CTSNet’s 10 Most Popular Articles of May 2023 [1]
May was a busy month for CTSNet, with a wide variety of cardiothoracic news and content. The most popular content over the last few weeks included a demonstration of minimally invasive mitral valve repair, a Yang procedure for rheumatic heart disease treatment performed by a South African surgical team, and the winning video in the 8th Annual Resident Video Competition.
1. Minimally Invasive Off-Pump Mitral Valve Repair with the NeoChord DS1000 System [3]
By Amy Brown [4], William Kent [5], Corey Adams [6]
The most popular video last month demonstrates the use of an innovative device, which implants multiple sets of Gortex neochords onto the prolapsing segment of the posterior mitral valve leaflet through a minimally invasive approach.
May’s top JANS post was an analysis of the STS adult cardiac surgery database that determined trends in isolated tricuspid operation outcomes. Researchers concluded that early referral to high-volume cardiac centers may improve outcomes.
3. Yang Procedure and Double Valve Replacement Technique [8]
By Dambuza Nyamande [9], Peter Ramoroko [10], Makenga Fidele Kampetu [11]
A technique for annular enlargement involving a Y-incision and rectangular patch, dubbed the Yang procedure, has become increasingly popular in recent years. In this video, a team of surgeons from South Africa demonstrated their technique on a patient with rheumatic heart disease.
4. Veno-Venous Extracorporeal Membrane Oxygenation: Decannulation Technique in the Awake, Spontaneously Breathing Patient [12]
By Ryan Azarrafiy [13], Mark Bleiweis [14], Mindaugas Rackauskas [15], Jeffrey Jacobs [16], Giles Peek [17]
In the winning video of CTSNet’s 8th Annual Resident Video Competition [18], the author demonstrates a detailed guide to ECMO decannulation. Make sure to also watch his interview [19] with competition judge Marjan Jahangiri.
5. JANS: Terumo Aortic’s ThoracoFlo Hybrid Device Used in First North American Case [20]
A new hybrid graft, Thoracoflo from Terumo, has been used in thoracic aorta aneurysm repair for the first time. The graft consists of a proximal stent graft for transabdominal retrograde delivery to the descending aorta and a distal six-branched abdominal device for open aortic repair.
6. Sponsored Content: SAVR Procedures to Enhance Outcomes—A Case-Based Discussion [21]
By Vivek Rao [22], William Brinkman [23], Barbara Hamilton [24], Bo Yang [25], Sarah Palmer [26]
In this discussion, several aortic surgery experts reviewed aortic root replacement procedures, aortic root enlargement using the Y incision, and considerations for lifetime management of patients.
7. Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery (ALCAPA): Repair by Translocation [27]
By Mina Estafanos [28], Ali Mashadi [29], Sameh Said [30]
A video from top CTSNet submitter Dr. Sameh Said, surgeons demonstrate repair of an anomalous origin of the left coronary artery by translocating the left main coronary artery from the pulmonary artery to the aorta in a neonate.
8. JANS: Albumin Infusion and Blood Loss after Cardiac Surgery [31]
The next JANS post on the list details a study comparing albumin to Ringer's acetate for volume resuscitation. The results showed that the group that was perioperatively administered albumin had a greater blood loss and higher UDBP compared to those who were administered Ringer’s acetate.
9. Ross Procedure after Explantation of Failed Transcatheter Aortic Valve Replacement [32]
By Qiudong (Kevin) Chen [33], Jad Malas [34], Jo Chikwe [35], Richard Kim [36], Dominic Emerson [37]
In another Resident Video Competition submission, the surgical team used a pulmonary autograft-in-conduit technique with a 30 mm Gelweave graft and reconstruction with a 29 mm pulmonary homograft to replace the patient’s valve via Ross procedure.
10. Uniportal VATS Lung Sparing Resection with Radial Stapler for Unknown Post-COVID-19 Lesions [38]
By Elisa Sicolo [39], Andrea Castaldi [40], Vittorio Aprile [41], Diana Bacchin [42], Stylianos Korasidis [43], Marcello Ambrogi [44], Marco Lucchi [45], Maria Giovanna Mastromarino [46]
Finally, this video underscores the importance of being aware of post-COVID-19 atypical benign lesions that mimic lung tumors to avoid unnecessary extensive pulmonary resections. The authors demonstrate that the radial stapler is a valid and useful tool to achieve this goal.
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