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featured adult cardiac articles from JTCVS Techniques. To read
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exclusion of the entire aortic arch with branched
stent-grafts after surgery for acute type A aortic
Augusto D'Onofrio, MD, PhD,
Giorgia Cibin, MD, Michele Antonello, MD, Piero
Battocchio, MD, Michele Piazza, MD, Raphael Caraffa,
MD, Alberto Dall'Antonia, MD, Franco Grego, MD, Gino
exclusion of the entire aortic arch with branched
stent-grafts after surgery for acute Type A aortic
dissection is feasible and provides early encouraging
Highly selected: Endovascular arch repair after surgery
for type A dissection
B. Balsam, MD
A new study highlights key selection
criteria and technical considerations in the
treatment of aortic arch pathology with branched
endografts after previous surgical repair for type
Keep working: Current endovascular arch-repair
technology still has a way to go
Present endovascular arch stenting
technology is far from perfect, and using it
involves a steep learning curve. Knowing the
devices and their limitations is important when
treating arch pathologies.
trunk repair of aortic aneurysms: How to reduce the
incidence of endoleak and reintervention
Sandhir Kandola, FRCS (Vasc), PhD,
Ahmed Abdulsalam, FRCS (C-Th), MSc, Mark Field, FRCS,
DPhil, Robert K. Fisher, FRCS, MD
recommend >10% distal stent oversize and >30-mm
sealing length in single-stage frozen elephant trunk
repair of aortic aneurysmal disease to prevent endoleak
How do you size a frozen elephant trunk?
Assi, MD, MMS, Arnar Geirsson, MD
The optimal sizing criteria for
frozen elephant trunk procedures for aortic
aneurysms are not well known. The surgeon should
weigh the risk of endoleak versus aortic wall
injury and paraplegia.
Do we really need specific recommendations for the use
of one-piece hybrid devices?
Preventza, MD, Davut Cekmecelioglu, MD
Given that one-piece hybrid devices
are relatively new, careful application is
advisable, and the choice between a 1- or 2-stage
approach should be individualized to the patient.
aneurysmectomy: Operative steps for Crawford extent II
Ana Lopez-Marco, PhD, Benjamin
Adams, MD, Aung Ye Oo, MD
describe our extent II TAAA repair technique, including
surgical adjuncts: left heart bypass, cerebrospinal
fluid drainage, motor evoked potential monitoring, and
visceral and renal perfusion.
The devil is in the details
S. Coselli, MD, Vicente Orozco-Sevilla, MD
Repair of Crawford extent II
thoracoabdominal aortic aneurysm is complex and
necessitates the use of multiple adjuncts to
mitigate surgical risk.
There is no “I” in team
L. Estrera, MD
Like all major cardiovascular
procedures, it takes a team in order to achieve
Thoracoabdominal aneurysmectomy – Operative steps for
Crawford Extent II repair: The devil is in the detail
Porterie, MD, François Dagenais, MD
A multimodal, multidisciplinary
strategy is pivotal in open repairs of extent type
II thoracoabdominal aortic aneurysms to prevent
spinal cord and the visceral organs from
and transaortic mitral valve repair using autologous
pericardium only for aortomitral endocarditis
Umberto Benedetto, PhD, Szabolcs
Gergely, Arnaldo Dimagli, MD, Shubhra Sinha, MBBS,
Bristol, United Kingdom
present a case of aortomitral infective endocarditis
treated with a totally biological solution by combining
AVNeo (Ozaki procedure) and mitral valve repair using
autologous pericardium through a total transaortic
Patch repair for aortomitral endocarditis: Playing the
short game or the long game?
A. Hirji, MD, MPH, Tsuyoshi Kaneko, MD
Combined autologous pericardium
aortic valve neocuspidization and transaortic
mitral valve repair may be an attractive short-term
strategy for aortomitral endocarditis, but
long-term durability remains to be determined.
The pericardial autologous solution
Miceli, MD, PhD
Aortic valve neocuspidalization and
transaortic mitral valve repair with autologous
pericardium is a new technique for treating
AVNeo (Ozaki) and transaortic mitral valve repair using
autologous pericardium only for aortomitral
endocarditis: The perfect solution in double-valve
invasive aortomitral endocarditis?
J. Liakopoulos, MD
Total autologous pericardial aortic
and mitral valve reconstruction is presented as a
feasible option for young patients with invasive
with ink-dot marking test: An alternative strategy to the
Akimasa Morisaki, MD, PhD, Yosuke
Takahashi, MD, PhD, Hiromichi Fujii, MD, PhD, Yoshito
Sakon, MD, PhD, Takashi Murakami, MD, PhD, Toshihiko
Shibata, MD, PhD
assessment tools are important for excellent early- and
long-term results of mitral valve repair. What such
tools should we use to obtain good long-term results of
the loop technique?
Don't get lost in the loop
Domenico Bruno, MD, PhD, Mustafa Zakkar, PhD, FRCS
The loop technique is an effective
and reliable mitral valve repair technique. Is
there a way to make it even better?
Techniques of mitral valve repair: Is there still
“gunpowder” to be invented?
J. Antunes, MD, PhD, DSc
The lack of a control group does not
allow us to fully understand how this new method
has changed the results, hence; it does not help us
understand if this is significant progress in
Loop technique with ink-dot
marking test for posterior leaflet prolapse.
CORONARY: SURGICAL TECHNIQUE
sutured coronary artery bypass grafting: How we do it
Gianluca Torregrossa, MD, Andrea
Amabile, MD, Husam H. Balkhy, MD
endoscopic coronary artery bypass provides the benefit
of multiarterial grafting while minimizing the risk of
wound infection and stroke. We present our technique to
reproducibly perform a totally robotic sutured coronary
Coronary revascularization: How should we do it?
Sotolongo, MD, Arnar Geirsson, MD
University of Chicago surgeons
demonstrate an elegant and robust method for
robotic-assisted coronary anastomosis.
Almost ready for prime time
M. Wei, MD
A dedicated, experienced team
demonstrates how to perform robotically sutured
coronary artery anastomoses, a technique that will
be useful for a select group of surgeons.