Tags Archives: CTS

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Robotic Right Upper Sleeve Lobectomy With Rotational Azygous Vein Flap

In this video, the authors demonstrate a robotic right upper sleeve lobectomy with a rotational azygos vein flap. The patient was a 68-year-old female presenting with a right supra-hilar non-small..

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Modified percutaneous decannulation technique in veno-arterial extracorporeal membrane oxygenation

We present an enhanced percutaneous decannulation technique for a patient undergoing  veno-arterial extracorporeal membrane oxygenation. This innovative approach uses two distinct percutaneous vascular devices, offering a more reliable and more..

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Femoral Cannulation for CPB During Minimally Invasive Cardiac Surgery

This video demonstrates the technique of open cut down femoral vessel cannulation for cardiopulmonary bypass during minimally invasive procedures using the semi-Seldinger technique.   The information and views presented on..

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Neonatal venoarterial extracorporeal membrane oxygenation cannulation technique

Peripheral cannulation for initiation of neonatal venoarterial extracorporeal membrane oxygenation is an essential technical skill in the armamentarium of every congenital cardiac surgeon and is necessary for the care of..

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Pump‐controlled retrograde trial off extracorporeal membrane oxygenation

Venoarterial extracorporeal membrane oxygenation weaning strategies are not standardized. When dealing with patients with complex physiologies and borderline haemodynamics, it is prudent to have a fail-safe method of approaching decannulation..

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Percutaneous Femoral Venous Cannulation—How to Do It

Percutaneous femoral venous cannulation is a vital skill for cardiac surgeons, especially in complex procedures such as redo sternotomy and ECMO.  This video demonstrates the key technical steps for insertion..

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Non-circulatory arrest aortic arch replacement

The definitive management of combined aortic arch and descending aortic pathologies such as aneurysms and dissections is either a single or staged operation associated with high morbidity and mortality. Stroke,..

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Conversion technique from venovenous to venopulmonary ECMO support

We present the cannulation technique for venopulmonary extracorporeal membrane oxygenation using the ProtekDuo dual-lumen cannula in a patient who, after a bilateral orthotopic lung transplant and coronavirus disease 2019 infection,..

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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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