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Instructions to Authors


The Multimedia Manual of Cardiothoracic Surgery (MMCTS)is a member of the EACTS family of journals. It is an online-only publication presenting videos, photos and schematics - supported by short text blocks (for easy reading on-screen), aiming to focus on the technical aspects of basic and more complex surgical techniques in the field of cardiothoracic surgery.

Elaboration of the state of the art, extensive comparison with other techniques or overviews of literature results should be avoided. Authors are encouraged to publish their results as an original article in the EJCTS or in the ICVTS.

Permission to reproduce any kind of existing material, whether online or in print, must be obtained from the Publisher prior to submission.

All submissions are reviewed by the Editors-in-Chief, Associate Editors and Editorial Board Members, as well as invited referees, when appropriate.

Conflict of interest and funding. The Editor requires authors to disclose any commercial associations that might pose a conflict of interest in connection with the submitted article. All sources of funding for work should be acknowledged in a footnote on the title page, as should all institutional affiliations of the authors (including corporate appointments). Other kinds of associations, such as consultancies, stock ownership or other equity interests or patent licensing arrangements should be disclosed to the Editor in the covering letter at the time of submission. If no conflict of interest exists, please state this on the title page and in the covering letter. The Editors reserve the right to reject manuscripts that do not comply with the above-mentioned requirements.


The text should be keyed double-spaced throughout. Pages and lines should be numbered. The manuscript should be in English and spelling can be British or American, but should be consistent throughout. Any abbreviations should be defined on first usage in the text.

The text should be prepared using common word processing software (.doc, .docx or .rtf) and structured as follows:

Main text
• Introduction (max. 100 words)
• Surgical technique (max. 600 words)
• Results (max. 100 words)
• Discussion (max. 100 words)
• References (max. 5-8)
Tables (max. 2)
Figure (max. 2)
Video (1 video with a max. of 10 chapters or a max. of 10 short video segments). Combined playback time of all video segments/chapters should be no more than 20 min. See instructions for video preparation for more details.

Title page
Title: the title should include no more than 200 characters (no abbreviations allowed).

Authors: all authors must have contributed to the study. The first name should be given in full followed by the initial(s) of the second name (if appropriate) and the full last name. Use superscript numbers to connect the author names to the institution.

Institution(s) and affiliations: include the name of all institutions with the location (department, institution, city and country) where the work was carried out.

Corresponding author: include the full contact details (department, institution, street name and number, postal code, city and country, as well as the telephone number and e-mail address.

Disclosures: Funding and Conflict of Interest should be disclosed on the title page - see above.

Abstract (max. 50 words)
The abstract should be a self-contained description of the proposed surgical procedure. It should not contain abbreviations or reference citations.

Three to six keywords can be included on the title page or right below the abstract.

Main text
The text part should be arranged into short/sharp paragraphs. MMCTS will not present lengthy text descriptions. The text should be considered as the matrix which cites and binds the multimedia components together.

  • Commercial material: should include the company name, city and country at first mention within parentheses in the text.
  • Introduction (max. 100 words): should present the rational for the use of the described technique.
  • Surgical technique (max. 600 words): Should describe the technique and the various steps. This section should also include a description of shortcuts and pitfalls to the technique (or to the standard technique).
  • Results (max. 100 words): only most relevant results pertaining to the technique itself should be given. Complex statistical analysis, survival or freedom from events curves should be given only if this can establish the superiority of the proposed technique to standard ones. The advantages of the technique should be given in the text and/or in a concise table.
  • Discussion (max. 100 words): the rationale for the use of the proposed technique should be clearly but very briefly stated. The advantages of the technique can be succinctly compared to established techniques. A small comparative table is a good way to present this data.

Tables should be self-explanatory and supplement but not duplicate information in the text. A brief title should be provided. Any abbreviations used in the Tables should be defined as a footnote. Each table should presented be on a separate page.

Authors are invited to include schematics illustrating the technique. Figures can be included in the manuscript, at the end of the text - see below.

The video (or video segments) should not exceed 20 minutes and should show the most relevant moments of the operation. It should be broken into clearly defined chapters (maximum 10) to allow readers to easily jump to. A short legend of 2-5 words for each chapter/segment should be provided. For the preparation of the video, go to the link here.

Legends are required corresponding to each individual figure and video, or video chapter/segment.

References should be numbered in order of appearance in the text (in Arabic numerals in square brackets) and must be listed numerically in the reference list.

Personal communications and unpublished data should not be included in the list of references, but can be mentioned in the text. The first 6 author names (last name first, followed by initial(s) of first name) should be listed followed by 'et al.' if more than 6 authors. Journal names should be abbreviated according to Index Medicus:

To optimize hyperlinking of references to enable editors and reviewers to cross-reference online, the format and punctuation should be as given in the examples below:

[1] Angeli E, Gerelli S, Beyler C, Lamerain M, Rochas B, Bonnet D, Vouhé P, Raisky O. Bicuspid pulmonary valve in transposition of the great arteries: impact on outcome. Eur J Cardiothorac Surg 2012;41:248-255.

[2] Kouchoukos N, Blackstone E, Doty D, Hanley F, Karp R. Cardiac Surgery, WB Saunders, 2003:11-17.

Multi-author books
[3] Laine GA, Melhorn U, Davis KL, Allen SJ. Myocardial interstitium lymphatics: pathophysiology and effects on cardiac funtion. In: Reed RK, McHale NH, Bert JL, Winlowe CP, Laine GA, editors. Interstitium, connective tissue and lymphatics, London: Portland Press, 1995:271-282.

Online publications
[4] Hraska V, Photiadis J, Poruban R, Asfour B. Ross-Konno operation in children. Multimed Man Cardiothorac Surg doi: 10.1510/mmcts.2008.003160.
[5] Thurber JS, Deb SJ, Collazo LR. Ascending-to-descending aortic bypass for coarctation of the aorta. CTSNet [published 12 May 2008, accessed 30 November 2011]. Available from:


Electronic artwork (photos and schematics) should be prepared to render high quality images when enlarged to full screen width. All artwork and lettering must be of professional quality.

Specifications: .tiff or.jpg files; resolution: 300 dots per inch (1000 dots per inch for line figures/schematics); pixel screen width: 1280, grayscale for black and white, RGB for colour.


Recording. Use the highest possible resolution when creating the original. The use of a standard thoracoscopic digital camera fixed on the operating table and manipulated by an assistant gives excellent magnification and high quality recording. Filming with a head-mounted recording camera is not recommended.

Audio. To improve the understanding of the procedure described, short and clear commentaries should be incorporated into the video file. Music should not be included.

Format. Videos can be submitted in any standard file format: .wmv, .avi, .mpeg, .mov, etc. Videos must be of high quality and must have a minimum size of 640x480 (preferably higher as all videos will be converted to MMCTS specifications).

For additional information on video parameters such as the resolution, frame rate and bitrate, consult the short video guidelines here

Video pre-editing service
Should you wish MMCTS to extract the video sequences for you, send the uncompressed source file(s) using a transfer service such as DropBox or WeTransfer. The exact sequences to be extracted must be indicated in an accompanying letter (e.g. Video 1: from 30 to 2:56 and from 3:10 to 5.25, etc.). Remember that a video should contain only vital/novel information pertaining to the surgical technique.

*For full video preparation guidelines, go to video-and-media-guidelines.

Video pre-editing service. Should you wish MMCTS to extract the video sequences for you, send the uncompressed source file(s) on a DVD by post to the editorial office (address below), or use a transfer service such as DropBox or WeTransfer. The exact sequences to be extracted must be indicated in the accompanying letter (eg. Video 1: from 30 to 1:56 and from 2:10 to 3:00; Video 2: from 4:50 to 6:19, etc.). Remember that each video sequence should contain only vital/novel information pertaining to the surgical technique.

Editorial Office MMCTS
University Hospital Freiburg
Department of Cardiovascular Surgery
Hugstetter Str. 55
79106 Freiburg
Tel: +49 761 2709086
Fax: +49 761 2709087


Authorship form - Mandatory for all revised articles

Manuscript and images

First time users of MMCTS will need to register, BUT authors already registered with the EJCTS manuscript processing system can use their existing username and password.

Submit via:

Complete the online submission form carefully and upload the following items as specified:

1. Cover letter: a submission letter to the Editor must be included in the ‘cover letter box’.
2. Manuscript (including title page, main text and tables combined into ONE word processor file (.doc) - upload as ‘Manuscript file’ (filename eg. text.doc).
3. Figures can be included in the manuscript, before the list of references or uploaded as separate “Image files”. If included in the manuscript do not upload them as separate image files.

Uploading large files (up to 700 MB) in the BenchPress manuscript management system is possible if you have a good reliable internet connection, but it will take time. Videos should be uploaded as ‘Supplemental files’‘. Alternatively, videos (or video chapters/segments) can be sent via a transfer service, such as DropBox or We Transfer.


Upon receipt of accepted manuscripts at Oxford Journals authors will be required to complete an online copyright licence to publish form. Please note that by submitting an article for publication you confirm that you are the corresponding/submitting author and that Oxford University Press ("OUP") may retain your email address for the purpose of communicating with you about the article. You agree to notify OUP immediately if your details change. If your article is accepted for publication OUP will contact you using the email address you have used in the registration process. Please note that OUP does not retain copies of rejected articles.

Work submitted for publication must be original, previously unpublished, and not under consideration for publication elsewhere. If previously published figures, tables, or parts of text are to be included, the copyright-holder’s permission must have been obtained prior to submission. For more information on how to obtain permissions, please consult Rights and Permissions.


Multimedia Manual of Cardio-Thoracic Surgery takes publication ethics very seriously. If misconduct is found or suspected after the manuscript is published, the journal will investigate the matter and this may result in the article subsequently being retracted.


Crossref Funding Data Registry. In order to meet your funding requirements authors are required to name their funding sources, or state if there are none, during the submission process. For further information on this process or to find out more about the CHORUS initiative please click here.

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Editors-in-Chief: Roberto Lorusso and René Prêtre

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