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Operative Techniques in Thoracic and Cardiovascular Surgery最新文献

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The Ross and Ross-Konno Operation in Neonates and Infants 新生儿和婴儿的Ross和Ross- konno手术
Q3 Medicine
Operative Techniques in Thoracic and Cardiovascular Surgery
Pub Date : 2022-12-01 DOI: 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.

当新生儿和婴儿需要主动脉瓣置换术时，Ross-Konno手术可提供高质量的左心室流出，具有良好的中期耐久性。手术结果高度依赖于手术前新生儿或婴儿的状况。大多数系列包含大量的球囊后瓣膜切开术患者作为紧急或紧急管理严重，急性反流。对于心室功能受损的患者，术后可能需要机械支持，但通常与良好的预后相关。从长期来看，新生儿和婴儿自体移植物可能比无支持的自体移植物在以后的生活中表现更好。早期明确或延迟治疗与主动脉中断相关的左心室流出道病理越来越多地涉及婴儿Ross-Konno。该手术对小左心室的招募也有作用。伴随的二尖瓣病理或主动脉阻塞增加了复杂性，但Ross-Konno的手术入路保持不变。
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引用次数: 1
Ivor Lewis Robotic Assisted Minimally Invasive Esophagectomy (RAMIE): The University of Pittsburgh Technique Ivor Lewis机器人辅助微创食管切除术(RAMIE):匹兹堡大学技术
Q3 Medicine
Operative Techniques in Thoracic and Cardiovascular Surgery
Pub Date : 2022-12-01 DOI: 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.

微创食管切除术(MIE)技术在过去几十年中得到了改进和广泛应用，与开放式食管切除术相比，其围手术期预后有所改善。同样，机器人辅助微创食管切除术(RAMIE)近年来越来越多地采用，具有优越的技术优势，并显示出良好的效果。本文详细介绍了匹兹堡大学医学中心采用RAMIE Ivor Lewis手术的方法，包括手术的见解和挑战。
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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 : 2022-12-01 DOI: 10.1053/S1522-2942(22)00120-9
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引用次数: 0
Heart-Lung Transplantation 心肺移植
Q3 Medicine
Operative Techniques in Thoracic and Cardiovascular Surgery
Pub Date : 2022-12-01 DOI: 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.

近年来，由于大多数右侧心力衰竭可以在不进行心肺移植的情况下恢复，心肺移植(HLT)的频率有所下降。然而，仍有一部分患有终末期心肺疾病的患者可以从联合心肺移植中获益。主要适应症仍然是特发性肺动脉高压或继发于先天性心脏病引起的肺动脉高压，占过去30年心肺移植的60%-70%。本文提供了在斯坦福大学医学院和斯坦福大学露西尔·帕卡德儿童医院进行的儿科和成人联合心肺移植的最新详细的图解技术。自1990年以来，我院共进行了185例心肺联合移植手术。
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引用次数: 0
Corrigendum: Multi-arterial Coronary Grafting 更正:多动脉冠状动脉移植
Q3 Medicine
Operative Techniques in Thoracic and Cardiovascular Surgery
Pub Date : 2022-12-01 DOI: 10.1053/j.optechstcvs.2022.09.003
Rami Akhrass MD, Faisal G. Bakaeen MD
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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 : 2022-09-01 DOI: 10.1053/S1522-2942(22)00088-5
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引用次数: 0
Introduction for Volume 27 Issue 3 第27卷第3期介绍
Q3 Medicine
Operative Techniques in Thoracic and Cardiovascular Surgery
Pub Date : 2022-09-01 DOI: 10.1053/j.optechstcvs.2022.08.003
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引用次数: 0
Commentary: Norwoodized Hybrid from Necker 评论:来自Necker的非木质杂交
Q3 Medicine
Operative Techniques in Thoracic and Cardiovascular Surgery
Pub Date : 2022-09-01 DOI: 10.1053/j.optechstcvs.2022.06.002
Mahmut Ozturk, Aybala Tongut, Can Yerebakan
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引用次数: 0
Total Aortic Arch Replacements With a 4 Branched Frozen Elephant Trunk (FET) Graft in Acute Aortic Dissection (DeBakey type I) 全主动脉弓置换术治疗急性主动脉夹层(DeBakey I型)
Q3 Medicine
Operative Techniques in Thoracic and Cardiovascular Surgery
Pub Date : 2022-09-01 DOI: 10.1053/j.optechstcvs.2021.12.004
Malakh Shrestha , Erik Beckmann , Tim Kaufeld, Axel Haverich, Andreas Martens

The “frozen elephant trunk” (FET) technique was developed by Karck et al., who modified Borst's ET technique by using a stent graft to secure the distal ET section. Working in collaboration with Vascutek Terumo, we in Hannover Medical School introduced the 4-branched hybrid FET graft In 2012 (Thoraflex Hybrid). However, the results after open aortic arch repair mainly depend on perioperative management and patient factors. Over the years, peri-operative management and operative techniques have evolved greatly contributing to better results. We describe our surgical technique of implantation of this hybrid graft in acute aortic dissection Stanford type A, DeBakey type I (AADA DeBakey I) patients.

“冷冻象鼻”(FET)技术是由Karck等人开发的，他们通过使用支架移植来固定远端et部分，从而改进了Borst的et技术。汉诺威医学院与Vascutek Terumo合作，于2012年推出了四支混合FET移植物(Thoraflex hybrid)。然而，开放式主动脉弓修复后的效果主要取决于围手术期处理和患者因素。多年来，围手术期管理和手术技术的发展大大提高了手术效果。我们描述了我们在急性主动脉夹层Stanford A型，DeBakey I型(AADA DeBakey I)患者中植入这种混合移植物的手术技术。
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引用次数: 1
Recent Articles in AATS Journals AATS期刊近期文章
Q3 Medicine
Operative Techniques in Thoracic and Cardiovascular Surgery
Pub Date : 2022-09-01 DOI: 10.1053/j.optechstcvs.2022.08.002
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引用次数: 0
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