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Corrigendum: Multi-arterial Coronary Grafting
The authors regret that in the article “Multi-arterial Coronary Grafting” by Rami Akhrass and Faisal G. Bakaeen in the Summer 2022 issue (27(2):126-146, 2022; https://doi.org/10.1053/j.optechstcvs.2021.09.001), Figures 2 and 10 included an error with the course of the right internal thoracic artery (RITA). The corrected figures are i ncluded on the next 2 pages. Figure 2 was used as the cover image for the issue. In both Figures 2 and 10, the RITA should be anterior to the superior vena cava and posterior to the pulmonary artery. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - November 4, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Rami Akhrass, Faisal G. Bakaeen Tags: Corrigendum Source Type: research

Valve Sparing Root Replacement in Bicuspid Aortic Valve Disease
A dysfunctional bicuspid aortic valve (BAV) with associated an aortic root aneurysm represents complex pathology with multiple options for surgical repair. Traditionally Bentall aortic root replacement has been the gold standard to ensure a properly functional valve and minimize the risk of recurrent root disease. Given the known disadvantages of prosthetic valve conduits with either a mechanical or bioprosthetic valve in these often young patients, there has recently been increasing interest and application of valve sparing operations in BAV patients with aortic root enlargement. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - October 10, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Parth M. Patel, Edward P. Chen Source Type: research

HeartWare HVAD exchange to HeartMate3: Principles, Techniques, and Pitfalls
This article describes two feasible approaches to exchange the HVAD to the HeartMate3 device through a combination of a left lateral thoracotomy with a superior hemi-sternotomy. These approaches minimize dissection and complications of a redo-sternotomy and minimizes bypass time. Pitfalls and solutions are also herein described. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - October 10, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Victoria H Lam, Aldo E Rafael-Yarihuaman, Dan M Meyer Tags: Adult Source Type: research

Commentary: Transplantation After Norwood Palliation: Proper Preparation Minimizes the Risk
As the population with a Fontan circulation continues to grow, there is an increasing rate of patients with Fontan failure being referred for heart transplantation.1 Importantly, there has been an increase in the proportion of patients with hypoplastic left heart syndrome surviving to achieve Fontan completion, and these patients represent the highest complexity for heart transplantation due to their aortic arch and pulmonary artery anatomy. The mortality rate for transplantation in patients with single ventricle palliation has been reported to be as high as 20-30%,2-4 and it is likely that many have been denied transplant...
Source: Operative Techniques in Cardiac and Thoracic Surgery - September 23, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Edward Buratto, Igor E. Konstantinov Tags: Congenital - Commentary Source Type: research

Commentary: Transplantation after Norwood palliation: proper preparation minimizes the risk.
As the population with a Fontan circulation continues to grow, there is an increasing rate of patients with Fontan failure being referred for heart transplantation (1). Importantly, there has been an increase in the proportion of patients with hypoplastic left heart syndrome surviving to achieve Fontan completion, and these patients represent the highest complexity for heart transplantation due to their aortic arch and pulmonary artery anatomy. The mortality rate for transplantation in patients with single ventricle palliation has been reported to be as high as 20 - 30% (2-4), and it is likely that many have been denied tr...
Source: Operative Techniques in Cardiac and Thoracic Surgery - September 23, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Edward Buratto, Igor E. Konstantinov Source Type: research

Commentary: Three techniques for providing “living” support of the autograft with the Ross operation in children to improve long-term outcome
Central Picture Legend: Pedro J. del Nido, MD (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - September 21, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Pedro J. del Nido Tags: Congenital - Commentary Source Type: research

Modified Branch-first Open Repair of Thoracoabdominal aortic aneurysm- A technical Description
The current conventional open TAAA repairs are performed by select centers around the world with good outcomes. However, lesser experienced centers often encounter difficulties in replicating similar results of open TAAA surgeries. The modified branch-first open repair of TAAA has shown to be effective in minimizing visceral and renal complications by providing continuous visceral blood flow throughout the procedure. By debranching the visceral vessels first, we can perform this complex aortic procedure in a more controlled manner as compared to the traditional clamp and sew technique which requires speed, precision and ex...
Source: Operative Techniques in Cardiac and Thoracic Surgery - September 2, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Dr Niranjan Hiremath, Dr Gopal Bhatnagar, Dr Khubaib Mapara, Dr Houssam Younes, Dr Woosup Michael Park Tags: Adult Source Type: research

Editorial Board
(Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - September 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 - September 1, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Recent Articles in AATS Journals
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Source: Operative Techniques in Cardiac and Thoracic Surgery - September 1, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Introduction for Volume 27 Issue 3
In this issue we have an excellent report by Malakh Shrestra and colleagues on total arch replacement with a 4 branched Frozen elephant trunk (FET) graft in acute Type I aortic dissection. This experience group in Hannover over the years have master this technique and, in this issue, we are very delighted to follow step by step their technique of total arch replacement with the FET technique. With their tips, the authors advocate that with the use of their technique, they provide continuous myocardial perfusion during complex arch surgery, allowing arch procedure in elderly and high-risk individuals. (Source: Operative Tec...
Source: Operative Techniques in Cardiac and Thoracic Surgery - September 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 - August 29, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Surgical unroofing of myocardial bridges
Myocardial bridging occurs when an epicardial coronary artery has an intramyocardial segment that is compressed during systole, and may result in decreased perfusion pressure during early diastole (Figure 1) (9). The prevalence has been reported from one to five percent from angiographic series, although the true prevalence is likely much higher due to asymptomatic variants, as evidenced by much higher rates of incidence in autopsy series (10,11). The literature suggests that myocardial bridges may be responsible for serious adverse events such as myocardial ischemia, acute coronary syndromes, left ventricular dysfunction,...
Source: Operative Techniques in Cardiac and Thoracic Surgery - August 19, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Perry Choi, Hanjay Wang, Jennifer Tremmel, Ingela Schnittger, Kan Saito, Michael Ma, Teimour Nasirov, Jack Boyd Tags: Congenital Source Type: research

The Ross and Ross-Konno Operation in Neonates and Infants
When replacement of the aortic valve in neonates and infants is required, the Ross-Konno procedure provides a high-quality left ventricular outflow with good mid-term durability. The procedural outcome is highly dependent on the pre-procedural condition of the neonate or infant. Most series contain substantial numbers of post-balloon valvotomy patients as emergent or urgent management of severe, acute regurgitation. In patients with compromised ventricular function, post-operative mechanical support may be required but is generally associated with a good outcome. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - August 8, 2022 Category: Cardiovascular & Thoracic Surgery Authors: David S Winlaw, Jason W. Greenberg, Alan P O'Donnell Tags: Congenital Source Type: research

Trans-right ventricular repair of postinfarction ventricular septal rupture: Extended sandwich patch technique
Postinfarction ventricular septal rupture (VSR) is rare but lethal if untreated. Since the first report of surgical repair in 1957 by Cooley et al [1], various repair techniques have been tried, but the surgical outcomes have generally been poor, particularly for patients with deteriorating condition and requiring surgical repair in the very acute period [2 –4], and for patients with posterior type VSR. Reasons for poor outcomes after surgical repair of VSR include preoperative cardiogenic shock, low output syndrome, bleeding from an LV incision and, frequently, shunt recurrence. (Source: Operative Techniques in Cardiac ...
Source: Operative Techniques in Cardiac and Thoracic Surgery - August 3, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Tohru Asai, Piers Vigers, Takeshi Kinoshita, Tomoaki Suzuki Tags: Adult Source Type: research