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Commentary: The Expanding Norwood Tool Kit —You Decide
We commend the authors for their well-done manuscript describing a technique for aortic arch reconstruction in the Norwood procedure.1 The paper is well-written and the video animations are a helpful supplement to the description. Four decades of the Norwood procedure have produced a variety of techniques to (1) create a durably patent arch that accommodates the pulmonary artery and bronchus and (2) establish a patent non-distorted source of blood flow to the native aortic root, most typically with a Damus Kaye Stansel (DKS). (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - October 26, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Tracy R. Geoffrion, Ronald K. Woods Tags: Congenital - Commentary Source Type: research

Commentary: The Expanding Norwood Tool Kit – You Decide
We commend the authors for their well-done manuscript describing a technique for aortic arch reconstruction in the Norwood procedure.1 The paper is well-written and the video animations are a helpful supplement to the description. Four decades of the Norwood procedure have produced a variety of techniques to 1) create a durably patent arch that accommodates the pulmonary artery and bronchus and 2) establish a patent non-distorted source of blood flow to the native aortic root, most typically with a Damus Kaye Stansel (DKS). (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - October 26, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Tracy R. Geoffrion, Ronald K. Woods Tags: Congenital - Commentary Source Type: research

Valved Conduit for Norwood-Sano Procedure
We describe our technique in the present report. The VS technique is well codified and highly reproducible. Pre-Glenn echocardiograms showed competent conduit valves in two-thirds of the VS patients (n  = 16/25, 66.7%). (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - October 1, 2023 Category: Cardiovascular & Thoracic Surgery Authors: David Kalfa, Edward Buratto, Andrew Goldstone, Emile Bacha Tags: Congenital Source Type: research

Valved conduit for Norwood-Sano procedure.
We describe our technique in the present report. The VS technique is well codified and highly reproducible. Pre-Glenn echocardiograms showed competent conduit valves in two-thirds of the VS patients (n  = 16/25, 66.7%). (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - October 1, 2023 Category: Cardiovascular & Thoracic Surgery Authors: David Kalfa, Edward Buratto, Andrew Goldstone, Emile Bacha Tags: Congenital Source Type: research

Recent Articles in AATS Journals
(Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - September 20, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Aortic Arch Reconstruction in the Norwood Procedure: The “Reimplantation” Technique
Arch reconstruction as part of the Norwood Procedure is a challenging 3-dimensional task that has to combine the aortic and pulmonary roots in a Damus-Kaye-Stansel anastomosis and also reconstruct the hypoplastic aortic arch, usually with concomitant coarctation. Compression or torsion of the aortic root can compromise coronary blood flow, especially in the setting of a diminutive native aortic root. This technique focuses on maximum augmentation of the aortic root with separate implantation of the pulmonary root into the reconstructed aortic arch – this maintains the natural spatial relationship of the aortic and pulmon...
Source: Operative Techniques in Cardiac and Thoracic Surgery - September 16, 2023 Category: Cardiovascular & Thoracic Surgery Authors: David J Barron, Abeeshan Selvabaskaran, Shi-Joon Yoo, Kok Hooi Yap, William J Brawn Tags: Congenital Source Type: research

Aortic Arch Reconstruction in the Norwood Procedure: the ‘Reimplantation’ Technique
Arch reconstruction as part of the Norwood Procedure is a challenging three-dimensional task that has to combine the aortic and pulmonary roots in a Damus-Kaye-Stansel anastomosis and also reconstruct the hypoplastic aortic arch, usually with concomitant coarctation. Compression or torsion of the aortic root can compromise coronary blood flow, especially in the setting of a diminutive native aortic root. This technique focuses on maximum augmentation of the aortic root with separate implantation of the pulmonary root into the reconstructed aortic arch – this maintains the natural spatial relationship of the aortic and pu...
Source: Operative Techniques in Cardiac and Thoracic Surgery - September 16, 2023 Category: Cardiovascular & Thoracic Surgery Authors: David J Barron, Abeeshan Selvabaskaran, Kok Hooi Yap, William James Brawn Tags: Congenital Source Type: research

Commentary: Should We Adopt the Way of the Samurai?
In the current issue of the Journal, Kiatmura and colleagues describe a single-center experience with “Samurai Cannulation” for acute Type A aortic dissection (ATAAD).1 In first hearing this technique, one is struck by a wave of terror at the imagined blood bath that must accompany such a maneuver. However, with more careful examination, it seems that they may be onto something. This technique, originally described in 1996 by Borst and colleagues, represents an evolution of cannulation techniques that offers another reasonable tool in the toolkit for surgical management of these tenuous patients. (Source: Operative Tec...
Source: Operative Techniques in Cardiac and Thoracic Surgery - September 15, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Jason P. Glotzbach Tags: Adult - Commentary Source Type: research

Introduction for Volume 28 Issue 3
One of the complications associated with femoral VA-ECMO happens in the cannulation site, which is groin. Groin wound could bleed, leak lymphatics, dehisce. Juvin-Bouvier, et al. describes use of a vascular closure device that may help reduce these “annoying” complications. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - September 1, 2023 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 - September 1, 2023 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 - September 1, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

Commentary: “Keep Your Eye on the Prize and Keep it Between the Lines.”
Nothing is more confusing and challenging to surgeons than surgically navigating the left ventricular chamber. Mitral and aortic valve procedures rarely require understanding intraventricular relationships and with rapid interventions for myocardial ischemia it is uncommon to need to repair left ventricular aneurysms or postinfarction septal defects. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - August 2, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Nicholas Smedira Tags: Adult - Commentary Source Type: research

Minimally Invasive Complex Segmentectomies of the Right Upper Lobe: Anterior segmentectomy, Apical Segmentectomy, and Posterior Segmentectomy
Anatomic segmentectomy becomes an actual therapeutic option for the thoracic surgeon on lung cancer treatment. Mostly applied for early-stage lung cancer resections, its applications go further passing from localized benign disease and metastatic lung lesions. Due to the anatomic complexity and the vascular anatomic variations of the segments, It is usually more technically challenging than a standard lobectomy. This complexity is noted mainly in single-segment resections where there is a need to treat more than one intersegmental plane. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - August 2, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Eserval Rocha J únior, Ricardo Mingarini Terra Source Type: research

Commentary: “Keep your eye on the prize and keep it between the lines.” Sturgill Simpson 2016 A Sailors Guide to Earth.
Nothing is more confusing and challenging to surgeons than surgically navigating the left ventricular chamber. Mitral and aortic valve procedures rarely require understanding intraventricular relationships and with rapid interventions for myocardial ischemia it is uncommon to need to repair left ventricular aneurysms or post- infarction septal defects. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - August 2, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Nicholas Smedira Tags: Adult - Commentary Source Type: research

Commentary: In strive to get rid of chronic venous hypertension; staged ventricular septation in double inlet ventricles
Fifty years have passed since the first Fontan operation was performed.1 This univentricular palliation has saved many lives with anatomically single ventricle. The pathophysiology will inevitably create chronic venous hypertension. This elevated venous pressure will lead to end organ damage such as liver, kidney, lung, bowels, and other humoral systems. Ample evidence is available that such pathophysiology would lead to higher risk heart transplantation due to end organ damage or the need for multiple organ transplantation. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - July 10, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Hani K Najm Tags: Congenital - Commentary Source Type: research