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.

Truncal valve repair in neonates and infants
Truncal valve insufficiency is one of the most important factors influencing the outcomes of truncus arteriosus repair. Approximately one-quarter of patients with truncus arteriosus have truncal valve insufficiency.Children with a quadricuspid truncal valve are more likely to have moderate or greater truncal valve insufficiency. Furthermore, most children with moderate or greater insufficiency will likely require truncal valve surgery at some stage during their lifetime. However, truncal valve repair is often not durable and likely requires reoperation. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - November 4, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Phillip S. Naimo, Igor E. Konstantinov, Edward Buratto Source Type: research

Techniques for Mitral Valve Re-repair
In this report we explore the mechanisms of mitral valve repair failure as well as factors that meaningfully influence the likelihood of a successful re-repair. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - October 23, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Ryan A Moore, A Marc. Gillinov, Daniel JP Burns, Gosta B Pettersson, Per Wierup Tags: Congenital Source Type: research

Extensive Hilum to Hilum Pulmonary Artery Plasty in Stage II Palliation of Hypoplastic Left Heart Syndrome
It is crucial to have an adequate-size unobstructed branch pulmonary artery architecture to achieve an ideal cavopulmonary circulation. Branch pulmonary artery distortion, stenosis, or hypoplasia is a common problem following the stage I Norwood procedure for infants with hypoplastic left heart syndrome regardless of the shunt type. This technical review describes the surgical principle and techniques of the extensive hilum to hilum branch pulmonary artery reconstruction at the time of stage II palliation, bidirectional cavopulmonary shunt in infants with hypoplastic left heart syndrome. (Source: Operative Techniques in Ca...
Source: Operative Techniques in Cardiac and Thoracic Surgery - October 4, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Osami Honjo, Shuhua Luo Source Type: research

Arch Repair Technique (Pulmonary Artery Trunk Saving) in the Norwood Procedure
The classic first stage of the Norwood procedure uses a homograft patch enlargement to obtain an unobstructed aorta and coronary arteries due to insufficient native tissue to reconstruct a neo aorta. However, there are some possible disadvantages of the homograft, such as lack of growth, degeneration, calcification, and unavailability. The pulmonary artery trunk saving (PATS) technique was developed as a no-patch technique to minimize patch augmentation during the reconstruction of the neo aorta in the Norwood procedure. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - September 19, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Takeshi Konuma, Hideto Shimpo Tags: Congenital Source Type: research

Aortic valve repair in neonates
Congenital aortic stenosis ranges from newborns with critical obstruction at valvar level and shock to less symptomatic neonates with gradual development of symptoms of heart failure. A team-based approach may provide the best results. Echocardiography gives essential information about the aortic valve, left sided heart structures and associated lesions. Decision making between biventricular repair and single ventricle palliation is complex. In the case of borderline left ventricular size and function the hybrid procedure should be considered, allowing patients to recover and ‘declare themselves’ as one- or two-ventric...
Source: Operative Techniques in Cardiac and Thoracic Surgery - September 12, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Viktor Hraska Source Type: research

How to Reconstruct Neo-Aortic Arch Without Patch at Norwood-Sano Procedure
The Norwood procedure consists of a complex reconstruction resulting in: (1) unobstructed systemic outflow from the right ventricle to neo-aorta, (2) creation of large atrial septal defect and (3) a controlled source of pulmonary blood flow (PBF) from the systemic circulation. The Sano modification provides the source of PBF from the right ventricle. Both procedures have advantages and disadvantages, therefore, there have been many debates regarding which procedure is better as a first stage palliation. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - September 11, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Shunji Sano, Peter C. Kouretas, Yasuyuki Kobayashi, Yasuhiro Kotani, Shingo Kasahara Tags: Congenital Source Type: research

Endoscopic Mucosal Resection
Endoscopic mucosal resection (EMR) is an effective diagnostic and potentially therapeutic treatment of dysplastic Barrett's esophagus and early intramucosal esophageal carcinoma. Appropriate patient selection for therapeutic resection can follow a diagnostic endoscopic resection, and liberal use of EMR is encouraged to gain insight into the metastatic potential of any early esophageal tumor that appears amenable to EMR. EMR is a low-risk procedure; multidisciplinary groups should considered it a vital component of the staging algorithm for esophageal cancer. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - September 1, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Wayne Hofstetter Tags: Thoracic Source Type: research

Editorial Board
(Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - August 31, 2020 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 - August 31, 2020 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 - August 31, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Left ventricular re-training in transposition: an evolution in concepts
Left ventricular (LV) re-training is utilized for patients with D-transposition of the great arteries (D-TGA) who have undergone a previous atrial switch and develop right ventricular failure and a select subset of patients with congenitally corrected transposition (CC-TGA). We have evaluated our experience with LV re-training in both D- and CC-TGA in a series of publications over the past 6 years. The purpose of this paper is to summarize the evolution in concepts that have occurred with regard to LV re-training. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - August 15, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Richard D. Mainwaring, William L. Patrick, Frank L. Hanley Tags: Congenital Source Type: research

En bloc combined heart and liver transplantation for end-stage heart failure
Combined heart-liver transplant (CHLTx) remains the only option for long-term survival in patients with end-stage heart and hepatic failure. To date, there are a limited number of transplant centers in the United States that have conducted a CHLTx. Between July of 2009 and December 2019, our group has performed the largest series (N=20) of en bloc CHLTx to date. En block combined heart-liver transplantation offers both grafts the opportunity to minimize dysfunction with shorter ischemic time compared to sequential heart-liver transplant. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - August 12, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Teimour Nasirov, Yasuhiro Shudo, Waldo Concepcion, Katsuhide Maeda Source Type: research

Introduction
How to best manage myocardial, cerebral, and lower body perfusion in Norwood operation remains controversial. Cardiopulmonary bypass strategies vary widely in clinical practice among surgeons and institutions. Some surgeons prefer circulatory arrest under deep hypothermia, which provides an excellent surgical field without any interference from blood. Others like unilateral cerebral perfusion with lower body ischemia under moderate hypothermia so that you can at least protect the brain. In this issue of OpTechs, Dr. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - July 22, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Ms. Beatrice Mendez Source Type: research

Commentary: Transcervical Pulmonary Lobectomy
In his paper “Transcervical Pulmonary Lobectomy”, Marcin Zieliński describes the details of his technique for complete lobectomy and bilateral lymphadenectomy for a patient with a clinical T4N2M0 but pathologic T4N0M0 7.5 cm squamous cell carcinoma of the right upper lobe, done completely through a 6 cm col lar incision in the neck. He is able to obtain adequate visualization of the surgical field with the help of a special retractor, a Zakopane II frame. He starts his operation with a bilateral transcervical mediastinal lymphadenectomy (TEMLA) with intraoperative node analysis, then subsequently takes the pulmonary v...
Source: Operative Techniques in Cardiac and Thoracic Surgery - July 11, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Sean Jordan, Sai Yendamuri Tags: Thoracic - Commentary Source Type: research

Video-Assisted Mediastinoscopic Lymphadenectomy (VAMLA): Recipe and Cooking Secrets (A Tutorial)
Being a central part in the book of thoracic oncology, correct diagnosis and precise staging of lung cancer is of fundamental interest. As the lung-cancer chapter turned out being more kind of a recipe book of therapeutic possibilities, the list of diagnostic ingredients is not negligible: the various spices consists of different anatomic and metabolic imaging techniques as well as of endoscopies and minimally invasive surgical procedures. Indeed, these staging techniques should be performed well seasoned i.e. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - June 22, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Martin Huertgen, Jan Tripsky, Marc Hartert Source Type: research