Content from the Journal of the American Neurological Surgeons.
This is a report of a successful slide tracheobronchoplasty for right mainstem bronchial agenesis. Patient is a 2.4kg ex-36 week male (with a corrected gestational age of 39.6 weeks at time of surgery) with an antenatal diagnosis of congenital high airway obstruction syndrome (CHAOS). Patient was born via cesarean section at 36-week GA and 1.94kg.…
Dr Bode Falase is a consultant and an associate professor of Cardiothoracic Surgery at the Lagos State University Teaching Hospital in Lagos, Nigeria. Dr Falase earned his MB and BS, as well as conducted his surgery residency, at the University College Hospital in Ibadan, Nigeria. He completed his cardiothoracic surgery residency in Wales, United Kingdom,…
We present the case of a 2.8 kg baby born with Axial Mesodermal Disruption syndrome that encompasses features of Oculo-Auriculo-Vertebral spectrum disorder and VACTERL. OAV spectrum disorder is also known as Goldenhar. The patient was diagnosed with a left pulmonary artery sling, long segment tracheal stenosis, atrial septal defect and bilateral superior vena cavae. The…
Double aortic arch is the most common complete vascular ring, frequently causing compression on the trachea and esophagus, and presenting with stridor, recurrent chest infection, or dysphagia lusoria (1). In 70% of cases the right arch is dominant but both arches together form a complete vascular ring (2). This case is a 37-year-old female presenting…
We present the case of a 20-year-old man with a previous medical history of toxic megacolon and a viral pericarditis, which after 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 PET scan…
Ventricular assist device surgery using a lateral access has been shown to be a safe and a partially beneficial alternative to the standard approach by sternotomy (1). Hereby, left anterolateral minithoracotomy is obligatory for accessing the apex, but for facilitating the outflow-graft anastomosis mainly two options are described: (I) partial upper sternotomy and (II) right…
We present to you the surgical repair of a complete vascular ring consisting of a right aortic arch with a retroesophageal aberrant left subclavian artery and a persistent diverticulum of Kommerell. This is a 15-month-old girl who was diagnosed with a vascular ring prenatally. She was asymptomatic; however, the parents elected to proceed with elective…
BackgroundIn the last 54 years, advances in organ preservation, surgical technique, and immunosuppression have resulted in improved outcomes following heart transplantation. (1,2) These advances and the increased frequency of heart transplants have led to this procedure being part of the training curriculum for trainees. (3) Teaching this procedure presents unique challenges, but also opportunities to…
The advent of low dose CT scans for lung cancer screening has resulted in increased detection of small lung nodules concerning for malignancy. Based on the location, some of these nodules may not be amenable to diagnostic transthoracic biopsy or wedge resection. In this scenario, a segmentectomy may be performed for diagnostic purposes. In-depth knowledge…
We present our technique of aortic root enlargement and ascending aortoplasty during aortic valve replacement. Benefits of this technique include the ability to implant a larger valve prosthesis, as well as simultaneously reducing the size of a dilated ascending aorta, whilst avoiding reimplantation of the coronary arteries. We present a case of a patient, male,…
INTRODUCTION:Achieving successful repair in congenital heart disease requires attention to details. Careful evaluation of anastomotic site patency, re-implanted coronary arteries, location of epicardial coronaries and myocardial perfusion may be needed to ensure safe conduct of the operation and excellent results. We have used the technique of IOFA using indocyanine green (ICG) as an integral part…
Welcome to the new CTSNet Global portal! Formerly known as CTSNet’s Surgical Volunteerism portal, the new CTSNet Global portal has been expanded to provide a wider range of information regarding global cardiothoracic surgery, including global surgical volunteerism, organizations and opportunities, cardiac surgery in low- and middle-income countries, surgical pearls and pitfalls in resource-limited settings, and…
I report a case of VATS middle lobectomy with en bloc sub Segmentectomy S3b. This intervention was performed for a suspicious lesion localized in the horizontal fissure and we plan to perform an anatomical lung sparing resection: middle lobectomy plus upper lobe anterior medial subsegment S3b. We start by opening the mediastinal pleura using harmonic…
Morgagni hernia is a rare congenital diaphragmatic hernia comprising 2.6% of all diaphragmatic hernias (1). It is a defect between the costal and sternal attachments of the diaphragm muscle anteriorly and is most common on the right, but also can be found on the left or on both sides (2). Abdominal contents can herniate into…
The report emphasizes the importance of surgery for such cardiac hydatid cysts whenever discovered to prevent fatal and unexpected death. Although cardiac hydatid cyst is a rare disease, early diagnosis and treatment is of great importance because of frequent fatal complications. CT scan is excellent modality for diagnosis. Surgical excision is the best treatment modality…
This video shows a minimally invasive mitral valve repair on a patient with situs inversus. The patient is a 66 year old male presenting with progressive dyspnea on exertion, paroxysmal nocturnal dyspnea and orthopnea, who had a recent heart failure admission and was diagnosed with severe mitral valve regurgitation. The patient underwent a diagnostic workup.…
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