CTSNet’s 10 Most Popular Articles of June 2023

June saw some superstar surgical videos and important international news published on CTSNet. The most popular content over the last month included a new method for ventricular septal defect closure, tips for internal mammary artery harvest, and new international mechanical circulatory support guidelines.

1. Postinfarction Ventricular Septal Defect Closure Without Ventriculotomy—A Novel Method
By Mario Torre, Guido Oppido, Enrico Coscioni

The most popular clinical video published in June demonstrates a new method for ventricular septal defect closure. In this technically simpler and time-saving method, surgeons performed a modified closure using two handmade patches without left ventriculotomy.

2. JANS: Minithoracotomy vs Conventional Sternotomy for Mitral Valve Repair: A Randomized Clinical Trial

June’s top JANS article was a study that, for the first time, compared port access mitral valve repair with sternotomy in a randomized multicenter trial. The trial concluded that port access mitral repair has many benefits and is just as safe as open access repair.

3. Sponsored Content: Double Valve Replacement—How I Do It
By Tom Verbelen

In this sponsored video from Medtronic, watch Professor Tom Verbelen, from the University Hospital Leuven in Leuven, Belgium, demonstrate a double valve procedure by implanting artificial aortic and mitral valves.

4. JANS: The Aortic Root in Acute Type A Dissection: Repair or Replace?

This popular article compared the benefits of repair and replacement in acute type A aortic dissection. The authors concluded that aortic root replacement should be considered when the aortic root is partially dissected or pathologically dilated, but the choice should ultimately depend on the individual case.

5. Internal Mammary Artery Harvest: Two Techniques with Tips and Tricks
By Stephen Spindel, Manuel Giraldo-Grueso

Next on the list, this helpful video provides a comprehensive guide to internal mammary artery harvest, including the detailing of two techniques and giving tips for preserving artery length.

6. Anomalous Aortic Origin of the Right Coronary Artery from the Wrong Sinus of Valsalva (AAORCA): Two Surgical Strategies
By Gamal Marey, Ali Mashadi, Sameh Said

Another video from active contributor and new Senior Editor Sameh Said shows his team’s approach to two cases of anomalous aortic origin of the right coronary artery. Because of differences in their anatomy, the two patients in this video were treated using different surgical strategies.

7. JANS: The 2023 International Society for Heart and Lung Transplantation Guidelines for Mechanical Circulatory Support—A 10-Year Update

The next article on the list marks an important update to the first official guidelines for mechanical circulatory support, originally published in 2013. This ten-year update consists of nine task forces dedicated to preoperative, intraoperative, and postoperative management of MCS patients treated with implantable left ventricular assist devices.

8. Primary Sutureless Repair of Obstructed Total Anomalous Pulmonary Venous Connection (TAPVC) in a Neonate
By Ali Mashadi, Sameh Said

Another popular video from Sameh Said demonstrates a successful sutureless repair in the case of a neonate who presented with bilateral pulmonary edema and an obstructed TAPVC with severe pulmonary hypertension.

9. Rapid Deployment Valve Over Aortic Mechanical Valve
By Corrado Cavozza, Riccardo Gherli, Andrea Audo

Next, in a difficult case of aortic valve reoperation, this team used a rapid deployment bioprothesis to successfully replace the failed valve.

10. Concomitant Ravitch Repair and Mitral Valve Repair in a 13-Year-Old Patient with Marfan Syndrome
By Maureen McKiernan, Seth Force, Paul Chai, Joshua Rosenblum

Finally, this unique case demonstrates the effectiveness of pectus excavatum and mitral valve prolapse repair. The authors also show that an Alfieri stitch can be useful in addressing mitral regurgitation.

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