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First Report on Rigid Plate Fixation for Enhanced Sternal Closure in Minimally Invasive Cardiac Surgery: Safety and Outcomes.
Bioengineering (Basel)
December 2024
Department of Cardiac Surgery, University Hospital of Basel, 4031 Basel, Switzerland.
Introduction: This study reports of the use of a rigid-plate fixation (RPF) system designed for sternal closure after minimally invasive cardiac surgery (MICS).
Methods: This retrospective analysis included all patients undergoing MICS with RPF (Zimmer Biomet, Jacksonville, FL, USA) at our institution. We analyzed in-hospital complications, as well as sternal complications and sternal pain at discharge and at follow-up 7 to 14 months after surgery.
"Martin Mattress": Surgical Technique for Achieving Hemostasis in Redo Aortic Root Operations.
Aorta (Stamford)
April 2024
Division of Cardiovascular Surgery, Department of Surgery, University of Florida Health, Gainesville, Florida.
A 71-year-old gentleman with prior bioprosthetic aortic valve replacement was admitted with aortic valve dehiscence and an aortic root abscess. He underwent reoperative sternotomy, aortic root, mitral valve, and hemiarch replacement. To augment hemostasis, we implanted the "Martin Mattress"-a pericardial patch sutured to the fibrous ridge within the innominate vein, superior vena cava, right atrium, right ventricular outflow tract, and pulmonary artery-which is preferred to modified Cabrol fistula techniques in infectious root pathology.
View Article and Find Full Text PDFComplete Aortomitral Curtain Dehiscence Resulting in Large Pseudoaneurysm 6 Weeks After Aortic Root Replacement.
JACC Case Rep
November 2024
Division of Cardiac Surgery, Corrigan Minehan Heart Centre, Massachusetts General Hospital, Boston, Massachusetts, USA.
This case report presents a unique challenge of complete aortomitral curtain dehiscence and a large pseudoaneurysm 6 weeks post-aortic root replacement in a patient with infective endocarditis. It underscores the importance of meticulous follow-up in patients who have undergone complex aortic surgeries, especially those with infective endocarditis. The patient's subtle symptoms of occasional dyspnea and lightheadedness highlight the necessity for a comprehensive evaluation and a high index of suspicion.
View Article and Find Full Text PDF[The Result of Aortic Valve Plasty with Autologous Pericardium Using Sawazaki's Template].
Kyobu Geka
October 2024
Department of Cardiovascular Surgery, Ichinomiya Nishi Hospital, Ichinomiya, Japan.
The autologous pericardial aortic valve repair technique developed by Ozaki et al., using glutaraldehyde-treated autologous pericardium, has demonstrated superior durability to bioprosthetic valves. However, this technique has certain limitations, including excessive cusp height and cusp fluttering due to leaflet redunduncy.
View Article and Find Full Text PDFRe-do Commando procedure with bioprosthetic mitral valve and aortic homograft for mitral valve dehiscence from prior Commando procedure.
JTCVS Tech
December 2024
Department of Cardiothoracic Surgery, School of Medicine, Stanford University, Stanford, Calif.
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