Content from the Journal of the American Neurological Surgeons.
The patient was a 2-month-old, 4.5 kg infant with heart failure symptoms and severe pulmonary hypertension who was diagnosed with multiple apical ventricular septal defects (VSDs). He was placed on home oxygen and Sildenafil in an attempt to lower his pulmonary artery pressure. After a thorough evaluation, cardiac catheterization showed improvement in his pulmonary vascular…
Pectus excavatum is a common chest wall deformity that can cause significant symptoms. The minimally invasive Nuss procedure is a widely used surgical technique to correct this condition by placing a curved metal bar (Nuss bar) behind the sternum, repositioning it into a more normal anatomical shape. In this video, the authors present the case of…
At the Society for Cardiothoracic Surgery in Great Britain and Ireland Annual Meeting, Dr. Emile Bacha, Chair of the Department of Surgery and Surgeon-in-Chief at Columbia University Medical Center and Morgan Stanley Children’s Hospital NewYork-Presbyterian, NY, USA, delivered an outstanding presentation titled “Surgical Management of Aortic Valve Disease in Young Patients.” He explored essential aspects…
At the 2026 Society for Cardiothoracic Surgery in Great Britain and Ireland Annual Meeting, leading surgeons presented on various cardiac topics, including the Ross procedure, aortic infections, and the branch-first technique. Dr. Emile Bacha, Chair of the Department of Surgery and Surgeon-in-Chief at Columbia University Medical Center and Morgan Stanley Children’s Hospital NewYork-Presbyterian, NY, USA,…
The patient was a 77-year-old man who presented with progressive shortness of breath. Coronary angiography demonstrated significant proximal left anterior descending artery stenosis, proximal left circumflex artery stenosis, and posterior descending artery stenosis. Given the extent of disease, robotic assisted minimally invasive coronary artery revascularization was planned. The procedure was performed entirely without cardiopulmonary bypass.…
This video demonstrates a case of Tetralogy of Fallot (TOF), and after clearing the right ventricular outflow tract (RVOT) and closing the ventricular septal defect (VSD) from the right atrium, the focus shifted to the RVOT from the pulmonary artery aspect. An initial incision was made over the pulmonary artery, and the pulmonary valve was…
Introduction The authors present a right-sided robotic resection of an enlarging anterior mediastinal mass, emphasizing the operative strategy, anatomic landmarks, and key decision points. Clinical Presentation and Workup A 54-year-old man with several years of intermittent, non-specific chest pressure underwent coronary calcium scoring computed tomography (CT) in November 2023, which incidentally identified an anterior mediastinal…
Position of the Patient The patient was positioned supine on the bed with a footrest. This secures the patient well, especially when a steep reverse Trendelenburg position is required. A steep reverse Trendelenburg position was used to allow the abdominal contents to fall away from the diaphragm. The patient was positioned flush to the right…
The patient was a 20-year-old female referred to the heart center for the evaluation of rheumatic heart disease and severe mitral regurgitation. She reported dyspnea on moderate exertion New York Heart Association (NYHA) Class III, as well as palpitations and reduced exercise tolerance, which progressively worsened over a period of three years. Her rheumatic history…
The Warden procedure (1) has been performed for partial anomalous pulmonary venous connection in which the right upper pulmonary vein (RUPV) drains into the superior vena cava (SVC). This involves transecting the SVC and performing an end-to-end anastomosis with the right atrial appendage (RAA). However, the Warden procedure raises concerns regarding SVC stenosis and anastomotic…
A 52-year-old old male was diagnosed with acute coronary syndrome, specifically anterior wall myocardial infarction (MI) with moderate left ventricular (LV) dysfunction, and without congestive heart failure (CCF). He had a history of hypertension, diabetes, and an ischemic cerebrovascular accident (CVA) affecting the right cerebellum, but he exhibited no deficits. A coronary angiogram performed in…
This video demonstrates a robotic-assisted, right-sided minimally invasive coronary artery bypass using the right internal thoracic artery (RITA) to the right coronary artery (RCA) in a patient with an anomalous origin of the RCA. The patient was a 73-year-old man who presented with exertional chest discomfort. Coronary angiography revealed an anomalous origin of the RCA…
Case Presentation A 31-year-old female presented with recurrent pneumonias and progressive shortness of breath attributed to suspected congenital lobar emphysema of the left upper lobe. She was initially evaluated by interventional pulmonology for possible endobronchial valve placement; however, this approach was deferred due to concerns about left upper lobe bronchial atresia. Thoracic surgery was subsequently…
In this inspiring interview, Cristina Ruiz Segria, CTSNet Senior Editor—Clinical Care Providers and nurse practitioner at James Cook University Hospital, UK, speaks with Dr. Ben Youdelman, Director of Thoracic Aortic Surgery and Co-Director of the Maimonides Aortic Center in Brooklynn, NY, USA, and Gareth Owens, a former acute aortic dissection patient and leader of the…
This video demonstrates the key surgical steps of transdiaphragmatic aorto-supra-celiac aortic extra-anatomic bypass. The case involved a 16-year-old boy who presented with shortness of breath on exertion. Echocardiography revealed type A interrupted aortic arch (IAA) with multiple collaterals draining into the distal part of the descending thoracic aorta (DTA), generalized wall hypokinesia, and an ejection…
Case Presentation A 55-year-old female was evaluated for a large, asymptomatic Morgagni hernia containing the transverse colon and a significant portion of the greater omentum that had been incidentally noted on imaging. Preoperative imaging demonstrated a sizable anterior diaphragmatic defect measuring approximately 30 cm². Elective operative repair of this hernia was chosen. Given the size…
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