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Operative Techniques in Thoracic and Cardiovascular Surgery最新文献

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Aortic Arch Reconstruction in the Norwood Procedure: The “Reimplantation” Technique 诺伍德手术中的主动脉弓重建：再植 "技术
Q3 Medicine
Operative Techniques in Thoracic and Cardiovascular Surgery
Pub Date : 2024-03-01 DOI: 10.1053/j.optechstcvs.2023.09.002
David J Barron FRCS(CT) , Abeeshan Selvabaskaran BSc , Shi-Joon Yoo PhD, MD , Kok Hooi Yap FRCS , William J Brawn FRCS

Arch reconstruction as part of the Norwood Procedure is a challenging 3-dimensional task that has to combine the aortic and pulmonary roots in a Damus-Kaye-Stansel anastomosis and also reconstruct the hypoplastic aortic arch, usually with concomitant coarctation. Compression or torsion of the aortic root can compromise coronary blood flow, especially in the setting of a diminutive native aortic root. This technique focuses on maximum augmentation of the aortic root with separate implantation of the pulmonary root into the reconstructed aortic arch – this maintains the natural spatial relationship of the aortic and pulmonary roots. The technique has the advantage of being reproducible across all morphological variants in hypoplastic left heart syndrome as well as in other situations where the Norwood is used such as with transposed great arteries and interrupted aortic arch.

作为诺伍德手术的一部分，主动脉弓重建是一项具有挑战性的三维任务，它必须在达穆斯-凯-斯坦塞勒吻合术中将主动脉根和肺动脉根结合起来，同时重建发育不良的主动脉弓，通常还伴有共动脉瘤。主动脉根部受压或扭转会影响冠状动脉血流，尤其是在原生主动脉根部较小的情况下。这项技术的重点是最大限度地增强主动脉根部，同时将肺动脉根部单独植入重建的主动脉弓中--这样可以保持主动脉根部和肺动脉根部的自然空间关系。该技术的优点是可以在左心发育不全综合征的所有形态变异中重复使用，也可用于诺伍德技术的其他情况，如大动脉转位和主动脉弓中断。
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引用次数: 0
Recent Articles in AATS Journals 最近在 AATS 期刊上发表的文章
Q3 Medicine
Operative Techniques in Thoracic and Cardiovascular Surgery
Pub Date : 2024-03-01 DOI: 10.1053/j.optechstcvs.2024.02.001
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引用次数: 0
How He Did It – The James S. Tweddell Approach to Single Ventricle Palliation in Patients With Hypoplastic Left Heart Syndrome 他是如何做到的--詹姆斯-S-特威德尔为左心发育不全综合征患者实施单心室减容术的方法
Q3 Medicine
Operative Techniques in Thoracic and Cardiovascular Surgery
Pub Date : 2024-03-01 DOI: 10.1053/j.optechstcvs.2023.10.003
Alan P. O'Donnell PA-C, David G. Lehenbauer MD

This article will detail Dr. James Tweddell's operative technique and considerations for 26 all three stages of SVP in patients with HLHS. This will include the Norwood Procedure with 27 Right-Ventricle-to-Pulmonary-Artery Conduit (Sano Modification), Bidirectional Glenn 28 (Superior Cavopulmonary Connection), and Extracardiac, Fenestrated Fontan Completion (Total 29 Cavopulmonary Connection). These techniques are the culmination of over 20 years of experience 30 and represent the final techniques he employed at both Children's Hospital of Wisconsin and 31 Cincinnati Children's Hospital Medical Center.

本文将详细介绍 James Tweddell 医生对 HLHS 患者实施所有三个阶段 SVP 的手术技巧和注意事项。其中包括诺伍德手术（Norwood Procedure with 27 Right-Ventricle-to-Pulmonary-Artery Conduit，Sano Modification）、双向格伦手术（Bidirectional Glenn 28，Superior Cavopulmonary Connection）和心外瓣膜丰坦手术（Extracardiac, Fenestrated Fontan Completion，Total 29 Cavopulmonary Connection）。这些技术是他 20 多年 30 经验的结晶，也是他在威斯康星州儿童医院和辛辛那提儿童医院医疗中心 31 最终采用的技术。
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引用次数: 0
Commentary: The Value Of Great Tools And Strategy 评论：伟大工具和战略的价值
Q3 Medicine
Operative Techniques in Thoracic and Cardiovascular Surgery
Pub Date : 2024-03-01 DOI: 10.1053/j.optechstcvs.2023.12.003
Igor E. Konstantinov MD, PhD, FRACS
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引用次数: 0
Commentary: The value of great tools and strategy. 评论：伟大工具和战略的价值
Q3 Medicine
Operative Techniques in Thoracic and Cardiovascular Surgery
Pub Date : 2024-02-01 DOI: 10.1053/j.optechstcvs.2023.12.003
Igor E. Konstantinov, Bosco Moscoso
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引用次数: 0
Commentary: I'd Love to Agree with You, but Then We Would Both Be Wrong 评论：我很想同意你的观点，但那样我们就都错了
Q3 Medicine
Operative Techniques in Thoracic and Cardiovascular Surgery
Pub Date : 2024-02-01 DOI: 10.1053/j.optechstcvs.2023.12.004
Ronald K. Woods
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引用次数: 0
Implantation Technique for the Aeson Total Artificial Heart Aeson 全人工心脏的植入技术
Q3 Medicine
Operative Techniques in Thoracic and Cardiovascular Surgery
Pub Date : 2024-02-01 DOI: 10.1053/j.optechstcvs.2024.01.002
André Vincentelli, Yuri Pya, Ivan Netuka, Assad Haneya, Jan Schmitto, M. Kindo, Peter Wearden, P. Jansen, C. Latrémouille
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引用次数: 0
Introduction to Winter 2023 《2023年冬天》简介
Q3 Medicine
Operative Techniques in Thoracic and Cardiovascular Surgery
Pub Date : 2023-11-28 DOI: 10.1053/j.optechstcvs.2023.10.002
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引用次数: 0
Recent Articles in AATS Journals AATS期刊近期文章
Q3 Medicine
Operative Techniques in Thoracic and Cardiovascular Surgery
Pub Date : 2023-10-31 DOI: 10.1053/j.optechstcvs.2023.10.001
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引用次数: 0
Commentary: Should We Adopt the Way of the Samurai? 解说词:我们应该走武士之路吗?
Q3 Medicine
Operative Techniques in Thoracic and Cardiovascular Surgery
Pub Date : 2023-09-16 DOI: 10.1053/j.optechstcvs.2023.09.001
Jason P. Glotzbach
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引用次数: 0
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