FMi: Editorial Board
(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

FMii: Topics
(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

FMiii: Table of Contents
(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

Bioprosthetic Pulmonary Valve Replacement
An increasing number of patients will require pulmonary valve replacement following repair of tetralogy of Fallot. Most of these patients have a history of surgical repair with a transannular patch (i.e., pulmonary valve not preserved). Ten to twenty years after the initial repair, severe pulmonary regurgitation results in right ventricular dilation and dysfunction. There are multiple prosthetic valve options and techniques to use when performing pulmonary valve replacements. Herein, we describe our technique of bioprosthetic pulmonary valve replacement. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - January 22, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Yasuhiro Kotani, Shingo Kasahara Tags: Congenital Source Type: research

Valve-Sparing Neoaortic Root Replacement Post Norwood
Progressive aortic root dilatation following palliation for hypoplastic left heart syndrome has become increasingly recognized and constitutes a significant issue with potential morbidity. Although little is known about the natural history and the optimal management strategy, currently the indications and optimal timing for surgical intervention are undefined and largely due to significant associated issues, most commonly important semilunar valve regurgitation and/or compromise of the Fontan circulation due to central pulmonary artery obstruction secondary to extrinsic compression by the aneurysm. (Source: Operative Techn...
Source: Operative Techniques in Cardiac and Thoracic Surgery - December 16, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Christian Pizarro Tags: Congenital Source Type: research

Valve-sparing neo-aortic root replacement post Norwood
Progressive aortic root dilatation following palliation for hypoplastic left heart syndrome (HLHS) has become increasingly recognized and constitutes a significant issue with potential morbidity. Although little is known about the natural history and the optimal management strategy, currently the indications and optimal timing for surgical intervention are undefined and largely due to significant associated issues, most commonly important semilunar valve regurgitation and/or compromise of the Fontan circulation due to central pulmonary artery obstruction secondary to extrinsic compression by the aneurysm. (Source: Operativ...
Source: Operative Techniques in Cardiac and Thoracic Surgery - December 16, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Christian Pizarro Tags: Congenital Source Type: research

Introduction
Injection drug use-related infective endocarditis hospitalizations have markedly increased over the past decade. Right-sided infective endocarditis is strongly associated with intravenous drug use, and 90% of right-sided endocarditis involves the tricuspid valve. There has been an increase in the need for surgical therapy for tricuspid valve endocarditis. In this issue of Operative Techniques, Brescia and associates discuss the indications for tricuspid valve surgery for endocarditis and provide detailed description of techniques for tricuspid valve leaflet repair and augmentation. (Source: Operative Techniques in Cardiac ...
Source: Operative Techniques in Cardiac and Thoracic Surgery - November 30, 2019 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 - November 30, 2019 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 - November 30, 2019 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 - November 30, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

A Stepwise Approach for Postlobectomy Bronchopleural Fistula
Although rare, bronchopleural fistula (BPF) following anatomic lung resection is a serious complication associated with high rates of mortality (25%-71%). Risk factors for BPF include surgical approach, neoadjuvant therapy, diabetes mellitus, and chronic obstructive pulmonary disease. As neoadjuvant treatment is increasingly being administered to patients with locally advanced lung cancer, and as more patients are being diagnosed with lung cancer at an older age —elderly patients present with a higher index of multiple comorbidities—the incidence of BPF among patients undergoing anatomic resection for lung cancer is ex...
Source: Operative Techniques in Cardiac and Thoracic Surgery - November 27, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Andrei Y. Gritsiuta, Takashi Eguchi, David R. Jones, Gaetano Rocco Tags: Thoracic Source Type: research

Benign Tracheal Esophageal Fistula
Benign acquired tracheoesophageal fistula (TEF) is a rare complication related to prolonged mechanical ventilation, esophageal and mediastinal surgeries, chest trauma, or infection. TEF should be suspected in ventilated patients with persistent air leak, recurrent pneumonias, or those with persistent cough immediately following swallowing (Ono sign). Once identified, the only definitive solution for TEF is surgical correction. In preparation for surgical repair, most opt to wean patients from the ventilator and place a percutaneous gastrostomy tube for diversion. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - November 24, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Taylor Elser, Allison Frederick, Edward Penn, William Bolton, James Stephenson, Sharon Ben-Or Tags: Thoracic Source Type: research

Pectoralis Muscle Flaps for Mediastinal Reconstruction
Post-sternotomy mediastinitis (PSM) from deep sternal wound infection (DSWI) is an infrequent but devastating complication of open-heart surgery. Historically, mortality has been reported as high as 50%. Early detection and aggressive surgical management has significantly improved outcomes. Removal of hardware and generous debridement of all necrotic tissue often results in large midline defects. In this article we describe using the pectoralis major for mediastinal reconstruction.The pectoralis major muscle is primarily fed by the internal mammary artery (IMA) and thoracoacromial artery. (Source: Operative Techniques in C...
Source: Operative Techniques in Cardiac and Thoracic Surgery - November 24, 2019 Category: Cardiovascular & Thoracic Surgery Authors: S. Nicole Rochester, William Lorenz, William Bolton, James Stephenson, Sharon Ben-Or Tags: Thoracic Source Type: research

Tricuspid Valve Leaflet Repair and Augmentation for Infective Endocarditis
Intravenous drug use has increased substantially over the past decade, with heroin abuse more than doubling. Injection drug use-related infective endocarditis hospitalizations have similarly increased over the same period. Right-sided infective endocarditis is strongly associated with intravenous drug use, and 90% of right-sided endocarditis involves the tricuspid valve. During the period of the opioid epidemic, tricuspid-related endocarditis rates have increased, while the incidence of surgery for tricuspid endocarditis has increased as much as five-fold. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - October 24, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Alexander A. Brescia, Tessa M.F. Watt, Aaron M. Williams, Matthew A. Romano, Steven F. Bolling, Michigan Mitral Research Group (MMRG) Tags: Adult Source Type: research

Chimney technique for aortic arch repair in the Norwood operation
Aortic arch repair is an important technical element in the Norwood operation for hypoplastic left heart syndrome that could adversely affect long-term results. Therefore, there are many controversies surrounding this procedure. We developed an alternative chimney technique for aortic arch repair without any supplemental materials. Both pulmonary branch orifices were resected en bloc from the posterior wall of the pulmonary trunk. The pulmonary defect was closed by longitudinal direct anastomosis. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - October 22, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Masaaki Yamagishi Source Type: research