Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas RSS feed: Current Issue. Operative Techniques in Thoracic and Cardiovascular Surgery provides richly illustrated articles on techniques in thoracic and cardiovascular surgery written by renowned surgeons. Each issue presents cardiothoracic topics in adult cardiac, congenital, and general thoracic surgery. Each specialty of interest to the thoracic and cardiovascular surgeon is explored through two different approaches to a specific surgical challenge. Each article is thoroughly illustrated with original line drawings, actual intraoperative photos, and supporting tables and graphs. 2008 Topics , Volume 13 Adult Cardiac Topics Aortic arch replacement procedures Approaches to pericardiectomy Artificial chordae tendineae Composite root replacement with a mechanical conduit Maze procedure Surgical fenestration for dissection Congenital Heart Disease Topics Anomalous origin of a coronary artery from the aorta Ebstein's anomaly RVOT reconstruction Transposition of the great arteries Variations on the Nikaidoh operations for transposition of the great artery, ventricular septal defect, and pulmonary stenosis General Thoracic Surgery Topics Superior vena cava resection and reconstruction for thoracic malignancies compared with left atrial resection and reconstruction for non-small cell lung cancer Primary repair of esophageal perforation compared with esophageal diversion for esophageal perforation Technique of combined pulmonary artery and bronchial sleeve resection Surgical management of subglottic stenosis compared with surgical repair of iatrogenic cervical tracheal stenosis Transsternal approaches for anatomic pulmonary resections Robotic pulmonary lobectomy compared with video-assisted thoracoscopic segmentectomyhttp://www.optechtcs.com/?rss=yesElsevier Inc.en © 2009 Published by Elsevier Inc. All rights reserved. Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas1522-2942143Autumn 2009 © 2009 Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.optechtcs.com/article/PIIS1522294209001020/abstract?rss=yesAssociation Officers10.1053/S1522-2942(09)00102-0Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas 14, 3 (2009)Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas143S1522-2942(09)X0005-Xiihttp://www.optechtcs.com/article/PIIS1522294209001044/abstract?rss=yes2009 Topics10.1053/S1522-2942(09)00104-4Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas 14, 3 (2009)Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas143S1522-2942(09)X0005-Xiiiiiihttp://www.optechtcs.com/article/PIIS1522294209001056/abstract?rss=yesTable of Contents10.1053/S1522-2942(09)00105-6Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas 14, 3 (2009)Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas143S1522-2942(09)X0005-Xivivhttp://www.optechtcs.com/article/PIIS1522294209000968/abstract?rss=yesIn this edition of Operative Techniques in Thoracic and Cardiovascular Surgery, two superb articles on how to perform an Ivor Lewis esophagectomy are presented and well illustrated. In the first article Carolyn Reed from the Medical University of South Carolina describes her approach to performing the procedure via a laparotomy and right thoracotomy. This is the standard transthoracic approach to most lower- and mid-esophageal tumors and should be in the armamentarium of all thoracic surgeons. In the companion article James Luketich and colleagues from the University of Pittsburgh offer a succinct description of their minimally invasive Ivor Lewis esophagectomy approach. The group at Pittsburgh has more recently championed this approach in contrast to the minimally invasive three-hole approach they initially used. Both articles adhere to the principles of surgery for esophageal cancer and emphasize some of the more important technical details to avoid or minimize postoperative complications. In summary, these are two splendid articles that highlight these procedures for thoracic surgeons performing esophageal surgery.IntroductionFred A. Crawford10.1053/j.optechstcvs.2009.10.001Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas 14, 3 (2009)Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas143S1522-2942(09)X0005-X159159http://www.optechtcs.com/article/PIIS1522294209000580/abstract?rss=yesThe combination of a laparotomy and right thoracotomy for resection of cancer of the esophagus was proposed in 1946 at the Royal College of Surgeons' Hunterean Lecture by Ivor Lewis. As originally described, the Ivor Lewis esophagectomy was a two-stage procedure. The first stage consisted of a laparotomy and mobilization of the stomach, and the second stage performed 10 to 15 days later was a right thoracotomy, resection of the esophagus, and esophagastric anastomosis. The operation was successful in five of seven patients, which was a tremendous feat for this era. Over time, the combined approach evolved into a single procedure, and the Ivor Lewis esophagectomy continues to be widely used.Technique of Open Ivor Lewis EsophagectomyCarolyn E. Reed10.1053/j.optechstcvs.2009.06.001Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas 14, 3 (2009)Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas143S1522-2942(09)X0005-XGeneral Thoracic Surgery - David R. Jones, Associate Editor160175http://www.optechtcs.com/article/PIIS1522294209000610/abstract?rss=yesAlthough a variety of surgical techniques exist for esophageal resections, the two most common approaches are the transhiatal esophagectomy and the Ivor Lewis esophagectomy. The choice of the most suitable operation takes into consideration several factors including the location of the tumor; the patient's medical condition, body habitus, prior surgical history, and history of radiation therapy; the organ to be used as a replacement conduit; the limits of node dissection; and finally, the surgeon's preference.Technique of Minimally Invasive Ivor Lewis EsophagectomyWilson S. Tsai, Ryan M. Levy, James D. Luketich10.1053/j.optechstcvs.2009.06.002Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas 14, 3 (2009)Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas143S1522-2942(09)X0005-XGeneral Thoracic Surgery - David R. Jones, Associate Editor176192http://www.optechtcs.com/article/PIIS1522294209000658/abstract?rss=yesAtrial fibrillation (AF) is associated with increased morbidity and mortality in coronary artery bypass graft and mitral valve patients. The Cox maze III operation, or maze procedure, is considered the gold standard for the surgical treatment of AF. In this procedure, multiple left and right atrial incisions and cryolesions are placed to interrupt the re-entrant circuits of AF. Although the success of the Cox maze III operation exceeds 90%, the complexity of the traditional “cut-and-sew” procedure hindered its widespread application. Over the past decade, newer technologies have allowed surgeons to ablate AF with the use of different energy sources and much simpler techniques. Various technologies have allowed the creation of transmural lesions, which recapitulate the incisions in the tradition Cox maze III operation in only a few minutes of operative time.Ablation of Atrial Fibrillation with Concomitant SurgeryEdward G. Soltesz, A. Marc Gillinov10.1053/j.optechstcvs.2009.06.004Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas 14, 3 (2009)Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas143S1522-2942(09)X0005-XCardiac Surgery - R. Morton Bolman, III, Associate Editor193207http://www.optechtcs.com/article/PIIS1522294209000932/abstract?rss=yesThe Cox maze III operation (CMIII) pioneered by Dr. Cox remains the gold standard for treatment of atrial fibrillation (AF); however, it has yet to gain widespread application due to its perceived invasiveness and complexity. The “holy grail” for AF therapy is a safe, minimally invasive procedure that can provide the same freedom from AF as the CMIII operation, which has achieved >96% freedom from AF at >5 years mean follow-up. Minimally Invasive Bi-Atrial CryoMaze Operation for Atrial FibrillationEvelio Rodriguez, Richard C. Cook, Michael W.A. Chu, W. Randolph Chitwood10.1053/j.optechstcvs.2009.06.009Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas 14, 3 (2009)Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas143S1522-2942(09)X0005-XCardiac Surgery - R. Morton Bolman, III, Associate Editor208223http://www.optechtcs.com/article/PIIS1522294209000609/abstract?rss=yesMinimal access ablation of atrial fibrillation (AF) has undergone a progression. As our experience has grown, the lesion set has progressed from simple pulmonary vein (PV) isolation to a more comprehensive lesion set, which can be placed epicardially, and more closely replicates the left atrial lesions of the Cox maze III. Access has progressed from bilateral mini thoracotomies initially described by Wolf and coworkers, to a totally thorascopic approach highly modified from that initially described by Puskas and coworkers and Yilmaz and coworkers.Total Thorascopic Ablation of Atrial Fibrillation Using the Dallas Lesion Set, Partial Autonomic Denervation, and Left Atrial AppendectomyJames R. Edgerton10.1053/j.optechstcvs.2009.05.003Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas 14, 3 (2009)Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas143S1522-2942(09)X0005-XCardiac Surgery - R. Morton Bolman, III, Associate Editor224242http://www.optechtcs.com/article/PIIS1522294209000695/abstract?rss=yesAortic valve repair is a technique that is gaining popularity in children because of the lack of an ideal valve substitute in this patient population. It has the advantage of preserving the native valve and the potential for growth. As experience with the Ross procedure is gained, we note that reoperation on children who have undergone a Ross procedure is inevitable, and thus, aortic valve repair has become more attractive. Frequently repair can put off the need for valve replacement until full growth is achieved and more options with prosthetic valves are available.Aortic Valve Repair in Children, Including Pericardial Patch ReconstructionAditya K. Kaza, John A. Hawkins10.1053/j.optechstcvs.2009.08.001Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas 14, 3 (2009)Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas143S1522-2942(09)X0005-XCongenital Surgery - Scott M. Bradley, Associate Editor243252http://www.optechtcs.com/article/PIIS1522294209000956/abstract?rss=yesAortic valve repair is an accepted option for aortic valve pathologic conditions in children and young adults. Historically, aortic valve repair has been considered for annular dilation, redundant leaflet tissue, and restricted leaflet motion with or without deficient leaflet tissue. Repair has been accomplished by multiple techniques, including annuloplasty, leaflet excision and/or plication, commissurotomy, and pericardial leaflet extension and/or replacement. More recently, pericardium has been used with promising results to augment and/or replace one or more of the leaflets in either tricuspid or bicuspid valves. One can often manage insufficient or stenotic tricuspid or bicuspid aortic valves with one- or two-leaflet repair, minimizing the use of nonautologous tissue; complex unicuspid or severe bicuspid aortic valve disease often requires three-leaflet repair or replacement. Using many of these techniques, one can create a competent bicuspid or tricuspid aortic valve from a severely stenotic or insufficient unicuspid, bicuspid, or tricuspid aortic valve. Precise preoperative imaging with echocardiography is imperative for identification of the valve's pathologic condition and coronary anomalies, which are frequently associated with congenital aortic valve disease.Complex Aortic Valve Disease in ChildrenChristopher W. Baird, Pedro J. del Nido10.1053/j.optechstcvs.2009.09.001Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas 14, 3 (2009)Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas143S1522-2942(09)X0005-XCongenital Surgery - Scott M. Bradley, Associate Editor253263