Operative Techniques in Cardiac and Thoracic Surgery This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Personalized External Aortic Root Support (PEARS) for Aortic Root Aneurysm
The ExoVasc ® Personalised External Aortic Root Support (PEARS) is a bespoke microporous textile mesh jacket tailored precisely to the dimensions of the individual's aorta. It offers a novel alternative to conventional surgical management of thoracic aortic aneurysmal disease in adults and children (1). Precis e measurements of aortic dimensions from preoperative CT angiography are used with computer aided design technology to produce a 3D printed plastic model of the patient's aorta. A soft microporous bespoke mesh of medical grade polymer yarn is then shaped upon the mould (2). (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - June 21, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Louise A Kenny, Conal Austin, Tal Golesworthy C, Prem Venugopal, Nelson Alphonso Source Type: research

Repair of Para-conduit Hernia
Para-conduit herniation is a rare and challenging complication following esophagectomy. While many para-conduit hernias are noted incidentally on postoperative surveillance imaging, they can occasionally present with severe symptoms. We recommend surgical treatment in both symptomatic and asymptomatic patients. The majority of these hernias can be approached laparoscopically. For large defects, mesh is typically required to create a tension-free repair, but several other strategies may also be employed. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - June 15, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Ammara A. Watkins, Ryoko Hamaguchi, Michal S. Kent Source Type: research

Open Trans-Catheter Mitral Valve Replacement for Mitral Annular Calcification
Mitral valve replacement (MVR) in patients with severe mitral annular calcification (MAC) is a high-risk operation with historically poor outcomes. Percutaneous trans-catheter heart valve (THV) implantation is an alternative therapy to the traditional open surgical approach, but carries significant risks including severe paravalvular leak, left ventricular outflow obstruction, and embolization.1 To address this, alternative treatment modalities have emerged from the growing experience with THV. Here, we describe an open trans-atrial implantation of a balloon expandable THV. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - June 15, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Michael P D'Angelo, Michael Brener, Isaac George Source Type: research

Transcatheter Tricuspid Valve Replacement
New transcatheter technologies for the treatment of severe tricuspid insufficiency, in patients at high surgical risk, are demonstrating promising efficacy and a high safety profile. In certain conditions of advanced right failure, with significant tethering of the leaflets, repair techniques are not the ideal solution, reporting a fair rate of residual insufficiency. In this context, transcatheter tricuspid replacement could be a very attractive and effective solution. An accurate multimodality imaging analysis of the right function represents a sine qua non condition, in order to prevent fatal post-operative ventricular ...
Source: Operative Techniques in Cardiac and Thoracic Surgery - June 14, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Alberto Pozzoli, Maurizio Taramasso, Luca Vicentini, Mara Gavazzoni, Mizuki Miura, Giulio Russo, G ökhan Gülmez, Enrico Ferrari, Juri Sromicki, Jana Balkova, Malik Riva, Michel Zuber, Francesco Maisano Source Type: research

Personalized External Aortic Root Support (PEARS) for Neoaortic Valve Insufficiency After Arterial Switch Operation
This article aims to describe the key principles and operative steps for implanting the PEARS device around the dilated neoaortic root after the arterial switch operation. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - June 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Louise A Kenny, Conal Austin, Prem Venugopal, Nelson Alphonso Tags: Congenital Source Type: research

Personalized External Aortic Root Support (PEARS) for Neo-aortic Valve Insufficiency After Arterial Switch Operation
Historically neo-aortic root dilatation following the arterial switch operation (ASO) has been managed with aortic root replacement with either a mechanical aortic prosthesis or valve-sparing operations in select patients with a salvageable valve (1). Both procedures require cardiopulmonary bypass (CPB), cardioplegic arrest and reimplantation of the coronaries. Anticoagulation for a mechanical prosthesis imposes a lifelong risk of thromboembolic and bleeding events and is a burden on patient quality of life. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - June 13, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Louise A Kenny, Conal Austin, Prem Venugopal, Nelson Alphonso Source Type: research

The Externally-Supported Ross Procedure with Konno Aortoventriculoplasty
The Ross procedure remains the best aortic valve replacement option for children and young adults due to the superior hemodynamics, resistance to infection, durability and lack of thrombogenicity when compared to bioprostheses and mechanical valve options. In particular, avoiding anticoagulation in this patient population is especially advantageous. Modifications to the technique have been developed to ameliorate the most common problem following the Ross procedure: dilatation of the autograft with development of aortic regurgitation. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - June 11, 2021 Category: Cardiovascular & Thoracic Surgery Authors: James S Tweddell, Alan P O'Donnell Tags: Congenital Source Type: research

Manubrial Resection and Reconstruction with Iliac Wing Bone Autograft
The sternum has 3 component bones: manubrium, body, and xyphoid. The manubrium has 3 major functions. First, it provides stabilization of the shoulder joints. Second, it provides a hinge joint with the sternal body that allows movement during respiration. Finally, it provides the anchor for the sternocleidomastoid muscles and strap muscles for neck flexion. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - June 10, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Michael T. Jaklitsch, John E. Ready Source Type: research

Insertion of Impella 5.5 via the Axillary Artery Graft Under Fluoroscopic Guidance
The Impella 5.5 (Abiomed, Danvers, MA) is a percutaneous, continuous micro-axial left ventricular assist device. The Impella 5.5 provides systemic end-organ perfusion by moving blood from the left ventricle (LV) into the aorta, thereby unloading the ventricle. The pump has been approved by the United States Food and Drug Administration for short-term, LV support. The insertion of an Impella 5.0 or 5.5 device requires surgical and endovascular skillsets to properly expose the axillary artery, suture a graft in a chimney fashion, and ensure the endovascular delivery of the device over a wire across the aortic valve into the ...
Source: Operative Techniques in Cardiac and Thoracic Surgery - June 9, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Ismael A. Salas De Armas, Manish K. Patel, Jayeshkumar A. Patel, Mehmet H. Akay, Juan Marcano, Biswajit Kar, Igor D. Gregoric Tags: Adult Source Type: research

Insertion of impella ® 5.5 via the axillary artery graft under fluoroscopic guidance
The Impella ® 5.5 (Abiomed, Danvers, MA) is a percutaneous, continuous micro-axial left ventricular assist device. The Impella 5.5 provides systemic end-organ perfusion by moving blood from the LV into the aorta, thereby unloading the ventricle. The pump has been approved by the United States Food and Drug Adm inistration for short-term, left ventricular (LV) support. The insertion of an Impella 5.0 or 5.5 device requires surgical and endovascular skillsets to properly expose the axillary artery and suture of a graft in a chimney fashion, and endovascular delivery of the device over a wire across the aort ic valve into th...
Source: Operative Techniques in Cardiac and Thoracic Surgery - June 9, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Ismael A. Salas De Armas, Manish K. Patel, Jayeshkumar A. Patel, Mehmet H. Akay, Juan Marcano, Biswajit Kar, Igor D. Gregoric Source Type: research

Bioprosthetic Valve Fracture: A Practical Guide to Facilitate Valve-In-Valve TAVR
Valve-in-valve transcatheter aortic valve replacement (VIV TAVR) is increasingly utilized as an alternative to reoperation for patients with failed bioprosthetic surgical valves (BSVs) and is currently approved by the Food and Drug Administration for patients who are at high risk for reoperation.1,2 However, while the overall 1-year mortality following VIV TAVR in the Valve In Valve International Data (VIVID) Registry was 17%, a 25% 1-year mortality was observed in patients with small BSVs (labeled surgical valve size ≤ 21 mm). (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - June 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Keith B. Allen, Adnan K. Chhatriwalla, John T. Saxon, Janarthanan Sathananthan, Danny Dvir, Adam Greenbaum, Tom C. Nguyen, Brian Whisenant, John G. Webb Source Type: research

Introduction
In this issue of Operative Techniques, two cardiovascular procedures –“Aortic Valve Repair Using Geometric Ring Annuloplasty” and “The Ross Procedure”–are detailed by cardiac surgery pioneers in the field. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - June 1, 2021 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 - June 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 - June 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 - June 1, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research