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Introduction for Volume 26 Issue 4
Recent studies have shown that when the radial artery (RA) is used as the second conduit for CABG instead of the saphenous vein, the RA results in higher graft patency and long-term survival. In this edition of Operative Techniques in Thoracic and Cardiovascular Surgery, Gaudino et al describe the preop evaluation, harvesting and anastomatic techniques for the use of the RA for CABG. The importance of appropriate patient and target vessel selection is also discussed to prevent early RA graft failure. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - December 1, 2021 Category: Cardiovascular & Thoracic Surgery Tags: Volume 26, Number 4 Winter 2021 Source Type: research

Editorial Board
(Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - December 1, 2021 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 - December 1, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Recent Articles in AATS Journals
(Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - December 1, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Right ventricular sinus myectomy to facilitate right ventricle growth
Pulmonary atresia with an intact ventricular septum (PAIVS) is a rare congenital cardiac disease with various structural abnormalities. For patients with moderate right ventricular (RV) hypoplasia for whom the decision has not been made between biventricular and single ventricular repair, if possible, the ideal treatment choice is biventricular repair, by promoting the growth of the underdeveloped RV.Since RV sinus myectomy has been proposed, various surgical strategies have been introduced to promote RV growth. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - November 12, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Sungkyu Cho, Jae Gun Kwak, Woong-Han Kim Tags: Congenital Source Type: research

Recent Articles in AATS Journals
(Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - November 7, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Lobar Lung Transplantation
Lobar lung transplantation is a technically complex surgery, yet is a good option for children and small-sized adults who may have longer waiting times. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - October 26, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Laura L. Donahoe, Marcelo Cypel Source Type: research

Uniportal video-assisted thoracoscopic right upper lobectomy
Minimally invasive surgery (MIS) is gradually becoming the standard of care for the surgical treatment of non small cell lung cancer (NSCLC). Compared with the multiple incision approach, including conventional multiportal video-assisted thoracoscopic surgery (mVATS) and multiportal robotic-assisted thoracoscopic surgery (mRATS), uniportal video-assisted thoracoscopic surgery (uVATS) offers a range of potential benefits such as straight target view from a sagittal plane, better lung exposure, ergonomic instrumentation, reduced postoperative pain, faster recovery, shorter length of hospital stay and earlier administration o...
Source: Operative Techniques in Cardiac and Thoracic Surgery - October 20, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Marina Paradela de la Morena, Diego Gonzalez-Rivas, Alejandro Garcia-Perez, Anna Minasyan, Marina Paradela de la Morena Tags: Thoracic Source Type: research

Commentary: Simple Designs Still Require Technical Precision
Central Figure Legend: Dennis A. Wells, MD; , David L.S. Morales, MD (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - October 2, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Dennis A. Wells, David L.S. Morales Source Type: research

Commentary: Sometimes, The Bench Players Are Your Most Valuable Players
Central message: Ascending aorta slide is safe and effective way to provide tension-free native tissue interrupted arch repair. As standard repair is feasible in majority of cases, its use should be very selective. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - October 2, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Bahaaldin Alsoufi Source Type: research

Commentary: Valve fracture: Great for Early Outcomes, But Only Time will Tell on Long-Term Results
Structural valve deterioration (SVD) is a known, long-term complication of surgical bioprosthetic aortic valve replacement and is anticipated to increase in frequency with disproportionally more tissue implants compared with mechanical prostheses. Surgical reoperation is associated with increased mortality, post-operative complications, and prolonged resource use.1 The advent of transcatheter aortic valve-in-valve (VIV) procedures has provided an alternative option for the management of surgical bioprosthetic SVD. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - October 2, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Jessica Forcillo, Vinod Thourani Source Type: research

Commentary: Isthmus Flapping – Another Tool in the Box for Coarctation
Isthmus flap plasty is suitable for a select group of patients without severe hypoplasia of the isthmus. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - September 28, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Ronald K. Woods Source Type: research

Commentary: Get in the Groove When Stuck Doing the Switch
Utilization of an atrioventricular groove approach standardizes RVOT exposure during complex arterial switch operations, improving surgeons ’ exposure, confidence, and likely outcomes. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - September 28, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Joseph R. Nellis, Nicholas D. Andersen, Joseph W. Turek Source Type: research

Surgical techniques for Removal and Replacement of Chronically Implanted TAVR prosthesis: Step by step
Transcatheter aortic valve replacement has substantially grown in volume over the years, and increasingly is being used in patients with longer life expectancy, including younger patients. With increasing implantation of transcatheter heart valves (THV) the need for explantation of these devices with replacement of the aortic valve will also go up. Bioprosthetic valve endocarditis, along with paravalvular leaks and structural valve degeneration will be the leading causes requiring THV explantation and redo. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - September 28, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Moritz C. Wyler von Ballmoos, M. Mujeeb Zubair, Michael J. Reardon Source Type: research