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Cardiac Portal
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In this video, surgeons demonstrate their ascending aorta replacement technique using a minimally invasive approach.
August 25, 2022
This is a surgical technique video of Dr. James Tweddell’s operative management of a patient with simple transposition.
August 18, 2022
This video demonstrates a simplified and reproducible technique for anatomic aortic arch reconstruction using a custom-made frozen elephant trunk.
August 8, 2022
Tricuspid valve repair with patch augmentation is used to overcome the valve regurgitation caused by malcoaptation of leaflets. This video shows the technique used when the anterior leaflet is too thin to hold the suture line safely; the possibility of tearing the leaflet after cutting and suturing exists. The augmentation was made at the annular level with no contact on the leaflet itself. This technique ensures a much more secure repair, as the suturing is only on the fibromuscular tissue. An artificial chordal support to the flail leaflet technique is also demonstrated.
July 25, 2022
This video highlights reoperative mitral valve repair surgery after prior sternotomy with fibrillatory arrest in the context of patent coronary grafts.
July 20, 2022
This video describes how to perform a recipient cardiectomy using the bicaval technique for implantation during an orthotopic heart transplantation.
July 19, 2022
This video demonstrates a case of TAVR explantation due to late transcatheter heart valve thrombosis leading to cardiogenic shock in a sixty-seven-year-old woman who underwent TAVR forty-one months prior.
July 14, 2022
Pericardial constriction from expanded polytetrafluoroethylene (ePTFE) pericardial replacement membrane is rare. The condition should be considered in the differential diagnosis when a patient with a history of prior cardiac surgery presents with symptoms and signs of heart failure.
July 11, 2022
This video explains the failure of a small bioprosthetic aortic valve and details an annular enlargement procedure using a Y-incision and rectangular patch in a sixty-seven-year-old woman who presented with severe aortic valve regurgitation. The incision enabled implantation of a 25 mm bioprosthetic aortic valve compared to the patient’s previous size of 19 mm.
July 7, 2022
Keep up with the world of cardiac robotics surgery by viewing the 2022 Surgical Robotics and Innovation Summit, held in June 2022 in Sydney, Australia, in partnership with the ANNALS of Cardiothoracic Surgery and CTSNet.
July 1, 2022
Valve repair has been shown to be a valuable alternative to valve replacement in mitral valve endocarditis. Yet the result of the repair depends on the experience of the surgical team and the extent of the valve damage. Valve repair should be preferred when technically feasible, but caution must be exercised to assess its absolute superiority in comparison to valve replacement.