Content from the Journal of the American Neurological Surgeons.
The patient is a sixty-seven-year-old man diagnosed with stage IIIA moderately differentiated squamous cell carcinoma of the left upper lobe. He completed neoadjuvant chemoradiation and underwent a left thoracotomy, left upper lobectomy, and mediastinal lymph node dissection. His course was complicated by necrotizing pneumonia and chronic empyema. He required prolonged drainage with an indwelling chest…
On February 17, 2022, CTSNet and ASAIO Journal hosted a live event on the future of durable implantable left ventricular assist devices (LVADs), featuring notable surgeons in the industry. This webinar was hosted by Mark S. Slaughter, MD, editor-in-chief for the ASAIO Journal and professor and chair of cardiovascular and thoracic surgery at the University of Louisville. We…
Mitral valve repair after failed percutaneous edge-to-edge repair (Mitraclip® device) can be complex and technically challenging. In this video, we show that it may be safely performed using a totally endoscopic robotically assisted approach (1, 2). Patient Details The patient was a fifty-two-year-old male with a medical history of active smoking, alcoholism, hypertension, dyslipidaemia, COPD,…
This video demonstrates a case of uniportal VATS segmentectomy with indocyanine green imaging. The patient was a sixty-five-year-old woman, nonsmoker, with a 12mm ground glass opacity in the apical segment of the right upper lobe. A lepidic adenocarcinoma of the lung was diagnosed by transbronchial biopsy. She had a patient performance status of 1, but…
The patient featured in this video is a fifty-two-year-old woman with a previous history of liposarcoma of the thigh. She underwent surgery in 2003 and was on follow-up until 2013 with no evidence of disease recurrence. In January 2021, she was admitted to the hospital for increasing dyspnea and asthenia. A transthoracic echocardiography showed pericardial…
Internal mammary artery harvesting is a skill all cardiothoracic surgery residents must perfect early in their careers. Improper technique can lead to inferior short- and long-term outcomes. Not only are the number of available resources to learn proper technique limited, but intraoperative visualization is quite difficult from an assistant’s point of view. A well-produced video…
The penetration of uniportal VATS for lung cancer surgery has pushed surgeons to perform complex sleeve resections through the same approach. This video features a fifty-two-year-old male patient in good health who was diagnosed with mucoepidermoid carcinoma of the right lower lobe with endobronchial extension with the tertiary carina free of tumor. A uniportal VATS…
This video demonstrates the technique of an open right lower sleeve lobectomy. The patient is a thirty-four-year-old male diagnosed with a typical carcinoid involving the right lower lobe bronchus. For this surgery, a right posterolateral thoracotomy approach was used. Lung isolation was achieved with a left-sided double lumen endotracheal tube (DLT). The surgical steps depicted…
This video demonstrates the use of autologous pericardium to reinforce and reconstruct the posterior annulus during a mitral valve replacement for endocarditis and severe mitral annular calcification (MAC). Background The patient was initially admitted for pneumonia and sepsis. After persistently positive blood cultures despite appropriate antibiotics, he underwent an echocardiogram on hospital day four, which…
Surgical resection is curative for carcinoid tumors of the airway (1). Parenchymal preserving techniques such as bronchoplasty and sleeve resections have been shown to have equivalent oncological outcomes when compared to more radical resections (2). This video demonstrates two cases. The first is a simple resection of a typical carcinoid tumor located in the right…
Recently, there has been a worldwide increase in the number of segmentectomies for early-stage I primary lung cancer, intrapulmonary metastases, and benign disease limited to segmental borders and not suitable for wedge resection (1,2). As a result, residents, trainees, and young surgeons in the fields of cardiothoracic and thoracic surgery are getting more exposed to…
This video demonstrates the robotic resection of an extremely apically located posterior mediastinal mass in a patient who had a prior ipsilateral thoracotomy. It highlights the fact that robotic surgery can be utilized in patients with a prior thoracotomy and may even provide an advantage in the resection of extremely apical posterior mediastinal masses, which…
Operative videos are becoming increasingly common on many platforms, yet the quality of these videos in the field of cardiac surgery has room for improvement. Many surgical fields have shifted to video-based surgery platforms such as thoracoscopy and laparoscopy, which allow for inherently high-quality surgical videos. Yet most cardiac operations are still performed using open…
A forty-seven-year-old male with a known case of advanced retroperitoneum leiomyosarcoma developed a sudden right shoulder pain with unusual resistance upon flushing of his chemo port. An immediate chest X-ray showed evidence of a chemo port catheter fracture that was situated behind a cardiac shadow. A CT scan confirmed that the fractured distal portion of…
Anomalous aortic origin of the left coronary artery (AAOLCA) from the right coronary sinus is a rare condition. However, this disease process is clinically important because it carries an increased risk of sudden cardiac death in otherwise healthy young people. This is especially true when compared to anomalous right coronary arteries. Anatomically, after its origin…
This video describes the management of an extended resection for thymoma invading the superior vena cava and other essential structures, including the cavoatrial junction, right phrenic nerve, and brachiocephalic veins. The different steps and the orders in which to perform them are important. When do we clamp the superior vena cava? Can we preserve the…
welcomes you to the new, improved website!
