoyi Qin, Michael W A Chu","doi":"10.1510/mmcts.2023.092","DOIUrl":"https://doi.org/10.1510/mmcts.2023.092","url":null,"abstract":"<p><p>The extent of repair in patients with acute type A aortic dissection is often determined by factors such as entry tear location, aortic anatomy, malperfusion and team expertise. The hybrid arch frozen elephant trunk, which has become an established technique to extend the distal acute type A aortic dissection repair, is particularly useful in malperfusion; however, it remains technically challenging and is associated with increased duration of circulatory arrest and risks of spinal cord ischaemia. Proximal dissection flap extension often determines repairability versus replacement of the aortic root. We present a case report highlighting the proximal and distal extent of repair in a patient with a known ascending aortic aneurysm presenting with an acute type A aortic dissection, with malperfusion, undergoing a successful bio-Bentall procedure and hybrid arch frozen elephant trunk repair.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138800311","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
Re-operation for a detached left coronary button from an aortic root conduit causing a large retro-sternal pseudoaneurysm. 左冠状动脉钮扣从主动脉根导管脱落,导致胸骨后假性动脉瘤再次手术。
Frank Cikach, Shiva Sale, Eric E Roselli, Gosta Pettersson, Haytham Elgharably
{"title":"Re-operation for a detached left coronary button from an aortic root conduit causing a large retro-sternal pseudoaneurysm.","authors":"Frank Cikach, Shiva Sale, Eric E Roselli, Gosta Pettersson, Haytham Elgharably","doi":"10.1510/mmcts.2023.026","DOIUrl":"10.1510/mmcts.2023.026","url":null,"abstract":"<p><p>Our goal was to replace the previous composite graft with a bioprosthesis. The approach involved axillary artery and femoral vein cannulation and cardiopulmonary bypass with moderate hypothermia for re-entry of the chest and deep hypothermia with circulatory arrest to get control of and to clamp the aorta when entering the pseudoaneurysm. The myocardial protection strategy was general cooling and retrograde cardioplegia through direct coronary sinus cannulation and antegrade cardioplegia in the coronary ostia when possible. After the pseudoaneurysm was entered, the graft was divided in the middle, and the distal end was dissected out under circulatory arrest sufficiently to allow clamping and to resume systemic circulation. The graft was not dissected out beyond the previous anastomosis. Under another period of circulatory arrest, the distal graft was removed to the mid-arch, and a new graft was attached with a hemiarch anastomosis. Then the root was dissected out, and both coronary ostia were mobilized. The mechanical aortic valve and previous graft material were explanted. A new bioprosthetic valved conduit was used to replace the aortic root, and the coronary buttons were re-implanted directly in the new graft.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138500108","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
Transatrial repair of a ventricular septal defect and tricuspid valve replacement after a blunt chest trauma. 钝性胸外伤后经心房修复室间隔缺损及三尖瓣置换术。
Sami Mouritane, Alissa Florian, Daniel Zimpfer
{"title":"Transatrial repair of a ventricular septal defect and tricuspid valve replacement after a blunt chest trauma.","authors":"Sami Mouritane, Alissa Florian, Daniel Zimpfer","doi":"10.1510/mmcts.2023.066","DOIUrl":"https://doi.org/10.1510/mmcts.2023.066","url":null,"abstract":"<p><p>In this case report, we provide insight into how we managed this case of a large traumatic ventricular septal defect and concomitant tricuspid valve insufficiency with a transatrial approach to ensure a successful repair.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464346","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
Giant right coronary artery aneurysm: the saphenous vein bridge technique. 巨大右冠状动脉动脉瘤:隐静脉桥接技术。
Martina Rizzo, Giuseppe Davoli, Gianfranco Montesi
{"title":"Giant right coronary artery aneurysm: the saphenous vein bridge technique.","authors":"Martina Rizzo, Giuseppe Davoli, Gianfranco Montesi","doi":"10.1510/mmcts.2023.057","DOIUrl":"https://doi.org/10.1510/mmcts.2023.057","url":null,"abstract":"<p><p>A giant coronary artery aneurysm is defined as an irreversible dilation that is 1.5-times more than the diameter of a healthy adjacent coronary artery. It is a rare disease with an incidence of 0.2% to 4.9%. Coronary artery aneurysms are usually corrected with a coronary artery bypass graft. We describe how to perform a saphenous vein bridge to repair a giant coronary artery aneurysm. When applicable, this technique allows sparing of the coronary artery ostia and restores the coronary anatomy.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138800254","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
Subclavian Impella 5.5 implant for perioperative left ventricular dysfunction. 锁骨下Impella 5.5植入治疗围术期左心室功能障碍。
Barbara Karner, Melanie Arnreiter, Birgit Zirngast, Miriam Pavlikova, Dietmar Renz, Ameli Yates, Daniel Zimpfer
{"title":"Subclavian Impella 5.5 implant for perioperative left ventricular dysfunction.","authors":"Barbara Karner, Melanie Arnreiter, Birgit Zirngast, Miriam Pavlikova, Dietmar Renz, Ameli Yates, Daniel Zimpfer","doi":"10.1510/mmcts.2023.048","DOIUrl":"10.1510/mmcts.2023.048","url":null,"abstract":"<p><p>We present the implant method and the postoperative management for an Impella 5.5 device via the right subclavian artery in a 72-year-old patient with severe left ventricular dysfunction upon weaning from cardiopulmonary bypass during a cardiac surgery procedure.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138447029","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 suture like a heart surgeon with Thor Sundt, MD. 如何像心脏外科医生一样缝合。
Dane C Paneitz, Antonia Van Kampen, Sarah Brownlee, Thoralf M Sundt Rd
{"title":"How to suture like a heart surgeon with Thor Sundt, MD.","authors":"Dane C Paneitz, Antonia Van Kampen, Sarah Brownlee, Thoralf M Sundt Rd","doi":"10.1510/mmcts.2023.033","DOIUrl":"10.1510/mmcts.2023.033","url":null,"abstract":"<p><p>Cardiothoracic surgery demands technical excellence to achieve a successful outcome, and the loading and passing of a needle through tissue atraumatically is a fundamental skill that must be mastered. From how to hold the needle driver to loading the needle and following the curve through the tissue, there are pearls and pitfalls for each step. In this video tutorial, an experienced cardiac surgeon who has trained residents and fellows for more than 30 years demonstrates the basic concepts and techniques of passing the needle through tissue.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138300572","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
Endoventricular circular patch repair: the "Dor procedure". 心室内圆形补片修复:“Dor程序”。
Antonio Piperata, Vincent Dor, Filippo Civaia, Armand Eker
{"title":"Endoventricular circular patch repair: the \"Dor procedure\".","authors":"Antonio Piperata, Vincent Dor, Filippo Civaia, Armand Eker","doi":"10.1510/mmcts.2023.040","DOIUrl":"10.1510/mmcts.2023.040","url":null,"abstract":"<p><p>Although during recent decades the prompt clinical management of myocardial infarction has significantly reduced the incidence of mechanical complications, post-infarction heart failure is still an open issue. The surgical ventricular reconstruction technique, also called the \"Dor procedure\", was introduced as a surgical strategy to reduce left ventricular volume and restore its shape and function by performing an endoventricular circular patch plasty. Although its use was not clearly beneficial, there is growing evidence from specialized centres suggesting its safety and efficacy, thus bringing this technique back to a leading role in the surgical armamentarium to treat patients with heart failure. The objective of this work was to present a step-by-step explanation of the Dor procedure as a landmark for all surgeons who want to perform it.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138296516","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
Thoracoscopic (non-robotic) harvesting of bilateral internal mammary artery grafts. 胸腔镜下(非机器人)双侧乳腺内动脉移植手术。
Ferdi Akca
{"title":"Thoracoscopic (non-robotic) harvesting of bilateral internal mammary artery grafts.","authors":"Ferdi Akca","doi":"10.1510/mmcts.2023.069","DOIUrl":"10.1510/mmcts.2023.069","url":null,"abstract":"<p><p>Minimally invasive coronary surgery offers benefits to the patient. Harvesting the internal mammary artery remains a challenging part of this procedure. We describe our technique for thoracoscopic harvesting of the left and right mammary arteries using routine endoscopic instruments. This is a non-robotic technique that might facilitate a more widespread growth of minimally invasive coronary surgery.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107592787","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
Completely portal robotic Pancoast tumour resection with en bloc resection of the left upper lobe and chest wall. 全门静脉机器人Pancoast肿瘤切除及左上肺叶及胸壁整体切除。
Gregor Kocher, Sarah Deckarm, Dominik Flury
{"title":"Completely portal robotic Pancoast tumour resection with en bloc resection of the left upper lobe and chest wall.","authors":"Gregor Kocher, Sarah Deckarm, Dominik Flury","doi":"10.1510/mmcts.2023.072","DOIUrl":"10.1510/mmcts.2023.072","url":null,"abstract":"<p><p>The current gold standard for the treatment of Pancoast tumours is considered to be neoadjuvant chemoradiation followed by radical resection of the affected upper lobe en bloc with resection of the chest wall. Shaw and Paulson first described the most commonly used approach in 1961 via an extended posterolateral thoracotomy. However, because this approach comes with significant soft tissue damage and occasionally provides only suboptimal exposure, especially for anterior superior sulcus tumours, other approaches have been published in recent years, including open anterior approaches (Dartevelle and Gruenenwald) in addition to rare case reports of minimally invasive assisted hybrid procedures. Because we routinely perform robotic anatomical lung resections as well as three-port robotic first rib resections for thoracic inlet/outlet syndrome in our department, combining both techniques with our accumulated experience seemed to be the next logical step. We describe step-by-step what is (to our knowledge) one of the first reported cases of a fully portal robotic-assisted Pancoast tumour resection consisting of a left upper lobe resection en bloc with the first rib after neoadjuvant chemoradiation therapy. This approach proved to be safe and allowed for excellent exposure, especially of the thoracic outlet.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134650467","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 robotic anterior (S3) segmentectomy of the left upper lobe. 机械前(S3)节段切除左上叶。
Hitoshi Igai, Kazuhito Nii, Mitsuhiro Kamiyoshihara
{"title":"A robotic anterior (S3) segmentectomy of the left upper lobe.","authors":"Hitoshi Igai, Kazuhito Nii, Mitsuhiro Kamiyoshihara","doi":"10.1510/mmcts.2023.084","DOIUrl":"10.1510/mmcts.2023.084","url":null,"abstract":"<p><p>A robotic approach might be more suitable for pulmonary segmentectomy than the conventional thoracoscopic approach, because the high-definition 3-dimensional surgical view and precise motion without tremor allow us to dissect pulmonary vessels and bronchi to the periphery. However, among several types of segmentectomies, the anterior segmentectomy (S3) of the left upper lobe may be one of the most difficult to achieve in the robotic approach because the dissected hilar region tends to be obstructed by the lung parenchyma in the \"looking-up\" view. We offer two technical tips to achieve robotic left S3 segmentectomy. The first is the proper retraction of the upper lobe using straw gauze, which allows us to get a good surgical view in the dissected hilar area where pulmonary vessels and bronchi are located. Second, when the intersegmental plane is divided by robotic staplers, the lung should be moved to the dividing line because the angulation of the inserted stapler is limited. Taking these two tips into consideration, we have successfully performed a robotic left S3 segmentectomy. We show the surgical steps of this procedure.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92157287","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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