Content from the Journal of the American Neurological Surgeons.
The patient was a fourteen-month-old infant who was born at term with an antenatal diagnosis of congenital pulmonary airway malformation. The infant was otherwise healthy and never had any episode of chest infection. Her CT chest showed mixed micro and macro cystic lesions, occupying 50 percent of the right lower lobe, without evidence of synchronous…
Tracheobronchial injury is a rare occurrence in people with blunt thoracic trauma, and it is associated with significant mortality (1). The majority of patients with tracheobronchial injuries die before reaching the hospital because of the associated mechanism of high-energy impact injuries. However, for those who survive, signs and symptoms can be nonspecific, and a high…
Anastomotic leaks after minimally invasive Ivor Lewis esophagectomy result in high morbidity for patients, including reoperation, prolonged hospitalization, and the need for distal feeding access. The treatment of anastomotic leaks varies widely and depends on the timing of presentation, the patient’s clinical status, and the severity and extent of contamination into the pleural cavity. Management…
A seventy-four-year-old male underwent a thoracoscopic biatrial ablation procedure with bipolar frequency. His past cardiac history was significant, with a three-year history of atrial fibrillation and multiple failed cardioversions. Further details of the procedure are as follows: Preoperative TTE: EF 65% Biatrial enlargement Mild mitral valve regurgitation Cardiac Catheterization No…
Holography is a method of creating three-dimensional images called holograms. These are made by superimposing a second wavefront, usually defined as a reference beam, on the wavefront of interest. This produces an interference pattern, which is then recorded on a physical medium (1). Holograms are used in many fields, including logistics, search and rescue operations,…
This video demonstrates a technique for VATS right en bloc S3, S4, S5 segmentectomy. The primary surgeon for this operation was Mr. Soon Sing Yang, a consultant cardiothoracic surgeon. The video shows an example of the CT thorax (in axial view) lung window. Surgeons always use the airways as a guide to identify the…
This operative technique video demonstrates an anatomic repair of congenitally corrected transposition (ccTGA) with ventricular septal defect (VSD), pulmonary atresia (PS), and mild right ventricular hypoplasia in a two-year-old who was palliated with a 3.5mm rmBTS (and coronary artery fistula ligation) in the neonatal period, followed by a rmBTS takedown and bidirectional Glenn shunt at…
This is a retrospective study that was performed in the Department of Thoracic and Cardiovascular Surgery, Subspecialty Hospital – Medical City (Baghdad) from January 1, 2017 to December 21, 2020. The aim of this study was to show the points of agreement and disagreement with other studies throughout the world that deal with mediastinal masses…
As the execution of percutaneous edge-to-edge repair increases, so does the need for surgical treatment of failed procedures. Mitral valve surgery after failed percutaneous edge-to-edge repair can be complex, and the feasibility of surgical mitral valve repair or replacement depends on the patient’s underlying systemic conditions and the time between the primary percutaneous and the…
A two-week-old, 3.5 kg newborn presented with tachypnea and a heart murmur. An echocardiogram showed a type I aortopulmonary window and patent foramen ovale. A computed tomography scan confirmed the diagnosis and showed a mild distal aortic arch hypoplasia. No coronary arterial anomalies were identified. Through a standard median sternotomy, and with indirect innominate artery…
Ascending aortic dissections often involve the aortic root and create aortic valve insufficiency. Prosthetic valve replacement in this setting yields inferior long-term results. Reparative management by commissural resuspension has been associated with an incidence of valve and sinus deterioration over time. This talk—first presented at the EACTS Aortic Forum in Bologna, Italy on November 15,…
A sixty-two-year-old female with a history of chronic cough and exercise intolerance initially presented for elective calcium scoring via cardiac CT. The scan showed previously undiagnosed anomalous pulmonary venous return (scimitar vein) in the patient’s right atrium. Further workup revealed moderate right ventricular dilation and a Qp/Qs ratio of 1.92. The video accompanying this article…
As this article and video demonstrate, the superior approach for repair of supracardiac TAPVC carries several advantages, including minimal-to-no heart manipulation, ease of accessibility through the transverse pericardial sinus, and all parts of the anastomosis readily visible, which ensures creation of the largest possible anastomosis with less risk of anastomotic distortion. In this case, a three-day-old, 2.6kg male was diagnosed prenatally with supracardiac TAPVC.…
CTSNet is wrapping up another year of outstanding cardiothoracic content—and looking ahead to 2022. But before we wish you Happy New Year, we took a look back at some of our personal favorites. Here is a list of recommended content from throughout 2021 that CTSNet Editor Mark K. Ferguson, M.D. says cardiothoracic surgeons and allied health professionals shouldn’t miss. Guest Editor Series Lung Cancer Screening—Health Care Disparities By Virginia Litle Virginia Litle, MD, brought together six video presentations and discussions to broaden our…
CTSNet is marking the end of year by showcasing our top-performing content from 2021. Read on for more on everything from our most popular webinar to our most prolific contributor—and everything in between. Most Attended Webinar Aortic Root Enlargement Archived Webinar: New Insights, New Techniques This webinar on aortic root enlargement was presented by a highly esteemed group of presenters and panelists, including Ed Chen, CTSNet President…
The year is coming to a close. To honor and celebrate the last twelve months of hard work from the CTSNet community, we’ve pulled together a list of the ten most popular clinical videos contributed by CTSNet members in 2021. Let the countdown begin! 10. Total Arterial Myocardial Revascularization Using OPCAB Technique With 3 In-Situ Arterial Grafts By Giuseppe Tavilla, Daniel Beckles, Ramachandra Reddy The authors of CTSNet’s tenth most popular submitted video of 2021 demonstrate their technique…
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