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Department of Cardiovascular Surgery, Nippon Medical School Musashikosugi Hospital, Kanagawa, Japan
Interests: minimally invasive cardiovascular surgery; advanced imaging; surgical electrophysiology; emergency surgery; aortic surgery; valvular surgery; arrhythmic surgery;coronary artery bypass surgery

Special Issue Information

Dear Colleagues,

Our medical knowledge has continued to grow alongside technological developments and social progress. In recent years, the COVID-19 pandemic created life stagnation, leading to a breakdown in medical care. However, the field of cardiovascular surgery has still been advancing with the goal of overcoming life-threatening diseases. Surgical treatment in this field requires various strategies in accordance with the types of disease and treatment situation. Recently, minimally invasive techniques have frequently been adopted in surgeries, in which surgical assist technology, including imaging systems and surgical devices, are essential. Conversely, classical surgery is still selected for the patient’s benefit. Furthermore, multidisciplinary surgery is occasionally necessary in the treatment of cardiovascular disease with a complex pathology. Surgeons working in this field are requested to deal with the ideal of treatment and its conflict of surgical strategy through trial and error.

This Special Issue aims to provide an overview of the current cardiovascular surgery knowledge based on novel ideas, technologies, and research trials, as well as the experiences of experts of various specialties, such as cardiac surgeons, vascular surgery cardiologists, and interventional radiologists. We look forward to receiving manuscripts that contribute to the advancements in cardiovascular surgery.

Dr. Shun-Ichiro Sakamoto
Guest Editor

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Keywords

minimally invasive cardiovascular surgery
innovative technique
patient-based strategy
aortic surgery
valvular surgery
arrhythmic surgery
coronary artery bypass surgery

Published Papers (1 paper)

Research

Open AccessArticle

Clinical Results of a Modified Doty’s Technique for Supravalvular Aortic Stenosis

and

J. Clin. Med. 2023, 12(5), 1731; https://doi.org/10.3390/jcm12051731 - 21 Feb 2023

Viewed by 344

Abstract

This study aimed to assess the early and mid-term results of the modified Doty’s technique compared with the traditional Doty’s technique in patients with congenital supravalvular aortic stenosis (SVAS). We retrospectively included 73 consecutive SVAS patients in Beijing and Yunnan Fuwai Hospitals between 2014 and 2021. Patients were divided into the modified technique (n = 9) and the traditional technique group (n = 64). The modified technique involves altering the right head of the symmetrical inverted pantaloon-shaped patch into an asymmetrical triangular form to prevent compression of the right coronary artery ostium. The primary safety outcome was in-hospital surgery-related complications and the primary effectiveness outcome was re-operation at follow-up. The Mann–Whitney U test and Fisher’s exact test were used to test the group difference. The median age at operation was 50 months (IQR 27.0–96.0). Twenty-two (30.1%) of the patients were female. The median follow-up was 23.5 months (IQR 3.0–46.0). No in-hospital surgery-related complications and follow-up re-operation occurred in the modified technique group, but the traditional technique group had 14 (21.8%) surgery-related complications and 5 (7.9%) re-operation. Patients with the modified technique had a well-developed aortic root and no aortic regurgitation occurred. A modified technique could be considered for patients with poor aortic root development to reduce postoperative surgery-related complications. Full article

(This article belongs to the Special Issue Advances in Cardiovascular Surgery)

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