Etiquetas Archivo: CTS

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Dual lumen venopulmonary extracorporeal membrane oxygenation cannulation technique using the ProtekDuo

Treatment strategies for acute respiratory distress syndrome have dramatically improved in recent years. Nevertheless, despite optimization of ventilator parameters, mortality remains high. Venovenous extracorporeal membrane oxygenation (ECMO) allows the elimination..

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Redo Reinforced Ross: A Step-by-Step Guide

This video presents the case of a thirty-seven-year-old woman with a history of aortic valve replacement and reconstruction of her aortomitral fibrosa and anterior leaflet of the mitral valve due..

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Aortic Hemiarch Replacement

This video demonstrates an efficient method for aortic hemiarch replacement termed the seven-minute technique.  Elective aortic hemiarch replacement under hypothermic circulatory arrest is commonly performed for ascending aortic aneurysms with..

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Cardiac retransplantation

An orthotopic heart transplant remains the gold standard treatment for patients with end-stage heart failure. Despite significant developments and the widespread use of durable mechanical circulation support, a small number..

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The Nikaidoh Operation: An Aortic Translocation Repair

The patient is a two-and-a-half-year-old child with d-TGA/VSD/PS who underwent aortic translocation. The patient’s anatomy was typical of d-transposition with VSD and PS. Both coronaries were favorable in that they..

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ECPR: Building the Team for Success - July 13th

CTSNet and ASAIO Journal are excited to host a live event on ECPR (extracorporeal cardiopulmonary resuscitation) with an expert panel discussing indications, team building, and current outcomes. In this latest..

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How to perform a direct axillary artery cannulation

A variety of cannulation strategies have been used for cardiac surgery interventions throughout the years. In the last 2 decades, a number of studies reported the excellent outcomes of the..

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Veno-Venous Extracorporeal Membrane Oxygenation: Decannulation Technique in the Awake, Spontaneously Breathing Patient

This video describes the authors’ institution’s preferred decannulation technique in the awake, spontaneously breathing patient on veno-venous extracorporeal membrane oxygenation (VV ECMO). The case involves a twenty-nine-year-old man with a..

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Cone Repair for Ebstein's Anomaly in a Ten-Year-Old Girl

The patient was a ten-year-old, 43.3 kg girl who had a well-known diagnosis of Ebstein's anomaly and underwent a previous electrophysiologic study with catheter ablation of an accessory conduction pathway..

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Interdigitating Technique for Repair of Aortic Coarctation and Arch Hypoplasia in a Neonate

he patient was a two-day-old, 3.6 kilogram neonate who was diagnosed prenatally with aortic coarctation. After birth, a prostaglandins infusion was initiated, and a transthoracic echocardiogram showed critical aortic coarctation..

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Surgical correction of the ascending aorta and an aortic root aneurysm associated with coarctation of the descending aorta

This case report shows how to perform simultaneously an open surgical correction of an aortic root aneurysm and aortic stenosis by interposition of an aortic composite graft and the transdiaphragmatic..

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Hybrid arch frozen elephant trunk repair for acute type A aortic dissection: Extra-anatomic subclavian reconstruction

Acute type A aortic dissection is a life-threatening condition that confers significant early perioperative risk but is also associated with late aortic disease progression and the need for reintervention. Recent..

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Extracardiac Fontan completion after the Kawashima procedure with a custom-made bifurcated graft

The patient is a 5-year-old girl who underwent a previous Kawashima procedure with a left-sided bidirectional cavopulmonary anastomosis as a stage I palliation for her functional single ventricle. Her cardiac..

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Implantation of a Total Artificial Heart

This video shows the case of a twenty-six-year-old mother of four with a history of BRCA 2 gene mutation, breast cancer, bilateral mastectomies, and radiotherapy. The patient developed dilated cardiomyopathy..

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The Commando Revisited in Adolescent with Severe Aortic and Mitral Valve Stenosis

The patient, now a fifteen-year-old boy, was born with multivalvular disease with congenitally stenotic bicuspid aortic valve (AV). This was combined with congenital mitral valve (MV) stenosis and Ebsteinoid regurgitant..

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Percutaneous Femoral Cannulation and Decannulation Using A Plug-Based Vascular Closure Device in Minimally Invasive Cardiac Surgery

Minimally invasive cardiac surgery such as a mitral valve procedure requires femoral arterial cannulation for extracorporeal circulation access. Currently, surgical cutdown and arterial puncture under direct vision comprise  the predominant..

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Intermediate-fidelity simulator for self-training in mitral valve surgery

Current training in mitral valve (MV) surgery is affected by many factors, among which are the complexity of surgical procedures and complex three-dimensional anatomy of the MV. An MV repair..

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Suturing map for endoscopic mitral valve repair developed on high-fidelity endoscopic simulator

Minimally invasive mitral valve surgery demands a different mind-set from surgeons due to its high complexity and steep learning curve, especially in a fully endoscopic approach. Smaller incisions, working with..

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Endoscopic port-access approach for excision of left atrial myxoma - Tutorial

Primary cardiac tumors are a relatively rare disease entity, with myxomas being the most frequently found benign cardiac tumor. After confirmation of this diagnosis, patients are referred for the surgical..

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Mitral valve repair after failed MitraClip therapy - Tutorial

Although the long-term durability of transcatheter procedures has yet to be established, their emergence as an option for mitral valve repair seems to have provided the surgical community with another..

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Suture map for endoscopic tricuspid valve repair - Tutorial

Minimally invasive tricuspid surgery using a complete endoscopic approach has a steep learning curve. The purpose of creating the suture map is to allow placement of sutures with minimal tissue..

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Suture map for endoscopic mitral valve replacement - Tutorial

Mitral valve replacement using an endoscopic approach is an advanced skilled procedure. The purpose of creating the suture map for mitral valve replacement is to allow placement of sutures with..

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Pediatric aortic valve neocuspidization

Treatment of pediatric aortic valve disease is controversial. In this regard, interest is growing in the neocuspidization of the aortic valve according to Ozaki. In this video tutorial, we illustrate..

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Resection of Left Ventricular Rhabdomyoma in a Neonate

This video features a one-day-old, 3kg neonate with a prenatal diagnosis of a cardiac mass. The postnatal transthoracic echocardiogram shows a large left ventricular mass occupying the majority of the..

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Single arterial access ECMELLA: A new concept and step-by-step procedure

Therapy for cardiogenic shock using temporary mechanical circulatory support has improved significantly in the last decades, providing patients with new technologies for both acute phase stabilization and bridging to long-term..

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One-Stage Neonatal Arterial Switch With Mee Procedure and Repair of Aortic Arch Hypoplasia

An eleven-day-old female neonate, 4.3kg, presented with cyanosis and had a postnatal diagnosis of transposition of the great arteries (d-TGA), ventricular septal defect (VSD), and aortic arch hypoplasia with coarctation...

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Aortic arch reconstruction in neonates using an autologous pericardial patch

This video tutorial illustrates the surgical correction of aortic coarctation associated with severe hypoplastic aortic arch and a large subaortic ventricular septal defect using a fresh autologous pericardial patch for..

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Unroofing of Anomalous Right Coronary Artery

A sixty-year-old woman with angina. A coronary angiography showed an anomalous origin of the right coronary artery from the left coronary cusp. This was confirmed on s gated coronary CT,..

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Fourth Sternotomy with Reinforced Ross Procedure

A twenty-year-old woman presented with a severe left ventricular outflow tract (LVOT) obstruction secondary to prosthetic aortic valve dysfunction. She was born with a bicuspid aortic valve and had undergone..

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Modified Barbero-Marcial repair for type I truncus arteriosus in a 2.7-kg neonate

The basics of truncus arteriosus (TA) repair include separating the pulmonary and systemic circulations with closure of the ventricular septal defect (VSD) via a right ventriculotomy and establishing right ventricular..

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