Content from the Journal of the American Neurological Surgeons.
In this video we present our technique of total arterial myocardial revascularization using bilateral internal thoracic arteries and the right gastroepiploic artery as in-situ grafts for three-vessel disease. The left internal thoracic artery (LITA) is used as a sequential graft to the diagonal branch (Diag) and the left anterior descending artery (LAD). The right internal…
Introduction Levy et al [1] first described the aorto-left ventricular tunnel in 1963. This rare congenital malformation is an abnormal channel that connects the ascending aorta with the left ventricle, bypassing the aortic valve. In view of its rarity, surgical series are small. Most of the patients develop symptoms of heart failure during the first…
This is an interesting video where Sven Seifert and his team in Chemitz, Germany, combined the CMR Versius system with their laser technology to perform what was reportedly the first CMR laser metastasectomy. There are two patients documented here. One had many nodules that may well have been renal metastases, and the other had a…
The video presents a totally endoscopic port access technique using a three-dimensional endoscopic system for resection of the left atrial myxoma and mitral valve repair without robotic assistance. A 57-year-old male was admitted to the hospital because of fatigue three weeks prior. At the admission, he presented with NYHA II symptoms. Clinical examination showed arrhythmia,…
CTSNet and ASAIO Journal collaborated again to host the second webinar in this jointly-held live series. This second webinar focused on improving outcomes of cardiogenic shock. 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, and moderator Adam Protos, MD, division…
In this video, the authors discuss congenitally-corrected transposition of the great arteries. In order to describe a congenital heart defect adequately, the relationships between heart chambers and great vessels are defined according to the so-called “segmental approach,” thus identifying: atrioventricular connection ventriculoarterial connection and, indeed, cardiac position, atrial arrangement, and the presence of one or…
Endocarditis in premature infants without congenital heart disease is exceedingly rare. We describe a case of a premature infant who required surgical intervention for tricuspid endocarditis. The patient was a former 30-week gestation infant who was transferred to our facility at 18 days of age. Echocardiogram revealed a new mass on the tricuspid valve measuring 6…
Introduction Partial or complete resection of the pulmonary artery is a well-known technique for the treatment of non-small cell lung cancer, which provides optimal results in terms of disease control and blood flow [1,2]. In this video tutorial, we demonstrate how to carry out a left upper lobectomy associated with a plasty of the left…
Minimally invasive approaches are slowly but surely entering the field of cardiac surgery. It is important to note that in this direction, the valvular pathology has developed first and an important experience through the years has been accumulated by the surgical community. Regarding coronary artery bypass surgery (CABG), minimally invasive accesses remain somehow confidential. Even…
This video demonstrates a three-port video-assisted thoracoscopic right upper lobectomy, performed with the assistance of the Enseal® tissue sealer energy device. The authors believe that this is the first recorded use of the instrument for major pulmonary resection in the United Kingdom. The device is used for tissue dissection, sealing of small vessels (<7mm diameter),…
The CTSNet Resident Video Competition continues to be a highlight for the cardiothoracic surgery online community. CTSNet is excited to announce the winner of the 2020 competition, Dr. Ammara Watkins. Her submission was titled “Robotic Lobectomy: Review of Anatomy and Technique for RUL, RML, RLL, LUL, and LLL,” and she recently discussed her video with…
This presentation covers some of the recent advances in pediatric perfusion and lists out the recent studies that have been done. It covers the major topics of target hemoglobin, miniaturization, myocardial protection, goal-directed perfusion, inflammation, and upcoming trials. This will serve as a good collection of articles to facilitate deeper reading by residents. Disclaimer The…
Small defects in the pulmonary artery can be managed with compression and usually do not require aggressive intervention (1-3). Major injury to the pulmonary artery, however, can lead to large volume blood loss and rapid hemodynamic collapse, if not addressed appropriately (1-3). In this case, we encountered significant pulmonary artery bleeding during a VATS lingula-sparing…
A 7-year-old, 41 kg, female presented with murmur and evidence of right-sided cardiac chamber enlargement. She was asymptomatic. Echocardiography and cross-sectional imaging demonstrated partial anomalous pulmonary venous connection of the right upper and middle lobar pulmonary veins to the superior vena cava (SVC) and superior vena caval/right atrial junction. There was a moderate size superior…
The cardiophrenic angle lymph nodes were classified by Rouvière (1) as diaphragmatic lymph nodes and divided into: 1) Anterior (prepericardic) draining portions of the diaphragm, liver , pleura, and abdominal wall into the internal mammary chain 2) Middle (lateropericardic or juxtaphrenic) draining portions of the diaphragm, pericardium, pleura, and liver into the anterior mediastinal chain.…
Extracorporeal membrane oxygenation (ECMO) for cardiac failure is on the rise worldwide. Some challenges, such as limb ischemia and thrombotic or hemorrhagic events, are well-recognized. Newer data suggests that ventricle distension and upper body hypoxemia during veno-arterial (VA) support may be harmful to patient recovery also. In this video, we present two clinical scenarios highlighting…
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