At the recent 2013 STS Annual Meeting CTSNet hosted a video roundtable with important perspectives on how valve clinic programs can assist in combating undertreated valvular heart disease. The discussion was moderated by Mike Mack, MD.
Sponsored Video: New Options for Cardioplegia
Tiffany Boyd-Hodgson, PhD, interviews two esteemed cardiothoracic surgeons, Dr. Samuel Weinstein and Dr. Yoshiya Toyoda, on their experiences with cardioplegia options for heart surgery.
At EACTS 2012 in Barcelona, Dr. Joel Dunning led a discussion on second generation TAVI valves, transapical closure devices, transaortic TAVI, transapical mitral repair, and many more issues.
Left internal thoracic artery (ITA) grafting to the left anterior descending artery has long become the gold standard. There is a trend for bilateral ITA grafting, commonly to left-sided arteries. The video shows ITA skeletonization, with low harvesting time, and minimal chest and graft thermal trauma.
Dr. Michael Mack talks with Drs. Johannes Bonatti, Ivy Modrau, Philippe Kolh, and Thoralf Sundt about the nature of the ideal CABG procedure in cardiac surgery today, and what it will look like in the future.
A Dacron sleeve around the dilated ascending aorta is a simple technique that allows the ascending aorta to adopt the shape of the Dacron tube graft which avoids wrinkle formation, dislocation and erosion.
Stephan Schueler, MD, PhD
Prof. Stephan Schueler is a past president of ISHLT and of the ESCVS. He helped to set up both the Berlin Heart Centre, and a new centre in Dresden before moving to the Freeman Hospital, where he leads the Ventricular Assist Device Programme, which is the subject of this interview. Also shown are his implantation technique and an interview with one of his patients.
Orthotopic Heart Transplantation
Worldwide, over 3,500 heart transplants are performed annually. This is a lifesaving therapy for suitable candidates with advanced heart failure. This video reviews the steps of a recipient cardiectomy and donor implantation.
This video shows in detail skeletonization of the internal mammary artery using the Harmonic hook blade, with footage contrasting the pedicle technique and traditional skeletonization with the cautery tip as a dissector.
In this article the author reviews the importance of fibrinogen in the management of cardiac surgical bleeding. Outlined are the definition and etiology of fibrinogen, the causes of fibrinogen in cardiac surgical procedures, additional considerations when treating the cardiac surgical patient, and available treatments.
Current Techniques of Tricuspid Valve Repair
Cardiac surgeons largely have converted to reparative procedures for tricuspid valve disease. Techniques that have been successful for mitral repair have facilitated the transition to repair. This video illustrates current repair methods in 8 patients with a variety of tricuspid valve disorders.
Professor Sir Magdi Yacoub
Sir Magdi Yacoub, MD, is a leader in cardiac surgery. He is reputed to have performed more heart transplants than anyone else in the world. In this interview, Dr. Yacoub discusses the Ross procedure, Ross procedure clinical trials, and his trial results.
Mitral Valve Repair: The Biological Solution
Mitral Valve Repair: The Biological Solution is the result of the Berlin Mitral Valve Repair Symposium held at the joint meeting of the Society of Heart Valve Disease and the Heart Valve Society of America in June 2009. The editors have provided the cardiac surgery community a very timely and thorough review of mitral valve repair. Experts in the field participated in this publication to cover all aspects of mitral surgery. This title, and many more, are available through the CTSNet Bookstore.
The authors describe their surgical technique for the problem of gaining access and routing the power cable to the retro-auricular area by using a median sternotomy approach.
This is a novel usage of an ultrasonic bone scalpel in cardiothoracic surgery used to operate on what is normally one of the most difficult situations that we face, namely the pericardiectomy of a calcified pericardium.
This video demonstrates a minimally invasive mitral valve repair via right thoracotomy. The patient was a 55 year old male with mitral valve insufficiency and a ruptured chordae on the P2 segment of the posterior leaflet of the mitral valve.
Techniques of Aortic Valve Repair
This video shows newer techniques of aortic valve repair: commissural annuloplasty; central plication for prolapse; leaflet pericardial augmentation; and ultrasonic calcium debridement. Five cases are shown, over the spectrum of valve pathologies. Greater use of aortic valve repair seems indicated.
In this video the authors' demonstrate the bicameral technique of repairing a ruptured right sinus of Valsalva aneurysm arising from the right coronary sinus and opening into the right atrium.
Several viewers asked for more details about the chordae system used in the video. Marcio Scorsin, MD, the video author, has complied with our request and in this video demonstrates how to manufacture the chordae system.
Side-graft right axillary artery cannulation with a lateral anterior approach through the deltoid-pectoral groove, as shown in the video, is an easy technique to establish arterial inflow for cardio-pulmonary bypass in the treatment of type-A aortic dissections and aortic arch aneurysms.
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