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Extended replacement of the aortic arch and descending aorta.
: Reporting our experience of total arch replacement through the left thoracotomy. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - June 12, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Yutaka Okita Tags: Adult Source Type: research

Commentary: Norwoodized Hybrid from Necker
The mortality associated with the Hypoplastic Left Heart Syndrome (HLHS) remains the highest among all congenital heart defects. One-year transplant-free survival for the conventional surgical palliation, the Norwood procedure, stagnates at around 70%1. The Hybrid palliation, offers a less invasive approach with bilateral pulmonary artery banding with/out subsequent stenting of the PDA, omitting the use of cardiopulmonary bypass (CPB) in the neonatal period. Although reserved for high-risk patients with multiple risk factors who are not deemed to undergo the Norwood procedure in most centers, the Hybrid approach yields exc...
Source: Operative Techniques in Cardiac and Thoracic Surgery - June 12, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Mahmut Ozturk, Aybala Tongut, Can Yerebakan Tags: Congenital - Commentary Source Type: research

The Technique of Bilateral Pulmonary Artery Banding in High-Risk Patients with Hypoplastic Left Heart Syndrome
This article illustrates the specific technical details of bilateral branch pulmonary artery banding (bPAB) for such high-risk patients. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - June 12, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Can Yerebakan, Aybala Tongut, Mahmut Ozturk, Nicolle M. Ceneri, Yves d'Udekem Source Type: research

Heart-lung transplantation
(HLT) frequency has decreased over the years due to the fact that most right-sided heart failure can recover without heart-lung transplantation. However, there is still a subset of the patient population suffering from end-stage cardiopulmonary disease who would benefit from combined heart-lung transplantation. The main indication for continues to be pulmonary hypertension due to idiopathic pulmonary arterial hypertension or secondary to congenital heart disease, accounting for 60% to 70% of heart-lung transplants during the past 3 decades. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - June 10, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Teimour Nasirov, Yasuhiro Shudo, JW MacArthur, Elisabeth Martin, Stefan Elde, Y. Joseph Woo, Michael Ma Tags: Congenital Source Type: research

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

Introduction for Volume 27 Issue 2
The Ross procedure has become the prosthesis of choice for aortic valve replacement in childhood and young adults. However, the pulmonary autograft is susceptible to dilatation due to progressive dilatation of the aortic root. In adults, stabilizing the autograft with either autologous tissue or a synthetic graft has been shown to decrease this potential short-coming of the Ross procedure. In this edition of Operative Techniques in Thoracic and Cardiovascular Surgery, Konstantinov et al describe a series of techniques by which the autograft can be stabilized in neonates, children, and young adults. (Source: Operative Techn...
Source: Operative Techniques in Cardiac and Thoracic Surgery - June 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 - May 25, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

The Modified Norwood Procedure at Necker Hospital: Stage I and II for Hypoplastic Left Heart Syndrome
We describe a modified Stage I neonatal surgical palliation for hypoplastic left heart syndrome (HLHS) inspired by both the Norwood and hybrid procedures. This new technique consists in: 1) replacement of the patent ductus arteriosus and aortic arch plasty with a pulmonary homograft, 2) banding of both the right and left pulmonary arteries (PA), 3) atrial septectomy and 4) reimplantation of the Aorta (when needed). This surgery is performed under cardio-pulmonary bypass (CPB) without aortic cross clamping, except when the ascending Aorta is atretic and needs to be reimplanted. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - May 9, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Margaux Pontailler, R égis Gaudin, Olivier Raisky Tags: Congenital Source Type: research

Commentary: Atrioventricular Valve Repair in Univentricular Hearts: No Longer a Bridge Too Far?
It is increasingly apparent that atrioventricular valve (AVV) failure is a major cause of mortality in patients with a Fontan circulation.1 Furthermore, patients with a common AVV are at the highest risk of AVV failure among those with a Fontan circulation.1-4 Atrioventricular valve repair is notoriously difficult in the setting of a common AVV, and failed repair is associated with very high mortality.3 One of the major contributing factors to AVV failure in these patients is the attenuated fibrous skeleton of the heart, which increases the risk of annular dilatation. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - May 8, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Edward Buratto, Igor E. Konstantinov Tags: Congenital - Commentary Source Type: research

Atrioventricular valve repair in univentricular hearts: no longer a bridge too far?
It is increasingly apparent that atrioventricular valve (AVV) failure is a major cause of mortality in patients with a Fontan circulation (1). Furthermore, patients with a common AVV are at the highest risk of AVV failure among those with a Fontan circulation (1-4). Atrioventricular valve repair is notoriously difficult in the setting of a common AVV, and failed repair is associated with very high mortality (3). One of the major contributing factors to AVV failure in these patients is the attenuated fibrous skeleton of the heart, which increases the risk of annular dilatation (5). (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - May 8, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Edward Buratto, Igor E. Konstantinov Source Type: research

Right-to-Left Inverted Living-Donor Lobar Lung Transplantation
In standard bilateral living-donor lobar lung transplantation (LDLLT), right and left lower lobes donated by 2 healthy donors are implanted into a recipient after right and left pneumonectomies. Because only 2 lobes are implanted, the grafts may be too small for an adult recipient. To overcome size mismatch, we have developed a technique of right-to-left inverted LDLLT based upon the fact that the right lower lobe is generally larger than the left lower lobe. In right-to-left inverted LDLLT, 2 donors donate their right lower lobes. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - May 6, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Hiroshi Date Tags: Thoracic Source Type: research

Operative Techniques in Thoracic and Cardiovascular Surgery: Right-to-left inverted living-donor lobar lung transplantation
In standard bilateral living-donor lobar lung transplantation (LDLLT), right and left lower lobes donated by two healthy donors are implanted into a recipient after right and left pneumonectomies. Because only two lobes are implanted, the grafts may be too small for an adult recipient. To overcome size mismatch, we have developed a technique of right-to-left inverted LDLLT based upon the fact that the right lower lobe is generally larger than the left lower lobe. In right-to-left inverted LDLLT, two donors donate their right lower lobes. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - May 6, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Hiroshi Date Tags: Thoracic Source Type: research

Video-Assisted Thoracic Surgery Technique for Chest Wall Resection
Chest wall resection is indicated in the management of operable primary chest wall tumors and lung cancers with chest wall invasion in carefully selected patients. Traditionally, chest wall resection has been performed via open thoracotomy, which is associated with significant postoperative pain and other associated morbidities. Furthermore, depending on the size and location of the resulting chest wall defect, chest wall reconstruction is warranted to maintain overall chest wall integrity, preserve inherent respiratory mechanics, and protect underlying intrathoracic structures. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - April 25, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Sameer A. Hirji, Aaron Dezube, William Phillips, S. Stafford Balderson, H. Volkan Kara, Thomas A. D'Amico Tags: Thoracic Source Type: research