JTCVS Techniques最新文献

英文中文

A case of extracorporeal carbon dioxide removal for postpneumonectomy acute respiratory distress syndrome

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2025-02-01 DOI: 10.1016/j.xjtc.2024.10.007

Annette M. Ilg MD , Ryan M. Gardner MD , Stephen D. Hallisey MD , Antonio Coppolino III MD , Raghu R. Seethala MD

引用次数: 0

Novel lateral tunnel Fontan operation in children promotes continued pathway growth into adulthood

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2025-02-01 DOI: 10.1016/j.xjtc.2024.09.025

Mary C. Marciniak MMS , Rohan Kubba BS , Jade C. Tran MD , Gregory J. Jutzy MD , Jennifer Newcombe DNP , Anees J. Razzouk MD , Randall S. Fortuna MD

Objective

Most Fontan operation techniques currently used in children are limited by a blood flow pathway with no growth potential. The external pericardial lateral tunnel Fontan is a novel technique using the patient's pedicled pericardium and atrial wall in situ to create a Fontan pathway. We hypothesize that viable, autologous tissue will allow growth potential of the pathway and adapt to increasing physiologic demands of somatic growth.

Methods

We performed a single-center retrospective review of serial echocardiographic measurements of the inferior vena cava junction and mid tunnel in patients with an external pericardial lateral tunnel Fontan. Linear mixed model and Pearson correlation tests were used for analysis of changes in pathway size with time and body surface area.

Results

A total of 1592 echocardiographic studies from 172 patients up to 23 years after the procedure were identified. Significant enlargement of the pathway at the inferior vena cava junction and mid tunnel was observed over time (P < .0001, P < .0001, respectively). There is a strong positive correlation between increasing size of the inferior vena cava junction and increasing body surface area (R = 0.81, P < .0001). There is also a strong positive correlation between increasing size of the mid tunnel with increasing body surface area (r = 0.67, P < .0001).

Conclusions

The external pericardial lateral tunnel Fontan technique creates a Fontan pathway that enlarges into adulthood. The correlation of increasing pathway size with increasing body surface area suggests pathway growth, responding to increasing physiologic demands of somatic growth into adulthood. Further studies are needed to investigate the impact of this novel technique on Fontan physiology and long-term patient outcomes.

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引用次数: 0

Commentator Discussion: Minimally invasive coronary artery bypass grafting via left anterior mini-thoracotomy: Setup, results, and evolution of a new surgical procedure

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2025-02-01 DOI: 10.1016/j.xjtc.2024.11.011

引用次数: 0

Corrigendum to ‘Pulmonary endarterectomy through inverted-T upper hemisternotomy’[JTCVS Techniques Volume 28, December 2024, Pages 65-72]

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2025-02-01 DOI: 10.1016/j.xjtc.2024.12.003

Marie De Vos MD , Bart Meyns MD, PhD , Rozenn Anne Quarck MSc, PhD , Catharina Belge MD, PhD , Laurent Godinas MD, PhD , Steffen Rex MD, PhD , Dirk Vlasselaers MD, PhD , Marion Delcroix MD, PhD , Tom Verbelen MD, PhD

引用次数: 0

Robot-assisted computed tomography-guided percutaneous biopsy and cryoablation for subcentimeter pulmonary metastatic sarcoma: China's first reported case

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2025-02-01 DOI: 10.1016/j.xjtc.2024.11.008

Jianfu Li MD, Ran Zhong MD, Shen Lao MD, Wei Wang MD

引用次数: 0

Commentary: We mustn’t be blinded by the elegance of a complex approach and not consider the simplest solutions

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2025-02-01 DOI: 10.1016/j.xjtc.2024.11.002

Hugo Monteiro Neder Issa MD , Gyaandeo Maharajh MD, FRCSC , Fraser Rubens MD, MSc, FACS, FRCSC

引用次数: 0

Aortic leaflet remodeling for the repair of congenitally malformed aortic valve

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2025-02-01 DOI: 10.1016/j.xjtc.2024.10.015

Hani K. Najm MD, MSc, Lama Dakik MD, Batol Barodi MD (c), John P. Costello MD, Munir Ahmad MD, Justin T. Tretter MD

Objective

Aortic valve repair techniques are still evolving with better understanding of aortic root and leaflet imaging. This study seeks to present the results of an additional new technique in aortic valve repair of patients with congenital heart disease. The technique entails remodeling of the leaflet by intentional peeling of the myxomatous tissue to remodel the thickened leaflets (from the ventricular side of the aortic valve along with thinning and plication of the central region of the leaflets). Other repair techniques are added to complete the repair.

Methods

We performed a retrospective chart analysis of 19 patients who underwent aortic valve remodeling for aortic regurgitation and received advanced imaging preoperative assessment from January 2022 to February 2024. Institutional Review Board approval was obtained under expedited review for retrospective studies.

Results

All patients with a wide range of congenital pathologies underwent leaflet remodeling; 9 patients (47%) underwent additional valve-sparing root replacement, and 6 patients (32%) received subaortic annuloplasty. Fifteen patients (79%) had moderate or severe aortic insufficiency at the time of presentation. Mean clinical follow-up was 10 months (range, 1.9-31). At follow-up, 7 patients did not have aortic regurgitation on echocardiogram, and the remaining 12 patients had mild regurgitation. None of the patients had more than mild regurgitation. All patients assessed for left ventricular ejection fraction at follow-up had an ejection fraction greater than 50%. None of the patients required reoperation.

Conclusions

Leaflet remodeling by intentional peeling of myxomatous tissue expands leaflet dimensions by freeing tethered portions and improves mobility and coaptation. This additional technique will preserve more valves from replacement. However, further follow-up is needed.

{"title":"Aortic leaflet remodeling for the repair of congenitally malformed aortic valve","authors":"Hani K. Najm MD, MSc, Lama Dakik MD, Batol Barodi MD (c), John P. Costello MD, Munir Ahmad MD, Justin T. Tretter MD","doi":"10.1016/j.xjtc.2024.10.015","DOIUrl":"10.1016/j.xjtc.2024.10.015","url":null,"abstract":"<div><h3>Objective</h3><div>Aortic valve repair techniques are still evolving with better understanding of aortic root and leaflet imaging. This study seeks to present the results of an additional new technique in aortic valve repair of patients with congenital heart disease. The technique entails remodeling of the leaflet by intentional peeling of the myxomatous tissue to remodel the thickened leaflets (from the ventricular side of the aortic valve along with thinning and plication of the central region of the leaflets). Other repair techniques are added to complete the repair.</div></div><div><h3>Methods</h3><div>We performed a retrospective chart analysis of 19 patients who underwent aortic valve remodeling for aortic regurgitation and received advanced imaging preoperative assessment from January 2022 to February 2024. Institutional Review Board approval was obtained under expedited review for retrospective studies.</div></div><div><h3>Results</h3><div>All patients with a wide range of congenital pathologies underwent leaflet remodeling; 9 patients (47%) underwent additional valve-sparing root replacement, and 6 patients (32%) received subaortic annuloplasty. Fifteen patients (79%) had moderate or severe aortic insufficiency at the time of presentation. Mean clinical follow-up was 10 months (range, 1.9-31). At follow-up, 7 patients did not have aortic regurgitation on echocardiogram, and the remaining 12 patients had mild regurgitation. None of the patients had more than mild regurgitation. All patients assessed for left ventricular ejection fraction at follow-up had an ejection fraction greater than 50%. None of the patients required reoperation.</div></div><div><h3>Conclusions</h3><div>Leaflet remodeling by intentional peeling of myxomatous tissue expands leaflet dimensions by freeing tethered portions and improves mobility and coaptation. This additional technique will preserve more valves from replacement. However, further follow-up is needed.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"29 ","pages":"Pages 106-110"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146390","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}

引用次数: 0

Surgical repair of aneurysmal left circumflex coronary artery fistula to coronary sinus

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2025-02-01 DOI: 10.1016/j.xjtc.2024.11.010

Meilynn Shi BA , Katherine G. Verdi MD , Y. Joseph Woo MD

引用次数: 0

Commentator Discussion: Simultaneous sternal-sparing durable left ventricular assist device implantation with aortic and mitral valve procedures

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2025-02-01 DOI: 10.1016/j.xjtc.2024.11.001

引用次数: 0

Successful surgical correction of double-chambered left ventricle: A case report

IF 1.7 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

JTCVS Techniques

Pub Date : 2025-02-01 DOI: 10.1016/j.xjtc.2024.09.024

Yansong Zuo MD, Yuefeng Cao MD, Gang Li MD, Han Zhang MD, Qiang Wang MD, Jun Yan MD

引用次数: 0

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