The Multimedia Manual of Cardio-Thoracic Surgery

the premier online video manual of cardiovascular and thoracic surgery tutorials and case reports.

MMCTS brings online training for cardio-thoracic surgeons to an entirely new level with step-by-step video demonstrations of surgical procedures, supported by succinct text and clear graphics. It is published as a free service by the European Association for Cardio-Thoracic Surgery .

Editor's Choice

Case Report

Robotic Oesophageal Spindle Cell Lipoma Excision

Rajesh Shinde, Monika Pohekar, Damarla Naga Satya Sai Kumar & Anil D’Cruz

August 4, 2025 | 6 mins | Thoracic (Esophagus) | advanced

Transthoracic robotic excision of a giant cervical oesophageal spindle cell lipoma; a robotic platform outperforms VATS in these kinds of cases.

Core Skills

Tutorial

Robotic mitral valve repair: patient positioning and port placement in male patients

Perfecting these basics ensures optimal exposure every time.

Case Report

Combined David procedure and mitral valve repair in Marfan syndrome with mitral annular disjunction

We demonstrate the surgical management of two complex pathologies in a young patient, highlighting the advantage of preserving both native valves, and avoiding the concomitant risks associated with valve replacement.

Performing the appropriate operative David technique is essential to preserving aortic valve function. Additionally, managing mitral valve repair using techniques such as neochordae implantation and addressing mitral annular disjunction is fundamental to maintaining the benefits of double valve-sparing procedures.

Cardiac

Tutorial

Robotic mitral valve repair: patient positioning and port placement in male patients

Perfecting these basics ensures optimal exposure every time.

Case Report

Combined David procedure and mitral valve repair in Marfan syndrome with mitral annular disjunction

Congenital

Tutorial

Single-leaflet aortic valve reconstruction combined with a hemi-Yacoub procedure for a thrombosed ruptured sinus of Valsalva aneurysm

Preservation of native aortic valve and root structures is the treatment of choice for a variety of aortic valve/root pathology when feasible. Our technique preserves most of the native aortic valve and root tissues and avoids drawbacks of prosthetic aortic valve and the complexity of full aortic root replacement.

Case Report

Re-operative minimally invasive endoscopic mitral valve repair after partial atrioventricular canal repair

This minimally invasive approach minimizes surgical trauma, and endoscopic visualization permits a precise, effective repair. It offers a viable alternative to sternotomy for patients with complex congenital heart disease, with potential benefits for short- and long-term outcomes.

Thoracic

Tutorial

Segmentectomies Made Easy series: robotic-assisted left S3 segmentectomy

This procedure enabled precise dissection of a left S3 pulmonary metastasis, minimizing parenchymal disruption and facilitating rapid recovery with complete resection and negative margins.

Case Report

Left atrial appendage tear due to blunt trauma to the chest

Trauma resulting from traffic accidents often leads to life-threatening injuries. This case highlights the challenges in managing traumatic cardiac injuries and the critical need for timely surgical intervention to enhance survival outcomes in these severely injured patients.

Aortic Disease

Tutorial

Single-leaflet aortic valve reconstruction combined with a hemi-Yacoub procedure for a thrombosed ruptured sinus of Valsalva aneurysm

Case Report

Salvage repair of complete aortic root detachment after Bentall procedure: a case of LVOT elongation

Our goal is to demonstrate an alternative surgical solution for complete detachment of the previous Bentall root graft.

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