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. 2010 Topics , Adult Cardiac Topics • Thoracoabdominal aortic aneurysm repair (Spring) • Heart Transplantation (Summer) • Less invasive approaches to CABG (Fall) • Less invasive approaches to AVR (Winter) Congenital Heart Disease Topics • Technical tips for congenital heart operations (Spring) • Heart transplantation for congenital heart defects (Summer) • Veins and arteries (Fall) • Complex outflow tract reconstructions General Thoracic Surgery Topics • Pleural space (Spring) • Mediastinal tumors (Summer) • Esophageal Substitutes (Fall) • Malignant Mesothelioma (Winter) http://www.optechtcs.com/?rss=yesElsevier Inc.en © 2011 Published by Elsevier Inc. All rights reserved. Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas1522-2942164Winter 2011 © 2011 Published by Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.optechtcs.com/article/PIIS1522294212000220/abstract?rss=yesOfficers10.1053/S1522-2942(12)00022-0Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas 16, 4 (2011)Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas164S1522-2942(11)X0006-5iihttp://www.optechtcs.com/article/PIIS1522294212000256/abstract?rss=yes2012 Topics10.1053/S1522-2942(12)00025-6Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas 16, 4 (2011)Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas164S1522-2942(11)X0006-5iiiiiihttp://www.optechtcs.com/article/PIIS1522294212000268/abstract?rss=yesTable of Contents10.1053/S1522-2942(12)00026-8Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas 16, 4 (2011)Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas164S1522-2942(11)X0006-5ivivhttp://www.optechtcs.com/article/PIIS1522294212000049/abstract?rss=yesThoracic surgeons continue to perform operations for the treatment of thoracic outlet syndrome (TOS). TOS is a difficult problem for both patients and their physicians. In this edition of Operative Techniques in Thoracic and Cardiovascular Surgery, Drs. Donahue and Tracci from Massachusetts General Hospital and the University of Virginia, respectively, describe their approaches to the surgical management of TOS. As the reader will notice, many of the surgical principles are the same, although there are different approaches and in some cases different complications. The illustrations associated with the articles are well done and will certainly give the reader an accurate depiction of the anatomy that they will encounter in the operating room.IntroductionFred A. Crawford10.1053/j.optechstcvs.2012.02.002Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas 16, 4 (2011)Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas164S1522-2942(11)X0006-5251251http://www.optechtcs.com/article/PIIS1522294212000037/abstract?rss=yesThoracic outlet syndrome (TOS) is arguably one of the most controversial conditions that a thoracic surgeon faces. The clinical condition has been known about for almost 200 years, yet a consensus on diagnostic and treatment strategies does not exist. The most common form of TOS, neurogenic TOS (NTOS), results from compression of the brachial plexus within the anatomic boundaries of the thoracic outlet.Supraclavicular First Rib ResectionDean M. Donahue10.1053/j.optechstcvs.2012.02.001Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas 16, 4 (2011)Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas164S1522-2942(11)X0006-5General Thoracic Surgery - David R. Jones, Associate Editor252266http://www.optechtcs.com/article/PIIS1522294212000025/abstract?rss=yesCompression of neural or vascular structures within the constrained space of the thoracic outlet may give rise to 3 separate symptom complexes with distinct diagnostic and therapeutic considerations (). The transaxillary approach is one of the most frequently used in addressing thoracic outlet syndrome (TOS) of the neurogenic or venous type. In the management of arterial-type compression syndromes, many clinicians find that a supraclavicular exposure is preferable when vascular reconstruction is anticipated.Thoracic Outlet Syndrome: Transaxillary ApproachMargaret Clarke Tracci10.1053/j.optechstcvs.2012.01.001Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas 16, 4 (2011)Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas164S1522-2942(11)X0006-5General Thoracic Surgery - David R. Jones, Associate Editor267277http://www.optechtcs.com/article/PIIS1522294211001383/abstract?rss=yesSince 1997, over 2000 patients have undergone total endoscopic mitral valve repair at the Onze-Lieve-Vrouw Clinic in Aalst, Belgium. This article describes the approach to mitral valve repair using ThruPort (Edwards Lifesciences, Irvine, CA) technology to facilitate peripheral cannulation, endoballoon clamping of the ascending aorta, and access to the mitral valve through a non-rib-spreading right minithoracotomy. Preoperatively, patients who met the indications for mitral valve repair were evaluated by cardiac catheterization, pulmonary function tests, and magnetic resonance imaging to exclude patients with whom this procedure is not deemed appropriate. Patients with severe peripheral vascular disease, a dilated ascending aorta >4.5 cm, or those with lung adhesions that might render the access impossible to the right hemithorax are excluded.Endoscopic Mitral Valve RepairAnthony Vanermen, Frank Van Praet, Ivan Degrieck, Filip P.A. Casselman, Karl M. Dossche, Ivo D.M. Deblier, Roel Beelen, Lieven Maene, Francis Cooreman, Hugo K. Vanermen10.1053/j.optechstcvs.2011.11.002Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas 16, 4 (2011)Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas164S1522-2942(11)X0006-5Cardiac Surgery - R. Morton Bolman, III, Associate Editor278292http://www.optechtcs.com/article/PIIS1522294211001371/abstract?rss=yesPosterior leaflet prolapse is the most common lesion seen in degenerative mitral valve disease. The spectrum of degenerative disease can range from isolated chordal rupture/elongation of a posterior leaflet scallop (usually the P2 segment) with minimal leaflet tissue to complex Barlow's disease with bileaflet prolapse and giant excess tissue and annular dilation. In between these 2 ends of the spectrum lies forme fruste, which is similar to Barlow's disease but exhibits less tissue and a smaller annular diameter. There are a number of approaches to repairing posterior leaflet prolapse including resectional and nonresectional techniques. We employ a lesion-specific approach with the aim of returning the valve to its normal anatomical shape. Here we illustrate 3 approaches to repairing posterior leaflet prolapse in 3 different forms of degenerative disease. All these techniques can be done via a small incision (8-10 cm) full-sternotomy approach ().Techniques for Repairing Posterior Leaflet Prolapse of the Mitral ValveRobin Varghese, David H. Adams10.1053/j.optechstcvs.2011.11.001Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas 16, 4 (2011)Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas164S1522-2942(11)X0006-5Cardiac Surgery - R. Morton Bolman, III, Associate Editor293308http://www.optechtcs.com/article/PIIS1522294211000742/abstract?rss=yesTracheomalacia (TM) is a localized or generalized weakness of the tracheal wall, which creates airway obstruction, resulting in different degrees of possible respiratory symptoms. It can be isolated or associated with other anomalies such as anterior vascular compression, esophageal atresia with tracheoesophageal fistula (TOF), or gastroesophageal reflux. Although in some cases spontaneous improvement can occur, TM can lead to severe cough, respiratory distress episodes, or “near-death” spells (acute life-threatening events).Anterior Aortopexy for TracheomalaciaMartin J. Elliott, Simone Speggiorin, Michele Torre10.1053/j.optechstcvs.2011.06.003Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas 16, 4 (2011)Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas164S1522-2942(11)X0006-5Congenital Surgery - Scott M. Bradley, Associate Editor309321http://www.optechtcs.com/article/PIIS1522294211000432/abstract?rss=yesTracheomalacia (TM) refers to a softening of the cartilaginous tracheal rings. The weakened cartilage allows a narrowing in the anteroposterior tracheal diameter. Its incidence is estimated to be 1 in 1445 infants. Both congenital and acquired forms have been identified. Congenital TM is most commonly associated with tracheoesophageal fistula/esophageal atresia in children. The effected tracheal rings have been found to contain a shortened segment of cartilage with a compensatory lengthening of the membranous portion. This is thought to be caused by abnormal embryonic separation of the trachea from the esophagus, leaving the trachea with too much tissue. Primary TM has also been associated with immature cartilage in premature infants, primary cartilage disorders such as polychondritis and chondromalacia, and several syndromes including the mucopolysaccharidoses and Down syndrome. The acquired or secondary forms of TM are more common than the primary forms and result from prolonged endotracheal intubation or tracheostomy. Secondary TM can also be the result of external compression from surrounding cardiovascular anomalies, skeletal disorders such as scoliosis, and space-occupying tumors or cysts.Thoracoscopic Aortopexy for the Treatment of Pediatric Tracheomalacia: A Right-Sided ApproachFabienne L. Gray, Russell W. Jennings10.1053/j.optechstcvs.2011.04.003Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas 16, 4 (2011)Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas164S1522-2942(11)X0006-5Congenital Surgery - Scott M. Bradley, Associate Editor322330http://www.optechtcs.com/article/PIIS1522294211000754/abstract?rss=yesTracheomalacia (TM) is a disorder of the airway consisting of weakness of the anterior tracheal cartilaginous rings and laxity of the posterior membranous trachea, resulting in dynamic airway obstruction. The clinical symptoms range from chronic cough and wheezing to life-threatening apnea with cyanosis and profound airway obstruction (acute life-threatening events). TM in infancy occurs either in isolation or in association with a variety of anatomic conditions, including a wide range of congenital heart lesions, as well as primary tracheal and esophageal disorders. TM is also associated with chromosomal abnormalities, such as 22q11.2 deletion syndrome, and trisomy 21.Anterior Tracheal SuspensionMichael E. Mitchell10.1053/j.optechstcvs.2011.06.004Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas 16, 4 (2011)Operative Techniques in Thoracic and Cardiovascular Surgery: A Comparative Atlas164S1522-2942(11)X0006-5Congenital Surgery - Scott M. Bradley, Associate Editor331339