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Commentary: multiple arterial grafting for coronary artery bypass surgery: choosing the right conduits for the right vessels for the right patients
CENTRAL MESSAGE: Multiple arterial grafting may optimize outcomes when the right conduits are used for the right vessels in the right patients. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - April 24, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Harold L. Lazar Tags: Adult - Commentary ACD Source Type: research

Commentary: Pearls in Plain Sight for the Taking
Central Message: Mini-thoracotomy is an underutilized minimally invasive mitral valve surgery approach and a first step toward even less invasive robotic techniques; it has patient benefit and should be easily taught. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - April 24, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Kyle W. Prochno, T. Sloane Guy Tags: Adult - Commentary Source Type: research

Commentary: The Adjustable Bridge – Definitely a Useful Technique; However
I am grateful to the authors and commend them for sharing their technique of adjustable annular bridge for patients with single-ventricle (SV) hearts and atrioventricular valve regurgitation (AVVR).1 They have provided clear technical detail and excellent illustrations and video. No one questions the significance of AVVR in these patients, its significant impact on prognosis, and the difficulty in achieving durable, excellent valve competence. Likewise, we acknowledge the numerous technical repair tools at our disposal and that frequently we use most, if not all, of them in any given case (side to side, cleft or scallop cl...
Source: Operative Techniques in Cardiac and Thoracic Surgery - April 21, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Ronald K. Woods Tags: Congenital - Commentary Source Type: research

Commentary: Technology and Technique
For acute type A aortic dissection (aTAAD), total arch replacement (TAR) with frozen elephant trunk (FET) is controversial outside of the indications of tear involvemeent or significant aneurysm of the arch. While some single-center studies have suggested that TAR imposes no additional mortality to aTAAD repair,1-2 data from clinical registries,3 meta-analyses4,5, and the Society of Thoracic Surgeons (STS) database6 have shown significantly higher mortality rates with TAR than with hemiarch repair. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - April 20, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Dawn S. Hui Tags: Adult - Commentary Source Type: research

Pulmonary Endarterectomy: A Stepwise Approach
Chronic thromboembolic pulmonary hypertension (CTEPH) is an underdiagnosed complication of acute pulmonary embolism that is potentially curable with pulmonary thromboendarterectomy (PTE). Proper patient selection within the scope of a multidisciplinary team and detailed preoperative imaging is essential for successful outcomes. The operation itself is technically demanding and requires complete, bilateral endarterectomy down to the subsegmental branches on cardiopulmonary bypass with brief periods of deep hypothermic circulatory arrest. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - April 19, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Anthony L. Zaki, Haytham Elgharably, Michael Tong Tags: ACD Source Type: research

Rapid two-stage Norwood procedure using an auto-pericardial patch fixed with an arch-shaped mold
While the classical one-stage Norwood procedure is still performed, there are several types of “hybrid” procedures for the management of hypoplastic left heart syndrome. These hybrid approaches consist of bilateral pulmonary artery banding (BPAB) with ductal stenting or prostaglandin infusion as the first-stage palliation, followed by a second-stage Norwood procedure or comprehensive stag e II procedure. Since 2012, we have adopted a rapid two-stage Norwood procedure as a routine strategy, where BPAB is performed within 5 days of age with balloon atrial septectomy, if needed, before the development of hemodynamic insta...
Source: Operative Techniques in Cardiac and Thoracic Surgery - April 18, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Hajime Sakurai, Toshimichi Nonaka, Takahisa Sakurai, Hideyuki Okawa Tags: Congenital Source Type: research

Repair of Common Atrioventricular Valve in Univentricular Circulation Using Adjustable Annular Bridging Technique
The main reason for common atrioventricular valve regurgitation is the enlargement of the valve annulus contralaterally to the aorta and pulmonary artery. Edge-to-edge repair can be used to address the regurgitation; however, there might be potential disadvantage that a fixed bridging leaflet could have a restrictive motion, leading to recurrence of atrioventricular valve regurgitation. To avoid this issue and address the anteroposterior dilatation of the annulus, we have developed an adjustable annular bridging technique. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - April 6, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Shingo Kasahara, Yasuhiro Kotani Tags: Congenital Source Type: research

Repair of common atrio-ventricular valve in univentricular circulation using adjustable annular bridging technique
The main reason for common atrioventricular valve (CAVV) regurgitation is the enlargement of the valve annulus contralaterally to the aorta and pulmonary artery. Edge-to-edge (ETE) repair can be used to address the regurgitation; however, there might be potential disadvantage that a fixed bridging leaflet could have a restrictive motion, leading to recurrence of AVV regurgitation. To avoid this issue and address the anteroposterior dilatation of the annulus, we have developed an adjustable annular bridging technique. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - April 6, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Shingo Kasahara, Yasuhiro Kotani 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 21, 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 - March 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 - March 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 - March 1, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Introduction for Volume 27 Issue 1
The use of transcatheter aortic valve replacement (TAVR) has grown exponentially in a short period of time. This has resulted in a small, but increased need to explant these prostheses due to endocarditis, paravalvular leaks, and structural valve degeneration. Explantation of a TAVR prosthesis is more complex than removing a surgically implanted bioprosthesis and has been associated with increased morbidity and mortality. In this edition of Operative Techniques in Thoracic and Cardiovascular Surgery, Dr Reardon and colleagues review their techniques for the explantation of a Sapien and Evolut TAVR prosthesis. (Source: Oper...
Source: Operative Techniques in Cardiac and Thoracic Surgery - March 1, 2022 Category: Cardiovascular & Thoracic Surgery Source Type: research

Transcatheter Edge to Edge Mitral Valve Repair (MitraClip) Step by Step Guide
Surgical mitral valve repair has been the gold standard treatment for severe degenerative mitral regurgitation. However, a segment of patient population is considered too high risk for surgery because of their age and/or comorbidities.Catheter-based interventions have been developed during the last decade to address mitral regurgitation in high surgical risk patients. MitraClip System (Abbott Vascular, Santa Clara, CA, USA) is FDA approved in high risk patients with primary or secondary mitral regurgitation who meet certain criteria. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - February 27, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Farhang Yazdchi, Gilbert H.L. Tang, Tom C. Nguyen, Tsuyoshi Kaneko Tags: Adult Source Type: research

Autograft stabilization for the Ross procedure in children
We present a series of techniques for autograft stabilization which can be used at different stages of development, from infants to fully grown adolescents. (Source: Operative Techniques in Cardiac and Thoracic Surgery)
Source: Operative Techniques in Cardiac and Thoracic Surgery - February 16, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Edward Buratto, Peter D. Skillington, Igor E. Konstantinov Source Type: research