Pub Date : 2025-11-28DOI: 10.1053/j.optechstcvs.2025.11.001
{"title":"Introduction to Winter 2025","authors":"","doi":"10.1053/j.optechstcvs.2025.11.001","DOIUrl":"10.1053/j.optechstcvs.2025.11.001","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"30 4","pages":"Page 245"},"PeriodicalIF":0.0,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145610561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-28DOI: 10.1053/j.optechstcvs.2025.10.001
{"title":"Recent Articles in AATS Journals","authors":"","doi":"10.1053/j.optechstcvs.2025.10.001","DOIUrl":"10.1053/j.optechstcvs.2025.10.001","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"30 4","pages":"Pages e3-e5"},"PeriodicalIF":0.0,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145610252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-06DOI: 10.1053/j.optechstcvs.2025.08.003
Aroub Alkaaki MD, Daniela Molena MD
Endoluminal vacuum therapy is a promising minimally invasive technique that promotes the healing of anastomotic leaks after esophagectomy. It offers an effective alternative to major surgical intervention. However, its widespread use is limited by the need for multiple sponge exchanges and the lack of commercially available systems. This paper presents a practical approach to creating a customized endoluminal vacuum therapy system, with the aim of improving accessibility and patient care.
{"title":"Customized Endoluminal Vacuum Therapy for Anastomotic Leak After Esophagectomy","authors":"Aroub Alkaaki MD, Daniela Molena MD","doi":"10.1053/j.optechstcvs.2025.08.003","DOIUrl":"10.1053/j.optechstcvs.2025.08.003","url":null,"abstract":"<div><div>Endoluminal vacuum therapy is a promising minimally invasive technique that promotes the healing of anastomotic leaks after esophagectomy. It offers an effective alternative to major surgical intervention. However, its widespread use is limited by the need for multiple sponge exchanges and the lack of commercially available systems. This paper presents a practical approach to creating a customized endoluminal vacuum therapy system, with the aim of improving accessibility and patient care.</div></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"30 4","pages":"Pages 303-310"},"PeriodicalIF":0.0,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-23DOI: 10.1053/j.optechstcvs.2025.08.001
{"title":"Introduction to Autumn 2025","authors":"","doi":"10.1053/j.optechstcvs.2025.08.001","DOIUrl":"10.1053/j.optechstcvs.2025.08.001","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"30 3","pages":"Page 183"},"PeriodicalIF":0.0,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144892280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-15DOI: 10.1053/j.optechstcvs.2025.06.005
Hironori Matsuhisa MD, PhD
The 2 patch technique is the most standardized procedure for complete atrioventricular septal defect. However, patch insertion into the ventricular septal defect is sometimes difficult, especially in patients with Rastelli type A, and the technique itself does not address the deficiency of the left superior leaflet. We present the simplified patch augmentation technique of the left superior bridging leaflet as part of the 2 patch technique. This technique gives enough leaflet volume to establish the left atrioventricular valvular competency with minimal leaflet dehiscence risk.
{"title":"Patch Augmentation of Superior Bridging Leaflet in Rastelli Type A Atrioventricular Septal Defect Repair","authors":"Hironori Matsuhisa MD, PhD","doi":"10.1053/j.optechstcvs.2025.06.005","DOIUrl":"10.1053/j.optechstcvs.2025.06.005","url":null,"abstract":"<div><div>The 2 patch technique is the most standardized procedure for complete atrioventricular septal defect. However, patch insertion into the ventricular septal defect is sometimes difficult, especially in patients with Rastelli type A, and the technique itself does not address the deficiency of the left superior leaflet. We present the simplified patch augmentation technique of the left superior bridging leaflet as part of the 2 patch technique. This technique gives enough leaflet volume to establish the left atrioventricular valvular competency with minimal leaflet dehiscence risk.</div></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"30 4","pages":"Pages 295-302"},"PeriodicalIF":0.0,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145610249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-05DOI: 10.1053/j.optechstcvs.2025.07.001
{"title":"Adult Articles in AATS Journals","authors":"","doi":"10.1053/j.optechstcvs.2025.07.001","DOIUrl":"10.1053/j.optechstcvs.2025.07.001","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"30 3","pages":"Pages e3-e4"},"PeriodicalIF":0.0,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144891854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-08-05DOI: 10.1053/j.optechstcvs.2025.06.004
Aybala Tongut MD , Sofia Hanabergh MSc , Yves d’Udekem MD, PhD , Can Yerebakan MD, PhD
Biventricular repair following hybrid palliation offers a refined approach for patients with borderline hypoplastic left heart structures, balancing early-stage palliation with deferred surgical decision-making. This manuscript outlines the operative strategies for achieving biventricular repair posthybrid palliation, detailing techniques such as aortic arch reconstruction, ventricular septal defect closure, and advanced procedures like the Ross-Konno and Yasui operations. Patient selection criteria, perfusion strategies, and technical considerations are emphasized to optimize outcomes. By leveraging the hybrid approach to enable staged physiological adaptation, biventricular repair expands therapeutic possibilities for select patients, improving long-term survival and functional outcomes.
{"title":"Biventricular Repair After Hybrid Palliation: A Technical and Conceptual Review","authors":"Aybala Tongut MD , Sofia Hanabergh MSc , Yves d’Udekem MD, PhD , Can Yerebakan MD, PhD","doi":"10.1053/j.optechstcvs.2025.06.004","DOIUrl":"10.1053/j.optechstcvs.2025.06.004","url":null,"abstract":"<div><div>Biventricular repair following hybrid palliation offers a refined approach for patients with borderline hypoplastic left heart structures, balancing early-stage palliation with deferred surgical decision-making. This manuscript outlines the operative strategies for achieving biventricular repair posthybrid palliation, detailing techniques such as aortic arch reconstruction, ventricular septal defect closure, and advanced procedures like the Ross-Konno and Yasui operations. Patient selection criteria, perfusion strategies, and technical considerations are emphasized to optimize outcomes. By leveraging the hybrid approach to enable staged physiological adaptation, biventricular repair expands therapeutic possibilities for select patients, improving long-term survival and functional outcomes.</div></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"30 4","pages":"Pages 280-294"},"PeriodicalIF":0.0,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145610248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-16DOI: 10.1053/j.optechstcvs.2025.06.002
Carolina Rodrigues MD , Igor E. Konstantinov MD, PhD
Isolated right pulmonary artery that comes forms the residual patent ductus arteriosus is rare. Multiple techniques have been described to anastomose the right pulmonary artery to the main pulmonary artery. Herein we detail our technique of reconstruction using pulmonary artery flap and autologous pericardium.
{"title":"Anomalous Origin of the Right Pulmonary Artery: Reconstruction With Autologous Tissue in Neonatal Period","authors":"Carolina Rodrigues MD , Igor E. Konstantinov MD, PhD","doi":"10.1053/j.optechstcvs.2025.06.002","DOIUrl":"10.1053/j.optechstcvs.2025.06.002","url":null,"abstract":"<div><div>Isolated right pulmonary artery that comes forms the residual patent ductus arteriosus is rare. Multiple techniques have been described to anastomose the right pulmonary artery to the main pulmonary artery. Herein we detail our technique of reconstruction using pulmonary artery flap and autologous pericardium.</div></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"30 4","pages":"Pages 275-279"},"PeriodicalIF":0.0,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145610247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-06-01DOI: 10.1053/j.optechstcvs.2024.10.002
Nafiye Busra Celik MD, Mohammad Alomari MD, Anthony Pham MS, Pankaj Garg MBBS, Basar Sareyyupoglu MD, Si M. Pham MD
Intra-aortic balloon pump (IABP), which augments coronary blood flow and reduces cardiac afterload, is the most widely used temporary mechanical circulatory support (TMCS) device. It has been used in a various conditions ranging from improving coronary perfusion in acute coronary syndrome and cardiogenic shock, to supporting a failing heart as a bridge to heart transplantation. With recent changes in donor heart allocation policy that favors heart transplant candidates who are on TMCS devices in the United States of America, there is a resurgence in the use of IAPB and a bridge to heart transplant. Herein we present a step-by-step surgical technique of IABP placement through Dacron graft anastomosed to the axillary artery. Under fluoroscopic guidance, the IABP catheter is advanced over the guidewire into the descending thoracic aorta. The axillary artery offers a promising alternative site to the commonly used femoral artery for the insertion of IABP as axillary IABP can be kept in longer and allows greater patient mobility. Studies indicate successful outcomes with axillary IABP, highlighting its potential advantages over femoral insertion, especially in patients awaiting heart transplantation. However, it is a surgical procedure that requires familiarity with axillary anatomy and meticulous attention to details to minimize complications.
{"title":"Technique of Intra-Aortic Balloon Pump Insertion Through Axillary Artery Over a Chimney Graft","authors":"Nafiye Busra Celik MD, Mohammad Alomari MD, Anthony Pham MS, Pankaj Garg MBBS, Basar Sareyyupoglu MD, Si M. Pham MD","doi":"10.1053/j.optechstcvs.2024.10.002","DOIUrl":"10.1053/j.optechstcvs.2024.10.002","url":null,"abstract":"<div><div>Intra-aortic balloon pump (IABP), which augments coronary blood flow and reduces cardiac afterload, is the most widely used temporary mechanical circulatory support (TMCS) device. It has been used in a various conditions ranging from improving coronary perfusion in acute coronary syndrome and cardiogenic shock, to supporting a failing heart as a bridge to heart transplantation. With recent changes in donor heart allocation policy that favors heart transplant candidates who are on TMCS devices in the United States of America, there is a resurgence in the use of IAPB and a bridge to heart transplant. Herein we present a step-by-step surgical technique of IABP placement through Dacron graft anastomosed to the axillary artery. Under fluoroscopic guidance, the IABP catheter is advanced over the guidewire into the descending thoracic aorta. The axillary artery offers a promising alternative site to the commonly used femoral artery for the insertion of IABP as axillary IABP can be kept in longer and allows greater patient mobility. Studies indicate successful outcomes with axillary IABP, highlighting its potential advantages over femoral insertion, especially in patients awaiting heart transplantation. However, it is a surgical procedure that requires familiarity with axillary anatomy and meticulous attention to details to minimize complications.</div></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"30 2","pages":"Pages 96-108"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144563532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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