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Letter to Editor “Samurai Cannulation for Acute Stanford Type-A Aortic Dissection”
We read with interest ‘Samurai Cannulation for Acute Stanford Type A Aortic Dissection’ by Kitamura and colleague (1) and congratulate them for performing this procedure in an impressive number of patients with excellent results. We also appreciate the artwork explaining the operating principles. The advantages of th is technique are rapid establishment of cardiopulmonary bypass, antegrade flow, and thus allowing the surgeon to address proximal pathology earlier. Once the desirable temperature is achieved, distal open anastomosis is done during circulatory arrest. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - April 4, 2024 Category: Cardiovascular & Thoracic Surgery Authors: Syed Shahabuddin, Shahid Ahmed Sami Tags: Adult - Letter to the Editor Source Type: research

Reply: “Samurai Cannulation for Acute Stanford Type-A Aortic Dissection”
To the Editor: (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - April 3, 2024 Category: Cardiovascular & Thoracic Surgery Authors: Tadashi Kitamura Tags: Adult - Reply to Letter to the Editor Source Type: research

Senning Procedure: Use of a 3D Printed, Silicone Moulded Model for Surgical Training
The atrial switch is a technically complex procedure that requires considerable judgement and appreciation of the 3-dimensional anatomy of the heart. It is now rarely performed other than as part of the double-switch procedures for congenitally corrected transposition (ccTGA). Silicone moulded models based on 3D printed hearts are the latest, and most realistic simulation models for practicing and training in congenital heart surgery – and the atrial switch is an ideal substrate since the procedure is difficult to teach and rarely performed. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - March 31, 2024 Category: Cardiovascular & Thoracic Surgery Authors: David J. Barron, Ankavipar Saprungruang, Shi-Joon Yoo Tags: Congenital Source Type: research

Commentary: To BE or NOT to be – that is the conundrum !
Drs Jose and Luciana Da Silva are to be congratulated on another milestone in the evolution in the surgical management of the neonate and infant with Ebstein's Anomaly (EA) (1). Even though some form of “biventricular repair” was the most frequent surgical performed on neonates in a recent publication (2), the surgical mortality was still around 30% except in isolated institutions including ours (3,4), whereas the Starnes’ single ventricle palliation was a simpler, more easily replicable proc edure associated with better early mortality of 10-15% (5), even though the 1 year mortality is still reportedly around 37%. (...
Source: Operative Techniques in Cardiac and Thoracic Surgery - March 21, 2024 Category: Cardiovascular & Thoracic Surgery Authors: Christopher J Knott-Craig Tags: Congenital - Commentary Source Type: research

Fully Magnetically Levitated Durable Biventricular Assist Device Insertion
Durable mechanical circulatory support options for patients with biventricular failure are limited. One emerging strategy is the use of two fully magnetically levitated durable ventricular assist devices (HeartMate 3s) in a biventricular configuration. The use of a HeartMate 3 as a right ventricular assist device (RVAD) requires several complex technical modifications. Here, we provide step-wise detailed figures and a comprehensive description of bilateral HeartMate 3 insertion, with a particular focus on right atrial inflow cannulation for the RVAD. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - March 7, 2024 Category: Cardiovascular & Thoracic Surgery Authors: Luke A. Ziegler, Nicholas R. Hess, David J. Kaczorowski Tags: Adult Source Type: research

Recent Articles in AATS Journals
(Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - March 5, 2024 Category: Cardiovascular & Thoracic Surgery Source Type: research

Introduction to Spring 2024
ECPELLA or ECMELLA is increasingly utilized. The combination offsets the drawback of each device, and yet, it may amplify the complications. A “Y chimney graft” in the axillary artery, described by Dr. Sareyyupoglu et al., allows access simultaneous access for both Impella insertion and VA-ECMO arterial limb. More innovative approaches, such as the one described by Dr. Sareyyupoglu, are welcome. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - March 1, 2024 Category: Cardiovascular & Thoracic Surgery Source Type: research

Editorial Board
(Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - March 1, 2024 Category: Cardiovascular & Thoracic Surgery Source Type: research

Table of Contents
(Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - March 1, 2024 Category: Cardiovascular & Thoracic Surgery Source Type: research

Modified Starnes procedure with patch occlusion of the main pulmonary artery and other technical modifications to facilitate subsequent biventricular repair of Ebstein anomaly.
The Starnes procedure, introduced in 1991, has been a valuable advancement in the surgical treatment of critically ill neonates with Ebstein's anomaly (EA). However, it used to be followed by the single ventricle pathway, which presents long-term outcome limitations. In 2019, this management concept was modified by taking down the Starnes procedure and performing the Cone repair of the tricuspid valve, which resulted in a biventricular reconstruction. This approach rehabilitates the right ventricle, likely improving the patients' long-term outcomes. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - February 21, 2024 Category: Cardiovascular & Thoracic Surgery Authors: Rodrigo Freire Bezerra, Jose Pedro da Silva, Luciana da Fonseca da Silva Tags: Congenital Source Type: research

Implantation Technique for the Aeson Total Artificial Heart
The emergence of durable and effective Mechanical Circulatory Support (MCS) devices over the past 30 years has provided the promise of improved survival and quality of life which now almost matches that of heart transplantation, in the short term (1-3). However, even with the current third generation continuous flow left ventricular assist devices (LVAD), widespread adoption is constrained by the rates of adverse events, including hemocompatibility related complications, infection, right heart failure, and the need for repeated hospital admissions (4). (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - February 13, 2024 Category: Cardiovascular & Thoracic Surgery Authors: Andr é Vincentelli, Yuriy Pya, Ivan Netuka, Assad Haneya, Jan Schmitto, Michel Kindo, Peter Wearden, Piet Jansen, Christian Latremouille Source Type: research

Commentary: I'd Love to Agree with You, but Then We Would Both Be Wrong
Central Message (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - February 12, 2024 Category: Cardiovascular & Thoracic Surgery Authors: Ronald K. Woods Tags: Congenital - Commentary Source Type: research

Commentary: The Value Of Great Tools And Strategy
We read with great interest the recent article by Overbey and colleagues.1 Norwood operation is the palliative procedure for patients with hypoplastic left heart syndrome and its variants. Unfortunately, regardless of the improvement of the surgical technique and strategy, patients still face considerable morbidity and mortality. It is well known that, in part, the mortality and morbidity are associated with prolonged periods of myocardial and lower body ischemia, when total all-regional perfusion strategy is not applied, particularly, in patients who had associated intracardiac or extracardiac anomalies that require conco...
Source: Operative Techniques in Cardiac and Thoracic Surgery - February 10, 2024 Category: Cardiovascular & Thoracic Surgery Authors: Igor E. Konstantinov Tags: Congenital - Commentary Source Type: research

Commentary: The value of great tools and strategy.
We read with great interest the recent article by Overbey and colleagues1. Norwood operation is the only palliative procedure for patients with hypoplastic left heart syndrome and its variants. Unfortunately, regardless of Fig. 1 the improvement of the surgical technique and strategy, patients still face considerable morbidity and mortality. It is well known that part of the mortality and morbidity is associated with prolonged periods of myocardial, and lower body ischemia, when total all-regional perfusion strategy is not applied, particularly, in patients who had associated intracardiac or extracardiac anomalies that req...
Source: Operative Techniques in Cardiac and Thoracic Surgery - February 10, 2024 Category: Cardiovascular & Thoracic Surgery Authors: Igor E. Konstantinov, Bosco Moscoso Source Type: research

Per Oral Endoscopic Myotomy: Technique and Tricks for Challenging Anatomy
This article describes the series of steps along with tips and suggested solutions to performing a POEM in patients with achalasia. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - January 1, 2024 Category: Cardiovascular & Thoracic Surgery Authors: Brian E. Louie Tags: Thoracic Source Type: research