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Totally endoscopic micro-invasive aortic valve replacement. 全内窥镜微创主动脉瓣置换术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-03-26 DOI: 10.1510/mmcts.2023.094
Farhad Bakhtiary, Saad Salamate, Ali El-Sayed Ahmad
{"title":"Totally endoscopic micro-invasive aortic valve replacement.","authors":"Farhad Bakhtiary, Saad Salamate, Ali El-Sayed Ahmad","doi":"10.1510/mmcts.2023.094","DOIUrl":"10.1510/mmcts.2023.094","url":null,"abstract":"<p><p>Micro-invasive totally endoscopic aortic valve replacement surgery is a minimally invasive cardiac procedure that can be performed with the help of several techniques and technologies that employ the latest innovations in instrumentation and technological advances in the field, thereby greatly limiting the overall invasiveness of the procedure. With the help of a 3-dimensional camera, long instruments, a very small thoracotomy and a soft-tissue retractor without any rib retractor, the aortic valve can be easily and safely accessed for replacement. The other main features of these techniques are extracorporeal circulation that is achieved through peripheral percutaneous cannulation of the femoral vessels, antegrade cardioplegia, the use of automated devices for suturing the valvular ring and the prosthetic suture cuff, namely the RAM device, the Sew-Easy device and the Cor-Knot Mini device. Additionally, an automated vascular closure device such as the MANTA device is later used to close the femoral artery following decannulation.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140289642","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
Correction of absent pulmonary valve syndrome using hilum-to-hilum internal pulmonary artery plication plasty. 用腔至腔肺动脉内成形术矫正缺失肺动脉瓣综合征。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-03-26 DOI: 10.1510/mmcts.2023.078
Fabian A Kari, Sebastian Michel, Jürgen Hörer
{"title":"Correction of absent pulmonary valve syndrome using hilum-to-hilum internal pulmonary artery plication plasty.","authors":"Fabian A Kari, Sebastian Michel, Jürgen Hörer","doi":"10.1510/mmcts.2023.078","DOIUrl":"10.1510/mmcts.2023.078","url":null,"abstract":"<p><p>A 12-month-old girl (8.4 kg) with absent pulmonary valve syndrome and enlarged bilateral pulmonary arteries underwent trans-tricuspid ventricular septal defect closure, placement of a right ventricular-to-pulmonary artery conduit and hilum-to-hilum internal pulmonary artery plication plasty.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140289609","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
Chest wall resection with robotic-assisted thoracoscopic surgery for a Pancoast tumour: a case report. 用机器人辅助胸腔镜手术切除胸壁上的潘科斯特肿瘤：病例报告。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-03-25 DOI: 10.1510/mmcts.2023.063
Tarisai Mandishona, Nicole Asemota, Obadah Alqudah, Haisam Saad, Joanna Fuentes-Warr, Lydia Rhodes, Vasileios Kouritas
{"title":"Chest wall resection with robotic-assisted thoracoscopic surgery for a Pancoast tumour: a case report.","authors":"Tarisai Mandishona, Nicole Asemota, Obadah Alqudah, Haisam Saad, Joanna Fuentes-Warr, Lydia Rhodes, Vasileios Kouritas","doi":"10.1510/mmcts.2023.063","DOIUrl":"10.1510/mmcts.2023.063","url":null,"abstract":"<p><p>We describe a rare procedure involving near-total robotic-assisted thoracoscopic surgery resection of a right posterior Pancoast tumour. Four ports and an assistant port were used. The DaVinci X system was used. The lobectomy was performed first to allow for adequate exposure to the apex and spine. The lateral aspect of ribs 1 to 4 was resected next, and the extrathoracic space was entered. Dissection proceeded through this space superiorly up to the level of the scapula and then posteriorly towards the spine. The second to the fifth ribs were dissected off the chest wall and resected medially off the spine at the rib heads. Further postero-superior exploration revealed the tumour to be invading the transverse process of the second rib, with ill-defined margins. Because of this development, and with the support of the spinal surgeons, a small high posterior thoracotomy was performed to complete the procedure and remove the specimen en bloc. The postoperative recovery was uneventful, and the patient was discharged on post-operative day 5. The final histological report confirmed a squamous non-small-cell lung cancer (pT3N0M0) with negative margins (R0). Asymptomatic recurrence was noted near the margin of the second rib resection posteriorly 1 year postoperatively and was successfully treated with radiotherapy.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140208230","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
Striving for physiologic coaptation: An experimental and innovative approach towards designing and implanting aortic neo-leaflets. 努力实现生理性贴合：设计和植入主动脉新叶的实验和创新方法。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-02-27 DOI: 10.1510/mmcts.2024.004
Mehar Bijral, Mannat Rana, Ignacio Guillermo Berra, Georgi Christov, Nikolaos Charokopos, Zsolt Lorant Prodan, Martin Kostolny, Georgios Belitsis
{"title":"Striving for physiologic coaptation: An experimental and innovative approach towards designing and implanting aortic neo-leaflets.","authors":"Mehar Bijral, Mannat Rana, Ignacio Guillermo Berra, Georgi Christov, Nikolaos Charokopos, Zsolt Lorant Prodan, Martin Kostolny, Georgios Belitsis","doi":"10.1510/mmcts.2024.004","DOIUrl":"10.1510/mmcts.2024.004","url":null,"abstract":"<p><p>Aortic valve repair has emerged as the treatment of choice for congenital aortic valvular disease, avoiding the need for a reoperation associated with stented prosthesis overgrowth. The introduction of a leaflet implant represents a recent advancement in a field that originated early techniques, such as simple commissurotomies. In our experimental approach, we assessed two established leaflet-sizing techniques by analysing their resultant coaptation areas. Although both techniques produced competent valves, the large coaptation areas differed significantly from the native aortic valve. This observation prompted us to revisit the functional anatomy of the aortic valve, our goal being to refine leaflet design and implantation for enhanced efficacy and longevity in neo-leaflet procedures. We designed a novel aortic valvar neo-leaflet, utilizing porcine pericardium as our primary source material, and we implanted four tri-leaflet valves in four porcine hearts. All tri-leaflet valves were competent and closely resembled the coaptation area of the native aortic valve. This study serves as a pilot for further experimental aortic valve repair surgery using neo-leaflet implants.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139974548","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 treatment of a giant right coronary aneurysm. 右冠状动脉巨大动脉瘤的手术治疗。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-02-20 DOI: 10.1510/mmcts.2023.099
Kinsing Ko, Vincent Kroeze, Robin H Heijmen, Michel Verkroost, Tim Smith
{"title":"Surgical treatment of a giant right coronary aneurysm.","authors":"Kinsing Ko, Vincent Kroeze, Robin H Heijmen, Michel Verkroost, Tim Smith","doi":"10.1510/mmcts.2023.099","DOIUrl":"10.1510/mmcts.2023.099","url":null,"abstract":"<p><p>This case report is a step-by-step description of the surgical treatment of a giant right coronary aneurysm with a maximum diameter of 80 mm in a 57-year-old male.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139906880","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-assisted minimally invasive multivessel coronary bypass surgery. 机器人辅助微创多血管冠状动脉搭桥手术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-02-16 DOI: 10.1510/mmcts.2023.105
Gökhan Arslanhan, Zeynep Sıla Özcan, Sahin Senay, Muharrem Kocyigit, Cem Alhan
{"title":"Robotic-assisted minimally invasive multivessel coronary bypass surgery.","authors":"Gökhan Arslanhan, Zeynep Sıla Özcan, Sahin Senay, Muharrem Kocyigit, Cem Alhan","doi":"10.1510/mmcts.2023.105","DOIUrl":"10.1510/mmcts.2023.105","url":null,"abstract":"<p><p>Robotic-assisted minimally invasive multiple vessel coronary bypass surgery is safe and can be performed with excellent results. In this video tutorial, we present our technique for robotic-assisted minimally invasive multivessel coronary artery bypass grafting, with complete coronary revascularization via a left anterior thoracotomy and guided by preoperative computed tomography.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139900894","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-assisted thoracic surgery: left upper lobe sleeve lobectomy for an endobronchial tumour. 机器人辅助胸腔手术：左上叶袖状肺叶切除术治疗支气管内肿瘤。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-02-06 DOI: 10.1510/mmcts.2023.079
Abiah Jacob, Steven Aleksandar Stamenkovic
{"title":"Robotic-assisted thoracic surgery: left upper lobe sleeve lobectomy for an endobronchial tumour.","authors":"Abiah Jacob, Steven Aleksandar Stamenkovic","doi":"10.1510/mmcts.2023.079","DOIUrl":"10.1510/mmcts.2023.079","url":null,"abstract":"<p><p>Pulmonary sleeve resection is a technically challenging procedure entailing expertise to perform via a minimally invasive approach. Robotic thoracic surgery with its three-dimensional high-definition imaging and true depth perception enables clarity of anatomical structures and, in conjunction with its articulated instruments, provides greater dexterity compared with video-assisted thoracoscopic surgery, allowing complex manoeuvres in limited spaces. We present the case of a 22-year-old woman who presented with recurrent chest infections, dyspnoea on exertion, cough, loss of appetite and weight loss. On investigation, she was diagnosed with an endobronchial neuroendocrine tumour. She underwent a robotic-assisted left upper lobe sleeve lobectomy and mediastinal lymph node dissection. The patient made a good recovery with no perioperative or postoperative complications. This case serves as an educational tool and includes instructions for excellent results.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139693537","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
Venovenous extracorporeal membrane oxygenation neck cannulation in an infant. 一名婴儿的静脉体外膜肺氧合颈部插管。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-01-31 DOI: 10.1510/mmcts.2023.095
Yuriy Stukov, Zasha Vazquez-Colon, Susana C Cruz-Beltran, Mark Bleiweis, Jeffrey P Jacobs, Giles J Peek
{"title":"Venovenous extracorporeal membrane oxygenation neck cannulation in an infant.","authors":"Yuriy Stukov, Zasha Vazquez-Colon, Susana C Cruz-Beltran, Mark Bleiweis, Jeffrey P Jacobs, Giles J Peek","doi":"10.1510/mmcts.2023.095","DOIUrl":"10.1510/mmcts.2023.095","url":null,"abstract":"<p><p>In this video tutorial, we present neck cannulation for venovenous extracorporeal membrane oxygenation using a crescent right atrial double lumen cannula in a 4-kg baby.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139652131","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
Usefulness of free subcutaneous fat pads for refractory secondary pneumothorax due to lung cancer. 游离皮下脂肪垫对肺癌引起的难治性继发性气胸的治疗作用。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-01-29 DOI: 10.1510/mmcts.2023.085
Shunichi Saito, Mikihiro Kohno, Shinkichi Takamori, Naoko Miura, Tomoyoshi Takenaka, Tomoharu Yoshizumi
{"title":"Usefulness of free subcutaneous fat pads for refractory secondary pneumothorax due to lung cancer.","authors":"Shunichi Saito, Mikihiro Kohno, Shinkichi Takamori, Naoko Miura, Tomoyoshi Takenaka, Tomoharu Yoshizumi","doi":"10.1510/mmcts.2023.085","DOIUrl":"10.1510/mmcts.2023.085","url":null,"abstract":"<p><p>Surgical treatment for a pneumothorax involves resection of the pulmonary pleural fistula, and closure of the fistula or coverage of the fistula using pericardial fat pads or an intercostal muscle flap. In some cases, however, these treatments are difficult because of thickened pleura or dense pleural adhesions in the thoracic cavity. We report two cases of refractory secondary pneumothorax due to lung cancer that were successfully treated using free subcutaneous fat pads to cover the pulmonary pleural fistulas. Both patients had advanced lung cancer, and each developed a pneumothorax after chemotherapy or the administration of osimertinib. Each had a prolonged air leak despite chest tube drainage. We harvested a free subcutaneous fat pad around the thoracotomy site and sutured it to cover the fistula. After the operation, the air leak disappeared immediately, and the chest tube was removed from each patient on postoperative day 2. Computed tomography at 2 or 4 months postoperatively demonstrated that the free subcutaneous fat pads were still present with no sign of pneumothorax. Application of free subcutaneous fat pads to cover a persistent pulmonary pleural fistula is useful for the treatment of secondary pneumothorax due to lung cancer.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139572110","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 successful cardiac transplant in a patient with situs inversus totalis and congenitally corrected transposition of the great arteries. 成功为一名患有坐位性全瘫和先天性大动脉转位的患者进行了心脏移植手术。
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-01-26 DOI: 10.1510/mmcts.2023.107
Sebastian Johannes Bauer, Hug Aubin, Raphael Bruno, Moritz Benjamin Immohr, Yukiharu Sugimura, Arash Mehdiani, Payam Akhyari, Udo Boeken, Artur Lichtenberg
{"title":"A successful cardiac transplant in a patient with situs inversus totalis and congenitally corrected transposition of the great arteries.","authors":"Sebastian Johannes Bauer, Hug Aubin, Raphael Bruno, Moritz Benjamin Immohr, Yukiharu Sugimura, Arash Mehdiani, Payam Akhyari, Udo Boeken, Artur Lichtenberg","doi":"10.1510/mmcts.2023.107","DOIUrl":"10.1510/mmcts.2023.107","url":null,"abstract":"<p><p>A heart transplant is the gold standard therapy for patients with end-stage heart failure. In this case report, situs inversus totalis and congenitally corrected transposition of the great arteries led to a unique and complex preoperative setting. Extended donor organ harvesting, donor graft rotation of 45° to the right and post-operative stenting of the superior vena cava were essential steps in the interdisciplinary management of this case. The patient was transferred to the intensive care unit with moderate inotropic support. He was discharged to rehabilitation on postoperative day 89 and eventually underwent an additional renal transplant 14 months after the cardiac transplant.</p>","PeriodicalId":53474,"journal":{"name":"Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery","volume":"2024 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139565371","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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