Pub Date : 2025-03-01DOI: 10.1053/j.optechstcvs.2024.10.005
Ammara A. Watkins MD, MPH , Caroline Ricard MD , Darian Hoagland MD , Dena Shehata MBChB , Melyssa Price PAC , Christopher J. Trant CST , Elizabeth A. Preston BSN, RN , Cameron T. Stock MD , Susan Moffatt-Bruce MD, PhD , Elliot L. Servais MD
Robotic thoracoscopic surgical operations are increasingly performed worldwide. Current lung resection trends indicate that the robotic approach has now surpassed conventional VATS (video assisted thoracoscopy surgery) in the United States. Emergency conversion to an open thoracotomy is an uncommon occurrence; however, preparedness for this infrequent but potentially catastrophic event is paramount. There is a paucity of step-by-step instruction available on how to convert from robotic thoracoscopy safely and reliably to thoracotomy. Herein, we present our conversion method which has been refined in an iterative fashion based on real-life experience and testing in a simulated environment. This method ensures pressure control of bleeding either by the surgeon or bedside assist while also maintaining vision of the operative field throughout the conversion process. At no point is bleeding control maintained by an unmanned robotic instrument. This technical report aims to provide thoracic surgery teams a safe and reliable option for emergency conversion during robotic thoracoscopy.
{"title":"Emergency Conversion From Robotic Thoracoscopy to Thoracotomy: A Safe, Reproducible, and Effective Technique","authors":"Ammara A. Watkins MD, MPH , Caroline Ricard MD , Darian Hoagland MD , Dena Shehata MBChB , Melyssa Price PAC , Christopher J. Trant CST , Elizabeth A. Preston BSN, RN , Cameron T. Stock MD , Susan Moffatt-Bruce MD, PhD , Elliot L. Servais MD","doi":"10.1053/j.optechstcvs.2024.10.005","DOIUrl":"10.1053/j.optechstcvs.2024.10.005","url":null,"abstract":"<div><div>Robotic thoracoscopic surgical operations are increasingly performed worldwide. Current lung resection trends indicate that the robotic approach has now surpassed conventional VATS (video assisted thoracoscopy surgery) in the United States. Emergency conversion to an open thoracotomy is an uncommon occurrence; however, preparedness for this infrequent but potentially catastrophic event is paramount. There is a paucity of step-by-step instruction available on how to convert from robotic thoracoscopy safely and reliably to thoracotomy. Herein, we present our conversion method which has been refined in an iterative fashion based on real-life experience and testing in a simulated environment. This method ensures pressure control of bleeding either by the surgeon or bedside assist while also maintaining vision of the operative field throughout the conversion process. At no point is bleeding control maintained by an unmanned robotic instrument. This technical report aims to provide thoracic surgery teams a safe and reliable option for emergency conversion during robotic thoracoscopy.</div></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"30 1","pages":"Pages 67-74"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143642918","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 : 2025-03-01DOI: 10.1053/j.optechstcvs.2025.03.002
{"title":"Introduction to Spring 2025","authors":"","doi":"10.1053/j.optechstcvs.2025.03.002","DOIUrl":"10.1053/j.optechstcvs.2025.03.002","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"30 1","pages":"Page 1"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143642913","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 : 2025-02-26DOI: 10.1053/j.optechstcvs.2024.11.004
Hani K. Najm MD, MSc, Munir Ahmad MD, BSc, John P. Costello MD, Brittany Potz MD, Tara Karamlou MD, MSc
Single-ventricle (SV) palliation of neonates with either moderately hypoplastic left ventricle (LV) or complex intracardiac routing anatomy is frequently chosen as an initial step to facilitate survival out of the newborn period. In the case of borderline left heart structures, uncertainty around the adequacy of LV often continues, leading to further progression on the SV pathway with bidirectional cavopulmonary shunt and eventual Fontan despite the presence of a descent second ventricle. Similarly, SV pathway also continues beyond the neonatal period in those patients in whom intracardiac routing is deemed “too complex” in infancy. Frequently, this initial commitment to the SV pathway is never reconsidered later in life and never reversed, leaving the patient with SV physiology. Thus, these patients are continuously subjected to the detrimental effects of SV circulation despite having the presence of 2 ventricles. Some of these patients, however, can be reconsidered for biventricular (BV) conversion at a later stage via either a 2-ventricle or a one-and-a-half-ventricle circulation. We present 2 examples of patients with different anatomical lesions who were initially managed in an SV pathway and highlight the different surgical techniques employed to achieve either a 2 or a one-and-a-half-ventricle conversion from a Fontan circulation.
{"title":"Biventricular Conversion of Single Ventricle: Adopting the Left Ventricle as the Systemic Pump","authors":"Hani K. Najm MD, MSc, Munir Ahmad MD, BSc, John P. Costello MD, Brittany Potz MD, Tara Karamlou MD, MSc","doi":"10.1053/j.optechstcvs.2024.11.004","DOIUrl":"10.1053/j.optechstcvs.2024.11.004","url":null,"abstract":"<div><div>Single-ventricle (SV) palliation<span> of neonates with either moderately hypoplastic left ventricle<span><span> (LV) or complex intracardiac routing anatomy is frequently chosen as an initial step to facilitate survival out of the </span>newborn period<span>. In the case of borderline left heart structures, uncertainty around the adequacy of LV often continues, leading to further progression on the SV pathway with bidirectional cavopulmonary shunt and eventual Fontan despite the presence of a descent second ventricle. Similarly, SV pathway also continues beyond the neonatal period in those patients in whom intracardiac routing is deemed “too complex” in infancy. Frequently, this initial commitment to the SV pathway is never reconsidered later in life and never reversed, leaving the patient with SV physiology. Thus, these patients are continuously subjected to the detrimental effects of SV circulation despite having the presence of 2 ventricles. Some of these patients, however, can be reconsidered for biventricular (BV) conversion at a later stage via either a 2-ventricle or a one-and-a-half-ventricle circulation. We present 2 examples of patients with different anatomical lesions who were initially managed in an SV pathway and highlight the different surgical techniques employed to achieve either a 2 or a one-and-a-half-ventricle conversion from a Fontan circulation.</span></span></span></div></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"30 3","pages":"Pages 219-231"},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144891850","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 : 2025-02-03DOI: 10.1053/j.optechstcvs.2025.01.002
Douglas M. Overbey MD, MPH , John A. Kucera MD , Rachel Gambino BS, CCP, FPP , Smith M. Ngeve BA , Joseph R. Nellis MD , Joseph W. Turek MD, PhD, MBA
Background: The gold standard for treatment of patients with end-stage heart failure remains heart transplantation. Time spent on the active waiting list, notably for pediatric patients, contributes to alarmingly high mortality. Donation after circulatory death (DCD) marks an evolution in heart transplantation that has proven to expand the donor pool and shorten waitlist times in adult heart recipients. Normothermic regional perfusion (NRP) is a procedure where veno-arterial extracorporeal membrane oxygenation is initiated after clamping the head vessels to reperfuse and reanimate the heart after cardiac death. NRP also allows the procuring team to evaluate heart function in vivo to determine organ suitability after warm ischemia.
Results: DCD NRP has allowed our team to procure pediatric hearts in donors as small as 3 kg.
Conclusions: DCD NRP is a viable technique to increase the cardiac donor pool in even the smallest donors with the right team, resources, and adequate planning.
{"title":"How I Do It: Donation After Circulatory Death With Normothermic Regional Perfusion in Small Babies","authors":"Douglas M. Overbey MD, MPH , John A. Kucera MD , Rachel Gambino BS, CCP, FPP , Smith M. Ngeve BA , Joseph R. Nellis MD , Joseph W. Turek MD, PhD, MBA","doi":"10.1053/j.optechstcvs.2025.01.002","DOIUrl":"10.1053/j.optechstcvs.2025.01.002","url":null,"abstract":"<div><div><span><span><span>Background: The gold standard for treatment of patients with end-stage heart failure remains heart transplantation. Time spent on the active waiting list, notably for </span>pediatric patients, contributes to alarmingly high mortality. Donation after circulatory death (DCD) marks an evolution in heart transplantation that has proven to expand the donor pool and shorten waitlist times in adult heart recipients. Normothermic </span>regional perfusion (NRP) is a procedure where veno-arterial </span>extracorporeal membrane oxygenation<span> is initiated after clamping the head vessels to reperfuse and reanimate the heart after cardiac death. NRP also allows the procuring team to evaluate heart function in vivo to determine organ suitability after warm ischemia.</span></div><div>Results: DCD NRP has allowed our team to procure pediatric hearts in donors as small as 3 kg.</div><div>Conclusions: DCD NRP is a viable technique to increase the cardiac donor pool in even the smallest donors with the right team, resources, and adequate planning.</div></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"30 3","pages":"Pages 213-218"},"PeriodicalIF":0.0,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144891849","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 : 2024-12-01DOI: 10.1053/j.optechstcvs.2024.06.001
Akshay Kumar MD , Syed T. Hussain MD , Michael Dorsey MD , Amit Alam MD , Nader Moazami MD , Deane Smith MD
Heart transplantation (HT) is the gold standard treatment of end-stage heart disease. Waitlist mortality remains high due to a shortage of available donor organs. Donation after circulatory death (DCD) has shown potential to increase transplant volumes by 15%-20%. Resuscitation of the organs after circulatory death can be performed ex vivo using machine perfusion or in situ using either extracorporeal membrane oxygenation (ECMO) or cardiopulmonary bypass (CPB). Thoracoabdominal normothermic regional perfusion (TA-NRP) entails reperfusing the heart in-situ after circulatory death. It also involves total body reperfusion under physiological conditions, correction of metabolic abnormalities, and allows unloading of the left ventricle to facilitate myocardial recovery. After weaning off support, direct visual and hemodynamic assessment of heart function is possible. Safe and expeditious establishment of cardiopulmonary bypass after death is the key to success of this technique. Here, we review the history of donation after circulatory death, our protocol and surgical technique of establishing TA-NRP with cold static preservation, and briefly describe the outcomes after DCD heart transplantation.
{"title":"Surgical Technique of Donation after Circulatory Death using Normothermic Regional Perfusion","authors":"Akshay Kumar MD , Syed T. Hussain MD , Michael Dorsey MD , Amit Alam MD , Nader Moazami MD , Deane Smith MD","doi":"10.1053/j.optechstcvs.2024.06.001","DOIUrl":"10.1053/j.optechstcvs.2024.06.001","url":null,"abstract":"<div><div>Heart transplantation (HT) is the gold standard treatment of end-stage heart disease. Waitlist mortality remains high due to a shortage of available donor organs. Donation after circulatory death (DCD) has shown potential to increase transplant volumes by 15%-20%. Resuscitation of the organs after circulatory death can be performed ex vivo using machine perfusion or in situ using either extracorporeal membrane oxygenation (ECMO) or cardiopulmonary bypass (CPB). Thoracoabdominal normothermic regional perfusion (TA-NRP) entails reperfusing the heart in-situ after circulatory death. It also involves total body reperfusion under physiological conditions, correction of metabolic abnormalities, and allows unloading of the left ventricle to facilitate myocardial recovery. After weaning off support, direct visual and hemodynamic assessment of heart function is possible. Safe and expeditious establishment of cardiopulmonary bypass after death is the key to success of this technique. Here, we review the history of donation after circulatory death, our protocol and surgical technique of establishing TA-NRP with cold static preservation, and briefly describe the outcomes after DCD heart transplantation.</div></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"29 4","pages":"Pages 298-309"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130409","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 : 2024-12-01DOI: 10.1053/j.optechstcvs.2023.11.001
Takaaki Suzuki MD, Kentaro Hotoda MD
The hybrid approach for hypoplastic left heart syndrome is a well-accepted alternative strategy to the conventional staged surgical approach. However, in the typical comprehensive stage II operation, bilateral branch pulmonary artery stenosis is a risk factor for postoperative catheter and/or surgical interventions. In addition to addressing the stenosis from the bands, the branch pulmonary arteries are at risk of compression from the dilated main pulmonary trunk and the resultant large neo-aorta. Here, we present a new aortic arch reconstruction technique combined with the pulmonary artery reconstruction in the comprehensive stage II operation to address these issues. In our experience of 11 patients who underwent hybrid strategy, Fontan completion was achieved in 8 cases (73%) during a median follow-up duration of 84 months (range; 45-161 months), and the 3-year, 5-year, and 10-year survival rates were 73% each. While 6 of 8 cases (75%) required catheter interventions to the branch pulmonary arteries, the Nakata Index was 204 ± 11 before the stage II and 185 ± 19 before Fontan completion, indicating that good pulmonary artery growth. Our modified comprehensive stage II technique optimizes the pulmonary arteries for the Fontan and beyond by addressing both anatomic stenoses and external compression for future growth.
{"title":"Modified Aortic Arch Reconstruction Combined With Pulmonary Artery Reconstruction in the Comprehensive Stage II Operation Following a Hybrid Stage I for Hypoplastic Left Heart Syndrome","authors":"Takaaki Suzuki MD, Kentaro Hotoda MD","doi":"10.1053/j.optechstcvs.2023.11.001","DOIUrl":"10.1053/j.optechstcvs.2023.11.001","url":null,"abstract":"<div><div>The hybrid approach for hypoplastic left heart syndrome<span><span> is a well-accepted alternative strategy to the conventional staged surgical approach. However, in the typical comprehensive stage II operation, bilateral branch pulmonary artery stenosis is a risk factor for postoperative catheter and/or surgical interventions. In addition to addressing the stenosis from the bands, the branch pulmonary arteries are at risk of compression from the dilated main pulmonary trunk and the resultant large neo-aorta. Here, we present a new </span>aortic arch reconstruction<span> technique combined with the pulmonary artery reconstruction in the comprehensive stage II operation to address these issues. In our experience of 11 patients who underwent hybrid strategy, Fontan completion was achieved in 8 cases (73%) during a median follow-up duration of 84 months (range; 45-161 months), and the 3-year, 5-year, and 10-year survival rates were 73% each. While 6 of 8 cases (75%) required catheter interventions to the branch pulmonary arteries, the Nakata Index was 204 ± 11 before the stage II and 185 ± 19 before Fontan completion, indicating that good pulmonary artery growth. Our modified comprehensive stage II technique optimizes the pulmonary arteries for the Fontan and beyond by addressing both anatomic stenoses and external compression for future growth.</span></span></div></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"29 4","pages":"Pages 336-344"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139295594","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 : 2024-12-01DOI: 10.1053/j.optechstcvs.2024.02.002
David J. Barron FRCS , Ankavipar Saprungruang MD , Shi-Joon Yoo MD
The atrial switch is a technically complex procedure that requires considerable judgement and appreciation of the 3-dimensional anatomy of the heart. It is now rarely performed other than as part of the double-switch procedures for congenitally corrected transposition (ccTGA). Silicone molded models based on 3D printed hearts are the latest, and most realistic simulation models for practicing and training in congenital heart surgery and the atrial switch is an ideal substrate since the procedure is difficult to teach and rarely performed. The Senning procedure has become the most widely used type of atrial switch as it is associated with the best long-term outcomes and freedom from baffle obstructions or leaks.
{"title":"Senning Procedure: Use of a 3D Printed, Silicone Molded Model for Surgical Training","authors":"David J. Barron FRCS , Ankavipar Saprungruang MD , Shi-Joon Yoo MD","doi":"10.1053/j.optechstcvs.2024.02.002","DOIUrl":"10.1053/j.optechstcvs.2024.02.002","url":null,"abstract":"<div><div>The atrial switch is a technically complex procedure that requires considerable judgement and appreciation of the 3-dimensional anatomy of the heart. It is now rarely performed other than as part of the double-switch procedures for congenitally corrected transposition (ccTGA). Silicone molded models based on 3D printed hearts are the latest, and most realistic simulation models for practicing and training in congenital heart surgery and the atrial switch is an ideal substrate since the procedure is difficult to teach and rarely performed. The Senning procedure has become the most widely used type of atrial switch as it is associated with the best long-term outcomes and freedom from baffle obstructions or leaks.</div></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"29 4","pages":"Pages 345-360"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130406","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 : 2024-12-01DOI: 10.1053/j.optechstcvs.2024.11.001
{"title":"Introduction to Winter 2024","authors":"","doi":"10.1053/j.optechstcvs.2024.11.001","DOIUrl":"10.1053/j.optechstcvs.2024.11.001","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"29 4","pages":"Page 297"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130410","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 : 2024-12-01DOI: 10.1053/j.optechstcvs.2024.06.002
Mai G. Al Khadem MBBCh , Arvind Krishnamurthy MS. MCh , Puja Gaur Khaitan MD, FACS
Cervical esophagogastric anastomotic stricture is a vexing problem both for the patient and the treating surgeon. Given the location of the anastomosis at the thoracic inlet and its proximity to vocal cords and upper esophageal sphincter, management of such a stricture can be challenging. In this comprehensive review, we will first discuss the various endoscopic options that are available for the management of such strictures such as dilation, topical injections, electrocautery incision, and stenting. However, the focus of our chapter is to discuss surgical options for those patients who develop strictures or fistulae that are refractory to endoscopic management and require operative intervention. Surgical options including cervical esophageal reconstruction such as strictureplasty and myocutaneous flaps, as well as alternative conduits will therefore be highlighted. Finally, we will discuss and review the data that potentially explains how to avoid such anastomotic strictures.
{"title":"Operative management of a difficult problem: Cervical esophagogastric anastomotic stricture","authors":"Mai G. Al Khadem MBBCh , Arvind Krishnamurthy MS. MCh , Puja Gaur Khaitan MD, FACS","doi":"10.1053/j.optechstcvs.2024.06.002","DOIUrl":"10.1053/j.optechstcvs.2024.06.002","url":null,"abstract":"<div><div>Cervical esophagogastric anastomotic stricture is a vexing problem both for the patient and the treating surgeon. Given the location of the anastomosis at the thoracic inlet and its proximity to vocal cords and upper esophageal sphincter, management of such a stricture can be challenging. In this comprehensive review, we will first discuss the various endoscopic options that are available for the management of such strictures such as dilation, topical injections, electrocautery incision, and stenting. However, the focus of our chapter is to discuss surgical options for those patients who develop strictures or fistulae that are refractory to endoscopic management and require operative intervention. Surgical options including cervical esophageal reconstruction such as strictureplasty and myocutaneous flaps, as well as alternative conduits will therefore be highlighted. Finally, we will discuss and review the data that potentially explains how to avoid such anastomotic strictures.</div></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"29 4","pages":"Pages 361-372"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130407","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 : 2024-12-01DOI: 10.1053/j.optechstcvs.2024.10.001
{"title":"Recent Articles in AATS Journals","authors":"","doi":"10.1053/j.optechstcvs.2024.10.001","DOIUrl":"10.1053/j.optechstcvs.2024.10.001","url":null,"abstract":"","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":"29 4","pages":"Pages e4-e6"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130411","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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