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Multimedia Manual of Cardiothoracic Surgery: MMCTS

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https://www.readbyqxmd.com/read/29300077/repair-of-truncus-arteriosus-with-interrupted-aortic-arch-van-praagh-type-a4
#1
Karl Reyes, Mohsen Ahmed, Alan Brock, Mark Bleiweis
Truncus arteriosus is an extremely rare and complex form of congenital heart disease. Surgical strategies vary depending on anatomic subtype.  In this tutorial, we present our surgical technique for single stage repair of a truncus arteriosus with interrupted aortic arch (Van Praagh type A4).
December 12, 2017: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://www.readbyqxmd.com/read/29300075/the-anterior-approach-to-lymph-node-station-7
#2
Daniel Fudulu, Rakesh Krishnadas, Gianluca Casali
We describe a novel video-assisted thoracic surgery (VATS) anterior approach to lymph node station 7 after VATS left lower lobectomy.
December 12, 2017: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://www.readbyqxmd.com/read/29300070/skeletonized-internal-mammary-artery-harvest-with-diathermy-and-cold-dissection
#3
Andras Durko, Edris Mahtab, Jamie Romeo, Ad Bogers
This surgical tutorial demonstrates the technique of skeletonized internal mammary artery harvesting for coronary artery bypass grafting, using diathermy and cold dissection [1]. The procedure is performed on the left internal mammary artery, but is also applicable for harvesting the right internal mammary artery.
December 12, 2017: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://www.readbyqxmd.com/read/29300072/thoracoscopic-right-upper-lobectomy-after-an-initial-anatomic-pulmonary-resection-of-the-lower-lobe
#4
Hitoshi Igai, Mitsuhiro Kamiyoshihara, Natsuko Kawatani, Kimihiro Shimizu
It is challenging to redo an anatomical pulmonary resection on the ipsilateral side because of the adhesions or dense fissures caused by the initial anatomic pulmonary resection. Few reports describe surgical techniques for addressing these challenges, especially using a minimally invasive thoracoscopic approach instead of standard thoracotomy. Here, we demonstrate a thoracoscopic right upper lobectomy after an initial anatomic pulmonary resection of the right lower lobe and explain the nuances of performing it...
November 14, 2017: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://www.readbyqxmd.com/read/29300076/modified-carbodissection-a-new-technique-for-harvesting-the-internal-mammary-artery
#5
Shegu Gilbert, Devender Singh, M K Sivakumar
The modified carbodissection technique is a new technique for harvesting the internal mammary artery during coronary artery bypass graft surgery. It is performed using an improvised instrument that consists of an electrocautery device and a carbon dioxide blower/mister. It combines electrocautery dissection and continuous controlled gas blow dissection along with saline irrigation mist. Gas dissection causes vasodilation and maintains the artery in a dilated state during dissection. Saline flow reduces the amount of heat generated at the cautery site and prevents drying and desiccation of the tissues...
October 29, 2017: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://www.readbyqxmd.com/read/29300071/mitral-valve-annuloplasty
#6
Benedetto Del Forno, Alessandro Castiglioni, Alessandra Sala, Alberto Geretto, Andrea Giacomini, Paolo Denti, Michele De Bonis, Ottavio Alfieri
Mitral valve prosthetic ring annuloplasty represents a key milestone in the history of mitral valve repair, delivering restoration of annular shape and size. Increased leaflet coaptation, together with significant reduction in stress on sutures, has ensured predictability and immediate stability for valve repair, both of which were lacking with previous techniques. Long-term durability of repair seems to be positively affected by placement of an annuloplasty ring, and by following the well-established, standardized approach described in our tutorial, this procedure can be performed with a very low surgical risk...
October 6, 2017: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://www.readbyqxmd.com/read/29300073/heart-echinococcosis-current-problems-and-surgical-treatment
#7
Nikolay Travin, Yury Shevchenko
We present historical, epidemiological, and statistical data on heart echinococcosis (also known as hydatid disease) and concomitant lesions of different organs, as well as a demonstration of its surgical management. The diagnosis of heart echinococcosis is based on review and identification of the cyst and we evaluate the various common diagnostic methods. Surgical treatment of patients with heart echinococcosis may require cardiopulmonary bypass or may be an off-pump procedure depending on the location of the cysts...
September 26, 2017: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://www.readbyqxmd.com/read/29300074/the-ross-reimplantation-technique
#8
Adriaan Schneider, R J M Klautz, Mark Hazekamp
Pulmonary autograft replacement of a diseased aortic valve (the Ross procedure) is effective in children, where growth is essential, and in young patients for whom a biological solution is preferred. Long-term outcomes are generally good. However eventual autograft dilatation may necessitate reoperation. In order to diminish the risk of autograft dilatation, several 'wrapping' techniques have been developed. Here, we present our technique of choice: the reimplantation of the pulmonary autograft in a vascular tube graft, scalloping the sinuses of Valsalva...
September 25, 2017: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://www.readbyqxmd.com/read/28960052/a-safe-and-reproducible-method-to-correct-a-d-transposition-of-the-great-arteries-with-the-usual-type-a-coronary-artery-pattern
#9
René Prêtre, Tornike Sologashvili, Raymond Pfister, Anna Nowacka
The success of the arterial switch operation mostly depends on the proper relocation of the coronary arteries. This involves more than the simple suturing of the coronary cuff to the neo-aortic root, it also involves the preparation of the landing zone and the correct mobilisation of the primary coronary branches. In this tutorial, we present our technique for correction of a dextro-transposition of the great arteries with a normal, type A, coronary artery pattern.
September 11, 2017: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://www.readbyqxmd.com/read/28960049/new-ultrasonic-device-for-internal-thoracic-artery-harvesting
#10
Corrado Cavozza, Antonio Campanella, Andrea Audo
The internal thoracic artery skeletonization method typically involves careful dissection with electrocautery. However, skeletonization using harmonic technology is safer than the conventional method. Ultrasonic shears may be faster than traditional methods, and may optimize the quality of skeletonized grafts during harvesting, preserving their functional and structural conduit integrity, and facilitating harvesting of the bilateral internal thoracic artery. This tutorial shows in detail the skeletonization harvest technique, using Ethicon's harmonic shears (Ethicon Endo-Surgery©, CVD, Cincinnati, OH, USA) Our results, using this technique, showed no harvesting damage and excellent graft quality as evaluated intraoperatively...
August 10, 2017: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://www.readbyqxmd.com/read/28960051/upper-hemisternotomy
#11
Tristan Yan, Campbell Flynn
Minimally invasive approaches are increasingly used in cardiac surgical procedures. Common approaches include upper hemisternotomy and right anterolateral thoracotomy. The additional exposure gained from conventional sternotomy does not greatly improve the access to the aortic valve and proximal thoracic aorta. Minimal access approaches have an equivalent safety profile when compared to conventional sternotomy, and are associated with reduced post-operative pain, reduced transfusion requirement, reduced respiratory complications and shorter hospital stays...
August 4, 2017: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://www.readbyqxmd.com/read/28960050/redo-root-replacement-using-the-ross-in-valsalva-technique
#12
Shakil Farid, Saadallah Tamer, Laurent de Kerchove, Gebrine El Khoury
The Ross procedure is an alternative option for young and middle-aged patients needing aortic valve replacement. We present an interesting case where the patient had a preexisting aortic homograft that was implanted because of previous infective endocarditis with aortic root abscess. The patient presented with biological degeneration of the homograft with resultant severe stenosis as well as insufficiency. We performed a redo root surgery to replace the homograft with the Ross procedure by using the autograft inclusion into a vascular graft technique...
August 4, 2017: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://www.readbyqxmd.com/read/28556633/mitral-valve-repair-and-aortic-valve-replacement-with-sutureless-prosthesis-implantation-through-a-right-minithoracotomy
#13
Antonio Lio, Antonio Miceli, Matteo Ferrarini, Mattia Glauber
Little experience exists in minimally invasive treatment of double-valve disease. In this report, we present a minimally invasive approach for mitral and aortic valve disease through a minithoracotomy in the 3rd intercostal space with a sutureless aortic prosthesis implantation.
May 4, 2017: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://www.readbyqxmd.com/read/28556632/multi-vessel-small-thoracotomy-coronary-artery-bypass-using-in-situ-bilateral-internal-thoracic-arteries-and-right-gastroepiploic-artery
#14
Aliaksandr Ziankou, Youry Ostrovsky
We present an innovative method of minimally invasive total arterial revascularization on a beating heart, using in situ bilateral internal thoracic arteries and laparoscopically harvested in situ right gastroepiploic artery. The safety and feasibility of this technique have been established.
April 27, 2017: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://www.readbyqxmd.com/read/28556634/uniportal-vats-for-treatment-of-bullous-lung-disease
#15
Hussein Elkhayat, Mahmoud Sallam, Mohamed Farouk, Khaled Hussein, Emad Zarief
This tutorial shows the resection of a bulla by uniportal video assisted thoracoscopic surgery in bullous lung disease. This disease is a benign condition requiring treatment in cases of severe dyspnea, spontaneous secondary pneumothorax, repeated infection, hemoptysis, and an increase in bulla size. The uniportal VATS approach results in less pain, better cosmoses, and a quicker recovery for the patient.
April 26, 2017: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://www.readbyqxmd.com/read/28556631/transapical-approach-to-optimize-left-ventricular-resynchronization-in-patients-with-dilated-cardiomyopathy
#16
Imre Kassai, Alberto Pozzoli, Orsolya Friedrich, Zsuzsanna Kis, Tamas Szili-Torok, Elisabetta Lapenna, Stefano Benussi, Ottavio Alfieri
An alternative to coronary sinus implantation for a left ventricular pacing lead is frequently needed for cardiac resynchronization therapy. We have developed a transapical approach to implant an endocardial pacing lead that will reach the most delayed segment of the left ventricle. This method is easily combined with other transapical heart surgeries. After some technological improvement, our technique should offer easier access and better results than other currently available implantation methods.
April 26, 2017: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://www.readbyqxmd.com/read/28556630/posterior-wall-left-ventricular-aneurysm-repair
#17
Patrick Myers, Tornike Sologashvili, Philippe Meyer, Jean-Paul Vallée, Christoph Huber
Posterior wall aneurysms are a relatively rare form of left ventricular aneurysm that can sometimes involve the mitral valve. This tutorial illustrates the technical aspects of posterior wall left ventricular aneurysm repair.
April 26, 2017: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://www.readbyqxmd.com/read/28106966/pericardial-fat-flap-surgical-technique-for-infection-control-after-graft-replacement
#18
Yoshitsugu Nakamura, Yohei Kawatani, Yujiro Ito, Takaki Hori
Surgical treatment of mycotic aneurysm of the thoracic aorta is challenging because contamination from surrounding tissues may occur even after complete debridement with a prosthetic graft replacement of the aneurysm. This study describes the simple but very useful technique of using a pericardial fat flap to protect the prosthetic graft from reinfection.
January 18, 2017: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://www.readbyqxmd.com/read/28374983/a-new-technique-for-treatment-of-tracheal-stenosis
#19
Sandro Batzella, Gabriele Lucantoni, Giovanni Galluccio, Mario Santini, Umberto Caterino, Alfonso Reginelli, Alfonso Fiorelli
We show the use of a new endoscopic drill for the management of web-like tracheal stenosis. Our device creates radial holes within stenosis that facilitate the use of scissors for cutting the scar tissue and the subsequent mechanical dilatation.
January 17, 2017: Multimedia Manual of Cardiothoracic Surgery: MMCTS
https://www.readbyqxmd.com/read/28106972/endoscopic-hand-drill-for-management-of-tracheal-stenosis
#20
Sandro Batzella Sandro Batzella, Gabriele Lucantoni, Giovanni Galluccio, Mario Santini, Umberto Caterino Umberto Caterino, Alfonso Reginelli, Alfonso Fiorelli Alfonso Fiorelli
We propose the use of a new endoscopic drill for management of web-like tracheal stenosis. Our device allows creating radial holes within stenosis that facilitates the use of the scissors for cutting the  scar and the subsequent mechanical dilatation.
January 17, 2017: Multimedia Manual of Cardiothoracic Surgery: MMCTS
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