Content from the Journal of the American Neurological Surgeons.
Although the traditional (median sternotomy) approach has been set as the standard for thymectomy due to its better visualization and control of the anatomical structures, video-assisted thoracoscopic surgery (VATS) thymectomy can offer a less invasive technique with fewer perioperative complications and better cosmetic outcomes. This article contains a video demonstrating the excision of an anterior…
The Enseal® Tissue Sealer device is used as an important instrument for performing a pulmonary right lower lobectomy. This instrument can be used in a number of ways, including: grasping, blunt dissection, sharp dissection, and coagulation. This results in fewer instrument swaps and therefore reduced operative time and instrumentation. In this video, the use of…
This video illustrates the surgical correction of ruptured sinus of Valsalva aneurysm in a 13-year-old patient. 1. The patient had an initial diagnosis of moderate aortic valve regurgitation on functional bicuspid aortic valve. 2. Preoperative echogram studies showed a mobile, round, cystic mass close to the right atrial septum just above the septal leaflet of…
We present the case of a 20-year-old man who presented with 3 days of fever and headache, as well as a dry cough and dysgeusia. A chest CT scan was performed and a lesion in the left upper lobe was observed. The previous medical history included toxic megacolon and a viral pericarditis. The PET scan…
CTSNet Live Webinar Aortic Root Enlargement: New Insights, New Techniques CTSNet was excited to present a webinar on aortic root enlargement with a highly esteemed group of presenters and panelists, including Ed Chen, CTSNet President Duke Cameron, Maral Ouzounian, and Bo Yang. The event, livestreamed on September 10, 2021, explored the issues of patient prosthesis…
This is a nice, simple right-sided thymectomy performed by Ian Paul and proctored by Sasha Stamenkovic, which was performed at James Cook University Hospital, Middlesbrough, UK. It also shows the set up from the outside views with the docking of the Intuitive Xi system and port placement. Hopefully this will be a useful video for…
Recovery following the neonatal Norwood procedure is often complicated by bleeding, acute kidney injury, systemic inflammatory response, and low cardiac function [1]. The traditional conduct of this operation under deep hypothermic circulatory arrest likely exacerbates these problems. Total body perfusion during Norwood reconstruction may improve post-operative recovery by cooling to only mild hypothermia and eliminating…
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…
