Content from the Journal of the American Neurological Surgeons.
Disclosure: The author of this video is a consultant and proctor for Atricure—the company that makes the Epi-Sense catheter used in this procedure. This video focuses on the convergent hybrid ablation procedure, which recently received FDA approval for the treatment of longstanding persistent atrial fibrillation (AF). It covers the rationale for the procedure, the surgical…
Dr. Joel Dunning interviews the Dr. Hazem Fallouh, winner of the 2021 Techno-College Innovation Award from the European Association for Cardio-Thoracic Surgery (EACTS). Dr. Fallouh is a consultant cardiothoracic surgeon at the University Hospital Birmingham. In this video interview, Dr. Dunning and Dr. Fallouh discuss the ins and outs of his amazing competition video, including how…
Atrial fibrillation treatment is not a separate discipline in surgery. It is integral to proper surgical intervention for as many as one-third of patients coming to surgery. As part of surgeons’ mission to provide people with the optimal and most durable outcome from surgery, the profession must achieve ubiquitous skill and deliver consistent results. In addition, for surgeons with the ability…
A two-month-old female presented with failure to thrive and shortness of breath during feedings. Echo images show ed type 2 aortopulmonary window, left ventricular enlargement, and systemic pulmonary hypertension. After a median sternotomy, the mean, right, and left pulmonary arteries, and ascending aorta were dissected. There was no patent ductus arteriosus. The AP window was visualized. The ascending aorta was then cannulated distally. Next, the right atrium was cannulated. Then the left heart was vented via right superior pulmonary vein. Next, the aortic cross-clamp…
This video presents an off-pump technique to achieve total arterial revascularization in three-vessel disease using exclusively in-situ bilateral mammary arteries. In the first case, a retro-aortic RITA is used to revascularize the vessels of the anterior wall and a LITA is used for the vessels of the lateral and posterior walls. In the second case,…
This video documents the use of the IMAGE1 S™ 4K RUBINA™ system during a minimally invasive uniportal right upper lobe apical segmentectomy. The IMAGE1 S™ 4K RUBINA™ system combines 4K imaging technology with NIR/ICG fluorescence imaging. This can be superimposed on the white light image (overlay mode), providing the user with valuable information. The system…
Adults or other patient groups with congenital heart disease can present with aortic insufficiency. This is most likely due to annular dilation, but it can also be related to other factors such as dysmorphic leaflets, leaflet prolapse, or effacement of sinotubular junction, among others. This video demonstrates the repair of an aortic valve in congenital…
While primary cardiac tumors are rarely seen, myxomas are the most common primary cardiac tumors. In over 75 percent of the cases, myxomas originate from the left atrium. Although the diagnosis might be done incidentally in some, almost 67 percent of patients have cardiac signs and symptoms related to the classic triad of obstruction, embolism,…
A female patient in her thirties was referred to our clinic when an MRI for neck pain revealed an upper right sided mediastinal mass that proved to be an azygos vein aneurysm. Because of the possibility of emboli, a RATS resection was recommended. Here we present the operative video of the procedure. Disclaimer The…
An eight-year-old female presented with at least a moderate size paramembranous ventricular septal defect (VSD) and large left-to-right shunt. This closure procedure was performed via a vertical right axillary thoracotomy (VRAT) under general anesthesia and selective lung isolation. The patient is positioned in the left lateral decubitus with the right hip rotated forty degrees to…
This video demonstrates the setup for a minimally invasive mitral valve surgery in a step-by-step approach. Femoral cannulation is done through an oblique incision in the right groin. Both the femoral vein and femoral artery are exposed, and a purse string suture 5-0 Prolene is taken in both vessels. The Seldinger technique is used where…
Surgical repair of a cardiac type total anomalous pulmonary venous connection (TAPVC) is a simple yet challenging surgical procedure, especially when done in a neonate. The goal of the surgery is to create an unobstructed communication of the pulmonary veins to the left atrium. It is a standard, time tested, technique to treat this important…
CTSNet associate editor Joel Dunning sits down with Dr. Sameh Said, associate professor at the University of Minnesota, who has contributed more than twenty-five videos to CTSNet. Dr. Said’s Ross Procedure After Previous Aortic Valve Repair in an Adult is a popular one. In the interview Dr. Dunning and Dr. Said discuss the ins and outs of some of his more popular articles, as…
Introduction Operating in a post-surgical field has inherent technical challenges. Often, tissue preservation is important because prior excision can leave the remaining anatomy limited. In select cases, the enhanced abilities afforded by robotic-assisted surgery allow for critical tissue preservation compared to standard laparoscopic techniques. Methods A 76-year-old male presented with an incidentally found and enlarging…
Background Historically, direct reimplantation is a technique that requires a partial aortotomy and xeno-pericardial patch (1). A recent report outlined a simplified approach for the reimplantation of a right anomalous aortic origin of a coronary artery (AAOCA) that outlined a skeletonized technique that employs the principles of a standard aortic anastomosis in coronary artery bypass…
Longstanding tricuspid valve regurgitation (TR), either of functional or organic origin, might lead to severe right ventricular (RV) dilatation and/or dysfunction. The chordal shortening caused by papillary muscle displacement secondary to marked RV dilatation results in severe leaflet tethering and progressive lack of coaptation, which makes the tricuspid valve repair surgery much more complicated. The…
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