The following is a collection of
featured adult cardiac brief reports from the new AATS
Journal, JTCVS Techniques. To read
all In Press Articles, browse the feature video library
and other journal highlights please visit www.jtcvstechniques.org
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AORTA: CASE REPORT
Acute type A
aortic dissection complicated with an aorto-right atrial
Yuichiro Kitada MD, Mamoru Arakawa
MD, PhD, Atsushi Miyagawa MD, Homare Okamura MD, PhD
repair was successfully performed for the aorto-right
atrial fistula associated with the acute type A aortic
The enemy of good is perfect, but please define good
Berhane Worku MD, Mario Gaudino MD
In the setting of a type A
dissection with an aorto-right atrial fistula, a
double patch repair of the fistula by an
experienced surgeon allows for valve preservation
and a positive outcome.
There is nothing like looking, if you want to find
Di Mauro MD, PhD, MSc, Giorgia Bonalumi MD, Antonio
M. Calafiore MD, Alessandro Parolari MD
Aorta-to-right atrial fistula is a
rare but very serious complication of aortic
dissection. We need to search for it before
starting the operation.
AORTIC FEATURED VIDEO
An intraoperative video that
demonstrates repair of aorto-right atrium fistula.
AORTIC VALVE: SURGICAL TECHNIQUE
valve repair using geometric ring annuloplasty: A
first-in-humans pilot trial
J. Scott Rankin MD, Domenico
Mazzitelli MD, Theodor J. M. Fischlein MD,
Yeong-HoonChoi MD, Diana Aicher MD, Lawrence M. Wei MD,
Vinay Badhwar MD
repair supported by geometric ring annuloplasty is
associated with excellent 2-year outcomes.
Mitral principles for aortic problems
M. Ganapathi MD, John Bozinovski MD, MSc
Improving success at preserving
native regurgitant valves is a noble goal, and
annuloplasty has facilitated this for the
atrioventricular valves. Perhaps this should be
expanded to the aortic valve.
AORTIC VALVE FEATURED VIDEO
A clinical video of all the
techniques employed in the paper.
aortic valve: Surgical repair with aortic root
reimplantation in an adult
Stephanie L. Perrier MD, Philippe
Billaud MD, Michel Kindo MD, PhD, Jean Philippe
Mazzucotelli MD, PhD
technique described allows successful tricuspidization
of severely regurgitant type A quadricuspid aortic
valve by aortic sinus resection, annular plication, and
approximation of commissures.
Skinning a cat starts with anatomy
Beers DO, John Calhoon MD
The authors describe a durable
appearing novel method of quadricuspid aortic valve
repair. The associated video clip clearly
illustrates the method.
Tricuspidization of a quadricuspid aortic valve:
Different valve, same repair
M. Burkhart MD, Jess L. Thompson MD, Arshid Mir MD
Tricuspidization of a quadricuspid
semilunar valve is a known congenital cardiac
technique that may be successfully used in the
Operative technique for
tricuspidization of quadricuspid aortic valve.
MITRAL VALVE: CASE REPORT
degeneration and late fracture of expanded
polytetrafluoroethylene neochords after mitral valve
Suvitesh Luthra FRCS-CTh,
Abdelhadi IsmailI MRCS, Geoff Tsang FRCS-CTh
neochords can rarely undergo calcific degeneration and
fracture causing a late failure of mitral valve repair.
Miceli MD, PhD
Flexibility is the most important
characteristic of ePTFE. Once calcium accumulates
on its structure, tension increases, flexibility is
lost, and neochordae may fracture.
Late calcific fractures of expanded
polytetrafluoroethylene neochordae: Blending techniques
and a greater number of neochordae for durable mitral
Pawale MD, Patrick M. McCarthy MD
Late calcific rupture of ePTFE is
rare but reported. Combining repair techniques and
more neochordae may increase durability of mitral
CORONARY: BRIEF RESEARCH REPORT
cytokines and experimental arterial and vein grafts
Antonio V. Sterpetti MD, Paolo
Sapienza MD, Valeria Borrelli PhD, Luca Di Marzo MD
of the wall of vein grafts is a physiologic adaptation
to the arterial system, regulated by a delicate balance
of many factors. This balance can be altered in
specific hemodynamic conditions, and it may be related
to genetic factors and aging through increased
production of inflammatory cytokines.
Veins grafts reversibly adapt to the arterial
F. Ward MD, Richard Lee MD, MBA
Vein grafts reversibly adapt to the
arterial circulation, potentially from release of
cytokines. Clinical relevance of these findings is
limited by the unknown mechanism of action of these
Born vein, you cannot die artery!
Di Mauro MD, PhD, MSc, Angela Di Baldassarre MD, PhD
This brief report should lead
surgeons to reduce the grafting of coronary artery
with saphenous vein grafts, increasing bilateral
internal thoracic artery and radial artery use.
MECHANICAL CIRCULATORY SUPPORT: CASE
during left ventricular assist device implantation: A
case report: Ignoramus et Ignorabimus, Sapere aude (We
ignore and we'll ignore, dare yourself to know)
Erik J. Orozco-Hernandez MD, Erwin
E. Argueta-Sosa MD, Joanna M. Joly MD, Salpy V.
Pamboukian MD, MSPH, Jose A. Tallaj MD, Charles W.
cryoablation during an LVAD implant is an option for
patients with end-stage heart failure who have
refractory VT. More studies are needed to evaluate this
Intraoperative cryoblation during HeartMate 3 left
ventricular assist device implantation for refractory
ventricular arrhythmias: Ipsa scientia potestas est
(knowledge is power)
J. Altshuler MD, Pavan Atluri MD
Cryoablation at time of HeartMate 3
LVAD placement can reduce postoperative ventricular
arrhythmias. A larger, more rigorous evaluation of
safety and efficacy of treatment is necessary
Arrhythmia surgery at the time of left ventricular
assist device implant—use of caution
Maeda MD, PhD Anson M.Lee MD
Necessity and efficacy of arrhythmia
surgery at the time of LVAD implant need to be
further investigated with its risk and benefit. An
aggressive approach can alleviate postoperative