Role of Transapical Incision in the Surgical Management of Hypertrophic Cardiomyopathy
Transapical ventriculotomy is an important technique in the surgical management of hypertrophic cardiomyopathy (HCM). It is our preferred method for addressing complex long-segment subaortic obstruction and isolated midventricular HCM, as it provides better exposure of the midcavity than alternate methods such as the transaortic or transmitral approach. The procedure can also be used to improve symptoms of diastolic heart failure caused by reduced left ventricular end-diastolic volume as may occur in patients with apical HCM. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - May 9, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Hartzell V. Schaff, Fernando M. Juarez-Casso Tags: Adult Source Type: research

Technique of Valve-Sparing Repair with Skeletonization of the Pulmonary Annulus for Tetralogy of Fallot
Pulmonary valve dysfunction after tetralogy of Fallot (TOF) repair increases morbidity and mortality in the long term. Several pulmonary valve ‐sparing techniques have been introduced to prevent such adverse sequelae. In this article we describe our valve-sparing technique for TOF repair that primarily consists of skeletonization of the anterior part of the pulmonary annulus and gentle dilation to preserve the pulmonary valve and annulus function. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - May 6, 2023 Category: Cardiovascular & Thoracic Surgery Authors: R ıza Türköz, Abdullah Doğan 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 - March 12, 2023 Category: Cardiovascular & Thoracic Surgery Source Type: research

A technique for pulmonary artery reconstruction for ductal origin of the right pulmonary artery
We present a case of ductal origin of the right pulmonary artery highlighting the need for early detection and prompt intervention to reestablish perfusion to the lung. This approach allows for continued lung development and reduces the morbidity related to single lung physiology. The aim of this article is to describe a refinement in the operative technique used in the reconstruction of the ductal origin of the right pulmonary artery via creation of an interposition homograft roll for centralization. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - February 28, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Sujata Subramanian, Christine E Gough, Richard P Lion, Charles D Fraser Tags: Congenital Source Type: research

Commentary on Baylor's technique of aortic valve reimplantation
Doctors Preventza, Huu and Coselli described the technique they use to do reimplantation of the aortic valve to treat aortic root aneurysms.1 I will limit my comments to areas that I disagree with what was written in their manuscript. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - February 14, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Tirone David Tags: Adult - Commentary Source Type: research

Trans-Atrial Approach to the “Swiss-Cheese” Ventricular Septal Defects: Sandwich Technique
The closure of Swiss-cheese multiple ventricular septal defects remains a difficult technical challenge and it is associated with increased mortality. Recently, the felt sandwich technique has been widely used to close muscular ventricular septal defects because the technique is simple, safe, effective, and reproducible. This technique may be useful, especially in complex cases, because it does not require prolonged surgical time. However, the use of numerous felt patches may disturb the movement of interventricular septum and cause cardiac dysfunction in infants. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - January 21, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Naoki Yoshimura, Hironori Matsuhisa, Yoshihiro Oshima Tags: Congenital Source Type: research

Trans-atrial approach to the "Swiss-cheese" ventricular septal defects: Sandwich technique
The closure of Swiss-cheese multiple ventricular septal defects remains a difficult technical challenge and it is associated with increased mortality. Recently, the felt sandwich technique has been widely used to close muscular ventricular septal defects because the technique is simple, safe, effective, and reproducible. This technique may be useful, especially in complex cases, because it does not require prolonged surgical time. However, the use of numerous felt patches may disturb the movement of interventricular septum and cause cardiac dysfunction in infants. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - January 21, 2023 Category: Cardiovascular & Thoracic Surgery Authors: Naoki Yoshimura, Hironori Matsuhisa, Yoshihiro Oshima Tags: Congenital Source Type: research

Trans-ventricular approach to “Swiss-cheese” ventricular septal defects: septal exclusion technique.
“Swiss-cheese” type of multiple muscular ventricular septal defects (VSDs) are defined as 4 or more VSDs which are entirely surrounded by muscular borders (1). This is a particularly challenging condition for congenital surgeons, and as is often the case when no single technique provides optimal outcomes, a range of approaches have been described, including multiple direct suture closure via right atriotomy, septal obliteration via right atriotomy (2), double patch sandwich technique via biatrial approach (3, 4), use of percutaneous closure devices (5) and ventriculotomy approaches (3, 6). (Source: Operative Techniques...
Source: Operative Techniques in Cardiac and Thoracic Surgery - December 28, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Igor E. Konstantinov, Antonia Schulz, Edward Buratto Tags: Congenital Source Type: research

Bronchial Artery Revascularization: Surgical Technique
The lung transplant community has long ignored the importance of bronchial arterial blood supply. We review relevant history, published articles addressing post-transplant ischemia, and single-center reports of lung transplant with bronchial artery revascularization (BAR), followed by details of surgical technique. In our experience, although BAR requires cardiopulmonary bypass (CPB) and there is increased risk of bleeding, ischemic time was shorter and length of ICU and hospital stays were similar. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - December 24, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Shinya Unai, James Yun, G östa B. Pettersson Tags: Thoracic Source Type: research

Bronchial Artery Revascularization; Surgical Technique
The lung transplant community has long ignored the importance of bronchial arterial blood supply. We review relevant history, published articles addressing post-transplant ischemia, and single center reports of lung transplant with bronchial artery revascularization (BAR), followed by details of surgical technique. In our experience, although BAR requires cardiopulmonary bypass (CPB) and there is increased risk of bleeding, ischemic time was shorter and length of ICU and hospital stay was similar. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - December 24, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Shinya Unai, James Yun, Gosta B. Pettersson Tags: Thoracic Source Type: research

Straightforward Contemporary Step-by-Step Approach to Aortic Root Replacement With Valve-Sparing Tricuspid Aortic Valve Repair
Valve-sparing aortic root replacement (VSARR) has become an appealing choice for replacing an aneurysmal root when the patient's anatomic characteristics are favorable, especially in patients with heritable thoracic aortic disease. It is a technically challenging procedure, and the learning curve is considerable. This approach's chief advantages are that the patient's own aortic valve apparatus is preserved, the repair (in expert hands) is durable, and it avoids the need for lifelong anticoagulation associated with the mechanical valves in the aortic root prostheses. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - December 10, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Ourania Preventza, Alice Le Huu, Joseph S. Coselli Tags: Adult Source Type: research

Introduction for Volume 27 Issue 4
Ventricular septal defect, complicating acute myocardial infarction, remains one of the most challenging cases for surgeons. The patients are acutely ill, often in cardiogenic shock. Their myocardial tissue is fragile and does not hold sutures well. The mortality rate is high. A variety of surgical techniques have been developed with mixed results. Newer technologies, such as mechanical circulatory assist devices and septal occluders, provide novel strategies. In this issue, Asai et al. describes their experience of surgical repair of this difficult entity, in which the defect is repaired through a right ventriculotomy. (S...
Source: Operative Techniques in Cardiac and Thoracic Surgery - December 1, 2022 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 - December 1, 2022 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 - December 1, 2022 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 - December 1, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research