Thoracic Key

Fig. 30.1 (a) 2-D transesophageal echo: a large myxoma (Myxoma) is shown prolapsing along the anterior mitral valve leaflet (AL) and into the left ventricle during diastole. PL posterior mitral…

Fig. 12.1 The anatomical relationships of the anterior leaflet of the mitral valve, including the right and left fibrous trigone, the non-coronary and left coronary cusps; and the subvalvular apparatus…

Fig. 10.1 The Vanderbilt hybrid operating room: a combined surgical operating room and catheterization laboratory Fig. 10.2 The Vanderbilt hybrid operating room: view from the anesthesia side. The C-arm radiographic…

Fig. 25.1 Robotic mitral valve replacement—PLA General Hospital Beijing: robotic instruments are inserted into the thorax as shown in this illustration and as described in Chap.​ 24 (Fig. 24.​3). As…

Fig. 26.1 Incision and robotic instrument placement: after determining the aortic valve level from the preoperative CT scan, the working-port incision is made directly over the corresponding interspace. The robotic…

Fig. 32.1 Dual console da Vinci® SI robotic surgical system: the 3-D camera and instrument end-effectors can be controlled from either console. This is an ideal platform for both teaching…

Fig. 8.1 Left-side port placement. Left-side instrument ports are used for grafting the left anterior descending (LAD), diagonal branches (DB), ramus branch (RB), and obtuse marginal (OM1 and OM2) vessels….

Fig. 17.1 Operative Set-up. A right fourth intercostal space mini-thoracotomy is used for access. Cardiopulmonary bypass is established using femoral canulation. A trans-thoracic cross clamp is used to arrest the…

Fig. 28.1 Robot-assisted Bi-ventricular lead placement—positioned patient with port-sites: the patient is placed in the left lateral decubitus position so that the back is aligned with the left side of…

Fig. 19.1 Leaflet prolapse with annular calcium – An islet of annular calcium is shown along with a flail posterior leaflet P2 segment due to ruptured chordae tendenae. Using robotic…