Postinfarction ventricular septal rupture, or postinfarction ventricular septal defect is rare but lethal if not repaired, and various repair techniques have been tried over many years. However, there still remain problems of high mortality rates and shunt recurrence, particularly in the acute phase and posterior defects. The extended sandwich patch repair via the right ventriculotomy was developed to overcome those problems. The 3 key features are, first, access and eventual closure through the low-pressure right ventricle; second, using the septal defect for a portal to reach into the left ventricle; and third, “sandwiching” the defect between 2 patches, both large enough to be anchored by transmural sutures through relatively stable myocardium. Detailed technical steps are presented here.
{"title":"Trans-right Ventricular Repair of Postinfarction Ventricular Septal Rupture: Extended Sandwich Patch Technique","authors":"Tohru Asai , Piers Vigers , Takeshi Kinoshita , Tomoaki Suzuki","doi":"10.1053/j.optechstcvs.2022.07.002","DOIUrl":"10.1053/j.optechstcvs.2022.07.002","url":null,"abstract":"<div><p>Postinfarction ventricular septal rupture, or postinfarction ventricular septal defect is rare but lethal if not repaired, and various repair techniques have been tried over many years. However, there still remain problems of high mortality rates and shunt recurrence, particularly in the acute phase and posterior defects. The extended sandwich patch repair via the right ventriculotomy was developed to overcome those problems. The 3 key features are, first, access and eventual closure through the low-pressure right ventricle; second, using the septal defect for a portal to reach into the left ventricle; and third, “sandwiching” the defect between 2 patches, both large enough to be anchored by transmural sutures through relatively stable myocardium. Detailed technical steps are presented here.</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 4","pages":"Pages 364-380"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43425469","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 : 2022-12-01DOI: 10.1053/j.optechstcvs.2022.11.001
{"title":"Recent Articles in AATS Journals","authors":"","doi":"10.1053/j.optechstcvs.2022.11.001","DOIUrl":"https://doi.org/10.1053/j.optechstcvs.2022.11.001","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 4","pages":"Pages iv-vi"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1522294222001015/pdfft?md5=f9b68d7749601e418592bca8c69b6d56&pid=1-s2.0-S1522294222001015-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92105743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.1053/j.optechstcvs.2022.07.003
David S. Winlaw MBBS MD FRACS, Jason W. Greenberg MD, Alan P. O'Donnell PA-C
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. The neonatal and infant autograft may perform better in the long term than un-supported autografts performed later in life. Early definitive or delayed treatment of left ventricular outflow tract pathology associated with aortic interruption increasingly involves an infant Ross-Konno. The procedure also has a role in the recruitment of small left ventricles. Concomitant mitral pathology or aortic obstruction magnifies complexity, but the operative approach to the Ross-Konno remains the same.
{"title":"The Ross and Ross-Konno Operation in Neonates and Infants","authors":"David S. Winlaw MBBS MD FRACS, Jason W. Greenberg MD, Alan P. O'Donnell PA-C","doi":"10.1053/j.optechstcvs.2022.07.003","DOIUrl":"10.1053/j.optechstcvs.2022.07.003","url":null,"abstract":"<div><p>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. The neonatal and infant autograft may perform better in the long term than un-supported autografts performed later in life. Early definitive or delayed treatment of left ventricular outflow tract pathology associated with aortic interruption increasingly involves an infant Ross-Konno. The procedure also has a role in the recruitment of small left ventricles. Concomitant mitral pathology or aortic obstruction magnifies complexity, but the operative approach to the Ross-Konno remains the same.</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 4","pages":"Pages 423-446"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1522294222000733/pdfft?md5=4de918b4432b1df2b1c959083d491077&pid=1-s2.0-S1522294222000733-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48461554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.1053/j.optechstcvs.2022.06.011
Gino M. Kuiper , James D. Luketich , Inderpal S. Sarkaria
The technique of minimally invasive esophagectomy (MIE) has been improved and utilized widely in the past decades, resulting in improved perioperative outcomes compared to open esophagectomy. Similarly, robotic assisted minimally invasive esophagectomy (RAMIE) has increased in adoption in recent years, offering superior technical advantages and showing promising outcomes. This article details the approach to the RAMIE Ivor Lewis procedure adopted at the University of Pittsburgh Medical Center, including operative insights and challenges.
{"title":"Ivor Lewis Robotic Assisted Minimally Invasive Esophagectomy (RAMIE): The University of Pittsburgh Technique","authors":"Gino M. Kuiper , James D. Luketich , Inderpal S. Sarkaria","doi":"10.1053/j.optechstcvs.2022.06.011","DOIUrl":"10.1053/j.optechstcvs.2022.06.011","url":null,"abstract":"<div><p>The technique of minimally invasive esophagectomy (MIE) has been improved and utilized widely in the past decades, resulting in improved perioperative outcomes compared to open esophagectomy. Similarly, robotic assisted minimally invasive esophagectomy (RAMIE) has increased in adoption in recent years, offering superior technical advantages and showing promising outcomes. This article details the approach to the RAMIE Ivor Lewis procedure adopted at the University of Pittsburgh Medical Center, including operative insights and challenges.</p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 4","pages":"Pages 461-480"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43077944","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 : 2022-12-01DOI: 10.1053/S1522-2942(22)00120-9
{"title":"Recent Articles in AATS Journals","authors":"","doi":"10.1053/S1522-2942(22)00120-9","DOIUrl":"https://doi.org/10.1053/S1522-2942(22)00120-9","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 4","pages":"Pages e4-e6"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1522294222001209/pdfft?md5=e848873b287a27f060fc4961beb484b9&pid=1-s2.0-S1522294222001209-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92105742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-01DOI: 10.1053/j.optechstcvs.2022.06.001
Teimour Nasirov, Yasuhiro Shudo, JW MacArthur, Elisabeth Martin, Stefan Elde, Y. Joseph Woo, Michael Ma
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%-70% of heart-lung transplants during the past 3 decades. This paper provided updated detailed illustrated technique for combined pediatric and adult heart-lung transplantation practiced at Stanford University School of Medicine and Lucile Packard Children's Hospital at Stanford. A total of, 185 of combined heart-lung transplants have performed at our institution since 1990.
{"title":"Heart-Lung Transplantation","authors":"Teimour Nasirov, Yasuhiro Shudo, JW MacArthur, Elisabeth Martin, Stefan Elde, Y. Joseph Woo, Michael Ma","doi":"10.1053/j.optechstcvs.2022.06.001","DOIUrl":"https://doi.org/10.1053/j.optechstcvs.2022.06.001","url":null,"abstract":"<div><p>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<span>, accounting for 60%-70% of heart-lung transplants during the past 3 decades. This paper provided updated detailed illustrated technique for combined pediatric and adult heart-lung transplantation practiced at Stanford University School of Medicine and Lucile Packard Children's Hospital at Stanford. A total of, 185 of combined heart-lung transplants have performed at our institution since 1990.</span></p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 4","pages":"Pages 392-404"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92105745","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 : 2022-09-01DOI: 10.1053/S1522-2942(22)00088-5
{"title":"Recent Articles in AATS Journals","authors":"","doi":"10.1053/S1522-2942(22)00088-5","DOIUrl":"https://doi.org/10.1053/S1522-2942(22)00088-5","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 3","pages":"Pages e4-e6"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1522294222000885/pdfft?md5=3159d8058ddc64a8ac0bf8af75ff02dc&pid=1-s2.0-S1522294222000885-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136596600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-01DOI: 10.1053/j.optechstcvs.2022.08.003
{"title":"Introduction for Volume 27 Issue 3","authors":"","doi":"10.1053/j.optechstcvs.2022.08.003","DOIUrl":"https://doi.org/10.1053/j.optechstcvs.2022.08.003","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"27 3","pages":"Page 245"},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136919611","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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