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CTSNet saw some very popular clinal videos in September, including a faster technique for aortic hemiarch replacement, using a Cabrol patch and Cooley fistula to control bleeding, and an endoscopic tricuspid valve replacement.
1. Aortic Hemiarch Replacement: The 7-Minute Technique
By Stephen Spindel, Elbert Williams
September’s most popular video demonstrates a safe and simple technique for efficient replacement of the aortic hemiarch under hypothermic circulatory arrest that consistently takes seven minutes.
The most popular JANS article this month outlined updated guidelines on diagnosis and treatment of aortic aneurysm and dissection, which discussed findings from Japanese studies on aortic aneurysm definition, pathogenesis, symptoms, treatment, and more.
3. Cabrol Patch with Cooley Fistula: A Useful Tool for Difficult-to-Control Bleeding
By Tung Vu, Stephen Spindel
Another video from frequent contributor Stephen Spindel demonstrates how the Cabrol patch can be used as a solution for mild persistent aortic bleeding, including tips and pitfalls when addressing aortic root pathologies.
4. Totally Endoscopic Beating-Heart Second Redo Tricuspid Valve Replacement
By Glib Yemets
This video from Ukrainian surgeon Glib Yemets showed his technique for completing the first totally endoscopic beating-heart tricuspid valve replacement after complex congenital heart surgeries in Ukraine. For more, check out Dr. Yemets’ interview with Joel Dunning.
5. BVF and Mitral Valve-in-Valve with Surgical Resection of Mitral Prosthetic Valve Leaflets with Mitral SURPLUS
By Luigi Pirelli, Nirav Patel, Denny Wang, Derek Brinster, S. Jacob Scheinerman
Next up, this video demonstrates SURPLUS, a hybrid transcatheter and surgical technique that can be used for mitral valve replacement when the patient is at high risk for LVOTO. The technique implies just the resection of the bioprosthetic valve leaflets, leaving the stent of the valve intact.
The next JANS article outlined new findings in mesothelioma research questioning the role of surgical resection in treatment of the disease. The MARS 2 trial found that surgery increased the risk of death in the first forty-two months, suggesting a need to for changes in mesothelioma treatment.
7. New Trend in the Periareolar Minimally Invasive Approach: The PAMI Technique
By Mohamed El Adel, Mohamed Nady
The authors of this video demonstrate one case in a trial researching the success of a new periareolar technique for performing a minithoracotomy, which improves cosmetic outcome and decreases the invasive nature of the surgery.
8. Subannular Bentall in Pseudoaneurysm of Mitral-Aortic Intervalvular Fibrosa
By Michele Galeazzi, Pietro Giorgio Malvindi, Alessandro D’Alfonso, Marco Di Eusanio
Next, this video demonstrates the use of a subannular Bentall procedure to repair complications of endocarditis, avoiding a more complicated and invasive technique.
9. Transposition of the Anterior Mitral Leaflet as a Patch for Posterior Annular Abscess and MAC Debridement
By Mario Castillo-Sang, Joseph Konys
The procedure in this popular video is not often documented but shows that use of the anterior mitral valve leaflet to patch the post-mitral annulus helps preserve the ventricular to annular continuity and avoids the need for foreign material.
10. Aortopathies: Birmingham Review Course 2021
By Duke Cameron
Finally, Dr. Duke Cameron discussed various aortopathies and their surgical solutions in his presentation from the 2021 Birmingham Review Course.
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