Operative Technique in Pulmonary Thromboendarterectomy
Chronic thromboembolic pulmonary hypertension (CTEPH) is a pulmonary vascular disease, which predominantly results from recurrent or incomplete resolution of pulmonary embolism.1 The thromboembolic material undergoes fibrotic transformation, causing mechanical obstruction of the pulmonary arteries.2 Such obstruction leads to increased pulmonary vascular resistance (PVR) and pulmonary vascular remodeling, which subsequently results in progressive pulmonary hypertension (PH) and right ventricular (RV) systolic failure. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - October 22, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Yan K. Gernhofer, Victor Pretorius Source Type: research

Frozen Elephant Trunk Procedure
Aortic arch pathology including aneurysm and dissection poses a significant technical challenge to operative repair, often requiring two-stage repair via sternotomy followed by left thoracotomy. The traditional elephant trunk procedure was developed to facilitate this two-stage approach. With wide adoption of thoracic endovascular aortic repair (TEVAR) emerged the “frozen elephant trunk” (FET) technique, which uses antegrade deployment of TEVAR endografts along with total arch replacement to accomplish a one-stage repair of complex aortic arch pathology. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - October 21, 2019 Category: Cardiovascular & Thoracic Surgery Authors: George J. Arnaoutakis, Tomas D. Martin, Thomas M. Beaver Source Type: research

Introduction
In the last decades, mortality and morbidity related to acute aortic type A dissection significantly decreased based on technological progression and improved patient care. Better awareness of this disease allows quicker diagnostic processes and referral to high volume centers able to deal with the most complicated cases. Consequently, surgeons are treating higher numbers of high-risk patients with attention to optimal management of the aortic arch and the descending thoracic aorta to reduce reinterventions and delayed aorta-related mortality. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - October 15, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Extracorporeal Cardiopulmonary Resuscitation (ECPR): Initiation and Surgical Technique in the Pediatric Population.
Surgical outcomes in the field of congenital heart surgery have dramatically improved over the last several decades. This success has led to sicker and more complex children presenting for major corrective surgery. Extracorporeal cardiopulmonary resuscitation (ECPR) in a form of mechanical circulatory support that has become an integral service of most congenital heart programs. The concept of ECPR is essentially the rapid and effective initiation of extracorporeal membrane oxygenation (ECMO), usually at the bedside and often on an infant who has just undergone repair of a complex congenital heart defect. (Source: Operativ...
Source: Operative Techniques in Cardiac and Thoracic Surgery - October 13, 2019 Category: Cardiovascular & Thoracic Surgery Authors: James D. St. Louis, Mark D. Plunkett Tags: Congenital Source Type: research

Venoarterial Extracorporeal Membrane Oxygenation Neck Cannulation: A Fixation Strategy Without Tourniquets
Extracorporeal corporeal membrane oxygenation has been used for circulatory and respiratory support in pediatric heart centers for over 40 years and, in the last 2 decades, this support has been extended into adult institutions. Pediatric heart centers should maintain a high level of expertise to manage this support modality. When initiating extracorporeal corporeal membrane oxygenation support, central and peripheral can be utilized. In adult patients, femoral vessels are commonly used for peripheral cannulation. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - September 29, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Michiaki Imamura, Christopher A. Caldarone Tags: Congenital Source Type: research