Aortic sinuses resection or external support to treat aortic root aneurysm?
Central picture legend: Tirone E. David, MDImage, table 3 (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - June 20, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Tirone E. David Tags: Commentary Source Type: research

Transsternal transpericardial bronchopleural fistula repair
Post-pneumonectomy bronchopleural fistula with empyema is a rare complication with devastating consequences that can occur at any time following pneumonectomy. Over the years multiple methods have been developed to treat this morbid condition. The most frequently utilized procedure to manage a bronchopleural fistula is a redo thoracotomy with fistula repair and muscular flap coverage. However, this necessitates operating in densely fibrotic tissue planes, does not allow thorough dissection of the fistula, and has a high rate of recurrence. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - June 20, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Walker Julliard, A. Sasha Krupnick Source Type: research

Transcervical pulmonary lobectomy
The transcervical technique of the uniportal Video-Assisted Thoracic Surgery (VATS) pulmonary lobectomy was described. The patient was a male with cT4N0M0 squamous cell carcinoma of the right upper lobe. The procedure consisted of two steps - the first one the Transcervical Extended Mediastinal Lymphadenectomy (TEMLA) with removal of mediastinal nodes bilaterally, which were intraoperatively studied with the use of the imprint cytology technique and revealed no metastatic nodes. The second part of the operation was the lobectomy, which was described in detail. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - June 18, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Marcin Zieli Ĺ„ski Tags: Thoracic Source Type: research

Introduction
Adequate pulmonary artery growth is of prime importance in patients with single ventricle. Patients with pulmonary atresia/severe pulmonic stenosis often have a torturous ductus arteriosus that creates an intrinsic stenosis in the central pulmonary artery where the ductus joins. Should the PA plasty for this ductus-related stenosis be performed at the first palliation? Due to the extremely small diameter of the pulmonary artery, i.e., less than 2 mm, it is technically difficult. Dr. Sakamoto introduces this sophisticated technique for resection of all ductal tissue, demonstrating excellent outcomes without need for reinter...
Source: Operative Techniques in Cardiac and Thoracic Surgery - May 31, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

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

FMii: Topics
(Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - May 31, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

FMiii: Table of Contents
(Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - May 31, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research

Transoral Stapling Technique for Zenker's Diverticulum
Zenker's diverticulum (ZD) is a rare disorder that has a reported annual incidence of about 2 cases per 100,000. It is a pulsion (false) diverticulum that develops in an area of natural anatomic weakness called Killian's triangle. This is located between the inferior pharyngeal constrictor and the cricopharyngeus muscles. The exact etiology and pathophysiology of ZD is not known. Cricopharyngeal discoordination, spasm, or hypertension have all been implicated as underlying mechanisms leading to herniation of the hypopharyngeal mucosa and submucosa and consequently the formation of a ZD. (Source: Operative Techniques in Car...
Source: Operative Techniques in Cardiac and Thoracic Surgery - May 20, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Ernest G. Chan, Nicholas Baker, James D. Luketich, Ryan M. Levy Source Type: research

Tran-Oral Stapler Zenker's Repair Technique
Zenker's diverticulum (ZD) is a rare disorder that has a reported annual incidence of about 2 cases per 100,000. It is a pulsion (false) diverticulum that develops in an area of natural anatomic weakness called Killian's triangle. This is located between the inferior pharyngeal constrictor and the cricopharyngeus muscles. The exact etiology and pathophysiology of ZD is not known. Cricopharyngeal discoordination, spasm or hypertension have all been implicated as underlying mechanisms leading to herniation of the hypopharyngeal mucosa and submucosa and consequently the formation of a ZD. (Source: Operative Techniques in Card...
Source: Operative Techniques in Cardiac and Thoracic Surgery - May 20, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Ernest G. Chan, Nicholas Baker, James D. Luketich, Ryan M. Levy Tags: Thoracic Source Type: research

Sustained Total All-Region (STAR) Perfusion for Norwood Reconstruction
INTRODUCTION (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - May 18, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Nicholas D. Andersen, Neel K. Prabhu, Joseph W. Turek Tags: Congenital Source Type: research

Transcervical repair of Cricopharyngeal (Zenker's) Diverticulum
Introduction (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - May 14, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Praveen Sridhar, Virginia R. Litle MD Source Type: research

Esophagogastric Anastomotic Techniques for Minimally Invasive and Robotic Ivor Lewis Operations
Minimally invasive esophagectomy (MIE) is an accepted approach to treating esophageal malignancy and is associated with excellent postoperative outcomes. Creation of the intrathoracic anastomosis with a minimally invasive approach remains one of the most critical and challenging steps of the operation. There is currently no consensus regarding the optimal technique for the esophagogastric anastomosis. Here we aimed to review the most commonly used esophagogastric anastomotic techniques for minimally invasive Ivor Lewis operations. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - May 12, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Raul Caso, Jon O. Wee Source Type: research

Ventricular Assist Device Implantation for Single Ventricle
This article aims to provide the key principles, which we believe are important to achieve favorable outcomes in this population. These include: simplification of the procedure, minimization of deleterious effect of a space-occupying VAD in the thorax, and modification of physiology to improve compatibility with VAD support. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - May 12, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Iki Adachi Tags: Congenital Source Type: research

Primary Central Pulmonary Artery Plasty for Ductal-Associated Pulmonary Artery Coarctation
Infants with functionally single ventricle (SV) who require a modified Blalock-Taussig shunt can have stenosis at the ductal insertion site on the pulmonary artery (PA), the so-called ductal-associated pulmonary artery coarctation (CoPA).We hypothesized that central PA plasty with resection of the ductal tissue on the PA during the first palliation would prevent CoPA and obtain well-balanced pulmonary artery for Fontan operation.We performed this strategy on 40 consecutive patients (from 1998 to 2012, Age 38.4 +/- 24.7day [17 neonates], BW 3.5 +/- 0.8 kg, heterotaxy n =27). (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - May 12, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Kisaburo Sakamoto Source Type: research

Introduction
In this issue, the authors describe options in the management of increasing challenges that present in congenital cardiac surgery. First, Dr. Pizzaro describes how to manage progressive aortic root dilation in patients post-Norwood operation. Little evidence and long-term outcomes exist to guide operative therapy for cardiac surgeons who often face this challenge in the setting of other acquired associated compromises in the functional aspect of the Norwood reconstruction. The constellation of such challenges impels one towards a definitive intervention. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - February 29, 2020 Category: Cardiovascular & Thoracic Surgery Source Type: research