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Commentary: Branched Endograft Repair of Thoracoabdominal Aortic Aneurysm –Finally Ready for Prime Time
In June of 2012, I was asked to participate in a debate at the Joint Session of the Michael E. DeBakey International Surgical Society 19th Congress and the Denton A. Cooley Cardiovascular Surgical Society 18th Symposium in Austin, Texas on whether or not endovascular repair would be the best option for thoracoabdominal aortic aneurysm (TAAA) repair in 2020.1 I was tasked with the “pro” side of the debate and made a number of points, many of which still hold true today, including the high morbidity and mortality rate of open repair. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - April 12, 2021 Category: Cardiovascular & Thoracic Surgery Authors: G. Chad Hughes Tags: Adult - Commentary Source Type: research

Commentary: Branched endograft repair of thoracoabdominal aortic aneurysm – finally ready for prime time
In June of 2012, I was asked to participate in a debate at the Joint Session of the Michael E. DeBakey International Surgical Society 19th Congress and the Denton A. Cooley Cardiovascular Surgical Society 18th Symposium in Austin, Texas on whether or not endovascular repair would be the best option for thoracoabdominal aortic aneurysm (TAAA) repair in 2020 [1]. I was tasked with the “pro” side of the debate and made a number of points, many of which still hold true today, including the high morbidity and mortality rate of open repair [2]. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - April 12, 2021 Category: Cardiovascular & Thoracic Surgery Authors: G. Chad Hughes Tags: Adult - Commentary Source Type: research

Neo-aortic valve repair and Ross procedure after the arterial switch operation
Neo-aortic valve regurgitation is common in adolescents and young adults who have undergone the arterial switch operation in infancy. The incidence of significant neo-aortic valve regurgitation increases as these patients age. Neo-aortic valve repair and the Ross procedure are good surgical options in such patients. Herein we describe these surgical techniques. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - April 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Tyson A. Fricke, Igor E. Konstantinov, Edward Buratto, Christian P. Brizard Tags: Congenital Source Type: research

Transcarotid Transcatheter Aortic Valve Replacement
Central Message (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - April 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Maureen McKiernan, Kendra J. Grubb, Robert A. Guyton, Gaetano Paone Source Type: research

Infant En Bloc Lung Transplantation
Since the first pediatric lung transplant performed at the University of Toronto in 1987,1 significant progress has been made in the field, including refinements in surgical technique, advancements in immunosuppressive regimens, public policy and organ allocation strategies, donor selection and management, and the development of multidisciplinary and collaborative surgical and medical teams to provide optimized long-term care. Consequently, the success and survival outcomes with pediatric lung transplantation have continued to improve over the years. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - March 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: S. Randhawa, T. Lancaster, G. Carvajal Horacio, A. Abarbanell, P. Eghtesady, D.S. Nath Source Type: research

The Ross Procedure
The Ross procedure provides excellent long-term survival, hemodynamics, freedom from valve-related complications, and quality of life. However, its usage has decreased mainly because of concerns with technical complexity and long-term durability. In the last 2 decades, the factors associated with late failure after the Ross procedure have been clearly identified. As a result, the surgical technique has been modified in order to address these issues, specifically aiming at stabilizing the autograft root at its different levels: annulus, sinus of Valsalva, and sinotubular junction; as well as mitigating the risk of pulmonary...
Source: Operative Techniques in Cardiac and Thoracic Surgery - March 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Elbert E Williams, Ismail El-Hamamsy Tags: Adult Source Type: research

Surgical Treatment of Benign Cardiac Tumors
Myxoma and papillary fibroelastoma are the most common benign cardiac tumors accounting for the majority of the benign tumors a surgeon will see. (2) Myxomas occur most commonly in the left atrium but can occur in any cardiac chamber and represent over 50% of the benign tumors. Fibroelastomas are the second most common benign tumors and generally involve the cardiac valves but can occur within the chambers. Surgical resection is the appropriate approach for myxoma and most fibroelastomas and the surgical techniques needed have been well established. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - March 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Thomas E. MacGillivray, Michael J. Reardon Source Type: research

Technical Aspects of Radial Artery Grafting for Coronary Surgery
In this report we describe our operative technique for RA harvesting and use in CABG. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - March 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Mario Gaudino, N. Bryce Robinson Source Type: research

Ascending Aortic Slide for Interrupted Aortic Arch Repair
Interrupted aortic arch (IAA) often presents with a wide gap between the proximal and distal portions of the arch which challenge a tension-free anastomosis, potentially increasing the risk for residual or recurrent arch obstruction, and left main bronchial compression. When possible, to preserve potential for growth of the repair, native tissue-to-tissue reconstruction is always preferred. Accordingly, rather than forcing a direct anastomosis with native tissue under tension or needing an interposition graft, the ascending aortic slide is an alternative useful technique to repair interrupted aortic arch in neonates and in...
Source: Operative Techniques in Cardiac and Thoracic Surgery - March 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Ali Dodge-Khatami, David B. Meyer Tags: Congenital Source Type: research

Surgical Treatment of Cardiac and Pulmonary Sarcomas
Primary cardiac tumors have an autopsy incidence of between 0.02% and 0.04% or about 200 tumors per 1 million autopsies. (1) Approximately 75% of these neoplasms are benign and 25 % malignant. Primary cardiac sarcomas (PCS) make up over 75% of the primary malignant tumors. (2) The rarity of primary cardiac tumors has led to a minority of surgeons and even few institutions having substantial experience with their treatment.Surgical resection of primary cardiac sarcoma is the mainstay of therapy but is less well understood and far more difficult. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - March 8, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Thomas E. MacGillivray, Michael J. Reardon Tags: Adult Source Type: research

Branched endovascular aortic repair of thoracoabdominal aortic aneurysm using total percutaneous transfemoral approach
Fenestrated and branched endovascular aortic repair (FB-EVAR) has gained widespread acceptance as an alternative option to open surgical repair in patients with thoracoabdominal aortic aneurysms (TAAAs). Incorporation of the renal and mesenteric arteries is possible using fenestrations or directional branches, with either off the shelf or custom designs that are tailored to the patient anatomy. Fenestrations are ideally suited for target vessels that have origin in narrower aortic segments with transverse or upgoing orientation, whereas directional branches are preferentially selected to incorporate vessels with down-going...
Source: Operative Techniques in Cardiac and Thoracic Surgery - March 6, 2021 Category: Cardiovascular & Thoracic Surgery Authors: Giulianna B. Marcondes, Emanuel R. Tenorio, Guilherme B.B. Lima, Bernardo C. Mendes, Gustavo S. Oderich Source Type: research

Introduction
In this issue of OpTechs, two cardiovascular aortic procedures —“Repair of DeBakey Type I acute aortic dissection” and “Branched endovascular aortic repair of thoracoabdominal aortic aneurysm using total percutaneous transfemoral approach”—are detailed by pioneers in the field. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - March 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 - March 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 - March 1, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research