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Cardiac and thoracic surgery procedures

124 articles

Epicardial mapping

Epicardial mapping is a cardiac electrophysiology procedure that records electrical activity from the heart's outer surface to locate arrhythmia sources, guiding catheter ablation of ventricular tachycardia.

EuroSCORE

EuroSCORE (European System for Cardiac Operative Risk Evaluation) is a risk-scoring system predicting early operative mortality in adult cardiac surgery, introduced by S.A.M. Nashef and colleagues in 1999.

Extended thymectomy

Extended thymectomy is an operation that removes the thymus gland together with the surrounding anterior mediastinal fat, from diaphragm to thyroid, used mainly to treat myasthenia gravis.

Extrapleural pneumonectomy

Extrapleural pneumonectomy (EPP) is a thoracic operation removing the pleura, one lung, pericardium, and hemidiaphragm en bloc, performed mainly for malignant pleural mesothelioma and carrying higher operative risk than lung-sparing pleurectomy.

Ferdinand Sauerbruch

Ferdinand Sauerbruch (1875–1951) was a German surgeon whose negative-pressure chamber made open-chest operations possible, and one of the most influential surgeons of the first half of the twentieth century.

Frozen elephant trunk technique

The frozen elephant trunk technique is a one-stage cardiac operation that replaces the aortic arch and stents the descending thoracic aorta, introduced in 2003 by Matthias Karck.

Full sternotomy

A full sternotomy is an operation in which the sternum is divided lengthwise in the midline, giving wide access to the heart and great vessels for open cardiac surgery.

Heart Valve Prosthesis Implantation

Heart valve prosthesis implantation replaces diseased native valves with mechanical or bioprosthetic devices, surgically since 1952 and by transcatheter methods (TAVI/TAVR) since the early 2000s, with anticoagulation and durability trade-offs.

Hybrid ablation

Hybrid ablation is a treatment for atrial fibrillation that combines minimally invasive surgical ablation on the outside of the heart with catheter ablation on the inside, so lesions extend through the full atrial wall.

Internal Mammary-Coronary Artery Anastomosis

Internal mammary-coronary artery anastomosis, also called internal thoracic artery grafting, is the original form of coronary artery bypass surgery, first performed clinically by Kolesov in 1964; the LIMA-to-LAD graft is now the standard CABG conduit.

Isolated lung perfusion

Isolated lung perfusion (ILuP, also written ILP) is a surgical technique delivering high-dose chemotherapy to lung tumors while the lung is isolated from systemic circulation.

Isolated tricuspid valve surgery

Isolated tricuspid valve surgery is an uncommon cardiac operation on the tricuspid valve alone, about 20% of tricuspid surgeries, with roughly 9% operative mortality and higher early mortality than combined procedures.

LAACablation study

LAACablation (NCT03788941) is a physician-initiated prospective registry at Shanghai Xinhua Hospital studying left atrial appendage closure combined with catheter ablation in atrial fibrillation; 931-patient analysis found similar safety and efficacy in women and men.

Lateral thoracotomy

A lateral thoracotomy is a surgical incision along the side of the chest, entering between the ribs to expose the heart, lungs, hilum, or mediastinum.

Lead extraction (cardiology)

Lead extraction is the percutaneous removal of a pacemaker or defibrillator lead implanted for more than one year, using locking stylets, sheaths, or laser energy, most often for infection.

Leadless pacemaker implantation

Leadless pacemaker implantation is a catheter-based procedure that places a self-contained pacemaker capsule inside the right ventricle, avoiding the leads and generator pocket of conventional pacemakers.

Left atrial appendage closure

Left atrial appendage closure (LAAC) is a catheter-based or surgical procedure that seals the left atrial appendage to prevent stroke in atrial fibrillation patients unable to take anticoagulants.

Lobectomy

A lobectomy is the surgical removal of an entire lobe of an organ, most often the lung, where it is the standard operation for early-stage lung cancer.

Lung resection

Lung resection is the surgical removal of part or all of a lung, from a wedge or segment to a whole lung, most often to treat lung cancer.

Lung volume reduction surgery

Lung volume reduction surgery (LVRS) is an operation for severe emphysema in which the most damaged 20–35% of each lung is removed to ease breathing.

Mediastinal lymph node dissection

Mediastinal lymph node dissection (MLND) is the surgical removal of all mediastinal lymph node packets during lung cancer resection, performed for accurate staging and regional disease control.

Midline sternotomy

Midline sternotomy, also called median sternotomy, is a surgical incision dividing the sternum along its midline, and it is the standard approach for most open cardiac operations.

Mini-thoracotomy

A mini-thoracotomy is a small-incision surgical technique reaching the chest through a 4- to 7-cm opening between the ribs, used mainly for cardiac valve surgery.

Minimally invasive mitral valve surgery

Minimally invasive mitral valve surgery (MIMVS) repairs or replaces the mitral valve through a small right chest incision rather than a full sternotomy, pioneered in the 1990s.

Ministernotomy

Ministernotomy is a cardiac surgical technique that divides only the upper part of the sternum through a small incision, used mainly for minimally invasive aortic valve replacement.

Minithoracotomy

Minithoracotomy is a small-incision chest approach in cardiac surgery, using a 4–7 cm right lateral cut to reach the mitral and aortic valves without dividing the sternum.

Mitral valve replacement

Mitral valve replacement is a cardiac surgery in which a diseased mitral valve is replaced with a mechanical or biological prosthesis, chosen when durable repair is unlikely.

Myectomy

Septal myectomy is an open-heart operation that removes part of a thickened heart septum to relieve obstruction in hypertrophic cardiomyopathy, pioneered around 1960 and now among the safest open-heart procedures.

Myocardial Revascularization

Myocardial revascularization restores heart muscle blood flow in coronary artery disease via CABG surgery or percutaneous coronary intervention (PCI). Covers history from Carrel 1910 and Favaloro 1967 to Gruentzig's 1977 angioplasty, guideline indications, and CABG-versus-PCI outcomes.

Nuss procedure

The Nuss procedure, or MIRPE, is a minimally invasive surgery for pectus excavatum that pushes the sunken chest outward with a bar placed under the sternum.