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Surgeon-modified fenestrated endovascular grafts and thoracoscope-assisted fixation for treatment of thoraco-abdominal aortic aneurysms.
J Cardiothorac Surg
April 2024
Department of Cardiac Surgery and Respiratory, Lanzhou University Second Hospital, Lanzhou, China.
Article Synopsis
- Total endovascular techniques for treating thoracoabdominal aortic aneurysms can face challenges like endograft migration due to late dilatation of the proximal landing zone.
- A 55-year-old female patient unfit for open surgery underwent a successful hybrid procedure involving a surgeon-modified fenestrated endovascular graft and thoracoscope-assisted fixation.
- This innovative approach shows promise for high-risk patients but requires longer follow-up to evaluate its long-term effectiveness.
[Minimally invasive right infra-axillary thoracotomy for transaortic modified Morrow procedure: a series of 60 cases].
Zhonghua Wai Ke Za Zhi
March 2023
Department of Cardiovascular Surgery, Zhejiang Provincial People's Hospital (People's Hospital of Hangzhou Medical College), Hangzhou 310014, China.
To examine the short-term curative effect with minimally invasive right infra-axillary thoracotomy for transaortic modified Morrow procedure. The clinical data of 60 patients who underwent video-assisted thoracoscopic transaortic modified Morrow procedure from August 2021 to August 2022 at Department of Cardiovascular Surgery, Zhejiang Provincial People's Hospital were retrospectively analyzed. There were 31 males and 29 females, with the age ( (IQR)) of 54.
View Article and Find Full Text PDFMinimally invasive right infra-axillary thoracotomy for transaortic septal myectomy.
J Card Surg
July 2022
Department of Cardiovascular Surgery, Heart Center, Zhejiang Provincial People's Hospital (Affiliated People's Hospital, Hangzhou Medical College), Hangzhou, Zhejiang, China.
Extended left ventricular septal myectomy remains the gold standard for the treatment of hypertrophic obstructive cardiomyopathy (HOCM) with refractory symptoms. On the basis of traditional modified transaortic Morrow myectomy, we innovatively performed a minimally invasive, video-assisted single-port thoracotomy through the right infra-axillary region. Our procedure can provide good visualization of the left ventricular outflow tract and hypertrophic ventricular septum for accurate resection.
View Article and Find Full Text PDFVideo assisted, transaortic removal of left ventricular thrombus during concurrent cardiac surgery: a case report.
J Cardiothorac Surg
August 2021
John Hunter Hospital, Newcastle, Australia.
Introduction: Left ventricular (LV) thrombus is a complication of acute myocardial infarction and is associated with systemic thromboembolism. We describe a trans-aortic endoscopic approach to the removal of an LV thrombus in a patient undergoing concurrent coronary artery bypass grafting and aortic valve replacement.
Case Presentation: A 47 year old male presented following an embolic middle cerebral artery stroke and underwent transthoracic echocardiography demonstrating a mobile LV thrombus.
Video-Assisted Thoracoscopic Transaortic Myectomy for Hypertrophic Obstructive Cardiomyopathy.
Ann Thorac Surg
March 2021
Department of Cardiothoracic Surgery, Jessa Hospital, Hasselt, Belgium.
Hypertrophic obstructive cardiomyopathy remains one of the more common inherited cardiac disorders with often a major impact on quality of life. Even today, most frequently a sternotomy is performed to conduct the myectomy. Several minimally invasive procedures, under direct vision or through transmitral access, have been demonstrated to operate on these patients.
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